Harmony Healthcare International, Inc. v. Samaritan Senior Village, Inc.

CourtDistrict Court, D. Massachusetts
DecidedJuly 18, 2024
Docket1:20-cv-12135
StatusUnknown

This text of Harmony Healthcare International, Inc. v. Samaritan Senior Village, Inc. (Harmony Healthcare International, Inc. v. Samaritan Senior Village, Inc.) is published on Counsel Stack Legal Research, covering District Court, D. Massachusetts primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Harmony Healthcare International, Inc. v. Samaritan Senior Village, Inc., (D. Mass. 2024).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS

SMS FINANCIAL RECOVERY * SERVICES, LLC, as successor in interest to * HARMONY HEALTHCARE * INTERNATIONAL INC., * * Plaintiff, * * v. * Civil Action No. 1:20-cv-12135-IT * SAMARITAN SENIOR VILLAGE, INC. * d/b/a SAMARITAN SUMMIT VILLAGE, * * Defendant. * *

SMS FINANCIAL RECOVERY * SERVICES, LLC, as successor in interest to * HARMONY HEALTHCARE * INTERNATIONAL INC., * * Plaintiff, * * v. * Civil Action No. 1:20-cv-12138-IT * SAMARITAN MEDICAL CENTER d/b/a * SAMARITAN KEEP NURSING HOME, * * Defendant. *

MEMORANDUM & ORDER

July 18, 2024 TALWANI, D.J. This consolidated action arises out of three-year contracts for healthcare consulting services between Harmony Healthcare International Inc. (“HHI”) and Defendants Samaritan Medical Center d/b/a Samaritan Keep Nursing Home and Samaritan Senior Village d/b/a Samaritan Summit Village (collectively, “Samaritan”). Pursuant to these contracts, beginning in December 2019, HHI was to provide auditing and education services to each Defendant. After the onset of the COVID-19 pandemic and related restrictions on in-person visitors, Samaritan terminated the contracts. In November 2020, HHI brought a suit against each Defendant. In November 2023, after HHI filed for bankruptcy protection, its secured creditor,

Plaintiff SMS Financial Recovery Services, LLC, filed an Amended Complaint in each action as HHI’s successor in interest. Plaintiff asserts HHI’s claims for breach of contract, breach of the covenant of good faith and fair dealing, quantum meruit, and Massachusetts General Law chapter 93A violations and seeks the outstanding balance on the remaining term of the Master Agreements (April 2020 through December 2023). Following consolidation of the two actions, Samaritan moved for summary judgment contending, inter alia, that HHI’s breach of contract fails because HHI materially breached the contracts when it failed to perform on-site visits in April and May of 2020 and that in any event Samaritan’s own failure to perform was excused by the doctrines of impossibility/impracticability. Samaritan asserts further that Plaintiff’s remaining claims are foreclosed as a matter of law. Plaintiff opposed and cross-moved for

summary judgment on the breach of contract claim, arguing that HHI was able to substantially perform its part of the bargain remotely, and that Samaritan breached the Master Agreements by unilaterally terminating them. For the reasons set forth herein, Defendants’ Motion for Summary Judgment [Doc. No. 53] is GRANTED and Plaintiff’s Cross-Motion for Summary Judgment [Doc. No. 57] is DENIED. I. Factual Background A. The Parties to the Contract Defendant Samaritan Summit Village (“Samaritan Summit”) is an assisted living and skilled nursing facility. Pl. Resp. Def. SOF ¶ 1 [Doc. No. 78]. Defendant Samaritan Keep Nursing Home (“Samaritan Keep”) is a long-term care facility. Id. Both facilities are located in Watertown, New York. Id. HHI was an independent third-party consulting company that “provide[d] the healthcare industry with services under the umbrella of compliance, auditing, analysis, education,

efficiency, regulatory, and survey.” Berman Decl., Ex. A (Mastrangelo Depo. 14:1–6) [Doc. No. 54-1]. B. The 2019 Master Agreements and Orders of Services Samaritan Summit and Samaritan Keep each entered into a Master Agreement for Consulting Services dated December 19, 2019, together with an Order of Services, with HHI. Berman Decl., Ex. F (Samaritan Summit Master Agreement) [Doc. No. 54-3] & Ex. E (Samaritan Keep Master Agreement) [Doc. No. 54-2] (collectively, the “Master Agreements”). The two Master Agreements are identical in all material and relevant aspects. Pl. Resp. Def. SOF ¶ 1 [Doc. No. 78]; compare Samaritan Keep Master Agreement [Doc. No. 54-2] with Samaritan Summit Master Agreement [Doc. No. 54-3]. Robert Baranello, as Samaritan’s Vice President of

Post-Acute Care, signed the Master Agreements and the Orders of Services on behalf of Samaritan, and Kris Mastrangelo, as HHI’s President and CEO, signed the Agreements and Orders of Services on behalf of HHI. See Master Agreements and Orders of Services 9, 23 [Doc. No. 54-2 and 54-3]. The purpose of the arrangement was for HHI to “strategically review patient information” and “optimiz[e] the scoring for the case mix index,” Baranello Depo Tr. 27:2–10 [Doc. No. 76- 1], which would help Samaritan improve its Medicaid reimbursement rate, id. at 44:18–21. The Master Agreements provided that the Orders of Services were for a three-year term. Master Agreements § 3 [Doc. Nos. 54-2 and 54-3]. The Orders of Services listed a “Schedule of Platinum CARE Plan Services” that HHI was to provide at each facility. Order of Services 17 [Doc. Nos. 54-2 and 54-3]. Pursuant to the Master Agreements, Samaritan’s payment under the Platinum CARE Plan covered both the provision of “consulting services” and the grant of a license to “use HHI’s confidential and proprietary HarmonyHelp website.” Id. § 2; see id. § 3

(“In return for the Consulting Services and the License . . . the Client and the Facility shall be jointly and severally obligated to pay to HHI the fees . . . set forth on the attached order.”). The Master Agreements defined “Consulting Services” as “any work provided by HHI pursuant to this Agreement,” Master Agreements 3 [Doc. Nos. 54-2 and 54-3], and specified that “[i]n order to carry out the Consulting Services, the Client shall provide HHI and its representative[]s full access to its facilities, books and records, employees, and, in accordance with applicable law, its patients and their medical, treatment and other records.” Id. § 1(c). The Master Agreements further provided that “[i]n the event that the Client cancels a site visit by HHI within the fifteen-day period immediately prior to its scheduled date, the Client and the Facility shall be jointly and severally obligated to pay to HHI HHI’s agreed upon fees and

expenses incurred for such site visit.” Id. § 3. The Master Agreements contained an integration clause, which included the schedule of services as part of the integrated writing. Id. § 8(d). They also contained an attorney’s fees provision that entitled HHI to recover “attorneys fees and costs incurred to enforce the agreement” in the event of a breach by Samaritan. Id. § 8(f). The Orders of Services detailed the services HHI was to provide to Samaritan under the Platinum CARE Plan. The Orders specified that: “Two (2) Days Per Month – initial visits (first three months) to focus on Rehabilitation Consulting, PDPM Evaluation Review and Quality Measures. Focus will then shift to improve Case Mix Index. Services focus on performing medical review, systems refinement and education.” Orders of Services 17 [Doc. Nos. 54-2 and 54-3]. The Orders also laid out eighteen specific types of activities HHI would be performing, including “MDS/PDPM Assessments” (which itself had a subset of provided services including “MDS audit[s] and associated chart reviews,” “auditing documents to ensure timely completion, accuracy, and state transmission,” “educating the team on coding and case management

techniques”); “Part A Coverage” determinations; “Medicare Manual and More”; “Reports”; “Customized Training”; “Analysis”; “Other Areas” including Part B revenue analysis, rate setting, and budgeting; “Beneficiary Review Meeting Attendance”; “Medicare Documentation”; “Denials Management” assistance; “Medicare Clinically Anticipated Stay” review; “Rehabilitation Systems Assessment”; “Medicare Profitability”; “Restorative Nursing” program implementation assistance; “Educational seminars”; “Therapy analysis”; “Rehabilitation Training Modules”; and “Subsequent visits” follow-through assessment.

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Harmony Healthcare International, Inc. v. Samaritan Senior Village, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/harmony-healthcare-international-inc-v-samaritan-senior-village-inc-mad-2024.