Idak Corp. v. Hiam (In Re Idak Corp.)

19 B.R. 765
CourtUnited States Bankruptcy Court, D. Massachusetts
DecidedApril 6, 1982
Docket13-43244
StatusPublished
Cited by8 cases

This text of 19 B.R. 765 (Idak Corp. v. Hiam (In Re Idak Corp.)) is published on Counsel Stack Legal Research, covering United States Bankruptcy Court, D. Massachusetts primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Idak Corp. v. Hiam (In Re Idak Corp.), 19 B.R. 765 (Mass. 1982).

Opinion

MEMORANDUM RE OBJECTIONS TO PROOFS OF CLAIM

THOMAS W. LAWLESS, Chief Judge.

On July 5, 1979, the Debtors, Idak Corporation et al. filed petitions seeking arrangements with their creditors under Chapter XI of the Bankruptcy Act, 11 U.S.C. § 701 et seq. The Debtors own and operate twen *767 ty-seven nursing homes located throughout Massachusetts. 1 Those facilities aré the subject of these jointly administered arrangement proceedings. On March 12, 1981, the Massachusetts Department of Public Welfare (“Commonwealth”) filed proofs of claim amounting in the aggregate to $5,107,589.66 in twenty-six of these proceedings. The Commonwealth contends that these proofs of claim represent over-payments made to the Debtors under the state Medicaid program.

The Debtors entered into a series of contracts with the Commonwealth which govern their participation in the Medicaid program. Under the program, the Commonwealth pays the Debtors for services provided to citizens of the Commonwealth who are eligible for public assistance. The Commonwealth pays for the services by the Debtors in accordance with rates established by the Massachusetts Rate Setting Commission (“Commission”). The Commission, pursuant to M.G.L. c. 6A § 31 et seq., is empowered to set rates to be paid by the Commonwealth to nursing homes in Massachusetts. The rate setting system is set forth in M.G.L. c. 6A § 32 and 114.2 CMR 2.00. Under this system, the amount of current payments received by the Debtors from the Commonwealth depends upon the “interim rates” set by the Commission. Each of the Debtor nursing homes receives a monthly payment based upon its interim rate. These rates are set annually by the Commission and are retrospective in application. The rate is an estimate based upon the adjusted costs of the preceding calendar year, updated to consider inflation. A few years after the interim rates have been paid, a “final rate” for the year in question is calculated for the provider. This rate is computed from the actual costs incurred by the provider during that year based upon cost reports submitted by the provider and audits performed by the Commission. Those reported costs which are not considered allowable under the regulations promulgated by the Commission are not included in the provider’s final rate. If the final rate exceeds the interim rate previously paid, the Commonwealth must pay the difference to the provider. If the final rate is less than the interim rate, the nursing home owes the difference to the Commonwealth. 114.2 CMR 2.01(3).

The Commonwealth alleges that the Debtors’ final rates for the years 1976-1979 up to the date of filing the Chapter XI proceedings are lower than their interim rates for those years and that the difference of approximately five million dollars is due to the Commonwealth. In addition, the Commonwealth asserts that it is entitled to a priority status for one-half of its claims because this amount was paid by the United States to the Commonwealth as federal participation and may be due back to the United States under law governing the relationship of the Commonwealth and the United States in the Medicaid program. 2

*768 On April 1, 1981, the Debtors filed objections to the Commonwealth’s proofs of claim together with counterclaims for over a million dollars. The Debtors challenge the calculation of their final rates by the Commission for the years in question. They essentially argue that: (1) the Commission, in determining their final rates for the year 1976, contravened its own regulations by disallowing certain amounts which have been or will be paid for real estate taxes; (2) in calculating the Debtors’ final rates for the years 1976, 1977, 1978 and the first half of 1979, the Commission applied 114.2 CMR 2.09(1), the “negative equity” provision, in its computations and the resulting reduction in the Debtors’ final rates imposed a penalty upon the Debtors within the meaning of § 57(j) of the Bankruptcy Act, 11 U.S.C. § 93(j); and (3) the Commission reduced the Debtors’ final rates by an amount representing imputed interest on certain real estate owned by the Debtors and on certain accounts receivable and this reduction also constitutes a penalty under § 57(j) of the Bankruptcy Act. The Debtors argue that their final rates, when properly calculated, exceed their interim rates for the years in question and that the Commonwealth owes the Debtors $873,181.00. Accordingly, the Debtors have counterclaimed for this amount. This counterclaim relates only to the twenty-six facilities against which the Commonwealth has filed proofs of claim. The Debtors further allege that the Commonwealth refrained from filing a proof of claim against IDAK Convalescent Home of Needham, Inc., d/b/a Briarwood Convalescent and Retirement Home (“Briarwood”) because even after the rates for that home were improperly calculated by the Commission, the final rate was $12,800.00 greater than the interim rate. The Commonwealth contends that it has already reduced its proofs of claim to take account of this $12,800.00 excess. The Debtors argue that a proper calculation of the final rate for the Briarwood facility establishes a debt owing to Briarwood in the amount of $243,453.00. The Debtors also counterclaim for this amount. The Debtors’ combined counterclaims against the Commonwealth, therefore, total $1,116,-644.00. Finally, the Debtors argue that, even if the Commonwealth had a valid claim against the Debtors, the Commonwealth would not be entitled to a priority status as to that claim, since the Commonwealth is not an agent of the United States under the Medicaid program.

On April 15, 1981, the Commonwealth filed a motion to dismiss the Debtors’ counterclaims stating as reasons therefore; (1) the bankruptcy court lacks jurisdiction over the matters raised by the counterclaims because these matters are committed to the sole jurisdiction of state regulatory agencies; (2) the counterclaims are barred by the doctrine of sovereign immunity; (3) as to the first counterclaim, the Debtors have failed to exhaust the administrative remedies available to them; and (4) the first counterclaim is barred by the doctrine of res judicata.

The Debtors, the Receivers and the Commonwealth submitted memoranda of law on the issues raised in the Commonwealth’s proofs of claim, the Debtors’ objections thereto and the Debtors’ counterclaims. Hearings were held on May 12, May 26, and July 15 of 1981 during which evidence was presented and testimony transcribed, (hereinafter referred to in chronological order as transcripts 1, 2 and 3). The parties filed with the court a stipulation of facts which, among other things, establishes the dollar impact of the disputed calculations on the Commonwealth’s proofs of claim.

At the outset, the Commonwealth contends that the arguments set forth in its motion to dismiss the Debtors’ counterclaims apply with equal force to preclude a determination of the validity of its proofs of claim. Specifically, the Commonwealth suggests that any application of federal law to determine the validity of its claims must, *769

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Bluebook (online)
19 B.R. 765, Counsel Stack Legal Research, https://law.counselstack.com/opinion/idak-corp-v-hiam-in-re-idak-corp-mab-1982.