Inmed Diagnostic v. Medquest Assoc.

594 S.E.2d 552, 358 S.C. 270
CourtCourt of Appeals of South Carolina
DecidedMarch 22, 2004
Docket3765
StatusPublished
Cited by2 cases

This text of 594 S.E.2d 552 (Inmed Diagnostic v. Medquest Assoc.) is published on Counsel Stack Legal Research, covering Court of Appeals of South Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Inmed Diagnostic v. Medquest Assoc., 594 S.E.2d 552, 358 S.C. 270 (S.C. Ct. App. 2004).

Opinion

358 S.C. 270 (2004)
594 S.E.2d 552

INMED DIAGNOSTIC SERVICES, L.L.C., Respondent-Appellant,
v.
MEDQUEST ASSOCIATES, INC., Palmetto Imaging, Inc., and Open MRI of Florence, Inc., Appellants-Respondents.

No. 3765.

Court of Appeals of South Carolina.

Heard January 13, 2004.
Decided March 22, 2004.
Rehearing Denied April 22, 2004.

*271 Charles E. Carpenter, Jr., S. Elizabeth Brosnan, M. Elizabeth Crum and Robert W. Dibble, Jr., all of Columbia, for Appellant-Respondent.

*272 Hamilton Osborne, Jr. and James Y. Becker, of Columbia, for Respondent-Appellant.

GOOLSBY, J.:

This appeal arises out of a dispute among competing providers of magnetic resonance imaging ("MRI") services. MedQuest Associates, Inc., Palmetto Imaging, Inc., and Open MRI of Florence, Inc. (collectively "MedQuest") appeal a jury verdict in favor of InMed Diagnostic Services, L.L.C. ("InMed") under the Unfair Trade Practices Act ("UTPA"). InMed cross-appeals, arguing error in the award of attorney fees and the trial court's refusal to award treble damages. We reverse the jury verdict.

FACTS AND PROCEDURAL BACKGROUND

The State Certification of Need and Health Facility Licensure Act ("CON Act")[1] governs the acquisition and use of medical equipment such as MRI machines in South Carolina. Under the CON Act, a medical provider must obtain a certificate of need ("CON") from the South Carolina Department of Health and Environmental Control ("DHEC") before undertaking "the acquisition of medical equipment which is to be used for diagnosis or treatment if the total project cost is in excess" of $600,000.[2] If the total project cost in a given situation falls below the $600,000 threshold, the provider may seek a determination from DHEC that the CON Act does not apply.[3] A determination of this kind is known as a nonapplicability determination ("NAD"). The application and review process to obtain a CON is more detailed and timeconsuming than that to obtain a NAD.

DHEC regulations define "total project cost" as "the estimated total capital cost of a project including land cost, *273 construction, fixed and moveable equipment, architect's fee, financing cost, and other capital costs properly charged under generally accepted accounting princip[les] as a capital cost."[4] Under generally accepted accounting principles, assets are recorded at historical or invoice cost when they are acquired.

MedQuest, formed in 1994, operates six facilities in South Carolina that provide outpatient diagnostic imaging services, including MRI services. In 1998, MedQuest began negotiating with Siemens, a supplier of MRI machines, for the purchase of new MRI machines.[5] Siemens and MedQuest reached an agreement providing that, as MedQuest bought machines from Siemens, Siemens would give a major discount on every third purchase. MedQuest used two of these heavily discounted purchases for its facilities in Columbia and Florence, South Carolina, and applied to DHEC for a NAD for these acquisitions.[6] DHEC approved MedQuest's applications in early 1999.

InMed, a competing provider of outpatient diagnostic imaging services, was formed in 1998, when its founder, Robert Adams, purchased the assets of Image Trust, an MRI provider in Florence and Columbia that had ceased operations. Adams subsequently purchased replacement MRI machines for both locations and obtained a NAD for the Florence acquisition.

Both InMed and MedQuest challenged each other's NAD for their Florence locations. InMed asserted that MedQuest substantially understated the cost of its MRI equipment in its application to DHEC for a NAD. MedQuest asserted that InMed should have included a trade-in allowance for used equipment in the total cost of the project. The appeals went before the Administrative Law Judge Division ("ALJD"); *274 however, they were subsequently dismissed by agreement between the parties.

Several months later, InMed commenced the present action by filing a complaint in the Richland County Circuit Court. In its amended complaint, InMed alleged that the individual defendants "combined and conspired with each other to provide false and fictitious information to DHEC concerning MedQuest's MRI equipment costs for its facilities in Columbia and Florence." The complaint also alleged unfair trade practices, common law unfair competition, interference with prospective contractual relations, and civil conspiracy.

MedQuest answered InMed's complaint, alleging several affirmative defenses, including (1) that exclusive jurisdiction lay with the ALJD, (2) that InMed had failed to exhaust its administrative remedies, and (3) that InMed's cause of action under the UTPA should be dismissed because MedQuest's conduct was controlled by the CON Act and thus was not subject to liability under the Act.

In a form order dated December 6, 2001, and again in a formal order dated February 20, 2002, the circuit court granted summary judgment as to all causes of action against Siemens. The circuit court also granted summary judgment in favor of MedQuest as to the civil conspiracy and interference with prospective contractual relations claims; however, summary judgment was denied as to the UTPA and common law unfair competition claims.

InMed's remaining two claims were then tried to a jury from December 10-13, 2001. During the course of the trial, InMed dropped the common law unfair competition claim, and only the UTPA claim went to the jury. The jury returned a verdict for InMed, awarding $2,107,898 in damages.

On December 19, 2001, MedQuest moved for judgment notwithstanding the verdict, or in the alternative, for a new trial. The next day, InMed moved for treble damages and attorney fees. In a form order dated January 10, 2002, the circuit court denied both motions, noting further that attorney fees would be set following a hearing on the matter. On February 4 and 6, 2002, MedQuest and InMed, respectively, appealed the denial of their motions.

*275 On March 28, 2002, the circuit court heard InMed's motion for attorney fees. By form order dated May 2, 2002, the circuit court awarded InMed $100,000 in attorney fees. InMed filed a motion to alter or amend this ruling, which was denied by form order on May 20, 2002. InMed appealed this ruling on May 29, 2002, and MedQuest likewise appealed the order awarding attorney fees.

On appeal, MedQuest argues the UTPA is inapplicable to InMed's lawsuit because the purchase of medical equipment is specifically regulated by DHEC. MedQuest also argues that InMed's abandonment of its appeal before the ALJD barred it from seeking relief in the circuit court. Finally, MedQuest contends that, even assuming its actions were subject to the UTPA, there was no evidence of a UTPA violation.

In its cross-appeal, InMed argues that the circuit court erred by refusing to award treble damages on its cause of action for unfair trade practices. InMed further asks that the attorney fees award of $100,000 be vacated and the matter remanded to the circuit court for appropriate findings as required by the controlling case law.

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Bluebook (online)
594 S.E.2d 552, 358 S.C. 270, Counsel Stack Legal Research, https://law.counselstack.com/opinion/inmed-diagnostic-v-medquest-assoc-scctapp-2004.