Interim Healthcare of Northeast Ohio, Inc. v. Interim Services, Inc.

12 F. Supp. 2d 703, 1998 U.S. Dist. LEXIS 11546, 1998 WL 433793
CourtDistrict Court, N.D. Ohio
DecidedJuly 23, 1998
Docket1:97-cv-02004
StatusPublished
Cited by2 cases

This text of 12 F. Supp. 2d 703 (Interim Healthcare of Northeast Ohio, Inc. v. Interim Services, Inc.) is published on Counsel Stack Legal Research, covering District Court, N.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Interim Healthcare of Northeast Ohio, Inc. v. Interim Services, Inc., 12 F. Supp. 2d 703, 1998 U.S. Dist. LEXIS 11546, 1998 WL 433793 (N.D. Ohio 1998).

Opinion

MEMORANDUM OPINION

GWIN, District Judge.

On May 22, 1998, Defendants Interim Services, Inc. and Interim Healthcare, Inc. filed for summary judgment against the three Ohio plaintiffs in this diversity contract action [Doc. 65]. Defendants argue they are entitled to judgment on all claims. In their *706 complaint, the plaintiffs claim the defendants breached their health care franchise agreements. Plaintiffs claim the defendants breached this agreement when the defendants misrepresented that Medicare would reimburse royalty payments the plaintiffs made to the defendants.

The Court finds defendants did not misrepresent plaintiffs’ right to be reimbursed for royalties the plaintiffs paid defendant. In fact, the defendant advised plaintiffs that reimbursement was not certain. Instead, plaintiffs’ damages arose from the acts of an unrelated fiscal intermediary. More important, the Court finds no material factual issues exist.

Because all material evidence shows defendant advised plaintiffs of the potential that plaintiffs would not be reimbursed for franchise fees, the Court finds the defendants did not breach the franchise agreements and that plaintiffs have not made out a case of fraudulent concealment, negligent misrepresentation, promissory estoppel, or breach of a fiduciary duty. The Court grants the motion and dismisses this action.

I. Procedural history

On August 1, 1997, plaintiffs filed a complaint against Defendant Interim Services. In their second amended complaint against both defendants, plaintiffs make claim for breach of contract (Count I), intentional or negligent tortious misconduct (Count II), promissory estoppel (Count III), and breach of fiduciary duty (Count IV). In their complaint, plaintiffs seek declaratory and in-junctive relief (Count V), and $10 million in compensatory damages and $10 million in punitive damages.

After filing its complaint, plaintiffs sought interim injunctive relief. As to this request, Judge Patricia Gaughan denied the plaintiffs’ request for a- temporary restraining order and a preliminary injunction. The injunction sought would have prevented Defendant Interim Services from establishing a new franchise in plaintiffs’ northern Ohio territory.

On September 9, 1997, defendants filed a motion to dismiss the amended complaint, or in the alternative, for summary judgment. The Court never ruled on that motion. Instead of ruling upon this motion to dismiss, Judge Gaughan allowed plaintiffs to conduct discovery before responding to the summary judgment motion. She gave plaintiff until June 1, 1998, to respond. During this time, defendants filed a second motion for summary judgment. Today, the Court addresses this second motion for summary judgment.

II. Factual background 1

Plaintiffs, 2 the parent holding company and its two wholly-owned subsidiaries, provide home health care services to patients in northern Ohio. In providing home health care services, plaintiffs act as franchisees of Defendant Interim Services, Inc., its predecessor, and its successor, Defendant Interim Healthcare, Inc. The parties franchiser-franchisee relationship is controlled by a written franchise agreement. In 1982, plaintiffs received as an assignment the rights in the franchise agreement dated February 4, 1974. The parties executed another franchise agreement on January 27,1994.

The defendants, both Delaware corporations, have their principal place of business in Ft. Lauderdale, Florida. 3 The defendants operate, license and franchise others to operate health care service businesses which use the defendants’ system and service mark in designated geographic areas.

*707 In the mid-1970s, defendants’ predecessor began providing Medicare reimbursable services. Medicare home health agencies provide intermittent home health care to Medicare-eligible participants, primarily the elderly and the disabled.

Under the Medicare program, Medicare reimbursed home health agency providers for services on a cost basis to a predetermined cap. To carry out this reimbursement, Medicare uses fiscal intermediaries to review and audit the provider submissions for compliance with the Medicare program. On final cost report settlements, the fiscal intermediary determines the amount of reimbursement or overpayment for the given fiscal year.

In 1982, plaintiff purchased a franchise from a former owner. Before completing this purchase, Lee Passell, plaintiffs’ primary shareholder, visited defendants in Florida. During this visit, he was assured the Health Care Financing Administration and the fiscal intermediaries 4 would recognize 3% of the 5% royalty as an allowable and reimbursable Medicare cost. Passell was not informed that a number of franchisees had experienced challenges or disallowances of their royalties.

After purchasing a franchise, plaintiff was audited by the fiscal intermediary. During this 1982 audit, the fiscal intermediary questioned the royalty as an allowable cost. After having reimbursement for the royalty questioned, Passell contacted the defendant and received materials for submission to the fiscal intermediary to justify the royalty reimbursement. 5 Passell used this material and the fiscal intermediary changed its position and approved the royalty as an allowable cost.

In June 1984, defendants changed the royalty plaintiffs paid to defendant. After this change, plaintiffs would pay 3% of the Medicare payments. Formerly, plaintiffs had paid 5% of the Medicare payments. Defendant modified the royalty because changes in the Medicare program had increased competition from hospital-based home care programs.

In making these modifications, defendants described the possibility that Medicare would not reimburse royalty payments. The new agreement contained the statement, “as owners in the past have done, anyone considering certification must weigh the possibility that no royalty will be reimbursed by a government program.” 6

In the fall of 1984, Passell learned that changed Medicare policies would adversely affect certain franchisees. In a December 10, 1984 letter, Passell expressed his concerns to defendant’s president. Responding to plaintiffs’-.letter, Ken Rickert, the then head of the defendant predecessor’s Home Health Care Operations, stated his belief that at least 3% of the franchise fee would continue to be reimbursed. 7 Relying on this and other discussions with defendants, Pas-sell says he continued to expand his Medicare business.

By 1986, challenges to franchisees’ requests to have royalty payments reimbursed had become a problem for franchisees. Defendants hired James Happ, a Medicare ex *708 pert, to deal with the problem. 8

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12 F. Supp. 2d 703, 1998 U.S. Dist. LEXIS 11546, 1998 WL 433793, Counsel Stack Legal Research, https://law.counselstack.com/opinion/interim-healthcare-of-northeast-ohio-inc-v-interim-services-inc-ohnd-1998.