Janda v. Madera Community Hospital

16 F. Supp. 2d 1181, 14 I.E.R. Cas. (BNA) 1362, 98 Daily Journal DAR 12551, 1998 U.S. Dist. LEXIS 17815
CourtDistrict Court, E.D. California
DecidedAugust 17, 1998
DocketCV-F-98-5021 OWW DLB
StatusPublished
Cited by19 cases

This text of 16 F. Supp. 2d 1181 (Janda v. Madera Community Hospital) is published on Counsel Stack Legal Research, covering District Court, E.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Janda v. Madera Community Hospital, 16 F. Supp. 2d 1181, 14 I.E.R. Cas. (BNA) 1362, 98 Daily Journal DAR 12551, 1998 U.S. Dist. LEXIS 17815 (E.D. Cal. 1998).

Opinion

MEMORANDUM OPINION RE: DEFENDANTS’ MOTION TO DISMISS PURSUANT TO FED. R. CIV. P. 12(b)(6)

WANGER, District Judge.

I. INTRODUCTION

Plaintiff John P.S. Janda, a physician, initiated this suit on January 7, 1998, after the Madera Community Hospital closed its orthopedic department, alleging the closure was undertaken to eliminate non-Caucasian physicians to change the racial composition of the orthopedic department. Plaintiff asserts state law and civil rights claims under 42 U.S.C. §§ 1981, 1985(3) against Defendants.

Defendants move to dismiss Plaintiffs fourth and fifth claims for failure to state a claim. See Fed.R.Civ.P. 12(b)(6). The motion is DENIED IN PART AND GRANTED IN PART.

II.FACTUAL BACKGROUND

Plaintiff was born in India to Indian parents and is now a United States citizen. He is an orthopedic surgeon licensed to practice medicine in the state of California. In 1983, *1183 Plaintiff was appointed to Madera Community Hospital’s (“Hospital”) courtesy medical staff. Three years later, in 1986, Dr. Janda was elevated to the Hospital’s “active” staff.

The Hospital is a private, not-for-profit hospital organized under the laws of California. Its medical departments are managed under an “open” and “closed” system. In an “open staff’ system, all “qualified” physicians with medical staff privileges are permitted to work at the Hospital in their respective medical departments. Under a “closed system,” the Hospital contracts with an “exclusive provider” or particular physician group for certain medical services, thereby “closing” the medical practice to other physicians who are not members or employees of the contracted physician group.

At the beginning of 1997, the Hospital’s orthopedic surgery staff operated under an “open” system. Dr. Janda and Dr. Ronald Castonguay, a Caucasian, were the only two orthopedic surgeons on the active staff. Dr. Soo-Ill Chang, an orthopedic surgeon, was a member of the Hospital’s “courtesy” staff, but resigned his membership in April of 1997.

Because the orthopedics staff was experiencing heavy on-call and emergency room coverage in early 1997, Dr. Janda recommended to the Hospital it consider retaining Dr. Rajiv Puri, an orthopedic surgeon. Dr. Puri was born in India. Dr. Castonguay allegedly met with the Hospital’s chief executive officer, Robert C. Kelley, and threatened to resign if Dr. Puri was retained on the orthopedics staff.

In May 1997, the Hospital, through its Chief Executive Officer, the Medical Executive Committee, and the Board of Trustees, in consultation with Dr. Castonguay, decided to “close” the orthopedic department and award an exclusive contract to Dr. Caston-guay. The “closed” system, according to Dr. Janda, effectively vitiated his medical privileges at the Hospital.

Dr. Janda alleges that “Defendants’ actions in awarding the exclusive contract to Dr. Castonguay, in excluding [him] from the medical staff, and in keeping Dr. Puri off the medical staff, were motivated by a belief that the medical staff was comprised of too many physicians from various ethnic minorities, and an expressed desire to bring more Caucasians onto the medical staff.” Pl.’s Compl. at ¶ 19. Such racial animus contravenes the Hospital’s bylaws, which provide that “[n]o aspect of medical staff membership or particular clinical privileges shall be denied on the basis of race, color, ethnic group, religion, national origin ... unrelated to the ability to fulfill patient care and required medical staff obligations.”

Dr. Janda alleges the Hospital: (1) violated 42 U.S.C. § 1981; (2) violated 42 U.S.C. § 1985(3); (3) infringed a physician’s right to practice his profession under California law; (4) breached their employment contract by violating the Bylaws; and (5) intentionally interfered with economic relations. Plaintiff seeks compensatory and punitive damages, attorneys’ fees and costs.

III. Legal Standard

A motion to dismiss for failure to state a claim under Federal Rule of Civil Procedure 12(b)(6) is disfavored and rarely granted: “a complaint should not'be dismissed for failure to state a claim unless it appears beyond a doubt that the Plaintiff can prove no set of facts in support of his claim which would entitle him to relief.” Conley v. Gibson, 355 U.S. 41, 45-46, 78 S.Ct. 99, 2 L.Ed.2d 80 (1957). In deciding a motion to dismiss, the court “must accept as true all material allegations in the complaint and construe them in the light most favorable to” the plaintiff. NL Indus. v. Kaplan, 792 F.2d 896, 898 (9th Cir.1986). Conclusions of law, however, are not presumed true. Western Mining Council v. Watt, 643 F.2d 618, 624 (9th Cir.), cert. denied, 454 U.S. 1031, 102 S.Ct. 567, 70 L.Ed.2d 474 (1981).

The court need not accept as true allegations that contradict facts which may be judicially noticed. Mullis v. United States Bankruptcy Ct., 828 F.2d 1385, 1388 (9th Cir.1987), cert. denied, 486 U.S. 1040, 108 S.Ct. 2031, 100 L.Ed.2d 616 (1988). For example, matters of public record may be considered, including pleadings, orders, and other papers filed with the court or records of administrative bodies, Mack v. South Bay *1184 Beer Distributors, 798 F.2d 1279, 1282 (9th Cir.1986), conclusory allegations, unreasonable inferences, or unwarranted deductions of fact need not be accepted, Western Mining Council, 643 F.2d at 624, and allegations in the complaint may be disregarded if contradicted by facts established by exhibits attached to the complaint, Durning v. First Boston Corp., 815 F.2d 1265, 1267 (9th Cir.), cert. denied, 484 U.S. 944, 108 S.Ct. 330, 98 L.Ed.2d 358 (1987).

IV. ANALYSIS AND DISCUSSION

A. Do the Hospital’s Bylaws Create an Enforceable Contract?

According to the complaint, the relationship between the Hospital and its physicians is governed by the “Bylaws of the Medical Staff of Madera Hospital” (“Bylaws”). The Plaintiff contends that the “Bylaws form a contract between the Hospital and the members of its medical staff.” Pl.’s Compl. at ¶ 9. Dr.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Egge v. County of Santa Clara CA6
California Court of Appeal, 2024
Disney Enters., Inc. v. Redbox Automated Retail, LLC
336 F. Supp. 3d 1146 (C.D. California, 2018)
Sara v. Saint Joseph Healthcare System, Inc.
480 S.W.3d 286 (Court of Appeals of Kentucky, 2015)
Granger v. Christus Health Central Louisiana
144 So. 3d 736 (Supreme Court of Louisiana, 2013)
Brintley v. St. Mary Mercy Hospital
904 F. Supp. 2d 699 (E.D. Michigan, 2012)
Peter Grain v. Trinity Health
431 F. App'x 434 (Sixth Circuit, 2011)
Smith v. Adventist Health System/West
182 Cal. App. 4th 729 (California Court of Appeal, 2010)
Williams v. University Medical Center
688 F. Supp. 2d 1134 (D. Nevada, 2010)
Colquitt v. Comm'r
2009 T.C. Summary Opinion 27 (U.S. Tax Court, 2009)
Ennix v. Stanten
556 F. Supp. 2d 1073 (N.D. California, 2008)
Levy v. Clinton Memorial Hospital, Ca2007-05-027 (12-28-2007)
2007 Ohio 7077 (Ohio Court of Appeals, 2007)
Aagard v. Palomar Builders, Inc.
344 F. Supp. 2d 1211 (E.D. California, 2004)
Kessel v. Monongalia County General Hospital Co.
600 S.E.2d 321 (West Virginia Supreme Court, 2004)
O'Byrne v. Santa Monica-Ucla Medical Center
114 Cal. Rptr. 2d 575 (California Court of Appeal, 2001)
Mahan v. Avera St. Luke's
2001 SD 9 (South Dakota Supreme Court, 2001)
Major v. Memorial Hospitals Assn.
84 Cal. Rptr. 2d 510 (California Court of Appeal, 1999)

Cite This Page — Counsel Stack

Bluebook (online)
16 F. Supp. 2d 1181, 14 I.E.R. Cas. (BNA) 1362, 98 Daily Journal DAR 12551, 1998 U.S. Dist. LEXIS 17815, Counsel Stack Legal Research, https://law.counselstack.com/opinion/janda-v-madera-community-hospital-caed-1998.