Khurana v. Innov Hlth Care

164 F.3d 900
CourtCourt of Appeals for the Fifth Circuit
DecidedJanuary 26, 1998
Docket18-20762
StatusPublished

This text of 164 F.3d 900 (Khurana v. Innov Hlth Care) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Khurana v. Innov Hlth Care, 164 F.3d 900 (5th Cir. 1998).

Opinion

REVISED UNITED STATES COURT OF APPEALS

FOR THE FIFTH CIRCUIT

No. 96-30525

RAJIV KHURANA,

Plaintiff-Appellant,

VERSUS

INNOVATIVE HEALTH CARE SYSTEMS, INC.; KARRY TEEL; CARL HOLDEN; WILLIAM MALONE; I.H.S. RIVER REGION HOSPITAL OF VACHERIE, LA., INC.,

Defendants-Appellees.

Appeal from the United States District Court for the Eastern District of Louisiana December 12, 1997

Before WIENER, PARKER, Circuit Judges, and LITTLE,* Chief District Judge.

PARKER, Circuit Judge:

Dr. Rajiv Khurana appeals the district court’s dismissal of

his complaint pursuant to Fed. R. Civ. P. 12(b)(6) on the basis

that he did not have standing to bring his civil claims under the

Racketeer Influenced and Corrupt Organizations Act (“RICO”) and

* Chief Judge of the Western District of Louisiana, sitting by designation. alternatively, because Khurana failed to plead a RICO enterprise

separate and distinct from the defendant in some of his civil

claims based on 18 U.S.C. § 1962(c). Finding that Khurana may have

standing for some of his civil RICO claims, we affirm in part and

reverse and remand in part.

FACTS AND PROCEEDINGS BELOW

For purposes of this appeal, we accept the following factual

allegations as true.

Dr. Rajiv Khurana (“Khurana”) filed suit in Louisiana state

court against the defendant-appellees, alleging defamation and

wrongful discharge from his position as Medical Director of River

Region Hospital in Vacherie, Louisiana,1 as well as civil claims

under the Racketeer Influenced and Corrupt Organizations Act

(“RICO”), U.S.C. § 1961 et seq., based on violations of 18 U.S.C.

§ 1962(b), (c), and (d).2 Khurana’s civil RICO claims arise from

1 Khurana’s state law claims were remanded to state court following the district court’s Fed. R. Civ P. 12(b)(6) dismissal of his RICO claims. Only issues related to the dismissal of Khurana’s RICO claims are before the panel. 2 18 U.S.C. § 1962(b)-(d) is as follows:

(b) It shall be unlawful for any person through a pattern of racketeering activity or through collection of an unlawful debt to acquire or maintain, directly or indirectly, any interest in or control of any enterprise which is engaged in, or the activities of which affect, interstate of foreign commerce. (c) It shall be unlawful for any person employed by or associated with any enterprise engaged in, or the activities of which affect, interstate or foreign commerce, to conduct or participate, directly or indirectly, in the conduct of such enterprise’s affairs through a pattern of racketeering activity or collection of unlawful debt. (d) It shall be unlawful for any person to conspire to violate any of the provisions of subsection (a), (b), or

2 a Medicare and Medicaid fraud scheme in which the appellees were

engaged.

River Region Hospital (“River Region” or “hospital”) is an

owned subsidiary of Innovative Health Care Systems, Inc.

(“Innovative”). Both River Region and Innovative are defendant-

appellees in this action. Defendant-appellees also include Karry

Teel and Carl Holden, who hold offices in both Innovative and River

Region, and William Malone, River Region’s administrator.

Khurana is a practicing physician with dual specialities in

psychiatry and neurology. In July 1993, Khurana was hired to be

River Region’s Assistant Medical Director under a three-year

contract. Khurana agreed to join River Region as its Assistant

Medical Director on the basis of fraudulent misrepresentations as

to the legitimacy of the hospital’s operations and qualifications.

In June of 1994, Khurana was named the hospital’s Medical Director.

After his promotion, he became aware that the hospital was engaging

in fraudulent Medicaid and Medicare practices. He was discharged

from his position as Medical Director six months later in January

of 1995. The hospital went out of business in 1996.

After the appellees removed the suit to federal court, Khurana

filed an amended complaint alleging that the appellees committed a

variety of RICO predicate acts (wire and mail fraud, extortion,

bribery, witness tampering, and violation of the Travel Act, 18

U.S.C. § 1952) and that these acts constituted a pattern of

racketeering activity in violation of § 1962(b) and § 1962(c).

(c) of this section.

3 Khurana also alleged a conspiracy, in violation of 18 U.S.C.

§ 1962(d), to violate 18 U.S.C. § 1962(b) and § 1962(c). In his

complaint, Khurana contended (1) that he was fraudulently induced

into “harmful employment associations” which caused him a loss of

legitimate business opportunity and damage to his professional

reputation, (2) that he was wrongfully discharged which caused him

a loss in earnings, benefits and reputation, and (3) that the

appellees’ “illegal competition” with him in his private and

hospital practices caused him a loss in business income.

The appellees filed a motion to dismiss Khurana’s RICO claims

pursuant to Fed. R. Civ. P. 12(b)(6). The appellees argued to the

district court that (1) Khurana did not have standing to assert the

RICO claims, and that (2) Khurana failed to allege a RICO

“enterprise” separate and distinct from a RICO “person,” i.e., a

perpetrator, associated with or employed by the enterprise as

required for claims based on 18 U.S.C. § 1962(c). The district

court granted the motion and Khurana now presents this panel with

the same two issues in his appeal.

DISCUSSION

I. Standard of Review

We review the dismissal of a complaint for a failure to state

a claim for which relief can be granted under Fed. R. Civ. P.

12(b)(6) de novo. Fernandez-Montes v. Allied Pilots Ass’n, 987

F.2d 278, 284 (5th Cir. 1993). A claim may not be dismissed unless

it appears beyond doubt that the plaintiff cannot prove any set of

facts in support of his claim which would entitle him to relief.

4 Benton v. United States, 960 F.2d 19, 21 (5th Cir. 1992). For

purposes of our review, we must accept the plaintiff’s factual

allegations as true and view them in a light most favorable to the

plaintiff. Campbell v. City of San Antonio, 43 F.3d 973, 975 (5th

Cir. 1995).

II. § 1964(c) RICO Standing

The appellant argues that the district court erred in

dismissing the RICO claims because proper causation between his

injuries and RICO violations was pleaded, giving him standing. The

appellees collapse the appellant’s injuries into one mass of

discharge complaints and contend that Khurana cannot have standing

for any of his claims because he was not the target of any

Medicaid/Medicare fraud scheme.

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