Maillie v. Greater Delaware Valley Health Care, Inc.

628 A.2d 528, 156 Pa. Commw. 582, 1993 Pa. Commw. LEXIS 404
CourtCommonwealth Court of Pennsylvania
DecidedJuly 2, 1993
DocketNo. 2189 and 2190 C.D. 1991
StatusPublished
Cited by15 cases

This text of 628 A.2d 528 (Maillie v. Greater Delaware Valley Health Care, Inc.) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Maillie v. Greater Delaware Valley Health Care, Inc., 628 A.2d 528, 156 Pa. Commw. 582, 1993 Pa. Commw. LEXIS 404 (Pa. Ct. App. 1993).

Opinion

CRAIG, President Judge.

Greater Delaware Valley Health Care, Inc. (GDVHC), American Health Alternatives, Inc. (AHA), Gordon L. Tobias, Bruce Hopper and Alfred F. Meyer (individual defendants who are the sole owners of AHA’s stock) appeal a decision of the Court of Common Pleas of Delaware County granting judgment in favor of health care subscribers Nancy Maillie, Robert Maillie and Philip Pisani (class) for $20 million dollars plus interest, which represents the amount paid by QCC, a Blue Cross subsidiary, for the acquisition from AHA of the stock of GDVHC, a health maintenance organization (HMO) converted to a for-profit corporation.

The individual defendants originally had held the following positions at GDVHC: Tobias served as Chairman of the Board of Directors, Hopper was the Medical Director, and Meyer was the Executive Director.

Although many factual matters concerning financial values are disputed, the history of the corporate transactions, as found by the trial' court, is a matter of record. In 1976, GDVHC was incorporated as a nonprofit organization providing health care services to subscribers, who consisted primarily of employees of Delaware County area employers. The employers paid premiums to GDVHC under existing contracts, with some subscribers making contributions to their respective employers.

[585]*585In March 1984, because of alleged failing financial stability, GDVHC sought authorization from the Insurance Department to convert from nonprofit to for-profit status, pursuant to 15 Pa.C.S. § 5961, formerly § 7951, of the Nonprofit Corporation Law of 1988.1 The department granted the request, GDVHC filed the articles of conversion with the Department of State and the conversion became effective on May 1, 1984.

The Insurance Department published notice of GDVHC’s application for conversion in the June 9, 1984, Pennsylvania Bulletin. The notice specified that interested pax-ties should submit all comments, objections or inquiries within thirty days.

Simultaneously with the conversion, AHA, a corporation formed by, and owned entirely by, the individual defendants, purchased all of the GDVHC stock for $100,000, plus the guarantee of a $1,444,000 federal loan owed by GDVHC. The GDVHC managers divided the $100,000 among three nonprofit hospitals.

A different group of doctors (Bryn Mawr plaintiffs) commenced a separate lawsuit in December 1984. Those plaintiffs asserted ownership rights in the AHA (formerly GDVHC) stock on the theory of insufficient consideration paid by AHA at the time of conversion. That suit settled on November 26, 1986, when the trial court approved an offer of 20% of any proceeds to be thereafter received by AHA from a sale of the former GDVHC stock to a third party.

The class, anticipating the sale of the former GDVHC stock, filed a class-action complaint in equity against GDVHC, AHA and the three individual defendants on December 19, 1986. [586]*586The class, represented by the three named subscribers, alleged that the individual defendants used their positions at GDVHC to become unjustly enriched by (1) unlawfully converting GDVHC from nonprofit to for-profit, (2) purchasing GDVHC for insufficient consideration, and then (3) reselling GDVHC for immense profit.

On December 23,1986, QCC purchased all of the AHA stock from the individual defendants for a total of $20 million dollars (Reproduced Record p. 378a), which included $2.8 million dollars paid by QCC directly as follows2 — the ten members of the GDVHC board of directors received $50,000 each, GDVHC employees received a total of $300,000, and a third physicians’ group received $2 million dollars for agreeing not to file a lawsuit. Thus, the individual defendants maintained control of $17.2 million dollars. The $20 million dollar value of the sale of AHA stock to QCC resulted in a four million dollar settlement (20% of the proceeds) paid by the individual defendants to the Bryn Mawr plaintiffs.

On January 20, 1987, the class amended their complaint, alleging that

the purchase price paid by American Health Alternatives, Inc. is totally inadequate and that the individual defendants, Tobias, Hopper and Meyer, knowingly breached their fiduciary obligations to the non-profit corporation and to the subscribers and profitted personally by acquiring the assets of the non-profit corporation which had a much higher value then [sic] that paid.

The class further averred that the individual defendants began negotiating a sale of GDVHC stock “shortly after” the 1984 conversion. The class also petitioned for appointment of a receiver, which the trial court denied.

In January 1988, the class renewed its petition for a receiver, and the trial court held hearings in March and May on the matter. On October 5, the trial court approved the appointment of the court as a receiver, and also certified a class [587]*587consisting of all subscribers to GDVHC’s HMO program from its inception up to the date of the sale to QCC in December 1986.

The court conducted a three-day trial on the merits in October 1990, and issued an opinion and decree nisi on May 15, 1991. In addition to the facts stated above, the trial court found that, under § 13 of the Health Maintenance Organization Act,3 the assets of GDVHC as a nonprofit corporation were charitable assets and that the $100,000 paid by AHA to acquire GDVHC did not represent the fair market value of the stock (found to be between $4 million dollars and $10 million dollars (Finding of Fact No. 19)).

The trial court concluded that the class has standing because the subscribers’ receipt of insurance benefits as a form of employee compensation gives the class a direct pecuniary and substantial interest in the litigation. William Penn Parking Garage, Inc. v. City of Pittsburgh, 464 Pa. 168, 346 A.2d 269 (1975). The court further stated that, although the degree of causal connection is small, the granting of standing is necessary to insure judicial review which would otherwise not occur. Application of Biester, 487 Pa. 438, 409 A.2d 848 (1979).

The trial court also addressed the defense of laches, raised by the defendants on the basis that the class did not file its cause of action until the Bryn Mawr Litigation was settled, and now was attempting to receive a portion of the proceeds used in that settlement. The court rejected the defense because the class’ action did not prejudice the defendants, who could have set aside adequate reserves of the proceeds.

The trial court then concluded that the defendants illegally converted the HMO from nonprofit to for-profit, on the stated [588]*588ground that it had failed to obtain Insurance Department approval, pursuant to 15 Pa.C.S. § 5961(b)(l)(iii),4 or court approval, which is necessary for the diversion of property committed for charitable purposes. 15 Pa.C.S. § 5547(b).5

The court ultimately held that “the defendants” (without distinguishing between the three separate groups) were unjustly enriched by breaching a fiduciary duty when “they” converted and took the assets of the corporation for their personal use.

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Maillie v. GR. DEL. VAL. HEALTH CARE
628 A.2d 528 (Commonwealth Court of Pennsylvania, 1993)

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Bluebook (online)
628 A.2d 528, 156 Pa. Commw. 582, 1993 Pa. Commw. LEXIS 404, Counsel Stack Legal Research, https://law.counselstack.com/opinion/maillie-v-greater-delaware-valley-health-care-inc-pacommwct-1993.