Navajo Health Foundation - Sage Memorial Hospital, Inc. v. Razaghi Development Company, LLC

District Court, D. Nevada·Decided March 15, 2021·No. 2:19-cv-00329·Unknown

Opinion

NAVAJO HEALTH FOUNDATION – SAGE ) ) Case No.: 2:19-cv-00329-GMN-EJY Plaintiff, ) vs. ) ORDER ) LLC; AHMAD R. RAZAGHI; TAUSIF ) ) Defendants. ) Pending before the Court is the Motion to Dismiss, (ECF No. 46), filed by Defendants Tausif Hasan (“Hasan”), Ahmad R. Razaghi (“Razaghi”), and Razaghi Development Company, LLC (“RDC”) (collectively, “Defendants”). Plaintiff Navajo Health Foundation – Sage Memorial Hospital (“Sage”) filed a Response, (ECF No. 62), and Defendants filed a Reply, (ECF No. 80). Also pending before the Court is Defendants’ Motion to Strike, (ECF No. 47). Sage filed a Response, (ECF No. 61), and Defendants filed a Reply, (ECF No. 79). Also pending before the Court is Sage’s First Motion for Leave to File the First Amended Complaint (“Motion to Amend”), (ECF No. 76). Defendants filed a Response, (ECF No. 88), and Sage filed a Reply, (ECF No. 95). On January 15, 2021, United States Magistrate Judge Elayna Youchah entered a Report and Recommendation (“R&R”), recommending that the Court deny without prejudice the Motion to Amend. (See Order and R&R, ECF No. 117). Sage and Defendants filed Objections to the R&R, (ECF Nos. 120–21). The parties filed Responses to the respective Objections, (ECF No. 122, 127). For the reasons discussed below, the Court GRANTS the Motion to Dismiss with leave to amend, DENIES as moot the Motion to Strike, and ADOPTS the Magistrate Judge’s R&R to DENY without prejudice the Motion to Amend. This case arises from Defendants’ alleged scheme to defraud Sage of over $10.8 million through Defendants’ deceptive acquisition and invocation of a lucrative termination payment provision in the hospital management agreement between RDC and Sage (the “Management Services Contract”), followed by Defendants’ billing for services not rendered. (See generally Compl., ECF No. 1). Sage is a federally funded non-profit hospital serving an indigent Navajo Nation community in rural Ganado, Arizona. (Id. ¶ 23). The majority of Sage’s operation budget comes from the Indian Health Service (“IHS”), an agency within the U.S. Department of Health and Human Services. (Id. ¶ 24). Principally, Sage alleges that Defendants fraudulently induced Sage’s Board of Directors (“BOD”) to unwittingly authorize a contractual amendment to the parties’ Management Services Contract containing an extremely generous termination payment, which Defendants invoked to siphon $10.8 million from Sage’s operating budget. (See id. ¶¶ 39–57). The Court’s below discussion provides background on the relationship between Sage and Defendants, up to and including the scheme described in the Complaint. A. Sage Engages Razaghi to Manage Hospital Operations Pursuant to Sage’s bylaws, every member of its BOD must be a member of the Navajo Nation and reside in the community in or around Ganado, Arizona. (Id. ¶ 21). Sometime in 2007, “Razaghi and his brother partnered with a friend, Manuel Morgan (‘Morgan’), a member

of the Navajo Tribe and former Navajo Nation County Commissioner, to form Morgan & Associates, LLC, a company in which Morgan [held] majority ownership so that the entity could qualify as a Navajo business.” (Id. ¶ 26). Sage alleges that Razaghi, leveraging Morgan’s status as a member of the Navajo Nation, persuaded Sage to award Morgan & Associates a management services contract. (Id. ¶ 27). Under the terms of this contract, Razaghi would serve as Sage’s “Contract CEO.” (Id.). Sage claims Razaghi subsequently created business entities, including RDC, to supply Sage with medical personnel at a profit. (Id. ¶ 28). On March 18, 2011, RDC1 entered into the Management Services Contract with Sage’s BOD. (Id. ¶ 29). This contract replaced Morgan & Associates’ contract with the hospital and placed management of Sage under Razaghi and RDC’s control. (Id.). Sage alleges that this was when the “multiple different schemes to defraud Sage Memorial began through the use of the mail and interstate wires.” (Id.). B. The First Amendment to the Management Services Contract On or about May 17, 2013, Sage’s BOD approved a “First Amendment” of the March 18, 2011 Management Services Contract. (Id. ¶ 30). “Notably, . . . the [First Amendment to the] contract provided that [RDC] could hire, at Sage Memorial’s expense, special counsel to represent . . . Sage Memorial . . . with respect to specific legal matters.” (Id.) (internal alterations and quotation marks omitted). Razaghi selected Stephen Hoffman (“Hoffman”) to serve as RDC’s special counsel. (Id. ¶ 17). Around this time, non-party Stenson Wauneka (“Wauneka”) served as Chairman of the BOD. (Id. ¶ 30). Sage alleges Razaghi “developed a close and friendly relationship with Wauneka, meeting with him privately on numerous occasions . . . for which Wauneka would receive a financial benefit following each meeting in the form of an ‘honorarium payment.’” (Id.). C. Legal Troubles Arise from Defendants’ Management During RDC’s management of Sage, Razaghi and others allegedly lined their pockets at

Sage’s expense. On October 16, 2014, a group of whistleblowers filed a complaint in the

The Court’s use of “RDC” is inclusive of allegations concerning predecessor entities such as “Razaghi Healthcare,” which the Complaint abbreviates as “RH”. (See Compl. ¶¶ 28–29). 1 United States District Court for the District of Arizona, alleging Razaghi and others violated the False Claims Act (“FCA”), 31 U.S.C. § 3729. See Case No. 3:14-cv-8916-PCT-SRB. These whistleblowers alleged Razaghi “devised a massive scheme through which he abused his relationship with [Sage] to divert millions of dollars of federal funds provided by federal programs and contracts from Sage to himself” and others. (Id. ¶ 32). In January 2017, after the United States declined to intervene, the whistleblowers voluntarily dismissed the action. (Id. ¶ 33). Around the same time the whistleblower complaint was filed, IHS advised Sage that the federal government would not be renewing its contracts with the hospital. (Id. ¶ 34). On October 23, 2014, Sage sued the Secretary of the U.S. Department of Health and Human Services in the United States District Court for the District of New Mexico, challenging the IHS action and alleging the federal government breached a number of prior contracts from 2009 through 2013. (Id.); (See also Navajo Health Foundation – Sage Memorial Hospital, Inc. v. Burwell et al., 263 F. Supp. 3d 1083 (D.N.M. 2016)). On December 16, 2016, the United States agreed to pay $122,500,000.00 to settle the litigation with Sage. Sage represents that the: settlement document memorializing the parties’ agreement provided that payment must be used to fund Indian healthcare services, including ancillary services to the hospital or for any other legitimate healthcare purpose. However, the settlement agreement also expressly prohibited the hospital from providing payment to any management company or affiliated entity. Notably, the agreement also singled out Razaghi by name by further providing that “[i]f Ahmad R. Razaghi or any current officer or officer-level employee of a Razaghi-level entity is convicted of a felony crime of fraud related to the management of [the] [h]ospital or any federal health care program operated by [the Hospital] within 5 years of the effective date of this Settlement Agreement, IHS may conduct additional monitoring on the expenditure of the Settlement sum . . . .” (Id. ¶ 36).

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Navajo Health Foundation - Sage Memorial Hospital, Inc. v. Razaghi Development Company, LLC, (D. Nev. 2021).

Navajo Health Foundation - Sage Memorial Hospital, Inc. v. Razaghi Development Company, LLC (Navajo Health Foundation - Sage Memorial Hospital, Inc. v. Razaghi Development Company, LLC) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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