Optimus Hospitalists & Pediatric Subspecialists, Ltd v. Franciscan Alliance, Inc.

CourtDistrict Court, N.D. Illinois
DecidedAugust 20, 2018
Docket1:16-cv-07760
StatusUnknown

This text of Optimus Hospitalists & Pediatric Subspecialists, Ltd v. Franciscan Alliance, Inc. (Optimus Hospitalists & Pediatric Subspecialists, Ltd v. Franciscan Alliance, Inc.) is published on Counsel Stack Legal Research, covering District Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Optimus Hospitalists & Pediatric Subspecialists, Ltd v. Franciscan Alliance, Inc., (N.D. Ill. 2018).

Opinion

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION

OPTIMUS HOSPITALISTS & PEDIATRIC ) SUBSPECIALISTS, LTD d/b/a MIDWEST ) NEOPED ASSOCIATES, LTD., an ) Illinois limited company, ) ) Plaintiff, ) ) v. ) No. 16 C 7760 ) FRANCISCAN ALLIANCE, INC. d/b/a ) Judge Rebecca R. Pallmeyer FRANCISCAN ST. JAMES HEALTH f/k/a ) SISTERS OF ST. FRANCIS HEALTH ) SERVICES, INC. d/b/a ST. JAMES ) HOSPITAL and HEALTH CENTERS, an ) Indiana corporation, ) ) Defendant. )

MEMORANDUM OPINION AND ORDER This case requires the court to interpret a professional services contract between a group of “hospitalists”—that is, physicians who provide medical care only to hospitalized patients—and the hospital where they provided services. Plaintiff Optimus Hospitalists & Pediatric Subspecialists, Ltd. (hereafter “Optimus”) argues that the contract obligated Defendant Franciscan Alliance, Inc. (hereafter “Franciscan”) to assign certain patients at its hospitals to Plaintiff at least four days per week. According to Plaintiff, Defendant breached this obligation by assigning those patients to Plaintiff on fewer than four days per week for an unidentified period (or periods) between 2013 and 2015. Defendant responds that the contract required Plaintiff to “accept” those patients at least four days per week, but only if Defendant exercised its discretion to assign them to Plaintiff. Defendant counterclaims that Plaintiff failed to perform any of its contractual obligations for a period of one week in December 2013. Both parties now seek summary judgment on Plaintiff’s claim for breach of contract.1 For the reasons explained below,

1 Defendant’s counterclaim is not at issue here. the court concludes that the contract is ambiguous, and therefore denies both motions. BACKGROUND Most of the facts in this case are undisputed. Plaintiff Optimus is an Illinois corporation with its principal place of business in Oak Brook, Illinois. (Pl.’s Statement of Facts (hereafter “PSOF”) [57], at ¶ 1.) At all times relevant to this lawsuit, physicians employed by Optimus provided medical services at certain hospital facilities in the Chicago area, including two facilities owned by Defendant Franciscan, an Indiana nonprofit corporation whose principal place of business is in Mishawaka, Indiana. (Def.’s Statement of Facts (hereafter “DSOF”) [61], at ¶ 2.) Defendant’s Chicago-area facilities are in Chicago Heights, Illinois, and Olympia Fields, Illinois. (Id.) Both the Chicago Heights and Olympia Fields facilities permit “attending physicians”—that is, primary-care providers who also have “medical staff privileges”—to admit patients to the hospital. (PSOF ¶ 5.) Attending physicians are “responsible for providing, supervising, and/or directing the treatment received” by their patients. (Id.) When an attending physician is not available to care for her hospitalized patients, someone else must do so. (Id. at ¶ 9.) This service is generally performed by a “hospitalist”—that is, by a physician who “specialize[s] in providing only inpatient care,” and does not “maintain a private practice” or “provide primary medical care outside the hospital setting.” (Id. at ¶¶ 10-13.) When a patient seeks treatment in the hospital’s emergency department and subsequently requires inpatient admission to the hospital, Franciscan assigns a hospitalist to supervise that patient’s care if the patient does not have a prior relationship with one of the facility’s attending physicians. (Id. at ¶ 19.) Such patients are referred to as “unassigned patients.” (Id.) Physicians employed by Optimus began providing “urgent and on-going medical services” at Franciscan’s Chicago Heights facility in the mid-1990s. (Id. at ¶ 8.) Although the record does not show the exact terms of the parties’ agreement (or agreements) from that period, it appears that at least one Optimus physician was to be “physically present at Chicago Heights, twenty-four hours per day, seven days per week.” (Id.) This physician would care for patients “when the patients’ primary care physician was unavailable.” (Id.) I. The 2011 and 2013 agreements The contract at issue in this case was formed in January 2011 and was amended in March 2013. Although it is the amended (2013) version of the contract that the court is called upon to interpret here, the court concludes that this (amended) contract is ambiguous, as explained below. The court therefore begins by recounting certain provisions of the original (2011) agreement, as well as extrinsic evidence of negotiations between the parties in 2012 and 2013 that could shed light on the intent behind the amendments. a. 2011 agreement The 2011 contract stated, inter alia, that Optimus would be the “exclusive” provider of “the professional services described in Exhibit B (‘Services’).” (2011 Agreement § 1.1, Ex. 3 to DSOF.) “This exclusive right to provide Services,” the contract continued, “shall not apply to any other services.” (Id.) Exhibit B to the 2011 Agreement described the various services that Optimus had the exclusive right to perform. These services included, inter alia, “[p]rovid[ing] a Designated Professional on-site at each Facility 24 hours per day, seven days per week to serve as the ‘Urgent Hospitalist’ to provide house coverage”; “[p]rovid[ing] on-site hospitalist service at the Facility located in Chicago Heights for clinical duties 24 hours per day, 365 days per year”; and “[providing] a Hospitalist to make daily rounds and to be available on-call at the Facility located in Olympia Fields.” (Id. at Ex. B.) Another service was described as follows: “[a]cceptance of any and all unassigned patients who come to the Facility’s E[mergency] D[epartment] and who require inpatient admission to the Facility and are assigned to [an Optimus employee] pursuant to the ED call schedule.”2 (Id.) So long as Optimus was “not in material breach of any of its obligations under this Agreement,” Franciscan would not “extend Medical Staff privileges to any other hospitalist or neonatologist who is not affiliated with [Optimus.]” (2011 Agreement § 1.1, Ex. 3 to DSOF.)3 b. Negotiations leading to amendment In August 2012, the President and CEO of Optimus informed Franciscan that Optimus was “experiencing very serious, unexpected and unprecedented staffing problems in the Hospitalist Service,” and was “frantically working on how to resolve these issues.” (Letter of Aug. 31, 2012, Ex. 1 to Senesac Decl., Ex. 5 to DSOF.) The parties do not fully explain the nature of these staffing problems, though it appears that Optimus was experiencing financial difficulties and that at least two of its physicians had resigned. (See Supp. Aff. of Udochukwu Asonye (hereafter “Asonye Supp. Aff.”) ¶¶ 11-12, Ex. 1 to Pl.’s Statement of Add’l Material Facts (hereafter “PSAMF”) [62].)4 Presumably because it could not meet its obligations under the 2011 agreement, Optimus “requested amendment” of that agreement. (PSAMF ¶ 11.) During the ensuing negotiations between the parties, Optimus’s representative—Dr. Udochukwu Asonye—asked for “a temporary reduction in the number of ED on-call days [Optimus] received from Franciscan Alliance at Chicago Heights.” (Asonye Supp. Aff. ¶ 23, Ex. 1 to PSAMF.) Franciscan’s representative— Thomas Senesac, the company’s Chief Financial Officer—invited Optimus to propose an

2 As noted above, an “unassigned patient” is a patient who does not already have a primary care physician authorized to treat patients at the applicable facility. (Def.’s Resp. to PSOF ¶¶ 19-20.)

3 “Hospitalists,” the parties agree, are physicians who do not maintain private practices, and whose employers (such as Optimus) “contract with hospitals to provide medical care solely and exclusively to hospitalized patients.” (Def.’s Resp. to PSOF [58], at ¶¶ 11-14.)

4 Dr. Udochukwu Asonye of Optimus suggests that Franciscan was experiencing financial difficulties at this time, as well. (Asonye Supp.

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Optimus Hospitalists & Pediatric Subspecialists, Ltd v. Franciscan Alliance, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/optimus-hospitalists-pediatric-subspecialists-ltd-v-franciscan-ilnd-2018.