Orlando Regional Healthcare System, Inc. v. Columbia/HCA Healthcare Corp.

923 F. Supp. 1534, 1996 U.S. Dist. LEXIS 6245, 1996 WL 233174
CourtDistrict Court, M.D. Florida
DecidedApril 29, 1996
Docket95-165-CIV-ORL-18
StatusPublished
Cited by3 cases

This text of 923 F. Supp. 1534 (Orlando Regional Healthcare System, Inc. v. Columbia/HCA Healthcare Corp.) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Orlando Regional Healthcare System, Inc. v. Columbia/HCA Healthcare Corp., 923 F. Supp. 1534, 1996 U.S. Dist. LEXIS 6245, 1996 WL 233174 (M.D. Fla. 1996).

Opinion

ORDER

G. KENDALL SHARP, District Judge.

This action was tried before the court from February 27 to March 7, 1996. Plaintiffs, Orlando Regional Healthcare System, Inc. (ORHS) and its wholly-owned subsidiary, Orlando Regional South Seminole, Inc. (ORSS), sued Defendants alleging violations of the federal antitrust laws and breach of a joint venture agreement. The joint venture agreement (Agreement) governed the relationship between ORHS and Defendant HealthTrust, Inc. (HTI) in their 50/50 partnership owning and operating South Seminole Hospital in Longwood, Florida (South Seminole). In April 1995, Defendant Columbia/HCA Healthcare Corporation (Columbia) merged with HTI, and ORHS brought this action alleging that Columbia’s subsequent control over HTI represents a breach of two sections of the Agreement and violates federal antitrust laws governing monopolization. ORHS also alleged that Columbia tortiously interfered with ORHS’s contractual relationship with HTI. HTI and its wholly-owned subsidiary, South Seminole Hospital, Inc. (SSHI), filed a counterclaim demanding a dissolution of the partnership based on ORHS’s inability to work with HTI’s new corporate parent. At the close of Plaintiffs’ *1536 ease the court granted a directed verdict in favor of Columbia with regard to ORHS’s antitrust and tortious interference claims because ORHS failed to present evidence sufficient to support their claims. The court also granted a directed verdict with regard to HTI’s counterclaim. As to ORHS’s contract claims, the court concludes that HTI breached section 7.1(g) of the Agreement in its merger with Columbia, and that ORHS is entitled to purchase HTI’s interest in South Seminole for a value specified in that provision.

I. Findings of Fact

ORHS and Columbia are strong competitors in the market for acute-care hospital services in the greater Orlando area. The Florida Hospital chain, run by Adventist Health Systems, Inc., also provides a highly competitive alternative for consumers of acute-care services in the area including Orange, Osceola and Seminole Counties. Although the court does not reach the question of what is the appropriate geographic market for purposes of the antitrust laws, it is apparent from the testimony that each of the three competitors consider the three-county area to be a single market. Because of the changing nature of the health care industry, and in particular the challenges presented to hospitals by managed care companies, both Columbia and ORHS want to maintain a presence in all areas of the geographic market.

In addition to its main facility in downtown Orlando, in 1991 ORHS owned hospitals in St. Cloud and in southwest Orange County. However, ORHS did not own a hospital north of State Road 50, a major artery bisecting Orlando. Much of the residential growth in the greater Orlando area in the last several years has occurred north of Orlando, particularly in Seminole County, and ORHS believed it needed to establish a presence in that area to serve the needs of the community. This perceived gap in ORHS’s coverage of the three-county area has been exacerbated by the proliferation of managed care companies who demand integrated hospital systems when contracting with health care providers. Managed care companies in the three-county area contract with employers and individuals throughout the area for health services and prefer to associate with chains of hospitals that can cover the entire area. Those hospital chains with comprehensive geographic coverage therefore have a substantial competitive advantage over stand-alone hospitals or hospital networks with limited coverage.

A The South Seminole Joint Venture

This need to create a geographically comprehensive hospital system was the motivation for ORHS’s joint venture with HTI in owning and operating South Seminole, a general acute care hospital with 126 beds. 1 Though HTI owned 117 hospitals, primarily in Texas and Florida, South Seminole was the only HTI hospital in the three-county area. ORHS initially had hoped to purchase South Seminole outright from HTI but the two parties could not agree on a price. After those negotiations failed, ORHS and HTI agreed on a joint venture in which South Seminole would become affiliated with ORHS’s other hospitals in the area. Both parties believed they could benefit by adding to the ORHS network that with the addition of South Seminole would cover the three-county area almost completely. Pursuant to the Agreement signed by ORHS and HTI in November 1992, ORHS purchased a fifty percent interest in South Seminole for approximately $27.5 million. The purchase price included $24 million for the existing plant, property and equipment, $1.5 million for additions to South Seminole’s obstetrics/gynecology unit, and $2 million in working capital. HTI formed SSHI which became the direct owner of HTI’s interest in South Seminole. ORHS formed ORSS, which owned directly ORHS’s interest in the hospital.

Included in the Agreement are two provisions that provide the foundation for this action. ORHS and HTI included in their contract an opportunity to terminate the joint venture if either party sold their interest in the venture, so that each party could refuse to operate South Seminole with a *1537 stranger to the Agreement. Section 7.1 provides:

[N]o direct or indirect owner of an Interest in the Venture may Transfer ... all or any part of his or its direct or indirect Interest in the Venture unless such first offers to sell such Interest to the other Venturer pursuant to the terms of this Section 7.1, and any attempt to so Transfer ... any such Interest in the Venture in violation of the provisions of this Article VII shall be null and void ab initio. “Transfer” of an Interest in the Venture shall mean the sale, transfer, assignment or other disposition ... of all or any part of an Interest in the Venture.

The parties included another provision in the contract that provided ORHS a way to purchase South Seminole outright in the event HTI merged with certain specified companies in addition to the general application of section 7.1. Section 7.1(g) states:

Notwithstanding anything herein to the contrary, in the event HTI has received a Purchase Offer from Humana, Inc., Kaiser Foundation Health Plan, Inc., Adventist Health Systems, Inc., Prudential Insurance Company of America or the Affiliates of any of them, then ORSS or its Affiliates shall be entitled to purchase HTI’s interest in the Venture....

The parties defined “Affiliate” as “each person who is, directly or indirectly, controlled by, in control of, or under common control with such Venturer. Control of a Person means the power to direct the affairs of such Person by reason of ownership of voting stock, contract, or otherwise.” Agreement at 1.1(e). The Agreement then created a mechanism by which the parties could determine the price ORHS would have to pay for HTI’s interest in South Seminole in that event.

Despite the partners’ attempt to position South Seminole to benefit from being part of the ORHS system, many managed care plans bypassed South Seminole in crafting delivery networks for their members.

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

Related

Cuthill v. Kime (In Re Evergreen Security, Ltd.)
319 B.R. 245 (M.D. Florida, 2003)
Orlando Regional v. Columbia/hca
159 F.3d 1359 (Eleventh Circuit, 1998)

Cite This Page — Counsel Stack

Bluebook (online)
923 F. Supp. 1534, 1996 U.S. Dist. LEXIS 6245, 1996 WL 233174, Counsel Stack Legal Research, https://law.counselstack.com/opinion/orlando-regional-healthcare-system-inc-v-columbiahca-healthcare-corp-flmd-1996.