PHYSICIAN AND TACTICAL HEALTHCARE SERVICES, LLC v. INOVA HEALTH CARE SERVICES

CourtDistrict Court, D. New Jersey
DecidedMay 19, 2021
Docket1:20-cv-10808
StatusUnknown

This text of PHYSICIAN AND TACTICAL HEALTHCARE SERVICES, LLC v. INOVA HEALTH CARE SERVICES (PHYSICIAN AND TACTICAL HEALTHCARE SERVICES, LLC v. INOVA HEALTH CARE SERVICES) is published on Counsel Stack Legal Research, covering District Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
PHYSICIAN AND TACTICAL HEALTHCARE SERVICES, LLC v. INOVA HEALTH CARE SERVICES, (D.N.J. 2021).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY

PHYSICIAN AND TACTICAL HEALTHCARE SERVICES, LLC, 1:20-cv-10808-NLH-KMW

Plaintiff,

v. OPINION

INOVA HEALTH CARE SERVICES,

Defendant.

APPEARANCES: JONATHAN P. RARDIN ARCHER & GREINER PC ONE LIBERTY PLACE, 32ND FLOOR 1650 MARKET STREET PHILADELPHIA, PA 19103

On behalf of Plaintiff

SUSAN KARLOVICH WILSON, ELSER, MOSKOWITZ, EDELMAN & DICKER, LLP 200 CAMPUS DRIVE FLORHAM PARK, NJ 07932

On behalf of Defendant

HILLMAN, District Judge This matter concerns claims by Plaintiff Physician and Tactical Healthcare Services, LLC (“PATHS”) that Defendant Inova Health Care Services breached a contract the two entered for Plaintiff to provide certain medical billing services for Defendant. Presently before the Court is Defendant’s motion to dismiss Plaintiff’s claims, or in the alternative to transfer the action to the District Court for the Eastern District of Virginia. For the reasons expressed below, Defendant’s motion will be granted, and Plaintiff’s claims will be dismissed without prejudice.

BACKGROUND Plaintiff is a business which provides account receivable management services, qualifying eligible patients for Medicaid coverage and providing related consulting services to healthcare providers. Defendant is a healthcare organization operating hospital facilities in Virginia. On August 23, 2018, the two parties entered into a Services Agreement, pursuant to which PATHS agreed to assist Inova in qualifying its patients for Medicaid coverage for services provided to eligible patients at five medical facilities operated by Inova for an anticipated period of two years. That same day, the parties also signed a document entitled “Appendix 2 – Inova IT Terms and Conditions.”

Over the following months, the parties began to perform on the contract, with multiple issues arising that are relevant to their underlying dispute but not relevant to the Court’s analysis in this Opinion. Then, on June 14, 2019, an official from Inova emailed PATHS, purporting to terminate their contract pursuant to “section 3.a of that agreement, which allows either party to terminate the agreement without cause after the initial 12 months, upon ninety days’ prior written notice.” (ECF No. 5 at ¶ 44). Plaintiff responded by rejecting the idea that Defendant had properly terminated the agreement, and requesting that Defendant inform it when Inova officials would be available to meet to discuss the issue.

Defendant followed by sending a second notice of termination, this time asserting that it was doing so for cause under the Services Agreement, which permits either party to unilaterally terminate the agreement for cause so long as they provide 30 days notice. Plaintiff again responded by declaring that Defendant’s termination was baseless, and further asserted that “[u]nless Inova withdraws the improper 30-day notice of termination, PATHS does not intend to meet to attempt to consult and negotiate to reach a solution pursuant to Paragraph 16 of the Service Agreement as Inova has made its intentions to evade its obligations under the service Agreement clear.” (ECF No. 11-11, Ex. I).

Finally, Plaintiff filed its initial complaint in this action on August 19, 2020. (ECF No. 1). After this Court issued an Order to Show Cause regarding this Court’s subject matter jurisdiction over the action, Plaintiff filed the operative Amended Complaint on August 28, 2020. (ECF No. 5). Plaintiff’s complaint asserts five causes of action: three counts of breach of contract for improper termination, refusal to permit access to certain locations, and refusal to refer patients timely, as well as counts for breach of the implied covenant of good faith and fair dealing and for fraud in the inducement. Defendant responded to the complaint by filing the presently pending motion to dismiss on October 1, 2020. (ECF

No. 9). Plaintiff filed a brief in opposition to the motion on November 2, 2020, (ECF No. 11), and Defendant filed a brief in further support of its motion on November 16, 2020. (ECF No. 14). The motion to dismiss is therefore fully briefed and ripe for adjudication. DISCUSSION I. Subject Matter Jurisdiction This Court has jurisdiction over Plaintiff’s claims under 28 U.S.C. § 1332, as there is complete diversity of the parties and the amount in controversy exceeds $75,000. II. Legal Standard for Motion to Dismiss under Rule 12(b)(3) and 12(b)(6)

When considering a motion to dismiss a complaint for failure to state a claim upon which relief can be granted pursuant to Federal Rule of Civil Procedure 12(b)(6), a court must accept all well-pleaded allegations in the complaint as true and view them in the light most favorable to the plaintiff. Evancho v. Fisher, 423 F.3d 347, 351 (3d Cir. 2005). It is well settled that a pleading is sufficient if it contains “a short and plain statement of the claim showing that the pleader is entitled to relief.” Fed. R. Civ. P. 8(a)(2). “While a complaint attacked by a Rule 12(b)(6) motion to dismiss does not need detailed factual allegations, a plaintiff’s obligation to provide the ‘grounds’ of his

‘entitle[ment] to relief’ requires more than labels and conclusions, and a formulaic recitation of the elements of a cause of action will not do . . . .” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007) (alteration in original) (citations omitted) (first citing Conley v. Gibson, 355 U.S. 41, 47 (1957); Sanjuan v. Am. Bd. of Psychiatry & Neurology, Inc., 40 F.3d 247, 251 (7th Cir. 1994); and then citing Papasan v. Allain, 478 U.S. 265, 286 (1986)). To determine the sufficiency of a complaint, a court must take three steps: (1) the court must take note of the elements a plaintiff must plead to state a claim; (2) the court should identify allegations that, because they are no more than

conclusions, are not entitled to the assumption of truth; and (3) when there are well-pleaded factual allegations, a court should assume their veracity and then determine whether they plausibly give rise to an entitlement for relief. Malleus v. George, 641 F.3d 560, 563 (3d Cir. 2011) (quoting Ashcroft v. Iqbal, 556 U.S. 662, 664, 675, 679 (2009) (alterations, quotations, and other citations omitted). A district court, in weighing a motion to dismiss, asks “not whether a plaintiff will ultimately prevail but whether the claimant is entitled to offer evidence to support the claim.” Twombly, 550 U.S. at 563 n.8 (quoting Scheuer v. Rhoades, 416 U.S. 232, 236 (1974)); see also Iqbal, 556 U.S. at 684 (“Our

decision in Twombly expounded the pleading standard for ‘all civil actions’ . . . .”); Fowler v. UPMC Shadyside, 578 F.3d 203, 210 (3d Cir. 2009) (“Iqbal . . . provides the final nail in the coffin for the ‘no set of facts’ standard that applied to federal complaints before Twombly.”).

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PHYSICIAN AND TACTICAL HEALTHCARE SERVICES, LLC v. INOVA HEALTH CARE SERVICES, Counsel Stack Legal Research, https://law.counselstack.com/opinion/physician-and-tactical-healthcare-services-llc-v-inova-health-care-njd-2021.