R. S. v. Prime Healthcare Services, Inc.

CourtDistrict Court, C.D. California
DecidedJanuary 13, 2025
Docket5:24-cv-00330
StatusUnknown

This text of R. S. v. Prime Healthcare Services, Inc. (R. S. v. Prime Healthcare Services, Inc.) is published on Counsel Stack Legal Research, covering District Court, C.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
R. S. v. Prime Healthcare Services, Inc., (C.D. Cal. 2025).

Opinion

O 1 JS-5 2 3 4 5 6 7 United States District Court 8 Central District of California

10 R.S., Case № 5:24-cv-00330-ODW (SPx)

11 Plaintiff, ORDER GRANTING PLAINTIFF’S

12 v. MOTION FOR RECONSIDERATION AND 13 PRIME HEALTHCARE SERVICES, DENYING DEFENDANT’S MOTION INC., 14 TO DISMISS [26] Defendant. 15

16 17 I. INTRODUCTION 18 Plaintiff R.S. brought this putative class action against Defendant Prime 19 Healthcare Services, Inc. (“Prime Healthcare”) alleging violation of the Electronic 20 Communications Privacy Act (“ECPA”), 18 U.S.C. § 2511(1). (Compl., ECF No. 1.) 21 The Court granted Prime Healthcare’s Motion to Dismiss under Federal Rule of Civil 22 Procedure (“Rule”) 12(b)(6) and dismissed this action with prejudice. (Order 23 Granting Mot. Dismiss (“Order”), ECF No. 24.) R.S. now moves for reconsideration 24 of the Order under Rule 59(e) and Local Rule 7-18. (Mot. Recons. (“Mot.” or 25 “Motion”), ECF No. 26.) For the following reasons, the Court GRANTS R.S.’s 26 Motion and, upon reconsideration, DENIES Prime Healthcare’s Motion to Dismiss.1 27

28 1 Having carefully considered the papers filed in connection with the Motion, the Court deemed the matter appropriate for decision without oral argument. Fed. R. Civ. P. 78; C.D. Cal. L.R. 7-15. 1 II. BACKGROUND2 2 Prime Healthcare operates forty-four hospitals in fourteen states, including 3 California, and more than 300 outpatient locations. (Compl. ¶ 1.) Prime Healthcare 4 also owns, controls, and maintains websites and portals (collectively, “Web 5 Properties”) that allow patients to communicate with their healthcare providers. (Id. 6 ¶ 2.) These Web Properties allow patients to, among other things, access lab and test 7 results, manage prescriptions, request refills, schedule and manage appointments, 8 search for medical conditions and treatment options, and find doctors. (Id. ¶ 4.) R.S. 9 alleges that, using tracking technologies, including Facebook pixels (“Pixels”), Prime 10 Healthcare sent her—and other putative class members’—personally identifiable 11 information and protected health information (“Private Information”) to Facebook and 12 other third parties without patients’ knowledge or consent. (E.g., id. ¶¶ 8–14, 49–55, 13 122, 239.) 14 A. Facebook Pixels 15 Facebook encourages and promotes website owners, like Prime Healthcare, to 16 use its “Business Tools” to market products and services to individuals. (Id. ¶ 97.) 17 These Business Tools, including Pixels, are programming code advertisers can 18 integrate into their webpages, mobile applications, and servers to collect user activity 19 on those platforms. (Id. ¶ 98.) The Pixels send information from users’ browsers to 20 third parties, including Facebook. (Id. ¶¶ 11, 99–100.) 21 Pixels are customizable: the website owner—here, Prime Healthcare—controls 22 which of its web pages contain the Pixels and which events are tracked and sent to 23 Facebook. (Id. ¶ 101.) Facebook configures the Pixels to collect “Standard Events,” 24 such as when a user visits a particular webpage, the webpage’s URL and metadata, 25 and button clicks. (Id. ¶ 106.) Website owners can also build “custom events” to 26 track other user actions. (Id. ¶ 107.) The Pixels prompt users’ web browsers to send 27 2All factual references derive from Plaintiff’s Complaint, unless otherwise noted, and well-pleaded 28 factual allegations are accepted as true for purposes of this Motion. Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009). 1 users’ communications with the host webpage to Facebook’s servers. (Id. ¶ 108.) 2 This simultaneous transmission contains the electronic communications sent to the 3 host website and the data that the host configures the Pixels to collect. (Id. ¶ 109.) 4 When a Facebook user visits the website, the information the Pixels collect is 5 associated with that user’s Facebook ID. (Id. ¶ 114.) The Facebook ID captures the 6 user’s name and Facebook profile, which contains demographic and other information 7 about the user, including pictures, personal interests, work history, and relationship 8 status. (Id. ¶ 116.) The Pixels collect data even if the user does not have a Facebook 9 account: Facebook keeps “shadow profiles” on users without Facebook accounts. (Id. 10 ¶ 115.) After receiving these transmissions, Facebook processes, analyzes, and 11 assimilates the data into datasets. (Id. ¶ 114.) 12 Pixels allow website owners—like Prime Healthcare—to send targeted 13 advertisements to a user based on that user’s Private Information. (Id. ¶ 19.) A 14 website owner can also target ads to users who have shown interest in its business and 15 measure the success of its marketing campaigns. (Id. ¶¶ 125–31.) The Pixels thus 16 enable “retargeting,” or online marketing that targets users with ads based on prior 17 internet communications and interactions. (Id. ¶ 197.) Facebook also sells the 18 collected information, including Private Information, to third-party marketers who 19 target users’ Facebook accounts based on that information. (Id. ¶ 20.) 20 B. Prime Healthcare’s Use of the Facebook Pixels 21 R.S. alleges that Prime Healthcare installs Pixels on its Web Properties without 22 patients’ knowledge. (Id. ¶ 8.) Using Pixels, Prime Healthcare intercepts patients’ 23 Private Information and discloses this information to Facebook. (Id. ¶ 73.) For 24 example, when a patient searches for a doctor on Prime Healthcare’s Web Properties, 25 the Facebook Pixels send the search information—here, the doctor’s name—directly 26 to Facebook. (Id. ¶¶ 76–77.) 27 Prime Healthcare purchases Facebook’s targeted advertising services to display 28 ads to Facebook users based on their health conditions. (Id. ¶¶ 117, 140.) At the same 1 time, Facebook sells these marketing profiles to third-party marketers to support 2 advertising efforts. (Id. ¶¶ 117, 195.) This financially benefits both Prime Healthcare 3 and Facebook. (Id. ¶ 118.) As R.S. alleges, “Prime Healthcare chose to use the Pixel 4 data for marketing purposes to bolster its revenue.” (Id. ¶ 24.) 5 C. R.S.’s Claims 6 R.S. has been a Prime Healthcare patient since approximately 2012. (Id. ¶ 231.) 7 R.S. began receiving healthcare services from Prime Healthcare and, starting in 2018, 8 accessed its Web Properties. (Id. ¶¶ 230–32.) She has had a Facebook account for at 9 least ten years. (Id. ¶ 234.) Through the Web Properties, R.S. scheduled 10 appointments, found doctors, researched medical treatments and conditions, and 11 provided personal health-related information. (Id. ¶¶ 230–33.) R.S. alleges that Prime 12 Healthcare disclosed her Private Information to Facebook without her knowledge, 13 consent, or written authorization, and in violation of the Health Insurance Portability 14 and Accountability Act (“HIPAA”). (Id. ¶¶ 8–9, 141–59.) 15 On February 8, 2024, R.S. filed this putative class action against Prime 16 Healthcare, asserting a single cause of action for violating the ECPA. (Compl. 17 ¶¶ 223–254, 256.) On April 24, 2024, Prime Healthcare filed a Motion to Dismiss 18 under Rule 12(b)(6), which Prime Healthcare opposed. (Mot. Dismiss, ECF No. 13; 19 Opp’n Mot. Dismiss, ECF No. 16; Reply ISO Mot. Dismiss, ECF No. 17.) On 20 August 7, 2024, the Court issued an Order granting Prime Healthcare’s Motion to 21 Dismiss and dismissed the case. (Order 1.) On August 8, 2024, the Court issued a 22 Judgment. (J., ECF No. 25.) 23 On August 21, 2024, R.S. moved for reconsideration of the Order pursuant to 24 Rule 59(e) and Local Rule 7-18. (Mot. 4–5.) The Motion is fully briefed. (Opp’n 25 Mot. (“Opp’n”), ECF No. 29; Reply ISO Mot. (“Reply”), ECF No. 30.) 26 III.

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

Related

Ashcroft v. Iqbal
556 U.S. 662 (Supreme Court, 2009)
Caro v. Weintraub
618 F.3d 94 (Second Circuit, 2010)
United States v. Kenneth M. Conley
186 F.3d 7 (First Circuit, 1999)
Neptune Maritime Co. v. the Vessel Essi Camilla
562 F. Supp. 14 (E.D. Virginia, 1982)
Carroll v. Nakatani
342 F.3d 934 (Ninth Circuit, 2003)
In re Butcher
562 F. Supp. 25 (E.D. Tennessee, 1982)

Cite This Page — Counsel Stack

Bluebook (online)
R. S. v. Prime Healthcare Services, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/r-s-v-prime-healthcare-services-inc-cacd-2025.