Scripps Health v. nThrive Revenue Systems, LLC

District Court, S.D. California·Decided May 18, 2021·No. 3:19-cv-00760·Unknown

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF CALIFORNIA

SCRIPPS HEALTH, a California Case No.: 19-cv-00760-H-DEB corporation, ORDER: Plaintiff,

v. (1) GRANTING IN PART AND DENYING IN PART DEFENDANTS’ NTHRIVE REVENUE SYSTEMS, LLC, MOTION FOR SUMMARY formerly known as Medassets Analytical JUDGMENT; AND Systems, LLC, a Delaware limited liability company; NTHRIVE, INC., [Doc. Nos. 95, 98.] doing business as nThrive Revenue

Systems, LLC, a Delaware corporation; (2) DENYING PLAINTIFF’S and FORMATIV HEALTH, a Delaware MOTION FOR SUMMARY limited liability company, JUDGMENT Defendants. [Doc. No. 107.]

/// /// /// On March 18, 2021, Defendants nThrive Revenue Systems, LLC and nThrive, Inc. (collectively “nThrive”) filed a motion for summary judgment. (Doc. No. 95.) On March 18, 2021, Defendant Formativ Health filed a notice of joinder in nThrive’s motion for summary judgment.1 (Doc. No. 98.) On March 19, 2021, Plaintiff Scripps Health filed a motion for summary judgment. (Doc. No. 107.) On April 9, 2021, the parties each filed their respective responses in opposition to the motions for summary judgment. (Doc. Nos. 134, 137, 139.) On April 16, 2021, the parties each filed their respective replies. (Doc. Nos. 140, 144, 149.) The Court held a hearing on the matter on May 17, 2021. Jeffrey D. Cawdrey and Kimberly D. Howatt appeared for Plaintiff Scripps Health. John Shaeffer and Joshua A. Bornstein appeared for Defendant nThrive. Marty B. Ready appeared for Defendant Formativ. For the reasons below, the Court grants in part and denies in part Defendants’ motion for summary judgment, and the Court denies Plaintiff Scripps Health’s motion for summary judgment. Background Plaintiff Scripps Health is a nonprofit health care system with four hospitals and twenty-eight outpatient facilities. (Doc. No. 124-2 at 1 ¶¶ 1-2; Doc. No. 132-1, Thomas Decl. ¶ 2.) Defendant nThrive is a Revenue Cycle Management (“RCM”) vendor.2 (Doc. No. 124-2 at 1-2 ¶ 3.) RCM services include coding, billing, and collections of accounts receivables for health care organizations. (Id.) On December 22, 2011, Scripps Health and nThrive entered into an agreement entitled “Master Agreement Between Scripps Health and MedAssets Net Revenue

1 The Court denies Scripps Health’s challenges to Formativ’s notice of joinder. (See Doc. No. 134 at 1-5.)

2 Defendants nThrive LLC and nThrive Inc. claim to be parties to and hold rights in the relevant contract. (Doc. No. 124-2, at 2 ¶ 4.) Systems, LLC.” (Doc. No. 124-4, Ex. 4.) On September 25, 2017, Scripps Health and nThrive entered into a further agreement entitled “Third Amendment to the Master Agreement Between Scripps Health and nThrive Revenue Systems, LLC.” (Doc. No. 124- 4, Ex. 3.) On April 24, 2019, Scripps Health filed a complaint against nThrive and Formativ, alleging claims for: (1) fraud and deceit; (2) negligent misrepresentation; (3) aiding and abetting fraud; (4) conspiracy to commit fraud; (5) intentional interference with contractual relations; (6) intentional interference with prospective economic advantage; (7) breach of contract; (8) breach of the covenant of good faith and fair dealing; (9) negligence; (10) unjust enrichment; (11) demand for accounting; and (12) unfair business practices in violation of California Business and Professions Code § 17200 et seq. (Doc. No. 1, Compl.) Scripps Health alleges that nThrive did not perform the services required under the agreement in accordance with contractual or industry standards. (Id. ¶ 39.) Scripps Health further alleges, among other things, that nThrive “secretly and surreptitiously assigned, subcontracted, and/or delegated” some or all of its obligations under the agreement to third-party Formativ, despite the inclusion of an anti-assignment clause in the agreement. (Id. ¶¶ 42-44.) On June 28, 2019, Formativ filed an answer to the complaint. (Doc. No. 8.) On July 1, 2019, nThrive filed an answer to the complaint and counterclaims against Scripps Health, alleging counterclaims for: (1) breach of contract; (2) breach of the implied covenant of good faith and fair dealing; (3) negligent misrepresentation; and (4) unjust enrichment. (Doc. Nos. 11, 12.) On July 22, 2019, Scripps Health filed a partial motion to dismiss nThrive’s counterclaims. (Doc. No. 23.) On September 3, 2019, the Court granted in part and denied in part Scripps Health’s motion to dismiss. (Doc. No. 35.) 3 Although the December 22, 2011 Master Agreement was originally entered into between Scripps Health and MedAssets Net Revenue Systems, LLC. (Doc. No. 124-4, Ex. 4.) In 2015, nThrive was formed through the merger of several RCM vendors, including MedAssets. (Doc. No. 137 at 4 (citing Doc. No. 124-4, Ex. 12 at 38).) The parties agree that nThrive is a party to the December 22, 2011 Master Specifically, the Court dismissed nThrive’s counterclaim for negligent misrepresentation without prejudice and with leave to amend, and the Court denied the remainder of Scripps Health’s motion to dismiss. (Id. at 9.) On October 3, 2019, nThrive filed first amended counterclaims, alleging the same four counterclaims. (Doc. No. 40.) On November 13, 2019, the Court granted Scripps Health’s partial motion to dismiss, and the Court dismissed nThrive’s counterclaim for negligent misrepresentation with prejudice. (Doc. No. 50 at 7.) On May 10, 2021, the Court denied the parties’ Daubert motions without prejudice. (Doc. No. 162.) By the present motions for summary judgment: (1) Defendant nThrive moves for summary judgment of all ten of the claims in Scripps Health’s complaint asserted against nThrive; (2) Defendant Formativ joins in nThrive’s motion and separately moves for summary judgment of the claims in Scripps Health’s complaint that are asserted against Formativ only; and (3) Scripps Health moves for summary judgment of all three of nThrive’s remaining counterclaims. (Doc. No. 116 at 1-2; Doc. No. 98 at 4-5; Doc. No. 107-1 at 1-2.) I. Legal Standards for a Motion for Summary Judgment Summary judgment is appropriate under Rule 56 of the Federal Rules of Civil Procedure if the moving party demonstrates that there is no genuine issue of material fact and that it is entitled to judgment as a matter of law. Fed. R. Civ. P. 56(a); Celotex Corp. v. Catrett, 477 U.S. 317, 322 (1986). A fact is material when, under the governing substantive law, it could affect the outcome of the case. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986); Fortune Dynamic, Inc. v. Victoria’s Secret Stores Brand Mgmt., Inc., 618 F.3d 1025, 1031 (9th Cir. 2010). “A genuine issue of material fact exists when the evidence is such that a reasonable jury could return a verdict for the nonmoving party.” Fortune Dynamic, 618 F.3d at 1031 (internal quotation marks and citations omitted); accord Anderson, 477 U.S. at 248. “Disputes over irrelevant or unnecessary facts will not preclude a grant of summary judgment.” T.W. Elec. Serv., Inc. v. Pac. Elec. Contractors Ass’n, 809 F.2d 626, 630 (9th Cir. 1987). A party seeking summary judgment always bears the initial burden of establishing the absence of a genuine issue of material fact. Celotex, 477 U.S. at 323. The moving party can satisfy this burden in two ways: (1) by presenting evidence that negates an essential element of the nonmoving party’s case; or (2) by demonst

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