Scripps Health v. nThrive Revenue Systems, LLC

CourtDistrict Court, S.D. California
DecidedMay 18, 2021
Docket3:19-cv-00760
StatusUnknown

This text of Scripps Health v. nThrive Revenue Systems, LLC (Scripps Health v. nThrive Revenue Systems, LLC) is published on Counsel Stack Legal Research, covering District Court, S.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Scripps Health v. nThrive Revenue Systems, LLC, (S.D. Cal. 2021).

Opinion

1 2 3 4

8 UNITED STATES DISTRICT COURT 9 SOUTHERN DISTRICT OF CALIFORNIA 10

11 SCRIPPS HEALTH, a California Case No.: 19-cv-00760-H-DEB 12 corporation, 13 ORDER: Plaintiff,

14 v. (1) GRANTING IN PART AND 15 DENYING IN PART DEFENDANTS’ NTHRIVE REVENUE SYSTEMS, LLC, MOTION FOR SUMMARY 16 formerly known as Medassets Analytical JUDGMENT; AND Systems, LLC, a Delaware limited 17 liability company; NTHRIVE, INC., [Doc. Nos. 95, 98.] 18 doing business as nThrive Revenue

Systems, LLC, a Delaware corporation; 19 (2) DENYING PLAINTIFF’S and FORMATIV HEALTH, a Delaware MOTION FOR SUMMARY 20 limited liability company, JUDGMENT 21 Defendants. [Doc. No. 107.] 22

23 /// 24 /// 25 /// 26 27 28 1 On March 18, 2021, Defendants nThrive Revenue Systems, LLC and nThrive, Inc. 2 (collectively “nThrive”) filed a motion for summary judgment. (Doc. No. 95.) On March 3 18, 2021, Defendant Formativ Health filed a notice of joinder in nThrive’s motion for 4 summary judgment.1 (Doc. No. 98.) On March 19, 2021, Plaintiff Scripps Health filed a 5 motion for summary judgment. (Doc. No. 107.) On April 9, 2021, the parties each filed 6 their respective responses in opposition to the motions for summary judgment. (Doc. Nos. 7 134, 137, 139.) On April 16, 2021, the parties each filed their respective replies. (Doc. 8 Nos. 140, 144, 149.) 9 The Court held a hearing on the matter on May 17, 2021. Jeffrey D. Cawdrey and 10 Kimberly D. Howatt appeared for Plaintiff Scripps Health. John Shaeffer and Joshua A. 11 Bornstein appeared for Defendant nThrive. Marty B. Ready appeared for Defendant 12 Formativ. For the reasons below, the Court grants in part and denies in part Defendants’ 13 motion for summary judgment, and the Court denies Plaintiff Scripps Health’s motion for 14 summary judgment. 15 Background 16 Plaintiff Scripps Health is a nonprofit health care system with four hospitals and 17 twenty-eight outpatient facilities. (Doc. No. 124-2 at 1 ¶¶ 1-2; Doc. No. 132-1, Thomas 18 Decl. ¶ 2.) Defendant nThrive is a Revenue Cycle Management (“RCM”) vendor.2 (Doc. 19 No. 124-2 at 1-2 ¶ 3.) RCM services include coding, billing, and collections of accounts 20 receivables for health care organizations. (Id.) 21 On December 22, 2011, Scripps Health and nThrive entered into an agreement 22 entitled “Master Agreement Between Scripps Health and MedAssets Net Revenue 23 24

25 1 The Court denies Scripps Health’s challenges to Formativ’s notice of joinder. (See Doc. No. 134 26 at 1-5.)

27 2 Defendants nThrive LLC and nThrive Inc. claim to be parties to and hold rights in the relevant 28 contract. (Doc. No. 124-2, at 2 ¶ 4.) 1 Systems, LLC.” (Doc. No. 124-4, Ex. 4.) On September 25, 2017, Scripps Health and 2 nThrive entered into a further agreement entitled “Third Amendment to the Master 3 Agreement Between Scripps Health and nThrive Revenue Systems, LLC.” (Doc. No. 124- 4 4, Ex. 3.) 5 On April 24, 2019, Scripps Health filed a complaint against nThrive and Formativ, 6 alleging claims for: (1) fraud and deceit; (2) negligent misrepresentation; (3) aiding and 7 abetting fraud; (4) conspiracy to commit fraud; (5) intentional interference with contractual 8 relations; (6) intentional interference with prospective economic advantage; (7) breach of 9 contract; (8) breach of the covenant of good faith and fair dealing; (9) negligence; (10) 10 unjust enrichment; (11) demand for accounting; and (12) unfair business practices in 11 violation of California Business and Professions Code § 17200 et seq. (Doc. No. 1, 12 Compl.) Scripps Health alleges that nThrive did not perform the services required under 13 the agreement in accordance with contractual or industry standards. (Id. ¶ 39.) Scripps 14 Health further alleges, among other things, that nThrive “secretly and surreptitiously 15 assigned, subcontracted, and/or delegated” some or all of its obligations under the 16 agreement to third-party Formativ, despite the inclusion of an anti-assignment clause in the 17 agreement. (Id. ¶¶ 42-44.) 18 On June 28, 2019, Formativ filed an answer to the complaint. (Doc. No. 8.) On July 19 1, 2019, nThrive filed an answer to the complaint and counterclaims against Scripps 20 Health, alleging counterclaims for: (1) breach of contract; (2) breach of the implied 21 covenant of good faith and fair dealing; (3) negligent misrepresentation; and (4) unjust 22 enrichment. (Doc. Nos. 11, 12.) On July 22, 2019, Scripps Health filed a partial motion 23 to dismiss nThrive’s counterclaims. (Doc. No. 23.) On September 3, 2019, the Court 24 granted in part and denied in part Scripps Health’s motion to dismiss. (Doc. No. 35.) 25 26 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 27 formed through the merger of several RCM vendors, including MedAssets. (Doc. No. 137 at 4 (citing 28 Doc. No. 124-4, Ex. 12 at 38).) The parties agree that nThrive is a party to the December 22, 2011 Master 1 Specifically, the Court dismissed nThrive’s counterclaim for negligent misrepresentation 2 without prejudice and with leave to amend, and the Court denied the remainder of Scripps 3 Health’s motion to dismiss. (Id. at 9.) 4 On October 3, 2019, nThrive filed first amended counterclaims, alleging the same 5 four counterclaims. (Doc. No. 40.) On November 13, 2019, the Court granted Scripps 6 Health’s partial motion to dismiss, and the Court dismissed nThrive’s counterclaim for 7 negligent misrepresentation with prejudice. (Doc. No. 50 at 7.) On May 10, 2021, the 8 Court denied the parties’ Daubert motions without prejudice. (Doc. No. 162.) 9 By the present motions for summary judgment: (1) Defendant nThrive moves for 10 summary judgment of all ten of the claims in Scripps Health’s complaint asserted against 11 nThrive; (2) Defendant Formativ joins in nThrive’s motion and separately moves for 12 summary judgment of the claims in Scripps Health’s complaint that are asserted against 13 Formativ only; and (3) Scripps Health moves for summary judgment of all three of 14 nThrive’s remaining counterclaims. (Doc. No. 116 at 1-2; Doc. No. 98 at 4-5; Doc. No. 15 107-1 at 1-2.) 16 DISCUSSION 17 I. Legal Standards for a Motion for Summary Judgment 18 Summary judgment is appropriate under Rule 56 of the Federal Rules of Civil 19 Procedure if the moving party demonstrates that there is no genuine issue of material fact 20 and that it is entitled to judgment as a matter of law. Fed. R. Civ. P. 56(a); Celotex Corp. 21 v. Catrett, 477 U.S. 317, 322 (1986). A fact is material when, under the governing 22 substantive law, it could affect the outcome of the case. Anderson v. Liberty Lobby, Inc., 23 477 U.S. 242, 248 (1986); Fortune Dynamic, Inc. v. Victoria’s Secret Stores Brand Mgmt., 24 Inc., 618 F.3d 1025, 1031 (9th Cir. 2010). “A genuine issue of material fact exists when 25 the evidence is such that a reasonable jury could return a verdict for the nonmoving party.” 26 Fortune Dynamic, 618 F.3d at 1031 (internal quotation marks and citations omitted); 27 accord Anderson, 477 U.S. at 248. “Disputes over irrelevant or unnecessary facts will not 28 preclude a grant of summary judgment.” T.W. Elec. Serv., Inc. v. Pac. Elec. Contractors 1 Ass’n, 809 F.2d 626, 630 (9th Cir. 1987). 2 A party seeking summary judgment always bears the initial burden of establishing 3 the absence of a genuine issue of material fact. Celotex, 477 U.S. at 323.

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