Shufeldt, M.D. v. Baker, Donelson, Bearman & Caldwell

CourtDistrict Court, M.D. Tennessee
DecidedAugust 9, 2024
Docket3:17-cv-01078
StatusUnknown

This text of Shufeldt, M.D. v. Baker, Donelson, Bearman & Caldwell (Shufeldt, M.D. v. Baker, Donelson, Bearman & Caldwell) is published on Counsel Stack Legal Research, covering District Court, M.D. Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Shufeldt, M.D. v. Baker, Donelson, Bearman & Caldwell, (M.D. Tenn. 2024).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF TENNESSEE NASHVILLE DIVISION

JOHN J. SHUFELDT, M.D., ) ) Plaintiff, ) ) NO. 3:17-cv-01078 v. ) JUDGE RICHARDSON ) BAKER, DONELSON, BEARMAN, ) CALDWELL AND BERKOWITZ, P.C., ) ) Defendant. )

MEMORANDUM OPINION Pending before the Court is “Defendant’s Motion for Summary Judgment” (Doc. No. 214, “Motion for Summary Judgment”), “Defendant’s Motion for Leave to File Under Seal” (Doc. No. 218, “Motion to File Under Seal”), “Defendant’s Motion to Exclude Shufeldt Expert Disclosure” (Doc. No. 220, “Motion to Exclude Shufeldt”), and “Defendant’s Motion to Exclude Plaintiff’s Expert Testimony Regarding Rescissory Damages” (Doc. No. 222, “Motion to Exclude Rescissory Damages Expert”). BACKGROUND1

1 The facts set forth in this section are undisputed, the term the Court will use to describe both facts that are not in dispute at all and facts that are not in genuine dispute. Most of these facts come from Plaintiff’s response (Doc. No. 235, “Response to Defendant’s Statement of Undisputed Facts”) to Defendant’s “Statement of Undisputed Facts in Support of Defendant’s Motion for Summary Judgment” (Doc. No. 216 “Defendant’s Statement of Undisputed Facts); after Defendant asserted these facts in Defendant’s Statement of Undisputed Facts, they went undisputed by Plaintiff in his Response to the Statement of Undisputed Facts. Other facts (background, uncontroversial ones) are mutually stated in the parties’ opposing briefing and therefore are taken by the Court as undisputed. In stating the facts herein, the Court often uses the language used by the party that asserted the facts in the first instance; this helps the Court ensure that the facts as stated herein are undisputed, even if the language used is less precise or thorough than the Court would have used were it writing on a blank slate. On July 25, 2023, Plaintiff filed “Plaintiff’s Unopposed Motion to File Corrected Response Memorandum Effective July 18, 2025” (Doc. No. 245) wherein Plaintiff requested leave to file the amended (i.e., corrected) memorandum (attached as Doc. No. 245-1) in response to the Motion for Summary NextCare Holdings, Inc. (“NextCare”) is a corporation that owns and operates urgent care facilities. NextCare was incorporated in Delaware, and Plaintiff was its founder, CEO, Chairman, and largest shareholder. (Doc. No. 245-1 at 11). As a result of a stock transaction in 2008, Plaintiff had the right to appoint four directors (one of which was himself) and EEF had the right to appoint three directors to NextCare’s board. Plaintiff appointed himself, Fred Brown, Breaux Castleman,

and David Lowenberg to NextCare’s board. EEP appointed Malcolm Kostuchenko and Andrew Paul, both of whom were directly affiliated with EEF, and Don Steen (now deceased). Following

Judgment for the stated purpose of filing corrected the omission of certain citations to the record. The Court granted the motion as unopposed and as well-taken, given the obvious benefits of having complete citation to the record. (Doc. No. 259). The Court must urge counsel to be more forthcoming regarding the alterations they make (and intend to make) to revised documents. The Court’s review of Plaintiff’s amended memorandum in response to the Motion for Summary Judgment indicates that there were a few changes to the substantive text. While the Court does not find that any of these changes are of consequence and would alter the Court’s decision here, the Court is nevertheless concerned with the fact it was asked to and did grant a motion on the basis of the motion being unopposed, when the motion may have been opposed had Defendant been aware that other changes had been made. Plaintiff filed his Response to Defendant’s Statement of Undisputed Facts to on July 18, 2023, contemporaneously with filing his original response in opposition to the Motion for Summary Judgment (Doc. No. 231). Then, on July 25, 2023, Plaintiff filed Plaintiff’s Statement of Additional Material Facts (Doc. No. 248), to which Defendant responded (Doc. No. 256). The Court will not accept Plaintiff’s Statement of Additional Undisputed Facts, because it was untimely filed, and Plaintiff did not seek leave to make such a late filing. Under LR56.01(c), additional undisputed material facts are to be contained within the non-movant’s response to the movant’s statement of fact. Plaintiff filed its Response to Defendant’s Statement of Undisputed Facts a week earlier and did not include therein the substance (or the form) of Plaintiff’s Statement of Additional Material Facts. As indicated in the title of his motion (Doc. No. 245), Plaintiff sought leave specifically to amend its memorandum in response to summary judgment. As noted above, Plaintiff attached to the motion the proposed amended response, and Plaintiff cited in his motion the docket entry of the document to be amended (Doc. No. 231, his original response to the Motion for Summary Judgment). In this motion, Plaintiff sought leave only to file an amended response for the purpose of providing omitted citations—not leave to file leave to file an amended response to Defendant’s statement of material facts to include purported additional undisputed material facts (nor, for that matter, leave to present purported additional material undisputed facts in some other way). It makes no difference to the Court that Defendant replied to this statement of facts (Doc. No. 248), as Defendant may have done so purely as a precautionary measure in case the Court accepted the late-filed addition. Nevertheless, in certain instances where helpful, the Court will accept facts that were undisputed by Defendant in Defendant’s reply (Doc. No. 248) because there appears to be no genuine dispute as to those facts. another stock transaction in 2009, Plaintiff owned a 41.22% interest and EEF owned a 25.16% interest in NextCare. Prior to their appointment, Messrs. Brown, Castleman, and Lowenberg had no relationship with Plaintiff, NextCare, or EEF, and they did not have business, family, or financial ties to EEF. During the time they served on NextCare’s board, they voted in a manner they believed was in the

best interest of the company. Despite being appointed by EEF, Mr. Steen was an independent (in the sense discussed below) board member, and he had no prior affiliation with EEF and was not beholden to EEF. There is no evidence that Mr. Steen ever felt pressured (by anyone) to vote any particular way. In 2009, Blue Cross Blue Shield of North Caroline (“BCBS”), NextCare’s largest payor in its second largest market, disputed the medical necessity (to patients covered by BCBS) of services provided to patients under NextCare’s allergy and flu testing program.2 By the second quarter of 2010, BCBS removed NextCare from its network and demanded that NextCare reimburse BCBS approximately $2.5 million that BCBS had paid for tests administered to patients. In August 2010,

the United States Department of Justice (“DOJ”) served NextCare with a subpoena, advising that it was investigating whether NextCare had engaged in unnecessary testing ultimately paid for by Medicare. DOJ took the position that the billing of Medicare for services under the testing program constituted Medicare fraud and initially sought over $35 billion total in fines and treble damages. From August to October 2010, certain other NextCare payors, including Aetna, CIGNA, Blue Cross Blue Shield of Arizona, and Blue Cross Blue Shield of Texas also objected to the testing program and demanded reimbursement amounts in the hundreds of thousands of dollars.

2 Plaintiff disputes this fact by saying “[s]ometime in 2009 BCBS sent a letter to an office in North Caroline inquiring about the test.” This does not explain what dispute exists. Any inquiry into the test could very well have been an inquiry into the medical necessity of the test.

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Shufeldt, M.D. v. Baker, Donelson, Bearman & Caldwell, Counsel Stack Legal Research, https://law.counselstack.com/opinion/shufeldt-md-v-baker-donelson-bearman-caldwell-tnmd-2024.