ST. JOHN'S REGIONAL MEDICAL CENTER v. Freeman Health System

235 S.W.3d 46, 2007 Mo. App. LEXIS 1263, 2007 WL 2600639
CourtMissouri Court of Appeals
DecidedSeptember 11, 2007
Docket26953
StatusPublished

This text of 235 S.W.3d 46 (ST. JOHN'S REGIONAL MEDICAL CENTER v. Freeman Health System) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
ST. JOHN'S REGIONAL MEDICAL CENTER v. Freeman Health System, 235 S.W.3d 46, 2007 Mo. App. LEXIS 1263, 2007 WL 2600639 (Mo. Ct. App. 2007).

Opinion

JEFFREY W. BATES, Chief Judge.

Freeman Health System (FHS) appeals from a judgment in a declaratory judgment action brought by St. John’s Regional Medical Center (St. John’s). The object of the action was to obtain a declaration determining how many board members FHS and St. John’s were entitled to appoint to the Board of Directors of the Greater Joplin Area Emergency Medical Services System, Inc. (JEMS). 1 The trial court decided that FHS and St. John’s were each entitled to appoint three of the six board members. We affirm.

I. Factual and Procedural Background

In 1981, the City of Joplin, Missouri (City) had three hospitals: (1) St. John’s; (2) Freeman Hospital (Freeman); and (3) Tri-State Osteopathic Hospital Association d/b/a Oak Hill Hospital (Tri-State). At that time, the City operated a municipal ambulance service. This operation caused the City to lose money and face potential exposure to legal liability. Therefore, the Joplin city manager and city attorney entered into negotiations with St. John’s, Freeman and Tri-State to jointly take over operation of the ambulance service.

The three hospitals agreed to jointly operate the ambulance service through a new not-for-profit corporation known as JEMS. After the filing of JEMS’ Articles of Incorporation (the Articles), a certificate of incorporation was issued on October 21, 1981. The Articles contain the following provisions relevant to the issues presented on appeal:

ARTICLE IV
Section 1. The business and affairs of this corporation shall be managed by a Board of Directors, the number and method of appointment of whom shall be fixed by the officially adopted By-Laws of the corporation.
ARTICLE V
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Section 3. No part of the net earnings of the corporation shall enure to the benefit of, or be distributable to, its members, directors, officers and other private persons, except that the corporation shall be authorized and empowered to pay reasonable compensation for services rendered.
Section 4. No substantial part of the activities of the corporation shall be the carrying on of propaganda or otherwise attempting to influence legislation, and the corporation shall not participate in or intervene in (including the publishing or distribution of statements) any political campaign on behalf of any candidate for public office.
Section 5. Notwithstanding any other provisions of these Articles, the corporation shall not carry on any other activities not permitted to be carried on (a) by a corporation exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code of 1954 (or the corresponding provisions of any future United States Internal Revenue law) or (b) by a corporation’s contributions to which are deductible under Section *48 170(c)(2) of the Internal Revenue Code of 1954 (or the corresponding provisions of any future United States Internal Revenue law).
ARTICLE VI
The membership of this corporation shall consist of the following hospitals located in Joplin, Missouri, each of which is a non-profit-corporation organized and existing pursuant to the laws of the State of Missouri:
St. John’s Regional Medical Center, Joplin, Missouri
Freeman Hospital, Joplin, Missouri Tri-State Osteopathic Hospital Association, a Not-For-Profit Corporation, d/b/a Oak Hill Hospital, Joplin, Missouri
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ARTICLE VII
Section 1. The meetings of the corporate members shall be held annually, at such places as may be fixed from time to time by majority vote of the members. Section 2. The action of the corporate members shall be by majority vote of the Board of Directors, Board of Trustees or other governing Board of each of the member corporations, except as otherwise provided by law, Articles of Incorporation of this corporation and ByLaws of this corporation.
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ARTICLE XI
Upon dissolution of this corporation, the Board of Directors shall, after paying or making provision for payment of all liabilities of the corporation, dispose of all of the assets of the corporation by transferring such assets to the then corporate members on a pro-rata basis in accordance with the contributions of said corporate members then being made for the operation of this corporation; provided, however, that at the time of said dissolution the corporate members are organized and operated exclusively for charitable, educational, religious or scientific purposes and shall at that time qualify as an exempt organization under Section 501(c)(3) of the Internal Revenue Code of 1954 (or of the corresponding provisions of any future United States Internal Revenue law). In the event that one or more of the corporate members is not so qualified as an exempt organization under the Internal Revenue laws, then the assets shall be transferred to such an exempt corporation as the Board of Directors shall determine by majority vote.

The reference in Article XI to transferring assets to “the then corporate members” was included because it was possible that one of the three hospitals might withdraw from the arrangement, or Tri-State might go out of business because it was the weakest of the three members. If that occurred and JEMS dissolved, only the corporate member(s) remaining at that time would receive any of JEMS’ assets. The limitation that only 501(c)(3) exempt organizations could receive such assets was included in the event that Tri-State was purchased by a for-profit entity like Humana or Columbia HCA.

In order to convert JEMS’ aging ambulance service into an advanced life support system, each of the three hospitals agreed to make financial contributions to that corporation. Because St. John’s was the largest of the three hospitals and would assume the greatest amount of financial risk, it initially wanted two-thirds representation on the JEMS Board of Directors. Freeman and Tri-State would not agree to majority control of the board by St. John’s. They wanted each hospital to have equal representation on the board without being required to make an equal financial contribution to JEMS. Ultimately, St. John’s *49 conceded the point and agreed to equal representation on the JEMS board for each hospital. Without that concession, the deal would have collapsed.

On a date not disclosed by the record, By-Laws for JEMS were adopted. In relevant part, the By-Laws state as follows:

ARTICLE III
MEMBESHIP [sic]
SECTION 1: The corporation shall have three (3) corporate members, [St. John’s]; [Freeman]; and [Tri-State]; or the successor to any of said corporations.

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Bluebook (online)
235 S.W.3d 46, 2007 Mo. App. LEXIS 1263, 2007 WL 2600639, Counsel Stack Legal Research, https://law.counselstack.com/opinion/st-johns-regional-medical-center-v-freeman-health-system-moctapp-2007.