St. Vincent Hospital & Health Care Center, Inc. v. Steele

742 N.E.2d 1029, 2001 Ind. App. LEXIS 273, 2001 WL 168164
CourtIndiana Court of Appeals
DecidedFebruary 21, 2001
Docket34A02-0005-CV-294
StatusPublished
Cited by4 cases

This text of 742 N.E.2d 1029 (St. Vincent Hospital & Health Care Center, Inc. v. Steele) is published on Counsel Stack Legal Research, covering Indiana 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. Vincent Hospital & Health Care Center, Inc. v. Steele, 742 N.E.2d 1029, 2001 Ind. App. LEXIS 273, 2001 WL 168164 (Ind. Ct. App. 2001).

Opinion

OPINION

HOFFMAN, Senior Judge

Defendant-Appellant St. Vincent Hospital and Health Care Center, Inc. (“St. Vincent”) appeals the trial court’s order granting summary judgment in favor of Plaintiff Appellee Robert J. Steele, M.D. (“Steele”) on his claims for statutory liquidated damages and statutory attorneys’ fees pursuant to Ind.Code § 22-2-5-2. We affirm.

The facts are not in dispute. On or about April 6, 1995, Steele and St. Vincent entered into a Physician Employment Agreement (“Agreement”) with an effective date of April 1, 1995. The Agreement contained a schedule of compensation and was for a period of five years, to conclude on March 31, 2000. That Agreement was amended on August 15, 1996, with a retroactive date of April 1, 1995. The Agreement provided for bi-weekly payment of compensation.

The schedule of compensation provided in part as follows:

For years of this Agreement subsequent to its first year, Physician’s compensation each year shall be Base Compensation or fifty-six percent (56%) of Collections for that year or fifty-six percent (56%) of Collections from the previous year whichever is greater.

(R. 159-160). The term “collections” was defined to include “that cash actually received, during the applicable year, from standard medical office operations performed by Physician at the Practice Site, including physician charges for office visits, Hospital visits, insurance receipts, revenue received from laboratory and radiology services except for revenue for those services from Medicare or Medicaid, and other billed services for which income is received at the Practice Site.” (R. 160).

During the first two years of the Agreement, St. Vincent compensated Steele as provided for in the Agreement. That initial compensation included revenue received in Steele’s office for administration of chemotherapy and other drugs. Steele is board certified in internal medicine and oncology. As an oncologist, his treatment of patients who have cancer includes the administration of chemotherapy.

*1031 Before St. Vincent and Steele entered into the initial Agreement and subsequent amendment to the Agreement, Congress passed legislation known as Stark I. 1 Stark I became effective January 1, 1992, and in relevant part prohibited physicians from referring Medicare and Medicaid patients to any clinical laboratory in which the physician, or immediate family member of the physician, had a financial relationship. Congress later passed Stark II, 2 which became effective in 1993. Stark II, in relevant part, provided that if a physician or an immediate family member of the physician has a financial relationship with an entity, then the physician may not make a referral to the entity for the provision of “designated health services” for which payment may otherwise be made under Medicare/Medicaid, and the entity may not present, or cause to be presented, a claim under Medicare/Medicaid or submit a bill to any individual, third-party payor or other entity for designated health services furnished pursuant to a prohibited referral. Stark II referred to “designated health services” as including the provision of outpatient prescription drugs. 3

In 1998, which happened to be the third year under the Agreement, the Health Care Financing Administration (“HCFA”) issued proposed regulations in which it submitted its interpretation of the Stark II legislation. HCFA issued its interpretations of the term “outpatient prescription drugs” as used in the definition of “designated health services” under 42 U.S.C. § 1395nn(h)(6), as follows:

We ... propose to limit “outpatient prescription drugs” to drugs that a patient would be able to obtain from a pharmacy with a prescription. We consider that this category includes any drugs that a patient could get with a prescription, even if patients generally do not do so. For example, we would include such drugs as oncology drugs that are routinely furnished in a physician’s office, under the physician’s direct supervision, provided the drugs could be obtained by prescription from a pharmacy.

63 Fed.Reg. 1569,1680.

St. Vincent decided to exclude from the computation of Steele’s collections, those services for the administration of chemotherapy and certain other medications to Medicare and Medicaid patients, for years three and four of the Agreement. The chemotherapy medications listed as excluded were administered by Steele or his staff into patients’ muscles or veins. Chemotherapy medications administered by a physician or under a physician’s supervision are not available from a retail pharmacy with a prescription.

On December 18, 1998, Steele filed a complaint against St. Vincent alleging breach of the Agreement by failing to pay compensation due and owing despite demand for payment. On October 5, 1999, Steele filed his motion for summary judgment and declaratory judgment. On November 8, 1999, St. Vincent filed its cross-motion for summary judgment. St. Vincent’s position was that it could not pay the amounts due and owing under the Agreement because of the proposed regulations. On November 30, 1999, Steele filed his reply.

The trial court held a hearing on the motions on November 30, 1999. On February 14, 2000, the trial court issued an order granting Steele’s motion for summary judgment in part and declaratory judgment. The trial court heard evidence on the issues of liquidated damages, attorneys’ fees, and costs in a hearing begun March 2, 2000, and concluded on April 7, 2000. The trial court ordered St. Vincent to pay $277,812.92 in unpaid wages, *1032 $555,625.84 in liquidated damages, and $48,000.00 in attorney fees. St. Vincent initiated this appeal and requested that we vacate the portion of the trial court’s order awarding liquidated damages and attorneys’ fees to Steele. 4

An appellant, in this case St. Vincent, bears the burden of proving that the" trial court erred in determining that there were no genuine issues of material fact and that the moving party was entitled to judgment as a matter of law. See Ind. Trial Rule 56(C); Rosi v. Business Furniture Corp., 615 N.E.2d 431, 434 (Ind.1993). The trial court’s decision on a motion for summary judgment enters the process of appellate review clothed with a presumption of validity. See Stephenson v. Ledbetter, 596 N.E.2d 1369, 1371 (Ind.1992). The party appealing from the order granting summary judgment must persuade the appellate tribunal that the judgment was erroneous. Id. Furthermore, we are not limited to reviewing the trial court’s reasons for granting summary judgment, but will affirm an order granting summary judgment if it is sustainable on any theory or basis found in the record.

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

Related

David A. Ryker Painting Co. v. Nunamaker
818 N.E.2d 989 (Indiana Court of Appeals, 2004)
St. Vincent Hospital & Health Care Center, Inc. v. Steele
766 N.E.2d 699 (Indiana Supreme Court, 2002)
DeCalonne v. G.I. Consultants, Inc.
197 F. Supp. 2d 1126 (N.D. Indiana, 2002)

Cite This Page — Counsel Stack

Bluebook (online)
742 N.E.2d 1029, 2001 Ind. App. LEXIS 273, 2001 WL 168164, Counsel Stack Legal Research, https://law.counselstack.com/opinion/st-vincent-hospital-health-care-center-inc-v-steele-indctapp-2001.