Sykes v. Health Network Sols., Inc.

2018 NCBC 28
CourtNorth Carolina Business Court
DecidedApril 5, 2018
Docket13-CVS-2595
StatusPublished

This text of 2018 NCBC 28 (Sykes v. Health Network Sols., Inc.) is published on Counsel Stack Legal Research, covering North Carolina Business Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sykes v. Health Network Sols., Inc., 2018 NCBC 28 (N.C. Super. Ct. 2018).

Opinion

Sykes v. Health Network Sols., Inc., 2018 NCBC 28.

STATE OF NORTH CAROLINA IN THE GENERAL COURT OF JUSTICE SUPERIOR COURT DIVISION COUNTY OF FORSYTH 13 CVS 2595

SUSAN SYKES d/b/a ADVANCED CHIROPRACTIC AND HEALTH CENTER; DAWN PATRICK; TROY LYNN; LIFEWORKS ON LAKE NORMAN, PLLC; BRENT BOST; and BOST CHIROPRACTIC CLINIC, P.A.,

Plaintiffs,

v. ORDER & OPINION ON HEALTH NETWORK SOLUTIONS, DEFENDANTS’ MOTION TO DISMISS INC. f/k/a CHIROPRACTIC PLAINTIFFS’ SECOND AMENDED NETWORK OF THE CAROLINAS, COMPLAINT INC.; MICHAEL BINDER; STEVEN BINDER; ROBERT STROUD, JR.; LARRY GROSMAN; MATTHEW SCHMID; RALPH RANSONE; JEFFREY K. BALDWIN; IRA RUBIN; RICHARD ARMSTRONG; BRAD BATCHELOR; JOHN SMITH; RICK JACKSON; and MARK HOOPER,

Defendants.

1. THIS MATTER is before the Court on Defendants Health Network

Solutions, Inc. (“HNS”), Michael Binder, Steven Binder, Robert Stroud, Jr., Larry

Grossman, Matthew Schmid, Ralph Ransone, Jeffrey K. Baldwin, Ira Rubin, Richard

Armstrong, Brad Batchelor, John Smith, Rick Jackson, and Mark Hopper’s

(“Individual Defendants” and collectively with HNS, “Defendants”) Motion to Dismiss

Plaintiffs’ Second Amended Complaint (“Motion”). For the reasons discussed below,

the Court GRANTS the Motion. Oak City Law LLP, by Robert E. Fields III and Samuel Piñero II, Craige Jenkins Liipfert & Walker LLP, by Ellis B. Drew III and Leon E. Porter, and Doughton Blancato PLLC, by William A. Blancato, for Plaintiffs.

Brooks, Pierce, McLendon, Humphrey & Leonard LLP, by Jennifer K. Van Zant, W. Michael Dowling, and Benjamin R. Norman, for Defendants.

Gale, Chief Judge.

I. INTRODUCTION

2. This putative class action is one of two related cases by four North

Carolina-licensed chiropractors (“Plaintiffs”) who assert that HNS’s business

practices violate North Carolina’s antitrust and insurance laws. The Court earlier

narrowed Plaintiffs’ claims by rejecting certain of the claims based on insurance laws

and restricting potential antitrust claims to only those based on a relevant market

defined as the market for chiropractic services in North Carolina (“North Carolina

Market”). The Motion seeks to dismiss all claims because of Plaintiffs’ failure to

allege market power within that market.

3. Plaintiffs’ essential contention is that HNS, and insurers with which it

conspires, unlawfully restricts the output of chiropractic services. In this action

(“Sykes I”), Plaintiffs bring suit against HNS and its owners. In the later-filed case,

Sykes v. Blue Cross Blue Shield of North Carolina, No. 15 CVS 3136, (“Sykes II”),

Plaintiffs assert substantially similar claims against Blue Cross Blue Shield of North

Carolina (“Blue Cross”), Cigna Healthcare of North Carolina, Inc. (“Cigna”), and

MedCost, LLC1 (“MedCost” and collectively with Blue Cross and Cigna, “Insurers”).

1 Plaintiffs also originally sued another third-party administrator, Healthgram, Inc., but have since

dismissed their claims against it. 4. The Court today issues a separate Order & Opinion in Sykes II and

dismisses all claims in both cases because Plaintiffs have failed to allege market

power in the North Carolina Market.

II. PROCEDURAL BACKGROUND

5. The procedural background of this action is more fully summarized in

the Court’s August 18, 2017 Order & Opinion. Sykes I, No. 13 CVS 2595, 2017 NCBC

LEXIS 73, at *3–6 (N.C. Super. Ct. Aug. 18, 2017).

6. Plaintiffs brought this action on April 30, 2013, after which the case was

designated as a complex business case and assigned to the undersigned.

7. Plaintiffs filed their first amended complaint on July 28, 2013, and

Defendants moved to dismiss pursuant to Rules 12(b)(1) and 12(b)(6) of the North

Carolina Rules of Civil Procedure. The Court denied that motion and stayed

additional proceedings pending discovery regarding market definition. See Sykes I,

2013 NCBC LEXIS 52, at *3, *13–17 (N.C. Super. Ct. Dec. 5, 2013).

8. During the market discovery period, Plaintiffs brought Sykes II against

Insurers and, on July 16, 2015, filed their Second Amended Class Action Complaint

(“Second Amended Complaint”) in this action. In the Second Amended Complaint,

Plaintiffs allege that Defendants’ conduct harmed four possible relevant markets, the

fourth of which is the North Carolina Market.

9. On August 28, 2015, Defendants filed a motion for partial summary

judgment, contending that the first three markets Plaintiffs alleged were impermissibly narrow and legally non-cognizable, and that Defendants did not

participate in the North Carolina Market.

10. On September 25, 2015, Defendants filed the Motion, which attacks the

sufficiency of all of the claims in the Second Amended Complaint.

11. On August 18, 2017, the Court issued its Order & Opinion on

Defendants’ motion for partial summary judgment and the Motion. The Court

dismissed Plaintiffs’ declaratory judgment claims to the extent that they are based

on chapter 58 violations, their North Carolina General Statute section 75-1.1 claim,

their breach of fiduciary duty claim, and their conspiracy claim to the extent it

depended on anything other than claims based on violations of North Carolina

General Statutes sections 75-1, 75-2, and 75-2.1 (“Antitrust Claims”), which the

Court did not dismiss. Sykes I, 2017 NCBC LEXIS 73, at *71–72. The Court granted

in part and denied in part Defendants’ motion for partial summary judgment, and

dismissed the Antitrust Claims to the extent that they were based on three of the

four markets Plaintiffs proposed because those markets are not legally cognizable.

Id. at *71. The Court accepted the North Carolina Market as legally cognizable.

However, it deferred ruling on whether Plaintiffs’ Antitrust Claims could continue

because it could not reasonably assess the adequacy of Plaintiffs’ allegations of

Defendants’ market power within the North Carolina Market until receiving

supplemental briefs on that issue. Id. at *64.

12. On October 2, 2017, the parties filed supplemental briefs, and, on

October 23, 2017, the parties filed response briefs. 13. Pursuant to Rule 7.4 of the General Rules of Practice and Procedure for

the North Carolina Business Court, the Court elects to rule on the Motion without

additional oral argument. The Motion is ripe for resolution.

III. FACTUAL BACKGROUND

14. The Court refers to its earlier extensive summary of factual background,

Sykes I, 2017 NCBC LEXIS 73, at *6–13, and here includes only factual information

pertinent to the Motion. The Court accepts Plaintiffs’ factual allegations as true and

makes any permissible inferences favorable to them, but is not bound by legal

conclusions unsupported by underlying factual allegations.

A. The Parties

15. The named Plaintiffs—Susan Sykes, Dawn Patrick, Troy Lynn, and

Brent Bost—are four licensed North Carolina chiropractors and their affiliated

practices. (Second Amended Class Action Compl. (“Second Am. Compl.”) ¶¶ 3–6, ECF

No. 78.) Plaintiffs seek to represent a class consisting of “all licensed chiropractors

practicing in North Carolina from 2005 to the present who provided services in the

North Carolina Market.” (Second Am. Compl. ¶ 47.)

16. HNS is an “integrated independent practice association” (“IPA”),

consisting of approximately 1,000 of North Carolina’s approximately 2,000 active

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