THE COOPER HEALTH SYSTEM v. MAXIS HEALTH SYSTEM

CourtDistrict Court, D. New Jersey
DecidedDecember 14, 2021
Docket1:18-cv-00702
StatusUnknown

This text of THE COOPER HEALTH SYSTEM v. MAXIS HEALTH SYSTEM (THE COOPER HEALTH SYSTEM v. MAXIS HEALTH SYSTEM) is published on Counsel Stack Legal Research, covering District Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
THE COOPER HEALTH SYSTEM v. MAXIS HEALTH SYSTEM, (D.N.J. 2021).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW JERSEY CAMDEN VICINAGE

THE COOPER HEALTH SYSTEM,

Plaintiff, Civil No. 18-702 (RMB/AMD) v.

MAXIS HEALTH SYSTEM, OPINION

Defendant,

-and-

MAXIS HEALTH SYSTEM and TRINITY HEALTH,

Counter-Plaintiffs,

v.

Counter-Defendant.

APPEARANCES

BROWN AND CONNERY, LLP Carmen Y. Day Jonathan L. Triantos Joseph T. Carney William M. Tambussi 360 Haddon Avenue Westmont, NJ 08108

On behalf of Plaintiff/Counter-Defendant BUCHANAN, INGERSOLL & ROONEY, PC Christopher J. Dalton Argia J. Dimarco 550 Broad Street, Suite 810 Newark, NJ 07102

Mark A. Kasten Two Liberty Place 50 South 16th Street Philadelphia, PA 19102

On behalf of Defendant/Counter-Plaintiffs

RENÉE MARIE BUMB, United States District Judge This matter comes before the Court upon the Motion for Summary Judgment as to Count I of the Complaint by Plaintiff The Cooper Health System [Docket No. 281], the Motion for Summary Judgment as to Maxis Health System’s and Trinity Health’s Counterclaim by Counter-Defendant The Cooper Health System [Docket No. 282], and the Motion for Summary Judgment by Defendant Maxis Health System. [Docket No. 284]. For the reasons set forth below, the motion for summary judgment as to the Counterclaim [Docket No. 282] is CONTINUED, in part, and DENIED, in part, and the two motions for summary judgment as to the Complaint [Docket Nos. 281 and 284] are DENIED. I. FACTUAL BACKGROUND This dispute concerns an unsuccessful corporate transaction by which Plaintiff, The Cooper Health System (“Cooper”), sought to purchase all of the membership rights, title, and interests held by Defendant Maxis Health System (“Maxis”), a division of Trinity Health (“Trinity”), as the sole corporate member of two nonprofit corporations that operate acute care hospitals: Our Lady of Lourdes Health Care Services, Inc., located in Camden, New Jersey (“Lourdes”), and St. Francis Medical Center, located in Trenton, New Jersey (“St. Francis,” and

collectively with Lourdes, the “Hospitals”). [Docket Nos. 281-1, at 3; 297, at 5.] In 2017, Trinity, as the sole corporate member of Maxis, “solicited proposals from potential bidders interested in purchasing Maxis’ interest in Lourdes and St. Francis,” and after Cooper was the only bidder to make a proposal to buy both Hospitals, Trinity selected Cooper’s bid. [Docket No. 297, at 5.]

On August 31, 2017, the parties executed a letter of intent (the “LOI”), pursuant to which Trinity agreed to negotiate exclusively with Cooper for a period of ninety (90) days and discontinue discussions with all other parties interested in acquiring the Hospitals. [Id.] In the LOI, the parties stated that they anticipated “complet[ing] their due diligence within seventy-five (75) days” from the date

thereof, and expressly provided both parties with “the unilateral right to extend the due diligence period and date for signing the Membership Transfer Agreement for an additional fifteen (15) business days upon written notice to the other Party.” [Docket No. 281-1, at 3-4 (citations omitted).] Cooper also agreed to “make a good faith deposit of $15 million into an interest-bearing escrow account held by Bank of

America” (the “Breakup Fee”), which Cooper acknowledges was set aside “[i]n consideration of Maxis agreeing to this exclusivity provision and in recognition of the business and operational risks inherent in the [t]ransaction.” [Id. at 4 (citations omitted).] Pursuant to the LOI, the Breakup Fee was repayable to Cooper “[i]n the event Cooper determine[d] not to proceed to execute the Membership Transfer Agreement due to a Due Diligence Issue,” provided that Cooper, after identifying a “Due

Diligence Issue,” gave Trinity notice of the issue and also gave Trinity “the opportunity to mitigate the problem before making a determination not to proceed with the [t]ransaction.” [Id. at 4-5 (citations omitted).] The LOI defined a “Due Diligence Issue,” in relevant part, as follows: (a) any circumstance(s) which individually or in the aggregate involve a potential loss, exposure or liability in excess of $4,000,000 involving one or more of the following: (i) a potential or actual violation of state or federal laws, regulations, national or local coverage determinations involving self- referral prohibitions, kickbacks, false claims, or insurance fraud [. . .];

(b) a potential or actual claim or liability not covered by insurance which individually or in the aggregate exceeds $3,000,000; or [. . .]

(d) any circumstance which involves a non-routine pending or threatened third party payer action seeking a refund or could be reasonably perceived to involve a future claimed refund which, on an individual basis, exceeds $3,000,000[.]

[Docket Nos. 281-1, at 4 (citations omitted); 297, at 6 (citations omitted).] After executing the LOI, the parties proceeded with their due diligence review. Cooper argues that it identified five (5) litigation and compliance issues impacting the Hospitals, and that the amount of potential financial exposure associated with each issue met or exceeded the applicable monetary threshold such that all five issues qualified as “Due Diligence Issues” under the LOI. Each of the five issues, identified by Cooper and responded to by Maxis, is briefly summarized below: 1. The Gonnelli Litigation: A former developer brought suit against St. Francis over a failed development project (the “Gonnelli Litigation”). Cooper contends that the developer sought monetary damages in an amount that totaled over $23.9 million, as well as punitive damages, attorneys’ fees, interest, and other costs of litigation, and that there was no applicable insurance to cover the claim. [Docket No. 281-1, at 5.] Maxis contends that the Gonnelli Litigation was not a Due Diligence Issue under the LOI, evidenced by the fact that the matter “was settled after Cooper withdrew from the [t]ransaction, for an amount far less than was demanded in the [complaint], and below the monetary threshold used in the LOI to define a Due Diligence Issue.” [Docket No. 297, at 8.]

2. The 340B Compliance Issue: Maxis admits that audits of both Hospitals for years 2015 and 2016 revealed overpayments received under what is known as the “340B Drug Discount Program,” which “requires drug manufacturers to provide drugs to eligible health care organizations at reduced prices.” [Id.] Cooper contends that the amount of overpayments made to the Hospitals under the program since 2016 exceeded $2.5 million, and that the overpayments put the Hospitals at risk of “being subject to paybacks to pharmaceutical manufacturers” and exclusion from the 340B Drug Discount Program. [Docket No. 281-1, at 5.] Maxis argues that the 340B Compliance Issue was resolved, as both Hospitals self-disclosed the issue and made the necessary repayments to applicable manufacturers. [Docket No. 297, at 8.]

3. The Per-Click Payment Issue: St. Francis entered a joint venture with Central New Jersey Heart Services, LLC in 2007. During Cooper’s due diligence review, a question about whether the payment terms of the joint venture violated “prohibitions on the per-click compensation arrangements contained in the Stark [L]aw.” [Id. at 11.] Cooper contends that “counsel for St. Francis and Maxis were of the opinion that the per-click arrangement should be revised,” but Maxis argues that it provided Cooper with a legal opinion from outside counsel for Central New Jersey Heart Services, LLC that the arrangement was legal. [Id.; Docket No 281-1, at 5.]

4.

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THE COOPER HEALTH SYSTEM v. MAXIS HEALTH SYSTEM, Counsel Stack Legal Research, https://law.counselstack.com/opinion/the-cooper-health-system-v-maxis-health-system-njd-2021.