Total Medical Management, Inc. v. United States

29 Fed. Cl. 296, 1993 U.S. Claims LEXIS 151, 1993 WL 372181
CourtUnited States Court of Federal Claims
DecidedSeptember 23, 1993
DocketNo. 92-838 C
StatusPublished
Cited by16 cases

This text of 29 Fed. Cl. 296 (Total Medical Management, Inc. v. United States) is published on Counsel Stack Legal Research, covering United States Court of Federal Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Total Medical Management, Inc. v. United States, 29 Fed. Cl. 296, 1993 U.S. Claims LEXIS 151, 1993 WL 372181 (uscfc 1993).

Opinion

[298]*298 OPINION and ORDER

TURNER, Judge.

This opinion addresses defendant’s motion filed April 26, 1993 to dismiss for lack of jurisdiction. We conclude that defendant’s motion should be denied.

I

Plaintiff is a Kentucky corporation in the business of providing health care. Beginning on November 10, 1988, plaintiff entered into a series of agreements with the United States under which plaintiff agreed to provide health care services at Ireland Army Community Hospital under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). The hospital is a United States Army facility. CHAMPUS is a government system to provide and pay for medical care to dependents of armed services employees and armed services retirees. Under CHAM-PUS, private entities such as plaintiff agree to provide health care to CHAMPUS eligibles at government facilities. Such health care providers are not paid directly by the government but rather through fiscal intermediaries, usually private corporations managing the payment of CHAMPUS claims.

Plaintiff claims that in 1990 it began receiving payment at lower rates than bargained for in the agreements. On April 10, 1992, plaintiff submitted what purported to be a contract claim for $52,746.28, certified as required under the Contract Disputes Act. The claim was submitted to Colonel Thomas Clements, commander of the hospital. All of the health care agreements and their amendments had been signed by Clements or one of his predecessors as hospital commander.

Clements responded to the claim by letter on June 22,1992, stating that the agreements were not contracts and that he was not a contracting officer. Plaintiff alleges that the agreements were contracts and seeks compensation for alleged underpayment. In support of its position, defendant submitted documentation beyond the pleadings, including several affidavits.

II

A

Defendant’s motion to dismiss is brought solely under RCFC 12(b)(1). Def. Br. at 1, 2. Defendant maintains that no contract existed and that, consequently, the court lacks jurisdiction. However, the existence or not of a contract is usually not a jurisdictional question. Depending on the circumstances, the existence of a contract may be a question of fact, a question of law, or a mixed question of fact and law. Mahboob v. Department of the Navy, 928 F.2d 1126, 1128 (Fed. Cir. 1991); Ransom v. United States, 900 F.2d 242, 244 (Fed.Cir. 1990); see Reynolds v. Army and Air Force Exchange Service, 846 F.2d 746, 748 (Fed.Cir.1988) (stating that the existence of a disputed employment contract was in that case a question of fact).

For purposes of deciding this motion, it does not matter whether the existence of a contract in this case is a question of law, a question of fact, or a hybrid. The important point is that questions of law, like issues of fact, can only “ ‘be decided after and not before the court has assumed jurisdiction.’ ” Ralston Steel Corp. v. United States, 169 Ct.Cl. 119, 125, 340 F.2d 663, 667 (quoting Bell v. Hood, 327 U.S. 678, 682, 66 S.Ct. 773, 776, 90 L.Ed. 939 (1946)), cert. denied, 381 U.S. 950, 85 S.Ct. 1803, 14 L.Ed.2d 723 (1965).1

When the existence of a properly alleged contract is in dispute, resolution of the issue may well involve factual or legal [299]*299questions requiring evidentiary hearing and argument. The court has, in effect, taken jurisdiction over the merits if this type of question is resolved. Defendant’s argument that no contract existed thus challenges plaintiff’s ease on the merits, not the court’s jurisdiction.

Challenges to jurisdiction are overcome simply “on the basis of well-pleaded allegations in the complaint.” Spruill v. Merit Systems Protection Board, 978 F.2d 679, 686 (Fed.Cir.1992); accord Adam v. United States, 26 Cl.Ct. 782, 785-86 (1992) (Bruggink, J.) (stating, without specific reference to contract claims, that jurisdiction exists when plaintiff makes a “colorable allegation”); see M.A. Mortenson Co. v. United States, 996 F.2d 1177, 1183 (Fed. Cir.1993). This is a reflection of the venerable “well-pleaded complaint” rule. Louisville & Nashville R.R. v. Mottley, 211 U.S. 149, 152, 29 S.Ct. 42, 43, 53 L.Ed. 126 (1908) (holding that “plaintiff’s statement of his own cause of action” is what determines jurisdiction). The Tucker Act simply requires that for jurisdiction to exist, the plaintiff’s claim must be “founded ... upon any express or implied contract with the United States.” 28 U.S.C. § 1491(a)(1) (1988). Jurisdiction should not be confused with entitlement to relief which, of course, does require proof of the contract or other substantive element in question. Spruill, 978 F.2d at 686-88; Eastern Trans-Waste of Maryland, Inc. v. United States, 27 Fed.Cl. 146, 149-50 (1992); Adam, 26 Cl.Ct. at 785-86; Metzger, Shadyac & Schwartz v. United States, 10 Cl.Ct. 107, 109 (1986) (Bruggink, J.). So long as a contract has been properly alleged, as it has here, jurisdiction will generally exist.

B

The practical effect of the foregoing is to make it virtually impossible to grant a motion to dismiss for lack of jurisdiction under Rule 12(b)(1) if the motion is

predicated on a challenge to the existence of a properly alleged contract.2 If no material outside the pleadings is received, the pleader (plaintiff in this case) is, under Rule 12(b)(1), entitled to the presumption that all the allegations of its complaint are valid. Scheuer v. Rhodes, 416 U.S. 232, 236, 94 S.Ct. 1683, 1686, 40 L.Ed.2d 90 (1974). Thus, for purposes of a Rule 12(b)(1) motion, the usual presumption is that a contract exists if it is properly alleged. It would be unfair to dismiss a substantial or non-frivolous complaint for lack of jurisdiction without giving the pleader a chance to prove the soundness of what appear to be legally sufficient allegations. By the same token, where the moving party (defendant in this case) can show that the pleader’s allegations are insufficient on their face, as for instance when they fail to properly allege the existence of a contract or privity of contract, the motion to dismiss should be granted without prejudice. Eastern Trans-Waste, 27 Fed.Cl. at 150, 152; 5A Charles A. Wright & Arthur R. Miller, Federal Practice and Procedure § 1350 at 212 (1990) (hereafter Wright & Miller).

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Bluebook (online)
29 Fed. Cl. 296, 1993 U.S. Claims LEXIS 151, 1993 WL 372181, Counsel Stack Legal Research, https://law.counselstack.com/opinion/total-medical-management-inc-v-united-states-uscfc-1993.