United States Ex Rel. King v. Hillcrest Health Center, Inc.

264 F.3d 1271, 2001 Colo. J. C.A.R. 4646, 17 I.E.R. Cas. (BNA) 1588, 2001 U.S. App. LEXIS 19820, 2001 WL 1024043
CourtCourt of Appeals for the Tenth Circuit
DecidedSeptember 7, 2001
Docket00-6158
StatusPublished
Cited by101 cases

This text of 264 F.3d 1271 (United States Ex Rel. King v. Hillcrest Health Center, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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United States Ex Rel. King v. Hillcrest Health Center, Inc., 264 F.3d 1271, 2001 Colo. J. C.A.R. 4646, 17 I.E.R. Cas. (BNA) 1588, 2001 U.S. App. LEXIS 19820, 2001 WL 1024043 (10th Cir. 2001).

Opinion

CROW, District Judge.

Relator John A. King, D.O. appeals the dismissal of this qui tam action brought under the False Claims Act (“Act”), 31 U.S.C. §§ 3729-3733. The qui tam provisions of the Act permit private individuals to sue on behalf of the United States those persons or entities who allegedly have presented false or fraudulent claims to the federal government. 1 As one of its jurisdictional hurdles, the Act prohibits suits based on publicly disclosed information unless the relator or person suing is an “original source” of the information. 31 U.S.C. § 3730(e)(4)(A). The principal issue presented is whether the relator Dr. King qualifies as an “original source” under § 3730(e)(4)(B). Agreeing with the district court’s determination that the plaintiff cannot show he meets the requirements for an original source, we affirm the district court’s judgment dismissing this action for lack of subject matter jurisdiction.

I. BACKGROUND

As part of his residency training program at Oklahoma State University College of Osteopathic Medicine, Dr. King was employed as a resident physician in orthopedic surgery at the defendant Hill-crest Health Center, Inc. (“Hillcrest”) from May of 1993 until his termination in March of 1995. In March of 1997, Dr. King filed a federal action, King v. Hillcrest Health Center, et al., No. 97-0401-T (“King I”), asserting claims for relief under federal civil rights statutes and state law. He alleged in part that he was terminated in retaliation for reporting that the defendants were committing Medicare and/or Medicaid fraud. The parties to King I settled that suit in January 1999, and it was dismissed with prejudice in February of 1999.

'While King I was pending, Dr. King filed this qui tam action under seal on February 27, 1998, alleging that the defendants had conspired to submit and had submitted false or fraudulent claims for medical services and procedures billed under Medicare and/or Medicaid. The United States declined to intervene, and the district court in June of 1999 ordered the complaint unsealed and served. The defendants moved to dismiss the plaintiffs first amended complaint arguing, inter alia: (1) that the district court lacked subject matter jurisdiction because King I constituted a public disclosure of information and Dr. King did not qualify as an “original source” of the information, and (2) that the dismissal with prejudice of King I bars this action under the doctrine of res judicata. Besides opposing the defendants’ motions, the plaintiff moved for leave to file a second amended complaint.

A. District Court’s Order Dismissing on Res Judicata Grounds

Considering first the challenge to its subject matter jurisdiction, the district court found the proposed second amended complaint to have sufficiently alleged that Dr. King had direct and independent knowledge of the defendants’ fraudulent schemes and had gained this knowledge from his own efforts and personal observations. A plaintiff claiming to be an “original *1276 source” also must allege that he voluntarily provided the relevant information to the federal government prior to filing the qui tam suit. With respect to this pleading requirement, the district court concluded:

Because the defendants have not contested King’s allegation that he did voluntarily provide the information prior to filing this lawsuit, the Court finds for purposes of Rule 12(b)(6) that King has sufficiently alleged that he is an “original source” of the information and that the Court has subject matter jurisdiction over his claims.

(II ApltApp. at 324). Turning away the subject matter jurisdiction challenge, the district court granted the motions to dismiss on res judicata grounds finding an identity of causes of action in King I and the qui tam suit. The district court also denied Dr. King’s motion to amend on futility grounds.

B. First Rule 59(e) Motion and Amicus Curiae Brief

Dr. King filed a Rule 69(e) motion asking the court to reconsider its res judicata analysis. In response, the United States of America (“United States”) filed an ami-cus curiae brief concurring with the relator’s position on the res judicata issue and notifying the district court “that it has no record of the relator providing any information to the government on which the allegations in the qui tam are based at any time prior to February 27, 1998, the date the complaint was filed.” (II Aplt.App. at 365-66). The district court promptly followed up with a brief order saying it had “reviewed” the United States’ amicus curiae brief and giving the parties an additional eight days “to file responses, if they so choose, to the arguments, authorities and statements contained therein.” (II ApltApp. at 369).

In the additional time provided by the district court, the defendants filed their response on February 22, 2000, and Dr. King filed none. The defendants addressed not only the res judicata arguments but the government’s statement that Dr. King had not provided it with information before filing the qui tam complaint. The defendants pointed out that the district court had been misled by the allegation in Dr. King’s proposed second amended complaint that he had provided the government with a statement of all material evidence and information when he filed his original qui tam complaint. While the district court had characterized and denied their prior “facial attack” on subject matter jurisdiction, the defendants maintained the government’s filing suggested facts showing the lack of subject matter jurisdiction. The defendants called on the court to consider the government’s brief in dismissing this action pursuant to Fed.R.Civ.P. 12(h)(3). Prior to the district court’s second dismissal order filed seven days later, Dr. King did not seek leave to file a reply or supplemental brief.

C. District Court’s Second Dismissal Order

On February 29, 2000, the district court vacated its prior order of dismissal on res judicata grounds and dismissed the action for lack of subject matter jurisdiction. The district court held:

The defendants contested only the timeliness of King’s disclosure of information to the government in connection with King I. The defendants did not contest the timeliness of the disclosure vis-a-vis the qui tam

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264 F.3d 1271, 2001 Colo. J. C.A.R. 4646, 17 I.E.R. Cas. (BNA) 1588, 2001 U.S. App. LEXIS 19820, 2001 WL 1024043, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-ex-rel-king-v-hillcrest-health-center-inc-ca10-2001.