United States ex rel. Lott v. Not-For-Profit Hosp. Corp.
This text of 296 F. Supp. 3d 143 (United States ex rel. Lott v. Not-For-Profit Hosp. Corp.) is published on Counsel Stack Legal Research, covering Court of Appeals for the D.C. Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
Opinion
Amit P. Mehta, United States District Judge
I. INTRODUCTION
Plaintiff John Lott worked for about four months as the Chief Compliance Officer of Defendant Not-For-Profit Hospital Corporation, an entity created under District of Columbia law that operates United Medical Center. Plaintiff alleges that Defendant fired him for identifying and reporting a host of problems at the hospital in violation of federal and state laws. Defendant's Motion to Dismiss is now before the court. For the reasons set forth below, the court dismisses Plaintiff's federal claims and declines to exercise supplemental jurisdiction over his remaining state law claims. Defendant's Motion to Dismiss is therefore granted. The court, however, *146will grant Plaintiff one more opportunity to amend his pleading and therefore does not dismiss this action.
II. BACKGROUND
A. Factual Background
The District of Columbia created Defendant Not-for-Profit Hospital Corporation in 2010 for the purpose of acquiring the assets of the struggling, then-privately owned hospital, United Medical Center, and ensuring its continued operation. See
On April 6, 2015, Plaintiff John Lott began work as the Chief Compliance Officer at United Medical Center, the hospital operated by Defendant Not-For-Profit Hospital Corporation. Am. Compl., ECF No. 18 [hereinafter Am. Compl.], ¶¶ 15-16. When Plaintiff was hired, Defendant advised him that his term of employment would be at least six months long.
As Chief Compliance Officer, Plaintiff's primary responsibility was to ensure that the hospital complied with federal and state laws.
One of the issues that came to Plaintiff's attention was a harassment complaint made by Sonia Edwards, a Human Resources employee, concerning her manager.
Another matter that came to Plaintiff's attention involved billing irregularities to the federal Centers for Medicare & Medicaid Services ("CMS"). On June 30, 2015, Plaintiff advised Defendant's Board of Directors that aspects of the hospital's billing practices did not comply with federal Office of Inspector General ("OIG") guidelines.
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Amit P. Mehta, United States District Judge
I. INTRODUCTION
Plaintiff John Lott worked for about four months as the Chief Compliance Officer of Defendant Not-For-Profit Hospital Corporation, an entity created under District of Columbia law that operates United Medical Center. Plaintiff alleges that Defendant fired him for identifying and reporting a host of problems at the hospital in violation of federal and state laws. Defendant's Motion to Dismiss is now before the court. For the reasons set forth below, the court dismisses Plaintiff's federal claims and declines to exercise supplemental jurisdiction over his remaining state law claims. Defendant's Motion to Dismiss is therefore granted. The court, however, *146will grant Plaintiff one more opportunity to amend his pleading and therefore does not dismiss this action.
II. BACKGROUND
A. Factual Background
The District of Columbia created Defendant Not-for-Profit Hospital Corporation in 2010 for the purpose of acquiring the assets of the struggling, then-privately owned hospital, United Medical Center, and ensuring its continued operation. See
On April 6, 2015, Plaintiff John Lott began work as the Chief Compliance Officer at United Medical Center, the hospital operated by Defendant Not-For-Profit Hospital Corporation. Am. Compl., ECF No. 18 [hereinafter Am. Compl.], ¶¶ 15-16. When Plaintiff was hired, Defendant advised him that his term of employment would be at least six months long.
As Chief Compliance Officer, Plaintiff's primary responsibility was to ensure that the hospital complied with federal and state laws.
One of the issues that came to Plaintiff's attention was a harassment complaint made by Sonia Edwards, a Human Resources employee, concerning her manager.
Another matter that came to Plaintiff's attention involved billing irregularities to the federal Centers for Medicare & Medicaid Services ("CMS"). On June 30, 2015, Plaintiff advised Defendant's Board of Directors that aspects of the hospital's billing practices did not comply with federal Office of Inspector General ("OIG") guidelines.
Three months into Plaintiff's tenure, a colleague warned Plaintiff that he might not last through his six-month probationary period. On July 16, 2015, the Executive Vice President of Human Resources, Jackie Johnson, told Plaintiff that he was "not getting along with people and for that reason you will not make your probation."
B. Procedural History
Plaintiff filed this action against Defendant and the District of Columbia on July 29, 2016. Compl., ECF No. 1. Because Plaintiff asserted a claim under the False Claims Act ("FCA"), he filed his complaint under seal and served it upon the United States alone, as the Act requires, to afford it the opportunity to investigate the basis of his claim and to decide whether to intervene. See
On December 20, 2016, the court unsealed the Complaint and ordered service upon both Defendants, Not-For-Profit Hospital Corporation and the District of Columbia. See Order, Dec. 20, 2016, ECF No. 6. Upon completing service, Plaintiff amended his complaint on March 29, 2017, see Am. Compl., after which motions to dismiss followed from both Defendants, see District of Columbia Mot. to Dismiss, ECF No. 22; Not-For-Profit Hospital Corp. Mot. to Dismiss, ECF No. 23 [hereinafter Def.'s Mot.]. The court granted the District of Columbia's motion on May 8, 2017, after Lott did not oppose the District's dismissal. See Minute Order, May 8, 2017; Pl.'s Opp'n to D.C. Mot. to Dismiss, ECF No. 26. As a result, only Defendant Not-For-Profit Hospital's Motion to Dismiss remains before the court.
III. DISCUSSION
Plaintiff's Amended Complaint contains six counts. The first five allege that Defendant retaliated against Plaintiff in violation of: (1) the National Defense Authorization Act,
The court evaluates these claims under the familiar pleading standard in Rule 12(b)(6) of the Federal Rules of Civil Procedure. To survive Defendant's motion, the complaint must "contain sufficient factual matter, accepted as true, to 'state a claim to relief that is plausible on its face.' " Ashcroft v. Iqbal ,
With these principles in mind, the court now turns to the merits of Defendant's Motion.
A. False Claims Act Claim
Defendant argues Plaintiff's FCA claims should be dismissed because: (1) Defendant is not an entity that can be held liable under the FCA's qui tam provision due to its legal status as an "instrumentality of the District government," D.C. Code. § 44-951.02(a) ; and (2) Plaintiff has not alleged the required elements of a FCA fraud claim. The court refrains from deciding, at this juncture, whether Defendant is subject to qui tam liability under the FCA, but concludes that dismissal is warranted because of Plaintiff's failure to allege a claim with the requisite specificity.
1. Whether Defendant is a "person" subject to liability under the qui tam provision of the FCA
Defendant's first argument for dismissal concerns whether Defendant is subject to suit under the FCA's qui tam provision. The FCA provides that a private party may bring a qui tam action-that is, an action on behalf of the United States and himself-against "any person who ... knowingly presents, or causes to be presented" to the United States government "a false or fraudulent claim for payment or approval."
Supreme Court precedent fills the definitional void, at least in part. In Vermont Agency of Natural Resources v. United States ex rel. Stevens , the Court held that neither States nor their agencies are "persons" for purposes of the qui tam provision of the FCA.
In asking this court to conclude that Defendant is immune from FCA qui tam liability, Defendant argues for a straightforward application of Stevens and the arm-of-the-state test. This argument presumes the District of Columbia is a "state" and assigns significant weight to Defendant's authorizing statute, which defines Defendant as an "instrumentality" of the District of Columbia government that has a "separate legal existence within the District government."
Both arguments miss the mark. First, Plaintiff fails to explain why sovereign immunity is relevant to the "person"-hood inquiry at issue, i.e., whether Defendant is a "person" for purposes of qui tam liability under the FCA. To the extent Plaintiff is raising sovereign immunity because of Stevens , he is misguided. Stevens held that states are immune from qui tam FCA actions because the statutory term "person" did not include states, and expressly reserved deciding whether the Eleventh Amendment would provide an independent basis for shielding states and their agencies from FCA qui tam claims.
Defendant's argument also is flawed. If the District of Columbia is a "state" under the FCA's qui tam provision, the straightforward application of Stevens and the arm-of-the-state test, as advocated for by Defendant, might be appropriate. But whether Stevens applies is far from clear because the District of Columbia is not a state; the District is organized by statute as a "body corporate for municipal purposes" and possesses all the "powers of a municipal corporation."
But whether Chandler governs in this case also is unclear. Although organized as a municipality, the "government of the District is not just another municipal corporation." Feaster v. Vance ,
While the threshold question of whether the District of Columbia is subject to the qui tam provision of the FCA squarely presents itself in this case, the court declines to answer it in the case's present posture. Neither party addresses the important distinction between "state" and "municipality" in its pleadings. Defendant assumes without discussion that the District is a "state" and does not even cite Chandler , while Plaintiff does not even acknowledge the issue and merely counters by citing a single qui tam action against the District, in which the District's "personhood" was not discussed. See Pl.'s Opp'n at 2 (citing United States ex rel. Davis v. District of Columbia ,
2. Whether Plaintiff has adequately pleaded FCA claims
Defendant argues that Plaintiff's FCA claims-both his substantive and retaliation *151claims-must be dismissed because Plaintiff has not alleged sufficient facts concerning Defendant's allegedly fraudulent reimbursement submissions to support those claims. The court agrees. The court first addresses the sufficiency of Plaintiff's substantive FCA claim and then turns to his retaliation FCA claim.
a. The substantive FCA claim
Substantive FCA claims, like common law fraud claims, must satisfy the heightened pleading standard of Rule 9(b). See United States ex rel. Totten v. Bombardier Corp .,
Plaintiff's FCA claim proceeds under what is known as the "implied false certification theory" of liability. See Pl.'s Opp. at 8. Under that theory, FCA liability may attach when a defendant misrepresents or omits information about its noncompliance with certain conditions of payment. See Universal Health Servs., Inc. v. United States ex. rel. Escobar , 570 U.S. ----, ----,
There are two independent reasons to dismiss Plaintiff's substantive FCA claim. First, Plaintiff fails to satisfy Rule 9(b)'s particularity requirement. Plaintiff's substantive FCA claim alleges that Defendant "violated the Federal False Claims Act by submitting claims for reimbursement from federal healthcare programs, including Medicare and Medicaid," despite knowledge that Defendant was ineligible for reimbursement because it was not in compliance with "the Office of Inspector General guidelines and other federal laws regarding healthcare facilities and nursing programs." Am. Compl. ¶ 70.2 This general accusation is not, however, supported by specific factual allegations contained elsewhere in the Amended Complaint. The complaint does not, for instance, "identify ... who precisely was involved in the fraudulent activity" and their roles in the fraudulent scheme. Williams ,
*152Second, the Amended Complaint does not allege facts that satisfy either of the two requirements to plead an implied false certification theory of liability. Plaintiff does not aver the "specific representations about the goods or services" that Defendant provided that form the basis of his fraud claim. Universal Health Servs. ,
b. The retaliation FCA claim
Plaintiff's FCA retaliation claim meets the same fate. The whistleblower provision of the FCA's qui tam section grants a cause of action to persons who are retaliated against for their "lawful acts ... in furtherance of an action under this section or other efforts to stop 1 or more violations of this subchapter."
Plaintiff has not alleged facts that support an FCA retaliation claim. For starters, it is not at all clear what protected activity Plaintiff claims to have engaged in under the FCA. Plaintiff cites an email that he sent to the Board of Directors, see Am. Compl. ¶ 45, however that email does not identify any particular violation of the FCA that Plaintiff sought to prevent. In addition, Plaintiff fails to plead facts that would show Defendant knew that Plaintiff had engaged in protected activity, whatever that activity might have been. According to Plaintiff's pleading, when he first met with Defendant's new CEO on July 20, 2015, Plaintiff claims to have advised him about a number of problems at the hospital, but fraudulent billing was not among them. Cf. Id. ¶ 53. The new CEO fired Plaintiff ten days later, yet there is nothing in the Amended Complaint that plausibly alleges either the CEO or anyone that might have advised the CEO knew about any activity by Plaintiff protected *153under the FCA. As a result of these pleading deficiencies, Plaintiff's FCA retaliation claim also is dismissed.
B. Family Medical Leave Act Claim
The court now turns to Plaintiff's other federal claim under the FMLA. Plaintiff's FMLA claim accuses Defendant of retaliating against him, by firing him, after he "requested that [Defendant] reinstate Sonia Edwards, whom [Defendant] terminated for taking FMLA leave." Am. Compl. ¶ 84; see also
Defendant's argument-sometimes referred to as the "manager rule"-stems from case law interpreting the anti-retaliation provisions of the Fair Labor Standards Act ("FLSA") and Title VII. See McKenzie v. Renberg's Inc. ,
This court need not decide whether an employee's mere fulfillment of job duties, when those duties involve reporting wrongdoing, may constitute "protected activity" under the FMLA, because Plaintiff's claim fails even under his own conduct-focused theory. Plaintiff relies on the Fourth Circuit's decision in DeMasters v. Carilion Clinic , a Title VII case, to support his argument that an employee acting in fulfillment of his duties may be protected from retaliation, provided that the employee opposed his employer's practice or action. See
Plaintiff's claimed protected action falls short of the DeMasters definition of oppositional *154conduct. Plaintiff alleges only a single protected activity-that he once told Defendant's CEO, Small, during a meeting "that [Edwards's firing] maybe [ran] afoul of the FMLA, the D.C. FMLA & DCHRA laws," and that the hospital needed to comply with federal and District of Columbia laws. Am. Compl. ¶ 42 (emphasis added). Even viewing that allegation in the light most favorable to Plaintiff, as this court must, Plaintiff did no more than offer a half-hearted opinion-he qualified his view of a law violation with the word "maybe"-about Defendant's potential liability for firing Edwards and gave rather obvious advice that Defendant had to comply with the law. After the Executive Vice President of Human Resources refused Small's order to reinstate Edwards, Plaintiff does not allege that he undertook any oppositional action, such as filing a formal grievance, revisiting the matter with Small, reporting the action to an independent entity, or otherwise calling attention to the action. Cf. DeMasters ,
C. District of Columbia Statutory and Common Law Claims
Having dismissed Plaintiff's federal law claims, the court declines, at this juncture, to exercise jurisdiction over Plaintiff's remaining claims that arise under District of Columbia law. See
V. CONCLUSION
For the foregoing reasons, Defendant's Motion to Dismiss is granted. Plaintiff's FCA (Count II) and FMLA (Count III) claims are dismissed without prejudice. Plaintiff's District of Columbia statutory and common law (Counts IV through VI) claims likewise are dismissed without prejudice.
The court will not, however, dismiss Plaintiff's action at this time. The court will give Plaintiff one more opportunity to amend his complaint to plead his federal claims. If Plaintiff chooses to amend, he shall file a motion for leave to amend, along with a proposed Second Amended Complaint and a redline comparison to the Amended Complaint, no later than November 28, 2017.
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