United States Ex Rel. McCarthy v. Straub Clinic & Hospital, Inc.

140 F. Supp. 2d 1062, 2001 U.S. Dist. LEXIS 5123, 2001 WL 407058
CourtDistrict Court, D. Hawaii
DecidedApril 13, 2001
DocketCiv. 99-00604DAEKSCC
StatusPublished
Cited by5 cases

This text of 140 F. Supp. 2d 1062 (United States Ex Rel. McCarthy v. Straub Clinic & Hospital, Inc.) is published on Counsel Stack Legal Research, covering District Court, D. Hawaii primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States Ex Rel. McCarthy v. Straub Clinic & Hospital, Inc., 140 F. Supp. 2d 1062, 2001 U.S. Dist. LEXIS 5123, 2001 WL 407058 (D. Haw. 2001).

Opinion

ORDER DENYING DEFENDANTS’ MOTIONS TO DISMISS

DAVID ALAN EZRA, Chief Judge.

The court heard Defendants’ Motions on April 10, 2001. Thomas R. Grande, Esq., Mark Davis, Esq., Sharon Himeno, Esq., and Robert M. Kohn, Esq., appeared at the hearing on behalf of Plaintiffs; Robert S. Katz, Esq., and Harry R. Silver, Esq., appeared at the hearing on behalf of Defendants Straub Clinic and Hospital, Inc., and PhyCor Hawaii, Inc., and Keith D. Kirsehbraun, Esq., appeared at the hearing on behalf of Defendant PhyCor, Inc. After reviewing the Motion and the Supporting and Opposing Memoranda, the *1065 court DENIES Defendants’ Motions to Dismiss.

BACKGROUND

Relators/Plaintiffs Lillian McCarthy and Katherine Manuel (collectively “Plaintiffs”) brought this qui tam action under the False Claims Act, which is codified at 31 U.S.C. § 3729 et seq. Plaintiffs filed the original Complaint in this case on August 31, 1999, and filed a First Amended Complaint on September 16, 1999. 1 Pursuant to a Stipulation and Order filed February 9, 2001, Plaintiffs filed a Second Amended Complaint (“the Complaint”) on February 21, 2001. The facts giving rise to the ' Complaint are summarized below. 2

Defendant Straub Clinic and Hospital, Inc. (“Straub”) is a medical service provider in the State of Hawaii. Straub therefore falls under the federal Medicare program. Straub employed Plaintiff McCarthy as its Manager of Cash Posting beginning in October of 1992.

As early as 1994, Plaintiff McCarthy made complaints to the Government regarding false claims submission by Straub. The Government thus investigated Straub’s billing under Medicare and other related programs.

After its investigation, the Government entered into a Settlement Agreement with Straub, Defendant PhyCor, Inc. (“Phy-Cor”), and Defendant PhyCor Hawaii 3 in order to resolve allegations of the filing of false claims. The Settlement Agreement resulted in Straub’s payment of $2.4 million in fees to the Government. Straub did not admit to any wrongdoing, but agreed to execute a Corporate Integrity Agreement (“CIA”) which was to govern Straub’s billing practices and ensure that it would properly submit claims to the Government.

Allegedly, Plaintiffs McCarthy and Manuel, who was McCarthy’s supervisor at the time, discovered that Straub continued to submit false claims, despite the fact that the CIA was in place and supposedly governing billing practices. They reported the alleged false claims, and then filed the Complaint in this case.

In response to the Complaint, Defendants Straub and PhyCor Hawaii filed this Motion to Dismiss on December 15, 2000. 4 Defendant PhyCor- filed its Motion to Dismiss on March 13, 2001. Each argues, inter alia, that this court lacks jurisdiction to hear this case and that Plaintiffs have failed to plead fraud with sufficient specificity. PhyCor also argues that this court lacks personal jurisdiction over it. Plaintiffs filed their Memoranda in Opposition to these Motions on March 22, 2001, and Defendants filed their Reply Memoranda on March 29, and March 30, 2001.

*1066 STANDARD OF REVIEW

A. Motion to Dismiss for Lack of Subject Matter Jurisdiction.

In determining the sufficiency of an alleged jurisdictional basis, the plaintiff bears the burden of proof that subject matter jurisdiction does in fact exist. Thornhill Pub. Co. v. General Tel. & Elec. Corp., 594 F.2d 730, 733 (9th Cir.1979). Moreover, “no presumptive truthfulness attaches to plaintiffs allegations, and the existence of disputed material facts will not preclude the trial court from evaluating for itself the merits of jurisdictional claims.” Augustine v. United States, 704 F.2d 1074, 1077 (9th Cir.1983). In a motion to dismiss based upon lack of subject matter jurisdiction, the court may receive, among other forms of competent evidence, affidavits to resolve factual disputes without converting the motion to dismiss into one for summary judgment. Sudano v. Federal Airports Corp., 699 F.Supp. 824, 825-26 (D.Haw.1988).

B. Motion to Dismiss for Lack of In Personam Jurisdiction.

Likewise, the plaintiff bears the burden of proof that in personam jurisdiction exists. Sher v. Johnson, 911 F.2d 1357, 1361 (9th Cir.1990). In the absence of an evidentiary hearing, however, the plaintiffs written submissions need only make a prima facie showing of jurisdictional facts. Sher, 911 F.2d at 1361 (citing Data Disc, Inc. v. Systems Tech. Assoc., 557 F.2d 1280, 1285 (9th Cir.1977)). Moreover, the plaintiffs allegations are treated as true in determining whether a prima facie showing of personal jurisdiction has been made. Sher, 911 F.2d at 1361; Caruth v. International Psychoanalytical Ass’n, 59 F.3d 126, 128 n. 1 (9th Cir.1995).

C.Motion to Dismiss for Failure to Plead Fraud with Particularity.

Federal Rule of Civil Procedure 9(b) requires that “[i]n all averments of fraud or mistake, the circumstances constituting fraud or mistake shall be stated with particularity.” Fed.R.Civ.P. 9(b). Under Ninth Circuit law, “Rule 9(b) requires particularized allegations of the circumstances constituting fraud.” Decker v. GlenFed, Inc., 42 F.3d 1541, 1547-48 (9th Cir.1994) (en banc). The plaintiff must, in her pleading, include the time, place, and nature of the alleged fraud, and “mere conclusory allegations of fraud are insufficient” to satisfy this requirement. Id. Therefore, a plaintiff must plead more than neutral facts to identify the transaction. Id. The plaintiff must also set forth what is false or misleading about a statement, and why it is false. Id.

DISCUSSION

Because Defendants filed separate Motions to Dismiss, and because the Motions are somewhat divergent, the court will address each one separately.

A. Straub and PhyCor Hawaii’s Motion to Dismiss.

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140 F. Supp. 2d 1062, 2001 U.S. Dist. LEXIS 5123, 2001 WL 407058, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-ex-rel-mccarthy-v-straub-clinic-hospital-inc-hid-2001.