United States ex rel. Morgan v. Champion Fitness, Inc.
This text of 368 F. Supp. 3d 1198 (United States ex rel. Morgan v. Champion Fitness, Inc.) is published on Counsel Stack Legal Research, covering District Court, C.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
Opinion
JOE BILLY McDADE, United States Senior District Judge
This matter is before the Court on Relator's Motion to Dismiss Defendants' Counterclaims (Doc. 51). For the reasons stated below, Relator's Motion (Doc. 51) is GRANTED IN PART and DENIED IN PART.
BACKGROUND 1
Defendant Champion Fitness, owned at the times relevant to this suit by Defendant Jeff Schade, hired Relator Barbara Morgan in 1998 as a third-party specialist to handle billing for physical therapy services. Initially, she received 6% of revenue received from government and private insurers, which was later increased to 7.5%. In November 2012, Defendants terminated her employment.
In late 2013, Relator filed this qui tam action alleging Defendants violated the False Claims Act (FCA) by submitting claims for reimbursement through Medicare. The Complaint (Doc. 1) was unsealed in May 2019. Following this Court's denial of their Motion to Dismiss (Docs. 36, 45), Defendants filed an answer and counterclaims (Doc. 46). Specifically, Defendants filed a claim under the FCA, five claims seeking contribution or indemnification under different theories, and two claims seeking disgorgement of Defendants' payments to Relator. Relator responded with the instant motion (Doc. 51).2
LEGAL STANDARD
Rule 12(b)(6) allows motions to dismiss on the ground that a complaint does not state a claim upon which relief may be granted. Hallinan v. Fraternal Order of Police of Chi. Lodge No. 7 ,
DISCUSSION
As stated, Defendants allege seven claims in their Countercomplaint (Doc. 46). Relator argues all seven claims fail due to a doctrine sounding in public policy that bars counterclaims in FCA cases and that each claim is deficient in some additional respect. The Court will review Relator's public policy argument first and turn to Relator's additional arguments only on surviving claims.
I. Public Policy
As an initial matter, the Court finds Relator's argument that allowing Defendants' counterclaims would be against public policy is sufficiently developed to be reviewed and therefore not waived, contrary to Defendants' argument. While the Court agrees this argument is not particularly well-developed in Relator's memorandum of law, it has been developed beyond the "perfunctory one-sentence assertions" Defendants reference. See United States v. Key , No. 14-cr-5624,
This public policy argument covers well-trod ground; the first instance of counterclaims being barred in an FCA case was in 1947. United States ex rel. Miller v. Bill Harbert Int'l Constr., Inc. ,
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JOE BILLY McDADE, United States Senior District Judge
This matter is before the Court on Relator's Motion to Dismiss Defendants' Counterclaims (Doc. 51). For the reasons stated below, Relator's Motion (Doc. 51) is GRANTED IN PART and DENIED IN PART.
BACKGROUND 1
Defendant Champion Fitness, owned at the times relevant to this suit by Defendant Jeff Schade, hired Relator Barbara Morgan in 1998 as a third-party specialist to handle billing for physical therapy services. Initially, she received 6% of revenue received from government and private insurers, which was later increased to 7.5%. In November 2012, Defendants terminated her employment.
In late 2013, Relator filed this qui tam action alleging Defendants violated the False Claims Act (FCA) by submitting claims for reimbursement through Medicare. The Complaint (Doc. 1) was unsealed in May 2019. Following this Court's denial of their Motion to Dismiss (Docs. 36, 45), Defendants filed an answer and counterclaims (Doc. 46). Specifically, Defendants filed a claim under the FCA, five claims seeking contribution or indemnification under different theories, and two claims seeking disgorgement of Defendants' payments to Relator. Relator responded with the instant motion (Doc. 51).2
LEGAL STANDARD
Rule 12(b)(6) allows motions to dismiss on the ground that a complaint does not state a claim upon which relief may be granted. Hallinan v. Fraternal Order of Police of Chi. Lodge No. 7 ,
DISCUSSION
As stated, Defendants allege seven claims in their Countercomplaint (Doc. 46). Relator argues all seven claims fail due to a doctrine sounding in public policy that bars counterclaims in FCA cases and that each claim is deficient in some additional respect. The Court will review Relator's public policy argument first and turn to Relator's additional arguments only on surviving claims.
I. Public Policy
As an initial matter, the Court finds Relator's argument that allowing Defendants' counterclaims would be against public policy is sufficiently developed to be reviewed and therefore not waived, contrary to Defendants' argument. While the Court agrees this argument is not particularly well-developed in Relator's memorandum of law, it has been developed beyond the "perfunctory one-sentence assertions" Defendants reference. See United States v. Key , No. 14-cr-5624,
This public policy argument covers well-trod ground; the first instance of counterclaims being barred in an FCA case was in 1947. United States ex rel. Miller v. Bill Harbert Int'l Constr., Inc. ,
Counterclaims by an FCA defendant are allowed in two circumstances. First, counterclaims may be brought which arise from conduct unrelated to the FCA claims and which do not "require as an essential element that the FCA defendant was liable-or not liable-in the FCA case." Miller ,
Defendants contest the general rule as "unmoored from principled application," suggesting a parade of mere unthinking applications of precedent devoid of thoughtful development throughout the cases resulted in the consensus of the other federal courts. (Doc. 56 at 17). This argument is necessary because Defendants concede Counts II through V do not survive the application of this test.
Foremost among this Court's responses is that judges are not unthinking automatons reflexively adopting statements made in other cases and applying nonbinding precedent3 without considering whether it ought to be applied. The reason for this consensus on public policy is that it is persuasive. Well-written and well-reasoned opinions are convincing to other courts. There is no need to reinvent the wheel-indeed, our legal system is premised on doing precisely the opposite. So, when a judge finds all that need be said has already been said eloquently by another court, it is both natural and an efficient use of judicial resources to quote and paraphrase the other court, with gratitude. "Any decision may have persuasive force, and invite-indeed compel-the careful and respectful attention of a court confronted with a similar case. But unless the earlier decision is authoritative, the court that decides the later case does not discharge its judicial responsibilities by merely citing the earlier decision and following it without so much as indicating agreement with it, let alone analyzing its merits." Colby v. J.C. Penney Co., Inc. ,
The public policy is far from untethered. The FCA seeks to protect taxpayer funds from being wrongfully obtained through fraud on the government. United States ex rel. McElmurray v. Consol. Gov't of Augusta-Richmond Cty. ,
Moreover, any crack in this wall could result in the whole edifice crumbling. If the rule were not a bright line but instead allowed contribution or indemnity in some cases, an unscrupulous party would need only plead their counterclaim to match prior cases in which such counterclaims had been allowed in order to retaliate against an informer. And the burdens between the motion-to-dismiss phase, where the Court must accept potentially false statements as true, and the summary-judgment phase, when it need no longer do so, might suffice to deter persons with information about fraud on the government from reporting. Therefore, even if it would make sense to allow counterclaims for contribution and indemnification in this case, the next FCA defendant might simply-and falsely-claim their case is indistinguishable.
The Court finds the consensus of federal cases persuasive and holds counterclaims in an FCA case seeking contribution or indemnification, or the effective equivalent thereof, may not be brought for reasons of public policy. Because Defendants concede such a holding bars Counts II through V of their Countercomplaint, Counts II-V are dismissed. Amendment would be futile because these counts amount solely to claims for contribution or indemnity, so they are dismissed with prejudice.4 Runnion ex rel. Runnion v. Girl Scouts of Greater Chi. & Nw. Ind. ,
Count I seeks to hold Relator liable under the FCA. (Doc. 46 at 26-27). As currently presented in the Countercomplaint, Count I argues "if false claims were in fact submitted to the United States, then it was" Relator who did so, and Relator's own allegations suffice to show her liability. (Doc. 46 at 26-27). Defendants are inconsistent on whether this claim requires them to be held liable (Doc. 56 at 2 ("Counts I-V are all claims that seek to hold [Relator] liable to the Government and/or [Defendants] if [Defendants are] liable to the Government") ) or requires them to be found not liable (Doc. 56 at 17 ("If there was a scheme to defraud, it was a scheme of [Relator's] own making which she did not share with [Defendants].") ). As discussed above, this is the very question on which the permissibility of a counterclaim turns. Because Count I suffers from other fatal defects warranting dismissal with prejudice, discussed in Section II, infra , the Court need not determine whether it also depends on a finding of liability and therefore warrants dismissal as contrary to public policy.
Counts VI and VII seek to disgorge payments to Relator, alleging she *1209either failed to perform her contractual duties by not ensuring compliance with Medicare billing regulations (Count VI) or, in the alternative, it would be unjust enrichment for her to keep the payments despite the lack of a contract because she failed to earn any compensation by not ensuring compliance (Count VII). These counts fall into a grey area. They are not factually independent of the FCA action because they require, at a minimum, that Relator submitted false or fraudulent claims for physical therapy performed by Defendants to the United States for reimbursement. (Docs. 46 at 30-31; 56 at 6). A jury could find Relator submitted false claims, thus breaching her contract (or being unjustly enriched), but could nonetheless find Defendants did not know of the false submissions, making them not liable under the FCA. Therefore, Counts VI and VII do not require Defendants be found either liable or not liable to succeed.
The Court finds the Ninth Circuit's analysis of this issue persuasive. In United States ex rel. Madden v. Gen. Dynamics Corp. ,
However, to avoid an end-run around public policy the Ninth Circuit suggests resolving the FCA claim before the counterclaims and dismissing counterclaims if the FCA defendant is liable "on the ground that they will have the effect of providing for indemnification or contribution. On the other hand, if a qui tam defendant is found not liable, the counterclaims can be addressed on the merits." Id. at 1209 (quoting Madden ,
II. False Claims Act - Count I
Relator argues Defendants have not followed the proper procedural requirements in attempting to hold Relator liable under the FCA in Count I of their Countercomplaint. (Doc. 52 at 3). Defendants contend they are not bringing an original action but rather bringing Relator in as an additional defendant to her existing claim. (Doc. 56 at 18). They also claim this argument is underdeveloped (Doc. 56 at 18), but the Court does not agree. Relator has sufficiently argued that Defendants are barred from filing an FCA claim by the statutory limitations on filing a qui tam FCA claim.
The Court agrees Defendants cannot maintain Count I. The provisions of the FCA dealing with qui tam suits make clear the ability of anyone other than the *1210Attorney General to file FCA suits is strictly circumscribed. And the instant claim must be dismissed pursuant to
The Seventh Circuit has set forth a three-step procedure for analyzing whether the public disclosure bar prevents the filing of such claim or action: "First, the court examines whether the allegations in the complaint have been 'publicly disclosed' before the relator filed the complaint. The court then determines whether the relator's lawsuit is 'based upon' those publicly disclosed allegations. If these first steps are satisfied, the public disclosure bar applies unless the relator is an 'original source' of the information upon which the lawsuit is based." City of Chicago ex rel. Rosenberg v. Redflex Traffic Sys., Inc. ,
Information in unsealed documents filed with a court is publicly disclosed under § 3730(e)(4)(A). See United States v. Bank of Farmington ,
Much ink has been spilled on the "based upon" requirement. Glaser , 570 F.3d at 914-21. But the analysis is mercifully simple in this case. To be "based upon" publicly disclosed information, the allegations in a claim need only be "substantially similar" to it. "Under current law, a relator must present genuinely new and material information beyond what has been publicly disclosed." Rosenberg ,
Defendants do not argue they are "original sources" in the meaning of
Defendants nevertheless claim "[t]he Federal Rules (particularly Rules 19 ... and 13 ...)" allow them to add Relator as a counterclaim defendant and therefore "the FCA does not need to be tracked in all its particulars to add her as a party to the United States' claim. " (Doc. 56 at 18 (emphasis in original) ). The Court will not scour all of the Federal Rules of Civil Procedure to determine why Defendants think Rules 13 and 19 are "particularly" as opposed to exclusively sufficient here. At any rate, Rules 13 and 19 do not help Defendants, and Defendants fail to explain why they believe otherwise. Rule 13 generally covers counterclaims but does not give parties any special ability to bring claims they would otherwise be barred from bringing. Nor does Rule 19 on its face contemplate the sort of realigning Defendants suggest. Perhaps Defendants are hinting that something in the interaction of these Rules or the ample caselaw which have developed around them would shield Defendants' counterclaim from dismissal; but Defendants have done what they repeatedly accuse Relator of and presented the Court with an underdeveloped argument incapable of review.
To the extent Defendants attempt seek to slip free of § 3730(e)(4)(A) by arguing they are not bringing a new claim but rather participating in the United States' claim, their ability to proceed is foreclosed by § 3730(b)(5), which provides: "When a person brings an action under this subsection, no person other than the Government may intervene or bring a related action based on the facts underlying the pending action." An attempt by a defendant to intervene as a relator and turn the tables on the original relator is clearly blocked under this provision. If this is what Defendants meant by an attempt to add Relator to the Government's claim, and the Court does not see what other meaning Defendants could have had, their claim is barred for this reason as well. The Court thus dismisses Defendants' FCA claim, Count I of the Countercomplaint, with prejudice.5
III. Breach of Contract Seeking Disgorgement - Count VI
Count VI states a claim for breach of contract with disgorgement as the remedy.6 Relator argues (1) if there was a breach, it is outside the statute of limitations; (2) Defendants fail to properly allege breach of contract; (3) granting the claim would provide a windfall to Defendants; (4) disgorgement requires a fiduciary duty and none existed between Relator and Defendants; and (5) a simple breach of contract cannot allow for disgorgement.7 (Doc.
*121252 at 4-6, 9-10). The Court notes this is a claim under Illinois law, before this Court on supplemental jurisdiction; consequently, Relator's arguments are analyzed under Illinois law.
A. The Statute of Limitations
The parties agree a 5-year statute of limitations applies to this breach of contract claim. (Docs. 52 at 4, 56 at 13); 735 ILCS 5/13-205. However, Defendants assert the cause of action accrued, triggering the statute of limitations, in either March 2015 or May 2018. (Doc. 56 at 14). They also claim Relator's argument is underdeveloped to the point of waiver because she does not discuss the accrual date. (Doc. 56 at 14). The Court does not agree the argument is underdeveloped because, as will be discussed, it approaches the question in the ordinary situation rather than where the discovery rule applies. However, the discovery rule does apply here so the statute of limitations does not bar Count VI.
"For contract actions ... the cause of action ordinarily accrues at the time of the breach of contract, not when a party sustains damages." Hermitage Corp. v. Contractors Adjustment Co. ,
Taking as true Defendants' claims-as is required in reviewing a motion to dismiss-Defendants were unaware Relator was submitting claims which did not comply with federal law and could not reasonably be aware because Relator was the agent ensuring compliance. (Doc. 46 at 25-28). Therefore, the discovery rule applies. "When a complainant should have discovered an injury is a question of fact, but [a] court can determine when the limitations period began if the facts are undisputed and only one answer is reasonable." Am. Family Mut. Ins. Co. ,
B. Defendants Properly Pled Breach of Contract
"In Illinois, a breach of contract claim consists of: 1) the existence of a valid and enforceable contract, 2) breach of the contract by the defendant, 3) performance by the plaintiff, and 4) resulting injury to the plaintiff." Northbrook Bank & Tr. Co. v. Abbas ,
1. The existence of a valid contract
Relator's argument that Defendants failed to allege the existence of a valid contract is twofold. First, she claims their allegations are conclusory; second she claims the alleged contract did not *1213have definite and certain terms. (Doc. 52 at 5-6). The Court will take these contentions in turn.
Before reaching whether the allegations are conclusory, it is necessary to discuss what law this argument is evaluated under. This counterclaim is before this Court through supplemental jurisdiction. (Doc. 46 at 24-25). Therefore, the doctrine set forth in Erie R.R. v. Tompkins ,
"To establish the formation of a valid and enforceable contract under Illinois law, a plaintiff must prove that there was an 'offer, acceptance and existence of valuable consideration.' " Jada Toys, Inc. v. Chi. Import, Inc. , No. 07-C-699,
Even accepting the allegation of a contract is conclusory, Defendants have pled enough. "Legal conclusions can provide the framework of a complaint so long as they are supported by factual allegations." Catinella v. Cty. of Cook, Ill. ,
Relator's argument that the contract was invalid for lack of definite and certain terms fails on substantive grounds. It is true that under Illinois law, the plaintiff must "allege, inter alia , the definite and certain terms of the parties' agreement." Romanek v. Connelly ,
2. Breach
Relator's argument that Defendants have failed to allege breach takes *1214aim at the very concept of argument in the alternative, arguing that Defendants cannot plead at once that no false claims were submitted and that if any were, Relator submitted them. (Doc. 52 at 6). An argument in the alternative allows a litigant to make arguments which cannot both be true. Fed. R. Civ. P. 8(d)(2-3) ("A party may set out 2 or more statements of a claim or defense alternative or hypothetically .... A party may state as many separate claims or defenses as it has, regardless of consistency."). Rule 8(d) thus allows "any litigant ... [to] make a tactical choice to present two conflicting positions as an argument in the alternative." ACLU of Nev. v. Masto ,
3. Injury & Disgorgement as a Remedy for Breach of Contract
For the reasons discussed above, a breach-of-contract counterclaim cannot survive if the injury element is dependent on Defendants being found liable under the FCA. However, a claim may survive if the payments to Relator for services allegedly not performed present a cognizable injury with disgorgement, rather than contribution or indemnification, as the remedy.
The Court finds instructive on this point In re Illinois Bell Telephone Link-Up II ,
Under this interpretation, Defendants have properly pled damages; the payment for services not actually rendered suffices. However, the Court notes its concern that Defendants have taken the same "all-or-nothing position on the remedy" as the class counsel in Illinois Bell Telephone Link-Up II.
Relator's fifth argument, that a breach of contract claim alone cannot serve as the basis for disgorgement, is appropriate to discuss here as well. This argument is severely underdeveloped-Relator solely states she has not found Illinois authority to support such a proposition, provides a *1215one-sentence policy argument, and concludes by suggesting this Court ought not "be the first to adopt such precedent." (Doc. 52 at 10).
As Illinois Bell Telephone Link-Up II indicates, an amount of damages effectively disgorging money paid to a breaching party may be an appropriate remedy for a breach of contract. This Court would not be the first to adopt such a theory. Moreover, Relator's policy concerns are addressed by the causation limitations. Relator claims if a party "can recover all of the monies that they paid out to [the] party that insufficiently performed," then "independent contractors, contracting parties, and even employees will always be at risk of forfeiting whatever monies had been historically provided to them." (Doc. 52 at 10). But as discussed above, a party is not able to disgorge all the benefit received by the breaching party. Rather, disgorgement may be appropriate only where the "damages [are] proximately caused by the breach." In re Ill. Bell Tel. Link-Up II ,
This makes sense because "[t]he proper measure of damages for breach of a contract is the amount of money necessary to place the plaintiff in a position as if the contract had been performed."
C. Disgorgement Would Not Necessarily Result in a Windfall to Defendants
Relator's argument that awarding disgorgement to Defendants would result in a windfall rather than curing harm fails for similar reasons to her arguments on disgorgement as a remedy for breach of contract. Disgorgement would allow Defendants to recover only money paid to Relator for services she did not provide, as discussed above. It would not be a windfall for them to receive such disgorgement since the remedy would essentially allow Defendants to rescind their performance of the portion of the contract Relator did not perform. Again, disgorgement would only ensure Defendant could recover amounts paid for services not actually rendered.
D. The Remedy of Disgorgement Does Not Require a Fiduciary Duty
Relator argues "it appears that, under Illinois law, for disgorgement to be appropriate there must first exist an underlying fiduciary relationship between the parties." (Doc. 52 at 10). Relator then cites two cases which are completely inapposite, Levy v. Markal Sales Corp. ,
At any rate, Relator has not set out an argument that disgorgement is inappropriate absent a fiduciary duty under Illinois law, only that forfeiture is appropriate for a claim of breach of fiduciary duty. And, In re Illinois Bell Telephone Link-Up II suggests that disgorgement may be appropriate where no fiduciary duty exits.
IV. Unjust Enrichment - Count VII
Relator next argues Defendants' unjust enrichment claim, Count VII, fails due to the statute of limitations and because unjust enrichment requires the defendant to have failed to pay for service rendered, rather than the defendant to have failed to perform services paid for. The statute of limitations argument fails for the reason discussed above, namely, the application of the discovery rule. Section III.A, supra.
Relator's argument about the substantive law of unjust enrichment is similarly devoid of merit. As the Seventh Circuit has explained, under Illinois law "[u]njust enrichment is a common-law theory of recovery or restitution that arises when the defendant is retaining a benefit to the plaintiff's detriment, and this retention is unjust." Cleary v. Philip Morris Inc. ,
V. Expectations for Future Filings
Relator and Defendants continue to skirt frivolity in their arguments. The Court has been lenient, but this is the final warning to both sides: arguments will have a sound basis in the law, Fed. R. Civ. P. 11(b)(2), with supporting authorities provided in filings, CDIL-LR 7.1(B)(1-2), and pleadings will comply with the Local and Federal Rules. This Court will not countenance the so-called "spaghetti approach" to litigation whereby the parties "heave[ ] the entire contents of a pot against the wall in hopes that something [will] stick" Indep. Towers of Wash. v. Washington ,
*1217The Court will make its expectations perfectly clear. The parties should cite applicable precedent when making their points. Points of law should be adequately researched, rather than merely finding a single statement which could be offered in support; it should also be clear that counsel ought to read, at the very least, the entirety of the paragraph containing the phrase they cite. Arguments that begin "it appears" should be followed with a thorough explanation of the law or facts, why the law is not yet settled or the facts unclear, and why the party's preferred approach should be adopted. Disagreement with persuasive authority cited by the opposing party should fully engage with the reasoning of that authority. And responses cannot survive solely on pointing to a prior pleading if the opposing side has cited cases, but at a minimum should explain why the cited cases do not apply or the why a pleading satisfies the standard in those cases. The reason for this-the reason the Court raises this issue at all-is every issue with the local rules and every failure to have an apposite citation slows the pace of litigation in this case and diverts judicial resources from other cases on the docket as the Court attempts to fill the gaps left by the parties.
Further frivolous arguments or filings will result in orders to show cause why the filing counsel should not be sanctioned. And further failure to adhere to the Federal Rules of Civil Procedure and Local Rules will result in pleadings being struck, in whole or in part, which may in turn result in motions being denied without consideration of the merits or ruled upon as unopposed. The Court's leniency ends here.
CONCLUSION
Relator's Motion (Doc. 51) is GRANTED IN PART and DENIED IN PART. Counts I-V are DISMISSED WITH PREJUDICE. Counts VI and VII may continue but should both Relator's FCA claim and the counterclaims be tried, they will be tried separately under Federal Rule of Civil Procedure 42(b) and Counts VI and VII will be dismissed as contrary to public policy if Relator's FCA claim succeeds.
SO ORDERED.
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