United States Ex Rel. Repko v. Guthrie Clinic, P.C.

557 F. Supp. 2d 522, 2008 U.S. Dist. LEXIS 20330, 2008 WL 697161
District Court, M.D. Pennsylvania·Decided March 12, 2008·No. Civil Action 4:04-CV-1556·Published·Cited by 10 cases

Opinion

MEMORANDUM

JAMES F. McCLURE, JR., District Judge.

BACKGROUND:

On July 19, 2004, plaintiff-relator Rodney Repko commenced this civil action with the filing of a complaint against defendants Guthrie Clinic, P.C. (“Clinic”), Guthrie Healthcare System, Inc. (“GHS”), Robert Packer Hospital (“Hospital”), Kevin Carey, and Terence Devine. Plaintiff-relator’s complaint sets forth a cause of action based on the False Claims Act (“FCA”), and was filed under the qui tarn provisions of the act which authorize private individuals to bring a civil action in the name of the United States. 31 U.S.C. § 3730(b).

On June 6, 2006, the United States filed a notice of election declining to intervene in the action. (Rec.Doc. No. 27.) On June 8, 2006, we ordered that the complaint be unsealed and served upon the defendant. (Rec.Doc. No. 28.) On October 6, 2006, plaintiff-relator filed an amended complaint. (Rec.Doc. No. 29.) On October 12, 2007, with defendants’ permission, plaintiff-relator filed another amended complaint, which removed Kevin Carey as a defendant.

On December 3, 2007, defendants filed a “Motion to Dismiss Plaintiff and Relator’s Third 1 Amended Complaint and to Strike.” (Rec.Doc. No. 67.) On January 11, 2007, relator filed a “Motion to Amend and Plead Even More Specifics if Necessary.” (Rec.Doc. No. 75.) The motions are now ripe for consideration. For the following reasons, the court will grant in part and deny in part defendants’ motion *525 to dismiss and will deny relator’s motion to amend as moot.

DISCUSSION:

I. Motion to Dismiss Standard

When considering a motion to dismiss under Federal Rule of Civil Procedure 12(b)(6), the court must view all allegations stated in the complaint as true and construe all inferences in the light most favorable to plaintiff. Hishon v. King & Spalding, 467 U.S. 69, 73, 104 S.Ct. 2229, 81 L.Ed.2d 59 (1984); Kost v. Kozakiewicz, 1 F.3d 176, 183 (3d Cir.1993). In ruling on such a motion, the court primarily considers the allegations of the pleading, but is not required to consider legal conclusions alleged in the complaint. Kost, 1 F.3d at 183. At the motion to dismiss stage, the court considers whether plaintiff is entitled to offer evidence to support the allegations in the complaint. Maio v. Aetna, Inc., 221 F.3d 472, 482 (3d Cir.2000). A complaint should only be dismissed if, accepting as true all of the allegations in the complaint, plaintiff has not plead enough facts to state a claim to relief that is plausible on its face. Bell Atlantic Corp. v. Twombly, — U.S. —, —, 127 S.Ct. 1955, 1960, 167 L.Ed.2d 929 (2007).

The failure-to-state-a-claim standard of Rule 12(b)(6) “streamlines litigation by dispensing with needless discovery and fact-finding.” Neitzke v. Williams, 490 U.S. 319, 326-27, 109 S.Ct. 1827, 104 L.Ed.2d 338 (1989). A court may dismiss a claim under Rule 12(b)(6) where there is a “dis-positive issue of law.” Id. at 326, 109 S.Ct. 1827. If it is beyond a doubt that the non-moving party can prove no set of facts in support of its allegations, then a claim must be dismissed “without regard to whether it is based on an outlandish legal theory or on a close but ultimately unavailing one.” Id. at 327, 109 S.Ct. 1827.

II. Allegations in the Complaint

The following allegations are taken from relator’s lengthy third amended complaint. (Rec.Doc. No. 64.) In his complaint, relator alleges that he was employed by defendant Clinic from 1982 to 1998. (Id., ¶ 7.) Defendant Clinic is a professional corporation that employs over 240 physicians, the majority of whom are the shareholders of the organization. (Id. ¶ 8.) Defendant GHS is a nonprofit corporation and holding company for the defendant Hospital. (Id. ¶ 9.) Defendant Guthrie Health is a nonprofit corporation formed by Clinic and GHS. (Id. ¶ 10.) Defendant Hospital is a nonprofit corporation with a 250-bed acute healthcare facility. (Id. ¶ 12.) Furthermore, every physician with active staff privileges at defendant Robert Packer Hospital is employed by Clinic. (Id. ¶ 12.)

Relator appears to allege that every claim that defendant Hospital submitted to the government for payment was the result of referrals from physicians employed by Clinic. (Id. ¶¶ 52, 109, 110, 136.) Furthermore, GHS and Hospital entered into various financial agreements with Clinic which were favorable to Clinic, such as loans at low interest rates. (Id. ¶¶ 42-108.) Thus, in exchange for these favorable financial agreements, defendant Clinic and its physicians would refer large volumes of patients to Hospital who would in turn bill Medicare, Medicaid, and other government health care programs. (Id. ¶ 108.) Relator alleges that these referrals and financial agreements violated the Stark and Anti-Kickback Acts. (Id.) Therefore, because every claim that was submitted to the government for payment was the result of these illegal referrals and kickbacks, every claim necessarily violated the FCA. (Id.)

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United States Ex Rel. Repko v. Guthrie Clinic, P.C., 557 F. Supp. 2d 522, 2008 U.S. Dist. LEXIS 20330, 2008 WL 697161 (M.D. Pa. 2008).

557 F. Supp. 2d 522 (United States Ex Rel. Repko v. Guthrie Clinic, P.C.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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