United States of America v. Health Management Associates, Inc.

CourtDistrict Court, M.D. Florida
DecidedFebruary 8, 2021
Docket2:11-cv-00014
StatusUnknown

This text of United States of America v. Health Management Associates, Inc. (United States of America v. Health Management Associates, Inc.) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States of America v. Health Management Associates, Inc., (M.D. Fla. 2021).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA FORT MYERS DIVISION

UNITED STATES OF AMERICA, ex rel and BRADLEY NURKIN,

Plaintiffs,

v. Case No: 2:11-cv-14-FtM-29MRM

HEALTH MANAGEMENT ASSOCIATES, INC., CHARLOTTE HMS, LLC, and PUNTA GORDA HMA, LLC,

Defendants.

OPINION AND ORDER This matter comes before the Court on Relator’s Motion for Award of Attorney Fees, Costs, and Expenses (Doc. #12) and his Memorandum in Support (Doc. #13), both filed on May 4, 2020. Defendants filed an Opposition (Doc. #24) on May 18, 2020, to which Relator filed a Reply (Doc. #26) on June 3, 2020. The parties participated in a settlement conference with the assigned magistrate judge, but were unable to resolve the motion. (Docs. #27, 33.) For the reasons set forth below, the motion is granted to the extent that attorney fees, costs, and expenses are awarded, but denied in part as to the amounts requested. I. The False Claims Act (FCA), 31 U.S.C. §§ 3729-3733, imposes civil liability on persons who commit certain types of material fraud against the United States government.1 To enforce the provisions of the False Claims Act, the Attorney General may sue a violator in a civil lawsuit pursuant to § 3730(a), or a private plaintiff, known as a relator, may bring a qui tam civil action in

the name of the United States against a violator pursuant to § 3730(b). 2 “In a qui tam action, the relator pursues the government's claim against the defendant, and asserts the injury in fact suffered by the government. [ ] In bringing a qui tam action, the relator in effect, sues as a partial assignee of the United States.” United States ex rel. Hunt v. Cochise Consultancy, Inc., 887 F.3d 1081, 1086 (11th Cir. 2018), aff'd, 139 S. Ct. 1507 (2019)(citations and internal quotations omitted). The FCA places a number of restrictions on suits by relators and establishes specific procedures a relator must follow in filing the complaint, State Farm Fire & Casualty Co. v. United States,

137 S. Ct. 436, 440 (2016), discussed below. On or about June 3, 2010 Edward Sanders (Sanders), a sole practitioner licensed to practice law in Mississippi, was retained

1 Universal Health Servs. Inc. v. United States ex rel. Escobar, 136 S. Ct. 1989, 2003 (2016)(FCA is not an “all purpose anit-fraud statute” and is not “a vehicle for punishing garden- variety breaches of contract or regulatory violations.”) 2“Qui tam is short for the Latin phrase qui tam pro domino rege quam pro se ipso in hac parte sequitur, which means ‘who pursues this action on our Lord the King's behalf as well as his own.’” Vt. Agency of Nat. Res. v. United States ex rel. Stevens, 529 U.S. 765, 768 n.1 (2000). by Bradley Nurkin (relator or Nurkin) to prepare and file a FCA lawsuit. Nurkin was the former Chief Executive Officer of Charlotte Regional Medical Center (CRMC), one of a chain of

hospitals owned by Health Management Associates, Inc. (HMA). On January 13, 2011, Nurkin and Sanders executed a Contract For Legal Services (the contingent fee Contract) (Doc. #13-3) in which Nurkin agreed to pay Sanders one-third of “whatever recovery I ultimately receive from this litigation.” Nurkin also agreed that all out-of-pocket expenses directly incurred by Sanders would be paid out of the Nurkin’s recovery proceeds before calculation of the attorney fee. Id. The Contract also recited that if the United States Attorney did not agree to intervene in the lawsuit, Nurkin did not want the case to proceed. Id. On January 14, 2011 Sanders filed Nurkin’s sealed qui tam Complaint (Doc. #1) in the Fort Myers Division of the Middle

District of Florida against Health Management Associates, Inc., Charlotte HMS, LLC, and Punta Gorda HMA, LLC (collectively defendants) for violation of the FCA. The Complaint alleged that defendants knowingly induced doctors to make patient referrals and hospital admissions by intentionally and knowingly providing the doctors with improper remuneration; intentionally and knowingly submitted false certifications of compliance; and intentionally and knowingly submitted false claim forms. This misconduct was intended to cheat the United States out of $100-$150 million. The Court granted Nurkin’s accompanying Motion to Seal (Doc. #35) and stayed the case except for service of the Complaint and statutory disclosures upon the government. (Doc. #36.)

Special procedures apply when a relator brings an FCA action; these procedures afford the government the opportunity to intervene and assume primary control over the litigation. A relator who initiates an FCA action must file her complaint under seal and serve it only on the United States. 31 U.S.C. § 3730(b)(2). While the lawsuit remains under seal, the United States has the opportunity to investigate and decide whether to intervene as a party. Id. During this period, the United States may serve a civil investigative demand upon any person believed to be in possession of documents or information relevant to an investigation of false claims, requiring that person to produce documents, answer interrogatories, or give oral testimony. Id. § 3733(a)(1). In addition, the United States may meet with the relator and her attorney, giving the government an opportunity to ask questions to assess the strengths and weaknesses of the case and the relator a chance to assist the government's investigation. If the United States decides to intervene, the government acquires “primary responsibility for prosecuting the action,” although the relator remains a party. Id. § 3730(c)(1). In contrast, if the United States declines to intervene, the relator may proceed with the action alone on behalf of the government, but the United States is not a party to the action. Id. § 3730(c)(3). Cochise Consultancy, Inc., 887 F.3d at 1086–87. As it turned out, the United States spent almost three years deciding whether to intervene in Nurkin’s case. The primary activity in the court file during this time was multiple unopposed requests by the government for extensions of time to decide whether to intervene and several matters relating to the sealing or

unsealing of the Complaint. (Docs. ##37-60.) On December 16, 2013, the United States filed its Notice of Election to Intervene. (Doc. #2.) The Government advised the Court that it intended to file a motion renewing its request to the Judicial Panel on Multidistrict Litigation (the MDL Panel) that the MDL Panel transfer most of the other qui tam cases against HMA, including this case, to a single district. (Id.) The government also sought a stay of the proceedings pending a ruling by the MDL Panel. (Id.) The Government’s request for stay was granted on December 19, 2013, and the Complaint was unsealed. (Doc. #3.)3 On January 15, 2014, the United States filed Notice of its

second motion seeking transfer of the case to the MDL Panel. (Doc. #6.) On April 10, 2014, the MDL Panel transferred this case, and seven others, to the District of the District of Columbia for centralized handling. (Doc. #7.) The allegations in six of the transferred cases concerned the improper admissions of patients through the Emergency Departments of hospitals without medical necessity, while the seventh case alleged wrongdoing in connection

3On January 8, 2021, the Court unsealed the remainder of the court file. (Doc. #34.) with a joint venture arrangement with a physician’s group at HMA hospitals in Pennsylvania. Shortly after the cases arrived at the MDL Court, the MDL

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United States of America v. Health Management Associates, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-of-america-v-health-management-associates-inc-flmd-2021.