United States v. Carell

681 F. Supp. 2d 874, 2009 U.S. Dist. LEXIS 95841, 2009 WL 3335031
CourtDistrict Court, M.D. Tennessee
DecidedOctober 13, 2009
DocketCivil Action 3:09-cv-445
StatusPublished
Cited by9 cases

This text of 681 F. Supp. 2d 874 (United States v. Carell) is published on Counsel Stack Legal Research, covering District Court, M.D. Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States v. Carell, 681 F. Supp. 2d 874, 2009 U.S. Dist. LEXIS 95841, 2009 WL 3335031 (M.D. Tenn. 2009).

Opinion

MEMORANDUM OPINION

THOMAS A. WISEMAN, JR., Senior District Judge.

In its Amended Complaint in this action (Doc. No. 48), plaintiff United States of America (the “Government”) asserts various violations of the False Claims Act (“FCA”), 31 U.S.C. §§ 3729-3733, against three of the eight defendants, as well as a right to recover damages under common-law theories of unjust enrichment and payment by mistake of fact against all of the defendants. (Am. Compl., Doc. No. 48, Counts I-IV.) Now before the Court are five separate Motions to Dismiss filed respectively by defendants Robert Vining (Doc. No. 67); VIP Home Nursing and Rehabilitation Services, LLC, Professional Home Health Care, LLC and University Home Health, LLC (Doc. No. 70); James W. Carell and CareAll, Inc. (Doc. No. 74); CareAll Management, LLC f/k/a Diversified Health Management, Inc. (“Diversified”) (incorrectly named in the Complaint as “Diversified Health Management, Inc. (also known as CareAll Management, LLC)”) (Doc. No. 76); and the James W. Carell Family Trust (Doc. No. 78).

*877 All of the defendants assert that the claims brought by the Government are barred by the applicable statutes of limitation. In addition, defendant James W. Carell Family Trust also argues that the claims against it are subject to dismissal on the grounds that (1) the Trust cannot be held hable as the owner of a corporate defendant alleged to have violated the FCA and the common law; and (2) the Amended Complaint does not assert facts that provide a legitimate basis for holding the Trust liable, on an alter ego theory, for an individual defendant’s alleged violations of the FCA and the common law.

For the reasons set forth herein, the Court finds that the facts pleaded in the Amended Complaint with respect to the FCA claims, asserted only against defendants Carell, Diversified and the Trust, are sufficient to establish that the claims are not barred by the statute of limitations set forth in 31 U.S.C. § 3731. The motions to dismiss those claims will therefore be denied.

The Court will defer ruling on the motions to dismiss the common-law claims and will grant the Government permission to file a Second Amended Complaint alleging facts sufficient to establish the date upon which those claims accrued for purposes of computing the limitations period set forth in 28 U.S.C. § 2415.

Finally, the Trust’s motion to dismiss the claims against it for failure to state a claim based on an alter ego theory of recovery will likewise be denied.

I. STANDARD OF REVIEW

In order to survive a motion to dismiss brought under Rule 12(b)(6) of the Federal Rules of Civil Procedure, “a complaint must contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’ ” Ashcroft v. Iqbal, — U.S. -, 129 S.Ct. 1937, 1949, 173 L.Ed.2d 868 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007)). Allegations that raise the “sheer possibility that a defendant acted unlawfully” are insufficient. Id. A complaint must plead factual content that allows the court to draw the reasonable inference that the defendant is liable for the conduct alleged.” Id. A complaint that “offers ‘labels or conclusions’ or ‘a formulaic recitation of the elements of a cause of action will not do.’ ” Id. (quoting Twombly, 550 U.S. at 555, 127 S.Ct. 1955).

Generally speaking, a 12(b)(6) motion to dismiss is not an appropriate vehicle for raising an affirmative defense, such as the statute of limitations, because plaintiffs are not required to “anticipate and attempt to plead around all potential defenses. Complaints need not contain any information about defenses and may not be dismissed for that omission.” Xechem, Inc. v. Bristol-Myers Squibb Co., 372 F.3d 899, 901 (7th Cir.2004) (citing Gomez v. Toledo, 446 U.S. 635, 100 S.Ct. 1920, 64 L.Ed.2d 572 (1980); other citations omitted). The Sixth Circuit has recognized, however, that a plaintiff may incur an “obligation to plead facts in avoidance of the statute of limitations defense” when it is otherwise “ ‘apparent from the face of the complaint that the time limit for bringing the claim[s] has passed.’ ” Bishop v. Lucent Techs., Inc., 520 F.3d 516, 518 (6th Cir.2008) (quoting Hoover v. Langston Equip. As socs., Inc., 958 F.2d 742, 744 (6th Cir.1992)). In such a case, a motion to dismiss may appropriately be grounded upon a plaintiffs failure to plead tolling or other facts showing the claims are not barred by the statute of limitation.

II. PROCEDURAL BACKGROUND AND FACTUAL ALLEGATIONS

Medicare, the common name for the Health Insurance Program for the Aged *878 and Disabled established by Title XVIII of the Social Security Act (“Act”), 42 U.S.C. §§ 1385 et seq., is a federally funded health insurance program administered by the United States through the Department of Health and Human Services (“HHS”). Palmetto Government Benefits Administrators, LLC (“Palmetto”) was, at all times relevant to this action, the “regional home health intermediary” or fiscal intermediary that administered Medicare’s home health and hospice benefits in Tennessee.

Defendant James Carell, a resident of Nashville, Tennessee was President of Diversified and CareAU, Inc. and operated these companies at all times relevant to the Government’s claims. He was the full owner or part owner of Diversified until July 2000. Diversified is a Tennessee corporation with its principal place of business in Tennessee.

Defendant James W. Carell Family Trust (the “Trust”) was a part or full owner of Diversified at all relevant times. Defendant Carell is the sole settler of the Trust, which was formed solely for the benefit of Carell’s children and their issue. On July 1, 1999, Carell transferred eighty percent of his stock in Diversified to the Trust. On July 1, 2000, he transferred his remaining twenty-percent interest in Diversified to the Trust. The Government asserts that Carell did not receive any consideration from the Trust in exchange for his transfer of Diversified’s stock to the Trust and, therefore, that the transfer was not an “arms-length” transaction. The Government further asserts that the Trust did not maintain an arms-length relationship between itself and other related entities, including the other defendants in this suit.

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Bluebook (online)
681 F. Supp. 2d 874, 2009 U.S. Dist. LEXIS 95841, 2009 WL 3335031, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-carell-tnmd-2009.