University Medical Center v. Sullivan

125 B.R. 121, 1991 U.S. Dist. LEXIS 2932, 1991 WL 40907
CourtDistrict Court, E.D. Pennsylvania
DecidedMarch 11, 1991
DocketCiv.A. 89-0411
StatusPublished
Cited by12 cases

This text of 125 B.R. 121 (University Medical Center v. Sullivan) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
University Medical Center v. Sullivan, 125 B.R. 121, 1991 U.S. Dist. LEXIS 2932, 1991 WL 40907 (E.D. Pa. 1991).

Opinion

MEMORANDUM & ORDER

GAWTHROP, District Judge.

On December 7,1988, a bankruptcy court for the Eastern District of Pennsylvania ordered defendant and appellant, Louis W. Sullivan, United States Secretary of Health and Human Services, to pay plaintiff and appellee, the University Medical Center, funds that the Secretary had withheld from the plaintiff for Medicare services that the plaintiff had provided after filing for bankruptcy. 93 B.R. 412. The bankruptcy court also ordered that the Secretary pay prejudgment interest on the sums withheld and plaintiffs costs and attorneys’ fees. On December 28, 1990, I affirmed the bankruptcy court’s order on the main claim, but reversed as to interest and fees. Both parties now seek reconsideration. For the reasons that follow, I shall deny both requests and reaffirm my previous order.

BACKGROUND

The following is a summary of the facts, which are set out in full in my earlier opinion. See In re University Medical Center, 122 B.R. 919 (E.D.Pa.1990). The Secretary of Health and Human Services, (HHS), under authority granted by 42 U.S.C. § 1395cc, entered into a Medicare provider agreement with the University Medical Center, (UMC), under which UMC agreed to provide care to Medicare patients in return for HHS’s agreement to pay the costs. HHS paid UMC, as provided by Medicare regulations, in periodic installments, based upon estimates of costs for care of individual patients, rather than actual costs. See 42 C.F.R. § 413.64(a)-(b). HHS had authority to reduce these interim payments by the amount of any net overpayment, as determined by annual account-ings. See 42 U.S.C. § 1395g(a); 42 C.F.R. § 413.64(f).

UMC filed a voluntary petition in bankruptcy, under Chapter 11 of the United States Code, on January 1, 1988. Shortly thereafter, HHS announced that it would begin complete withholding of interim payments for Medicare services in order to recoup overpayment made to UMC since fiscal-year 1986. The parties reached a tentative agreement, and payments continued. However, on March 28, 1988, after the parties failed to reach a final accord, HHS again announced complete withholding. HHS ultimately withheld over $312,-000 from UMC for Medicare services provided from the date of the bankruptcy filing until UMC ended all operations, on March 31, 1988.

DISCUSSION

I. Violation of the Automatic Stay

In my earlier opinion, I held that HHS’s withholding of interim payments following UMC’s filing in bankruptcy was a violation of the automatic stay provision of the bankruptcy code, 11 U.S.C. § 362(a), which prohibits creditors from taking any action outside of the bankruptcy proceeding to recover any outstanding debt, once a petition in bankruptcy is filed. In so holding, I determined that HHS’s refusal to pay for post-petition Medicare services was an improper attempt to recover a debt owed by UMC on pre-petition services.

HHS now seeks reconsideration, under Fed.R.Civ.P. 59(e), on the ground that its withholding was not an attempt to recover a pre-petition debt, but rather was a refusal to pay again for services for which it had already paid. This argument was fully considered in the earlier opinion, and I find no basis to alter my judgment. However, I do offer the following to clarify the record.

HHS’s argument is based on the doctrine of contractual recoupment. This doctrine provides that a person who owes money to someone who has filed in bankruptcy should not be deprived of equitable defenses to the bankrupt’s claim by the fact of the filing and imposition of the automatic stay. See Lee v. Schweiker, 739 *124 F.2d 870, 875 (3rd Cir.1984) (citing In re Monongahela Rye Liquors, 141 F.2d 864 (3rd Cir.1944). For example, if one party to a contract pays an advance for services to be performed by another, the paying party should not be prevented from applying the advance payment against the final bill, simply because the performing party filed in bankruptcy before any services were performed. See e.g. In re Midwest Service and Supply Co, Inc., 44 B.R. 262 (D.Utah 1983).

In the present case, UMC sought payment from HHS for patient care provided after UMC’s bankruptcy filing. While HHS did not deny a debt to UMC for these services, HHS attempted to raise the defense of prepayment, arguing that the net overpayment for the fiscal years of 1985, 1986 and 1987 amounted to prepayment for services provided in the beginning of 1988. I held that this was a mischaracterization, in light of the nature of the Medicare reimbursement scheme and the equitable foundation of the recoupment doctrine.

The bankruptcy code does not include a recoupment provision. Indeed, as stated by the Third Circuit in Lee, 739 F.2d at 875, the code prevents the set-off of post-petition obligations against pre-petition claims: i.e. a creditor who is obligated to a debtor in bankruptcy on a matter arising post-petition may not reduce the amount of the obligations by the amount of pre-petition claims against the same debtor. See 11 U.S.C. § 553(a) (allowing the set-off of mutual debts only when both arise pre-petition). Recoupment originated in case law as an equitable exception to this rule. See Lee, 739 F.2d at 875. Thus, the issue before the court was whether HHS’s withholding was to be repudiated as an unlawful set-off of separate debts, or allowed as the exercise of an equitable defense against UMC’s claim. HHS argued that the withholding was the exercise of an equitable defense because the debts owed by UMC and HHS arose on the same instrument. I declined to view the matter so mechanically, and found instead that the debts were better described as distinct obligations, since the post-petition services and the amount of reimbursement UMC sought for these services was unrelated to the pre-petition services and the net amount HHS overpaid.

A ruling otherwise would allow an equitable exception to undermine the purposes of the automatic stay. The automatic stay was designed in part to provide debtors with breathing space from their creditors. See Assoc. of St. Croix Condominium Owners v. St. Croix Hotel, 682 F.2d 446, 448 (3rd Cir.1982) (citing H.R. Rep. No. 95-595, 95th Cong., 1st Sess. 340 (1977), reprinted in 1978 U.S.Code Cong. & Ad.News 5787, 5963, 6296-97).

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Bluebook (online)
125 B.R. 121, 1991 U.S. Dist. LEXIS 2932, 1991 WL 40907, Counsel Stack Legal Research, https://law.counselstack.com/opinion/university-medical-center-v-sullivan-paed-1991.