University Pediatricians v. Wayne State University Bd of Governors

CourtMichigan Court of Appeals
DecidedFebruary 7, 2019
Docket340977
StatusUnpublished

This text of University Pediatricians v. Wayne State University Bd of Governors (University Pediatricians v. Wayne State University Bd of Governors) is published on Counsel Stack Legal Research, covering Michigan Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
University Pediatricians v. Wayne State University Bd of Governors, (Mich. Ct. App. 2019).

Opinion

If this opinion indicates that it is “FOR PUBLICATION,” it is subject to revision until final publication in the Michigan Appeals Reports.

STATE OF MICHIGAN

COURT OF APPEALS

UNIVERSITY PEDIATRICIANS, UNPUBLISHED February 7, 2019 Plaintiff- Counterdefendant/Appellant,

v No. 340977 Court of Claims BOARD OF GOVERNORS OF WAYNE STATE LC No. 17-000128-MK UNIVERSITY,

Defendant- Counterplaintiff/Appellee.

Before: CAMERON, P.J., and BECKERING and RONAYNE KRAUSE, JJ.

PER CURIAM.

In this contract dispute, plaintiff, University Pediatricians (UP), appeals an order granting summary disposition to defendant, Board of Governors of Wayne State University, pursuant to MCR 2.116(C)(10). On appeal, plaintiff argues it established by clear and convincing evidence that defendant either waived or modified the agreement or that it was superseded by a later agreement with a third party. We disagree and therefore affirm.

I. BACKGROUND

Wayne State University (WSU) has a School of Medicine, but it does not own or operate a hospital. Therefore, physicians who are appointed as faculty at the medical school provide teaching and clinical instruction for medical students at several hospitals in the area, primarily at the Detroit Medical Center. Over time, these physician-faculty members formed independent practice groups affiliated with the WSU School of Medicine that specialized in specific practice areas that aligned with the specialties of the various clinical departments of the School of Medicine.

Prior to 2003, the Dean of the medical school formulated a set of parameters called the “Dean’s Guidelines” that the practice groups had to meet before they could be recognized as an official Clinical Service Group for WSU. Relevant to this case, the Dean’s Guidelines set forth the following four requirements: (1) if the clinical service groups created and/or amended their own organizational documents, the organizational documents were required to be consistent with the Guidelines; (2) the person serving as chairperson of the medical school’s clinical department had to also serve as the clinical service group president unless the Dean agreed otherwise; (3) clinical service groups could only provide professional services at practice sites approved in advance by the Dean, could not enter into any contract with a health facility without prior approval of the Dean, and had to furnish the Dean with an annual report listing each practice site and contract entered into; and (4) each clinical service group had to remit to the WSU Fund for Medical Research and Education (FMRE) 8.7% of its net professional service collections realized from professional services furnished at all practice sites. The Dean’s Guidelines also provided that in order to be appointed as an official clinical service group for WSU, each practice group was required to enter into an Implementation Agreement with WSU. Section 2.1 of the Dean’s Guidelines states:

2.1 Implementation Agreements. A Practice Group secures appointment as a recognized Service Group by entering into an Implementation Agreement in a form approved by the Dean. Each such Implementation Agreement shall require that the Service group abide by these Guidelines and that it make the payments to FMRE . . . .

In accordance with this requirement, and in order for UP to become the recognized clinical service group at WSU for pediatrics, UP and WSU entered into an Implementation Agreement on or about July 8, 2003. In addition to recognizing UP as the official pediatric clinical service group for WSU, the Implementation Agreement included requirements identical to those of the Dean’s Guidelines. Important to this case, the Implementation Agreement had a termination clause, an integration clause, and an anti-waiver clause. The termination clause states:

7.1 Term and Termination. This Agreement and the designation of the Group as a recognized clinical service group . . . is effective as of the date of this Agreement and shall continue until this Agreement is terminated under this Section 7.1. The University may terminate this Agreement with cause and without penalty upon not less than ninety (90) days’ prior written notice to the Group. The Group or the University may terminate this Agreement with or without cause upon not less than one hundred eighty (180) days’ prior written notice to the other. [Emphasis added.]

The integration clause stated:

8.4 Entire Agreement. This Agreement … is the complete agreement between the University and the Group with respect to recognition of the Group under the Guidelines and may be modified only by a written instrument executed by the University and the Group. [Emphasis added.]

-2- Finally, the anti-waiver clause stated:

8.6. Waivers. No part of this Agreement may be waived except by the written agreement of the University and the Group. Forbearance in any form from demanding performance is not a waiver of performance. Until complete performance under this Agreement, the party owed performance may invoke any remedy under this Agreement or under law, despite its past forbearance.

The Implementation Agreement is the only agreement to which UP and WSU are both signatories.

In 1999, WSU formed a private, non-profit corporation called the University Practice Group (UPG). According to the UP’s verified complaint, WSU formed the UPG to serve as a “single group practice” by consolidating all of the WSU clinical service groups recognized by the WSU School of Medicine into one entity. The current, acting, or interim Dean of WSU’s School of Medicine served as president and chairman of the board of directors of UPG.

Beginning in 2004, the Dean, acting in his dual role as Dean of the School of Medicine and President of UPG, asked that all of the clinical service groups agree to merge into UPG. According to UP, on July 5, 2006, the Dean, acting as President of UPG, requested that UP merge into UPG. In addition, the Dean attached a binding letter of intent stating that UP agreed to merge into UPG. However, UP did not wish to lose their autonomy by merging into UPG. Thus, UP, UPG, and WSU began discussions about other ways that UP could be associated with UPG. Several clinical service groups merged into UPG; however, UP did not. By a vote of 119 to 3, the UP members voted not to merge into UPG. Over the next few months, UP, UPG, and WSU continued to negotiate the possible merger of UP into UPG; however, the negotiations broke down. Eventually, UP and UPG agreed that UP would not merge into UPG but would become a newly created department of pediatrics within UPG through a contract with UPG. To this end, UP and UPG entered into a Memorandum of Agreement (MOA) dated October 18, 2006; it was a short, two-page temporary agreement designed to be in effect only until a more detailed and complete agreement could be executed. The MOA provided the following recitals:

WHEREAS, It is the vision of the Dean of WSU, UPG and other service groups to form a Group Practice in order to better coordinate the educational, research, and clinical activities through the realization of economies of scale, access to needed resources, and implementation of an ambulatory care strategy;

WHEREAS, UPG will become that unified Group Practice and will establish a Department of Pediatrics within the Group;

WHEREAS, UP has considered the advantages and disadvantages of working with or becoming an integral part of the unified group practice; and

WHEREAS, UP wishes to maintain a contractual relationship with UPG and its Department of Pediatrics and continue its clinical, teaching and research relationship with UPG and the Wayne State University School of Medicine through UPG without fully integrating into UPG;

-3- NOW THEREFORE, UPG and UP agree as follows:

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Bluebook (online)
University Pediatricians v. Wayne State University Bd of Governors, Counsel Stack Legal Research, https://law.counselstack.com/opinion/university-pediatricians-v-wayne-state-university-bd-of-governors-michctapp-2019.