Uptown People's Community Health Services Board of Directors, an Illinois Not- For-Profit Corporation v. The Board of Commissioners of Cook County and the County of Cook v. Patricia Roberts Harris, in Her Capacity as Secretary of the Department of Health and Human Services

647 F.2d 727
CourtCourt of Appeals for the Seventh Circuit
DecidedMay 29, 1981
Docket80-2226
StatusPublished
Cited by9 cases

This text of 647 F.2d 727 (Uptown People's Community Health Services Board of Directors, an Illinois Not- For-Profit Corporation v. The Board of Commissioners of Cook County and the County of Cook v. Patricia Roberts Harris, in Her Capacity as Secretary of the Department of Health and Human Services) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Uptown People's Community Health Services Board of Directors, an Illinois Not- For-Profit Corporation v. The Board of Commissioners of Cook County and the County of Cook v. Patricia Roberts Harris, in Her Capacity as Secretary of the Department of Health and Human Services, 647 F.2d 727 (7th Cir. 1981).

Opinion

647 F.2d 727

UPTOWN PEOPLE'S COMMUNITY HEALTH SERVICES BOARD OF
DIRECTORS, an Illinois not- for-profit
Corporation, Plaintiff-Appellee,
v.
The BOARD OF COMMISSIONERS OF COOK COUNTY and the County of
Cook, Defendants-Appellants,
v.
Patricia Roberts HARRIS, in her capacity as Secretary of the
Department of Health and Human Services,
* Defendant-Appellee.

No. 80-2226.

United States Court of Appeals,
Seventh Circuit.

Argued Jan. 9, 1981.
Decided April 21, 1981.
Rehearing and Rehearing In Banc Denied May 29, 1981.

Julia M. Nowicki, Asst. State's Atty., Chicago, Ill., for defendants-appellants.

Mary A. Thomas, Asst. U.S. Atty., Robert C. Cordek, Asst. Regional Atty., Dept. of Health and Human Services, Frederick H. Branding, Asst. U. S. Atty., Chief, Civil Division, Chicago, Ill., for defendant-appellee.

Before PELL and WOOD, Circuit Judges, and BONSAL, Senior District Judge.**

William J. Hart, Chicago, Ill., for plaintiff-appellee.

HARLINGTON WOOD, Jr., Circuit Judge.

This case involves the appeal of Cook County, Illinois and the Board of Commissioners of Cook County (referred to collectively as "Commissioners" or "County defendants") from the district court's adverse ruling on several contract claims that are part of a suit brought by the Uptown People's Community Health Services Board of Directors ("Board"). The suit presses federal and state pendent claims against the County defendants, and also names Patricia Harris in her capacity as Secretary of the U. S. Department of Health, Education and Welfare ("HEW") as a defendant in certain claims.1 The district court decided only pendent claims. The County defendants contend as a threshold matter that the district court lacked pendent jurisdiction over the contract claims, and thus should not have ruled on them. We agree and therefore reverse and remand with instructions to dismiss the case.

I.

This case centers on an agreement between the Commissioners and the Board that helped establish a community out-patient health clinic in the Uptown area of Chicago. The idea for the clinic began in 1977, when a group of Uptown residents determined that the health care needs of the community required locally available out-patient care, which at the time was not obtainable. The residents consulted with the Commissioners,2 who oversaw the delivery of health care services in Cook County hospitals and out-patient facilities. The Commission was not receptive to the idea of bearing the full burden of financial assistance to the clinic, although it indicated a willingness to help. It appeared that grant money and other assistance to operate the clinic might be forthcoming from the National Health Service Corps ("NHSC") and HEW. NHSC is a federal program that provides medical personnel and equipment to clinics such as the one involved here. Under NHSC regulations, the salaries of NHSC personnel provided to the clinic need not be reimbursed to the government if a community group rather than a state agency applies for the grant money. Hence, the interested residents of Uptown formed the Board.

An HEW official informed the Commissioners and the Board that in order for the Board to qualify for a grant the two Illinois parties would need to sign a cooperation agreement, which they did. HEW is not a signatory to that agreement. The agreement is the center of this litigation.

The portion of the agreement relevant to this appeal states that the Commission is to provide "start-up monies" and "its counsel in management and administration of the clinic until the point in time that the clinic has reached economic self-sufficiency and the (Board) requests complete independence from the Commission."3 When "the ultimate goal" of economic self-sufficiency is reached "the Commission shall have the right to relinquish its authority in the operation of the clinic" to the Board. In addition, the agreement established a liaison committee to channel interaction between the Commission and the Board on matters of clinic policy.

The Board contends that the agreement grants it a property right: present participation in and future control of the clinic upon the attainment of economic self-sufficiency. The Board says that certain actions by HEW and the Commission constitute a breach either of that agreement or of general fiduciary obligations, damaging the Board's present right to participate in the clinic's operation and its expectancy interest in gaining control of the clinic. This litigation focuses not on the quality of health care at the clinic, but rather on who will be in charge of the clinic if it can survive its internal turmoil.

The relationship between the Commission and the Board began to falter soon after the clinic opened. During informal and formal meetings, the NHSC- and Commission-provided staff charged that the clinic was being used to further the campaign for alderperson conducted by a Board member, Helen Schiller. In particular, the staff alleged that non-medical support staff began to miss a great deal of worktime as election day neared. Election canvassing allegedly was going on at the clinic. The clinic's medical director testified that one of the Board members, Walter "Slim" Coleman, indicated that he was pleased that the clinic had conducted a mobile hypertension screening program in the community, since it gave Coleman the opportunity to leave campaign material in a building that otherwise was off limits because it was run by Schiller's opponent. And during the campaign, the clinic receptionists increasingly found that patients were demanding free medical care or instant attention without an appointment, all on the basis of statements allegedly made to them by Board members.

Other staff complaints centered around Board-appointed "patient-advocates" who allegedly manipulated the information on patient intake forms so that some patients would qualify for lower rates or free medical care under the clinic's sliding fee scale, when in fact the patients earned sufficient income to pay for medical services at a higher rate. The staff also complained that the patient-advocates questioned the physicians' medical judgment within hearing of the patients. There was a general complaint that the patient-advocates acted as spies for a community political action group.

The staff expressed special concern over a Family Health Plan proposed by the Board. No one opposed the idea in the abstract, but the proposal set forth by the Board would entail extensive funding for expansion into new areas, which the staff felt was unwise given the shortage of staff and equipment in existing areas of clinic operation. Perhaps most disturbing to some was that the document setting forth the Plan appeared to be more a political polemic than a proposal for effective medical care. The document asserted that the Board represented "a community that is under attack" and "fighting for its survival." This required "an organized consumer base," a term that seemed ill-defined and not directly related to health care.

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Bluebook (online)
647 F.2d 727, Counsel Stack Legal Research, https://law.counselstack.com/opinion/uptown-peoples-community-health-services-board-of-directors-an-illinois-ca7-1981.