Visiting Nurse Association of Florida, Inc. v. Jupiter Medical Center, Inc.

CourtSupreme Court of Florida
DecidedJuly 10, 2014
DocketSC11-2468
StatusPublished

This text of Visiting Nurse Association of Florida, Inc. v. Jupiter Medical Center, Inc. (Visiting Nurse Association of Florida, Inc. v. Jupiter Medical Center, Inc.) is published on Counsel Stack Legal Research, covering Supreme Court of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Visiting Nurse Association of Florida, Inc. v. Jupiter Medical Center, Inc., (Fla. 2014).

Opinion

Supreme Court of Florida ____________

No. SC11-2468 ____________

VISITING NURSE ASSOCIATION OF FLORIDA, INC., Petitioner,

vs.

JUPITER MEDICAL CENTER, INC. Respondent.

[July 10, 2014]

LABARGA, C.J.

Visiting Nurse Association of Florida, Inc., seeks review of the decision of

the Fourth District Court of Appeal in Jupiter Medical Center, Inc. v. Visiting

Nurse Ass’n of Florida, Inc., 72 So. 3d 184 (Fla. 4th DCA 2011), on the ground

that it expressly and directly conflicts with a decision of the Fifth District Court of

Appeal in Commercial Interiors Corp. of Boca Raton v. Pinkerton & Laws, Inc., 19

So. 3d 1062 (Fla. 5th DCA 2009), on a question of law. We have jurisdiction. See

art. V, § 3(b)(3), Fla. Const. For the following reasons, we quash the Fourth

District’s decision holding that a court must determine whether a contract is legal

prior to enforcing an arbitral award based on the contract. I. FACTUAL AND PROCEDURAL BACKGROUND

A. Overview

After the conclusion of an arbitration proceeding resolving a contract dispute

between Visiting Nurse Association, Inc. (VNA), a home health care agency, and

Jupiter Medical Center, Inc. (JMC), a hospital, involving agreed-upon discharge

planning procedures and VNA’s lease of office space in JMC’s hospital, the

arbitration panel issued an “interim award,” granting VNA damages, prejudgment

interest on a portion of the damages, and reserving jurisdiction to consider

attorney’s fees and costs. In a “Final Award of Arbitrators,” the arbitration panel

granted VNA attorney’s fees, administrative filing fees and expenses, and

arbitrators’ fees and expenses.

After the “interim award” was issued, JMC filed a motion for

reconsideration and a motion to reopen the hearing, alleging that the arbitration

panel construed the contract and the discharge planning procedures in violation of

federal and state health care laws prohibiting kickbacks for referrals of Medicare

patients. The panel summarily denied the motion by e-mail stating that it had

already considered those arguments. Jupiter Medical Center subsequently filed a

motion to vacate the arbitration award in the Circuit Court of the Fifteenth Judicial

Circuit in and for Palm Beach County, Florida, alleging that the arbitration panel

interpreted the contract to be an unlawful agreement and that the panel exceeded its

-2- powers.1 Visiting Nurse Association also filed a motion to enforce the award. At

the conclusion of a hearing regarding both motions, the circuit court dismissed the

motion to vacate and granted the motion to enforce the award.

On appeal, the Fourth District noted that the trial court did not address the

issue of the contract’s legality prior to dismissing the action. The Fourth District

ultimately reversed the dismissal of the motion to vacate the award and remanded

for the trial court to consider the legality of the contract because “a Florida court

cannot enforce an illegal contract” and must make that determination prior to

enforcing an award based thereon. Visiting Nurse Association then filed a petition

to invoke this Court’s discretionary jurisdiction, and we granted review. The

circumstances leading to the contractual dispute, the arbitration award, and this

Court’s review of Jupiter Medical Center are more fully set forth below.

B. Contractual Relationship and Breach

This action arises from the February 2005 purchase of a hospital-based home

health care agency (HHA) by VNA from JMC. In 2004, VNA approached JMC to

purchase JMC’s in-house HHA believing that if it streamlined JMC’s current

operations, VNA could generate $1.5 million of revenue due to the volume of

1. During the arguments on the motion to dismiss, counsel for JMC argued that the contract is legal according to its language, but the arbitration award was based on JMC not making future Medicare referrals to VNA, which would have been illegal. Thus, according to JMC’s argument below, “it is the method in which the arbitrators construed the agreement” that renders the contract illegal.

-3- Medicare patients serviced by JMC. Visiting Nurse Association’s purchase

decision was based on the belief that it would receive forty-five to fifty Medicare

referrals per month. Despite a purchase evaluation revealing significant

competition from other HHAs, JMC concluded that its in-house HHA’s fair market

value was $639,000, which VNA ultimately agreed to pay in cash. In exchange for

the $639,000, VNA was to obtain all rights and interests in JMC’s HHA. The

agreement also provided that VNA would have “access to the institution” and

“work space” in the hospital. This portion of the agreement was then

memorialized in a separate, contemporaneous “office lease” agreement that

provided that VNA would occupy space in the discharge planning office until the

“dissolution of [VNA].” Further, although VNA did not need the space, it agreed

to take over 5,000 square feet of JMC’s existing 10-year lease in Jupiter Farms at

an expense of $375,000, to purchase “JMC’s market share of HHA referrals.”

Shortly thereafter, VNA noticed a decline in Medicare referrals and attributed it to

JMC not divulging information about the agreement’s discharge procedures,

specifically paragraph five of Exhibit “D” of the agreement, to JMC physicians. In

Exhibit “D” of the agreement, the discharge planning procedures were outlined as

follows:

1. For any patient requiring home health services post discharge, [JMC] will include in the discharge plan a list of home health agencies that are available to the patient, that are participating in the Medicare program and that serve the geographic area in which the patient

-4- resides, consistent with the requirements of 42 CFR 42.43, [JMC] will update its list at least annually and include home health agencies which have requested to be listed by [JMC] and which meet the requirements stated herein.

2. For patients enrolled in managed care organizations, [JMC] indicates the availability of home health agencies to individuals and entities that have a contract with the managed care organization.

3. [JMC] will document in the patient’s medical record that the list was presented to the patient or to an individual acting on the patient’s behalf.

4. [JMC] will inform the patient or the patient’s family of their freedom to choose among participating Medicare home health agencies and will, when possible, respect patient and family preferences, when they are expressed to [JMC]. [JMC] will not specify or otherwise limit the qualified providers that are available to the patient.

5. If, after following the foregoing procedures, the patient expresses no preference, [JMC] will inform the patient of its relationship with the VNA. The purpose of establishing a working relationship with the VNA is to facilitate the smooth transfer of patients into post-hospital care and thereby reduce the average length of stay for hospitalization.

(Some emphasis added).

Around November 2006, VNA suspected that a rotation system was being

used where each patient who did not express a preference for a particular HHA

was simply assigned to the next HHA on JMC’s HHA list. Jupiter Medical Center

denied there was a rotation system in place. At the evidentiary hearing, however, a

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Visiting Nurse Association of Florida, Inc. v. Jupiter Medical Center, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/visiting-nurse-association-of-florida-inc-v-jupite-fla-2014.