Weirton Medical Center, Inc. v. R&V Associates, Ltd.

CourtDistrict Court, N.D. West Virginia
DecidedDecember 23, 2019
Docket5:19-cv-00199
StatusUnknown

This text of Weirton Medical Center, Inc. v. R&V Associates, Ltd. (Weirton Medical Center, Inc. v. R&V Associates, Ltd.) is published on Counsel Stack Legal Research, covering District Court, N.D. West Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Weirton Medical Center, Inc. v. R&V Associates, Ltd., (N.D.W. Va. 2019).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF WEST VIRGINIA Wheeling

WEIRTON MEDICAL CENTER, INC., Plaintiff, Vv. Consolidated at Civil Action No. 5:19-CV-199 R&V ASSOCIATES, LTD, Judge Bailey Defendant.

R&V ASSOCIATES, LTD, Plaintiff, Vv. WEIRTON MEDICAL CENTER, INC., Defendant.

MEMORANDUM OPINION AND ORDER GRANTING IN PART AND DENYING IN PART DEFENDANT R&V ASSOCIATES’ MOTIONS TO DISMISS Pending before this Court is Defendant R&V Associates’ Motions to Dismiss Amended Complaint [Doc. 26]. The motion has been fully briefed and is ripe for decision. For the reasons hereinafter stated, the motion will be granted in part and denied in part. Legal Standard A motion to dismiss filed under Fed. R. Civ. P. 12(b)(6) tests the legal sufficiency of a complaint or pleading. Giarratano v. Johnson, 521 F.3d 298, 302 (4th Cir, 2008).

A complaint must be dismissed if it does not allege “enough facts to state a claim to relief that is plausible on its face.” Bel! Ati. Corp. v. Twombly, 550 U.S. 544, 570 (2007). In assessing a motion to dismiss, a court may consider public records, “documents incorporated into the complaint by reference, and matters of which the court may take judicial notice,” or sources “whose accuracy cannot reasonably be questioned.” Katyle v. Penn National Gaming, inc., 637 F.3d 462 (4th Cir. 2011). This includes documents filed in prior court proceedings. See Walker v. Kelly, 589 F.3d127 (4th Cir. 2009). Background The facts of this case, viewed in the light most favorable to Weirton Medical Center ("WMC") as the non-moving party, Nemet Chevrolet, Ltd. v. Consumeraffairs.com, Inc., 591 F.3d 250, 255 (4th Cir. 2009), include the following: WMC is a nonprofit community hospital in Weirton, West Virginia. Beginning in 2012, WMC's Board of Trustees engaged R&V to provide management and consulting services to WMC pursuant to a written contract. WMC had fallen upon difficult financial times, and R&V billed itself as a sort of “turnaround” specialist for struggling hospitals. After all, R&V managed an apparent “turnaround” at Wheeling Hospital. WMC hoped that R&V could similarly provide such a “turnaround” in Weirton and relied on R&V’s purported skills to achieve that. The Contract was to be performed by R&V's principal, Vincent C. Deluzio (“Deluzio”). Deluzio is an attorney and further held himself out as an expert for financial, legal, regulatory, staffing, and other issues that WMC faced. WMC relied on R&V’s and Deluzio’s representations to that effect. Pursuant to the terms of the Contract, R&V and

Deluzio were to provide “coordination of operations, marketing, legal and compliance matters, with a goal of improving the financial condition and results of the operations” of WMC. Though the Contract itself used the terms “management consulting services,” R&V's and Deluzio’s contro! was all encompassing. Every WMC officer and employee—including even WMC's CEO—ultimately answered to R&V and Deluzio. In turn, R&V and Deluzio reported only to the Board of Trustees, whose oversight and authority they worked to thwart by, among other things, dramatically reducing the number of Board and finance committee meetings. Indeed, WMC's organizational charts specifically showed every officer, employee, and department of the hospital answering ultimately to R&V and Deluzio—only the Board of Trustees stood above it. R&V and Deluzio ran WMC. As part of R&V’s and Deluzio’s control over WMC, they were responsible for, among other things, physician compensation as well as the hiring, recruiting, and acquisition of physicians and physician practices. Such expansions and acquisitions are not inherently bad-——so long as they comply with the various federal laws and regulations that govern physician compensation. For example, the Stark Law (42 U.S.C. § 1395nn or “Stark Law”) and the Anti-Kickback Statute (42 U.S.C. § 1320a-7b(b) or “AKS”} constrain the compensation that hospitals like WMC can pay physicians. The key import of the Stark Law and AKS is that hospitals cannot pay physicians more based upon the volume of referrals from the physician to the hospital itself. Violation of the Stark Law or AKS can subject a hospital to significant liability, including through qui tam actions under the False Claims Act. WMC relied on R&V and Deluzio to navigate these legal requirements. Indeed, the Contract itself stated that R&V (and by extension, Deluzio) would “coordinat[e]

. legal and compliance matters.” WMC relied upon R&V's and Deluzio’s supposed expertise in these matters, until the Wheeling Hospital Litigation. In December 2018, this Court unsealed a qui tam lawsuit against Wheeling Hospital, styled United States ex rel. Longo v. Wheeling Hosp., inc., 5:19-cv-00192 (hereinafter, “Wheeling Hospital Litigation”). Also named as defendants were R&V and its other principal, Ronald L. Violi (“Violi”). R&V served in a key management role at Wheeling Hospital, just as it did at WMC. WMC became more concerned about the Wheeling Hospital Litigation when the United States Department of Justice joined in the case and filed its own Complaint in Intervention on March 25, 2019. There, the DOJ described the means by which Wheeling Hospital, pursuant to R&V's control, “systematically entered into financial relationships with referring physicians” that violated the Stark Law and/or AKS, thereby “knowingly submit[ing] . . . thousands of false claims" and causing millions of dollars of damages. More particularly, the DOJ Complaint explains that, priorto R&V's hiring, Wheeling Hospita! had “experienced financial difficulties.” But under R&V’s management, “Wheeling Hospital went from losing money from its operations to generating substantial profits.” One of the “principal means” by which “R&V engineered Wheeling Hospital's financial turnaround was the hiring of a large number of physicians, primarily as employees’ in order to “capture” those employed “physicians’ referrals and the resulting revenues’ in a way that violated the Stark Law and AKS. The apparent parallels between R&V's conduct at Wheeling Hospital and R&V’s conduct at WMC were shocking. Just as Wheeling Hospital “experienced financial difficulties,” WMC was also struggling financially before R&V came in. And just as R&V

“engineered Wheeling Hospital's financial turnaround” through physician employment, so did R&V at WMC. Indeed, WMC’s Contract with R&V provided the latter with control over “recruitment” and "business combination[s].”". Just as R&V's aggressive physician employment, acquisition, and compensation strategies lead to Wheeling Hospital's turnaround, WMC began to wonder whether its change in financial prospects was similarly due to R&V's potential misconduct. These concerns are further bolstered by the fact that itself was mentioned in the DOJ Complaint, as was Deluzio’s personal interaction at Wheeling Hospital. Following the DOJ Complaint, WMC alleges that it became aware that R&V and Deluzio were directing WMC's “legal and compliance matters” not for the benefit of WMC—as required by the Contract—but rather to serve R&V's and its principals’ own personal interests in the Wheeling Hospital Litigation.

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Weirton Medical Center, Inc. v. R&V Associates, Ltd., Counsel Stack Legal Research, https://law.counselstack.com/opinion/weirton-medical-center-inc-v-rv-associates-ltd-wvnd-2019.