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Center City Healthcare, LLC v. Medline Industries, Inc.
1:24-cv-01019
| D. Del. | Nov 17, 2025
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               IN THE UNITED STATES DISTRICT COURT 
                   FOR THE DISTRICT OF DELAWARE 
IN RE CENTER CITY HEALTHCARE,          Chapter 11 
LLC d/b/a HAHNEMANN UNIVERSITY □            : 
HOSPITAL, et al.,                               Bankr. No.  19-11466 (MFW) 
                Debtors.                       (Jointly Administered) 

CENTER CITY HEALTHCARE, LLC, 
d/b/a HAHNEMANN UNIVERSITY                  : 
HOSPITAL, PHILADELPHIA              ; 
ACADEMIC HEALTH SYSTEM, LLC, 
ST. CHRISTOPHER’S HEALTHCARE, 
LLC, and SCHC PEDIATRIC 
ASSOCIATES, LLC,                            Adv. No. 21-50920 (MFW) 
                Appellants,               : 
          V. 
MEDLINE INDUSTRIES, INC.,                  Civ. No. 24-1019 (CFC) 
                Appellee.                 : 

John D. Demmy, Monique DiSabatino, SAUL EWING LLP, Wilmington, Delaware, 
    Counsel for Appellants 
Eric Daucher, Robert M. Hirsh, NORTON ROSE FULBRIGHT US LLP, New York, New 
York; Frederick B. Rosner, Zhao (Ruby) Liu, THE ROSNER LAW Group LLC, 
Wilmington, Delaware, 
    Counsel for Appellee 
                                 OPINION 
November 17, 2025 
Wilmington, Delaware 

                                           q J    a         ys  7) 
                                                                CHIEF JUDGE 
1.     INTRODUCTION 
    This appeal arises in the chapter 11  cases of Center City Healthcare, LLC and 
certain affiliates (“Debtors”)! in connection with an adversary proceeding brought by 
the Debtors against appellee Medline Industries, Inc. (“Medline”) seeking, inter alia, 
the avoidance and recovery of certain transfers made by the Debtors to Medline 
totaling $4,393,024.56 during the 90-day period prior to the commencement of the 
chapter 11  cases—April  | through June 30, 2019 (“Preference Period”)—pursuant to 
section 547 of the Bankruptcy Code.  Following discovery, Medline moved for 

summary judgment.  By order dated August 27, 2024 (Adv. D.I. 82) (“SJ Order’), the 
Bankruptcy Court granted summary judgment in favor of Medline on all claims for 
the reasons set forth in its accompanying opinion, /n re Center City Healthcare, LLC, 
664 B.R. 208
 (Bankr. D. Del. 2024) (“SJ Opinion”).  The Debtors have appealed the 
SJ Order.  For the reasons set forth herein, the SJ Order will be affirmed. 
Il.    BACKGROUND 
    A.    The Parties 
    Tenet Business Services Corporation (“Tenet”) operated Hahnemann 
University Hospital and St. Christopher’s Hospital for Children, two large 

' The Debtors are Center City Healthcare, LLC d/b/a Hahnemann University Hospital 
(“CCH”), Philadelphia Academic Health System, LLC (“PAHS”), St. Christopher’s 
Healthcare, LLC (“SCH”), and SCHC Pediatric Associates, LLC (“SCHC”). 

hospital systems in Philadelphia, since 1998.  (A.122-30.)?  On January 11, 2018, the 
Debtors acquired these operating assets from Tenet.  (/d.)  Prior to the acquisition, 
Medline provided medical supplies to Tenet.  (A.131—49.)  Following the acquisition, 
and prior to the Preference Period, Medline continued to provide supplies to the 
Debtors.  (A.150—54.)  The record supports a finding that Medline eventually grew 
concerned about extending credit to the Debtors, and that it enforced its credit terms 
both prior to and during the Preference Period, by, among other things, demanding a 
non-debtor parent guaranty, requiring wire payments when payments historically had 
been sent by check, and modifying payment and shipping terms.  (See A.155—58; 
A.163—70; A.181—84; A.214-19, A.172-78); A.227-—28; A.366-99.) 
    B.     The Chapter 11 Cases and the Summary Judgment Motion 
    On June 30, and July 1, 2019 (the “Petition Date”), the Debtors commenced 
their chapter 11  bankruptcy cases.  On June 25, 2021, the Debtors filed the adversary 
proceeding against Medline (B.1—51) (the “Complaint’”).  Count One of the 
Complaint seeks the avoidance and recovery of 12 payment transfers totaling 
     ,024.56  (the “Transfers”) made to the Medline during the Preference Period 
pursuant to section 547 of the Bankruptcy Code. 

* The appendix (D.I.  13) filed in support of the Debtors’ opening brief is cited herein 
      _,” and the appendix (D.I.  15) filed in support of the Medline’s answering 
brief is cited herein as “B.__.”

    After the close of fact and expert discovery, on November 17, 2023, Medline 
filed a motion for summary judgment (B.52—53) and brief in support (B.54—69) (the 
“MSJ”’).  The Debtors filed their response on December 12, 2023 (B.448-99) 
(“Response”).  Medline filed its reply on December 29, 2023.  (B.500-—20.) 
     It is undisputed that the Debtors established a prima facie case for avoidance 
of the Transfers under section 547(b).?  (B.471.)  The Bankruptcy Code provides 
certain defenses to such avoidance actions.  Fiber Lite Corp. v. Molded Acoustical 
Prods., Inc.  (In re  Molded  Acoustical Prods., Inc.), 
18 F.3d 217, 219
 (3d Cir.  1994) 
superseded,  in part, by statute, Bankruptcy Abuse Prevention and Consumer 
Protection Act of 2005, P.L.  109-8, Title IV, § 409,  119 Stat 23 (Apr. 20, 2005). 
Medline asserted two defenses: (1) that its preference liability is reduced by 
$1,297,376.50 under the objective ordinary course defense set forth in section 
547(c)(2)(B) of the Bankruptcy Code; and (2) that the remaining liability of 

A bankruptcy trustee may avoid a debtor’s prepetition transfer of a debtor’s property 
if the following elements of § 547(b) are met: (1) the transfer was made to or for the 
benefit of a creditor, (2) on account of a preexisting debt, (3) while the debtor was 
insolvent, (4) within 90 days of the debtor's bankruptcy filing, and (5) the transfer 
enabled the creditor to receive more than it otherwise would in a hypothetical chapter 
7 case.  
11 U.S.C. § 547
(b).  The Bankruptcy Code presumes that the Debtors were 
insolvent during the preference period.  
11 U.S.C. § 547
(f).  Medline did not dispute 
the amount of the Transfers during the Preference Period or contest that the Debtors 
were insolvent during that period.  (B.70-81  (Medline’s Statement of Undisputed 
Material Facts) (““SUMF’’) at J 13-36, 64-65.)

$3,095,648.06 is eliminated by the subsequent new value defense set forth in section 
547(c)(4) of the Bankruptcy Code. 
          1.     Medline’s Objective Ordinary Course of Business Defense 
    Medline asserted that a portion of the Transfers are exempt from avoidance 
under the ordinary course of business defense contained in section 547(c)(2), which 
provides: 
    (c) The [debtor] may not avoid under this section a transfer — 
          (2) to the extent that such transfer was in payment of a debt incurred by 
          the debtor in the ordinary course of business or financial affairs of the 
          debtor and the transferee, and such transfer was 
                (A) made in the ordinary course of business or financial affairs of 
                the debtor and the transferee; or 
                (B) made according to ordinary business terms. 
11 U.S.C. § 547
(c)(2) (emphasis added).  Medline relied on subsection (B), which is 
referred to as the “objective” ordinary course test, and which requires the court to 
consider whether each transfer was “made according to ordinary business terms.” 
“{O]rdinary terms are those which prevail in healthy, not moribund, creditor-debtor 
relationships.”  Jn re Molded Acoustical,  18 at 223-24.  On the other hand, the 
“subjective” ordinary course test identified in subsection (A) requires “each fact 

pattern [to] be examined to assess ‘ordinariness’ in the context of the relationship of 
the parties over time.”  Jn re Hechinger Inv.  Co. of Delaware, Inc., 
489 F.3d 568
, 
576-77 (3d Cir. 2007).

    In support of its objective ordinary course defense, Medline submitted the 
declaration of an expert, Vincenzo Toppi, a partner with CohnReznick (B.222—27) 
(“Toppi Decl.”).   In order to assess to what extent payments to Medline were made 

on ordinary business terms, Mr. Toppi compared the number of days that it took the 
Debtors to pay Medline’s invoices against the range of days for payment by 
companies in the same industry and of similar size.  (B.223—24, Toppi Decl., 7§ 2-4.) 
To determine the “days to pay” Medline’s invoices, Mr. Toppi reviewed Medline’s 
business records and the Medline “statement of account” that was attached to the 
Complaint.  (A.508—17.)  To determine the industry standard “days to pay,” Mr. 
Toppi relied on data compiled by Risk Management Association (“RMA”) with 
respect to companies similar to Medline during the relevant time period.*  (/d.)  In 
particular, Mr. Toppi reviewed data of 13 companies with greater than $100,000,000 
in assets and greater than $25,000,000 in annual sales that fell within the “Medical, 
Dental, and Hospital Equipment and Supplies Merchant Wholesalers” industry— 
North American Industry Classification (“NAIC”) industry code 423450 (the 
“Relevant Industry”).  (B.76-77, SUMF {J 51-57; B.223-24, Toppi Decl. 9§ 2-3; 
B.110—-111, Reed Decl. 99 4-11.)  The data showed that the ordinary course “days to 
pay” in the relevant industry (“Industry Range”) during the Preference Period was 28 

“ Medline also presented the declaration of its Director of Credit, Shane Reed (B.109- 
221) (“Reed Decl.”), who stated that he and other professionals in the industry rely on 
the data compiled by RMA in making credit decisions.  (B.110 & B.114~-17.) 

to 76 days.  (B.76-77, SUMF 4§ 51-57; B.110-11, B.115, Reed Decl. 4] 4-13, Ex. 4 

at 1.)  Mr. Toppi’s analysis showed that payments totaling $1,297,376.50, fell within 
that range.  (B.78—79, SUMF Jf 58-61, 64; B.226, B.372, Toppi Decl. § 20, Ex. 7 at 
104.)  Notably, $3,095,648.06 worth of the Medline invoices paid by the Transfers 
fell outside the RMA Industry Range and thus outside of the objective ordinary 
course defense. (B.79, SUMF § 65; B.226, B.372, Toppi Decl. § 20, Ex. 7 at 104.) 
          a     Medline’s Subsequent New Value Defense 
    Medline asserted that even assuming $3,095,648.06 worth of the Medline 
invoices paid by the Transfers fall outside of the objective ordinary course defense, 
the new value Medline provided during the Preference Period still reduced Medline’s 
preference liability to $0.  Medline supplied the Debtors with new goods throughout 
the Preference Period, as evidenced by invoices from Medline to Appellants (“New 
Value Invoices”) totaling $4,064,050.97.  (B.226, B.372, B.447; Toppi Decl. 4] □□□ 
21; Ex. 7 at 104, Ex. 8 at 74.) 
    The “new value” defense set forth in section 547(c)(4)° of the Bankruptcy 
Code reduces a creditor’s preference exposure to the “net result of the preferential 

> The record reflects that available RMA data extended several months beyond the 
Preference Period used in Mr. Toppi’s analysis.  Had the longer period been used, 
data from more comparable companies would have been available and the Industry 
Range would have expanded to 27 to 110 days to pay, protecting still more of the 
payments to Medline.  (B.223, Toppi Decl. at n.3.) 
° Section 547(c)(4) provides that: 

                                     & 

transfers and subsequent new value (paid and unpaid).”  Jn re Proliance Int'l, Inc., 
514 B.R. 426, 438
 (Bankr. D. Del. 2014).’  In support of its new value defense, 
Medline was only required to “track the debits and credits generally” to identify the 
“net result.”  In re Sierra Concrete Design, Inc., 
463 B.R. 302, 307
 (Bankr. D. Del. 
2012).  Although Medline was not required to “link specific invoices to specific 
payments,” 
id.,
 Medline did provide such an analysis which subtracted—on an 
invoice-by-invoice basis in sequential order—the amounts of New Value Invoices 
reflecting new shipments of goods to the Debtors from the Transfers not covered by 
the objective ordinary course of business defense.  (B.226, B.372, B.447; Toppi Decl. 
  20-21; Ex. 7 at 104, Ex. 8 at 74.)  The “net result” of this analysis was $0.  In 
other words, Medline contended, the balance of the Transfers not shielded by the 
objective ordinary course defense was shielded from avoidance based on the amount 
of new value provided. 

(c) The [debtor] may not avoid under this section a transfer — 

    (4) to or for the benefit of a creditor, to the extent that, after such transfer, such 
    creditor gave new value to or for the benefit of the debtor — 

          (A) not secured by an otherwise unavoidable security interest; and 
          (B) on account of which new value the debtor did not make an 
          otherwise unavoidable transfer to or for the benefit of such creditor. 
11 U.S.C. § 547
(c)(4) (emphasis added). 
New value means “money or money’s worth in goods, services, or new credit... 
that is neither void nor voidable by the debtor or the trustee under any applicable 
law.”  In re Proliance Int'l, Inc.,
514 B.R. at 431
.

    C.    The Debtors’ Response in Opposition to Summary Judgment 
    With respect to the objective ordinary course defense, the Debtors argued that 
the SJ Motion singularly focused on an average “days to pay” range analysis and 
ignored the Medline’s behavior during the Preference Period.  (B.471—72.)  Without 
citing any expert evidence, the Debtors asserted that Medline’s collection efforts 
during the Preference Period were extraordinary and, therefore, fall outside of what 
should be considered ordinary business terms.  (B.448.)  Medline’s conduct “is 
similar to that which the Third Circuit considered crucial in Molded Acoustical and 
requiring analysis of the parties’ full relationship and behavior in the Preference 
Period,” the Debtors asserted.  (B.474).  The Debtors further argued that the RMA 
data on which Medline relied in proffering the Industry Range was inadmissible 
hearsay, improperly limited, contained outliers, and lacked reliability. (B.456—57.) 
    Based on their assertion that the objective ordinary course defense did not 
shield any of the Transfers, the Debtors argued that Medline’s new value defense was 
insufficient to shield all Transfers from avoidance.  (B.485.)  The Debtors further 
contended that the new value analysis prepared by Mr. Toppi contained several 

errors.  (Adv. D.I. 73 at §§ 4-10; Adv. D.I. 75 at Ex. 82.)  The Debtors submitted the 
declaration of Susannah Prill (A.1—A.58) (“Prill Decl.”),  a CPA and director of the 
Debtors’ financial advisor Eisner Advisory, who assessed that the Bankruptcy Court 
must deduct from the alleged new value certain service charges (totaling $26,415.22),

misnumbered invoices (totaling $210,053.87), and certain new value provided outside 
of the Preference Period (totaling $539,523.93).  (Prill Decl. 4] 4-10.)  Even 
accepting these errors, however, the Debtors conceded that Medline’s new value 
defense shielded all except approximately $1 million in preference liability.  (A.500 
(showing $1,076,557 remains of net preference liability after subtracting new value).) 
    D.    The SJ Opinion and SJ Order 
    The Bankruptcy Court granted summary judgment to Medline as to all of the 
Transfers, finding that Medline “presented admissible, reliable, and sufficient 
evidence to establish that $1,297,376.50 of the alleged preferential transfers made by 
the Debtors to the Medline were made according to ordinary business terms in the 
industry.”  Jn re Center City Healthcare, 664 B.R. at 217.  As set forth in the 
thorough MSJ Opinion, the Bankruptcy Court determined that: the RMA data was 
admissible under the hearsay exception of Federal Rule of Evidence 803(17) (see id. 
at 213-14); the expert methodology used by Mr. Toppi was sufficiently reliable to 
demonstrate the industry standard (see id. at 214-15); and “any evidence of 
[Medline’s] collections activity, even if extraordinary or unusual, is not relevant to 
the objective ordinary course of business defense (id. at 217).  The Court explained: 
         The Debtors’ reliance on the Molded Acoustical case is 
         misplaced.  That case was decided prior to the 2005 
         amendments to section 547(c), at a time when a defendant had 
         to prove that its relationship with the debtor satisfied both the 
         subjective and the objective tests.  The Debtors provide no 
         authority for the proposition that bankruptcy policy demands

         that the Court import the subjective analysis into the objective 
         one.  Further, that argument is contra to the express language 
         of the statute which provides a defense if the Defendant can 
         show that the parties acted either in the ordinary course of 
         their own business dealings or in the ordinary course of 
         business dealings in the industry. 
Id. at 217.  The evidence was likewise sufficient to establish that the balance of 
Medline’s liability was shielded from avoidance by subsequent new value: 
         The Defendant presented credible evidence that it provided 
         new value to the Debtors of $4,064,050.97.  This is more than 
         sufficient to cover the preferential transfers of $3,095,648.06 
         remaining after application of the ordinary course of business 
         defense.  Even if the Court were to accept the assertions of 
         Ms. Prill and deduct the service charges ($26,415.22), mis- 
         numbered invoices ($210,053.87), and new value provided 
         outside the preference period ($539,523.93), the new value 
         provided by the Defendant is still sufficient to cover all of the 
         remaining alleged preferential transfers.  Therefore, the Court 
         finds that the Debtors’ evidence is insufficient to rebut Mr. 
         Toppi’s evidence of new value or to create a genuine issue of 
         material fact. 
Id. at 219 (citing B.226, Toppi Decl. at § 21; B.447, Toppi Decl., Ex. 8 at 74). 
    E.     The Appeal 
    On September 9, 2024, the Debtors filed a timely notice of appeal.  D.I.  1.  The 
appeal is fully briefed.  D.I.  12,  14, 16,  17.  No party requested oral argument. 
I.   JURISDICTION AND APPLICABLE STANDARDS 
    An order granting summary judgment on all counts is a final order.  This Court 
has jurisdiction over the appeal pursuant to 
28 U.S.C. § 158
.  In reviewing a 
bankruptcy court’s grant of summary judgment, which is “a purely legal 

                                     10 

determination,” the district court applies a plenary, or de novo standard of review. 

See In re Abeinsa Holding Inc., 
653 B.R. 713
, 717 (D. Del. 2023) (citing Am. Flint 

Glass Workers Union v. Anchor Resolution Corp.,  
197 F.3d 76
, 80 (3d Cir.  1999)). 
    Even on a  decision arising from a motion for summary judgment, a  trial court’s 
decision to admit (or reject) expert testimony is reviewed for abuse of discretion.  See 
Gen. Elec.  Co. v. Joiner, 
522 U.S. 136, 141-43
 (1997) (holding that the admissibility 
of expert testimony is reviewable under an abuse-of-discretion standard on a motion 
for summary judgment); Masimo Corp. v. Philips Elec. N. Am.  Corp., 
62 F. Supp. 3d 368, 388
 (D. Del. 2014) (“The Third Circuit has explained that on appeal it ‘afford[s] 
a district court’s application and interpretation of [Federal] Rule [of Evidence] 702 
plenary review,’ but ‘review[s] the [trial] court’s decision to admit or reject testimony 
under an abuse of discretion standard.’” (quoting Oddi v. Ford Motor Co., 
234 F.3d 136
,  146 (3d Cir. 2000) (internal citations omitted)).  A court “abuses its discretion” 
if “its decision rests upon a  clearly erroneous finding of fact, an errant conclusion of 
law, or the improper application of law to fact.”  Jd. (quoting Ragguette v. Premier 
Wines & Spirits, 
691 F.3d 315, 322
 (3d Cir. 2012)).  An abuse of discretion can also 

occur when “no reasonable person would adopt the district court’s view.”  Jd. (citing 
In re Cendant Corp. Prides Litig., 
233 F.3d 188, 192
 (3d Cir. 2000)).  Finally, the 
Court will not interfere with the trial court’s exercise of discretion “unless there is a 

                                     14 

definite and firm conviction that the court committed a clear error of judgment in the 

conclusion it reached upon a weighing of the relevant factors.”  Jd. (cleaned up). 
    As the party moving for summary judgment, Medline was required to present 
evidence sufficient to support its contention that “there is no genuine dispute as to 

any material fact and [that Medline] is entitled to judgment as a matter of law” that 
the Transfers are unavoidable.  Fed. R. Civ. P. 56.  A party asserting that a fact 

cannot be—or alternatively is—genuinely disputed must support its assertion either 
by citing to “particular parts of materials in the record, including depositions, 
documents, electronically stored information, affidavits or declarations, stipulations 
(including those made for the purposes of the motions only), admissions, 
interrogatory answers, or other materials,” or by “showing that the materials cited do 
not establish the absence or presence of a genuine dispute, or that an adverse party 
cannot produce admissible evidence to support the fact.”  Fed. R. Civ. P. 56(c)(1)(A) 
& (B).  Ifthe moving party has carried its burden, the nonmovant must then “come 
forward with specific facts showing that there is a genuine issue for trial.” 
Matsushita Elec. Indus.  Co. v. Zenith Radio Corp., 
475 U.S. 574, 587
 (1986) (internal 
quotation marks omitted). 

                                     19 

IV.   ANALYSIS 
    A.     Medline’s Objective Ordinary Course Defense® 
    Section 547(c)(2)(B) renders a transfer unavoidable to the extent it was: (1) “in 

payment of a debt incurred by the debtor in the ordinary course of business or 
financial affairs of the debtor and the transferee” and (2) “made according to 
ordinary business terms.”  
11 U.S.C. § 547
(c)(2)(B) (emphasis added). 
    The objective test “focuses on general norms within the creditor’s industry.” 
In re AES Thames, LLC, 
2016 WL 11595116
, at *6 (Bankr. D. Del. Oct. 28, 2016). 
As noted, the Third Circuit has advised that “ordinary terms are those which prevail 
in healthy, not moribund, creditor-debtor relationships.”  Jn re Molded Acoustical,  
18 F.3d at 223-24
.  In other words, a creditor cannot establish the industry norm by 

As the Third Circuit has explained, the statutes are intended to strike a balance 
between two conflicting policies: 
         On the one hand the preference rule aims to ensure that 
         creditors are treated equitably, both by deterring the failing 
         debtor from treating preferentially its most obstreperous or 
         demanding creditors in an effort to stave off a hard ride into 
         bankruptcy, and by discouraging the creditors from racing to 
         dismember the debtor. On the other hand, the ordinary course 
         exception to the preference rule is formulated to induce 
         creditors to continue dealing with a distressed debtor so as to 
        kindle its chances of survival without a costly detour through, 
         or a humbling ending in, the sticky web of bankruptcy. 
In re Molded Acoustical,  
18 F.3d at 219
-220 (citing H.R. Rep. No. 595, 95" Cong., 
Ist Sess.  177—78 (1977), reprinted in 1978 U.S.C.C.A.N. 5787, 5963, 6138). 

                                     12 

arguing that its terms match how the industry treats other financially challenged 
debtors.  See 
id.
  That said, courts in this District agree that this is “not an exacting 
standard,” In re Powerwave Techs, Inc., 
2017 WL 1373252
, at *8 (Bankr. D. Del. 
Apr.  13, 2017), and that the evidentiary burden on the defendant to establish an 
objective ordinary course defense is “not formidable.”  Sass v.  Vectour Consulting, 
Inc.  (In re Am. Home Mortg. Holdings, Inc.), 
476 B.R. 124, 141
  (Bankr. D. Del. 
2012) (“the creditor is not required to prove rigorous definitions of either the industry 
or the credit standards within that industry.”)  To the contrary, “ordinary business 
terms” refer to “the range of terms that encompasses the practices in which firms 
similar in some general way to the creditor in question engage, and that only dealings 
so idiosyncratic as to fall outside that broad range should be deemed extraordinary 
and therefore outside the scope of the [exception].”  Jn re Molded Acoustical, 
18 F.3d at 220
 (quoting Jn re Tolona Pizza, 
3 F.3d 1029, 1033
 (7" Cir.  1993) (emphasis in 
original)).  For purposes of making these comparisons, a defendant is given 
“considerable latitude in defining what the relevant industry is, and even departures 
from that relevant industry’s norms which are not so flagrant as to be ‘unusual’ 
remain within [the exception].”  Jn re Molded Acoustical,  
18 F.3d at 220
.  In essence, 
if a transfer falls somewhere within the broad range of credit practices that exist in 
the generally comparable industry, it is protected by the objective ordinary course 
defense. 

                                     1A 

    This stands in contrast to the “subjective” ordinary course test set forth in 

section 547(c)(2)(A), which “call[s] for the Court to consider whether the transfer 

was ordinary as between the debtor and creditor,” Am. Home Mortgage., 
476 B.R. at 135-36
, and requires that “each fact pattern [] be examined to assess ‘ordinariness’ in 
the context of the relationship of the parties over time.”  Jn re Hechinger, 489 F.3d at 
576-77.  As part of this inquiry, courts consider a myriad of factors including: (1) the 
length of time the parties have engaged in the type of dealing at issue; (2) whether the 
subject transfers were in amounts more than usually paid; (3) whether the payments 
were tendered in a manner different from previous payments; (4) whether there 

appears any unusual action by either the debtor or creditor to collect or pay on the 
debt; and (5) whether the creditor did anything to gain an advantage (such as gain 
additional security) in light of the debtor’s deteriorating financial condition.  In re 
Hayes Lemmerz Int'l, Inc., 
339 B.R. 97, 106
 (Bankr. D. Del. 2006).  No single factor 
is determinative.  In re Conex Holdings, LLC,  
518 B.R. 269, 280
 (Bankr. D. Del. 
2014). 
          1.     Medline Presented Evidence Sufficient to Support Judgment 
                as a Matter of Law 
    “[T]he applicable industry standard is to be ascertained based on the credit 
arrangements of other debtors and creditors in a similar market.”  Jn re AES Thames, 
LLC, 
2016 WL 11595116
, at *10.  Other courts have determined that data from the 
Risk Management Association is reliable.  /d. at *9.  In AES Thames, where the 

                                     15 

“number of days between invoice date and payment date” between the parties “fell 
within the payment range” of the applicable RMA data, the Bankruptcy Court 
concluded that the transfers at issue fell “within ordinary business terms.”  Jd. at *10. 
    Medline’s contention that at least $1,297,376.50 of the Transfers fell within 
industry standards was well supported by the record.  The data compiled by 
Medline’s expert showed that the “days to pay” in the Industry Range during the 
Preference Period was 28 to 76 days.  (B.76—77, SUMF Jf 51-57; B.110-111, B.115, 
Reed Decl. J 4-13, Ex. 4 at 1.)  Mr. Toppi’s analysis showed that certain Transfers 
totaling $1,297,376.50 fell within that range and were thus protected.  (/d.)  The 
Bankruptcy Court concluded that the expert methodology used by Mr. Toppi was 
sufficiently reliable to demonstrate the industry norm. 
    Tagree.  The Third Circuit has held that the standard for determining ordinary 
business terms “though still requiring that the creditors make some showing of an 
industry standard, is quite accommodating.”  Jn re Molded Acoustical, 
18 F.3d at 224
. 
“That accommodating and flexible approach to establishing an industry standard for 
ordinary business terms warrants acceptance of Mr. Toppi’s conclusions that the 
RMA data is sufficient to establish the industry range of ‘days to pay’ without further 
analysis.”  Jn re Center City Healthcare, 664 B.R. at 215. 

” The Debtors assert that “the Bankruptcy Court incorrectly allowed Medline to use 
its own customer dealings to establish an industry standard,” which “only reflects 
Medline’s internal practices, not the prevailing norms in the broader industry.” 
                                     1G 

          Ze     The Debtors Failed to Dispute Medline’s Evidence or 
                Otherwise Show a Genuine Issue for Trial 
    Where, as here, the moving party has carried its burden, the nonmovant must 
then “come forward with specific facts showing that there is a genuine issue for 
trial.”  Matsushita, 
475 U.S. at 587
 (internal quotation marks omitted).  As the 
Bankruptcy Court observed with respect to the industry standard put forth by 
Medline, “the Debtors have not rebutted any of Defendant’s evidence on this point.” 
In re Center City Healthcare,  664 B.R. at 215. 
    The Debtors failed to dispute!’ Medline’s choice of industry data in referencing 
the RMA data.  (See B.77, SUMF {¥ 55; B.539-41  at Tr.  113:10-114:4,  114:24— 
115:15).  To the extent asserted by Medline, the Debtors’ expert admitted the timing 
of payments to Medline fell within industry norms.  (See B.82—108 (“Kaplan Decl.”), 
at B.105—07 (Debtors’ expert agreed that, late in the Preference Period, payment 
timing “moved towards industry standard”); B.97—99 (Expert Rebuttal Report of 
William Pederson confirming that “all the invoices dated after [March 22, 2019]” 

D.I.  12 at 34.  While Medline did provide such an analysis in support of its MSJ 
Motion, the Bankruptcy Court made clear in the MSJ Opinion that it was not 
considered.  See In re Center City Healthcare, 664 B.R. at 216 n.51  (“[b]ecause the 
Court does not rely on that evidence, it is unnecessary to address this issue”). 
'° The Debtors purported to generally oppose Medline’s statement of undisputed 
material facts without reference to supporting materials in the record.  (See B.449, 
Response §] 2; Fed R. Civ. P. 56(e)(2).) 
                                     17 

were paid within the Industry Range and the transactions between the parties “moved 
toward industry standard during the preference period.”). 
    With respect to Debtors’ burden to come forward with specific facts showing 
that there is a genuine issue for trial, the Debtors presented no industry analysis of 
their own.  Rather, Debtors argue that Medline’s SJ Motion was insufficient to 
demonstrate “ordinary business terms” as a matter of law because Medline’s evidence 

was based on one statistical metric—the age ranges of invoices paid by each 
Transfer—and failed to establish that its “extraordinary collection efforts” during the 
Preference Period were also typical for the industry.  See D.I.  12 at 14-20.  Because 
Medline “did not present sufficient evidence of relevant industry standards with 
respect to credit, payment and shipment practice,” the Debtors argue, Medline was 
not entitled to summary judgment.  Jd. at 20.  The Bankruptcy Court properly rejected 
this argument.  Jn re Center City Healthcare, 664 B.R. at 217. 
    First, the objective ordinary course defense may be satisfied based entirely on a 
days-to-pay analysis.  See In re AES Thames, L.L.C., 
2016 WL 11595116
, at *10 
(relying on expert reports analyzing days to pay in the relevant industries to establish 
the objective ordinariness of the transactions); In re ASPC Corp., 
658 B.R. 455
, 467 
(Bankr. S.D. Ohio 2024) (finding that “the evidence that would have best shown that 
the Transfers satisfied the objective test would have compared the timing of firearm 
wholesalers’ payments to firearm manufacturers to the timing of [debtor’s] payments 

                                     1Q                             

to [creditor]” and holding that expert’s analysis of days sales outstanding was 
sufficient to establish the objective ordinariness of the transactions); see also In re 
AFA Inv. Inc., 
2016 WL 908212
, at *5 (Bankr. D. Del. Mar. 9, 2016) (evaluating 
objective ordinary course defense based on expert reports assessing “the average days 
that receivables were outstanding” based on RMA data, but concluding experts 
referenced incorrect date range). 
    The decision in In re AES' Thames is instructive here.  There, a debtor sued a 
supplier with which it had a  relatively short business history to avoid and recover 
certain preferential transfers.  Jd. at *2,11.  The defendant moved for summary 
judgment based on, among other things, the objective ordinary course defense 
supported by an expert declaration that was focused entirely on a “days to pay” 
analysis, based entirely on a combination of the defendant’s business records and data 
from RMA.  /d.  at *6-7,  12.  The defendant’s expert went on to explain that “RMA 
data establish industry standards on payment practices” and that the payments to the 
defendant “fell within the average payment range for each relevant industry, and, 
therefore, were made in accordance with ordinary business terms and are not 
avoidable.”  /d. at *7.  Over objections that closely track those advanced by the 
Debtors here, the court in Jn re AES Thames admitted the expert report and found that 
the days-to-pay analysis provided therein was sufficient to establish an Objective 
Ordinary Course Defense, declaring: 

                                     10                 

          ‘Precise data is not necessary to prove ordinary business 
          terms within a creditors’ industry.’ While it may not be 
          precise, I find the expert’s reliance on the RMA data to be 
          reasonable and appropriate here. On the record before me, I 
          conclude that [defendant] has demonstrated that the 
          Transfers fall within ordinary business terms. 
Inre AES Thames, 
2016 WL 11595116
 at *10 (quoting in part In re American Home 
Mortg., 
476 B.R. at 141
 (citing Hechinger Liquidation Trust v. James Austin Co,  (In 
re Hechinger Inv.  Co.  of Delaware, Inc.), 
320 B.R. 541, 550
 (Bankr. D. Del. 2004)). 
In short, the court in Jn re AES Thames found that (1) a “days to pay” analysis is 
sufficient to establish an objective ordinary course defense and (2) RMA data 
selected for an appropriate industry is sufficient to “establish industry standards on 
payment practices” to the extent required for that defense.  See id.  at *7-10.  The 
Bankruptcy Court’s determination that the RMA data-based analysis was sufficiently 
reliable to demonstrate the industry standard, and therefore establish the objective 
ordinariness of the transactions when compared to the information available, is 
consistent with Jn re AES Thames. 
    Second, the Debtors assert that “extraordinary collection efforts ... disqualify a 
creditor from relying on the [objective] ordinary course [d]efense” but offer no 
evidence and point to nothing in the record showing that Medline’s collection activity 
was “‘so idiosyncratic as to fall outside the broad range” of industry norms.  D.I.  12 at 
17.  Assuming that “extraordinary collection activity” may defeat an objective 

                                     MN 

ordinary course defense,'' the Debtors did not present any evidence that Medline’s 
conduct was, in fact, extraordinary.  Although they had the opportunity to do so, the 
Debtors offered no expert evidence of their own to establish that any of Medline’s 
conduct was out of line with industry norms.  Nor did the Debtors adduce any such 
testimony from Medline’s witnesses.  Debtors essentially argue that where, as here, 
there was any collection activity at all, the transfers that followed necessarily fall 
outside of ordinary business terms which “prevail in healthy [] creditor-debtor 
relationships,” regardless of whether those transfers still fall within an objective 
industry norm, such as the “days to pay” range.  This argument seems at odds with 
the proposition that the industry standard is necessarily defined as a “range of terms,” 
and that establishing an industry norm is “not an exacting standard.”  The Third 
Circuit has explained that the burden to establish “ordinary business terms” 
          does not imply that the creditor must prove the existence of 
          some single, uniform set of industry-wide credit terms, a 
          formidable if not insurmountable obstacle given the great 
          variances in billing practices likely to exist within the set of 
          markets or submarkets which one could plausibly argue 
          comprise the relevant industry. 
In re Molded Acoustical,  
18 F.3d at 223-24
.  Instead, ordinary business terms “refers 
to the range of terms that encompasses the practices in which firms similar in some 

'! The Bankruptcy Court held that “any evidence of the Defendant’s collection 
activity, even if extraordinary or unusual, is not relevant to the objective ordinary 
course of business defense.”  Jn re Center City Healthcare,  664 B.R. at 217.

general way to the creditor in question engage ...”  In re Molded Acoustical,  
18 F.3d at 223
-24 (quoting Tolona Pizza, 
3 F.3d at 1033
 (emphasis in original). 
    The Debtors also cite FT Liguidating Trust v.  C.H. Robinson Company, Inc.  (In 
re Fred’s Inc.), 
2025 WL 208536
 (Bankr. D. Del. Jan.  15, 2025), which discusses the 
SJ Opinion.  See 
id.
 at *8—9.  The Debtors argue that decision “is instructive ... on the 
continued post-BAPCPA viability of the Third Circuit’s decision in In re Molded 
Acoustical.”  D.I.  17 at 2.  In In re Fred’s Inc., as here, the court considered a 
creditor’s argument that the transfers it received from the debtor were made 
according to “ordinary business terms” and thus exempt from avoidance.  Jn re 
Fred’s Inc., 
2025 WL 208536
, at *7.  Unlike the case here, however, the creditor in 
In re Fred’s Inc. based this argument primarily on a declaration seeking to establish 
that “it is common in the transportation and logistics industry for a supplier to tighten 
credit terms once it becomes clear that a customer is facing financial difficulty.”  Jd. 
at *7.  The court rejected this evidence based on guidance from Molded Acoustical 
that ordinary business terms—for purposes of establishing the industry norm—“are 
those that prevail in healthy [] creditor-debtor relationships.”  Jd. at *7 (citing In re 
Molded Acoustical,  
18 F.3d at 227
.  And while the creditor there cited the MSJ 
Opinion in support of its argument that ordinary business terms include terms that are 
ordinary in light of the debtor’s financial condition, the court labelled this as “a 
misreading” of the MSJ Opinion.  Jd. at *8. 

    I agree.  Here, consistent with Jn re Molded Acoustical, Medline put forward 
RMA data based on healthy creditor-debtor relationships, which the Bankruptcy 
Court found sufficient to establish an industry norm for “days to pay” and to show 
that certain of the Transfers were objectively ordinary—that those Transfers fell 
within the range of terms that encompass “the practices in which firms similar in 

some general way to the creditor in question engage”—i.e., payment within 28 to 76 
days.  Having failed to come forward with specific facts disputing the Industry 
Range, or to present evidence showing Medline’s credit enforcement was so 
idiosyncratic as to fall outside the broad range of terms on which similar firms 

engage, the Debtors cannot be said to have raised a genuine issue of material fact that 
would allow a  trier of fact to return a verdict in their favor. 
          3.     The Bankruptcy Court Did Not Abuse its Discretion by 
                Admitting Mr. Toppi’s Expert Analysis Based on RMA Data 
    The Debtors argue that the Bankruptcy Court abused its discretion by admitting 
Mr. Toppi’s expert analysis because (1) the RMA data is inherently unreliable in the 
context of establishing an objective ordinary course defense; and (2) the RMA data 

was inadmissible hearsay.  See D.I.  12 at 24-30, 33-34. 
    As the Third Circuit has emphasized, “[t]he Rules of Evidence embody a 
strong and undeniable preference for admitting any evidence which has the potential 
for assisting the trier of fact.”  Kannankeril v.  Terminix Int’l, Inc.,  
128 F.3d 802
, 806 
(3d Cir.  1997), as amended (Dec.  12,  1997); see also In re AES Thames, 
2016 WL 11595116
, at *7 (“The Third Circuit joins other jurisdictions in taking a  liberal view 

on the admission of expert testimony”). 
    With respect to the Debtors’ first argument, the Bankruptcy Court properly 
found that the RMA data was reliable for establishing an ordinary course defense. 
Here, Mr. Toppi’s expert testimony as to the industry standard was based on RMA 
data, which other courts have repeatedly recognized as reliable and appropriate.  See 
In re AES Thames, 
2016 WL 11595116
, at *7 (holding “[t]he data is sufficiently 
tested, reliable and [the expert’s] opinion [based on the RMA data] is helpful to the 
Court.”); In re  ITT Educ. Servs., Inc., 
2021 WL 933984
, at *9 (Bankr. S.D. Ind. Mar. 
11, 2021) (“reliance on data obtained from RMA is both reasonable and appropriate 
for determining the relevant industry standards.”); Dietz v. Jacobs, 
2014 WL 1153502
, at *4 (D. Minn. Mar. 21, 2014) (RMA is “a well-established source for 
credit information.”) 
    The Debtors further assert that RMA discloses that its data serves “only as 
general guidelines and not as absolute industry norms.”  (D.I.  12 at 25 (citing A.59- 
117).)  This argument also has been rejected by courts.  As the court in Jn re AES 
Thames observed, while acknowledging the limitations of its data set, RMA makes 
clear that, “[flor over 94 years, RMA’s Annual Statement Studies has been the 
industry standard for comparison financial data.”  In re AES Thames, 
2016 WL 11595116
, at *9.  The Dietz court also rejected this argument, noting that the same 

                                     9A 

document containing RMA’s disclaimer language also touted RMA’s data as “the 

‘most respected source’ of industry information” and “the industry standard for 
comparison financial data.”  Dietz v. Jacobs, 
2014 WL 1153502
, at *4; see also Blue 
Cross & Blue Shield, 
2013 WL 2434838
, at *8 (declining to exclude expert testimony 
based on RMA data).  The Debtors cite no decision holding that RMA data is 
unreliable. 
    The Debtors further assert that Mr. Toppi did not conduct a robust statistical 
analysis to determine whether the RMA data was representative of the industry as a 
whole.  In support of that argument, Debtors contend that RMA discloses that its data 

may not be “fully representative” of a standard for a particular industry.  D.I.  12 at 
25.  But the Third Circuit has rejected any requirement that a transferee asserting an 
ordinary course defense establish an absolute norm that perfectly represents the 
industry at issue, explaining that the defense does not require “that the creditor must 
prove the existence of some single, uniform set of industry-wide credit terms, a 
formidable if not insurmountable obstacle given the great variances in billing 
practices likely to exist within the set of markets or submarkets which one could 
plausibly argue comprise the relevant industry.”  Molded Acoustical,  
18 F.3d at 224
. 
Medline need only establish that the payments it received fell somewhere within “the 
range of terms” that firms that are similar in some general way follow.  Jd. (quoting

Tolona Pizza, 
3 F.3d at 1033
 (emphasis in original)).  I agree that the RMA data was 
sufficient for that purpose. 
    With respect to the Debtors’ second argument, the Bankruptcy Court properly 
rejected the argument that RMA data was inadmissible “double” or “triple” hearsay. 
The Bankruptcy Court determined that the RMA data was admissible under Federal 
Rule of Evidence 803(17), which excludes from the rule against hearsay “Market 
Reports and Similar Commercial Publications.”  See In re Center City Healthcare, 
644 B.R. at 213-14.  “Market quotations, lists, directories, or other compilations that 

are generally relied on by the public or by persons in particular occupations” are not 
excluded by the rule against hearsay.  Fed. R. Evid. 803.  The hearsay exception for 
market reports is based on “general reliance by the public or by a  particular segment 
of it, and the motivation of the compiler to foster reliance by being accurate.”  Fed. R. 
Evid. 803 Advisory Committee’s Note to Paragraph (17).  The record supports a 
determination that the RMA data fell within this exception.  First, the RMA data is a 
compilation of market data—‘‘a compilation of the ‘days to pay’ data garnered from 
information provided to RMA from companies in the industry.”  Jn re Center City 
Healthcare, 644 B.R. at 213.  Second, as established by the uncontroverted 
declaration of Shane Reed, Medline’s Director of Credit, professionals in the industry 
routinely rely upon RMA data to determine market credit terms.  (See B.110, Reed 
Decl. □□□ 5-13.)  Moreover, RMA has incentive to maintain the accuracy of their data: 

                                     IG 

if it were not accurate, market participants would cease to rely upon it and RMA’s 

business model would collapse.  I agree the RMA data was admissible under Federal 
Rule of Evidence 803(17). 
    In sum, Medline established, through uncontroverted evidence, that at least 
$1,297,376.50 of the Transfers were paid in a manner consistent with the broad range 
of prevailing practices in Medline’s industry, and thus protected from avoidance by 
the objective ordinary course defense. 
    B.     Medline’s New Value Defense 
    The Bankruptcy Court concluded that Medline “presented credible evidence 
that it provided new value to the Debtors of $4,064,050.97.”  In re Center City 
Healthcare, 644 B.R. at 219 (citing B.226, B.447, Toppi Decl. at § 21, Ex. 8 at 74). 
Medline prepared an analysis that subtracted—on an invoice-by-invoice basis in 
sequential order—the New Value Invoices from the $3,095,648.06 in Transfers that 
fell outside of the more conservative Industry Range determined by Mr. Toppi.  (See 
B.78, SUMF § 66; B. at 372, Toppi Decl., Ex. 7 at 104.)  The net result of that 
analysis was $0.  (See id.)  The new value provided by Medline to the Debtors, as the 
Bankruptcy Court explained, was “more than sufficient to cover the preferential 
transfers of $3,095,648.06 remaining after application of the ordinary course of 
business defense.”  Jn re Center City Healthcare, 644 B.R. at 219.

    None of the above was meaningfully contested by the Debtors.  The only 
argument advanced with respect to new value in the body of the Debtors’ Response to 
the MSJ below was that, if Medline were unsuccessful on its objective ordinary 
course defense, then mathematically Medline’s new value defense might be 
insufficient to cover all liability.  (B.485.)  Notwithstanding Medline’s arguments that 
the Debtors failed to contest Medline’s new value defense and should be barred from 
expanding on arguments mentioned previously only in a footnote (see D.I.  14 at 45- 
47 (citing B.485, Response at 30 n.147)), those arguments would not require a 
different outcome.  As the Bankruptcy Court explained, “[e]ven if the Court were to 
accept the assertions of Ms. Prill and deduct the service charges ($26,415.22), mis- 
numbered invoices ($210,053, 87), and new value provided outside the preference 
period ($539,523.93), the new value provided by the Medline is still sufficient to 
cover all of the remaining preferential transfers.”  In re Center City Healthcare, 664 
B.R. at 219.  Accordingly, the Bankruptcy Court properly concluded that the Debtors’ 
evidence was insufficient to rebut Mr. Toppi’s new value analysis so as to create a 
genuine issue of material fact. 
     CONCLUSION 
    Medline satisfied its burden of proving that there was “no genuine dispute as to 
any material fact” and that it was “entitled to judgment as a matter of law” that 

                                     IQ 

objective ordinary course defense and the new value defense rendered the Transfers 

exempt from avoidance.'?  Accordingly, I will affirm the Order in all respects. 
    The Court will issue a separate Order consistent with this Opinion. 

'? Based on the foregoing, the Bankruptcy Court also properly dismissed Counts III 
and IV of the Complaint.  Count III seeks only recovery of any transfers following 
avoidance.  Because none of the Transfers are avoidable, the Debtors may not recover 
on account of the Transfers.  Count IV seeks disallowance of Medline’s claims, if 
any, against the estates unless and until Medline pays amounts owed with respect to 
any avoided transfers.  Again, because the Transfers are not avoidable, disallowance 
does not apply. 

                                     90 

Case Details

Case Name: Center City Healthcare, LLC v. Medline Industries, Inc.
Court Name: District Court, D. Delaware
Date Published: Nov 17, 2025
Docket Number: 1:24-cv-01019
Court Abbreviation: D. Del.
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