MEMORANDUM OPINION AND ORDER GRANTING SUMMARY JUDGMENT
Before the Court is the Motion for Summary Judgment, filed, pursuant to Rule 56 of the Federal Rules of Civil Procedure, by Wendell Davis, Bobby Hargis, Quantum Health Services, Inc. (Quantum), Pennsylvania Health Care Management, Inc. (PHCMI), Armstrong Health Care, Inc. (Armstrong), Continental Health Care, Inc. (Continental), and Global Health Care, Inc. (Global) (collectively “the Movants”), in connection with the .claims asserted by Nursing Home Consultants, Inc. (NHC) in the above-captioned action.
1
NHC has responded to this motion, opposing the relief sought. In support of their motion, the Movants have raised a number of legal arguments; however, after carefully considering the parties’ submissions, the Court has become convinced that it need only consider one of those arguments, as the Court is of the opinion that the first of the Movants’ arguments is dispositive of this matter.
2
As indicated during the on-the-record telephone conference held on May 10, 1996, the Court has concluded that the contract from which this litigation stems is illegal, and hence unenforceable, and that, under the facts of this case, no claim for damages can be predicated upon this contractual relationship, including NHC’s claim for fraud, as presently alleged. After considering the arguments raised in NHC’s most recent filing (which the Court agreed to accept after its May 10th telephone conference), and the Movants’ response thereto (which was received by fax on May 16, 1996), the views expressed by the Court during the May 10th telephone conference are hereby reaffirmed, adopted in full, and incorporated by reference herein. Accordingly, the Movants’ motion for summary judgment will be granted.
3
The Court files this written opinion to ex
I.
This litigation arises out of a failed business relationship between Quantum, a closely-held Pennsylvania corporation, 4 and NHC, an Arkansas corporation. 5 Many of the parties’ factual allegations'—most notably those concerning the corporate structure and separateness of the individual and corporate movants—are hotly disputed. However, the basic facts from which this litigation stems are largely uncontested, and the Court need only rely upon the following brief synopsis of these background facts in resolving the present motion. Indeed, the Court believes that, arguably, it could resolve this dispute on the basis of the factual allegations made by NHC in support of its complaint. 6 However, since the Movants have chosen to submit certain evidence beyond the pleadings in support of their motion, the Court will, from time to time, make reference to and rely upon that evidence, as well as that submitted by NHC.
At all times relevant to this dispute, Quantum was (and apparently still is) in the business of supplying certain medical equipment and supplies to nursing home patients, 7 for whom the cost of said equipment was subsidized by Medicare Part B. 8 Restatement of Claims, Exh. A, ¶ 13. NHC was (and apparently still is) in the business of marketing medical supplies and equipment on behalf of other companies to nursing home residents. Restatement of Claims, Exh. A, ¶ 8. In other words, NHC acted as an intermediary between nursing home residents, who were covered by Medicare, and certain medical suppliers, whose products were paid for (at least in part) by the residents’ Medicare coverage. 9
On January 25, 1993, Quantum and NHC entered into a contract (the Marketing Agreement), see Restatement of Claims,
On December 17, 1993, Jeral Howard, the president of NHC, wrote to Wendell Davis, the president of Quantum, and informed him that effective December 31, 1993, NHC was terminating the Marketing Agreement. Restatement of Claims, Exh. A, exh. B. NHC based its action upon Quantum’s alleged failure to follow the Marketing Agreement’s “order taking procedure and service guidelines,” and it is this alleged breach that serves as the basis for this lawsuit. Basically, NHC alleges that Quantum, through a rather complicated billing scheme (known in Medicare circles as the prohibited practice of “carrier shopping”), allowed a number of the sales solicited by NHC for Quantum’s benefit to be filled by other companies that were allegedly owned and/or controlled by Mr. Davis (namely PHCMI, Armstrong, Continental, and Global), and that as a result Quantum artificially deflated its accounts receivable (by lowering the number of sales reflected therein). Hence, because NHC’s compensation was a function of the number of items sold by Quantum (as reflected in Quantum’s accounts receivable), NHC claims that Quantum caused it to receive compensation under the Marketing Agreement that was less than it was entitled to, a sum NHC states is $250,
II.
The Court turns now to the merits of the summary judgment motion which is before it. The standards governing the Court's consideration of such a motion are well-established. Under Rule 56 of the Federal Rules of Civil Procedure, summary judgment is appropriate only when "`the pleadings, depositions, answers to interrogatories and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.'"
Anderson v. Liberty Lobby, Inc.,
III.
The Court will first address NHC’s claim for breach of contract. The Movants argue that the Marketing Agreement, upon which NHC’s claim is based, is illegal, and hence unenforceable, because it violates federal Medicare law. Basically, the Movants argue that this violation results from the fact that the Marketing Agreement pegs NHC’s compensation to the number of sales made by Quantum, rather than to a pre-determined annual fee. Ultimately, the Court agrees with the Movants that the Marketing Agreement violates the federal Medicare statutes and that, under the facts of this case, recovery cannot be had under a breach of contract theory. However, before discussing this matter, the Court must address a preliminary issue, namely what substantive body of law governs NHC’s breach of contract claim.
A.
Since this is a diversity action, the Court must apply the substantive law of the forum state, namely Arkansas,
Erie R.R. Co. v. Tompkins,
That having been said, there remains the question of what state’s law governs the threshold issue raised by the Movants’ defense—namely whether the Marketing Agreement is, in fact, illegal.
A distinction must here be drawn between the effect of illegality upon the validity of the contract and the illegality as such. The effect of illegality upon the validity of the contract depends upon the law selected by the application of the rules of §§ 187-188. On the other hand, whether there is any illegality will usually depend upon the local law of each state where an act related to the contract was, or is to be, done. So the local law of the state where a promise was made will usually be applied to determine the legality of its making. Similarly, the legality or illegality of performance under a contract is usually determined by the local law of the state where the performance either has taken, or is to take, place.
Restatement (Second) of Conflict of Laws
§ 202 cmt. c (1971). In light of the Marketing Agreement's choice-of-law clause, it could, perhaps, be argued that Pennsylvania law applies to this issue.
Cf. Restatement (Second) of Conflict of Laws
§ 187, cmt. d (1971). However, since the illegality in this case is alleged to stem from a violation of federal law and policy, it doesn't really matter whether Pennsylvania or Arkansas law governs this issue. If the Marketing Agreement violates the law and/or policy underlying the federal Medicare system, as expressed in the Medicare statutes and regulations, it is illegal in any state in the Union.
16
See 15
Samuel Williston,
A Treatise on the Law of Contracts
§ 1792 at 371 (Walter H.E. Jaeger, ed., 3d. ed. 1972) ("[I]f the bargain is illegal (as distinguished from merely unenforceable) where made, it is usually invalid everywhere...."). Hence, the Court need not resolve this particular conflicts problem, and may simply inquire whether the Marketing Agreement violates federal law and/or public policy.
See McBrearty v. United States Taxpayers Union,
B.
The Medicare statute at issue in this case is 42 U.S.C. § 1320a-7b(b)(l), which, among other things, makes it a crime to:
knowingly and willfully solicit! ] or receive!] any remuneration (including [but not limited to] 17 any kickback, bribe, or rebate) directly or indirectly, overtly or covertly, in cash or in kind—
(A) in return for referring an individual to a person for the furnishing or arranging for the furnishing of any item or service for which payment may be made in whole or in part under [Medicare] ..., or
(B) in return for purchasing, leasing, ordering, or arranging for or recommending purchasing, leasing, or ordering any good, facility, service, or item for which payment may be made in whole or in part under [Medicare]____
As the Court stated during the May 10th telephone conference, the Marketing Agreement, by virtue of its compensation scheme, falls directly within the class of transactional
While the Marketing Agreement plainly falls within the literal purview of § 1320a-7b(b)(1), this alone does not entail the conclusion that the agreement is illegal. Given the extremely broad scope of § 1320a-7b(b)(1), the Secretary of Health and Human Services was directed, in Pub.L. 100-93, § 14, 101 Stat. 688, 697 (1987), "to promulgate regula
As used in [42 U.S.C. § 1320a-7b(b)(l) ], “remuneration” does not include any payment made by a principal to an agent as compensation for the services of the agent, as long as the following six standards are met:
(5) The aggregate compensation paid to the agent over the term of the agreement is set in advance, is consistent with fair market value in arms-Iength transactions and is not determined in a manner that takes into account the volume or value of any referrals or business otherwise generated between the parties for which payment may be made in whole or in part under Medicare____
(Emphasis added). Plainly, the Marketing Agreement fails this test, in that NHC’s .compensation was directly pegged to the number of sales generated on behalf of Quantum. As such, the Court must conclude that the Marketing Agreement is illegal, and hence unenforceable, in that it contemplates a business arrangement that is prohibited by § 1320a-7b(b)(l), and which is not saved by the “safe harbor” regulations. This remains true even if, as NHC claims, the Marketing Agreement only amounts to a “technical” violation of the Medicare statute. 21 See Officer of Inspector General, Department of Health and Human Services, Notice of Final Rule, 56 Fed.Reg. 35952, 35954 (1991) (refusing to incorporate into the “safe harbor” regulations any defense based upon the concepts of “substantial compliance” with, or mere “technical violations” of, § 1320a-7b(b)(l)).
C.
NHC argues that even if the Marketing Agreement is held to be illegal, it should nevertheless be allowed a contract-based recovery under an unjust enrichment theory. Given the facts of this case, the Court is constrained to disagree.
This statement accords with the law of Pennsylvania, which, as discussed above, controls this particular aspect of the case. Indeed, in a case, like this one, involving a dispute arising out of a contract that violated a federal statute, the Pennsylvania Supreme Court stated:
[A]n agreement which violates a provision of a statute, or which cannot be performed without violation of such a provision, is illegal and void. Pennsylvania R.R. Co. v. Cameron,280 Pa. 458 , 466,124 A. 638 , 640,33 A.L.R. 1281 (contract in violation of the Interstate Commerce Act, 49 U.S.C.A. § 1 et seq.); Kimble v. Wilson,352 Pa. 275 , 281, 282,42 A.2d 526 , 529 (contract violating the Public Utility Law, 66 P.S. § 1101 et seq.); Kissell v. Motor Age Transit Lines,357 Pa. 204 , 209,53 A.2d 593 , 595 (violation of the Federal Motor Carrier Act, 49 U.S.C.A. § 301 et seq.). Where a contract is found to be against public policy it cannot, under any circumstances, be made the basis of a cause of action. The law when appealed to will have nothing to do with it, but will leave the parties just in the condition in which it finds them. If they have fully executed their unlawful contract, the law will not disturb them in the possession of what each has acquired under it. If one has executed in whole or in part, the law turns a deaf ear when he pleads for its aid to compel the other to do as much. * * * If the contract is still executory, the promisor is left undisturbed in the possession of the money or other property which he agreed to pay or transfer; if the contract has been executed, the promisee is left undisturbed in the possession of the money or other property which has been paid or conveyed to him. City of Pittsburg v. Goshorn,230 Pa. 212 , 227,79 A. 505 , 510; see also New York & Pennsylvania Co. v. Cunard Coal Co.,286 Pa. 72 , 81, 82,132 A. 828 , 831; 12 Am.Jur. 725, § 213.
Dippel v. Brunozzi,
While it appears that, prior to the execution of the Marketing Agreement, Quantum’s president, Mr. Davis, had received legal advice indicating that the agreement’s per-item fee structure was likely in violation of the Medicare statute (though it is far from clear that Mr. Davis was, in fact, convinced that that opinion was correct), see Davis Deposition (8/17/94) at 52-55 (Docket No. 257, Exh. C-l), Mr. Davis did not withhold that information. NHC’s president, Mr. Howard, testified during his deposition that while negotiating the terms of the Marketing Agreement, Mr. Davis told him that the Marketing Agreement’s compensation scheme “may be [in] violation of [the Medicare] Safe Harbor,” and accordingly Mr. Davis proposed that NHC be paid a fiat fee (which would have complied with the Medicare statute). Howard Deposition (9/19/94) at 17. Mr. Howard rejected this proposal, stating “I am on a commission fee, paid one time a month from those fees, which are equivalent to 33%.
I will not accept anything
else____”
23
Id.
(emphasis added);
see also id. at
20. In light of Mr. Howard’s deposition testimony, it is hard to fathom how NHC can argue that it and Quantum were not
in pari delicto
in connection with this aspect of them agreement.
24
On the contrary, this testimony only confirms that the principals involved in this transaction knew that their business arrangement might be illegal, but that they nevertheless decided to proceed with it. Indeed, a fair reading of this testimony suggests that Mr. Howard considered any alternative to this commission-like compensation scheme a deal breaker, even though Mr. Davis alerted him to the questionable legality
So, what we have here is a business arrangement entered into by sophisticated and intelligent businessmen. Each is charged with equal knowledge of the applicable law, and each freely elected to enter into this illegal business arrangement. The overriding public interest in insuring that the prohibitions of the Medicare statute are fully enforced undercuts and diminishes whatever force there might be (if indeed there is any) to NHC’s
in pari delicto
argument.
See Resolution Trust Corp. v. Home Savings of Am., supra,
IV.
The Court turns now to discuss, albeit somewhat more briefly, NHC’s remaining claim of fraud. Ultimately, the Court concludes that the Movants are likewise entitled to summary judgment on this claim. Before explaining its reasons for that conclusion, however, the Court must first consider a preliminary matter, namely what law governs NHC’s fraud claim.
A.
The conflicts principle known as depecage requires a separate conflict-of-laws analysis for discrete issues in a case.
See Ewing v. St. Louis-Clayton Orthopedic Group, Inc.,
In tort cases, the Arkansas Supreme Court has adopted Professor Robert Leflar's "most significant relationship" test (as distinguished from that of the
Restatement (Second) of Conflict of Laws
§ 145 (1971)) for resolving conflict-of-laws issues.
Wallis v. Mrs. Smith's Pie Co.,
B.
That having been said, the discussion of NHC’s fraud claim, as pled, is a relatively simple matter. Since NHC cannot prevail on its breach of contract claim, the Court concludes that it cannot prevail on the fraud claim that it has presented. This is because that claim, as pled, is premised upon the conduct of the business operations of Quantum (and the other movant corporations), as well as the representations of Mr. Davis pertaining to Quantum’s anticipated performance of the Marketing Agreement. In other words, NHC is alleging that Quantum and Mr. Davis (and the other movants) are guilty of fraud because Quantum never intended to fully perform its obligations under the Marketing Agreement.
At the outset, the Court notes that because NHC’s fraud claim is predicated upon alleged misrepresentations made, at the time of contracting, by Quantum (and Mr. Davis) as to Quantum’s anticipated future performance of the Marketing Agreement, see Restatement of Claims ¶¶ 71(a)-(c), a serious argument can be made that NHC’s fraud claim is facially deficient. As the Arkansas Supreme Court has recently explained:
In the context of negotiating a contract, a misrepresentation sufficient to form the basis of a deceit action may be made by one prospective party to another and must be related to a past event, or a present circumstance, but not a future event. “An assertion limited to a future event may be a promise that imposes liability for breach of contract or a mere prediction that does not, but it is not a misrepresentation as to that event.”
South County, Inc. v. First Western Loan Co.,
However, the Court need not rely upon the Movants’ “future representation” argument in disposing of NHC’s fraud claim, in that that claim suffers from a more fundamental flaw. As more fully discussed above, NHC’s fraud claim is based upon its allegations that Quantum never intended to fully perform its obligations under the Marketing Agreement. A necessary predicate for that claim is that NHC was entitled to such performance. This, in essence, is the heart of NHC’s claim for damages. However, as it turns out, NHC was not entitled to that performance, since the whole business undertaking with Quanturn was illegal. Thus, since NHC was not entitled to Quantum’s performance of the Marketing Agreement (because that agreement was illegal and unenforceable), it follows that NHC will be unable to show any damages resulting from that non-performance. Hence, the facts alleged by NHC fail to state a prima facie case for fraud (or, for that matter, constructive fraud) under the theory alleged, since the suffering of recoverable damages is a necessary element of such a cause of action. In essence, if the Court were to allow NHC’s fraud claim, as pled, to proceed, it would be indirectly permitting NHC to recover for Quantum’s failure to perform an illegal contract, a result which the Court has already stated it is unwilling to sanction. Accordingly, the Court concludes that the Movants are entitled to summary judgment on NHC’s claim for fraud that is now before the Court.
This is not to say, however, that there is no tenable fraud theory that could be pursued under the facts alleged by NHC. If, for example, NHC had claimed that Mr. Davis induced NHC into entering the agreement knowing that that agreement was illegal under the Medicare statute, and that he intended to reap the benefits of NHC’s performance and then avoid Quantum’s liability thereunder by raising an illegality defense, that would be a perfectly good fraud claim. NHC, however, has not advanced such a theory in any version of its complaint.
27
Given the requirements of Fed.R.Civ.P. 9(b), which require that a plaintiffs pleadings provide the defendant with notice of his specific theory of liability and the facts upon which it is based,
see Commercial Property Investments, Inc. v. Quality Inns Int’l, Inc.,
V.
IT IS THEREFORE ORDERED that the Movants’ Motion for Summary Judgment † be, and it is hereby, GRANTED. This order resolves all claims pending or remaining in LR-C-94-22 and LR-C-94-325, and thereby serves to terminate this litigation.
Notes
. These claims are set forth in the parties' jointly submitted Restatement of Claims (Docket No. 181), which was filed on November 16, 1995, at the request of the Court, in an effort to clarify the various issues raised in the numerous pleadings that had been filed up to that point. And, while NHC has recently provided the Court with a second restatement of its claims, that document has never been filed (nor was NHC granted leave to file that document). So, throughout the course of this opinion the Court will only refer to those claims set forth in the filed Restatement of Claims.
. Accordingly, the Court expresses no opinion on the merits of the other arguments advanced by the Movants.
.On March 1, 1996, the Movants filed a similar motion for summary judgment in connection with the claims asserted by Sam Lamey and Jerry Berry in LR-C-95-325 (Docket No. 206). However, prior to the filing of that motion, on February 9, 1996, Messrs. Lamey and Berry were alleged to have settled their claims against the Movants, and, on April 11, 1996, the Court entered an order enforcing that settlement agreement (Docket No. 237), which the Court has recently supplemented so as to provide a more detailed explanation for its decision (Docket No. 254). Thus, the above-referenced motion has been rendered moot.
. In the present context, a closely held corporation is one with thirty or less shareholders. See 15 Pa.Cons.Stat.Ann. § 1103 (West Supp.1995) (defining closely-held corporations). While Pennsylvania law permits closely held corporations to be organized as statutory close corporations, see 15 Pa.Cons.Stat.Ann. §§ 2301 to 2337 (West Supp.1995), the evidence in the record (notably Quantum's stock certificates) indicates that Quantum did not avail itself of this option. See 15 Pa.Cons.Stat.Ann. § 2321(c) (West Supp. 1995) (detailing the requirements for the capital stock certificates of statutory close corporations). At the time of its incorporation in December, 1990, Quantum's 100 shares of stock ("certificated securities" as defined by 13 Pa.Cons.Stat.Ann. § 8102(a)(1) (West Supp.1995), see
Jennison v. Jennison,
. The details of NHC's corporate structure are not fully reflected in the record before the Court. The Court has, however, been able to ascertain that Jeral Howard now owns 100% of NHC's outstanding stock (he initially owned 50%, and the remaining 50% was later repurchased from NHC). Howard Deposition (1/10/96) at 6-7 (Docket No. 210, Exh. E).
. Thus, the Court is left to wonder why the Movants did not raise their illegality argument in one of their previously filed motions to dismiss. Nevertheless, they did not, and so the Court will consider this issue in the context of Rule 56, rather than Rule 12(b)(6).
. Quantum, it appears, actually functioned as a retailer, as the medical supplies which it sold were provided to Quantum by various wholesaler companies. Restatement of Claims, exh. A, ¶ 22.
. Medicare Part B, 42 U.S.C. §§ 1395j to 1395w-4, is "a voluntary supplemental insurance program covering, generally, eighty percent of the reasonable charges for physician’s services, as well as certain other medical benefits” which are not covered by Medicare Part A, 42 U.S.C. §§ 1395c to 1395Í-4.
United States v. Bushman,
. Since NHC did not itself supply medical supplies to nursing home residents, the relationship between NHC and the medical suppliers with whom it did business could not be described as that of retailer/wholesaler.
. Page 1 of the Marketing Agreement states that NHC was being enlisted as Quantum’s marketing agent for a specific "market area,” which was supposed to be defined in Attachment B to the Marketing Agreement. However, it does not appear that Attachment B (if it exists) has ever been reproduced and attached to any of the numerous copies of the Marketing Agreement in the record. Nevertheless, it appears that NHC’s efforts were limited to marketing in the southwestern United States. See Restatement of Claims, Exh. A, Í 24.
For present purposes, it is unnecessary to describe in detail the conditions which made it economically beneficial for a nursing home residents in the southwest to purchase medical supplies from a Pennsylvania corporation. In a nutshell, it appears that in 1993, medical suppliers in certain states had a competitive advantage in providing medical supplies. At that time, the rate of Medicare reimbursement was not uniform across the United States {i.e., some geographic areas had a better rate of reimbursement than others), and, under Medicare's "point of sale” rules that were in effect in 1993, see 42 C.F.R. Parts 405, 420, 421 and 424, the rate of reimbursement was determined on the basis of where the sale was made (in this case Pennsylvania), rather than where the product was eventually used by the Medicare recipient. Restatement of Claims, Exh. A, ¶¶ 23-25.
. NHC also sought compensation for lost goodwill, but has since conceded that it has "not lost any business goodwill as a result of [its] association with the Moving Parties.” NHC Reply Brief at 4, n. 1 (Docket No. 222).
. Mr. Davis’ liability for Quantum's alleged breach is predicated upon a traditional “alter-ego/veil piercing” theory. However, as the Court has discussed earlier in this litigation, the movant corporations' liability is predicated upon a far more controversial theory, which the Court has referred to as "triangular piercing.” (This theory of liability can also be conceptualized under the "single business enterprise” theory of piercing the corporate veil. See 1 William Meade Fletcher, Fletcher Cyclopedia of the Law of Private Corporations § 43 (Supp.1994)).
Conceptually, a triangular pierce results from a sequential application of the traditional piercing doctrine and the "reverse piercing" doctrine—which is itself controversial in that it allows corporations to be held liable for the acts of their shareholders,
see generally McCall Stock Farms, Inc. v. United States,
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Earlier in the course of this litigation, the Court commented that it had serious reservations as to the viability of this "triangular piercing" theory of liability, in that it is plainly out of harmony with both the traditional piercing doctrine and the more novel "reverse piercing” doctrine. These two doctrines are ordinarily applied to overcome the legal separateness between a corporation and its shareholders, see generally 1 William Meade Fletcher, Fletcher Cyclopedia of the Law of Private Corporations §§ 41.20, 41.70 (perm. ed. rev. vol. 1990), while the "triangular piercing” theory allows for liability between corporations that are not stockholders of each other. However, given the Court's ultimate resolution of this dispute, it is not required to pass upon this particular issue.
. Although these decisions arose in the context of the sale of goods governed by the Uniform Commercial Code (as enacted in Arkansas), the Eighth Circuit has indicated that this principle of Arkansas conflicts law is not so limited.
See JRT, Inc. v. TCBY Sys., Inc.,
. While NHC has made various allegations of fraud against the Movants in connection with the execution of the Marketing Agreement, it has never alleged that the choice-of-law clause itself resulted from any such fraud. Accordingly, the Court may properly give effect to this choice-of-law clause irrespective of NHC's claims of fraud. Restatement (Second) of Conflict of Laws § 201 cmt. c (1971).
. Without this choice-of-law clause, however, it appears, under the Arkansas Supreme Court’s most recent pronouncement on the subject, that the Movants’ available remedies would be determined by Arkansas law.
See Metropolitan Life Ins. Co. v. Kendall,
. And, thus, any contrary state law or policy visa-vis the enforcement of this contract must yield in this case. See U.S. Const. Art. VI, cl. 2.
. The Court has inserted this bracketed language in light of the decisions in
Hanlester Network v. Shalala,
. NHC argues that, even if the Marketing Agreement violates § 1320a-7b(b)(l), summary judgment is inappropriate because there is a material issue of fact as to whether anyone actually intended to violate this statute,
i.e.,
that there is a fact question as to the intent element of the statute. This argument is a non-starter. While it might be true that the Court, at this point, could not say that anyone is criminally liable,
see Hanlester Network v. Shalala, supra,
. 42 U.S.C. § 1320a-7b(b)(3)(C) provides an exemption for "any amount [of compensation] paid by a vendor of goods and services to a person authorized to act as a purchasing agent for a group of individuals or entities who are furnishing services reimbursed under [Medicare]," such as skilled nursing facilities. See 42 U.S.C. § 1395x(u). However, this exemption requires that the compensation be paid pursuant to a written contract between the agent and a Medicare provider. 42 U.S.C. § 1320a-7b(b)(3)(C)(i). Since NHC's compensation was to be paid under a contract with a Medicare supplier (as opposed to a provider), the exclusion afforded by § 1320a-7b(b)(3)(C) is not applicable in this case. Likewise, since NHC was not an employee of Quantum, the exclusion afforded by 42 U.S.C. § 1320a-7b(b)(3)(B) is not applicable.
Also, the Court is aware that NHC, in its latest submission, has argued that it "did not merely act as a 'finder' and in return receive a 'finders fee’ from Quantum," and that "NHC’s performance under the Marketing Agreement consisted of making inventories of the nursing home medical supplies, and troubleshooting, such as returning unordered products.” Statement in Opposition at 11 (Docket No. 257). This may have been so, but this fact is of no moment. NHC’s compensation was based exclusively upon the number of units sold, and whether or not that compensation was strictly for salcs-relatcd activities is simply irrelevant. If NHC’s compensation under the Marketing Agreement was based even in part for conduct prohibited by § 1320a-7b(b)(I), which it clearly was, that is all that is required for the agreement to violate the statute.
See United States v. Bay State Ambulance & Hosp. Rental Serv., Inc.,
. NHC attempts to avoid this result by arguing that the legislative intent underlying § 1320a-7b(b)(l) indicates that it was only intended to apply to "physicians or other persons in a position to directly influence the ordering of goods or services that are reimbursable by Medicare.” NHC Reply Brief at 10. At the outset, the Court notes that NHC has not cited any legislative (as opposed to regulatory) historical materials in support of its argument. In any event, the short answer to NHC’s argument is that the plain language of the statute is not so limited.
See Connecticut Nat'l Bank v. Germain,
. Moreover, the Court notes that the regulatory history of § 1001.952(d) supports the conclusion that, while the Marketing Agreement may not properly form the basis of a criminal (or civil) prosecution, it is nevertheless illegal. See Officer of Inspector General, Department of Health and Human Services, Notice of Final Rule, 56 Fed. Reg. 35952, 35954 (1991) C'[M]any marketing and advertising activities may involve at least technical violations of the statute. We, of course, recognize that many of these ... activities do not warrant prosecution in part because (1) they are passive in nature, i.e., the activities do not involve direct contact with program beneficiaries, or (2) the individual or entity involved in these promotions is not involved in the delivery of health care.”).
Also, the Court notes that § 1001.952(d)’s regulatory history specifically contemplated that "commission sales agreements must meet the conditions of the safe harbor provisions governing personal services and management contracts.” Id.; see also Officer of Inspector General, Department of Health and Human Services, Notice of Proposed Rule, 54 Fed.Reg. 3088, 3093 (1989) ("[M]any commenters suggested that we broaden the exemption to apply to independent contractors paid on a commission basis. We have declined to adopt this approach.... We believe that if individuals and entities desire to pay a salesperson on the basis of the amount of business they generate, then to be exempt from civil or criminal prosecution, they should make these salespersons employees....”). While the Marketing Agreement may not, in the purest sense, be a commission sales agreement (although the argument can be made that, since NHC received a flat fee for each item sold, it received a commission on those sales (the percentage being the fee divided by the item's total cost)), this comment, in the Court's view, provides support for the conclusion that the Marketing Agreement is illegal because it violates § 1320a-7b(b)(l) and fails to fall within the "safe harbor” regulations.
. The Court notes that in paragraphs 51-53 of their answer to NHC’s Restatement of Claims, see Restatement of Claims, Exh. D, 'which answer was filed with the consent of NHC, the Movants did affirmatively plead the defense of illegality. As such, the Court is satisfied that the requirements of Fed.R.Civ.P. 8(c) have been sat
. In light of this testimony, the Court rejects NHC’s argument that Mr. Davis’ later proposal to substitute a flat fee for the Marketing Agreement’s compensation scheme—which was made in a July 8, 1993 letter in an apparent effort to satisfy the "safe harbor” regulations (Docket No. 257, Exh. A), and which was rejected by NHC, Howard Affidavit ¶ 5 (Docket No. 257, Exh. B)— constituted some kind of "bait and switch.”
. The Court is aware that Mr. Howard has provided the Court with an affidavit in which he claims that the legality of the Marketing Agreement’s compensation scheme was never discussed prior to its execution. Howard Affidavit ¶ 4. This stands in flat contradiction to his deposition testimony, and it is doubtful that this contradiction is sufficient to create a material issue of fact on this issue.
See Camfield Tires, Inc. v. Michelin Tire Corp.,
. "A 'false conflict' exists when the potentially applicable laws do not differ....” Eugene F. Scoles & Peter Hay, Conflict of Laws § 2.6 at p. 17 (1984).
. To the extent that there is any distinction between the law of these two states, the Court believes that the law of Arkansas would likely govern NHC’s fraud claim.
Cf. Crellin Tech., Inc. v. Equipmentlease Corp.,
Additionally, while NHC has not pled constructive fraud (though it appears to believe such a claim is before the Court, see NHC Reply Brief at 38-39)—which would eliminate the requirement of an intentional misrepresentation, but would require a fiduciary or other “special relationship” between the parties (a showing that, on the evidence presented, likely could not be made,
see TEC Floor Corp. v. Wal-Mart Stores, Inc.,
. And, as the Court indicated during the May 10th telephone conference, it is questionable whether the facts that have been developed would now permit NHC to allege that, in 1993, Mr. Davis knew, i.e., that he believed, that the Marketing Agreement was, in fact, illegal.
. NHC argues, in its recently filed Statement in Opposition, that its Restatement of Claims can be read to state such a fraud theory, because it has alleged that Mr. Davis misrepresented that "Quantum would be operated ... in accordance with Medicare Part B and in compliance with all applicable regulations.” Restatement of Claims Exh. A, ¶ 71 (a). Standing alone, this blanket allegation is likely not specific enough to support any claim of fraud.
Cf. Greenwood v. Dittmer,
Docket No. 208.
