ELIZABETH WHITE, Pеtitioner, vs. MEDERI CARETENDERS VISITING SERVICES OF SOUTHEAST FLORIDA, LLC, et al., Respondents. No. SC16-28 AMERICARE HOME THERAPY, INC., Petitioner, vs. CARLA HILES, Respondent. No. SC16-400
No. SC16-28, No. SC16-400
Supreme Court of Florida
[September 14, 2017]
LEWIS, J.
Two cases have been consolidated and are before the Court for review. First, we review the decision of the Fourth District Court of Appeal in Mederi Caretenders Visiting Services of Southeast Florida, LLC v. White, 179 So. 3d 564 (Fla. 4th DCA 2015). In White, the district court,
The issue presented is whether home health service referral sources can be a protected legitimate business interest under
FACTUAL AND PROCEDURAL BACKGROUND
The Parties
First, Petitioner, Elizabeth White, is a former employee of the Respondents, Almost Family, Inc. and its Florida-based subsidiary Mederi Caretenders Visiting Services of Southeast Florida, LLC (collectively Caretenders). Caretenders is a licensed home health care company (HHC).
Second, Respondent, Carla Hiles, is a former employee of the Petitioner, Americare Home Therapy, Inc. (Americare). Americare is also a licensed HHC.
The Home Health Services Industry
HHCs provide skilled nursing, physical therapy, and other home health services to homebound patients. Tо attract and develop their businesses, HHCs seek referrals from multiple patients’ health care providers. Generally, patients seek an HHC after a referral from a physician, hospital, or skilled nursing facility. Depending on the circumstances, the specific referral source varies between doctors, case managers, and referral coordinators. Accordingly, HHCs employ marketing representatives whose primary roles are to cultivate relationships with referral sources in the hope of securing future patient referrals. To effectively solicit referrals, HHCs train their representativеs to market and promote the HHC services.
The importance of referrals to HHCs cannot be overstated. One HHC representative testified that without marketing representatives, “his company would no longer be viable.” To facilitate their business, HHCs compile internal databases of referral source preferences, strategies, and procedures, which the representatives utilize. Just general nominal information about referral sources is publicly available and known among HHCs. Referral sources neither receive nor pay for the services. The referral relationships are not exclusivе and patients have the ultimate decision with regard to which HHC will be selected. Still, some regulations require doctors to write a referral prior to the patient receiving HHC services, similar to a prescription.
The Facts of White
White began working at Caretenders as a marketing representative in 2010. Her primary responsibility was tо solicit physicians and medical facilities for home health service referrals to Caretenders in both Martin and St. Lucie counties. Prior to this employment, White had never worked in the HHC industry and had no marketing skills, training, or experience. As a condition of employment, Caretenders required White to sign a confidentiality and non-compete agreement. This non-compete prohibited White from working for or soliciting referrals for any competing HHC in Martin and St. Lucie counties for one year after leaving Caretenders for any reason. White became dissatisfied and resigned in June 2011. White returned all of Caretenders’ materials, in compliance with one provision of the non-compete agreement, but accepted a job with a directly competing HHC, Omni Home Health (Omni).
It is undisputed that while working for Omni within the non-compete territory, White marketed to and attempted to solicit from referral sources for Omni, with whom she had developed relationships based on and during her employment at Caretenders. During this time, Caretenders experienced a decline in new patient referrals from the sources formerly assigned to White. After Caretenders threatened legal action, Omni reassigned White to a region outside the non-compete territory for over one year, in accordance with the non-compete contract.
In December 2011, Caretenders filed a legal action against White, alleging that she violated the non-compete agreement. White moved for summary judgment, contending, where relevant, that the non-compete agreement was unenforceable because referral sources are not a legitimate business interest under
The Facts of Hiles
Hiles began working at Americare as a home health liaison in 2011. Her primary responsibility was to market and solicit referral sources for Americare in Volusia County. Before working at Americare, Hiles had worked at a doctor‘s office in Volusia County for eight years, where her duties included some involvement in directly referring patients to HHCs. However, she did not work for an HHC prior to Americare. As a condition of her continued employment with Americare, Hiles executed a non-compete, non-solicitation, and non-disclosure agreement. This non-compete contract prohibitеd Hiles from working for any competing HHC within fifty miles of any referral sources that she solicited at Americare for one year after termination of her employment with Americare. Further, during the one-year non-compete period, Hiles was prohibited from soliciting any referral source that any Americare employee had solicited for Americare during the previous year. This non-compete prohibition applied to a territory of twenty-three counties where Americare operated.
While working for Doctor‘s Choice, Hiles solicited the same referral sources that she had solicited for Americare in Volusia County. In the twelve months prior to Hiles’ departure from Americare, the referrals assigned to Hiles generated approximately $712,000 in gross revenue for Americare. Contrarily, in October 2014, Americare received no referrals from those same sources. The following month, Americare received a significantly decreased volume of referrals from those sources. Americare contends that this downturn was due directly to Hiles’ conduct and departure; even though there may be multiple factors that may increase or decrease home health service referrals from month-to-month.
Shortly after her departure, Americare learned that Hiles had violated the non-compete agreement and it demanded that Doctor‘s Choice cease the violation. When that failed, Americare filed a legal action seeking a temporary injunction. The trial court held two evidentiary hearings and, after the second, orally granted the injunction. Without elaboration, it stated that Tummala was distinguishable. In pertinent part, the Fifth District reversed on the authority of Tummala and certified conflict with Infinity Home.
ANALYSIS
It is undisputed that both White and Hiles engaged in conduct in violation of their non-compete employment contracts by working for direct competitors of their prior employers within the non-compete territories during the relevant periods. In Florida, a contract providing restrictions on competition must involve a legitimate business interest as defined by statute to be enforceable.
Therefore, this dispute centers on whether home health service referral sources can be a protected legitimate business interest under
“It is a fundamental principle of statutory interpretation that legislative intent is the ‘polestar’ that guidеs this Court‘s interpretation.” Id. at 595 (quoting State v. J.M., 824 So. 2d 105, 109 (Fla. 2002)). “We endeavor to construe statutes to effectuate the intent of the Legislature.” Id. “To determine the legislative intent we look to the plain language of the statute.” Thayer v. State, 335 So. 2d 815, 816 (Fla. 1976).
Section 542.335 defines “legitimate business interest” with a list:
The term “legitimate business interest” includes, but is not limited to:
- Trade secrets, as defined in s. 688.002(4).
- Valuable confidential business or professional information that otherwise does not qualify as trade secrets.
- Substantial relationships with specific prospective or existing customers, patients, or clients.
- Customer, patient, or client goodwill associated with:
- An ongoing business or professional practice, by way of trade name, trademark, service mark, or “trade dress”;
- A specific geographic location; or
- A specific marketing or trade area.
- Extraordinary or specialized training.
White and Hiles naturally contend that recognizing referral sources as subject to protection under the statute is contrary to the statute by effectively protecting relationships with unidentified, prospective patients, similar to the Fifth District‘s reasoning in Tummala and Hiles. Caretenders and Americare argue that they seek to protect relationships with known, existing, and clearly identifiable health care providers, which is not prohibited by
In Tummala, the Fifth District held that recognition of referral sources as a protected legitimate business interest is contrary to the plain language of
Id. at 137-38. The Fifth District relied on the First District Court of Appeal‘s decision in Sanal, where a non-compete contract claimed an interest in a “prospective patient base”—all persons residing within a fifty-mile radius of a particular hospital. Sanal, 837 So. 2d at 513-14. Reading the plain language of
Turning back to the statute, the plain language of
In Sanal and Tummala, the district courts indicated that their holdings were mandated by the plain language of
Generally, it is improper to apply expressio unius to a statute in which the Legislature used the word “include.” See 2A Norman J. Singer, Sutherland Statutory Construction § 47.25 (7th ed. 2014). This follows the conventional rule in Florida that the Legislature uses the word “including” in a statute as a word of expansion, not one of limitation. See, e.g., In Re B.R.C.M., 182 So. 3d 749, 752 (Fla. 3d DCA 2015), quashed on other grounds, 215 So. 3d 1219 (Fla. 2017) (interpreting “includes” in
Attempting to protect identifiable referral sources is distinct from claiming an interest in an unidentified patient base. Infinity Home, 180 So. 3d at 1065. In his Hiles concurrence, Judge Sawaya recognized this. 183 So. 3d at 456 (Sawaya, J., concurring) (stating “I believe that Tummala stretches too far the holding in [Sanal]”). Although he felt constrained by Tummala, Judge Sawaya distinguished Sanal because it rejected an interest in unidentified, prospective patients in the community at large. Id. (Sawaya, J., concurring). HHCs’ interests in relationships with individual patients are distinguishable from those they form with identifiable referral sources. Again, Judge Sawaya correctly articulated this distinction.
[W]e are dealing with referral sources that are cultivated by a business or individual in the hopes that patients will be referred in the future. Thus, the business interest is the referral source, and referral sources are neither excluded by the decision in Sanal nor by the statute. The statute merely lists a number of legitimate business interests, but that list is not exclusive. While referral sources are not specifically listed, this does not mean that they may not qualify as a legitimate business interest.
Id. (Sawaya, J., concurring).
Despite the distinct nature of interests in referrals and unidentified patients, the Fifth District recognized that referral sources may protect HHCs’ ability to receive referrals of unidentified, prospective patients. Id. at 454; see Tummala, 927 So. 2d at 138-39. However, for HHCs that suggestion falls flat because they are dependent upon referrals to obtain patients as HHCs do not directly solicit patients. In fact, a physician signing a treatment order can be a condition precedent to receiving home health services, similar to a prеscription. See
For the foregoing reasons, we conclude that
Now we turn to the dispositive issue: whether home health service referral sourсes can be a protected legitimate business interest under
Again, to determine the Legislature‘s intent, we first look at the plain language of the statute. Thayer, 335 So. 2d at 816. In pertinent part, the statute reads:
The term “legitimate business interest” includes, but is not limited to:
Trade secrets, as defined in s. 688.002(4). - Valuable confidential business or professional information that otherwise does not qualify as trade secrets.
- Substantial relationships with specific prospective or existing customers, patients, or clients.
- Customer, patient, or client goodwill associated with:
- An ongoing business or professional practice, by way of trade name, trademark, service mark, or “trade dress”;
- A specific geographic location; or
- A specific marketing or trade area.
- Extraordinary or specialized training.
The statute defines legitimate business interests through a non-exhaustive list. See Colucci v. Kar Kare Auto. Grp., Inc., 918 So. 2d 431, 438 (Fla. 4th DCA 2006) (“Florida Statutes section 542.335(1)(b) (2004) provides a nonexclusive list of ‘legitimate business interests.’ ”). “The word ‘include’ in a statute generally signals that entities not specifically enumerated are not excluded.” Singer, supra, at § 47.25 (emphasis added). Commonly, the term “include” suggests that a list is non-exhaustive:
include, vb. (15c) To contain as a part of something. The participle including typically indicates a partial list.
Black‘s Law Dictionary (10th ed. 2014). The law confirms this usage in a similar fashion. See, e.g., Fed. Land Bank of St. Paul v. Bismarck Lumber Co., 314 U.S. 95, 100 (1941) (stating that “the term ‘including’ is not one of all-embracing definition, but connotes simply an illustrative application of the general principle”); Childers, 936 So. 2d at 597 (concluding that “includes” introduced a non-exhaustive list). Therefore, the qualifying phrase “includes, but is not limited to” made clear that the Legislature intended to allow the protection of more interests than simply those set forth in the non-exhaustive list.
The statutory list is slightly broader than the three legitimate business interests recognized in Hapney, however, both are largely similar. Compare Hapney v. Cent. Garage, Inc., 579 So. 2d 127, 131 (Fla. 2d DCA 1991), disapproved on other grounds, Gupton v. Vill. Key & Saw Shop, Inc., 656 So. 2d 475, 476 (Fla. 1995), (recognizing interests in trade secrets and other confidential business information, customer goodwill, and extraordinary or specialized training), with
Other than their connection to Hapney, consideration of the interests in the statutory list reveals only one discernable similarity: preventing unfair competition by protecting crucial business interests.2 See
the egregious facts with which we are presented in Hiles, this concern is more real than conjecture.
Additionally, for HHCs, there is an indispensable relationship between referral sources and their undisputed legitimate business interests in relationships with patients protected by
Beyond the statutory list,
A review of those examples [in section 542.335(1)(b)] confirms that a “legitimate business interest” is an identifiable business asset that constitutes or represents an investment by the proponent of the restriction such that, if that asset were misappropriated by a competitor (i.e., taken without compensation), its use in competition against its former owner would be “unfair competition.” Put another way, a “legitimate business interest” is
a business asset that, if misappropriated, would give its new owner an unfair competitive advantage over its former owner.
Grant & Steele, supra, at 54 (emphasis added). Although this characterization may be a finite reflectiоn of the broader legislative intent, it harmonizes the statute with
this Court‘s initial analyses of an unfair competition approach to restraints of trade. See Capelouto v. Orkin Exterminating Co. of Fla., Inc., 183 So. 2d 532, 534 (Fla. 1966) (“enforc[ing non-competes] in such [a] way as to protect the legitimate interests of the employer without doing harm to the public interest, and without inflicting an unduly harsh or oppressive result on the employee”); Miller Mech., Inc. v. Ruth, 300 So. 2d 11, 12 (Fla. 1974) (explaining that
Incidentally, although the exact boundaries of
Additionally,
However, the statute ameliorates any concern regarding overly restrictive covenants.
In light of the foregoing, we conclude that home health service rеferral sources may be a protected legitimate business interest within the meaning of
Sitting in a Tallahassee courthouse with a frozen record before us, we cannot precisely define the exact parameters of what constitutes a “legitimate business interest” in the myriad of commercial disputes that may arise across this diverse State. Instead, trial courts are well positioned to construe the phrase to determine the legitimacy of a particular business interest—in conjunction with the industry context and evidence adduced. What is clear, however, is that the statute is not an exhaustive list of protected business interests. A plain reading of the statute mandates our holding. Nevertheless, the inevitable paradox between protecting employers’ legitimate business interests and allowing employees to restrict their own right to work bears out the necessity for a context-based statute such as
Finally, we address the resolution of White and Hiles. Given the procedural posture of these cases, we must remand each for reconsideration in light of this decision. The fact that referral sources can constitute a legitimate business interest does not automatically satisfy all possible factual issues. We cannot resolve all factual questions on the record before us. We remand each case to its respective district court with instructions that the cases be further remanded to the appropriate trial courts for consideration of all facts necessary for a final rеsolution of each case and appropriate remedies.
CONCLUSION
Accordingly, we hold that
It is so ordered.
LABARGA, C.J., and PARIENTE, QUINCE, CANADY, POLSTON, and LAWSON, JJ., concur.
NOT FINAL UNTIL TIME EXPIRES TO FILE REHEARING MOTION, AND IF FILED, DETERMINED.
Application for Review of the Decision of the District Court of Appeal – Certified Great Public Importance
Fourth District - Case Nos. 4D14-488 and 4D14-2460
(St. Lucie County)
and
Application for Review of the Decision of the District Court of Appeal – Direct Conflict of Decisions
Fifth District - Case No. 5D15-9
(Volusia County)
Jane Kreusler-Walsh, Rebecca Mercier Vargas, and Stephanie L. Serafin of Law Office of Kreusler-Walsh, Compiani & Vargas, P.A., West Palm Beach, Florida; Margaret Cooper of Jones, Foster, Johnston & Stubbs, P.A., West Palm Beach, Florida; and Joel C. Zwemer and Daryl J. Krauza of Dean, Mead, Minton & Zwemer, Fort Pierce, Florida,
for Petitioner Elizabeth White
W. Braxton Gillam, IV, Peter E. Nicandri, and Patrick W. Joyce of Milam Howard Nicandri Gillam & Renner, P.A., Jacksonville, Florida,
for Petitioner Americare Home Therapy, Inc., a Florida Corporation d/b/a Americare Home Health
Patrick M. Muldowney and James W. Seegers of Baker & Hostetler LLP, Orlando, Florida,
for Respondents Mederi Caretenders Visiting Services of Southeast Florida, LLC, and Almost Family, Inc., a Delaware Corporation
Keith J. Hesse of Shuffield, Lowman & Wilson, P.A., Orlando, Florida,
for Respondent Carla Hiles
