United States Ex Rel. Brown v. Aramark Corp.United States Ex Rel. Brown v. Aramark Corp.
MEMORANDUM OPINION
Plaintiff-relator Sheila Brown (“plaintiff’ or “Ms. Brown”) brings this action pursuant to the qui tarn provisions of the False Claims Act (“FCA”). Plaintiff alleges that defendants Aramark Corporation (“Ara-mark Corp.”) and Aramark Healthcare Support Services (“Aramark Healthcare”) (collectively “Aramark”) presented false claims and made false statements to the United States in billing for food and related services provided to Medicare and Medicaid patients at Johns Hopkins Bayview Medical Center. Ms. Brown also asserts two common law claims related to the alleged fraud, and a retaliation claim under the FCA. Currently before the Court is Aramark’s motion to dismiss the five-count Complaint in its entirety pursuant to Rule 12(b)(6) (FCA claims) and Rule 12(b)(1) (common law claims) or, alternatively, Rule 41(b). In response, plaintiff opposes Ara-mark’s motion to dismiss, but concedes that she lacks standing to bring the common law claims and also asks the Court to stay its decision on the retaliation claim pending discovery. Upon careful consideration of the motion, the parties’ several memoranda, the applicable law, and the entire record, the Court will grant Ara-mark’s motion and will dismiss all five counts of the Complaint.
BACKGROUND
The United States administers the federally-funded Medicare and Medicaid programs through the Department of Health and Human Services (“DHHS”) and the Centers for Medicare and Medicaid Services (“CMS”). See Compl. ¶9. CMS is authorized to enter into and administer contracts on behalf of DHHS and the United States. See id. This authority includes the power to contract with providers and suppliers. See id. When CMS enters into such contracts, it pays for services provided to Medicare and Medicaid program beneficiaries. See id. ¶ 10. These payments are typically made through a fiscal intermediary — i.e., an insurance company that processes provider claims for payment under Medicare Part A. See id. Consequently, healthcare providers, such as hospitals, submit cost reports to a fiscal intermediary for certain expenses such as the cost of providing meals to Medicare and Medicaid program beneficiaries. See id. CMS, in turn, pays the provider, through the intermediary, for the provider’s Medicare- and Medicaid-related costs. See id. ¶¶ 10-11.
Johns Hopkins Bayview Medical Center (“Bayview”) is an acute care hospital and healthcare center in Baltimore, Maryland. See id. ¶ 6. Bayview provides inpatient hospital care and other healthcare services to beneficiaries under the Medicare and Medicaid programs. See id. During the time period relevant to the Complaint, Bayview contracted with Aramark Healthcare to manage its food service department. See Defs.’ Ex. 1 at 1. Under the contract, Aramark Healthcare was respon *71 sible for all on-site preparation and service of food at Bayview — including food service for patients, staff, employees, and visitors. See id. The original plaintiff-relator in this case, Earle Brown (“Mr. Brown”), was employed by Aramark Healthcare as a food service production manager. See Compl. ¶ 5. In that position, he was responsible for “ordering and delivering food to multiple Bayview food service consumers.” Id. ¶ 14. Mr. Brown was employed at Bayview by Aramark Healthcare from approximately March 1999 until January 2000. See id. ¶ 16.
Mr. Brown initiated this action by filing the Complaint on September 28, 2001, at which time it was assigned to another judge of this Court. The Complaint alleges that Aramark committed fraud by billing the Government for: (1) patient meals made from recycled food; and (2) food and other resources used at private functions that were unrelated to Medicare or Medicaid.
See id.
at 2. By virtue of these practices, the Complaint asserts that the cost reports and claims for payment submitted by Aramark to Bayview for Medicare- and Medicaid-related expenses — which were subsequently submitted to CMS for payment, through a fiscal intermediary — were inflated and fraudulent.
Id.
¶ 11. Hence, plaintiff alleges that Aramark violated the False Claims Act,
The United States investigated Mr. Brown’s allegations, but on March 24, 2003 the Government filed notice of its election to decline to intervene. The case then sat dormant for more than four years. During that time, Mr. Brown died in an auto accident. See PL’s Mem. in Opp’n to Defs.’ Mot. Dismiss (“Pl.’s Opp’n”) at 9. On November 8, 2007, the case was reassigned to the undersigned judge. Subsequently, on December 11, 2007, with no government intervention and no notice of Mr. Brown’s death, the Court unsealed the Complaint and ordered it to be served on defendants. The Court also denied a prior motion for leave to file an amended complaint, but gave plaintiff an opportunity to file a renewed motion by not later than January 2, 2008. See Order, Dec. 11, 2007. When a timely response to the December 11 Order was not received, the Court ordered plaintiff to file proof of service of the existing complaint or a renewed motion for leave to file an amended complaint by January 17, 2008. See Order, Jan. 8, 2008. Finally, on January 17, 2008, Mr. Brown’s wife, Sheila Brown, filed a motion notifying the Court of her husband’s death, seeking to substitute as plaintiff and relator in her husband’s stead, and seeking leave to file the original complaint upon defendants within 120 days of the Court’s December 11, 2007 Order. The Court subsequently granted Ms. Brown’s motion. See Order, Feb. 19, 2008. Aramark was served with a summons and the Complaint on April 10, 2008. Aramark’s answer was filed on May 30, 2008, and its motion to dismiss followed soon thereafter.
LEGAL STANDARD
“[I]n passing on a motion to dismiss, whether on the ground of lack of jurisdiction over the subject matter or for failure to state a cause of action, the allegations of the complaint should be construed favorably to the pleader.”
Scheuer v. Rhodes,
In considering a motion to dismiss pursuant to
For claims involving fraud, however, the Federal Rules of Civil Procedure provide for a heightened pleading standard. Rule 9(b) requires that in “alleging fraud or mistake, a party must state with particularity the circumstances constituting fraud or mistake.”
DISCUSSION
I. All Counts of the Complaint Should Be Dismissed.
Plaintiffs Complaint contains five counts: (I) presentation of false claims under the FCA,
Aramark first argues that Counts I and II should be dismissed because they are not pled with the particularity required by
The Court is persuaded that the Complaint fails to pass muster under
A. Counts I and II — False Claims and False Statements under
The FCA imposes liability on any person who knowingly presents a “false or fraudulent claim for payment” to the Government, or knowingly uses “a false record or statement to get a false or fraudulent claim paid” by the Government.
Because
qui tam
actions under the FCA sound in fraud, the heightened
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pleading standard of
Here, the putative fraud stems from allegations that Aramark billed the U.S. Government for expenses that were purported to be Medicare- and Medicaid-related, but instead are alleged to have been unrelated to those federally-funded programs. Plaintiff alleges that Aramark defrauded the Government “by recycling food within Johns Hopkins Medical Center and billing the government for that food.” Compl. at 2. The Complaint also alleges that Aramark committed fraud by “billing the government for food supplies and services, including employee labor, which were used for private hospital functions and for Aramark Corporation employees’ personal use,” Id. Plaintiff asserts that neither the recycled food nor the food used for private purposes are eligible for reimbursement under Medicare or Medicaid, and “[c]osts which are not eligible for payment under these federal health care programs should be designated as such” and excluded from the cost reports and claims for payment submitted to Bayview for ultimate payment by the Government. Id. ¶11.
In attempting to set forth the alleged fraud, the Complaint describes the manner in which service providers, such as Ara-mark, are typically reimbursed for Medicare- and Medicaid-related costs by the responsible government agency, CMS, through an intermediary. See id. ¶¶ 9-11. The Complaint next alleges that Aramark had an incentive to reduce its costs, by recycling food and manipulating other aspects of food service delivery at Bayview, in order to increase its profits. See id. ¶¶ 12-13. The Complaint then reiterates the central premise of plaintiffs case — that the Government is “only responsible for meals and related costs provided to Medicare and Medicaid eligible beneficiaries.” Id. ¶ 15. However, nowhere in the Complaint are there any allegations about specific instances when Aramark, or one of its agents or employees, submitted cost reports — or any other type of claim or invoice — to Bayview, an intermediary, CMS, or any other government agency, seeking payment for such improper expenses. The remaining allegations of fraud set forth in the Complaint relate to Aramark’s alleged practice of recycling food and diverting food and other resources to private functions unrelated to Medicare or Medicaid. See id. ¶¶ 16-19.
Aramark argues that the Complaint fails to satisfy
Mindful that
Here, plaintiff fails to allege any of the following in the Complaint: dates upon which invoices or cost reports for Medicare- and Medicaid-related costs were made or submitted by Aramark, names and/or job titles of Aramark employees that were involved in preparing or submitting the invoices or cost reports, the content of the invoices or cost reports
(i.e.,
type of costs included, amount of payments sought), the actual presentation — by Ara-mark or any other entity — of a false claim to the Government for payment, or the making of a false record or statement — by Aramark or any other entity — to get a false or fraudulent claim paid by the Government.
4
As the D.C. Circuit has stated,
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“
B. Count V — Retaliation under
To prevail on a retaliation claim, an employee must demonstrate that:
(1) he engaged in protected activity, that is, “acts done ... in furtherance of an action under this section”; and (2) he was discriminated against “because of’ that activity. To establish the second element, the employee must in turn make two further showings. The employee must show that: (a) “the employer had knowledge the employee was engaged in protected activity”; and (b) “the retaliation was motivated, at least in part, by the employee’s engaging in [that] protected activity.”
Id.
at 1260 (quoting
United States ex rel. Yesudian v. Howard Univ.,
Aramark argues that the Complaint fails to state a claim for retaliation because it does not allege that Mr. Brown was terminated or retaliated against for engaging in protected activity.
See
Defs.’ Mot. at 15-16. In response, plaintiff does not offer any substantive opposition, but instead asks the Court to stay its decision on the retaliation claim pending discovery.
See
Pl.’s Opp’n at 9. There is no need for the Court to stay its decision because on the face of the Complaint, plaintiff has failed to allege facts sufficient to state a viable claim for retaliation under
*78 CONCLUSION
For the foregoing reasons, the Court will grant Aramark’s motion to dismiss, and will dismiss all five counts of the Complaint. A separate Order accompanies this Memorandum Opinion.
Notes
. In response to Aramark's motion, Ms. Brown conceded that she lacked standing to bring Counts III and IV.
See
Pl.’s Opp’n at 9. Therefore, the Court will dismiss these claims for lack of subject-matter jurisdiction pursuant to
. Aramark also argues that the entire Complaint should be dismissed pursuant to Rule 41(b) for failure to prosecute. See Defs.' Mem. in Supp. Mot. Dismiss ("Defs.' Mot.”) at 16-18. Because the Court concludes that there are independent grounds to dismiss each count of the Complaint, it will not reach the Rule 41(b) argument.
.The Court finds that this argument is more appropriate for a post-discovery motion for summary judgment, and hence declines to reach the argument at this time.
. Counts I and II fail, at least in part, because the Complaint’s allegations of fraud center almost entirely upon Aramark's underlying conduct
{i.e.,
recycling food, improper use of food and other resources), but ignore the circumstances that are necessaiy to state a claim
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under
. Although no motion was made for a more definite statement pursuant to