OPINION
In September 2003, plaintiff Kyriakie Sarafoglou brought a qui tam action on behalf of the United States, alleging, inter alia, that defendants violated the False Claims Act (the “FCA”), 31 U.S.C. § 3729 et seq., by (1) submitting false claims to obtain federal research funds, and (2) retaliating against her when she expressed concerns to her supervisors about the false claims. After two years of investigating the allegations, the United States partially intervened in the case in June 2005.
At the same time that the United States decided to intervene, it also reached a settlement with defendant Weill Medical College of Cornell University (“Cornell Medical”). (Tiska Ex. H). The settlement released Cornell Medical and the individual defendants from certain claims under the FCA. (Id. ¶ III.3). Defendant New York-Presbyterian Hospital (“NYPH”), an affiliate of Cornell Medical, was not covered by the settlement agreement. (Id.). Because the case was brought by Dr. Sara-foglou under the qui tam provisions of the FCA, she received a share of the settlement.
Notwithstanding the settlement, Dr. Sa-rafoglou served an amended complaint against defendants in October 2005, pursuing claims that she asserted were not covered by the settlement agreement. (Compl.1H[ 11,13). 1
Defendants move to dismiss the first amended complaint, arguing, inter alia, that plaintiffs claims: (1) are barred under the principles of res judicata; and (2) do not meet the pleading standards imposed by Rule 9(b) of the Federal Rules of Civil Procedurе.
Defendants’ motions to dismiss are granted in part and denied in part.
BACKGROUND
A. The FCA
Under the
qui tam
provisions of the FCA, private persons may bring civil actions for violations of § 3729(a). These suits are brought in the name of the Government and the plaintiff, or “relator,” must provide the Government with a copy of the complaint and written disclosure of all material evidence and information. 31 U.S.C. § 3730(b)(2). The complaint remains under seal for at least 60 days; during that time the Government decides to either: a) proceed with the action; or b) decline to take over the action, leaving the relator with the right to conduct the aсtion. 31 U.S.C. § 3730(b)(4). “Partial interventions are allowed,”
United States v. St. Joseph’s Reg’l Health Ctr.,
B. Facts
For purposes of this motion to dismiss, the facts as alleged in the amended complaint are assumed to be true.
1.Federal Funding for Clinical Research
Each year, the federal government distributes more than $1 billion in research funds to a network of general clinical research centers (“GCRCs”). (Comply 4). The funds are distributed through a division of the National Institutes of Health (“NIH”) to provide clinical researchers and scientists with resources to conduct research to improve human health. (Id. ¶¶ 4, 5).
To obtain federal funding, a GCRC must submit an application to the NIH. GCRCs are funded in five-year cycles, with continued funding dependent upon competitive renewals. (Id. ¶32). Each year during the five-year cycle, however, the entity receiving the research grant must apply for approval for continuation of the grant. (Id.). The amount of funding is determined by the applicant’s projections of the activity expected for each research protocol. (Id. ¶ 35).
From 1968 to 2004, Cоrnell Medical operated a GCRC called the Children’s Clinical Research Center (the “CCRC”). (Id. ¶ 7). Focusing on pediatric clinical research, Cornell Medical received a grant from the NIH for approximately $23 million for the period December 1, 1998 through November 30, 2003 (NIH Grant No. 5M01RR006020) (“Grant 5M0”). (Id. ¶ 32). Cornell Medical also received a grant of approximately $2.6 million for the period July 1, 1997 through June 30, 2002 for certain clinical research projects on androgen metabolism (NIH Grant No. HD00072) (“Grant HD0”). (Id.). In all, Cornell Medical received at least $25 million in federal funding from 1998 to 2003. (Id. ¶ 7).
2. False Claims to Obtain Federal Funds
Defendants submitted false claims to obtain federal funding by: (1) knowingly overstating the projected activity of certain research protocols to obtain more funding (id. ¶¶ 41-74); (2) knowingly mis-categorizing research patients, both by enrolling certain patients under specific research protocols — even though they did not meet the medical criteria for inclusion — and also by assigning patients the wrong billing category (id. ¶¶ 75-99); and (3) knowingly misusing grant funds designated for certain laboratories in violation of NIH guidelines (id. ¶¶ 100-05).
3. Retaliation
Shortly after joining the CCRC as an assistant professor of Pediatric Medicine in July 2001, Dr. Sarafoglou uncovered the misuse of NIH resources by the CCRC.
(Id.
¶¶ 10, 106, 110). As a result, in spring 2002, plaintiff presented her concerns to Dr. New, then program director of the CCRC and Dr. Sarafoglou’s direct supervisor.
(Id.
¶ 111). After plaintiff presented these concerns, Dr. New and Cornell Medical “exclud[ed] her from meetings, solicit[ed] complaints about her from other individuals within the CCRC and NYPH, and recommend[ed] that she receive an
In addition to speaking to Dr. New about her concerns, on or about September 10, 2002, plaintiff submitted an internal complaint to Dr. Gerald M. Loughlin, who had replaced Dr. New as chair of the Pediatric Department of NYPH. (Id. ¶ 114). The submission detailed the CCRC’s misuse of government funds. (Id.). This submission led Dr. David Hаj-jar, vice provost and dean of the Graduate School of Medical Sciences at Cornell Medical, to appoint Dr. Adam Asch to investigate Dr. Sarafoglou’s allegations. (Id. ¶ 116).
During this investigation, Dr. New routinely blocked Dr. Sarafoglou’s patients’ appointments, removed her from the pediatric endocrinology division attending on-call schedule, and referred metabolic patients to doctors at other hospitals instead of to her. (Id. ¶ 117). Moreover, plaintiff no longer received timely notice of institutional regulatory meetings, and she was locked out of file drawers in her оffice that contained basic information necessary to her duties as the research subject advocate at the CCRC. (Id.). Dr. Sarafoglou’s complaints of retaliation to Dr. Loughlin went unheeded. (Id. ¶ 118).
On November 4, 2002, a report was issued by Dr. Asch on the investigation (the “Asch Report”), concluding that there was no merit to Dr. Sarafoglou’s allegations. (Id. ¶ 119). Dr. Sarafoglou submitted a response to Dr. Hajjar refuting the findings of the Asch Report, and urging Dr. Hajjar to revisit the issues raised in the investigation. (Id. ¶ 121). On December 12, 2002, Dr. Loughlin of Cornell Medical notified Dr. Sarafoglou that she was being removed from her position as researсh subject advocate. (Id. ¶ 122).
On January 7, 2003, plaintiff filed a complaint with the NIH alleging misconduct and financial fraud. (Id. ¶ 123). Soon after, Dr. Sarafoglou was relieved from her position within the Division of Pediatric Endocrinology and was reassigned to Cornell Medical’s resident group practice. (Id. ¶ 124). This constituted a demotion that impaired plaintiffs ability to conduct clinical research. (Id.). On July 1, 2003, Dr. Sarafoglou was given written notice that her faculty appointment, as assistant professor of pediatrics at Cornell Medical would not be renewed upon its expiration on June 30, 2004. (Id. ¶ 127). Dr. Sarafo-glou performеd her duties in no less than a satisfactory manner at all relevant times. (Id. ¶ 109).
C. Procedural History
Plaintiff filed a sealed complaint against Cornell Medical, the individual defendants, and NYPH under the qui tarn provisions of the FCA in September 2003 (the “Original Complaint”). (Tiska Deel. Ex. D). The Original Complaint alleged that the defendants made false statements to the United States to obtain federal research funds (id. ¶¶ 31-103), and further, that these defendants retaliated against Dr. Sa-rafoglou when she told her supervisors that she was concerned about the misrepresentations (id. ¶¶ 104-26).
In June 2005, approximately two years after the Original Complaint was filed, the Government filed a Notice of Election to Intervene, in which it notified the Court that it was electing “to partially intervene and proceed with this action” against Cornell Medical. (Tiska Deck Ex. F). In its Complaint-In-Intervention, the United States asserted claims against Cornell Medical alone, for violations of the FCA, common law fraud, unjust enrichment, and payment made under mistake of fact. (Tiska Deck Ex. G. ¶¶ 134-56).
The Settlement Agreement defined “Covered Conduct” as the conduct occurring during the period between December 1995 through November 2003 — when Cornell Medical applied to the NIH for Grant 5M0 and allegedly submitted false statements and claims in connection with that grant. (Id. at § II.C). The Settlement Agreement also referenced the Complaint-In-Intervention for a more descriptive account of the “Covered Conduct.” (Id.).
Neither the Settlement Agreement nor the Complaint-In-Intervention addressed Cornell Medical’s conduct with respect to retaliation. They also did not address any false claims in connection with Grant HDO for research projects on androgen metabolism.
A few months after the settlement, in October 2005, plaintiff filed the first amended complaint in this case. Plaintiff asserts that she was bringing claims that had not been resolved by the settlement between the United States and Cornell Medical. (Compilé 11-14). She asserts three counts against defendants. Count One alleges false claims in violation of 31 U.S.C. §§ 3729(a)(1), (a)(2), and (a)(7) against all defendants. (Id. ¶¶ 129-30). Count Two alleges conspiracy to submit false claims in violation of 31 U.S.C. § 3729(a)(3) against all defendants. (Id. ¶¶ 131-32). Count Three alleges retaliation in violation of 31 U.S.C. § 3730(h), but only against Cornell Medical, NYPH, Dr. New, and Dr. Gotto. (Id. ¶¶ 133-34).
Cornell Medical and the individual defendants jointly move to dismiss. NYPH moves separately to dismiss.
DISCUSSION
Defendants argue that plaintiffs claims should be dismissed because: (1) they are barred by the doctrine of res judicata, and (2) they have not been pled sufficiently. I address the two arguments in turn.
A. Res Judicata
Under the well-settled doctrine of
res judicata,
a subsequent action is barred whеre: (1) the prior action concluded with a final adjudication on the merits; (2) the prior claims and the current claims involve the same parties or those in privity with them; and (3) the claims asserted in the present action were, or could have been, asserted in the prior action because they arise from a common nucleus of operative fact.
See Monahan v. New York City Dep’t of Corr.,
In the
qui tam
context, the relator is in privity with the Government.
See, e.g., United States ex rel. Barajas v. Northrop Corp.,
Applying the principles set forth, I review whether the claims in the amended complaint are barred by res judicata.
1. False Claims
a. Cornell Medical
The claims against Cornell Medical in Count One of the amended complaint are foreclosed, insofar as they are related to Grant 5M0.
First, the Settlement Agreement with the resulting dismissal, with prejudice, constituted a final judgment on the merits.
See, e.g., Marvel Characters, Inc. v. Simon,
Second, the same parties are involved in both suits. Cornell Medical was charged with false claims in both the Government’s Complaint-In-Intervention as well as the plaintiffs current complaint. Moreover, the Government and Dr. Sarafoglou are in privity, and thus, are considered to be the same party for res judicata purposes.
Third, the false claims asserted in both the Government’s Complaint-In-Intervention and the current complaint arise from the same nucleus of operative fact. Specifically, the conduct out of which the false claims arise primarily involves Cornell Medical’s submission of false statements in its application to the NIH for Grant 5M0.
The descriptions contained in both the Government’s ComplainNIn-Intervention as well as the Settlement Agreement confirm that the first suit was based primarily on these false statements. For example, the Complaint-In-Intervention describes the suit as a civil action brоught to recover damages “as a result of [Cornell Medical’s] having knowingly presented or caused to be presented to the United States false or fraudulent claims for payment in connection with” Grant 5M0. (Tiska Deck Ex. G. ¶ 1). Similarly, the Settlement Agreement describes the “Covered Conduct” as the conduct during the period between December 1995 through November 2003 when Cornell Medical applied to the NIH for research Grant 5M0, and allegedly submitted false statements and claims in connection with that grant. (Tiska Deck Ex. H. ¶ II.C).
Because the false claims from the current complaint all arise from the same nucleus of operative fact, they are foreclosed by the Settlement Agreement under principles of
res judicata. See Barajas,
Nevertheless, plaintiff asserts that the false claims that she is bringing in her amended complaint were not covered by the ComplainNIn-Intervention or thе settlement. (Compklffl 11-14). Her attempt at distinguishing them are to no avail.
Thus, to the extent that the false clаims against Cornell Medical are based on Grant 5M0, they are foreclosed by res judicata. Plaintiff does, however, set forth allegations with respect to a different federal grant—Grant HDO, which funded clinical research projects on androgen metabolism. (Comply 33). To the extent that plaintiffs false claims relate to this grant, they are not barred by res judicata because false statements and claims made in connection with a different grant would not be part of the same transactional nucleus of fact.
b. Individual Defendants
Not only are the false claims based on Grant 5M0 barred against Cornell Medical, but they are also barred against the individual defendants because the Settlement Agreement expressly released the individual defendants from liability. According to the Settlement, the Government:
agrees to release [Cornell Medical] ... [its] subsidiaries and all of its current and former officers, directors, trustees, overseers and employees ... from any civil or administrative monetary claim the [Government] has or may have against the released persons and entities for the Covered Conduct under the False Claims Act, 31 U.S.C. §§ 3729-3733.
(Tiska Deck Ex. H. § III.3).
Plaintiff argues that res judicata does not bar false claims against the individual defendants because in the Government’s Notiсe of Election to Intervene, it stated its intention to only “partially intervene.” (PI. Br. at 16-18).
But
res judicata
is applicable where a settlement agreement releases defendants, even if they were not named parties in the action.
See Leptha Enters., Inc. v. Longenback,
No. 90 Civ. 7704(KTD),
c. NYPH
The Settlement Agreement provided explicitly that NYPH was not released and that NYPH was not covered by its terms. Thus, none of the claims against NYPH—including the false claims, the conspiracy to submit false claims, and retaliation—are barred by res judicata. The Settlement Agreement states in relevant part that the Government:
agrees to release [Cornell Medical], its predecessors, successors, parents, affiliates (except NYPH) ... from any civil or administrative monetary claim the United States has or may have against the released persons and entities for the Covered Conduct under the False Claims Act, 31 U.S.C. §§ 3729-3733.
(Tiska Deck Ex. H. § III.3) (emphasis added).
Accordingly, none of the claims against NYPH are foreclosed by res judicata.
2. Conspiracy to Submit False Claims Against Cornell Medical and Individual Defendants
The claims in the Second Count of the amended complaint—alleging the conspiracy to submit false claims in violation of 31 U.S.C. § 3729(a)(3)—are similarly barred under the doctrine of
res judicata
because they arise from the same nucleus of operative fact as the false claims in the First Count. The
res judicata
bar “extends both to issues actually decided in determining the claim asserted in the first action and [to] issues that could have been raised in the adjudication of that claim.”
See Greenberg,
3. Retaliation Claims Against Cornell Medical, Dr. New, Dr. Gotto, and NYPH
None of the retaliation claims alleged by plaintiff are barred by res judicata because the Government never alleged any retaliation claims in its Complaint-In-Intervention, and the settlement never addressed any such claims.
C. Remaining Claims
The following claims, therefore, are not barred by res judicata: (1) Counts One and Two as to both grants with respect to NYPH, and as to Grant HDO with respect to Cornell Medical and the individual defendants; and (2) Count Three as to Cornell Medicаl, NYPH, and Drs. New and Gotto.
I review the remaining claims to determine whether they have been sufficiently pled. I discuss Counts One and Two together, addressing first the claims based on Grant HDO and second the claims based on Grant 5M0. I then discuss Count Three.
1. Counts One and Two
a. Grant HDO
Suits brought under the FCA must comply with Rule 9(b) of the Federal Rules of Civil Procedure.
See Gold v. Morrison-Knudsen Co.,
Plaintiff asserts that she makes allegations of false claims with respect to Grant HD0, whereby Cornell Medical received approximately $2.6 million to fund research on androgen metabolism. (PI. Br. at 19). The amended complaint, however, contains no allegations of substance concerning this grant. For example, in the entire amended complaint, plaintiff only makes one allegation in connection with this grant. She states that:
In 1998, Cornell Medical submitted a grant application requesting funds for a new connective tissue lab, purportedly necessary for 15 new protocols. The application was approved. Dr. New also amended her $2.6 million grant to include significant reliance and contributions from the connective tissue lab.
(Compl.¶ 103).
Nowhere in the amended complaint does plaintiff specify when defendants submitted false claims or conspired to submit false claims with respect to this grant. She simply states that Dr. New amended the $2.6 million grant in reliance on a certаin research protocol. This falls far short of the “who, what, when, where and how” that plaintiff is required to allege. Counts One and Two are dismissed to the extent they are based on Grant HD0.
b. Grant 5M0
The amended complaint also reveals that the allegations against NYPH with respect to Grant 5M0 are sparse and do not satisfy the heightened pleading standard under Rule 9(b).
Specifically, plaintiff makes two allegations against NYPH regarding false claims. First, plaintiff asserts that no projections for any non-research outpatient visits were made for certain grant renewals. (ComplJ 92). Second, plaintiff alleges that in April 2002, tests were performed on private patients in a federally-funded laboratory, but these patients were still billed. (Id. ¶ 102). Accordingly, NYPH was essentially earning profits at the expense of federal funds.
Neither of these allegations meets the Rule 9(b) heightened pleading standard. The allegations do not specify who in NYPH was involved nor what NYPH’s actual role was in the submission of these claims. Plaintiff attempts to bridge many of these gaps by asserting that NYPH is “affiliated” with Cornell Medical. (Id. ¶ 16). Allegations of mere affiliation, however, are insufficient: plaintiff fails to allege what NYPH purportedly did, how it was purportedly involved in the fraud, or why it should be held responsible. Counts One and Two against NYPH are therefore dismissed with respect to Grant 5M0.
2. Count Three
The FCA contains a whistleblower provision, 31 U.S.C. § 3730(h), which was added in 1986 “to protect persons who assist the discovery and prosecution of fraud and thus to improve the federal government’s prospects of deterring and redressing crime.”
Neal v. Honeywell Inc.,
33 F.3d
Any employee who is discharged, demoted, suspended, threatened, harassed, or in any other manner discriminated against in the terms and conditions of employment by his or her employer because of lawful acts done by the еmployee ... in furtherance of an action under this section, including investigation for, initiation of, testimony for, or assistance in an action filed or to be filed under this section, shall be entitled to all relief necessary to make the employee whole.
31 U.S.C. § 3730(h).
“To sustain an action under § 3730(h), a plaintiff must prove (1) that he engaged in conduct protected under the statute, (2) that defendants were aware of his conduct, and (3) that he was terminated in retaliation for his conduct.”
Moor-Jankowski v. Bd. of Trustees of New York Univ.,
No. 96 Civ. 5997(JFK),
It is true that “protected conduct” as it applies to the first element “is interpreted more narrowly when apрlied to FCA claims than to common or state law retaliatory discharge actions.”
Id.
At the same time, under the FCA, “protected activity” should be interpreted broadly.'
See
S.Rep. No. 345, 99th Cong., 2d Sess. 34 (1986), reprinted in 1986 U.S.C.C.A.N. 5266, 5299. “Therefore, an employee’s activities may be protected even where an FCA suit has not been filed.”
Faldetta v. Lockheed Martin Corp.,
No. 98 Civ. 2614(RCC),
a. Cornell Medical
Plaintiff has sufficiently alleged a retaliation claim against Cornell Medical. First, plaintiff alleges that she engaged in protected conduct under the statute. For example, in the amended complaint, plaintiff asserts that she became aware of the false claims and statements in connection with the federal grant applications, and that she made her concerns regarding the false submissions known to Dr. New, the program director of the CCRC at that time. (Compl.¶¶ 110-11). Although merely informing a supervisor of a problem is not enough to constitute protected conduct under the FCA,
see, e.g., Shekoyan v. Sibley Intern.,
Specifically, plaintiff also alleges that she submitted an internal complaint with supporting dоcumentation to Dr. Loughlin, detailing the misuse of government funds by the CCRC, and that she supplemented the complaint on several occasions. (Compl.¶ 114-15);
see Fanslow v. Chicago Mfg. Ctr., Inc.,
Second, plaintiff further alleges that defendants knew she was investigating Cornell Medical’s false submissions. (Compl.lffl 111, 114-16). Dr. Sarafoglou made her concerns known to her supervi
Third, plaintiff alleges that she was retaliated against for her protected conduct. (Compl.¶¶ 112, 117, 122, 127, 128). Specifically, plaintiff asserts that in response to raising her concerns to Dr. New and Cornell Medical, she was excluded from meetings, Dr. New and Cornell Medical solicited complaints against her, and they recommended that she receive an “administrative referral” that would blemish her career. (Id. ¶ 112). She also alleges that once she filed an internal complaint, Dr. New engaged in further acts of retaliation, including, among other things, routinely blocking her patients’ appointments, removing her from the pediatric endocrinology division attending on-call schedule, and referring metabolic patients to doctors at other hospitals instead of to her. (Id. ¶ 117). And finally, plaintiff alleges that she was retaliated against when she was formally removed from her position as the research subject advocate at CCRC (id. ¶ 122), and when she was given written notice that her faculty appointment would not be renewed upon its expiration (id. ¶ 127).
In sum, the Court concludes that the rеtaliation claim against Cornell Medical has been sufficiently pled to survive this motion to dismiss.
b. Dr. New and Dr. Gotto
Although plaintiffs retaliation claim against Cornell Medical is sufficient to withstand dismissal, her retaliation claims against Dr. New and Dr. Gotto cannot survive because neither of them was her “employer,” and only employers can incur liability under § 3730(h).
See, e.g., Shekoyan,
c. NYPH
Plaintiff has sufficiently alleged a retaliation claim against NYPH. First, plaintiff alleges that she was an employee of NYPH (Compl.1l 15), who engaged in protected conduct by filing an internal complaint to NYPH concerning the hospital’s improper use of federal funds
(id.
¶ 114). NYPH tries to argue that plaintiff cannot consider herself an employee of NYPH because she was merely an “assistant attending рhysician.” (N.Y.PH Reply Brief (“NYPH Reply”) at 6). At this stage of the proceedings, however, I must take plaintiffs allegations as true. Hence, NYPH’s argument that plaintiff was not an employee of NYPH does not help its cause. Of course, NYPH
Second, plaintiff alleges that NYPH was aware of her conduct. For example, she states that she filed an internal complaint with Dr. Loughlin — the chair of the Pediatric Department of NYPH — about the hospital’s improper use of funds. (Id. ¶ 114).
Third, plaintiff also alleges that she was retaliated against as a result of her protected conduct. Specifically, she states that she was removed from her position within the Division of Pediatric Endocrinology at NYPH. (Id. ¶ 124).
Accordingly, plaintiffs retaliation claim against NYPH states a claim upon which relief may be granted.
CONCLUSION
For the foregoing reasons, defendants’ motions to dismiss are granted in part and denied in part. Defendants’ motions are granted as to all claims except the retaliation claims against Cornell Medical and NYPH. As plaintiff has already filed a prior complaint, the United States filed a Complaint-In-Intervention, and the United States investigated these matters for two years, I will not grant plaintiff leave to replead.
SO ORDERED.
Notes
. "Compl.” refers to the First Amended Complaint, which was filed on October 28, 2005.
. The 33% guideline refers to the rule that no single group of researchers or category of research can expend more than 33% of the federal research funds provided to them in a grant. (Tiska Decl. Ex. G. ¶ 13). The idea is that allowing one discipline or researcher to expend more than 33% of the federal funds would permit one researcher to dominate federal resources at the expense of the federal government. (Id. ¶ 14). Thus, applications and renewals for grants require that the institution document its compliance with this guideline.
