Wjm, Inc., Etc. v. Massachusetts Department of Public WelfareWjm, Inc., Etc. v. Massachusetts Department of Public Welfare
Twо nursing homes, after petitioning for bankruptcy, sought to recover from the Massachusetts Department of Public Welfare (“Department” or “DPW”) monies they claim were owed to them as reimbursement for expenses incurred in the care of Medicaid patients. The bankruptcy court,
We affirm in all respects but the awarding of interest.
I. BACKGROUND
Under the Massachusetts Medical Assistance Program,
see generally
Mass.Gen. Laws ch. 118E (1987), the DPW administers funds appropriated by the federal government and transferred to the commonwealth for the medical care of people who cannot afford to pay for such care themselves,
see
Homes are reimbursed under the provider agreements according to a so-called retrospective payment system. The Department disburses funds to the homes on a monthly basis in accordance with an estimated per diem rate, called the “interim” rate, which is fixed at the beginning of the year by the state Rate Setting Commission (“Commission”), an agency empowered under Mass.Gen.Laws ch. 6A, § 32 (1986). (The Commission bases the interim rate on a home’s actual operational costs from the prior year.) At the end of the year, the nursing homes file reports of their actual costs for that year. On the basis of these reports, the Commission determines each home’s actual reimbursable costs and establishes the home’s “final” rate of reimbursement for that year. If the home’s final rate exceeds the interim rate under which it received its monthly payments from the Department,, the Department must credit the difference to the facility. Conversely, if the interim rate is greater than the final rate, the home becomes liable to the Department for the “overpayment.” (In either case the sum owed is calculated by multiplying the difference in the two rates by the allocable number of “patient days.”)
A layer of administrative regulations governs the procedures for the recovery of monies when the two rates diverge. See Mass.Regs.Code tit. 106, §§ 456.701-704 (1987). The particular subject of controversy in this case is a regulation that allows the Department to deduct, from the amount it owes one home, the amount the Department is owed by a second home that is under common ownership with the first. 1
In late 1985, the Commission notified Mary Murphy and Middlesex Manor that they were indebted to the Department in the amounts of $241,547.23 and $208,-464.82, respectively, based on revised final rates revealing Medicaid overpayments to Mary Murphy in 1979 and 1980 and to Middlesex Manor in 1980 and 1981. After unsuccessfully making demand upon the homes for the amount of the over-payments, the Department, relying on the regulation described above, offset
2
approximately 15 percent of these liabilities ($69,-740.50) against the Department’s monthly payments to Plainville and Winter Hill.
3
In early March 1986, within 90 days of these offsets, Winter Hill and Plainville filed voluntary Chapter 11 petitions undеr the Bankruptcy Code,
see
On March 13, 1986, plaintiffs commenced an adversary proceeding against the DPW seeking, inter alia, to recover the sums withheld by the Department on the ground that the transactions were preferential transfers under
Important to arguments raised in this appeal are certain proofs of claim filed by two agencies of the Commonwealth of Massachusetts in the nursing homes’ Chapter 11 proceedings: 1) between December 1985 and April 1986, the Department of Revenue filed proofs of claim against eаch home for unpaid taxes; and 2) the Department of Public Welfare filed proofs of claim in at least three of the four homes’ bankruptcy proceedings on August 29, 1986, about three months after the completion of the trial in the bankruptcy court of the adversary action against the DPW, but a month before the bankruptcy court had entered judgment. The DPW’s claim against each home was for “payments for services rendered to Medicaid recipients ... in excess of the debtor’s allowable costs” during all prepetition periods, including those years
The Department of Public Welfare raises several issues on appeal. Its first argument is that the Eleventh Amendment barred the relief given to plaintiffs. The Department also makes four arguments under
We address these contentions seriatim.
II. THE ELEVENTH AMENDMENT
The nursing homes’ action against the Massachusetts Department of Public Welfare presents claims of a type that would normally be barred by the Eleventh Amendment.
5
This is to say, their action is for the recovery of an accrued monetary liability and, as the judgment would be satisfied out of the state treasury, the Commonwealth of Massachusetts is the real party in interest.
See Edelman v. Jordan,
A. Abrogation
The argument plaintiffs most vigorously pursue is that
The difficulty with this argument is that the Supreme Court has yet to indicate whether Congress’s power to abrogate— that is, to effectively remove — the states’ Eleventh Amendment immunity extends to legislation enacted under Congress’s Article I, § 8, power to “establish ... uniform laws on the subject of bankruptcies.” In
Fitzpatrick v. Bitzer,
Plaintiffs’ contention that the states' immunity has been effectively abrogated under
B. Waiver
Whether or not
A governmental unit is deemed to have waived sovereign immunity with respect to any claim against such governmental unit that is property of the estate and that arose out of the same transaction or occurrence out of which such governmental unit’s claim arose.
It is, of course, well settled that a state may waive its Eleventh Amendment immunity by, for example, enacting a statute to that effect, or by so providing in its constitution.
Atascadero State Hospital v. Scanlon,
While
Regarding the proofs for unpaid taxes filed by the Massachusetts Department of Revenue, the DPW vigorously contends that since these did not arise out of the same transaction or occurrence as the nursing homes’ action against the DPW, their filing did not trigger the Commonwealth’s waiver of sovereign immunity under
We agree with this much of the DPW’s argument. We fail to see how the
There remain, however, the proofs of claim that were filed by the DPW itself in August 1986. These were not filed until the hearings in the adversary proceeding were concluded some months earlier (although at a time when the judge hаd yet to render a decision). We cannot say for sure whether either the bankruptcy court or the district court was ever specifically apprised, in connection with its determination of the adversary proceeding, of the filing of these claims.
Normally we would not consider any evidence that was not a part of the record of the appealed proceeding. The question of sovereign immunity, however, resembles a jurisdictional question—at least for the purpose of determining the proper scope of an appellate court’s consideration of the issue.
See Edelman v. Jordan,
It may seem strange that an adversary proceeding—arguably commenced in violation of the Eleventh Amendment 11 —was salvaged by the DPW’s eventual filings of proofs of claim. Waivers, however, often control past events. If, in late August of 1986, while the bankruptcy court had the case under advisement, the DPW’s attorney had announced to the court and to the parties, “We hereby waive our defense based on the Eleventh Amendment,” there could hardly be any objection to holding the Department to its word. We ascribe this same effect to the DPW’s filing of its bankruptcy claims against the nursing homes.
The DPW also argues that its filing of the proofs of claim for the Medicaid over-payments was not “voluntary.” Specifically, the Department contends that, as it was required by federal law to attempt to recover the overpayments, it was in effect “coerced” to file the bankruptcy claims. The Department points to this court’s decision in
Massachusetts v. Secretary of Health & Human Services,
We appreciate the DPW’s dilemma. But we reject the supposition, implicit in its argument, that a waiver of a constitutional right lacks validity simply because it is the outcome of a “no-win” situation. A decision to forego a constitutional protection is often difficult; the Constitution safeguards important rights. While an effective waiver must be “knowing and intelligent,”
cf.
The DPW also contends that a
The claim brought by the two nursing homes arose out of this same series of interrelated dealings. The transfers the homes sought to have voided were transfers of their property that the DPW had made because of its аlleged rights under the same contracts — the provider agreements — that give rise to the homes’ alleged liability to the DPW.
Cf. King Brothers Products, Inc. v. RKO Teleradio Pictures, Inc.,
C. Interest
A remaining question is the validity of the district court’s award of interest. In the penultimate sentence of its memorandum and order affirming the bankruptcy court, the district court stated that it “affirm[ed], with interest, the order of the Bankruptcy Court.” Subsequently, in response to the DPW’s motion for a clarification of this ruling, the district court held that only prejudgment interest should be awarded. On neither occasion did the district court indicate any statutory basis for its ruling. We agree with the DPW that it was error to award prejudgment interest.
In
Rogers v. Okin,
It follows from
Shaw
and
Rogers
that the award of prejudgment interest in the present case is invalid unless either the Commonwealth waived its immunity with respect to such an award or Congress expressly indicated its intention to subject states to this element of damages.
See supra.
We reject at the outset the possibility that the DPW’s waiver under section 106(a) of the Bankruptcy Code amounted to a waiver of its immunity from an award of interest. That section says nothing about interest. Nor can we find any other section in the Code that speaks to interest.
See In re Missionary Baptist Foundation of America,
We turn next to the issues of bankruptcy law.
III. BANKRUPTCY ISSUES
Section 547 of the Bankruptcy Code covers preferential transfers. The
The DPW makes the following arguments on appeal: 1) the offsets were not “transfers] of property” under section 547; 2) plaintiffs were not “insolvent” at the time of the offsets; 3) the offsets fell under section 547’s exception for transactions made “in the ordinary course of business,” section 547(c)(2); and 4) the offsets were in truth “setoffs” as defined by section 553, thus outside the reach of section 547. 16
We proceed to these arguments.
A. Transfer of Property
The Department claims the offsets were not transfers of property under section 547(b). Specifically, the Department argues that such an offset is neither a “transfer” nor a disposition of “property.” As these ostensibly distinct arguments are intertwined, we consider them together.
Under the relevant part оf the Bankruptcy Code’s definitional section,
“transfer” means every mode, direct or indirect, absolute or conditional, voluntary or involuntary, of disposing of or parting with property, including retention of title as a security interest and foreclosure of the debtor’s equity of redemption.
A transfer is a disposition of an interest in property. The definition of transfer is as broad as possible.... Under this definition, any transfer of an interest in property is a transfer, including a transfer of possession, custody or control even if there is no transfer of title, because possession, custody and control are interests in property.
S.Rep. No. 989, 95th Cong., 2d Sess. 27,
reprinted in
1978 U.S.Code Cong.
&
Admin.News 5787, 5813.
See also National Bank of Newport v. National Herkimer County Bank,
“Property,” on the other hand, is not defined by the Code. Rather, thе apparent expectation is that, as in other contexts,
see, e.g., Board of Regents v. Roth,
According to the DPW, the bankruptcy court disregarded pertinent state law in ruling that the offset procedure resulted in a “transfer of property.” The Department contends that, as a matter of state law, Plainville and Winter Hill did not have a
[T]he relationship between the department and Haverhill Manor appears analogous to a relationship between other parties doing business which would create a “mutual аnd open account current” or a simple “running (open) account.” In either case, and, by extension, in this case, one party owes to the other party only the balance in the account at the particular time, and charges by each may satisfy charges by the other. The balance owed by either is computed by setting off charges against favorable items.
Id.
at 22,
This argument has some force. But we think a close reading of Haverhill Manor indicates the DPW may have attached undue significance to the SJC’s “running account” analogue. The issue before the SJC in Haverhill Manor was the validity of the DPW’s use of an offset procedure apparently identical — though uncodified — to the one it employed here. The DPW had offset the amount of past (1968-1971) over-payments to Haverhill Manor Nursing Home and homes affiliated with Haverhill Manor against the Department’s current (1973) monthly disbursements to Haverhill Manor. (The consequence of this offset was that Haverhill Manor was to receive no payments for services rendered in 1973.) The homes had filed administrative appeals from the Commission’s determination of the final rates that had been the basis for the conclusion that overpayments had been made. 17 These appeals were still pending in 1973.
In holding the DPW’s action permissible as a matter of state administrative law, the SJC observed that the DPW’s offset procedure was an expeditious method of protecting the public fisc, avoiding a “multiplicity of suits and circuity of action.”
Id.
at 21,
The SJC also addressed Haverhill Man- or’s claim that the offset procedure was a deprivation of property without due process of law. We think it is the SJC’s discussion of this issue that ultimately undermines the DPW’s argument in the present case. In addressing this claim, the SJC explicitly held, notwithstanding either the validity of the offsеt procedure or the resemblance of the DPW-nursing home reimbursement scheme to a “running account,” that Haverhill Manor did in fact have a property interest in its current monthly payments:
We do not question that Haverhill Manor has shown a property interest that is cognizable under the due process clause_ Under the law of the Commonwealth, Haverhill Manor had a valid claim of entitlement to the 1973 payments. It had provided health services in accordance with the law and was entitled to receive reimbursement under the interim rate for 1973 then in effect. Delay in receipt of the reimbursement deprived Haverhill Manor of the use of the funds during the period of delay. The use of the funds, itself, is a property interest which may not be taken by the Commonwealth without due process of law.
Id.
at 23,
In short, the SJC did not find its own running account analogue dispositive of the question whether Haverhill Manor had a property interest in its monthly disbursements. We therefore conclude, in the present case, that Plainville and Winter Hill did indeed have a property interest in their monthly disbursements from the DPW. 19 Once this premise is accepted there seems little doubt, in light of the Code’s broad definition of “transfer,” that the DPW’s withholdings were transfers of property for the purposes of section 547.
B. Insolvency
One of the statutory requirements of a preferential transfer is that the debtor be insolvent at the time of the transfer.
There is no dispute that the relevant substantive law on this issue is the law of Massachusetts and that the controlling case therefrom is
My Bread Baking Co. v. Cumberland Farms, Inc.,
Where there is common control of a group of separate corporations engaged in a single enterprise, failure (a) to make clear which corporation is taking action in a particular situation and thе nature and extent of that action, or (b) to observe with care the formal barriers between the corporations with a proper segregation of their separate businesses, records, and finances, may warrant some disregard of the separate entities in rare particular situations in order to prevent gross inequity.
Particularly is this true (a) when there is active and direct participation by the representatives of one corporation, apparently exercising some form of pervasive control, in the activities of another and there is some fraudulent or injurious consequence of the intercorporate relationship, or (b) when there is a confused intermingling of activity of two or more corporations engaged in a common enterprise with substantial disregard of the separate nature of the corporate entities, or serious ambiguity about the manner and capacity in which the various cоrporations and their respective representatives are acting.
Id.
at 619-20,
the Department failed to demonstrate any fraudulent or injurious consequences to it or any element of injustice or fundamental unfairness with respect to it. The Department was fully apprised of the relationships involving the Debtors, the trusts, Management and Accaputo and Mikolinski and a result of the [required forms] filed with it over at least a four year period.
We have examined the record with care and find that the bankruptcy court’s ruling on this issue is fully supported. The Department was unable to establish the formal ambiguity My Bread requires, and the bankruptcy court thus correctly refused its request to disregard the corporate form.
The Department also contends the bankruptcy court improperly charged it with the burden of proving that the debtors were solvent. There was no error. By the plain terms of the statute, a debtor is presumed to be insolvent during the 90 days preceding its petition, the time period during which these transfers were made.
C. The Ordinary Course of Business Exception
The DPW further argues that even if its offsets were transfers of property, they were not voidable because they fall with
(c) The trustee may not avoid under this section a transfer—
(2) to the extent that such transfer was—
(A) in payment of a debt incurred in the ordinary course of business or financial affairs of the debtor and the transferee;
(B) made in the ordinary course of business or financial affairs of the debtor and the transferee; and
(C) made according to ordinary business terms.
Several bankruptcy courts have lamented Congress’s failure to flesh out its concept of the “ordinary” under this section.
See, e.g., In re Magic Circle Energy Corp.,
But at least a few things about this exception are certain. First, “the creditor ... has the burden of proving the nonavoidability of a transfer under subsection (c) of [
The DPW argues that by virtue of their common ownership and their agreement to abide by all relevant regulations, the four homes at issue here — Mary Murphy, Mid-dlesex Manor, Plainville, and Winter Hill— were essentially “co-debtors.” The debts incurred by Mary Murphy and Middlesex Manor (the debts triggering the offsets) were therefore the debts of Plainville and Winter Hill. And the Department assumes that bеcause the offset procedure was perfectly permissible under both the provider agreements and the relevant state regulations, that the procedure was therefore “ordinary” for the purposes of
We question, however, whether the DPW’s offsets are the sort of transactions for which this exception affords a safe harbor. For one thing, these offsets — the purpose of which was to recoup over-payments made some two or three years previously — seems a far cry from the prototypical short term credit transaction the statute apparently addresses. For another, we have been shown no case, nor can we find one, where an involuntary transfer— such as the transfers here — was found to fall within this exception.
But the Department’s argument is unpersuasive for a simpler reason: it failed to prove that the offsets were “made in the ordinary course of business or financial affairs of the debtor and the transferee,”
In its brief, the Depаrtment argues that an affidavit of one Norman Flora, a DPW official, was sufficient to establish a past practice of such offsets. We disagree. The affidavit at most suggests that such offsets were permissible, or perhaps that they were used in the transactions relevant in this particular case. It does not suggest — except by the barest conclusions— that such offsets were “ordinary.”
D. Setoff
The Department’s final argument is that its withholdings of payments due Plainville and Winter Hill were permissible setoffs of “mutual debt” under section 553 of the Bankruptcy Code.
IV. CONCLUSION
We find that the Department of Public Welfare waived its sovereign immunity with respect to the claims brought against it by Plainville and Winter Hill. The bankruptcy court correctly found that the DPW’s offsets were preferential transfers, thus avoidable by the debtors-in-possession. The district court erred by adding interest to the amount of the judgment entered by the bankruptcy court.
We affirm the judgment of the district court in all respects with the exception of its award of interest, which is vacated.
Notes
. Under the relevant part of Mass.Regs.Code tit. 106, § 456.703,
[¡liabilities incurred due to retroactive rate decreases shall be settled through repayment of the entire liability by the provider or deduction from current payments of the entire liability by the Department. At the discretion of the Department, when a lump settlement is financially impossible, repayments may be made in the following manner through dеductions from current and retroactive payments (payrolls) made to the provider:
(B) If, after the first 12 months of deductions, the entire liability has not been settled, the Department shall then deduct monthly either 15 percent of each month’s cash disbursements to the provider or an amount equal to one-twelfth of the liability outstanding at the end of the first twelve months, whichever is greater. This shall continue until the entire liability has been settled.
(E) If two or more facilities are, or were, under a common ownership, and if one or more of the facilities is owed money by the Commonwealth, the Department may offset the provider’s liability to the Department against the Department’s liability to the provider.
. We use "setoff' and "offset" for descriptive purposes only, without intending that technical or legal significance be attached to these terms.
. The offsets were made on the following dates and in the following amounts:
Winter Hill
January 5, 1986 $12,391.65
February 3, 1986 $11,027.25
February 27, 1986 $33,227.46
Plainville
December 31, 1985 $ 7,708.00
February 3, 1986 $ 5,386.14
.Plaintiff Mary Murphy had previously filed a voluntary petitiоn for bankruptcy on October 25, 1985; Middlesex Manor filed a petition on the same day as Plainville, March 7, 1986. Pursuant to the March 21, 1986, motion of the nursing homes, the four Chapter 11 cases were consolidated for procedural purposes.
. The Eleventh Amendment provides:
The judicial power of the United States shall not be construed to extend to any suit in law or equity, commenced or prosecuted against one of the United States by citizens of another state, or by citizens or subjects of any foreign state.
In
Hans v. Louisiana,
Although some courts and commentators interpret Hans as recognizing a principle of structural "sovereign immunity," and not true Eleventh Amendment immunity, we see nothing as turning on these characterizations. We thus use the terms sovereign immunity and Eleventh Amendment immunity interchangeably.
. In
Parden v. Terminal Railway,
. The nub of the argument that section 5 of the Fourteenth Amendment is not a unique empowerment of Congress is that the states, by ratifying the Constitution itself, thereby consented to suit in federal court whenever Congress so chooses to subject them under any constitutionally authorized exercise of its power. Several courts of appeals have embraced some variation of this position.
See McVey,
There is some doubt whether these last three decisions are good law, however, as they were decided prior to
Atascadero State Hospital v. Scanlon,
. The waiver is "partial” in the sense that the state exposes itself only to claims brought by the debtor that arise out of the same transaction or occurrence as its own claims against the debtor.
. The bankruptcy court's memorandum accompanying its order does not advert to the DPW’s Eleventh Amendment defense. Apparently the Department raised the defense in a motion to dismiss, a motion the bankruptcy court denied at an unreported pretrial conference.
. The Department also argues that because the Department of Revenue and the Department of Public Welfare are twо different "governmental units” under the Code, the filing of a claim by one agency could not trigger a waiver of sovereign immunity by the other. Because we conclude that the Department of Revenue’s claims and the nursing homes’ claims against the DPW did not arise out of the same transaction or occurrence, we find it unnecessary to resolve this nice question.
. As we decline to pass upon whether or not
. The report accompanying this provision reads in relevant part:
First, the filing of a proof of claim against the estate by a governmental unit is a waiver by that governmental unit of sovereign immunity with respect , to compulsory counterclaims, as defined in the Federal Rules of Civil Procedure, that is, counterclaims arising out of the same transaction or occurrence. The governmental unit cannot receive a distribution from the estatе without subjecting itself to liability it has to the estate within the confines of a compulsory counterclaim rule. Any other result would be one-sided. The counterclaim against the governmental unit is without limit.
S.Rep. No. 989, 95th Cong., 2d Sess. 29-30,
reprinted in
1978 U.S. Code Cong. & Admin. News 5787, 5815-5816.
See In re Zera,
. In their brief, appellees "presume” that the district court awarded prejudgment interest on the basis of Massachusetts law, to wit, Mass. Gen.Laws ch. 231, § 6C (1985). But the availability of an award of prejudgment interest in an action arising under a federal statute, such as the action brought by the nursing homes, is a matter of federal law, not the law of the forum state.
See Segal v. Gilbert Color Systems, Inc.,
. We refuse to consider appellees' argument that postjudgment interest should have been awarded, as appellees did not file a notice of appeal and otherwise pursue a cross appeal on this point.
.
. Although there are five elements of a preferential transfer under
. Haverhill Manor had appealed from the 1971 rate and its affiliates had appealed from both the 1970 and 1971 final rates. 368 Mass, at 19
&
n. 9,
. The SJC ultimately concluded that the offset procedure was a permissible "summary administrative action,” and that no due process violation had occurred.
. As in Haverhill Manor, the final rates that led to the conclusion of an overpayment, thus triggering the offset procedure, have been appealed. The appeals are still pending.
.We share the bankruptcy court’s sense that "it is somewhat unclear whether the Department is recommending piercing the trust veils directly or whether it is recommending piercing the debtors’ corporate veils to reach Mikolinski’s and Accaputo’s beneficial interests in the trusts.”