Court Opinion

ID: 31576
Source: CourtListenerOpinion
Date Created: 2010-04-25 10:18:57+00
Date Added: 2024-06-11T12:25:27.590107
License: Public Domain

United States Court of Appeals
                                                               Fifth Circuit
                                                            F I L E D
                                                             June 10, 2003
                 UNITED STATES COURT OF APPEALS
                                                        Charles R. Fulbruge III
                      FOR THE FIFTH CIRCUIT                     Clerk

                     _______________________

                           No. 02-10866
                     _______________________

IN RE: TRI-CITY HEALTH CENTRE, INC.,

Debtor
-------------------------------------

              RANDOLPH ROYAL GILLUM; TEXAS SUMMIT
         CORPORATION; SURGERY & DIAGNOSIS INCORPORATED,

                                                        Appellants,

                             versus

           ROBERT MILBANK, JR., Trustee for Tri-City
         Health Centre, Inc.; UNITED STATES OF AMERICA,

                                                          Appellees.

________________________________________________________________

           Appeal from the United States District Court
       for the Northern District of Texas, Dallas Division
                      Civil Docket 01-CV-1352
_________________________________________________________________

Before DAVIS, JONES, and BENAVIDES, Circuit Judges.

PER CURIAM:*

     *
      Pursuant to 5TH CIR. R. 47.5, the Court has determined that
this opinion should not be published and is not precedent except
under the limited circumstances set forth in 5TH CIR. R. 47.5.4.
           Randolph R. Gillum, Texas Summitt Corporation (“TXS”),

and Surgery & Diagnosis Incorporated (“SDI”) appeal from the

district court’s affirmance of the bankruptcy court’s judgment in

favor of Tri-City Health Care Centre (“TCHC”) on its breach of

fiduciary duty and fraud claims and in favor of the United States

of America on its claims under the False Claims Act, 31 U.S.C. §

3729 et seq. (2000).            We hold that the bankruptcy court and

district court erred in finding a settlement agreement to which

Gillum, TXS, and TCHC were parties did not contain a release of the

claims brought by TCHC in this case.                  We also hold that the

bankruptcy   court   and    district       court    did   not   err   in   finding

sufficient   evidence      to   support     the    verdict   in   favor    of   the

Government on its claims under the False Claims Act.              Therefore, we

affirm in part, and reverse in part.

                                  BACKGROUND

           TCHC filed for Chapter 11 bankruptcy protection on July

3, 1998.   On August 11, 1999 TCHC initiated an adversary proceeding

against Gillum, Karen Gillum, TXS, and SDI alleging that they

breached their fiduciary duty to TCHC, were involved in a civil

conspiracy, and were unjustly enriched by transactions between TCHC

and TXS.   TCHC also asserted a fraud claim against Gillum and TXS.

On October 21, 1999, the United States of America (“Government”),

on behalf of Medicare, intervened in the lawsuit against Defendants

alleging violations of the False Claims Act (“FCA”), common law

                                       2
fraud, and unjust enrichment.          In October 2000, the bankruptcy

proceeding was converted to a Chapter 7 liquidation and Robert

Milbank, Jr. was appointed as Trustee and was substituted into the

lawsuit on behalf of TCHC.

              The claims of TCHC and the Government arise out of two

sets of transactions between TCHC and TXS.          At the times of these

transactions, Gillum was TCHC’s CEO and a member of its Board of

Directors.      During this time period, Gillum was also the sole

shareholder and President of TXS (a subchapter S corporation).

              The first transaction involves the sale of a CT Scan

machine to TCHC in 1990.      The CT Scan machine was purchased by TXS

in 1988 and listed as an asset on its books; the documentation of

the sale, however, identified SDI as the seller of the machine.

TXS purchased the CT Scan machine for $145,000 and sold it to TCHC

for $893,000, for a profit of $748,000.                 The second set of

transactions relate to contracts wherein TCHC hired TXS to perform

construction work between 1989 and 1994.           While the construction

only   cost    TXS   $5,000,000   to   perform,   TXS   charged   TCHC   over

$12,000,000, resulting in a $7,000,000 profit for TXS.               Gillum

concedes that these profits were excessive and that his receipt of

the profits (through TXS) constitutes a breach of fiduciary duty.

              Before the bankruptcy court, Gillum argued that TCHC’s

claims were barred by the statute of limitations and that neither

the discovery rule nor the doctrine of fraudulent concealment could

                                       3
toll the running of the statute.          Gillum also argued that TCHC had

released any potential claims it had against him as both Gillum and

TCHC were parties to a settlement agreement executed to resolve a

suit brought by the Texas Attorney General (“AG”) in 1993 alleging

that Gillum, TCHC, and TXS, inter alia, “used the charitable assets

of TCHC for private gain rather than for the exclusively charitable

purposes permitted by Texas law.”            The AG’s complaint included

allegations related to the construction contracts and excessive

rates charged by TXS as well as allegations related to the CT Scan

machine transaction.

            The Government’s FCA claims also arise out of the CT Scan

machine     transaction   and   the       construction   contracts.   The

Government’s claims are based upon the fact that TCHC’s payments to

TXS were reimbursed by Medicare.          Because TXS and TCHC are related

parties, TCHC was only entitled to receive reimbursements for its

payments to TXS that covered TXS’s costs in providing the goods and

services.    The Government alleged that TXS, Gillum, and SDI made

false statements when they failed to disclose their costs related

to these transactions to TCHC and then misled TCHC when TCHC was

required to report TXS’s and SDI’s costs to Medicare since they

were all related parties. The Government also alleged that Gillum,

TXS, and TCHC made false claims themselves by submitting vouchers

and invoices to TCHC for payment without disclosing the necessary

cost information and then misleading TCHC as to their costs.

                                      4
            With the consent of the parties, the bankruptcy court

held a jury trial on the Government’s and TCHC’s claims.           The jury

returned a verdict in favor of TCHC finding the defendants liable

for breach of fiduciary duty and that Gillum and TXS had committed

fraud, and civil conspiracy, and were unjustly enriched by the

hospital.   As to Gillum’s statute of limitations defense, the jury

concluded that TCHC neither knew nor should have known about its

claims related to the CT Scan machine until April 30, 1998 and the

construction contracts until March 30, 1999. Furthermore, the jury

concluded that TCHC did not release its claims against Gillum and

TXS as part of the settlement agreement with the AG.

            The jury also found that Gillum, TXS, and SDI violated

the False Claims Act because each had knowingly presented a false

or fraudulent claim to Medicare; had knowingly made, used, or

caused to be made or used, a false record or statement to get a

false or fraudulent claim paid; and conspired to defraud the

government by getting a false or fraudulent claim allowed.                The

jury found that Gillum, TXS, and SDI had committed common law fraud

against   the   Government   and   that   they   acted   with    malice   or

willfulness as to the rights of the United States.

            The bankruptcy court entered judgment in favor of TCHC

against Gillum for $7,233,500 in actual damages, $668,051.18 in

prejudgment     interest,    and   $3,600,000    in   punitive    damages.

Additionally, the court entered judgment in favor of the Government

                                     5
against Gillum, TXS, and SDI, jointly and severally for $3,000,000

in actual and treble damages.          Further, the court entered judgment

in favor of the government in the amount of $1,198,500 against

Gillum, $1,190,000 against TXS, and $8500 against SDI as statutory

penalties    for     violating    the       FCA.     The   Defendants    moved

unsuccessfully for judgment as a matter of law or new trial.

Gillum, TXS, and SDI appealed to the district court, which affirmed

the judgment of the bankruptcy court.

                                 DISCUSSION

            “Bankruptcy court rulings and decisions are reviewed by

a court of appeals under the same standards employed by the

district    court    hearing     the    appeal     from    bankruptcy   court;

conclusions of law are reviewed de novo, findings of fact are

reviewed for clear error, and mixed questions of fact and law are

reviewed de novo.”     Century Indem. Co. v. NGC Settlement Trust (In

re National Gypsum Co.), 208 F.3d 498, 504 (5th Cir. 2000).

            We review a district court's ruling on a motion for

judgment as a matter of law de novo. Industrias Magromer Cueros y

Pieles S.A. v. La. Bayou Furs, Inc., 293 F.3d 912, 918 (5th Cir.

2002).     Judgment as a matter of law is proper when "a party has

been fully heard on an issue and there is no legally sufficient

evidentiary basis for a reasonable jury to find for that party on

that issue."       Fed. R. Civ. P. 50(a).          In reviewing denial of a

motion for JMOL, the court must review the record "taken as a

                                        6
whole."    Phillips v. Monroe County, 311 F.3d 369, 373 (5th Cir.

2002) (quoting Reeves v. Sanderson Plumbing Prods., Inc., 530 U.S.

133, 150 (2000)).   In reviewing the evidence in the record, we must

"draw all reasonable inferences in favor of the nonmoving party"

and "not make credibility determinations or weigh the evidence."

Id. (quoting Reeves, 530 U.S. at 150).                  The court “must give

credence to the evidence supporting the nonmovant as well as any

evidence   supporting   the   moving      party    that   is   uncontradicted,

unimpeached, and not attributable to interested witnesses.”                Id.

The court “must disregard all evidence favorable to the moving

party that the jury is not required to believe.”               Reeves, 530 U.S.

at 151.

TCHC’s Claims

           Gillum argues that TCHC released the claims upon which it

recovered in this case as part of a settlement agreement arising

out of the AG’s 1993 lawsuit against both parties.               The AG’s 1993

suit alleged that TCHC, TXS, and Gillum “used the charitable assets

of TCHC for private gain rather than for the exclusively charitable

purposes   permitted    by   Texas   law.”        The   settlement   agreement

includes pre-printed and handwritten provisions.                Paragraph 4 of

the settlement agreement stated that

     The Parties agree to release, discharge, and forever hold
     the other harmless from any and all claims, demands or
     suits, known or unknown, fixed or contingent, liquidated
     or unliquidated, whether or not asserted in the above
     case, as of this date, arising from or relating to the

                                      7
     events and transactions which are the subject matter of
     this case, except for the following: or alleged in any
     manner in connection with this case.1

The settlement agreement defines “party” as all named parties to

the case.    TCHC, TXS, and Gillum were all named as defendants in

the AG’s suit.     In addition to this general release, there are also

handwritten, specific releases of claims among Gillum, TXS, and

TCHC.2

            The bankruptcy court held that the settlement agreement

was ambiguous as a matter of law because in its view the general

release and the specific releases within the settlement agreement

were contradictory.       In light of its conclusion, the bankruptcy

court    allowed   the   jury   to   hear   extrinsic   evidence   that   the

settlement agreement only intended to release the claims of the AG

     1
        The strikeout appears in the original.
     2
      There are nine handwritten paragraphs appended to the
settlement agreement form. The first three paragraphs state that

     1. Texas Summitt Corporation and/or Randolph R. Gillum,
     D.O. will agree to release to Tri-City Health Centre,
     Inc. all remaining claims for payment for construction
     and back management fees including fees owing to Texas
     MRI.

     2. Randolph R. Gillum, D.O. and/or Texas Summitt
     Corporation will agree to release to Tri-City Health
     Centre, Inc. all claims for reimbursement for the
     hospital’s use of aircraft.

     3. Randolph R. Gillum, D.O. will agree to pay to Tri-City
     Health Centre, Inc. $100,000 and to pay to the Attorney
     General $30,000 on or before April 1, 1994.

                                       8
against TCHC, Gillum, and TXS, but not any claims that might exist

among TCHC, Gillum, and TXS.        The jury found that TCHC did not

release its claims against Gillum as part of the 1993 settlement

agreement.

           Gillum challenges the bankruptcy court’s holding that the

settlement agreement was ambiguous. To the contrary, Gillum argues

that if correctly interpreted, the agreement provides that TCHC

released   Gillum   from   any   claims   arising   out   of   the    CT    Scan

transaction or the construction contracts.          We agree with Gillum

that the settlement agreement is not ambiguous and under its plain

meaning TCHC released the claims it brought against Gillum in this

case.

           “Like any other agreement, a release is subject to the

rules of construction governing contracts.”         Baty v. Protech Ins.

Agency, 63 S.W.3d 841, 848 (Tex. App.–Houston [14th Dist.] 2001,

pet. denied).   “A contract is ambiguous only if ‘it is reasonably

susceptible to more than one meaning.’” Matador Petroleum Corp. v.

St. Paul Surplus Lines Ins. Co., 174 F.3d 653, 657 (5th Cir. 1999)

(quoting Coker v. Coker, 650 S.W.2d 391, 393 (Tex. 1983)).                 Parol

or extrinsic evidence may not be used to create an ambiguity; it

may be used to interpret a contract only where the court first

determines that the contract is in fact ambiguous.                   Leasehold

Expense Recovery, Inc. v. Mothers Work, Inc., 2003 WL 21136731, at

                                     9
*5 (5th Cir. May 19, 2003);       Nat'l Union Fire Ins. Co. v. CBI

Indus., Inc., 907 S.W.2d 517, 520 (Tex. 1995).

           The   settlement   agreement    explicitly      states   that   the

parties to the agreement, which included TCHC, Gillum, and TXS,

release all claims arising out of the events and transaction which

were the subject matter of the AG’s suit.           The petition filed by

the AG included allegations of wrongdoing by TXS and TCHC related

to the CT Scan transaction and the construction contracts at issue

in this case.    Thus, the settlement agreement on its face plainly

constitutes a release by TCHC in favor of TXS and Gillum on the

claims brought by TCHC in this case.

           TCHC makes two arguments supporting an ambiguity in the

language of the settlement agreement.       TCHC first argues that the

settlement agreement is ambiguous because reading the general

release to cover all claims between TCHC and Gillum/TXS would

render the specific release clauses meaningless. Thus, to preserve

the meaning of the specific releases, the general release could

reasonably be construed only to release the AG’s claims against

Gillum, TCHC, and TXS but not the claims among Gillum, TCHC, and

TXS.

           This argument lacks merit.        It is certainly true that

specific   contractual   terms   control     over    the    general   terms.

O'Connor v. O'Connor, 694 S.W.2d 152, 155 (Tex. App.–San Antonio

1985, writ ref'd n.r.e.).     But, it is also a fundamental principle

                                   10
of contract interpretation that every clause of a contract is

intended    to   have   some   effect.      Calpetco   1981   v.   Marshall

Exploration, Inc., 989 F.2d 1408, 1413 (5th Cir. 1993) (citing

Westwind Exploration, Inc. v. Homestate Sav. Ass'n, 696 S.W.2d 378

(Tex. 1985)).      In this case, there is no conflict between the

general and specific releases in the settlement agreement.             The

specific    releases    dispose   of   certain   potential,   specifically

identified claims that TCHC could bring while the general release

covers all other claims.          While the general release covers the

claims addressed in the specific releases, it does not render them

a nullity.

            To accept TCHC’s argument would require this court to

state that any settlement agreement which contains a general

release followed by specific releases is ambiguous per se. This is

wrong.     There is nothing inherently ambiguous about a settlement

agreement that contains both a general release of claims between

parties and specific releases regarding some claims that would fall

within the terms of the general release.

            TCHC’s second argument is that the settlement agreement

was ambiguous based on the facts and circumstances present at the

time the settlement agreement was executed.         TCHC points out that

TXS, Gillum, and TCHC presented a joint defense, were never adverse

to one another, and never filed cross-claims against one-another.

Further, there was never any discussion of releasing claims among

                                       11
themselves during the pendency of the 1993 AG’s suit.                 Thus, TCHC

concludes that the scope of the general release is ambiguous.

           It is true that "whether a contract is ambiguous is a

question of law for the court to decide by looking at the contract

in light of the circumstances existing at the time the contract was

entered into."   U.S. Quest, Ltd. v. Kimmons, 228 F.3d 399, 403 (5th

Cir. 2000) (quoting Reilly v. Rangers Mgmt., Inc., 727 S.W.2d 527,

529 (Tex. 1987)). The circumstances that TCHC calls to the court’s

attention,   however,     do   not     render    the   settlement       agreement

ambiguous. “Where the contract language is clear and definite, the

contract is not ambiguous and the court must apply the plain

language as a matter of law.”          Int'l Turbine Servs., Inc. v. VASP

Brazilian Airlines, 278 F.3d 494, 497 (5th Cir. 2002) (citing

DeWitt County Elec. Co-op., Inc. v. Parks, 1 S.W.3d 96, 100 (Tex.

1999)).   Here the language plainly releases TCHC’s claims arising

out of the CT Scan transaction and the construction contracts.

That TCHC was not adverse to Gillum and TXS in 1993 with respect to

the AG suit does not prove that the parties did not intend to

release any claims they may have among one another arising out of

the   transactions   at   issue   in    the     AG’s   suit.     In   fact,    the

settlement   agreement    explicitly        provides    for    Gillum    and   TXS

releasing claims to TCHC.      The plain language is binding.

           Since the 1993 settlement agreement constituted a release

by TCHC of the claims it made against Gillum and TCHC in this case,

                                       12
the bankruptcy court erred in finding the settlement agreement to

be ambiguous and allowing the introduction of parol evidence to

interpret the agreement.   The entry of judgment in favor of TCHC

must be reversed.3

Government’s Claims

          Gillum, TXS, and SDI challenge the sufficiency of the

evidence supporting the jury’s verdict that they knowingly caused

to be presented to Medicare a false or fraudulent claim for payment

in violation of 31 U.S.C. § 3729(a)(1) and that they knowingly,

made, used, or caused to be made or used a false record or

statement to get a false or fraudulent claim paid by Medicare in

violation of 31 U.S.C. § 3729(a)(2).4   The FCA claims relate to the

     3
       Since we hold that the judgment in favor of TCHC must be
reversed based upon the settlement agreement, we need not reach
whether the claims against Gillum and TXS were barred by the
statute of limitations.
     4
       (a) Any person who--
   (1) knowingly presents, or causes to be presented, to an officer
or employee of the United States Government or a member of the
Armed Forces of the United States a false or fraudulent claim for
payment or approval;
  (2) knowingly makes, uses, or causes to be made or used, a false
record or statement to get a false or fraudulent claim paid or
approved by the Government;
    (3) conspires to defraud the Government by getting a false or
fraudulent claim allowed or paid;
   ...
   is liable to the United States Government for a civil penalty of
not less than $ 5,000 and not more than $ 10,000, plus 3 times the
amount of damages which the Government sustains because of the act
of that person.

31 U.S.C. § 3729(a) (2000).

                                13
same CT Scan and construction transactions as TCHC’s claims.      At

trial, the government adduced evidence of two different types of

false claims: Medicare Cost Reports filed by TCHC from 1990-1996

and the accompanying HCFA 339 forms submitted by TCHC to Medicare

and invoices submitted by TXS and SDI for CT Scan machine and the

construction work provided by TXS.     Having reviewed the briefs and

the record, we find that there is sufficient evidence to support

the verdict in favor of the government.

                            CONCLUSION

          For the foregoing reasons, we reverse and render judgment

in favor of Gillum and TXS on TCHC’s claims and we affirm the

judgment for the United States.

          AFFIRMED IN PART, REVERSED IN PART.

                                  14