United States of America et al v. Staten Island University Hospital et al
Filing
103
ORDER granting 92 Motion to Dismiss; granting 93 Motion to Dismiss : For the reasons stated in the attached memorandum and order, the third-party claims against Regency are dismissed, as are the third-party claims against PMG for contribution and implied indemnity. Ordered by Judge John Gleeson on 5/13/2011. (Horowitz, Hayley)
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF NEW YORK
-------------------------------------------------------x
:
UNITED STATES OF AMERICA,
:
ex rel ELIZABETH M. RYAN,
:
:
Plaintiffs,
:
:
-against:
:
STATEN ISLAND UNIVERSITY
:
HOSPITAL; GILBERT LEDERMAN;
:
GILBERT LEDERMAN, M.D., P.C.;
:
PHILIP JAYSILVERMAN,
:
:
Defendants.
:
-------------------------------------------------------x
:
GILBERT LEDERMAN; GILBERT
:
LEDERMAN, M.D., P.C.,
:
:
Third-Party Plaintiffs,
:
:
-against:
:
REGENCY ALLIANCE SERVICES, INC.; :
PHYSICIANS MANAGEMENT GROUP,
:
:
Third-Party Defendants. :
:
-------------------------------------------------------x
APPEARANCES:
LORETTA E. LYNCH
United States Attorney
Eastern District of New York
271 Cadman Plaza East
Brooklyn, New York 11201
By:
Laura D. Mantell
Richard K. Hayes
Attorneys for Plaintiff United States
FOR ONLINE PUBLICATION ONLY
MEMORANDUM
AND ORDER
04-CV-2483 (JG) (CLP)
LIFFLANDER & REICH LLP
1221 Avenue of the Americas
New York, New York 10020
By:
Richard I. Reich
Roman Gitnik
Attorneys for Plaintiff Elizabeth M. Ryan
TRACY & STILWELL, P.C.
1688 Victory Boulevard
Staten Island, New York 10314
By:
John J. Tracy
Attorney for Defendants/Third-Party Plaintiffs Gilbert Lederman and Gilbert
Lederman, M.D., P.C.
SILLS CUMMIS & GROSS, P.C.
One Rockefeller Plaza
New York, New York 10020
By:
Herve Gouraige
Katherine Marguerite Lieb
Attorneys for Third-Party Defendant Regency Alliance Services, Inc.
JOHN GLEESON, United States District Judge:
This action was commenced on June 6, 2004 when relator Elizabeth M. Ryan
filed a complaint against Staten Island University Hospital (“SIUH”), Gilbert Lederman
(“Lederman”), Gilbert Lederman, M.D., P.C. (“Lederman P.C.”), and Philip Jay Silverman
pursuant to the qui tam provisions of the False Claims Act (“FCA”), 31 U.S.C. § 3730(b). The
relator’s complaint alleges, inter alia, that beginning in the mid-1990s, the defendants performed
more than 10,000 Stereotactic Body Radiosurgery (“BRS”) procedures on their patients, that
these procedures were not approved for reimbursement by Medicare, but that Lederman and
Lederman P.C. (collectively, the “Lederman defendants”) submitted thousands of false claims
for Medicare reimbursement. On July 31, 2008, the United States intervened in the action by
filing a complaint against the Lederman defendants. The government asserts two claims under
the FCA, pursuant to 31 U.S.C. §§ 3729(a)(1) and 3729(a)(2), and two common law claims for
unjust enrichment and payment by mistake.
2
On November 1, 2010, the Lederman defendants filed a third-party complaint
against Regency Alliance Services, Inc. (“Regency”) and Physicians Management Group
(“PMG”), alleging that Regency and PMG were coding and billing experts working for the
Lederman defendants during the relevant period, and that the allegedly false claims were
submitted by Regency and PMG on behalf of the Lederman defendants. The Lederman
defendants seek contribution and indemnification from the third-party defendants in the event
that they are held liable for unjust enrichment or payment by mistake. PMG has not filed a
motion to dismiss or otherwise appeared in this action. On March 24, 2011, Lederman filed a
motion for entry of default against PMG. The Clerk entered default on April 11, 2011. On
February 25, 2011, Regency filed a motion to dismiss the Lederman defendants’ third-party
complaint, or in the alternative, to vacate my October 18, 2010 order granting the Leaderman
defendants leave to implead Regency. Oral argument was heard on the motion on April 22,
2011. For the reasons stated below, Regency’s motion to dismiss is granted. In addition, the
Lederman defendants’ claims for contribution and implied indemnity against PMG are
dismissed.
BACKGROUND1
A.
The Medicare Program and Its Treatment of Stereotactic Radiosurgery
The Medicare program was established by enactment of Title XVIII of the Social
Security Act. Part B of the Medicare program provides federal funding for certain physician
services provided to Medicare beneficiaries. Claims under Part B for Medicare payment for
physician services are administered by private carriers (“Part B carriers”), which enter into
contracts with the Secretary of Health and Human Services. Physicians bill their services to
1
Statements of fact in parts A and B of this section are taken from the plaintiffs’ complaints and do
not represent the findings of the Court.
3
these carriers using standard 5-digit billing codes, which are based on codes designated by the
American Medical Association (AMA) called “Physicians’ Current Procedural Terminology”
(“CPT”) codes. Part B carriers determine the reimbursement amount of each claim based on the
lesser of the actual charge and a standardized fee schedule for the appropriate CPT code.
Guidance as to whether a particular service is covered under Part B is provided by
Local Coverage Determinations (“LCDs”) issued by Part B carriers. Empire Medicare Services
(“Empire”), the Part B carrier to which the Lederman defendants submitted their Medicare
claims during the relevant period, issued two LCDs in 1996 and 2001, respectively, which
advised physicians to use CPT code 61793 when billing for stereotactic radiosurgery and which
indicated that coverage for stereotactic radiosurgery was limited to treatment of diseases above
the neck. The 2001 LCD also instructed that code 61793 could be billed only once per course of
treatment, regardless of the number of sessions required. The AMA provided the same
instruction in its CPT code book. The AMA also prescribed that a second code, 77432, which
applied to the radiation treatment management of cerebral lesions, could be used only once per
treatment. No CPT code covered BRS during the period relevant to this action.
B.
Defendants’ Alleged Activities
At the time of the events giving rise to this action, Lederman was the Director of
Radiation Oncology for SIUH, and Silverman was an attending physician practicing in the
Department of Radiation Oncology at SIUH. Lederman P.C. was a professional corporation
owned exclusively by Lederman, through which he billed Medicare for professional services that
he and other oncologists provided at SIUH. From approximately 1996 through the end of 2003,
the defendants created and disseminated materials falsely representing that BRS was a successful
treatment for many forms of primary and metastatic cancers, including lung, liver, bladder,
4
pancreatic, and colon cancers. The defendants also offered cancer patients free consultations in
which they provided false information concerning the effectiveness of BRS. During the relevant
period, the defendants administered BRS to a variety of below-the-neck cancers in thousands of
patients, and, although they were aware of Empire’s LCDs, they submitted falsely coded bills for
Medicare reimbursement for this treatment. On December 5, 2008, the government provided a
list of 364 claims it contends were fraudulent. The list included 26 claims under billing code
61793 and 320 claims under billing code 77432. As a result of these claims, defendants received
Medicare reimbursement to which they were not entitled.
C.
The Plaintiffs’ Claims for Relief
The relator filed her complaint on June 6, 2004 in accordance with the FCA’s qui
tam provisions, 31 U.S.C. § 3730(b). The complaint lists six counts, including Count III for false
claims for payment for services not reasonable and necessary for the treatment of an illness in
violation of Title XVIII of the Social Security Act § 1862(a)(1)(A), and Count V for conspiracy
to defraud and to submit false claims under 31 U.S.C. § 3792. On February 28, 2008, the United
States filed notice pursuant to the FCA, 31 U.S.C. §§ 3730(b)(2) and 3730(b)(4)(A), that it
intended to intervene only with respect to the relator’s third and fifth counts, and only as against
SIUH and the Lederman defendants. On July 31, 2008, the United States filed a complaint
against just the Lederman defendants. The complaint asserts four causes of action: (1)
knowingly making false claims for payment, in violation of the FCA, 31 U.S.C. § 3729; (2)
making false statements, in violation of the FCA, 31 U.S.C. § 3792(a)(2); (3) unjust enrichment
by receipt of reimbursement for services not covered; and (4) payment under mistake of fact
concerning coverage of the treatments for which reimbursements were received.
5
D.
The Settlement Agreement Between the Plaintiffs and SIUH
On September 5, 2008, the government, the relator and SIUH entered into a
settlement agreement that was approved by the Court on September 10, 2010 (“the SIUH
settlement”). SIUH agreed to pay the United States $25,022,76.00 plus interest, of which the
United States agreed to pay the relator $3,753,414.00. SIUH further agreed to pay $160,000 for
the relator’s expenses and attorney’s fees and costs. In exchange, the government and the relator
agreed to release SIUH and SIUH’s sole corporate member, “together with their current and
former officers, directors, trustees, agents and employees (excluding Gilbert Lederman, Gilbert
Lederman, M.D., P.C., and Philip Jay Silverman), and their subsidiaries and the successors and
assigns of any of them,” from liability for all claims asserted in this case. On August 7, 2009,
the United States voluntarily dismissed its claims against SIUH with prejudice.
E.
Relator’s Partial Voluntary Dismissal
On April 14, 2009, the relator voluntarily dismissed, without prejudice, Counts I,
II, IV, and VI of her complaint as against all defendants. The relator also dismissed without
prejudice all claims against Silverman. On June 1, 2009, the relator agreed by stipulation to
dismiss all portions of her remaining counts – Counts III and V – as to which the United States
had not intervened.
F.
The Lederman Defendants’ Third-Party Complaint
At a conference on October 8, 2010, the Lederman defendants sought leave to
amend their complaint to implead Regency and PMG. Rather than litigate the futility of the
proposed third party-complaint in the absence of the proposed third-party defendants, I granted
leave to file an amended complaint without prejudice to any challenge any part might wish to
make to the third-party claims. On November 1, 2010, the Lederman defendants filed their third-
6
party complaint, alleging that Regency and PMB were coding and billing experts and that they
submitted the disputed claims for reimbursement on behalf of the Lederman defendants. The
Lederman defendants contend that “if the plaintiff sustained damages as indicated in the
complaint . . . then such damages were caused in whole or in part by the negligence, culpable
conduct, and incorrect or improper billing and coding by the third-party defendants[.]” ThirdParty Compl. ¶ 23. The third-party complaint further alleges that the Lederman defendants
entered into written indemnification agreements with Regency and PMG. Accordingly, the
third-party complaint asserts causes of action for contribution, implied indemnification, and
contractual indemnification to offset any recovery by the government for unjust enrichment or
payment by mistake.
G.
Regency’s Motion to Dismiss
On February 25, 2011, Regency filed a motion to dismiss the Lederman
defendants’ third-party complaint.2 It argues that (1) the allegations in the third-party complaint
are not pled with sufficient specificity to state a claim for relief; (2) the FCA bars third-party
claims for indemnification and contribution; (3) the government’s common law claims are based
on the same factual allegations underlying the FCA claims, and allowing contribution or
indemnification for the common law claims would frustrate the purposes of the FCA; (4) the
contribution claim is barred by the SIUH settlement; (5) the third-party complaint fails to state a
claim for common law indemnification; (6) the third-party complaint fails to identify any written
agreement giving rise to contractual indemnification; and (7) the third-party complaint is not
timely.
On April 21, 2011, I issued an order directing the parties to be prepared at oral
argument to address whether contribution and common law indemnity can ever be available to a
2
The government noted its support of Regency’s motion by letter dated February 25, 2011.
7
defendant held liable under a theory of unjust enrichment or payment by mistake. At oral
argument the following day, Regency presented the seven arguments listed above and also
argued that contribution and indemnity are not available to a defendant facing liability for unjust
enrichment or payment by mistake. The Lederman defendants presented me with three New
York state cases that they read to suggest contribution and implied indemnity might be available
in such cases.3
In their opposition to the motion to dismiss, and again at oral argument on April
22, 2011, the Lederman defendants agreed that indemnification and contribution may not be
sought for liability pursuant to the FCA and clarified that they seek contribution and
indemnification only with respect to any liability they face pursuant to the government’s
common law claims. The Lederman defendants have also conceded that no written agreement
with Regency provides a basis for contractual indemnity. For that reason, the claim against
Regency for contractual indemnification is dismissed. For the reasons stated below, the claims
for contribution and implied indemnity are also dismissed as against both third-party defendants.
DISCUSSION
A.
Regency’s Motion to Dismiss for Failure to State a Claim Under Rule 12(b)(6)
1.
The Rule 12(b)(6) Legal Standard
The substantive merit of the Lederman defendants’ claims “depends on the
federal or state theory of contribution [or] indemnity . . . asserted in the third party complaint.”
Crews v. County of Nassau, 612 F.Supp.2d 199, 204 (E.D.N.Y. 2009). To survive a motion
under Rule 12(b)(6) for failure to state a claim, “a complaint must contain sufficient factual
3
These cases are AG Capital Funding Partners, L.P. v. State Street Bank and Trust Co., 5 N.Y.3d
582, 594 (2005); American Home Assur. Co. v. Nausch, Hogan & Murray, Inc., 897 N.Y.S.2d 413 (1st Dep’t 2010);
and Broyhill Furniture Industries, Inc. v. Hudson Furniture Galleries, LLC, 877 N.Y.S.2d 72 (2009). They are
addressed below. See infra, notes 6 and 10.
8
matter, accepted as true, to state a claim to relief that is plausible on its face.” Ashcroft v. Iqbal,
129 S.Ct. 1937, 1949 (2009). A claim is facially plausible only if the pleaded facts permit a
court to reasonably infer that the plaintiff is entitled to relief. Id.
2.
The Government’s Common Law Claims
Under New York law, when one party mistakenly makes a payment, and another
benefits from that payment, a quasi-contractual relationship is created, which gives rise to an
obligation to pay. Banque Worms v. BankAmerica Int’l, 77 N.Y.2d 362, 366 (1991) (“‘[I]f A
pays money to B upon the erroneous assumption of the former that he is indebted to the latter, an
action may be maintained for its recovery[.]’” (quoting Ball v. Shepard, 202 N.Y. 247, 253
(1911)); Cohen v. City Co. of New York, 283 N.Y. 112, 115 (1940) (“ . . . ‘Having money that
rightfully belongs to another, creates a debt . . . .’” (quoting Byxbie v. Wood, 24 N.Y. 607, 610
(1862))). The government’s common law claims for unjust enrichment and payment by mistake
are premised on this principle. They are claims for restitution or quasi-contract for which
recovery is to be had ex aequo et bono, that is, according to what is equitable and good. See 22A
N.Y. Jur. Contracts § 516 (2010).
The elements of a claim for payment by mistake are that plaintiff made a payment
under a mistaken apprehension of fact, that defendant derived a benefit as a result of this
mistaken payment, and that equity demands restitution by defendant to plaintiff. See Ball, 202
N.Y. at 253; Blue Cross of Cent. N.Y., Inc. v. Wheeler, 461 N.Y.S.2d 624, 626 (4th Dep’t 1983).
A claim for unjust enrichment consists of three elements: “that (1) defendant was enriched, (2) at
plaintiff’s expense, and (3) equity and good conscience militate against permitting defendant to
retain what plaintiff is seeking to recover.” Briarpatch Ltd., L.P. v. Phoenix Pictures, Inc., 373
F.3d 296 (2d Cir. 2004) (citing Clark v. Daby, 751 N.Y.S.2d 622, 623 (2002)); see also
9
Leibowitz v. Cornell Univ., 584 F.3d 487, 509 (2d Cir. 2009). Accordingly, both common law
claims turn on whether the Lederman defendants have benefitted from what is rightfully the
government’s such that equity and good conscience demand restitution. See 22A N.Y. Jur.
Contracts § 516; Sperry v. Crompton Corp., 8 N.Y.3d 204, 215 (2007) (“It is well settled that
‘[t]he essential inquiry in any action for unjust enrichment or restitution is whether it is against
equity and good conscience to permit the defendant to retain what is sought to be recovered.’”
(quoting Paramount Film Distrib. Corp. v. State of New York, 30 N.Y.2d 415, 421 (1972), cert.
denied, 414 U.S. 829 (1973)) (brackets in the original)); Banque Worms, 77 N.Y.2d at 366 (the
rule that a mistaken payment must be restored “has been applied where the cause of action has
been denominated as one for money had and received, for unjust enrichment or restitution, or
upon a theory of quasi contract” (citations omitted)); Mfrs. Hanover Trust Co. v. Chem. Bank,
559 N.Y.S.2d 704, 708 (1st Dep’t 1990) (“Actions to recover money paid under mistake are
frequently styled as actions for money had and received, the basis of which is that the defendant
has received money which, in equity and good conscience, should have been paid to or on behalf
of the plaintiff and that, under such circumstances, the defendant ought to pay it over.” (citations
omitted)).
To prevail on its common law claims, the government need not show that the
Lederman defendants engaged in wrongdoing or breached a duty. See Diamond, 186 N.Y.S.2d
at 918 (a showing of negligence is not necessary to make out a claim for payment by mistake);
Simonds v. Simonds, 45 NY.2d 233, 242 (1978) (“Unjust enrichment . . . does not require the
performance of any wrongful act by the one enriched . . . . Innocent parties may frequently be
unjustly enriched.” (citations omitted)). A defendant that has received a mistaken payment may
be required to restore the unearned funds to the payer even if the mistake was caused by the
10
negligence or wrongdoing of another party. See, e.g., Hathaway v. Delaware County, 185 N.Y.
368 (1906). “[T]he fact that money was transferred directly from [plaintiff’s possession] to
[defendant’s] (albeit by a third party) is enough to sustain a claim for unjust enrichment.”
Newbro v. Freed, 06-CV-1722, 2007 WL 642941, at *2 (2d Cir. Feb. 27, 2007).
However, the government will not be able to recover if the Lederman defendants
can demonstrate that “circumstances exist which make such recovery inequitable.” Hathaway,
185 N.Y. at 371. For instance, where a defendant has “changed its position to its detriment in
reliance upon the mistake so that requiring that it refund the money paid would be ‘unfair,’
recovery has been denied.” Banque Worms, 77 N.Y.2d at 366 (citing Paramount Film Distrib.
Corp., 30 N.Y.2d at 422; Ball, 202 N.Y. at 254). And if the Lederman defendants did not
themselves receive the payments at issue, they will not be required to make restitution. See
Excalibur Systems, Inc. v. Aerotech World Trade, Ltd., No. 98-CV-1931 (JG), 1999 WL
1281496, at *2 (E.D.N.Y. Dec., 30, 1999).
3.
The Lederman Defendants’ Claim for Contribution
New York law permits claims for contribution in actions based in tort. Article 14
of the CPLR provides for contribution claims among “two or more persons who are subject to
liability for damages for the same personal injury, injury to property or wrongful death.” N.Y.
CPLR § 1401. As its text makes clear, this statute can be invoked only by a party seeking to
offset tort liability. See SSDW Co. v. Feldman-Misthopoulos Assoc., 542 N.Y.S.2d 565, 566 (1st
Dep’t 1989 (“It is immediately apparent from reading CPLR 1401, that a claim for contribution
is limited to actions for ‘personal injury, injury to property or wrongful death,’ viz., actions
sounding in tort, even where the basis for contribution is the contractual relationship among the
parties.” (citing County of Westchester v. Welton Becket Assocs., 478 N.Y.S.2d 305 (1984), aff’d,
11
66 N.Y.2d 642 (1985))). New York courts have also refused to recognize common law
contribution claims in non-tort actions. See Board of Educ. v. Sargent, Webster, Crenshaw &
Foley, 71 N.Y.2d 21 (1987) (no contribution for contract liability). This is because contribution
was developed as a remedy for the unfairness that tort law frequently allows by holding one
tortfeasor liable for injuries caused by a concurrent tortfeasor.
The principle that currently governs claims for contribution – that a loss should be
apportioned among multiple tortfeasors who combined to cause an injury – was introduced into
New York law by Dole v. Dow Chemical Company, 30 N.Y.2d 143 (1972), superseded in part
by N.Y. Worker’s Comp. Law § 11 (barring third-party actions against employers in absence of
grave injury to employees). Prior to Dole, New York held concurrent tortfeasors jointly and
severally liable, but CPLR § 1401 permitted contribution among tortfeasors only when they had
been held liable to the same plaintiff in a single action. See Dole, 30 N.Y.2d at 148. Dole noted
the inequity of a system in which a plaintiff could bring an action against one of multiple
tortfeasors, and “the wrongdoer selected by the injured part for suit must have succeeded in
avoiding any part of responsibility; and otherwise he would have to assume all of it without
redress.” Id. at 148. To eliminate this inequity, Dole recognized a common law claim for
contribution (or “partial indemnity”) among all joint tortfeasors. Article 14 of the CPLR was
amended to codify this new concept of contribution. See Board of Educ., 71 N.Y.2d at 26.
Dole makes clear that the impetus for allowing contribution claims was the
inequity that otherwise might result from imposing joint and several liability on tortfeasors. See
id. (“The policy consideration[] that underlay Dole [was] the need to liberalize the inequitable
and harsh rules that once governed contribution among joint tort-feasors[.]”). Beginning with
Dole, New York courts have made contribution available beyond the paradigm case of joint
12
tortfeasors liable to a single plaintiff for a common injury, see Mas v. Two Bridges Assocs., 75
N.Y.2d 680, 689-90 (1990) (under a basic theory of contribution, tortfeasors’ “common liability
to plaintiff is apportioned and each tort-feasor pays his ratable part of the loss”). They have
allowed claims for contribution where third-party defendants could not have been held directly
liable to plaintiffs,4 see, e.g., Dole, 30 N.Y.2d at 143 (in negligence action by decedent’s estate,
defendant manufacturer of toxic chemical used by decedent in connection with employment
could seek contribution from decedent’s employer even though employer could not be held liable
to estate in light of worker’s compensation laws), superseded by N.Y. Worker’s Comp. Law §
11, and even where third-party defendants did not owe duties to plaintiffs, see, e.g., Garrett v.
Holiday Inns, Inc., 58 N.Y.2d 253 (1983) (defendant motel in action by guests injured in fire
could seek contribution from municipality for negligently enforcing fire code, even where town
had been found to owe plaintiffs no duty). However, in each of these cases, the third-party
plaintiff faced liability in tort and sought contribution on the basis that the third-party defendant
possessed “an independent obligation to prevent foreseeable harm” and so “should be held
responsible for the portion of the damage attributable to his negligence, despite the fact that the
duty violated was not one owing directly to the injured person.” Garrett, 58 N.Y.2d at 261.
In Board of Education v. Sargent, Webster, Crenshaw & Foley, the Court of
Appeals affirmed that contribution is available to tort defendants only, and it declined to extend
the right to contribution to a party facing liability for breach of contract. 71 N.Y.2d at 27-29; see
also SSDW Co., 542 N.Y.S.2d 565; 17 Vista Fee Assocs. v. Teachers Ins. and Annuity Ass’n of
America, 693 N.Y.S.2d 554 (1st Dep’t 1999). The court reasoned that a defendant in a contract
action is in no danger of being held liable for more than it is fair for him to pay, and thus there is
4
For ease of discussion, I refer to the injured party as the “plaintiff,” the party seeking contribution
as the “defendant” or “third-party plaintiff,” and the party from which contribution is sought as the “third-party
defendant,” even when those were not the parties’ postures in the particular cases discussed.
13
no reason for allowing contribution. 71 N.Y.2d at 29 (“The policy considerations that underlay
Dole – the need to liberalize the inequitable and harsh rules that once governed contribution
among joint tort-feasors – are not pertinent to contract matters.”). That rationale applies equally
in this case, where the Lederman defendants cannot be held liable under the government’s
common law claims for more than is equitable.5
The common law claims asserted against the Lederman defendants are equitable
claims in restitution or quasi-contract, premised on the principle that a plaintiff may recover if a
defendant has benefitted at its expense and equity militates against permitting the defendant to
retain the benefit. See Banque Worms v. BankAmerica Intern., 77 N.Y.S.2d 362, 366 (1991).
They are not tort claims, and by definition, they do not expose a defendant to more than his fair
share of liability. Accordingly, the Lederman defendants may not assert a claim for contribution.
See N.Y. CPLR § 1402 (“The amount of contribution to which a person is entitled shall be the
excess paid by him over and above his equitable share of the judgment recovered by the injured
party[.]”); Schlimmeyer v. Yurkiw, 374 N.Y.S.2d 427, 430 (3d Dep’t 1975) (Article 14 of the
CPLR “applies to contribution among tortfeasors, a right which arises only after one held liable
has actually paid more than his equitable share”).6
5
In Board of Education, the Court of Appeals explained that the defendant in a contract action has
had an opportunity to negotiate the scope of its exposure. That reasoning does not clearly apply in a quasi-contract
setting like the one before me, but what is most significant about the position of the contract defendant is the fact
that he does not face unfair exposure, not the reason for that circumstance. Fully applicable in this case is the
broader principle expressed by the Board of Education court – that a claim for contribution may be brought only by
a defendant facing liability for a larger portion of a plaintiff’s injury than it is fair for him to pay.
6
Two of three New York cases brought to the Court’s attention by the Lederman defendants at the
April 22, 2011 oral argument do not call for a contrary holding. (Neither does the third, which relates to the claim
for implied indemnity, but that case is addressed in footnote 10, infra.) In AG Capital Funding Partners, L.P. v.
State Street Bank and Trust Co., the Court of Appeals reaffirmed that “[a] claim for contribution rises and falls
based on the existence of separate tortfeasors.” 5 N.Y.3d 582, 594 (2005). The court emphasized that the
defendant/third-party plaintiff faced liability for breach of a duty that it alleged had been assumed by the third-party
defendants. Id. (“[I]f [defendant] is found to have breached a duty and is held liable in the underlying action . . .
then each of the third-party defendants may be liable as well . . . as it is alleged that all three third-party defendants
assumed the duty that [defendant] may have had[.]”). But the government’s common law claims here require only a
showing that the Lederman defendants received unearned funds that, in equity, should be returned. The government
14
4.
The Lederman Defendants’ Claim for Indemnification
New York courts recognize a “fundamental distinction between contribution and
indemnity,” McDermott v. City of New York, 50 N.Y.2d 211, 216 (1980) (internal quotation
marks omitted), and in some cases, a claim for implied indemnity may lie where one for
contribution does not, see, e.g., 17 Vista, 693 N.Y.S.2d 554.7 This is not such a case. A claim
for indemnity is incompatible with the government’s common law causes of action. Implied
indemnity, unjust enrichment, and payment by mistake all operate toward the same end – the
equitable allocation of a loss. See Mas, 75 N.Y.2d at 690 (implied indemnity is a “concept
which permits shifting the loss because to fail to do so would result in the unjust enrichment of
one party at the expense of the other”); McDermott, 50 N.Y.2d at 216-17 (a duty to indemnify is
found by courts where it is necessary to “prevent unjust enrichment [by] placing the obligation
where in equity it belongs”); Maruo v. McCrindle, 419 N.Y.S.2d 710, 712 (2d Dep’t 1979) (the
precepts of implied contract “reflect an equitable abhorrence of unjust enrichment”), aff’d, 59
N.Y.2d 719 (1980).
Indemnity,which is used to restore equity when one party is tasked with
is not required show that those funds were received because Lederman breached a duty, and it is therefore irrelevant
whether Regency is responsible for any breach the government might have had to prove if it had brought a
negligence claim.
In American Home Assur. Co. v. Nausch, Hogan & Murray, Inc., the Appellate Division, First
Department affirmed the trial court’s denial of a motion to dismiss claims for common law indemnity and
contribution where the underlying judgment was for rescission of a contract. 897 N.Y.S.2d 413 (1st Dep’t 2010).
The court found that “[third-party] plaintiffs do not really seek contribution for rescission” but for liability for a
single injury resulting from the same set of misrepresentations allegedly committed by the third-party defendants.
Id. at 416. The court rejected the third-party defendants’ argument that rescission of the contract had “merely
return[ed] the parties to the status quo, rather than awarding damages,” because the third-party plaintiffs “actually
had to cover far more of the underlying losses than they would have but for [third-party] defendants’ tortious
conduct.” Id. at 416-17. That strikes me as a straightforward application of the rationale of Dole v. Dow Chemical
Company, 30 N.Y.2d 143, discussed supra. The case before me is easily distinguished, as recovery by the
government on its common law claims would return the parties to an equitable status quo ante, and Regency’s
misdeeds, if any, will not subject the Lederman defendants to suffer a penalty greater than the disgorgement of any
funds they hold to which they have never been entitled.
7
For instance, recovery on a claim for implied indemnification may be had where the primary
liability is for breach of contract. 17 Visa, 693 N.Y.S.2d 554 (indemnity allowed in a contract case where thirdparty defendant has “assumed exclusive responsibility” for the duty to plaintiff that third-party plaintiff has allegedly
breached). Cf. Board of Educ., 71 N.Y.2d at 29 (dismissing claims for implied indemnity in a contract case but
granting leave to replead).
15
another’s fault through operation of law,8 has no place where liability is imposed for unjust
enrichment or payment by mistake. These common law claims, which sound in equity, not law,
do not allow for an unfair distribution of liability.
Unlike claims in contract and tort, claims for unjust enrichment and payment by
mistake do not require a showing of fault that can be disproportionately attributed. See
Diamond, 186 N.Y.S.2d at 918 (a showing of negligence is not necessary to make out a claim for
payment by mistake); Simonds, 45 NY.2d at 242 (“Unjust enrichment . . . does not require the
performance of any wrongful act by the one enriched . . . . Innocent parties may frequently be
unjustly enriched.” (citations omitted)). Even if Regency breached a duty that was owed to the
government by the Lederman defendants and assumed by Regency,9 the government’s common
law claims do not rely on proving a breach of that duty. Instead, they rely on showing that the
Lederman defendants received an unearned benefit that should be restored. If the Lederman
defendants have not received such a benefit, or if they have but repayment would be inequitable,
liability will not be imposed. See Hatahway, 185 N.Y. 368, 370 (1906) (plaintiff cannot recover
for mistaken payment where defendant can show “circumstances . . . which make such recovery
inequitable”); Bank Saderat Iran v. Amin Beydoun, Inc., 555 F.Supp., 770, 774 (S.D.N.Y. 1983)
(plaintiff could not recover on claim of mistaken payment where defendant was able to prove
that he changed his position in reliance of the payment and could not be made whole if
restitution were ordered). Accordingly, the Lederman defendants’ asserted basis for a right to
indemnification – that they face liability for an amount that cannot be borne in fairness – is a
8
See Mas, 75 N.Y.2d at 690 (“Implied indemnity is a restitution concept . . . [g]enerally . . .
available in favor of one who is held responsible solely by operation of law because of his relation to the actual
wrongdoer[.]”);Board of Educ., 71 N.Y.2d at 29 (implied indemnity attaches where one party has been “unfairly
required to discharge a duty that should have been discharged by another, such that a contract to indemnify should
be implied by law”).
9
See, e.g., Mas, 75 N.Y.2d 680 (building owner held liable to tenant injured as result of elevator
malfunction could seek common law indemnity from elevator maintenance company, which had agreed to service
elevator daily).
16
defense against the government’s claims in equity. If the Lederman defendants are found liable
for unjust enrichment or payment by mistake, they will be unable to make out a claim for implied
indemnity. 10 Their implied indemnity claim is therefore dismissed.
B.
Regency’s Motion to Vacate the Order Granting Leave to Implead Under Rule 14(a)
1.
The Rule 14(a) Legal Standard
Rule 14(a) allows a defendant to “serve a summons and complaint on a nonparty
who is or may be liable to it for all or part of the claim against it,” Fed. R. Civ. P. 14(a)(1), but
“‘the right to implead third parties is not automatic, and the decision whether to permit impleader
rests within the sound discretion of the district court,’” Falcone v. MarineMax, Inc., 659
F.Supp.2d 349, 401-02 (E.D.N.Y. 2009) (quoting Consolidated Rail Corp. v. Metz, 115 F.R.D.
216, 218 (S.D.N.Y. 1987)); see also East Hampton Dewitt Corp. v. State Farm Mut. Auto Ins.
Co., 490 F.2d 1234, 1246 (2d Cir. 1973) (finding district court acted “well within the discretion
afforded by F.R.Civ.P. 14(a)” in denying as untimely defendant’s motion for leave to implead
third-party defendant). In determining whether to allow the filing of a third-party complaint – or
to vacate an order permitting such a filing – a district court considers: “(1) whether the movant
deliberately delayed or was derelict in filing the motion; (2) whether impleading would delay or
unduly complicate the trial; (3) whether impleading would prejudice the plaintiff or third-party
10
At the oral argument of the motion, the Lederman defendants presented a decision by the
Appellate Division, First Department, which they presumably read to suggest that implied indemnity is available
where the underlying claims are for unjust enrichment and payment by mistake. However, in Broyhill Furniture
Industries, Inc. v. Hudson Furniture Galleries, LLC, the Appellate Division held that a defendant/third-party
plaintiff had failed to state a claim for implied indemnity. 877 N.Y.S.2d 72 (2009). The plaintiff and defendant in
that case had obtained security interests in the same collateral. The owner of the collateral had paid money to the
defendant in satisfaction of its secured loan. The plaintiff sought a declaratory judgment against the defendant as to
the priority of its interest in the collateral, and it sought recovery of the money paid to the defendant by the owner of
the collateral. The defendant brought a third-party claim against the owner of the collateral for implied indemnity.
The trial court granted summary judgment against the defendant on its third-party claim for implied indemnity, and
the Appellate Division affirmed. The Appellate Division held that the defendant/third-party plaintiff had not alleged
that its liability to plaintiff, if any, was purely vicarious, or that the third-party defendant owed a duty to either of the
other two parties. Id. at 75. The court’s opinion does not address the questions discussed in this memorandum and
order, and it offers no indication that a claim for implied indemnity might ever be available in a case like the one
now before me.
17
defendant; and (4) whether the proposed third-party complaint states a claim upon which relief
can be granted.” Greene v. City of New York, No. 08-CV-243 (RJD) (CLP), 2010 WL 1936224,
at *2 (E.D.N.Y. May 12, 2010).
2.
Untimeliness of the Third-Party Complaint
The Lederman defendants were served with the government’s complaint on
August 1, 2008, see Gov.’s Cert. Serv. Lederman Defs., Aug. 1, 2008, ECF No. 17, and did not
show an intent to file a third-party complaint until September 29, 2010, see Defs.’ Pre-Mot.
Letter Requesting Leave Implead, Sept. 29, 2010, ECF No. 68. On December 5, 2008, the
government provided the Lederman defendants with a list of the 364 claims it contends were
fraudulent. By that date, the Lederman defendants were aware of the precise time period during
which the allegedly false claims for reimbursement were filed, and they knew of their
relationships with the third-party defendants during that period. Yet they waited two years
before seeking to involve the third-party defendants in the action. During that time, they and the
plaintiffs have exchanged tens of thousands of pages of discovery and have conducted fact
depositions.
“The defendant[s] bear[] the burden of showing excuse for the delay.” In re
Agent Orange Product Liability Litigation, 100 F.R.D. 778, 781 (E.D.N.Y. 1984). The
defendants have provided no reasonable explanation for the two-year period of inaction. At oral
argument on April 22, 2011, counsel for the Lederman defendants stated that they did not focus
on the government’s common law causes of action until the information exchanged during
discovery suggested that they might not be found liable for violations of the FCA, and that
liability might therefore turn on the government’s equitable state-law claims. That explanation is
unreasonable. The Lederman defendants have known since they received service of the
18
government’s complaint on August 1, 2008 that claims for unjust enrichment and payment by
mistake had been asserted against them. Defendants’ failure to attribute significance to those
claims for two years is no excuse for imposing on the plaintiffs the delay that would be
occasioned by introducing additional parties into the proceedings at this stage. See Hicks v. Long
Island R.R., 165 F.R.D. 377, 380 (E.D.N.Y. 1996) (“Defendant’s excuse that he was too busy
with other priorities and was unable to give the matter his attention in a timely manner is wholly
unpersuasive.”).
The government indicated at oral argument that if I permit the third-party claims
to proceed, it will move to sever those claims and have them tried separately from the rest of the
action. Such a motion would present me with the option of delaying the entire action to allow
discovery by and against Regency, or proceeding with two trials. Either option would defeat the
purpose of Rule 14(a), which is “to promote judicial economy,” Falcone, 659 F.Supp.2d at 401.
Therefore, if contribution or indemnification were available to the Lederman defendants, I would
grant Regency’s motion to vacate my October 18, 2010 order granting the Lederman defendants
leave to file a third-party complaint and strike the third-party claims pursuant to Fed. R. Civ. P.
14(a)(4) for untimely filing. However, because they are clearly meritless, adjudicating the thirdparty claims against Regency on the merits causes no undue delay. Accordingly, the Lederman
defendants’ claims against Regency are dismissed for failure to state a claim.
C.
The Claims Against PMG
PMG has not filed a motion to dismiss or otherwise answered the Lederman
defendants’ third-party complaint. On April 11, 2011, the Clerk made an entry of default against
PMG. I now dismiss the claims asserted against PMG for contribution and implied
indemnification on the basis that it would be “incongruous and illegal . . . to hold, that because
19
one defendant had made default, the plaintiff should have a decree even against him, where the
court is satisfied from the proofs offered by the other, that in fact the plaintiff is not entitled to a
decree.” Frow v. De La Vega, 82 U.S. 552, 554 (1872) (internal quotation marks omitted).
Although default has been entered against PMG, it does not follow automatically
that the Lederman defendants will be entitled to default judgment. Default judgment may be
denied where the complaint fails to state a claim. Jin Yung Chung v. Sano, No. 10-CV-2301
(DLI) (CLP), 2011 WL 1298891, at *2 (E.D.N.Y. March 31, 2011); see also Au Bon Pain Corp.
v. Artect, Inc., 653 F.2d 61, 65 (2d Cir. 1981) (“[A] district court has discretion under Rule
55(b)(2) once a default is determined to require proof of necessary facts and need not agree that
the alleged facts constitute a valid cause of action[.]” ); Orellana v. Wourld Courire, Inc., No.
09-CV-576 (NGG) (ALC), 2010 WL 3861013, at *2 (E.D.N.Y. Sept. 28, 2010) (“A court should
deny a motion for entry of a default judgment if the facts a plaintiff alleges in his complaint,
taken to be true, fail to state a valid cause of action upon which the relief sought can be
granted.”). After providing the Lederman defendants with an opportunity to be heard, I conclude
that there is no possible set of facts that would entitle the Lederman defendants to recover in
contribution or implied indemnity from any party, including PMG, to offset any liability to the
government for unjust enrichment or payment by mistake. Accordingly, dismissal of these thirdparty claims as against all defendants is appropriate. See Leonhard v. U.S., 33 F.2d 599, 609,
n.11 (“The district court has the power to dismiss a complaint sua sponte for failure to state a
claim.” (citing Robins v. Rarback, 325 F.2d 929 (2d Cir. 1963), cert. denied, 379 U.S. 974
(1969))). Cf. Perez v. Ortiz, 849 F.2d 793, 797-98 (2d Cir. 1988) (“sua sponte dismissals may be
appropriate in some circumstances” but sua sponte dismissal without giving plaintiffs notice and
an opportunity to be heard was erroneous).
20
CONCLUSION
For the foregoing reasons, the Lederman defendants’ third-party claims against
Regency are dismissed. The Lederman defendants’ third-party claims against PMG for
contribution and implied indemnity are also dismissed.
So ordered.
John Gleeson, U.S.D.J.
Dated: May 13, 2011
Brooklyn, New York
21
Disclaimer: Justia Dockets & Filings provides public litigation records from the federal appellate and district courts. These filings and docket sheets should not be considered findings of fact or liability, nor do they necessarily reflect the view of Justia.
Why Is My Information Online?