Millsaps v. Ohio Valley Heartcare, Inc.

Docket: No. 82A05-0603-CV-159

Court: Indiana Court of Appeals; April 13, 2007; Indiana; State Appellate Court

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Appellants Ralph D. Millsaps, M.D. and Julio A. Morera, M.D. appeal a trial court order enforcing their employment agreement with Ohio Valley Heartcare, Inc. (OVHC), particularly its non-compete provision. They argue the court erred in determining OVHC did not breach the agreement by failing to provide timely and competent billing and collection services. Conversely, OVHC cross-appeals, claiming the trial court mistakenly found the appellants did not breach the agreement, which affects OVHC's entitlement to attorney fees and costs. The court finds OVHC did breach the agreement, concluding it cannot enforce the non-compete against the appellants. Therefore, the judgment is reversed, and the case is remanded for judgment in favor of the appellants on their declaratory action, along with further proceedings.

The non-compete provision of the agreement, signed on January 1, 1998, prohibits the appellants from practicing medicine or competing with OVHC within a specified geographical area for two years following termination. The agreement stipulates that the restrictions are reasonable and not in restraint of trade. Should any restrictions be deemed unreasonable by a court, the appellants agree to comply with the limitations that are found to be reasonable. The agreement includes clauses for injunctive relief and reimbursement of costs, expenses, and attorney fees if the appellants breach the non-compete provision. Invalidity of any part of the non-compete does not invalidate the remainder.

While serving as directors and shareholders of OVHC, the appellants supported enforcing a Non-Compete clause against departing doctors. In February 2005, Millsaps raised concerns about OVHC's financial and management issues, requesting an audit. This led to the discovery of significant billing and collection problems, with nearly $2 million in patient billings unprocessed, some over two years old. Consequently, OVHC's CEO, CFO, and billing chief resigned or were terminated, overhead costs surged to 83%, physician compensation decreased, and OVHC was deemed insolvent by its accountant.

Millsaps and Morera submitted their resignations in September 2005, effective November 14, 2005, contributing to a wave of resignations among physicians at OVHC. On September 14, 2005, the appellants filed a complaint against OVHC, seeking a declaration that the Non-Compete was unreasonable and seeking damages for breach of agreement. In contrast, OVHC filed a counterclaim asserting the Non-Compete’s enforceability and claiming breach, entitling them to attorney fees.

Following a trial that commenced on November 30, 2005, the court issued findings of fact and conclusions of law on February 22, 2006. These included acknowledgment of OVHC’s requirement for billing services and Millsaps' earlier dissatisfaction with those services. It was also noted that the accounts receivable were significantly higher than reported, prompting management changes. OVHC's overhead was stated to have averaged between 40% and 50%, and a new CFO was hired in April 2005. By late 2005, OVHC successfully reduced its accounts receivable to align with national averages.

The court concluded that OVHC was entitled to enforce the Non-Compete against Millsaps and Morera and recognized OVHC's legitimate interests in its business success, investments in the appellants' practices, and the goodwill associated with its patient and referral relationships.

The two-year duration of the non-competition provision is deemed reasonable, but the geographic scope of OVHC's covenant is found to be excessively broad. The Court applies the "blue pencil" doctrine to limit the enforcement area to Vanderburgh, Posey, Gibson, and Warrick Counties in Indiana, as well as Henderson County in Kentucky. The Court also determines that the prohibition against the physician practicing medicine, which includes cardiovascular services, is overly broad and modifies it by removing the phrase "including, but not limited to." 

While recognizing that public policy may warrant reconsideration of Indiana’s enforcement stance on such covenants, the Court enforces the modified covenant as per existing law. OVHC is confirmed to have fulfilled its obligations under the non-competition clause and the Employment Agreements, with no breach found. Consequently, the Court rules that the Plaintiffs are not liable for OVHC's attorney fees, as they pursued their legal remedies in good faith.

A declaratory judgment is issued affirming the enforceability of the Employment Agreements, including the modified non-competition provisions. Each party is responsible for its own costs. The appellants appeal, and OVHC cross-appeals regarding the attorney fees. The court reviews the trial court's findings and conclusions based on whether the evidence supports them and whether they support the judgment, with a focus on not reweighing evidence but rather considering it favorably to the trial court’s decision. Clear errors in findings are established only if there is a strong conviction of mistakes. Legal conclusions and contract interpretations are reviewed de novo, with the contract’s unambiguous language binding all parties involved.

When the language of a contract is clear, the parties' intent is determined solely from the contract itself. A contract must be interpreted as a whole, ensuring that no term is rendered ineffective. The Agreement states that OVHC is responsible for all billing and collection services, which are critical for compensating its physicians. OVHC’s Physician Policies and Procedures mandate timely submission of charge forms and allow for penalties against physicians who fail to comply. The importance of timely billing is emphasized by OVHC’s communication that faster charge submission increases payment likelihood.

On February 11, 2005, concerns about OVHC’s financial condition led Millsaps to request an audit, resulting in the resignation of the CFO and billing head, followed by the CEO's termination. An investigation uncovered failures in processing outstanding accounts receivable due to issues from a software transition. Notably, patient billings over two years old had not been collected, leading to a significant impact on OVHC’s accounts receivable, which were reported as averaging between $4 million and $4.8 million. After realizing these billing issues, OVHC required physician shareholders to reduce monthly draws and later faced insolvency, having exhausted its credit and borrowing to meet obligations. By September 30, 2005, OVHC was notified of overdue loan payments, prompting increased expenditures on accountants and temporary staff to rectify billing problems.

OVHC experienced a significant increase in overhead expenses, with the overhead percentage rising to 88.47% in January 2005, compared to a two-year average of 50%. This increase diminished available funds for expenses and physician distributions. While the appellants acknowledge there is no specific overhead requirement in the Agreement, they argue that the soaring overhead is a financial consequence of overlooked accounts receivable. OVHC contends that its failure in billing and collection services was only a temporary issue, which has since been addressed. However, a breach, even if temporary, is still a breach, particularly since the overlooked accounts dated back two years, contradicting OVHC's claim of a temporary problem.

Additionally, during the last six months of 2005, eight out of seventeen physicians resigned, undermining OVHC's attempt to downplay its financial difficulties. Regarding a past-due bank note, OVHC claims a mistaken notice was sent and that the loan was eventually paid off, but evidence indicates the payment was overdue as of September 30, 2005. OVHC argues that the appellants, as directors and shareholders, should have ensured proper management and that it is disingenuous for them to complain about management. However, the appellants assert that it was Millsaps' inquiries that brought the financial issues to light, and they emphasize that oversight of billing was the CEO's responsibility.

The appellants also highlight that OVHC provided misleading financial information that did not include nearly $2 million in outstanding receivables. OVHC claims the appellants contributed to the financial problems by overdrawing their shares, asserting that without these overdrafts, the company would have been profitable. In response, the appellants argue that if OVHC had properly billed and collected the receivables, the overdrawing would not have occurred, and there would have been no need for reduced draws or additional debt. OVHC failed to provide evidence showing that physician draws in 2005 differed from the previous fifteen years.

OVHC acknowledged its obligation to provide timely and competent billing and collection services as a critical term of the Agreement but admitted that its practices were inconsistent with this requirement. OVHC's defense centered on the temporary nature of the issue and the corrective actions taken. Ultimately, it was determined that OVHC breached the Agreement by failing to meet its billing and collection obligations. As a result, OVHC is barred from enforcing the Agreement against the appellants, eliminating the need to evaluate the validity of the Non-Compete clause or OVHC’s claims for attorney fees and costs. The case references two precedents: Sallee v. Mason, which states that an employee is not bound by a non-compete if the employer materially breaches the agreement, and Licocci v. Cardinal Associates, which holds that a party that commits a material breach cannot seek to enforce the contract against the other party. The trial court's judgment is reversed, and the case is remanded for the appellants' declaratory action and further proceedings. DARDEN, J., and ROBB, J. concur.