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Date: 08-04-2022
Case Style:
WSB REHABILITATION SERVICES. INC. vs. CENTRAL ACCOUNTING SYSTEMS, INC. and C. MICAH RAND, INC., d.b.a BROOKWOOD RETIREMENT COMMUNITY, RAND LOVELAND LLC, d.b.a. LOVELAND HEALTHCARE NURSING AND REAHAB CENTER EVAN GRAY, LLC, d.b.a. FLORENCE PARK NURSING & REHAB CENTER MICAH CLOVERNOOK, LLC, d.b.a. CLOVERNOOK HEALTH CARE PAVILION and CRYSTALWOOD, INC., d.b.a. THE ALOIS ALZHEIMER CENTER
Case Number: C-210454 & C-210467
Judge:
Ginger S. Bock; Presiding Judge
Marilyn Zayas
Pierre H. Bergeron
concur
Court:
IN THE COURT OF APPEALS FIRST APPELLATE DISTRICT OF OHIO HAMILTON COUNTY, OHIO
On Appeal From The Hamilton County Court of Common Pleas
Lisa C. Allen
JUDGE
Plaintiff's Attorney: Fultz Maddox Dickens PLC and Daniel E. Hancock
Defendant's Attorney:
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Description:
Cincinnati, Ohio - Breach of Contract lawyer represented defendant with a Breach of Contract suit.
In 2011, the nursing facilities entered into separate, but materially
similar, agreements entitled “Agreement for Physical, Occupational, and Speech
Therapy Services” (“agreements”), whereby Blue Sky provided therapy services to
residents at each of the nursing facilities’ locations. The nursing facilities are managed
by HCMG. HCMG requested that Blue Sky also provide therapy services to Alois,
which is also managed by HCMG. As each facility had its respective agreement with
OHIO FIRST DISTRICT COURT OF APPEALS
4
Blue Sky, Alois and Blue Sky agreed that they would operate according to the terms of
Blue Sky’s agreement with Clovernook.
{¶4} Under “Schedule A” of the agreements, to receive payment, Blue Sky
was to submit a monthly invoice that “shall” include the name of the therapist and the
time spent providing services (“invoice requirement”) within six months of the service
date. Although Blue Sky’s invoices from 2011 until July 2018 did not contain the
invoice requirement, the facilities defendants paid the invoices. Moreover, early in the
relationship, the parties implemented a direct data link between their medical record
systems that instantly transferred data involving the services, such as the therapists’
names and the time the therapists spent providing services.
{¶5} The agreements contained an “anti-waiver” clause: “The waiver by
either party of a breach or violation of any provision of this Agreement shall not
operate as, or be construed to be a waiver of any subsequent breach of the same or
other provision hereof.”
{¶6} In 2017, the government began investigating Blue Sky’s provision of
therapy services, the agreements between the nursing facilities and Blue Sky, the
nursing facilities’ operations, and the nursing facilities’ submission of claims to federal
payment programs. Blue Sky later learned that the investigation resulted from a qui
tam complaint filed by a former Blue Sky employee.
{¶7} In August 2018, HCMG advised the nursing facilities that it was “on
hold with payments” to Blue Sky. No further invoices were paid, but the facilities
defendants continued to enter Blue Sky’s invoices in their accounts-payable journals
and reported the invoices as paid on their 2018 tax and Medicare forms.
OHIO FIRST DISTRICT COURT OF APPEALS
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{¶8} In January 2019, the nursing facilities contributed to a $500,000
“adequate assurance” payment to Blue Sky for future services after Blue Sky informed
the nursing facilities that it was terminating the agreements. Blue Sky continued to
provide therapy services until the facilities defendants terminated the agreements in
February 2019. Blue Sky informed the facilities defendants that they owed
$2,292,188.36 in unpaid invoices.
{¶9} The qui tam action—which was settled in December 2019 without any
finding of liability—prompted the facilities defendants to demand that Blue Sky
indemnify them for their costs incurred in responding to the government’s
investigation. Blue Sky refused to pay the indemnification, contending that the
facilities defendants’ failure to pay the outstanding invoices constituted a prior
material breach of the agreements.
{¶10} Blue Sky sued the facilities defendants, asserting claims for (1) breach
of contract, two counts of unjust enrichment, promissory estoppel, and account
against Brookwood, Loveland, Florence Park, and Clovernook; (2) tortious
interference against HCMG; and (3) a declaratory judgment that the facilities
defendants’ first material breach negated Blue Sky’s duty to indemnify them.
{¶11} The facilities defendants filed counterclaims for indemnification under
section 12(B) of the agreement, which provided that Blue Sky would hold the facilities
defendants harmless for any costs, losses, etc. “arising out of or in any manner directly
or indirectly related to Therapist’s Services * * * except to the extent attributable to the
gross negligence or willful conduct of [the facilities defendants],” and breach of a
purported “pre-payment agreement” between the parties.
{¶12} Following discovery, the parties moved for summary judgment.
OHIO FIRST DISTRICT COURT OF APPEALS
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A. Summary-judgment motions
{¶13} Blue Sky’s summary-judgment motion argued that it had performed all
of its obligations under the agreements, and that the facilities defendants had access
to the invoice information via the direct data link between the parties’ medical record
systems. Blue Sky contended that it had continued providing services through 2018
into 2019 because the facilities defendants made the assurance payment, but the
facilities defendants refused to pay the previous unpaid invoices. Blue Sky argued that
this breach of contract invalidated the facilities defendants’ indemnification claim
under the doctrine of first material breach.
{¶14} Blue Sky further asserted that the facilities defendants had impliedly or
expressly waived the agreements’ condition precedent that required Blue Sky to
provide certain information in its invoices. It argued that, although the facilities
defendants purposefully withheld the fact that they would no longer pay Blue Sky’s
invoices unless they contained the invoice requirement, the facilities defendants
continued to enter Blue Sky’s invoices in their accounts-payable journals and reported
the invoices as paid on their 2018 tax and Medicare forms.
{¶15} Blue Sky further argued that HCMG had improperly interfered with the
nursing facilities’ performance under the agreements by advising them not to pay Blue
Sky’s invoices going forward, which was a violation of Medicare laws and invalidated
HCMG’s entitlement to indemnification.
{¶16} The facilities defendants filed a combined summary-judgment motion
on their claims and response in opposition to Blue Sky’s summary-judgment motion.
They argued that Blue Sky could not sue to reap the benefits of the parties’ agreements
while also seeking to be absolved of its indemnification obligations under the same
OHIO FIRST DISTRICT COURT OF APPEALS
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agreements. They further asserted that it was undisputed that their expenses in
defending the qui tam claim and the government investigation arose out of Blue Sky’s
services and obligations under the agreements, and were not attributable to the
facilities defendants’ gross negligence or willful misconduct. They contended that Blue
Sky’s breach-of-contract claim against them did not excuse Blue Sky from its
obligation to indemnify them.
{¶17} The facilities defendants argued that they were not required to pay Blue
Sky because it failed to perform conditions precedent which had not been waived or
modified. They contended that there was no genuine issue of material fact that Blue
Sky did not provide invoices according to the invoice requirement, Blue Sky continued
to fail to provide appropriate invoices after receiving the adequate assurance payment,
and that the agreements’ anti-waiver clauses applied. The facilities defendants further
asserted that the nursing facilities’ tax returns and Medicare cost reports were not
relevant to whether Blue Sky was entitled to payments.
{¶18} HCMG argued that Blue Sky could not maintain a tortious-interference
claim against it as such a claim does not lie against an agent acting within the course
and scope of its duties as the nursing facilities’ manager, the facilities defendants did
not violate Medicare law by failing to pay Blue Sky, and the tortious-interference claim
is not viable under the Restatement of the Law of Torts.
B. The trial court’s judgment
{¶19} The court concluded that the facilities defendants had waived the
invoice condition precedent and that the anti-waiver clause did not apply to a failure
to meet a condition precedent.
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{¶20} Further, the trial court held the facilities defendants were entitled to
indemnification for costs they had incurred defending the qui tam suit. The court did
not address the dispute between the parties as to the amount of damages that the
facilities defendants sought.
{¶21} Finally, the court entered a clarification order denying Blue Sky’s
motion for summary judgment on its tortious-interference claim as HCMG was acting
“in its capacity as manager of the Facility Defendants” when it caused them not to pay
Blue Sky’s invoices, and therefore, was not liable for tortious interference.
Law and Analysis
{¶22} We conduct a de novo review of summary-judgment decisions.
Holloman v. Permanent Gen. Assur. Corp., 1st Dist. Hamilton No. C-180692, 2019-
Ohio-5077, ¶ 8. Under Civ.R. 56(C), summary judgment is proper when the moving
party establishes that “(1) no genuine issue of any material fact remains, (2) the
moving party is entitled to judgment as a matter of law, and (3) it appears from the
evidence that reasonable minds can come to but one conclusion, and construing the
evidence most strongly in favor of the nonmoving party, that conclusion is adverse to
the party against whom the motion for summary judgment is made.” Id. at ¶ 7, quoting
State ex rel. Duncan v. Mentor City Council, 105 Ohio St.3d 372, 2005-Ohio-2163,
826 N.E.2d 832, ¶ 9.
A. The facilities defendants’ assignment of error
{¶23} In their sole assignment of error, the facilities defendants argue that the
trial court erred in denying their motion for summary judgment and granting Blue
Sky’s motion for summary judgment on its breach-of-contract claim.
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1. Breach of contract
{¶24} To prove a breach-of-contract claim, a party must show “the existence
of a contract, performance by the plaintiff, breach by the defendant, and damage or
loss to the plaintiff.” (Citations omitted.) White v. Pitman, 2020-Ohio-3957, 156
N.E.3d 1026, ¶ 37 (1st Dist.).
{¶25} It is undisputed that the facilities defendants stopped paying Blue Sky’s
invoices, which gave rise to an uncontested amount of damages. Further, the record
establishes that the facilities defendants purposefully withheld from Blue Sky that they
were not paying the invoices because of its failure to adhere to the invoice requirement.
Thus, whether the facilities defendants breached the agreements rests on whether Blue
Sky’s nonperformance of the invoice requirement excused the facilities defendants’
obligation to pay Blue Sky and whether Blue Sky’s non-performance triggered the antiwaiver clause.
2. The invoice requirement was waived
{¶26} The parties do not dispute that the invoice requirement was a condition
precedent. A condition precedent is an act or event that must occur before
performance obligations arise. Gilman v. Physna, LLC, 1st Dist. Hamilton No. C200457, 2021-Ohio-3575, ¶ 19; see Transtar Elec., Inc. v. A.E.M. Elec. Servs. Corp.,
140 Ohio St.3d 193, 2014-Ohio-3095, 16 N.E.3d 645, ¶ 22. An unsatisfied condition
precedent can excuse performance under a contract and is a defense to a breach-ofcontract claim. Id.; see Great Water Capital Partners, LLC v. Down-Lite Internatl.,
Inc., 1st Dist. Hamilton Nos. C-150015 and C-150023, 2015-Ohio-4877, ¶ 16.
{¶27} But a party may waive a condition precedent by performing under the
contract despite the nonfulfillment of the condition. Corey v. Big Run Indus. Park,
OHIO FIRST DISTRICT COURT OF APPEALS
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LLC, 10th Dist. Franklin No. 09AP-176, 2009-Ohio-5129, ¶ 19. A condition precedent
“may be waived by the party to whom the benefit of the condition runs * * * expressly
or by implication, and the key to its application in a particular case is a showing of
some performance pursuant to the terms of the contract.” Id. at ¶ 18, quoting Mangan
v. Prima Constr., Inc., 1st Dist. Hamilton No. C-860234, 1987 Ohio App. LEXIS 6375
(Apr. 9, 1987).
{¶28} A waiver is an intentional relinquishment of a known right, which may
be made by express words or by conduct. Father & Son Property Maintenance, LLC
v. Maxim Ents., Inc., 5th Dist. Stark No. 2010 CA 00116, 2011-Ohio-689, ¶ 21. To
establish a waiver, the party alleging it “must prove a clear, unequivocal, decisive act
of the party against whom the waiver is asserted which amounts to an estoppel on his
part.” Id., quoting Cornett v. Fryman, 12th Dist. Warren No. CA91-04-031, 1992 Ohio
App. LEXIS 248, *6 (Jan. 27, 1992).
{¶29} In Father & Son Property Maintenance, the parties had orally agreed
that Maxim would pay Father & Son for completing jobs only after Maxim received
payment from the bank. Id. at ¶ 5. But Maxim paid for work performed on late orders
without first receiving payment from the bank. Id. at ¶ 23. The court found that Maxim
had performed its part under the contract for at least the first month of the parties’
agreement, and therefore was estopped from asserting conditions precedent. Id.; see
Erectors, Inc., v. Dellagnese Constr. Co., 9th Dist. Summit No. 12461, 1986 Ohio App.
LEXIS 7903, *6 (Aug. 13, 1986) (waiver found where defendants paid 95 percent of
the amount due to plaintiffs before plaintiffs filed their action).
{¶30} We find that the facilities defendants waived the invoice requirement by
paying Blue Sky’s invoices for seven years, despite those invoices not containing the
OHIO FIRST DISTRICT COURT OF APPEALS
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name of the therapist and the time spent providing therapy. Moreover, we note that
Blue Sky provided the information that the facilities defendants assert was missing
from the invoices via the direct data link between the parties’ medical record systems.
The facilities defendants did not seek replication of that information on Blue Sky’s
invoices for seven years. Accordingly, they waived the condition precedent.
3. The anti-waiver clause was never triggered
{¶31} The facilities defendants assert that despite not enforcing the invoice
requirement for seven years, the anti-waiver clause allowed them to begin enforcing
the invoice requirement and relieved them of the duty to pay Blue Sky for nonperformance of the invoice requirement.
{¶32} Generally, anti-waiver provisions allow a party to waive a right in one
instance without relinquishing rights to enforce other contract provisions. See
Snowville Subdivision Joint Venture Phase I v. Home S&L of Youngstown, 8th Dist.
Cuyahoga No. 96675, 2012-Ohio-1342, ¶ 16.
{¶33} The anti-waiver clause provides: “[t]he waiver by either party of a
breach or violation of any provision of this Agreement shall not operate as, or be
construed to be a waiver of any subsequent breach of the same or other provision
thereof.”
{¶34} If a contractual provision is a promise, a party’s failure to perform
constitutes a breach of contract. Corey, 10th Dist. Franklin No. 09AAp-176, 2009-
Ohio-5129, at ¶ 20. A party’s failure to fulfill a condition precedent, however, is a
merely a fact or event—it is not a promise that can be breached. Morrison v. Bare, 9th
Dist. Summit No. 23667, 2007-Ohio-6788, ¶ 17.
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{¶35} The invoice requirement was a condition precedent, not a promise.
Nonperformance of a condition precedent is not a breach of the contract. “A failure to
satisfy a condition precedent excuses performance under a contract, or, alternatively
put, renders a contract unenforceable, but does not affect the validity of the contract.”
Baumgardner v. Bimbo Food Bakeries Distrib., Inc. 697 F. Supp.2d 801, 808
(N.D.Ohio 2010).
{¶36} We hold that Blue Sky’s failure to perform the invoice requirement—a
condition precedent—did not constitute a breach or violation of the agreements. The
anti-waiver clause was limited to breaches or violations of the agreements. Because
Blue Sky did not breach or violate the agreements, the anti-waiver clause was never
triggered. The facilities defendants were obligated to continue paying Blue Sky for
services it provided.
{¶37} There are no genuine issues as to any material fact on any element of
Blue Sky’s breach-of-contract claim. Therefore, we find that the facilities defendants
breached the contract by failing to pay the invoices. The facilities defendants’ sole
assignment of error is overruled.
B. Blue Sky’s Assignments of Error
1. The Facilities Defendants were entitled to indemnification
{¶38} In its first assignment of error, Blue Sky asserts that the trial court
erroneously granted the facilities defendants’ motion for summary judgment on their
indemnification claim. Blue Sky asserts that the facilities defendants are not entitled
to indemnification because the facilities defendants breached the agreements before
their right to indemnity had vested.
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{¶39} Indemnification “is a right of a person who has been compelled to pay
what another should pay in full to require complete reimbursement.” Travelers
Indem. Co. v. Trowbridge, 41 Ohio St.2d 11, 14, 321 N.E.2d 787 (1975).
{¶40} The indemnification clause required Blue Sky to indemnify the facilities
defendants against any “damages, losses, liabilities, costs, expenses, including
reasonable attorney’s fees and fines from any governmental agency * * * arising out of
or in any manner directly or indirectly related to the Therapist’s Services.”
{¶41} The indemnification clause is broadly worded and encompasses any
damages that the facilities defendants incurred as a result of Blue Sky’s services under
the agreements. The facilities defendants’ losses related to the qui tam lawsuit began
before they breached the agreements. Accordingly, we hold that liability under the
indemnification clause arose when the facilities defendants began to incur liability,
such as expenses and attorney’s fees, related to the qui tam lawsuit and the
government investigation. To hold otherwise would allow Blue Sky to reap the benefit
of payment without fulfilling its own obligations under the agreements. Blue Sky’s first
assignment of error is overruled.
2. Determinations of Amount Owed for Indemnification
{¶42} Blue Sky’s second assignment of error argues that determinations as to
the amount that is owed under an indemnification claim must be made on undisputed
material facts during the summary-judgment phase. An indemnification clause for
legal fees is generally enforceable, but a trial court retains the discretion to determine
if an attorney fee is warranted. Am. Premier Underwriters v. Marathon Ashland
Pipeline, 3d Dist. Mercer No. 10-03-12, 2004-Ohio-2222, ¶ 28. The nature of an
indemnity relationship is determined by the intent of the parties as expressed by the
OHIO FIRST DISTRICT COURT OF APPEALS
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contractual language. Id. at ¶ 29. Where contract terms are unambiguous, a court will
not create a new obligation by finding an intent that was not expressed in the clear
language used by the parties. Id.
{¶43} Part of the facility defendants’ indemnification claim included its
employees’ salaries. We find that it is improper to include these employees’ salaries in
the damages award. There was no evidence that the facilities defendants had to hire
other employees to perform these employees’ regular job duties. And with or without
the investigation and qui tam lawsuit, the facilities defendants would have paid these
employees’ salaries.
{¶44} Moreover, “[t]he party seeking an award of attorney fees bears the
burden of establishing the reasonableness of the requested fees.” Metron
Nutraceuticals, L.L.C. v. Thomas, 8th Dist. Cuyahoga No. 110280, 2022-Ohio-79, ¶
36. Where there is a dispute of fact as to damages, there should be a trial. See World
Metals Inc. v. AGA Gas, Inc., 142 Ohio App.3d 283, 755 N.E.2d 434 (9th Dist.).
{¶45} Blue Sky disputed the reasonableness of the facility defendants’ claimed
damages. Blue Sky engaged an attorney with experience in False Claims Act cases to
refute the facilities defendants’ assertion that their attorney’s fees were reasonable.
The expert also opined that the charges paid for e-discovery services, medical record
review, and document review were unreasonable.
{¶46} Thus, the trial court erred by granting summary judgment on the
amount of damages. Blue Sky’s second assignment of error is sustained.
3. Tortious Interference with a Contract
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{¶47} Blue Sky’s third assignment of error asserts that it was entitled to
summary judgment on its tortious-interference-with-contractual-relations claim.
Ohio law recognizes both the tort of intentional interference with a contract and the
tort of intentional interference with a prospective contractual relationship. West v.
Visteon Corp., 367 F. Supp.2d 1160, 1163 (N.D.Ohio 2005).
{¶48} In West, the court found that there is no cause of action for an
employee’s claim that her supervisor tortiously interfered with her employment “when
the act complained of is within the scope of the [supervisory employee’s] duties.” Id.
at *9.
{¶49} Similarly, a party cannot sue an agent for allegedly interfering with a
relationship between the party and the agent’s principal. Pannozzo v. Anthem Blue
Cross and Blue Shield, 152 Ohio App.3d 235, 2003-Ohio-1601, 787 N.E.2d 91, ¶ 19 (7th
Dist.); see Bodnovich v. ABF Freight Syst., Inc., 7th Dist. Belmont No. 93B36, 1994
Ohio App. LEXIS 5598 (Dec. 13, 1994)(agents or employees cannot be sued for alleged
interference with relationship with principal or employer).
{¶50} Blue Sky cannot recover on a tortious-interference claim because
HCMG and the nursing facilities have an agent/principal relationship. Blue Sky’s third
assignment of error is overruled
Outcome: } For the foregoing reasons, we affirm the trial court’s judgment in favor
of Blue Sky’s breach-of-contract claim and the facilities defendants’ indemnification claim. We further affirm the trial court’s judgment against Blue Sky’s tortious interference claim. We reverse the trial court’s judgment as to the amount of Damage awarded for the facilities defendants’ indemnification claim and we remand this case to the trial court to conduct a trial as to the amount of damages.
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