CAPITAL HEALTH v. HORIZON HEALTH.

Nos. A-29/30 September Term 2016, A-59 September Term 2016, 077998 and 079097.

165 A.3d 729 (2017)

230 N.J. 73

CAPITAL HEALTH SYSTEM, INC.; The Community Hospital Group, Inc., t/a JFK Medical Center; St. Luke's Warren Hospital, Inc.; Trinitas Regional Medical Center, Plaintiffs, and Centrastate Medical Center, Inc.; Holy Name Medical Center, Inc.; and The Valley Hospital, Inc., Plaintiffs-Appellants, v. HORIZON HEALTHCARE SERVICES, INC., Defendant-Respondent. Saint Peter's University Hospital, Inc., Plaintiff-Appellant, v. Horizon Healthcare Services, Inc., Defendant-Respondent.

Supreme Court of New Jersey.

Decided July 24, 2017.


Attorney(s) appearing for the Case

Michael K. Furey argued the cause for appellants Centrastate Medical Center, Inc., Holy Name Medical Center, Inc., and the Valley Hospital Group, Inc., in Capital Health System v. Horizon Healthcare (A-29/30-16) (Day Pitney, attorneys; Michael K. Furey and Dennis R. LaFiura , on the briefs).

Jeffrey J. Greenbaum and Dennis J. Drasco argued the cause for appellant Saint Peter's University Hospital, Inc. in Capital Health System v. Horizon Healthcare (A-29/30-16) and Saint Peter's University Hospital v. Horizon Healthcare (A-59-16) (Sills Cummis & Gross and Lum Drasco & Positan, attorneys; Jeffrey J. Greenbaum , James M. Hirschhorn , Jason L. Jurkevich , Megan L. Wiggins , Dennis J. Drasco , and Elaine R. Cedrone , of counsel and on the briefs).

Michael O. Kassak argued the cause for respondent Horizon Healthcare Services, Inc. in Capital Health System v. Horizon Healthcare (A-29/30-16) and Saint Peter's University Hospital v. Horizon Healthcare (A-59-16) (White and Williams, attorneys; Michael O. Kassak , Robert Wright , Andrew I. Hamelsky , Edward M. Koch , and Victor J. Zarrilli , on the briefs).

Andrew B. Joseph argued the cause for respondent McKinsey & Company, Inc. in Saint Peter's University Hospital v. Horizon Healthcare (A-59-16) (Drinker Biddle & Reath, attorneys; Andrew B. Joseph , on the brief).

Edwin F. Chociey, Jr. argued the cause for intervenor Hackensack University Health Network and Inspira Health Network in Capital Health System v. Horizon Healthcare (A-29/30-16) (Riker, Danzig, Scherer, Hyland & Perretti, attorneys; Edwin F. Chociey, Jr. , and Glenn A. Clark on the brief).

William F. Maderer argued the cause for intervenor Robert Wood Johnson University Hospital in Capital Health System v. Horizon Healthcare (A-29/30-16) (Saiber, attorneys; William F. Maderer and Vincent C. Cirilli , on the brief).


Defendant Horizon Healthcare Services, Inc., New Jersey's largest health insurer, maintains a two-tiered provider-hospital system known as OMNIA approved by the Department of Banking and Insurance. Capital Health Sys., Inc. v. Dep't of Banking & Ins.,

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