Steward Health Care System LLC v. Tenet Business Services Corporation ( 2023 )


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  •    IN THE COURT OF CHANCERY OF THE STATE OF DELAWARE
    STEWARD HEALTH CARE SYSTEM                  )
    LLC, et al.                                 )
    )
    Plaintiffs and Counterclaim Defendants,     )
    )
    v.                                   ) C.A. No. 2022-0289-SG
    )
    TENET BUSINESS SERVICES                     )
    CORPORATION, et al.,                        )
    )
    Defendants and Counterclaim Plaintiffs.     )
    MEMORANDUM OPINION
    Date Submitted: May 9, 2023
    Date Decided: August 18, 2023
    Michael A. Barlow and Adam K. Schulman, of ABRAMS & BAYLISS LLP,
    Wilmington, Delaware; OF COUNSEL: Anthony Bongiorno and Jessica Reese, of
    QUINN EMANUEL URQUHART & SULLIVAN, LLP, Boston, Massachusetts;
    Rollo C. Baker IV and Eric White, of QUINN EMANUEL URQUHART &
    SULLIVAN, LLP, New York, New York, Attorneys for Plaintiffs and Counterclaim
    Defendants Steward Health Care System LLC, Steward Medical Group, Inc., Steward
    PGH, Inc., Steward NSMC, Inc., Steward CGH, Inc., and Steward HH, Inc.
    Lewis H. Lazarus, K. Tyler O’Connell, Albert J. Carroll, and Barnaby Grzaslewicz
    of MORRIS JAMES LLP, Wilmington, Delaware; OF COUNSEL: Timothy W.
    Knapp, Brendan E. Ryan, and Kent J. Hayden, of KIRKLAND & ELLIS LLP,
    Chicago, Illinois, Attorneys for Counsel for Defendants and Counterclaim Plaintiffs
    Tenet Business Services Corporation and Tenet Healthcare Corporation.
    GLASSCOCK, Vice Chancellor
    This matter is before me on the parties’ cross motions for partial summary
    judgment. The motions entail resolution of a dispute over discrete contractual
    language in an asset purchase agreement. That agreement writ large is the subject
    of this litigation, of which what follows is but a part. The assets sold include
    Florida hospitals. The discrete language in question involves allocation, between
    buyers and sellers, of benefits paid by the state of Florida to the hospitals. The
    language is difficult, in part because the drafting is not ideal. In larger part, it is
    difficult because understanding it requires reference to a governmental program,
    the Florida Direct Payment Program (the “DPP”). The DPP is not only referenced
    in the contract but is the explicit subject of the language in question, through which
    the parties agreed to apportion the payments, referred to as “distributions”. As I
    described it in intentionally simplified form in an earlier opinion in this matter
    addressing a request for preliminary injunction:
    Under the DPP, Florida established “special assessments” that it
    charges to participating hospitals. Florida’s Agency for Health Care
    Administration . . . then places the revenue generated from those
    assessments into a fund, which is matched by federal funds. The
    combined total is then sent to “Managed Care Organizations,” who in
    turn distribute the funds to participating hospitals “as supplemental
    Medicaid reimbursements” (“DPP Distributions”). Those DPP
    1
    Distributions are “directly link[ed] . . . to utilization of inpatient and
    outpatient services” and “occur retroactively.”1
    Once the scheme for repayment under the program is understood and the
    contract is read as whole, the language is not ambiguous and the parties’ intent is
    readily resolved, in favor of the Defendant/Counterclaim Plaintiffs, the sellers in
    the transaction. The parties have submitted extrinsic evidence on which I do not
    rely but find supportive of my understanding of the contract language. My
    rationale is set out below.
    I. BACKGROUND
    A. Factual Background
    I discussed the facts giving rise to this action in my prior Memorandum
    Opinion dated August 1, 2022,2 and I limit myself here to only those facts necessary
    to understand this opinion. The Plaintiffs are the buyers and the Defendants the
    sellers in the transaction at issue. The parties to this action (the “Buyers” and the
    “Sellers”, collectively the “Parties”) executed an Asset Purchase Agreement (the
    “APA”) on June 16, 2021, to facilitate the sale of a group of hospitals in Florida.3
    Though this dispute spans contracts beyond the APA itself and includes multiple
    1
    Steward Health Care Sys. LLC v. Tenet Bus. Servs. Corp., 
    2022 WL 3025587
    , at *3 (Del. Ch.
    Aug. 1, 2022) (“Steward I”) (citations omitted).
    2
    See 
    id.
    3
    Id. at *2.
    2
    provisions within that document,4 this opinion focuses on issues relating to APA
    Section 8.22, which details the distribution of DPP payments.5 The Parties also
    moved for summary judgment with respect to responsibility for repayments under
    another governmental program, the Accelerated and Advanced Payment Program. I
    leave those issues, which are fact-intensive, for trial.
    1. The DPP
    The DPP is a Florida state-sponsored, federally-approved program designed
    to address uncompensated Medicaid costs borne by Florida’s hospitals.6 Under the
    DPP, Florida established “special assessments” that it charges participating
    hospitals.7 Florida’s Agency for Health Care Administration (“AHCA”) places the
    assessments into a fund, and federal funds match those assessments.8 “Managed
    Care Organizations” then distribute the matched funds to participating hospitals “as
    supplemental Medicaid reimbursements” (“DPP Distributions”).9            Those DPP
    Distributions are “directly link[ed] . . . to utilization of inpatient and outpatient
    services” and “occur retroactively,” in the sense that reimbursements, when paid,
    4
    See id. at *4.
    5
    Verified Compl. Ex. 1, Dkt. No. 1 (“APA”).
    6
    Answer and Countercls. to the Verified Compl. ¶ 57, Dkt. No. 24 (“Defs.’ Answer and
    Countercls.”); Answer to the Verified Countercls. ¶ 48, Dkt. No. 34 (“Pls.’ Answer”).
    7
    Defs.’ Answer and Countercls. ¶ 57; Pls.’ Answer ¶¶ 50–51.
    8
    Id.
    9
    Defs.’ Answer and Countercls. ¶ 57; Pls.’ Answer ¶ 51.
    3
    would be for a then-historical period during which assessment fees had been incurred
    and services performed.10
    To institute the DPP, on November 16, 2020, AHCA submitted an application
    to the federal Centers for Medicare and Medicaid Services (“CMS”) for a “rating
    period” covering “October 1, 2020 through September 30, 2021.”11 On April 26,
    2021, CMS approved a revised version of the application for the October 1, 2020 to
    September 30, 2021 rating period.12
    The Buyers and Sellers dispute how DPP Distributions should be allocated
    under the terms of the APA. As explained in detail below, the APA includes
    10
    Transmittal Aff. Barnaby Grzaslewicz, Esq. Supp. Defs.’ Answering Br. Opp’n Pls.’ Mot.
    Summ. J. and Br. Supp. Defs.’ Cross-Mot. Summ. J. Ex. 4 at 5, Dkt. No. 44 (“CMS Approval
    Letter”). This comports with Buyers’ counsel’s knowledge of the DPP.
    “THE COURT: Can we revisit something you said earlier? I just want to make sure I understand
    your position. Your position is that at the time of contracting, the parties didn't know that the DPP
    program would both assess and distribute benefits retroactively. That is, they didn't know that
    they were going to be assessed and paid a year after the year in which they were incurred.
    ATTORNEY BAKER: If I said that, I did not intend to say that. . . .
    ATTORNEY BAKER: So I thought the question was, at the time the DPP was signed, was there
    certainty as to the time period in which assessments would be collected and payments made. And
    the answer to that was no, and that at the time the APA was signed, the different types of
    distributions were a possibility. I believe that at the time of signing, the parties did understand that
    the amount of payments that hospitals would be receiving would be based on a historical rating
    period.
    THE COURT: Okay. So they knew at the time of signing that it would be post-September 30,
    2021, when assessments and benefits would be paid for the 2021 year.
    ATTORNEY BAKER: For the 2021 year?
    THE COURT: For the year from October 1, 2020 through September 30, 2021, both assessments
    and benefits would be incurred and paid after September 30th. They knew that.
    ATTORNEY BAKER: Correct. But they didn’t know when closing would occur.” Tr. 7.12.2022
    Oral Arg. 28:4–29:13, Dkt. No. 82.
    11
    CMS Approval Letter at 1.
    12
    See id.
    4
    provisions governing the allocation of DPP Distributions based on contractually
    defined “Program Year” periods in relation to when “Closing” occurs.13 The Buyers
    argue that they are entitled to the entirety of the DPP Distributions based on the
    2020-21 rating period. In contrast, the Sellers contend that, after certain deductions,
    they are entitled to approximately 10/12ths of the DPP Distributions for the period
    in question, and Buyers should receive only 2/12ths of the DPP Distributions.
    2. The APA’s DPP Provision
    APA Section 8.22 (the “DPP Provision”) governs the division of DPP
    Payments, with allocation governed by “Program Year.”14 Program Year is defined
    as “the program year (i.e., October 1 through September 30) in which assessments
    are collected and payments are made with respect to the Healthcare Business in
    connection with the Florida Directed Payment Program.”15
    For the “Program Year in which Closing occurs”—the “straddle” year in
    which ownership transitioned from Sellers to Buyers—Buyers are reimbursed for
    assessments they paid and the “DPP Payment Amount.”16 The remainder of these
    13
    See APA § 8.22.
    14
    Id.
    15
    Id.
    16
    Id.
    5
    “DPP Straddle Distributions” is divided between the Sellers and the Buyers on a
    prorated per diem basis.
    With respect to any reimbursement or distribution with respect to the
    Healthcare Business arising out of, attributable to or received in
    connection with the Florida Directed Payment Program and relating to
    the Program Year in which the Closing occurs (the “DPP Straddle
    Distributions”), Buyers shall first receive from the DPP Straddle
    Distributions an amount equal to the total assessments paid by Buyers
    or their Affiliates with respect to the Healthcare Business in connection
    with the Florida Directed Payment Program plus the DPP Payment
    Amount, and, to the extent there is any remaining portion of the DPP
    Straddle Distributions after such payment to Buyers, then the Parties
    shall prorate such remaining amount of the DPP Straddle Distribution
    on a per diem basis with (i) Sellers receiving a portion of such
    remaining DPP Straddle Distributions based on a fraction, the
    numerator of which is the number of calendar days in such Program
    Year that are prior to and include the Closing Date and the denominator
    of which is 365 and (ii) Buyers receiving a portion of such remaining
    DPP Straddle Distributions based on a fraction, the numerator of which
    is the number of calendar days in such Program Year that follow the
    Closing Date and the denominator of which is 365.17
    Buyers are entitled to 100% of the DPP Distributions for Program Years after
    the straddle year.
    Buyers shall be entitled to 100% of any reimbursement or distribution
    with respect to the Healthcare Business arising out of, attributable to or
    received in connection with the Florida Directed Payment Program and
    relating to any Program Year after the Program Year in which the
    Closing occurs (the “Post-Closing DPP Distributions”).18
    17
    Id.
    18
    Id.
    6
    Sellers, on the other hand, are entitled to the DPP Distributions in Program
    Years prior to the Program Year in which the Closing occurs.
    Sellers shall be entitled to 100% of any reimbursement or distribution
    with respect to the Healthcare Business arising out of, attributable to or
    received in connection with the Florida Directed Payment Program and
    relating to any Program Year prior to the Program Year in which the
    Closing occurs (the “Pre-Closing DPP Distributions” . . .).19
    Closing occurred on August 1, 2021.20 The Program Year associated with the
    Closing thus ended on September 30, 2021. Assessments and payments under the
    DPP began in October 2021, after the Program Year in which Closing occurred,
    relating to services performed in the 2020-21 Program Year.21
    3. The Negotiations
    Ralph de la Torre, Steward’s Chairman and CEO, led the negotiations on
    behalf of Buyers.22 Saum Sutaria, Tenet’s CEO, led negotiations on behalf of
    Sellers.23 Over the course of negotiations, both Buyers and Sellers were represented
    by counsel.24
    19
    Id.
    20
    Defs.’ Answer and Countercls. ¶ 60; Pls.’ Answer ¶ 134.
    21
    See Pls.’ Br. Further Supp. Their Mot. Summ. J. 20, Dkt. No. 53; Defs.’ Answering Br. Opp’n
    Pls.’ Mot. Summ. J. and Br. Supp. Defs.’ Cross-Mot. Summ. J. 44, Dkt. No. 43 (“Defs.’ Answering
    Br.”).
    22
    Transmittal Aff. Adam K. Schulman, Esq. Supp. Pls.’ Suppl. Br. Supp. Their Mot. Summ. J.
    (“Schulman Aff.”) Ex. 2 at 8:14–16, Dkt. No. 158 (“de la Torre Dep.”).
    23
    de la Torre Dep. 51:19–52:6.
    24
    Schulman Aff. Ex. 3 at 75:9–17, 84:22–3, Dkt. No. 158 (“Wales Dep.”); Schulman Aff. Ex. 4
    at 29:7–10, Dkt. No. 158, (“Maloney Dep.”).
    7
    At the start of negotiations, the DPP was a possibility rather than a
    probability.25 The program was awaiting approvals from CMS, the Florida state
    legislature, and Miami-Dade County.26
    Sellers sought to include estimates of the potential DPP Distributions in their
    valuation and included an annual receivable of $29.1 million in projected DPP
    Distributions.27 However, given the risk of the DPP not coming to fruition, the
    Parties agreed to discount the DPP Distributions by the likelihood of non-passage.28
    In January 2021, the Parties executed a letter of intent for the sale of the
    hospitals with a $1 billion price tag.29 That price included the agreed upon value of
    the DPP.30
    On January 28, 2021, in accordance with the letter of intent, the Sellers-
    drafted first draft of the APA included a $1 billion purchase price and an adjustment
    in the event that the DPP failed to be enacted.31
    The Sellers proposed the first pro-rating provision on March 18, 2021.32 The
    provision called for pro rata division of DPP Distributions “received by Buyers . . .
    25
    Wales Dep. 135:5–20.
    26
    Schulman Aff. Ex. 5 at STE_DE_0002872, Dkt. No. 158.
    27
    Id. at -2872.
    28
    de la Torre Dep. 158:16–22; Schulman Aff. Ex. 11 at STE_DE_0023402-3404, Dkt. No. 159.
    29
    Schulman Aff. Ex. 7 at STE_DE_0024535, Dkt. No. 158.
    30
    Id. at -4535 n.5 (“In the event the legislation regarding the Directed Payment Program impacting
    the Hospitals is not enacted by the closing, then the parties will discuss an appropriate adjustment
    to the Purchase Price.”).
    31
    Schulman Aff. Ex. 8 at ALSTON00008331, -8343 n.3, Dkt. No. 158.
    32
    See Schulman Aff. Ex. 9 at ALSTON00007253, Dkt. No. 158.
    8
    following the Closing Date . . . that relate to any measurement period under the DPP
    Program that ends on or prior to the Closing Date.”33 The Parties discussed the value
    of the DPP and on April 19, 2021, Sellers sent a revised draft of the APA decreasing
    the purchase price, removing the pro rata provision, and adding a provision for an
    upwards price adjustment for DPP assessments paid by Sellers prior to Closing.34
    The Buyers agreed with these changes and added that they were entitled to “all
    reimbursements and distributions . . . received in connection with the Florida
    Directed Payment Program, whether such reimbursements or distributions relate to
    measurement periods before or after the Closing Date.”35                   Subsequent drafts
    maintained the zero sum DPP Provision but allowed Sellers reimbursement for DPP
    assessments paid to CMS.36
    By June 2021, DPP passage looked likely. Notably, in late April 2021, the
    DPP received state approval,37 and on May 6, 2021, it received CMS approval for
    33
    Id. at -7339.
    34
    Schulman Aff. Ex. 14 at Tenet00000910, -0917, -0978, Dkt. No. 159.
    35
    Schulman Aff. Ex. 15 at Tenet00009987, -9992, Dkt. No. 159; Pls.’ Suppl. Br. in Supp. of Their
    Mot. for Summ. J. 9, Dkt. No. 157 (“Pls.’ Suppl. Br.”).
    36
    Schulman Aff. Ex. 16 at Tenet00001381, -1383, -1388, Dkt. No. 159; see Schulman Aff. Ex. 17
    at ALSTON00006002, -6004, -6009, Dkt. No. 159; Schulman Aff. Ex. 18 at STE_DE_0002485,
    -2487, -2492, Dkt. No. 160; Schulman Aff. Ex. 19 at STE_DE_0027538, -7540, -7545, Dkt. No.
    160.
    37
    Schulman Aff. Ex. 20 Dkt. No. 160.
    9
    the measurement period October 1, 2020 through September 30, 2021.38 The final
    puzzle piece was local approval and implementation.39
    Certainty, or at least near certainty, has value, and on May 8, 2021, Sellers
    “blew up the deal” and stated that they were no longer interested in pursuing the
    transaction.40 Internally, Sellers had discussed abandoning the transaction in light
    of the DPP’s approvals.41
    Negotiations began anew in June.42 Sellers sought an increased purchase
    price.43 Specifically, Sellers sought an increased price of between $1.07 and $1.15
    billion.44 In addition, Sellers proposed that they should receive a pro rata portion of
    the DPP Distribution but did so outside of the purchase price.45 As such, they
    expected their DPP Distribution share would be $31 million. In connection with
    their renewed proposal, Sellers noted,
    38
    Schulman Aff. Ex. 21 Dkt. No. 160; Schulman Aff. Ex. 22 Dkt. No. 160.
    39
    Schulman Aff. Ex. 20.
    40
    Schulman Aff. Ex. 24 (“Tenet has gone pencils down on the deal. They are reconsidering price
    now that the DPP is likely passing and the business is performing well.”), Dkt. No. 160; Schulman
    Aff. Ex. 6 at 55:4–15, Dkt. No. 158.
    41
    Schulman Aff. Ex. 23 (“Don’t flip (though your new center of gravity probably helps prevent
    that) but I may blow up Miami deal. DPP fully approved. No Medicaid cuts. Your BD successful
    so far. And they are demanding 137M in working capital (we are off by 75M with our estimates
    closer to 65M) which means effective multiple on the deal is 7. Just the working capital difference
    pays the capital.”), Dkt. No. 160.
    42
    Schulman Aff. Ex. 25 at Tenet00010771, Dkt. No. 160; Maloney Dep. 201:12–16.
    43
    Schulman Aff. Ex. 26 at STE_DE_0021283 (“Considering the elimination of DPP risk and the
    substantially increased performance at the hospitals, the Miami hospitals have increased in
    valuation”), Dkt. No. 160.
    44
    Id. at -1285.
    45
    Id.
    10
    • In April, DPP funding was approved by the Florida legislature and
    contemplated Florida Medicaid cuts were not approved by the state
    legislature
    • In addition to these positive developments, the Florida Market
    continues to outperform performance targets due to improved acuity
    and payor mix
    • Through May, the Miami hospitals are 27% ahead of plan. As a result,
    we now expect the market to achieve $115 - $125mm in pre-DPP
    EBITDA ($120mm equates to performing at plan for the final 7
    months). [. . . .]
    • Given the likely timing of the transaction and Tenet's lobbying efforts
    to secure the passage of DPP legislation we have also included the
    impact of Tenet retaining its pro-rata share of the 2021 DPP payment46
    Accordingly, Sellers followed up with an APA draft dated June 11, 2021, that
    increased the purchase price to $1.1 billion.47 The purchase price, however, was
    exclusive of the new DPP Provision which allocated distributions “relating to
    measurement periods before the Closing Date” on a pro rata basis.48
    8.22     DPP Distributions. With respect to any reimbursement or
    distribution with respect to the Healthcare Business arising out of,
    attributable to or received in connection with the Florida Directed
    Payment Program and relating to measurement periods before the
    Closing Date (the “DPP Distributions”), the Parties shall prorate such
    amounts on a per diem basis with (i) Sellers receiving a portion of the
    DPP Distributions based on a fraction, the numerator of which is the
    number of calendar days in the calendar year in which the Closing
    occurs that are prior to and include the Closing Date and the
    denominator of which is 365 and (ii) Buyers receiving a portion of the
    DPP Distributions based on a fraction, the numerator of which is the
    number of calendar days in the calendar year in which the Closing
    46
    Id.
    47
    Second Suppl. Transmittal Aff. Barnaby Grzaslewicz, Esq. (“Second Suppl. Grzaslewicz Aff.”)
    Ex. 13 at Tenet00004179, -4195, Dkt. No. 165; Schulman Aff. Ex. 27 at ALSTON00001352, -
    1368, Dkt. No. 160.
    48
    Second Suppl. Grzaslewicz Aff. Ex. 13 at Tenet00004195; Schulman Aff. Ex. 27 at
    ALSTON00001368, -1438.
    11
    occurs that follow the Closing Date and the denominator of which is
    365.49
    On June 14, the Parties met at Sellers’ headquarters in Dallas, Texas.50 Buyers
    state that they agreed to increase the purchase price.51 Post-close DPP Distributions
    were also discussed.52 In deposition, when asked about the DPP discussions at the
    June 14 meeting, Buyers’ deal counsel stated,
    I recall, generally speaking, that we were concerned with the language
    that [Sellers’] counsel Alston & Bird sent across in the June 12 revised
    APA. I recall that we had discomfort about the fact that it had words
    relating to a measurement period, and I was being concerned that that
    was very vague and swishy language. I also remember us being
    concerned that there was no discussion of we, [Buyers], were entitled
    to post-closing period amounts. I recall those two things being raised
    in the June 14 meeting. I don’t recall the specifics of the conversation.53
    An internal Sellers email sent on the day of the meeting stated that “[Buyers
    have] now agreed to pay us $1.10 billion at closing, and we will also receive
    49
    The drafting history documents here follow the convention that deleted language (from the prior
    draft) is struck through and added language is underlined.
    50
    Wales Dep. 165:11–16; Maloney Dep. 47:15–22.
    51
    Pls.’ Suppl. Br. 13.
    52
    Buyers contend that “because they had already agreed to the additional $100 million, Buyers
    did not agree to guarantee Sellers a pro rata share of the Year 1 DPP distributions, as Sellers had
    demanded.” Pls.’ Suppl. Br. 13. The evidence cited includes testimony by Buyers’ chief
    negotiator, de la Torre, and its deal counsel. In deposition, de la Torre stated “we didn’t agree to
    [pro rate DPP distributions.]” de la Torre Dep. 61:4–10. Deal counsel, when asked about the June
    14 meeting, stated that he was concerned with the “measurement period” language and the lack of
    discussion that “Steward, w[as] entitled to post-closing period amounts.” Wales Dep. 176:14–
    177:7.
    53
    Wales Dep. 176:19–177:7.
    12
    our pro-rata share of this year’s supplemental revenue program, estimated to
    be $25-30 million.”54
    That evening, Buyers’ counsel sent the following markup to Sellers:
    8.22 DPP Distributions. With respect to any reimbursement or
    distribution with respect to the Healthcare Business arising out of,
    attributable to or received in connection with the Florida Directed
    Payment Program and relating to measurement periods beforethe
    program hear (i.e., October 1 through September 30) in which the
    Closing Dateoccurs (the “DPP Distributions”), the Parties shall prorate
    such amounts on a per diem basis with (i) Seller receiving a portion of
    the DPP Distributions based on a fraction, the numerator of which is
    the number of calendar days in the calendarsuch program year in which
    the Closing occurs that are prior to and include the Closing Date and
    the denominator is 365 and (ii) Buyers receiving a portion of the DPP
    Distributions based on a fraction, the numerator of which is the number
    of calendar days in the Calendar such program year in which the
    Closing occurs that follow the Closing Date and the denominator of
    which is 365. Buyers shall be entitled to 100% of any reimbursement
    or distribution with respect to the Healthcare Business arising out of
    attributable to or received in connection with the Florida Directed
    Payment Program and relating to any program year after the year in
    which the Closing occurs.
    Buyers eliminated “measurement periods,” replaced them with cleanly denominated
    “program years,” and clarified that they were “entitled to 100% of any
    reimbursement or distribution . . . relating to any program year after the year in which
    the Closing occurs.”55
    54
    Second Suppl. Grzaslewicz Aff. Ex. 2, Dkt. No. 165.
    55
    Schulman Aff. Ex. 28 at ALSTON00002211, Dkt. No. 160.
    13
    Sellers revised the draft and sent it back to the Buyers on June 15, 2021.56 In
    the revised draft, Sellers had accepted Buyers’ changes relating to DPP
    Distributions.57   Sellers also laid the groundwork for the division of DPP
    Distributions into three periods by adding language guaranteeing Sellers 100% of
    any DPP Distributions made in a “program year prior to the program year in which
    the Closing occurs” and adding the defined terms “DPP Straddle Distributions,”
    “Post-Closing DPP Distributions,” and “Pre-Closing DPP Distributions.”58
    On June 15, 2021, the Parties’ counsel spoke by phone “to walk through some
    of [Buyers’] changes . . . in an effort to finalize this agreement.”59 The proposed
    changes included: (i) clarifying the meaning of “program year,” and (ii) making clear
    that if there were any DPP Straddle Distributions, Buyers would receive back any
    assessments they paid into the DPP before any DPP Straddle Distributions were
    divided pro rata.60 The next day, by email, Buyers’ counsel followed up to ask if
    Sellers’ counsel had run the changes by their client.61 Sellers’ counsel replied in the
    negative but stated that the concept made sense on its face, and noted that Sellers’
    counsel would need to see the language before advising Sellers.62
    56
    Schulman Aff. Ex. 29 at ALSTON00001713, -1804-1805, Dkt. No. 160.
    57
    See Schulman Aff. Ex. 29.
    58
    Id. at ALSTON00001804-1805.
    59
    See Schulman Aff. Ex. 30 at 82:20–84:3, Dkt. No. 161; Schulman Aff. Ex. 31 at
    STE_DE_00031427, Dkt. No. 161.
    60
    See Schulman Aff. Ex. 35 at ALSTON00002987, Dkt. No. 161.
    61
    Schulman Aff. Ex. 36 at ALSTON00018419, Dkt. No. 161.
    62
    Id.
    14
    Buyers followed up with proposed changes.63
    8.22 DPP Distributions. With respect to any reimbursement or
    distribution with respect to the Healthcare Business arising out of,
    attributable to or received in connection with the Florida Directed
    Payment Program and relating to the program year (i.e., October
    through September 30)Program Year in which the Closing occurs (the
    “DPP Straddle Distributions”), Buyers shall first receive from the DPP
    Straddle Distributions an amount equal to the total assessments paid by
    Buyers or their Affiliates with respect to the Healthcare Business in
    connection with the Florida Directed Payment Program, and, to the
    extent there is any remaining portion of the DPP Straddle Distributions
    after such payment to Buyers, then the Parties shall prorate such
    amountsremaining Amount of the DPP Straddle Distribution on a per
    diem basis with (i) Sellers receiving a portion of thesuch remaining
    DPP Straddle Distributions based on a fraction, the numerator of which
    is the number of calendar days in such program yearProgram Year that
    are prior to and include the Closing Date and the denominator of which
    is 365 and (ii) Buyers receiving a portion of thesuch remaining DPP
    Straddle Distributions based on a fraction, the numerator of which is
    the number of calendar days in such program yearProgram Year that
    follow the Closing Date and the denominator of which is 365. Buyers
    shall be entitled to 100% of any reimbursement or distribution with
    respect to the Healthcare Business arising out of, attributable to or
    received in connection with the Florida Directed Payment Program and
    relating to any program yearProgram Year prior to the program
    yearProgram Year in which the Closing occurs (the “Post-Closing DPP
    Distributions”), and Sellers shall be entitled to 100% of any
    reimbursement or distribution with respect to the Healthcare Business
    arising out of, attributable to or received in connection with the Florida
    Directed Payment Program and relating to any program yearProgram
    Year prior to the program yearProgram Year in which the Closing
    occurs (the “Pre-Closing DPP Distributions” and collectively with the
    DPP Straddle Distributions and the Post-Closing DPP Distributions, the
    “DPP Distributions”). For purposes of this Section 8.22, “Program
    Year” means the program year (i.e., October 1 through September 30)
    in which assessments are collected and payments are made with respect
    63
    Schulman Aff. Ex. 35 at ALSTON00002987.
    15
    to the Healthcare Business in connection with the Florida Directed
    Payment Program.
    The changes included creating and defining the term “Program Year” as well
    as ensuring Buyers were remunerated for the total assessments they paid prior to pro
    rata distribution of the remainder of DPP Distributions.64 Sellers discussed this
    penultimate draft among themselves65 and later sent a revised draft that was
    substantively the same regarding the DPP to Buyers.
    On June 16, 2021, the Parties executed the APA.66 The transaction closed on
    August 1, 2021.67
    B. Procedural History
    This matter and the related matter concerning arbitration of APA Section 2.568
    have been hard-fought. Buyers filed the initial complaint (the “Complaint”) in this
    action as well as a motion to expedite on March 25, 2022.69 The Complaint brought
    four causes of action, seeking a declaratory judgment affirming Buyers’
    interpretation of the APA and Sellers’ alleged breaches of these agreements, specific
    performance of the APA and a Transition Services Agreement (the “TSA”), a
    64
    Id.
    65
    Schulman Aff. Ex. 37 at Tenet00007617–7619, Dkt. No. 161.
    66
    See APA.
    67
    Defs.’ Answer and Countercls. ¶ 60; Pls.’ Answer ¶ 134.
    68
    See Tenet Healthcare Corp. v. Steward Health Care Sys. LLC, 
    2023 WL 2778295
    , at *1 (Del.
    Ch. Apr. 4, 2023).
    69
    See Verified Compl., Dkt. No. 1 (“Compl.”).
    16
    permanent injunction directing Sellers to comply with the agreements and enjoining
    termination of the TSA, and attorneys’ fees pursuant to the prevailing party
    provision of the APA.70 The Parties jointly requested expedition on April 6, 2022,
    which I granted on April 7, 2022.71 Sellers filed their answer and counterclaims on
    April 22, 2022.72 Sellers’ countercomplaint brought eight causes of action, seeking
    a declaration affirming Sellers’ conception of contractual offset rights, damages for
    breaching the APA by not remitting DPP Distributions, damages for breaching the
    TSA, a declaration that Sellers were entitled to terminate the TSA, damages for
    breach of the implied covenant of good faith and fair dealing, quantum meruit
    damages, the right to collect any damages from Buyers’ parent organization, and
    attorneys’ fees.73
    On May 3, 2022, Buyers moved for summary judgment on all claims and
    counterclaims.74 Buyers’ answer to the counterclaims followed shortly.75 Sellers
    cross-moved for summary judgment on May 24, 2022.76 In the course of briefing
    the cross-motions for summary judgment, Buyers filed a motion for preliminary
    70
    
    Id.
     ¶¶ 123–155.
    71
    Stipulation and [Proposed] Order Governing Expedited Trial Schedule, Dkt. No. 18; Judicial
    Action Form, Dkt. No. 19.
    72
    Defs.’ Answer and Countercls.
    73
    
    Id.
     ¶¶ 120–220.
    74
    Pls.’ Mot. Summ. J., Dkt. No. 31.
    75
    Pls.’ Answer.
    76
    Defs.' Cross-Mot. Summ. J., Dkt. No. 42.
    17
    injunction on June 11, 2022.77 By letter, I informed the Parties that the motion for a
    preliminary injunction would be heard on July 12, 2022, alongside the motions for
    summary judgment.78 Briefing on the cross-motions for summary judgment and the
    motion for a preliminary injunction concluded on July 6, 2022.79
    I held oral argument on July 12, 2022, and issued a Memorandum Opinion on
    August 1, 2022.80 In that Memorandum Opinion, I granted the Buyers’ motion for
    a preliminary injunction but reserved decision on the cross-motions for summary
    judgment to allow the Parties to determine if expedition was still required.81 The
    Parties agreed that expedition was no longer necessary but disagreed as to whether
    a decision should be rendered on the record as it stood.82 Buyers requested that I
    permit additional discovery and briefing regarding the Parties’ intent.83 Sellers
    disagreed.84 I instructed the Parties to perform discovery and supplement their
    motions for summary judgment.85
    77
    Pls.' Mot. Prelim. Inj., Dkt. No. 51.
    78
    Letter to Counsel, Dkt. No. 54.
    79
    Pls.’ Reply Br. Supp. Their Mot. Prelim. Inj., Dkt. No. 62.
    80
    Judicial Action Form, Dkt. No. 75.
    81
    Steward I at *11.
    82
    Letter to The Honorable Sam Glasscock III from Michael A. Barlow, Dkt. No. 92 (“Pls.’ Aug.
    26, 2022 Letter”); Letter to The Honorable Sam Glasscock III from Lewis H. Lazarus, Dkt. No.
    93 (“Defs.’ Aug. 26, 2022 Letter”).
    83
    Pls.’ Aug. 26, 2022 Letter at 2.
    84
    See Defs.’ Aug. 26, 2022 Letter.
    85
    Tr. 11.29.22 Telephonic Status Conference, Dkt. No. 134; see also Tr. 10.25.2022 Telephonic
    Status Conference, Dkt. No. 123.
    18
    Supplemental briefing of the summary judgment motions began March 17,
    2023,86 and concluded March 31, 2023.87 I held oral argument on the supplemented
    motions for summary judgment on May 9, 2023, and I consider the motions fully
    submitted as of that date.88
    II. ANALYSIS
    “Under Court of Chancery Rule 56, summary judgment may be granted if
    ‘there is no genuine issue as to any material fact and . . . the moving party is entitled
    to judgment as a matter of law.’”89
    “When interpreting a contract, this Court ‘will give priority to the parties’
    intentions as reflected in the four corners of the agreement,’ construing the
    agreement as a whole and giving effect to all its provisions.”90 As such, to divine
    the intent of the parties’ to a contract, the Court always starts with the text.91 “When
    the contract is clear and unambiguous, [the Court] will give effect to the plain-
    meaning of the contract’s terms and provisions.”92 To do so, the Court will “read a
    86
    See Pls.’ Suppl. Br.
    87
    See Pls.’ Reply Br. Supp. Their Mot. Summ. J. and Opp’n Defs.’ Cross-Mot. Summ. J., Dkt.
    No. 170.
    88
    Judicial Action Form, Dkt. No. 176.
    89
    Roma Landmark Theaters, LLC v. Cohen Exhibition Co., 
    2021 WL 2182828
    , at *6 (Del. Ch.
    May 28, 2021) (quoting Ct. Ch. R. 56(c)).
    90
    Salamone v. Gorman, 
    106 A.3d 354
    , 368 (Del. 2014) (quoting GMG Cap. Invs., LLC v. Athenian
    Venture P’rs I, L.P., 
    36 A.3d 776
    , 779 (Del. 2012)).
    91
    Sunline Com. Carriers, Inc. v. CITGO Petroleum Corp., 
    206 A.3d 836
    , 846 (Del. 2019).
    92
    Osborn ex rel. Osborn v. Kemp, 
    991 A.2d 1153
    , 1159–60 (Del. 2010).
    19
    contract as a whole and . . . give each provision and term effect, so as not to render
    any part of the contract mere surplusage.”93
    “[A] contract is ambiguous only when the provisions in controversy are
    reasonably or fairly susceptible of different interpretations or may have two or more
    different meanings.”94 Conversely, where there is only one reasonable interpretation
    of the contractual language, the contract is unambiguous.95
    “[E]xtrinsic evidence may not be used to interpret the intent of the parties, to
    vary the terms of the contract or to create an ambiguity” in an otherwise
    unambiguous contract.96 However, if ambiguity is present, extrinsic evidence may
    be used to “arrive at a proper interpretation of contractual terms.”97
    Put simply, the contract in question anticipates the DPP to operate in discrete
    “Program Years.” The Sellers interpret the APA to require proration of any DPP
    Distributions relating to the Program Year in which the Closing occurred, October
    1, 2020 through September 30, 2021 (the “CPY”), on the basis of the fraction of that
    year each of the Parties owned the hospitals for whose services reimbursements were
    made. Per Sellers, this results in about 80% of payments relating to the CPY
    belonging to Sellers. The Buyers, for their part, note that the DPP Distributions
    93
    Kuhn Const., Inc. v. Diamond State Port Corp., 
    990 A.2d 393
    , 396–97 (Del. 2010).
    94
    Rhone-Poulenc Basic Chems. Co. v. Am. Motorists Ins. Co., 
    616 A.2d 1192
    , 1196 (Del. 1992).
    95
    Sassano v. CIBC World Markets Corp., 
    948 A.2d 453
    , 462 (Del. Ch. 2008).
    96
    Eagle Indus., Inc. v. DeVilbiss Health Care, Inc., 
    702 A.2d 1228
    , 1232 (Del. 1997).
    97
    
    Id.
    20
    relating to the period set out above were not made until early 2022, and thus occurred
    in the Program Year after Closing occurred; and, per their reading of the APA, all
    the reimbursements belong to Buyers. In my assessment of the motion for a
    preliminary injunction in Steward I, I considered Sellers’ chances of prevailing on
    the merits of the DPP issue and concluded that success was “substantially
    conceivable.”98 I specifically adopt, without repeating in full, the analysis of this
    issue in Steward I. The additional evidence produced since that time has not changed
    my thinking on the matter and served only to solidify it. Simply put, the Sellers’
    interpretation of the DPP Provision is correct; this is clear when the agreement is
    examined as a whole, even in light of the Buyers’ extrinsic evidence interpreted in
    their favor. The Parties created a scheme for prorating payments relating to the CPY,
    which operates under the Sellers’ construction of the contract but is largely
    impracticable under that of the Buyers.
    As stated, the allocation of DPP Distributions depends on the interaction of
    the “Closing” and “Program Year.”99             Of those, only “Program Year” is in
    question.100 The APA provides that “[f]or purposes of this Section 8.22, ‘Program
    Year’ means the program year (i.e., October 1 through September 30) in which
    98
    Steward I at *7.
    99
    Id. at *8.
    100
    Compl. ¶ 60; Defs.’ Answer and Countercls. ¶ 135.
    21
    assessments are collected and payments are made with respect to the Healthcare
    Business in connection with the Florida Directed Payment Program.”101
    The Parties here agree that this provision is unambiguous but disagree on its
    meaning. Buyers’ interpretation hews closely to the plain text of the “Program
    Year” clause in isolation but is problematic viewed in light of the DPP Provision
    and APA as a whole. In context, I find the Sellers’ interpretation is the logical
    reading of the DPP Provision.
    Buyers contend that based upon the plain language of the “Program Year”
    definition they are entitled to the entirety of the DPP Distributions. Specifically,
    “Closing” occurred on August 1, 2021, and thus the Program Year in which the
    Closing occurred—the CPY—was October 1, 2020 to September 30, 2021.
    However, the first round of “assessments and distributions” began in October
    2021, reimbursing hospitals for procedures undertaken during the prior CPY.102
    Noting that “Program Year” is defined by when “assessments are collected and
    payments are made,” the Buyers contend that the “DPP Payments” all relate to the
    “Program Year after the Program Year in which the Closing occurs”—October 1,
    2021 to September 30, 2022—which, under the APA, belong to Buyers.
    101
    APA § 8.22.
    102
    Pls.’ Br. Further Supp. Their Mot. Summ. J. 20; Defs.’ Answering Br. 44, Dkt. No. 43.
    22
    This reading, focusing myopically on the definition of Program Year, leads
    to incongruities. Notably, given that there were no assessments or distributions in
    the period between October 1, 2020 and September 30, 2021, under the Buyers’
    reading that period was not a Program Year. But Closing undoubtedly occurred
    during that non-Program Year period. In that case, there was no “Program Year in
    which the Closing occurs.” Absent a “Program Year in which the Closing occurs,”
    the DPP Provision is nugatory, as the three periods of distribution—Pre-Closing,
    Straddle, and Post-Closing—are defined in relation to the “Program Year in which
    the Closing occurs.”103
    Further, though this is not the case here, the DPP Provision leaves open the
    possibility that “assessments are collected” and “payments are made” in different
    October 1 through September 30 periods. In such an instance, there would be no
    contractual “Program Year” relating to those payments. Thus, Buyers’
    construction is unworkable under the proration scheme read as a whole.
    The Sellers argue that the prepositional phrase “in which” in the Program
    Year definition should more properly be read as “for which.”104 Akin to taxes or
    an end of year bonus, where “in” is used to refer to the year accrued rather the year
    103
    See APA § 8.22 “Program Year in which the Closing occurs (the ‘DPP Straddle Distributions’),”
    “Program Year after the Program Year in which the Closing occurs (the ‘Post-Closing DPP
    Distributions’),” “Program Year prior to the Program Year in which the Closing occurs (the ‘Pre-
    Closing DPP Distributions’ . . . ).”.
    104
    Defs.’ Answering Br. 35–36.
    23
    paid, “in” here, in Sellers’ view, arises out of or relates to a previously completed
    time period.105 Thus, in their interpretation, “‘Program Year’ means the program
    year (i.e., October 1 through September 30) [for] which assessments are collected
    and payments are made with respect to the Healthcare Business in connection with
    the Florida Directed Payment Program.”
    As explained above, this reading harmonizes the contract as a whole. APA
    Section 8.22 memorializes the Parties’ intent that reimbursements or distributions
    “with respect to the Healthcare Business arising out of, attributable to or received
    in connection with the [DPP] and relating to the Program Year in which the
    Closing occurs” are DPP Straddle Distributions,106 for which the Parties provided a
    proration formula based upon the fraction of the Program Year for which each
    party owned the facilities to which the DPP Distributions “relate.” “Relating to”
    suggests that the DPP Distributions could take place at any time, the operative fact
    being the Program Year in which incurred. The Buyers’ construction of the
    Program Year definition would frustrate this expressed intent.
    Under Sellers’ definition, October 1, 2020 through September 30, 2021,
    comprises the Program Year in which Closing occurred, and relating to which
    “assessments are collected and payments are made.” This reading gives meaning
    105
    Id. at 3–4, 36.
    106
    APA § 8.22 (emphasis added).
    24
    to all the language and avoids the absurd results that Buyers’ construction entails.
    Thus, DPP Distributions relating to the CPY of October 2020 through September
    2021 would be “Straddle Distributions” divided on a “my watch, your watch”
    basis.
    Put differently and as stated in my prior Memorandum Opinion,
    [T]he [Buyers]’ reading of the Program Year definition is unworkable
    in context to the rest of the APA's DPP Distribution provision. No
    assessments were collected and no payments were made during the
    October 1, 2020 through September 30, 2021 time period. Therefore,
    if the [Buyers] are correct that Program Years are defined by when
    “assessments are collected and payments are made,” that would mean
    that there was no “Program Year in which Closing occurs.” And if
    there is no “Program Year in which Closing occurs” (i.e. DPP
    Straddle Distributions), then there can be no “Program Year after the
    Program Year in which Closing occurs” (i.e. Post-Closing DPP
    Distributions), and there can be no “Program Year prior to the
    Program Year in which Closing occurs” (i.e. Pre-Closing DPP
    Distributions).
    Indeed, for there to be a “Program Year in which Closing occurs”
    under [Buyers’] reading, Closing would have had to be October 1,
    2021 or later. And for there to be a “Program Year prior to the
    Program Year in which Closing occurs” under [Buyers’] reading,
    Closing would have had to be October 1, 2022 or later. But the
    parties negotiated a Termination Date of October 1, 2021, after which
    either party could terminate the APA if Closing had not yet occurred.
    The APA allows for an extension of the Termination Date only until
    December 1, 2021. Thus, under the [Buyers’] reading, the “DPP
    Straddle Distributions” could only exist if the parties closed the APA
    on the Termination Date or exercised an extension. And “Pre-Closing
    DPP Distributions” could only exist if the parties blew the Outside
    Date by a full year. The existence of a Termination Date suggests that
    the parties intended to close the Sale by that date. It is unlikely that
    25
    the parties negotiated a bespoke allocation of DPP Distributions that
    would only be relevant if they failed to do so by a full year.107
    In light of this understanding, Sellers’ reading, in the context of the APA, is
    the reasonable interpretation, based on the four corners reading of the contract
    itself.
    I do not find the language ambiguous, reading the contract as a whole. The
    Parties have provided extrinsic evidence, which to my mind only reinforces my
    understanding of the meaning of the APA. To the extent I considered extrinsic
    evidence, my decision would be the same.
    Here, the crucial commercial context is the structuring of the DPP itself as it
    relates to the timing of assessments and distributions. Buyers suggest that during
    negotiations, the timing and structure of DPP Distributions was unsettled. In a
    Miami Market Proforma EBITDA Analysis that Sellers sent to Buyers in January
    2021, Sellers sent an overview to the DPP.
    This DPP requires each participant hospital to pay an assessment (the
    non-federal share) into a local provider participation fund (“LPPF”).
    Each LPPF’s membership is comprised of the hospitals in the
    respective counties mentioned above. After collecting provider fees
    from its member hospitals, the LPPF (via an intergovernmental
    transfer) sends the total collected provider fees to the state of Florida.
    The state draws down federal matching funds (the Federal Share)
    based on the applicable Federal Medical Assistance Percentage. The
    total non-Federal and Federal share is then distributed to Managed
    Medicaid payers, who then distribute these fees to the LPPF members.
    107
    Steward I at *10.
    26
    The distribution of the pool of funds is based on Medicaid Managed
    Care paid in-network inpatient admission and outpatient visits.
    Although authorization for the state Medicaid agency was granted as a
    result of emergency powers utilized by the Governor, the Florida
    legislature will ultimately need to formally authorize implementation
    of the DPP through a budget proviso during the 2021 legislative
    session in March — May of 2021. Furthermore, the bill has received
    bipartisan support as a beneficial program. The Centers for Medicare
    and Medicaid Services must approve the DPP; assuming CMS
    approves the DPP, it is expected that eligible hospitals will receive
    their first quarterly DPP payment beginning May 2021. Hospitals
    would receive quarterly DPP payments, based on each hospital's
    inpatient and outpatient utilization in the prior quarter.108
    Buyers argue that this shows that payments were expected to be made before the
    closure of the relevant measurement period.109 However, even in the light most
    favorable to the Buyers, it is clear that payments relate to past services.
    Irrespective of when paid, DPP payments are tied to—"arise out of” in the
    language of the contract—the past provision of services, and reimbursements relate
    to those services previously performed.
    In deposition, Buyers’ deal counsel testified that he spoke with a lobbyist
    who gave him a “general overview of how the DPP program works.” He was told
    that
    because CHS had approved this within the year started October 1,
    2020, through September of 2021, it was possible that assessments
    could be made collected [sic] from the hospitals during that time
    period. So just to repeat that, that it was possible that assessments and
    108
    Schulman Aff. Ex. 5 at STE_DE_0002872
    109
    Pls.’ Suppl. Br. 30.
    27
    distributions could be paid, certain assessments could be paid into the
    program during the time period of October 1, 2020, through
    September 30, 2021, and distributions paid out during that same time
    period and that it could also be the year following. This is the most
    likely outcome in this lobbyist’s mind was that it might be that second
    time period.110
    This conversation, in the light most favorable to the Buyers, suggests that
    there was uncertainty of when assessments and distributions would be paid,
    but it does not speak to the purpose of those payments or their retroactive
    nature.
    Notably, the Parties negotiated knowing the retroactive nature of prospective
    DPP Distributions.111 Thus, the Parties expected that distributions for periods
    between October 1 and September 30 would arrive after each period. This
    corroborates Sellers’ reading of the DPP Provision as the logical reading of the
    APA.
    Moreover, the Parties’ negotiations, set out in Section I.A.3., are supportive
    of the Sellers’ interpretation of the contract.       Buyers’ reading of the contract
    represents the state of play in the negotiations before the DPP became, practically
    speaking, a fait accompli, which made the hospitals more valuable. At that point,
    Sellers walked away from the contemplated deal, and used their improved leverage
    110
    Wales Dep. 140:4–141:5.
    111
    CMS Approval Letter at 5.
    28
    to renegotiate. One aspect of that renegotiation was Sellers’ proposal that the Parties
    divide DPP reimbursements based on the date of sale. Specifically, Buyers’ draft of
    June 14 responsive to this proposal demonstrates that they intended to pro rate DPP
    Distributions “relating to the program year (i.e., October 1 through September 30)
    in which the Closing occurs.”112 “Relating to” shows that, irrespective of when
    payments were made, DPP Distributions were tied to the underlying services they
    reimbursed for. Buyers’ reading of the language at issue would make the proration
    provision illusory. If I were to consider this drafting history, it would only reinforce
    my view that the Parties agreed to proration for distributions relating to the Straddle
    Year, and not prorations of reimbursements highly unlikely to occur.
    The Parties also provided extrinsic evidence of Buyers’ post-Closing
    conduct.113 Even if I were to consider this evidence, it further supports that Sellers’
    reading of the DPP Provision accurately represents the Parties’ intentions as the
    evidence clearly demonstrates that, immediately following the Closing, Buyers
    adopted and acted in accordance with Sellers’ interpretation.114
    112
    Schulman Aff. Ex. 28 at ALSTON00002211 (emphasis added).
    113
    Defs.’ Suppl. Br. Supp. of Defs.’ Cross-Mot. Summ. J. and Opp’n Pls.’ Mot. Summ. J. 18–25,
    Dkt. No. 165 (“Defs.’ Suppl. Br.”); Pls.’ Suppl. Br. 20–21.
    114
    See, e.g., de la Torre Dep. 29:1–32:12, 119:4–19; Second Suppl. Grzaslewicz Aff. Ex. 42 at
    165:24–166:5, Dkt. No. 156.
    29
    III. THE AAPP ISSUE
    The Parties also submitted their dispute over reimbursements associated with
    CMS’s Accelerated and Advanced Payment Program (“AAPP Program”) for
    summary judgment. The AAPP Program was a program in which CMS advanced
    Medicare funds that would, at least in part, be recouped from recipients at a later
    date.115 Prior to Closing, Sellers received these advancements.116 After Closing, the
    Buyers allegedly reimbursed or were on the brink of reimbursing CMS for amounts
    that the CMS had advanced to the Sellers before Closing.117 The Buyers are entitled
    under APA Section 8.16 to recover from the Sellers the funds that were advanced to
    Sellers but recouped from Buyers.118 Section 8.16 provides the process for Buyers’
    recoupment from Sellers:
    At the beginning of each calendar month following the Closing Date,
    or at some other mutually agreeable time, and until the later of
    September 30, 2022 or the latest date on which any AAPP
    Reimbursement Amounts would be due to CMS in accordance with
    CMS’ publicly announced AAPP repayment terms and conditions (the
    “AAPP Extension Date”), Buyers shall provide Sellers with a written
    statement setting forth the actual or anticipated AAPP Reimbursement
    Amounts to be paid by Buyers or recouped by CMS from any Buyer
    (or its Affiliates) in that month, in the immediately following month,
    and/or as a result of identified corrections regarding past months (each
    a “Monthly AAPP Statement”), together with reasonable supporting
    documentation (e.g., remittance advices reflecting the AAPP Program
    recoupment from the applicable month(s)).
    115
    Defs.’ Answering Br. 11.
    116
    Defs.’ Answer and Countercls. ¶ 50.
    117
    Compl. ¶ 4.
    118
    APA § 8.16.
    30
    The Buyers contend that the Sellers did not reimburse them for the requisite
    payments and that Sellers must therefore pay them.119 Sellers contend that Buyers
    did not pay CMS and that the amounts owed to CMS are not “anticipated” within
    the meaning of Section 8.16.120 Accordingly, Sellers argue that they need not make
    payments to Buyers.
    Thus, the contention here is not whether paid amounts must be reimbursed,
    but rather, what amounts were actually paid or anticipated, and the proof required to
    evidence such payments.121 As such, and given the state of the record, this is a highly
    fact intensive dispute better suited for trial than summary judgment. Accordingly, I
    deny the cross-motions for summary judgment on the AAPP issue.122
    IV. CONCLUSION
    With respect to the allocation of DPP Distributions relating to the year ending
    September 30, 2021, the Sellers’ motion for summary judgment is granted and the
    Buyers’ denied. With respect to the AAPP Program issues, the cross-motions are
    denied. The Parties should provide an appropriate form of order.
    119
    Pls.’ Suppl. Br. 31.
    120
    Defs.’ Suppl. Br. 38–42.
    121
    Id.
    122
    Cross v. Hair, 
    258 A.2d 277
    , 278 (Del. 1969).
    31