Case: 17-60824      Document: 00514589612         Page: 1    Date Filed: 08/07/2018




           IN THE UNITED STATES COURT OF APPEALS
                    FOR THE FIFTH CIRCUIT
                                                                   United States Court of Appeals
                                                                            Fifth Circuit


                                    No. 17-60824
                                                                          FILED
                                                                     August 7, 2018
                                  Summary Calendar
                                                                     Lyle W. Cayce
                                                                          Clerk
In the Matter of : PIONEER HEALTH SERVICES, INCORPORATED

                                                 Debtor

FIRST GUARANTY BANK, as successor to the interests of Republic Bank,
assignee to the interests of Med One Capital Funding, L.L.C. (the
Movant”),

                                                 Appellant
v.

PIONEER HEALTH SERVICES, INCORPORATED,

                                                 Appellee




                   Appeal from the United States District Court
                     for the Southern District of Mississippi
                             USDC No. 3:17-CV-561


Before KING, ELROD, and HIGGINSON, Circuit Judges.
PER CURIAM:*
       Debtor-Appellee Pioneer Health Services, Inc., is a healthcare provider.
It bought access to software to maintain its electronic health records and


       * Pursuant to 5TH CIR. R. 47.5, the court has determined that this opinion should not
be published and is not precedent except under the limited circumstances set forth in 5TH
CIR. R. 47.5.4.
    Case: 17-60824   Document: 00514589612    Page: 2   Date Filed: 08/07/2018



                               No. 17-60824
financed the purchase through a third party. The third party assigned its
interest to another party, the predecessor in interest to Appellant First
Guaranty Bank. When Pioneer Health Services declared bankruptcy, First
Guaranty Bank filed a motion to compel payment under the contract as an
unexpired lease or an administrative expense. The bankruptcy court denied
the motion, and the district court affirmed. First Guaranty appeals, and we
AFFIRM.
                                     I.
     Pioneer Health Services, Inc. is the debtor in this bankruptcy case.
Pioneer Health owns a number of hospitals and healthcare facilities
throughout the southeastern United States. In late 2011, it entered into
several contracts with McKesson Technologies, Inc., for a “limited,
nonexclusive, nontransferable, non-sublicensable, perpetual license” to the
“Paragon Hospital Information System.” The Paragon System is a certified
electronic health record system used for billing, scheduling, and record
retention and organization.
     To pay for the $8.5 million purchase, Pioneer Health entered into three
contracts with Med One Capital Funding, LLC. Two of those agreements are
labeled “CONDITIONAL SALES AGREEMENT.” These form agreements,
bearing Med One’s logo, each identify Pioneer Health as the “customer” and
McKesson as the “vendor.” The various software forming the Paragon System
is listed under the heading “Equipment.” Each of the agreements provides that
“Med One Capital Funding, LLC hereby sells the equipment described above
(the ‘Equipment’), to Customer.” The paragraphs that follow provide that the
sale is “non-cancelable” and “may not be terminated for any reason.” Both of
the agreements provide that upon completion of the installment payment plan,
title to the “Equipment” will transfer to Pioneer Health. Until then, Med One


                                     2
    Case: 17-60824    Document: 00514589612    Page: 3   Date Filed: 08/07/2018



                                No. 17-60824
“shall retain title to the Equipment for legal and security purposes,” and
Pioneer Health authorized Med One to file UCC-1 financing statements.
      Additional paragraphs apply “[i]n the event the Equipment includes
software.” If so, Pioneer Health agreed, among other things, that “Med One is
leasing (and not financing) the Software to Customer.” If Pioneer Health fails
to make payments, it must delete the software, and the sales agreements give
Med One the right to declare any license terminated and to access Pioneer
Health’s systems to disable the software.
      A third letter agreement rounds out the relationship. The letter is
addressed “To: Whom it may concern” and states at the top, “Hospital
Letterhead Please.” In the letter agreement, Pioneer Health “acknowledges
that it has entered into a financing arrangement” with Med One. The letter
agreement provides that McKesson will submit any bills directly to Med One
but that Pioneer Health nonetheless retains ultimate responsibility for
ensuring payment to McKesson. Under the agreement, Med One may notify
McKesson of any default, and McKesson “may” terminate the software license
and associated services.
      Med One later assigned the agreements to Republic Bank, the
predecessor in interest to Appellant First Guaranty Bank. Republic Bank filed
a UCC Financing Statement with the State of Mississippi in 2012.
      After Pioneer Health declared bankruptcy, McKesson filed a motion to
compel Pioneer Health to pay administrative expenses for the healthcare
technology services provided under Pioneer Health’s agreement with
McKesson. The bankruptcy court deemed the expenses an “actual, necessary
expense of preserving the estate” and awarded McKesson a percentage of its
expenses. See 11 U.S.C. § 503(b)(1).
      Med One and First Guaranty then filed their own motion to compel. They
argued that the payments under the Conditional Sales Agreements were
                                       3
    Case: 17-60824    Document: 00514589612     Page: 4   Date Filed: 08/07/2018



                                 No. 17-60824
“actual, necessary costs of preserving the estate” and “actual, necessary costs
and expenses of preserving or transferring patient records during the closing
a [sic] health care business.” They also argued that the “Conditional Sales
Agreements” were unexpired leases under 11 U.S.C. § 365(d)(5). The
bankruptcy court denied the motion, holding that the relevant agreements
were not “true leases.” Med One and First Guaranty moved for reconsideration.
The bankruptcy court, finding no error in its prior opinion, denied the motion.
The district court summarily affirmed. First Guaranty appeals the district
court’s judgment.
                                      II.
      On appeal from a district court’s review of a bankruptcy court decision,
we apply the same standard as the district court. Asarco, Inc. v. Elliott Mgmt.
(In re ASARCO, L.L.C.), 

, 600 (5th Cir. 2011). We therefore review
the bankruptcy court’s legal conclusions de novo and its findings of fact for
clear error. 

The bankruptcy court treated Med One and First
Guaranty’s motion as a complaint and Pioneer Health’s opposition as a motion
to dismiss. See Fed. R. Bankr. P. 7012(b) (providing that Federal Rule of Civil
Procedure 12(b) applies in adversary proceedings); Teta v. Chow (In re TWL
Corp.), 

, 900 n.16 (5th Cir. 2013). Therefore, our inquiry on appeal
is whether Med One and First Guaranty pleaded sufficient factual content to
allow the court to draw the reasonable inference that they were entitled to an
administrative expense claim. See Ashcroft v. Iqbal, 

, 678 (2009).
This inquiry requires that we accept Med One and First Guaranty’s factual
allegations as true, though “we ‘are not bound to accept as true a legal
conclusion couched as a factual allegation.’” 

Atl. Corp. v.
Twombly, 

, 555 (2007)).




                                       4
     Case: 17-60824       Document: 00514589612          Page: 5     Date Filed: 08/07/2018



                                       No. 17-60824
                                             III.
       First Guaranty argues that it is entitled to payment under three
different provisions of the Bankruptcy Code: 11 U.S.C. §§ 365(d)(5), 503(b)(1),
and 503(b)(8). We consider each in turn and conclude that First Guaranty is
not entitled to payment.
                                              A.
       Section 365(d)(5) provides that “[t]he trustee shall timely perform all of
the obligations of the debtor . . . first arising from or after 60 days after the
order for relief in a case under chapter 11 of this title under an unexpired lease
of personal property . . . until such lease is assumed or rejected.” 11 U.S.C.
§ 365(d)(5). We look to state law to determine whether a contract is in fact a
lease. See United Airlines, Inc. v. HSBC Bank USA, N.A., 

, 615
(7th Cir. 2005); cf. Valley Educ. Found., Inc. v. Eldercare Props. Ltd. (In re
Eldercare Props. Ltd.), 

, 515 (5th Cir. 2009) (O’Connor, J.) (“[I]n
bankruptcy proceedings, courts of appeals look to state law to decide contract
issues.” (alteration in original) (quoting River Prod. Co. v. Webb (In re Topco,
Inc.), 

, 738 (5th Cir.1990))). “If a lease is merely a disguised sale
and security interest, Code § 365 will not be applicable.” 7 William L. Norton
Jr. & William L. Norton, III, Norton Bankr. L. & Prac. § 127:8 (3d ed. April
2018 update).
       Utah, like most states, has adopted the Uniform Commercial Code
(“UCC”). 1 Morthland v. Ute Liner, Inc., 

, 844 (Utah 1972). Utah


       1  This appeal presents two choice of law issues. First, First Guaranty contends that
Utah law applies by virtue of a choice of law provision in the purchase orders for the Paragon
System. Pioneer Health argued below that Mississippi law governs the contracts. On appeal,
it states that “Mississippi’s and Utah’s version of the UCC are almost identical” and that they
would lead to the same result. Given that concession, we adopt the same approach as the
bankruptcy court and assume without deciding that Utah law applies.
        Second, First Guaranty argues that software is not a “good,” and, thus, the common
law and not the UCC applies. The bankruptcy court rejected that argument and determined
                                              5
     Case: 17-60824       Document: 00514589612          Page: 6     Date Filed: 08/07/2018



                                       No. 17-60824
courts “look behind the form of an agreement to determine” whether it is a
lease or a sales agreement reserving a security interest. Bd. of Equalization of
Salt Lake Cty. v. First Sec. Leasing Co., 

, 878 (Utah 1994) (quoting
LMV Leasing, Inc. v. Conlin, 

, 194 (Utah Ct. App. 1991)). “The
UCC gives specific instances in which a security interest is always created.
Under these factual situations, no further analysis is required.” 

(citation omitted) (citing predecessor to Utah Code § 70A-1a-203(2)). These
factual situations include where the agreement is “in the form of a lease,” the
agreement “is not subject to cancellation by the lessee,” and “the lessee . . . is
bound to become the owner of the goods.” Utah Code § 70A-1a-203(2)(b).
       First Guaranty Bank argues that the “Conditional Sales Agreements”
are, in fact, leases. To do so, it points to paragraphs 11 to 14 of the agreements. 2
In these paragraphs, Pioneer Health “agrees that Med One is leasing (and not
financing) the Software” and grants Med One the right to end its use of the
software if it fails to pay. But the parties’ labels are not the key consideration,
for Utah law elevates substance over form. See First Sec. Leasing 

. The parties’ “lease” provides that the transaction is “non-cancelable”


that the outcome would be the same under the common law anyway. Although First
Guaranty renews its argument that the UCC does not apply, it does not argue that the
outcome would be any different under the common law or cite any Utah cases that support
that conclusion. Whether the UCC applies to software appears to be an unresolved issue of
Utah law. Given that First Guaranty has forfeited any argument that the outcome of this
case would be different under Utah common law, we need not resolve this issue in the first
instance. Cf. Rutherford v. Harris County, 

, 193 (5th Cir. 1999) (“[W]e will not
consider an issue that is inadequately briefed.”).
       2 First Guaranty contends the bankruptcy court misapplied Rule 12 by determining

that paragraphs 11 to 14 did not apply. Although the bankruptcy court was bound to accept
First Guaranty’s factual allegations as true, it was not required to accept its interpretation
of the contract, which is a legal conclusion. See 

; cf. Thibodeaux v.
Vamos Oil & Gas Co., 

, 293 (5th Cir. 2007) (characterizing the district court’s
“interpretations of the contracts” as “legal conclusions”). At any rate, our analysis above does
not depend on deeming paragraphs 11 to 14 inapplicable. Cf. Sojourner T v. Edwards, 

, 30 (5th Cir. 1992) (“We can . . . affirm the [lower] court’s judgment on any grounds
supported by the record.”).
                                               6
     Case: 17-60824       Document: 00514589612          Page: 7     Date Filed: 08/07/2018



                                       No. 17-60824
and “may not be terminated for any reason.” Both of agreements then provide
that upon completion of the payment plan, title to the “Equipment” will
transfer to Pioneer Health. Accordingly, the “Conditional Sales Agreements”
are “in the form of a lease,” “are not subject to cancellation by” Pioneer Health,
and Pioneer Health “is bound to become the owner of the goods.” Utah Code
§ 70A-1a-203(2)(b). Under Utah law, “no further analysis is required,” First
Sec. Leasing 

, and the “Conditional Sales Agreements”
created a security interest rather than a lease. 3
       The bankruptcy court therefore correctly determined that First
Guaranty had failed to state a plausible claim that it was entitled to payment
as a lessor under 11 U.S.C. § 365(d)(5). 4
                                              B.
       Section 503(b)(1)(A) provides for payment of “the actual, necessary costs
and expenses of preserving the estate.” 11 U.S.C. § 503(b)(1)(A). We have
interpreted this section to impose a temporal limitation: the costs and expenses
must have arisen post-petition through a transaction with the debtor-in-
possession. See Total Minatome Corp. v. Jack/Wade Drilling, Inc. (In re



       3  First Guaranty and Med One belatedly argued in their motion for reconsideration in
the bankruptcy court that the parties’ agreements formed a “finance lease” under the Utah
UCC. “A motion for reconsideration may not be used to . . . introduce new arguments.”
LeClerc v. Webb, 

, 412 n.13 (5th Cir. 2005). As such, we do not consider on appeal
arguments first raised below in a motion for reconsideration. 

Guaranty argues that it should have been allowed discovery regarding the

parties’ intent because the contract is allegedly ambiguous. But the only ambiguity First
Guaranty identifies is the word “included” (we assume it meant “includes” as used in
paragraph 11 of the “Conditional Sales Agreements”). It offers no further explanation of the
ambiguity. We assume that the alleged ambiguity is over whether paragraphs 11 to 14 apply
to the agreement. As noted previously, our analysis does not depend on holding these
paragraphs inapplicable, as the bankruptcy court did. Therefore, First Guaranty has
identified no ambiguity that warrants discovery or that would alter the outcome of this case
if resolved in its favor. Cf. Hopson v. Chase Home Fin., L.L.C., 605 F. App’x 267, 268 (5th Cir.
2015) (per curiam) (affirming motion to dismiss where “the plaintiffs [did] not explain how
discovery would have affected the conclusion that their complaint failed to state a claim”).
                                               7
    Case: 17-60824     Document: 00514589612    Page: 8   Date Filed: 08/07/2018



                                 No. 17-60824
Jack/Wade Drilling, Inc.), 

, 387 (5th Cir. 2001) (citing Toma Steel
Supply Inc. v. TransAm. Nat. Gas Corp. (In re TransAm. Nat. Gas Corp.), 

, 1416 (5th Cir. 1992)).
      It is undisputed that the transactions at issue arose years before Pioneer
Health filed for bankruptcy. Nor, as we conclude above, are the “Conditional
Sales Agreements” leases, such that each payment is a “new expense[]” that
“pay[s] for new inputs.” United 

. The parties’
relationship is a financing arrangement and the payments due to First
Guaranty and Med One are an “‘old’ expense to be adjusted to deal with
financial distress.” 

503(b)(8) provides for payment of “the actual, necessary costs and
expenses of closing a health care business incurred by a trustee or by a Federal
agency . . . or a department or agency of a State or political subdivision
thereof.” 11 U.S.C. §503(b)(8). Even assuming that a creditor has standing to
assert an administrative expense claim for costs incurred by a trustee or
government entity, First Guaranty did not even allege that Pioneer Health had
closed or was even preparing to close any facilities. Rather, First Guaranty
merely alleged in its motion that it was entitled to payment “to the extent that
some the [sic] Debtors are closing or their patients being [sic] transferred”
(emphasis added). In other words, First Guaranty had no facts to indicate that
Pioneer Health or any of its facilities was closing or preparing to do so—it was
merely asserting its right to payment on the off-chance that Pioneer Health
had closed, was closing, or would in the future close a facility. “Factual
allegations must be enough to raise a right to relief above the speculative level
. . . .” 

. First Guaranty’s allegations merely posited
that it might be entitled to payment under § 503(b)(8) if Pioneer Health were


                                       8
    Case: 17-60824    Document: 00514589612     Page: 9   Date Filed: 08/07/2018



                                 No. 17-60824
closing a facility. That was insufficient to state a claim to payment that was
anything but “speculative.”
      In sum, First Guaranty failed to allege facts that raise a plausible
inference that it is entitled to payment under 11 U.S.C. §§ 365(d), 503(b)(1)(A),
or 503(b)(8).
                                      IV.
      For the foregoing reasons, we AFFIRM.




                                       9