Anton v. Petras

2025 Ohio 2861
Ohio Court of Appeals·Decided August 14, 2025·No. 113858 & 113859·Published

Opinion

COURT OF APPEALS OF OHIO

EIGHTH APPELLATE DISTRICT COUNTY OF CUYAHOGA

HANY ANTON, M.D., :

Plaintiff-Appellant, :

Nos. 113858 and 113859

v. :

KEITH PETRAS, M.D., ET AL., :

Defendants-Appellees. :

JOURNAL ENTRY AND OPINION

JUDGMENT: AFFIRMED IN PART, REVERSED IN PART, AND REMANDED

RELEASED AND JOURNALIZED: August 14, 2025

Civil Appeal from the Cuyahoga County Court of Common Pleas Case No. CV-21-955953

Appearances:

Thrasher Dinsmore & Dolan, Leo M. Spellacy, Jr., Ezio A.

Listati, Samuel T. O’Leary, and Elizabeth E. Collins;

Warner Law, Tim Warner, for appellant.

Lewis Brisbois Bisgaard & Smith, LLP, John F. Hill, and Meleah M. Skillern, for appellee Americare Kidney Institute, LLC.

Frantz Ward LLP, James B. Niehaus, and Angela D.

Lydon, for appellee Ronald Flauto, D.O.

Sonkin & Koberna, LLC, Mark R. Koberna, and Rodd A.

Sanders, for appellees Keith Petras, M.D., Kenneth Rosplock, M.D., Anca Vlasie, M.D., Pushkar Agrekar, M.D., Jayaprakash Dasari, M.D., Antonio Ligon, M.D.,

Vinh Nguyen, M.D., Oluwaseun Opelami, M.D., Rupesh Raina, M.D., Natthavat Tanphaichitr, M.D., and Miriam Zidehsarai, M.D.

LISA B. FORBES, P.J.:

Plaintiff-appellant Dr. Hany Anton appeals from the denial of his motion for summary judgment and grant of summary judgment in favor of defendants-appellees, Americare Kidney Institute, L.L.C. (“AKI”) and its physician members, on claims arising out of allegations that appellees breached certain fiduciary duties, as well as AKI’s operating agreement, when they removed Dr. Anton as the Chief Executive Officer (“CEO”) of AKI, reduced his pay, and refused to indemnify him for litigation expenses associated with a derivative lawsuit filed against him. For the reasons that follow, we affirm the trial court’s grant of summary judgment in part, reverse in part, and remand the case for further proceedings. I. FACTS AND PROCEDURAL HISTORY A. Undisputed Facts AKI is a Northeast Ohio nephrology-practice group that provides medical care to patients with kidney-related illnesses. AKI was established as a limited-liability company on April 16, 2013, by eight founding members (“Founding Members”). Six of those Founding Members, including Dr. Anton, were still with the company at the time of Dr. Anton’s removal as CEO.1 Since its founding, AKI

1 Those remaining Founding Members are: (1) Hany S. Anton, M.D., (2) Ronald

Flauto, D.O., (3) Keith Petras, M.D., (4) Wassim El-Hitti, M.D., (5) Pushkar Argekar, M.D., and (6) Saurabh Bansal, M.D.

has acquired additional, nonfounding, physician members to the group. At the time of Dr. Anton’s removal, there were 13 nonfounding members.2 Pertinent to this appeal, AKI was governed by its Amended and Restated Operating Agreement dated February 15, 2016 (the “Operating Agreement”). The Operating Agreement provided, among other things, that the “day to day management and control of the business and affairs” of the company rests with the CEO and Chief Operating Officer (“COO”). Dr. Anton held the position of CEO from the date of AKI’s inception through June 3, 2020, when he was removed by membership vote. Dr. Flauto, another Founding Member, was the initial COO of the company. Dr. Flauto remained in the position of COO until April 2017 when he stepped down following disagreements with Dr. Anton. The record reflects that Dr. Anton and Dr. Flauto’s relationship remained strained in the years that followed. By October 2018, the relationship between the doctors had deteriorated to such an extent that Dr. Anton filed a personal lawsuit against Dr. Flauto alleging, among other things, defamation and intentional infliction of emotional distress. Anton v. Flauto, 2024-Ohio-4788 (8th Dist.). Dr. Flauto responded by filing counterclaims. See id.

On September 11, 2019, AKI held a members meeting, where 15 of the 19 members were present. At the meeting, a representative of Medic Management

2 (1) Aziz Bakhous, M.D.; (2) Jayaprakash Dasari, M.D.; (3) Antonio Ligon, M.D.;

(4) Marc McKinley, D.O.; (5) Vinh Nguyen, M.D.; (6) Oluwaseun Opelami, M.D.; (7) Rupesh Raina, M.D.; (8) Akhilesh Rao, M.D.; (9) Kenneth Rosplock, M.D.; (10) Natthavat Tanphaichitr, M.D.; (11) Anca Vlasie, M.D.; (12) Amr Yafi, M.D.; and (13) Miriam Zidehsarai, M.D.

Group, LLC (“MMG”), a consulting company that had been commissioned by Dr. Anton to assess the business health of AKI, gave a presentation on MMG’s findings, which were detailed in a separate report (“MMG report”). The report explained that MMG had interviewed 17 of the 19 AKI physician members. While the report detailed certain positive aspects of the company, it noted that, overall, the company culture at AKI was poor. Specifically, the report found a lack of happiness and trust amongst AKI’s members, that members were concerned about their low compensation, and that some of members were considering leaving the group. Furthermore, the report found that AKI’s members were concerned that AKI’s reputation was being diminished by internal conflicts between members.

The meeting minutes from the September 11, 2019 meeting show that several members voiced concerns about how AKI was being managed. These included concerns over the fact that Dr. Anton had recently opened his own, separate company, Comprehensive Vascular Centers (“CVC”), in the summer of 2019, and that, despite CVC’s lack of affiliation with AKI, Dr. Anton was using staff, furnishings, and other assets of AKI to set up the new business. 3 Members also raised concerns about how Dr. Anton would continue managing and working for AKI while also managing and working for CVC. The meeting ended with the members taking a vote on whether to further engage MMG’s services by appointing MMG to act as COO of the company. According to the meeting notes, Dr. Anton

3 CVC is a vascular-access center. Vascular-access centers specialize in interventional nephrology, or the care and maintenance of vascular access for hemodialysis and peritoneal access for peritoneal dialysis.

voted “no” to this proposition, while all 14 remaining members who attended the meeting voted, “yes.” Despite the supermajority vote to retain MMB to serve as the company’s COO, Dr. Anton took no further action to engage MMB services. The COO position at AKI thus remained vacant, with Dr. Anton serving as the sole manager of AKI in his position as CEO.

Against this backdrop, on March 13, 2020, some of the physician members of AKI, along with their lawyers from several law firms, met at the offices of Frantz Ward LLP, to discuss a strategy for removing Dr. Anton as AKI’s CEO. The attendees and representatives of the law firms all signed a common-interest agreement in which they agreed their discussions at the meeting would be protected by attorney-client privilege or work-product doctrine.

On May 12, 2020, Dr. Flauto filed a derivative lawsuit on behalf of AKI, against Dr. Anton and his separate company, CVC. See Flauto, on behalf of Americare Kidney Inst. v. Anton (Cuyahoga C.P. No. CV-20-932536). The derivative lawsuit asserted a number of claims, including claims that Dr. Anton had breached fiduciary duties owed to AKI by, among other things, opening CVC and using AKI’s resources to do so. The day after filing the derivative lawsuit, Dr. Flauto emailed AKI’s physician members, other than Dr. Anton, a copy of the complaint and stated the following:

AKI partners, [p]lease see the attached document filed late yesterday in the Cuyahoga County courts . . . . Many AKI members and representatives from throughout our organization have collectively provided and reviewed the information for which our AKI claims are based, and which guides us moving forward. Thanks, Ron Flauto, DO, MBA.

Once served, Dr. Anton shared the lawsuit with AKI’s outside counsel, John Hill. Since Dr. Flauto did not name AKI as an interested party to the lawsuit, Hill filed a motion on behalf of AKI to intervene in the derivative action.

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