Anton v. Petras

2025 Ohio 2861
CourtOhio Court of Appeals
DecidedAugust 14, 2025
Docket113858 & 113859
StatusPublished

This text of 2025 Ohio 2861 (Anton v. Petras) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Anton v. Petras, 2025 Ohio 2861 (Ohio Ct. App. 2025).

Opinion

[Cite as Anton v. Petras, 2025-Ohio-2861.]

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.

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