Armatas v. Aultman Hosp.

2022 Ohio 4577
Procedural entryThis page is a short order in Armatas v. Aultman Hosp.. Read the opinion of the Court — 203 N.E.3d 130
Ohio Court of Appeals·Decided December 15, 2022·No. 2021 CA 00133·Published

Opinion

[Cite as Armatas v. Aultman Hosp., 2022-Ohio-4577.]

COURT OF APPEALS STARK COUNTY, OHIO FIFTH APPELLATE DISTRICT

JUDGES: STEVEN A. ARMATAS, ET AL : Hon. Earle E. Wise, P.J. : Hon. W. Scott Gwin, J. Plaintiffs-Appellants : Hon. Patricia A. Delaney, J. : -vs- : : Case No. 2021 CA 00133 AULTMAN HOSPITAL, ET AL : : Defendants-Appellees : : OPINION

CHARACTER OF PROCEEDING: Civil appeal from the Stark County Court of Common Pleas, Case No. 2020 CV 00741

JUDGMENT: Affirmed

DATE OF JUDGMENT ENTRY: December 15, 2022

APPEARANCES:

For Plaintiffs-Appellants For Defendants-Appellees

STEVEN A. ARMATAS, ET AL PAUL J. PUSATERI 7690 Bucknell Circle N.W. 4684 Douglas Circle North Canton, OH 44720 P.O. Box 35459 Canton, OH 44735 For ICU Defendants-Appellees

BRIAN GANNON 101 West Prospect Avenue Cleveland, OH 44115 Stark County, Case No. 2021 CA 00133 2

Gwin, J.

{¶1} Appellants appeal the judgment entries by the Stark County Court of

Common Pleas granting appellees’ motion for judgment on the pleadings and motion for

summary judgment.

Facts & Procedural History

{¶2} Appellant Steven Armatas is the adult son and executor of the estate of his

father, Alexander Armatas. In 2014, Alexander was taken by ambulance to Aultman

Hospital after suffering a cardiac event. Alexander was 97 years old when he was

admitted to Aultman; Steven avers that Alexander was in good health prior to this episode.

He was intubated and placed on a respirator.

{¶3} Steven alleges that he was exposed to “relentless, overbearing pressure”

to remove his father from life support. Steven was concerned about many aspects of

Alexander’s care, including discoloration on his father’s toes and leg. Alexander was

diagnosed with dry gangrene. Steven sought second opinions about his father’s

diagnosis and prognosis. He alleges the ICU Defendants interfered with his attempts to

obtain a second opinion. Steven avers that Dr. Miller, Dr. Nashawati, and Dr. Boutros

“screamed” at him about his father’s care and condition. Alexander passed away on

December 31, 2014.

{¶4} On December 28, 2016, Steven, individually, as executor of the estate of

Alexander, and as the personal Medicare representative for Alexander (“appellants”), filed

a complaint in the Stark County Court of Common Pleas against Aultman Health

Foundation, Aultman Hospital, Aultcare Insurance, Ohio Physicians Professional

Corporation, Dr. Stjernholm, Pulmonary Physicians of Canton, Dr. Nashawati, Dr. Stark County, Case No. 2021 CA 00133 3

Boutros, Dr. Miller, Dr. Bou Serhal, and Dr. Knoch, alleging claims of medical negligence,

wrongful death, respondeat superior, agency by estoppel, and punitive damages.

Appellants amended their complaint to add claims for breach of contract, violations of

R.I.C.O., violations of the Medicare Act and Federal Medicare Advantage regulations,

negligent supervision and hiring, fraud, intentional infliction of emotional distress,

interference with business relations, denial of court, violation of federal civil rights, and

civil conspiracy. On February 20, 2018, appellants voluntary dismissed, without

prejudice, all causes of action pursuant to Civil Rule 41(A)(1)(a).

{¶5} On February 15, 2018, Armatas, individually, as executor of the estate of

Alexander, and as the personal Medicare representative for Alexander, filed a lawsuit in

federal court against Aultman Health Foundation, Aultman Hospital, Aultcare Insurance

Company, Ohio Physicians Professional Corporation, Pulmonary Physicians, Inc., Dr.

Stjernholm, Dr. Nashawati, Dr. Boutros, Dr. Miller, Dr. Bou Serhal, Matthew Knoch, Mark

Rose, Dr. Haban, and Timothy Regula, with the following causes of action: medical

malpractice; wrongful death; breach of contract; violations of the federal Medicare Act

and Federal Medicare Advantage regulations; negligent hiring and supervision; fraud;

intentional infliction of emotional distress; interference with business relations; denial of

court; violation of federal civil rights; civil conspiracy; and violations of the Racketeer

Influenced and Corrupt Practices Act (“R.I.C.O.”).

{¶6} The “ICU Defendants” (Boutros, Nashawati, Knoch, Miller, Bou Serhal,

Pulmonary Physicians), filed a motion for judgment on the pleadings as to the claims

alleged against them. The federal magistrate issued a detailed report and

recommendation on December 19, 2019, recommending that all counts asserted against Stark County, Case No. 2021 CA 00133 4

the ICU Defendants, with the exception of Count II (wrongful death), be dismissed. The

magistrate reasoned: the medical malpractice claim was not timely filed under R.C.

2305.113 and equitable tolling/estoppel does not apply; the fraud, intentional infliction of

emotional distress, and interference with business relations claims are “medical claims”

under R.C. 2305.113 and are barred by the one-year statute of limitations; and the

plaintiffs failed to state a claim for fraud because there is no allegation in the complaint

as to how the plaintiffs relied on the allegedly false statements by the ICU Defendants.

{¶7} Similarly, the “Aultman Defendants” (Aultman Hospital, Aultman Health

Foundation, and Aultcare Insurance Company) filed a motion for judgment on the

pleadings as to the claims against them. The federal magistrate issued a detailed report

and recommendation on December 19, 2019, recommending that all counts asserted

against the Aultman Defendants be dismissed, except the wrongful death claim.

{¶8} The magistrate reasoned: the claims against the Aultman Defendants,

except for the denial of court and abuse of process claims, should be dismissed on the

basis of res judicata because they could have been brought in the declaratory judgment

action filed in state court by Armatas in 2015 against Aultman Health; the medical

malpractice claim was not timely filed under R.C. 2305.113 and equitable tolling/estoppel

does not apply; the negligent hiring supervision, fraud, intentional infliction of emotional

distress, and interference with business relations claims are “medical claims” under R.C.

2305.113 and are barred by the statute of limitations; the breach of contract, violations of

the Federal Medicare Advantage Act and Medicare Advantage Act, fraud, denial of court,

abuse of process, civil conspiracy, and R.I.C.O claims should be dismissed for failure to

state a claim because a private cause of action does not exist to review the handling of Stark County, Case No. 2021 CA 00133 5

Medicare Advantage Plan grievances, the allegations of fraud are conclusory, Armatas

did not sufficiently plead an abuse of process claim, Armatas did not demonstrate the

alleged civil conspiracy was based on an actionable underlying tort, and there was not a

predicate act for a R.I.C.O claim.

{¶9} The “Stjernholm Defendants” (Stjernholm and Ohio Physicians Professional

Corporation) also filed a motion for judgment on the pleadings. The federal magistrate

issued a report and recommendation on December 19, 2019, recommending the motion

be granted as to the medical malpractice claim. The magistrate reasoned that the medical

malpractice claim was not timely filed under R.C. 2305.113 and equitable tolling/estoppel

does not apply.

{¶10} The “Rose Defendants” (Rose, Haban, and Regula) filed a motion for

judgment on the pleadings as to the count against them for violation of civil rights. The

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