Center for Healthcare Education and Research v. Sacaris CA4/1

CourtCalifornia Court of Appeal
DecidedOctober 17, 2023
DocketD080838
StatusUnpublished

This text of Center for Healthcare Education and Research v. Sacaris CA4/1 (Center for Healthcare Education and Research v. Sacaris CA4/1) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Center for Healthcare Education and Research v. Sacaris CA4/1, (Cal. Ct. App. 2023).

Opinion

Filed 10/17/23 Center for Healthcare Education and Research v. Sacaris CA4/1

NOT TO BE PUBLISHED IN OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.

COURT OF APPEAL, FOURTH APPELLATE DISTRICT

DIVISION ONE

STATE OF CALIFORNIA

CENTER FOR HEALTHCARE D080838 EDUCATION AND RESEARCH, INC.,

Plaintiff, Cross-defendant and Appellant, (Super. Ct. No. 37-2017- 00004475-CU-BC-CTL) MARK SACARIS,

Cross-defendant and Appellant,

v.

INTERNATIONAL CONGRESS FOR JOINT RECONSTRUCTION, INC.,

Defendant, Cross-complainant and Respondent.

APPEAL from a judgment of the Superior Court of San Diego County, Kenneth J. Medel, Judge. Affirmed. Law Offices of Stephen B. Morris and Stephen B. Morris for Plaintiff, Cross-defendant, and Appellant Center for Healthcare Education and Research, Inc. and Cross-defendant and Appellant Mark Sacaris. No appearance for Defendant, Cross-complainant, and Respondent International Congress for Joint Reconstruction, Inc.

This appeal follows our reversal of a prior judgment and subsequent retrial to determine the appropriate amount of disgorgement for a single cause of action for breach of fiduciary duty. The litigation arose after the International Congress for Joint Reconstruction, Inc. (ICJR) discovered its contractor, the Center for Healthcare Education and Research, Inc. (CHE), was overbilling for the service of producing medical education conferences and taking advantage of ICJR in other ways. After the initial bench trial, the court found CHE had breached the fiduciary duty it owed to ICJR by failing to disclose its charges, but concluded disgorgement of profits was not available because ICJR did not prove it suffered monetary harm. On appeal from that ruling, we held that ICJR was not required to show harm to obtain disgorgement and that ICJR had “met its burden to establish a reasonable approximation of the amount” that CHE profited by its misconduct. (Center for Healthcare Education and Research, Inc. v. International Congress for Joint Reconstruction, Inc. (2020) 57 Cal.App.5th 1108, 1115 (Center).) We reversed the portion of the judgment finding in CHE’s favor on ICJR’s breach of fiduciary duty claim, remanded the matter to the trial court for the limited purpose of conducting “further proceedings to determine the amount to be awarded to ICJR,” and otherwise affirmed the judgment. (Id. at p. 1133.) After remand, the trial court held a one-day retrial on the amount of profits CHE was required to disgorge. Based on the testimony of ICJR’s witnesses, the trial court concluded that CHE had obtained $1,281,012 in secret profits as a result of its breach of fiduciary duty and ordered that

2 amount as an offset to the breach of contract damages CHE was awarded after the initial trial. The court subsequently entered a modified judgment reflecting the disgorgement award. CHE now appeals, asserting the award was barred by the doctrine of unclean hands. ICJR has not responded to the appeal. As we explain, CHE’s appeal fails because our limited remand did not leave open the issue of ICJR’s conduct for additional consideration, CHE forfeited the argument by not raising it in the initial trial, and the argument lacks merit. Accordingly, we affirm the modified judgment. FACTUAL AND PROCEDURAL BACKGROUND A. General Background The history of the dispute between ICJR and CHE is set forth in great detail in Center. We provide a brief overview of that history here. ICJR was formed in 2008 by a small number of prominent orthopedic surgeons to provide accredited continuing medical education conferences on the subject of joint reconstruction. (Center, supra, 57 Cal.App.5th at p. 1115.) The organization had a volunteer board, whose members had “active medical practices” and “lacked the time and business expertise” to produce conferences. (Ibid.) In 2009, the board’s president, Dr. William Scott, met Mark Sacaris, who was the president of CHE and managed its operations. (Id. at p. 1116.) In June of 2009, Scott hired Sacaris to coordinate and manage ICJR’s medical conferences. Scott and Sacaris did not enter into a written contract, and Scott never requested details about the cost of services. (Center, supra, 57 Cal.App.5th at p. 1116.) Sacaris provided services through CHE. However, ICJR was not aware of CHE until the parties’ relationship later soured. (Ibid.) Sacaris was given full control over ICJR’s bank accounts for payment of invoices and expenses associated with its medical conferences. As

3 a result of this control, “Sacaris had the ability to prepare and adjust his own bill as manager of CHE, and then approve payment of CHE’s bill on behalf of ICJR, without the knowledge or approval of ICJR’s board of directors.” (Id. at p. 1117) To turn a profit, CHE’s employees billed their services by the hour for each conference and the firm’s accountant would prepare internal worksheets stating the hours billed, the employees’ hourly rates, and the number of hours billed for each employee. (Center, supra, 57 Cal.App.5th at p. 1117.) Sacaris “would then increase the employees’ hourly rates by between 17 and 20 percent to reimburse CHE for its overhead expenses” and “add an additional markup of up to 80 percent of the employees’ hourly rates . . . .” (Ibid.) “Sacaris did not disclose to ICJR that he was profiting by marking up [CHE’s] labor costs.” (Ibid.) Once Sacaris determined the amount to bill, CHE’s accountant would create an invoice, and then Sacaris would approve payment on behalf of ICJR. (Center, supra, 57 Cal.App.5th at p. 1117.) ICJR was “kept ‘completely blind to the amounts billed by CHE for services and expenses as no invoice or billing information was ever submitted to any of the ICJR Board of Directors, including its president and treasurer.’ ” (Ibid.) Sacaris eventually expanded the services CHE provided to ICJR into three new areas. He hired CHE to develop and maintain ICJR’s website, work that CHE was not experienced in providing. (Center, supra, 57 Cal.App.5th at p. 1118.) Sacaris also formed a new company, Live Surgery, to provide audiovisual services for live-streaming surgeries during conferences, a service that CHE previously outsourced. “The quality of Live Surgery’s broadcasts was poor, which led conference attendees to complain and harmed ICJR’s reputation.” (Ibid.) Finally, Sacaris granted

4 pharmaceutical companies the ability to conduct symposia at the conferences to promote their products in exchange for a significant honoraria to ICJR, and arranged for CHE to run the symposia. (Ibid.) In 2013, ICJR made Sacaris its chief of operations and a nonvoting member of the board of directors. This did not change Sacaris’s practice of paying CHE without notifying anyone else involved with ICJR. (Center, supra, 57 Cal.App.5th at p. 1118.) At times, ICJR did not have sufficient cash to pay CHE. When this occurred, CHE would advance the invoices with the expectation of later payment. As a result, over time, ICJR’s outstanding debt to CHE grew. “Despite grossing $20 million over the course of its relationship with Sacaris, ICJR began to operate at a loss.” (Ibid.) In February 2016, Sacaris informed the ICJR board that CHE was owed $2 million, and demanded payment. “Not long after, a CHE employee shared concerns about CHE’s billing practices with members of the board.” (Center, supra, 57 Cal.App.5th at pp. 1118‒1119.) In response, ICJR investigated CHE’s billing practices, discovered Sacaris’s malfeasance, and terminated its relationship with CHE without payment. (Id. at p. 1119.) B.

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Center for Healthcare Education and Research v. Sacaris CA4/1, Counsel Stack Legal Research, https://law.counselstack.com/opinion/center-for-healthcare-education-and-research-v-sacaris-ca41-calctapp-2023.