Geisinger Clinic v. Radziewicz, M.

CourtSuperior Court of Pennsylvania
DecidedApril 24, 2015
Docket505 MDA 2014
StatusPublished

This text of Geisinger Clinic v. Radziewicz, M. (Geisinger Clinic v. Radziewicz, M.) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Geisinger Clinic v. Radziewicz, M., (Pa. Ct. App. 2015).

Opinion

J-A31012-14

2015 PA Super 95

GEISINGER CLINIC, IN THE SUPERIOR COURT OF PENNSYLVANIA Appellant

v.

MARK M. RADZIEWICZ, D.O.,

Appellee No. 505 MDA 2014

Appeal from the Order Entered February 24, 2014 In the Court of Common Pleas of Montour County Civil Division at No(s): 449-2013

BEFORE: BOWES, OTT, and STABILE, JJ.

OPINION BY BOWES, J.: FILED APRIL 24, 2015

Geisinger Clinic (“Geisinger”) appeals from the February 24, 2014

order denying its request for a preliminary and permanent injunction. We

reverse and remand for entry of an order consistent with this adjudication.

On December 3, 2013, Geisinger instituted this action seeking an

injunction against its former employee, Dr. Mark M. Radziewicz, D.O.

(“Dr. Radziewicz”). It averred the following in its complaint. On January 8,

1998, upon accepting employment at Geisinger, Dr. Radziewicz executed a

practice agreement. The January 8, 1998 accord stated that Dr. Radziewicz

accepted a position as an associate physician practicing family medicine for

Penn State Geisinger Medical Group-Dallas of Penn State Geisinger Clinic

commencing on July 1, 1998. Dr. Radziewicz agreed that “[a]cceptance of

this position” constituted his understanding that, in the event that his J-A31012-14

employment was terminated, it was his “agreement to restrict my practice of

medicine” and that he could practice in “an area outside of a 15 mile radius”

from his principal site of practice. Complaint, 12/3/13, at Exhibit A p.1. The

restriction lasted for two years following the end of the parties’ employment

relationship.

Dr. Radziewicz acknowledged that the restrictive covenant was

necessitated by the fact that “considerable effort will be devoted [by] other

Penn State Geisinger Clinic physicians and personnel in assisting me in the

development and maintenance of my practice[.]” Id. Geisinger agreed to

waive the covenant if Dr. Radziewicz paid either the greater of

Dr. Radziewicz’s annualized base salary or his total compensation during the

year prior to his termination.

When the January 8, 1998 restrictive covenant was executed,

Dr. Radziewicz planned to practice at the noted Dallas location. However,

before commencing employment, his practice location was changed to

Mountain Top, Luzerne County. Accordingly, on April 19, 1998, before he

began to work for Geisinger, Dr. Radziewicz signed an addendum to the

January 8, 1998 agreement. In the April 19, 1998 addendum, the restrictive

covenant was altered to encompass an area that was within fifteen miles

from Penn State Geisinger Health System’s Mountain Top office.

Dr. Radziewicz again stated that, by accepting his new position, he agreed to

“restrict my practice of medicine” to outside the noted fifteen-mile radius

and that the restriction applied for two years. Id. at Exhibit B. The

-2- J-A31012-14

addendum confirms that, “This restriction applies not only to an office I may

seek to establish within the restricted area for my practice but to staff

memberships and the exercise of clinical privileges at any health care

facility” within the denoted area. Id.

Dr. Radziewicz practiced as a full-time physician from July 1, 1998

through June 22, 2012 at the Mountain Top practice site. Geisinger spent in

excess of $67,000 to promote and build Dr. Radziewicz’s family practice at

that location, and Dr. Radziewicz had access to Geisinger’s marketing and

strategic plan techniques. Geisinger trained Dr. Radziewicz in various areas.

On June 22, 2012, Dr. Radziewicz separated from employment with

Geisinger, and on June 26, 2012, Dr. Radziewicz became an employee of

Advanced Inpatient Medicine, Inc. (“AIM”). On October 7, 2013,

Dr. Radziewicz began to violate his restrictive covenant by starting to

practice medicine with the fifteen-mile radius prohibited by the accord.

Hearings were held on the matter. Dr. Radziewicz reported that he

worked for Geisinger as a primary care physician from 1998 until his

termination on June 22, 2012. Dr. Radziewicz acknowledged executing the

January 8, 1998 and April 19, 1998 documents as a condition for his initial

hiring by Geisinger. Dr. Radziewicz also admitted that he was working for

-3- J-A31012-14

an AIM hospital approximately eight miles from where he formerly practiced

for Geisinger in Mountain Top.1

Dr. Radziewicz was asked whether, during his tenure at Geisinger,

Geisinger “spent its resources promoting that clinic site and promoting and

developing at that site,” and Dr. Radziewicz responded, “Correct.” N.T.

Hearing, 12/17/12, at 21-22. Dr. Radziewicz also did not dispute that

Geisinger promoted him personally “in newspapers and advertisements,

mailers to [its] patients” and that the advertising payments “came out of

Geisinger’s costs[.]” Id. at 22. The witness was asked if he was “the

beneficiary of Geisinger’s practices with respect to developing [his] clinical

skill, chronic disease management, things like that,” and he again

responded, “Correct.” Id. at 23. He also was “privy to” and participated in

“discussions regarding Geisinger’s strategic development and strategic

business plan[.]” Id.

When he separated from employment with Geisinger on June 22,

2012, Dr. Radziewicz began to work for AIM on June 26, 2012, at Wayne

Memorial Hospital, Honesdale, Wayne County, which was not within the area

covered by the April 19, 1998 restrictive covenant. Dr. Radziewicz worked

there as a hospitalist, a doctor who cares for inpatients admitted to the

hospital. A hospitalist operates as a primary care physician (“PCP”) for

____________________________________________

1 The city in question is spelled “Mountain Top” in the complaint, but “Mountaintop” in the transcript. We have utilized its correct spelling.

-4- J-A31012-14

inpatients in a hospital and treats patients who either do not have a PCP or

whose PCP does not have privileges at the hospital in question. Id. at 52-

53. Upon discharge, if the patient has a PCP, he is referred to that doctor,

but a patient who has no PCP can be referred to a PCP suggested by the

hospitalist.

On October 7, 2013, AIM transferred Dr. Radziewicz to Wilkes-Barre

General Hospital in Wilkes-Barre, which, as Dr. Radziewicz admitted, was

approximately eight miles away from Mountain Top. At that location,

Dr. Radziewicz continued to work as a hospitalist. Dr. Radziewicz specifically

agreed that he was not disputing that he may have seen Geisinger patients

at Wilkes-Barre General Hospital, but he had no specific knowledge of having

done so. Id. at 30, 56.

Geisinger also adduced the following unrebutted proof. None of

Geisinger’s PCPs has staff privileges at Wilkes-Barre General Hospital.

Concomitantly, any Geisinger patient admitted to that hospital would have to

use a hospitalist. A patient can be admitted through the emergency room,

by a surgeon, or through referral by his or her PCP. While Dr. Radziewicz

had no control over who is admitted to the hospital, another PCP in the area

could be inclined to admit a patient based upon Dr. Radziewicz’s general

reputation in the community for being a good physician. Thus, if

Dr. Radziewicz had a positive reputation, other PCPs would be more likely to

refer their patients to Wilkes-Barre General Hospital rather than the nearby

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