Gilbert v. Centers for Advanced Orthopaedics, LLC

CourtDistrict Court, D. Maryland
DecidedJuly 7, 2023
Docket8:22-cv-01501
StatusUnknown

This text of Gilbert v. Centers for Advanced Orthopaedics, LLC (Gilbert v. Centers for Advanced Orthopaedics, LLC) is published on Counsel Stack Legal Research, covering District Court, D. Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gilbert v. Centers for Advanced Orthopaedics, LLC, (D. Md. 2023).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF MARYLAND

DR. JAMES E. GILBERT, Plaintiff, □

v. Civil Action No. TDC-22-1501 CENTERS FOR ADVANCED ORTHOPAEDICS, LLC, Defendant.

MEMORANDUM OPINION | Plaintiff Dr. James E. Gilbert, a former member of Defendant Centers for Advanced Orthopaedics, LLC (“CAO”) in Bethesda, Maryland, has filed this civil action alleging retaliation in violation of the False Claims Act (“FCA”), 31 U.S.C. § 3730(h) (2018), a failure to pay earned wages in violation of the Maryland Wage Payment and Collection Law (““MWPCL”), Md. Code Ann., Labor & Empl. §§ 3-501 to 3-509 (West 2017), and a breach of contract. CAO has filed a Motion to Compel Arbitration or, in the Alternative, to Dismiss for Failure to State 2 Claim, which is fully briefed. Having reviewed the submitted materials, the Court finds that no hearing is necessary. See D. Md. Local R. 105.6. For the reasons set forth below, the Motion to Compel Arbitration will be DENIED, and the Motion to Dismiss will be GRANTED. BACKGROUND CAO, a limited liability company based in Bethesda, Maryland, is a federation of orthopedic surgery practices in the Washington, D.C. metropolitan area. Within CAO, orthopedic surgery practices have formed divisions which pool their revenue and operate under a single taxpayer identification number.

In 2013, Dr, Gilbert’s orthopedic surgery practice, Metro Orthopedics and Sports Therapy “MOST”) of Silver Spring, Maryland, joined CAO as its MOST Division. At this time, Dr. ilbert and another physician, Dr. Phil Omohundro, co-owned MOST. In order to join CAO, Dr. ‘Filbert executed a professional services agreement with CAO. In 2015, Dr, Gilbert became concerned that one of CAO’s revenue sharing arrangements iolated the “Physician Self-Referral Law, 42 U.S.C. § 1395nn.” Compl. 7 11, ECF No. 1. pecifically, Dr. Gilbert alleges that although the Physician Self-Referral Law requires CAO to ool revenue from physical therapy services and distribute it evenly amongst all CAO divisions, AO’s revenue from physical therapy services was distributed amongst only the CAO divisions roviding physical therapy services. Dr. Gilbert reported his concern to CAO’s Board of Directors. n response, and to comply with the Physician Self-Referral Law, the Board of Directors created ‘unique accounting pods for the purpose of assigning particular physicians to those pods to istribute net income arising from designated health services attributable to particular physicians” d amended its operating agreement to provide for this model. Ja. § 12. According to Dr, Gilbert, federal regulations permit the creation of such pods, and when five or more physicians are organized into such a pod, they may choose how to distribute revenue, including by distributing physical therapy revenue only to physical therapy providers. However, Dr. Gilbert alleges that, in practice, CAO never implemented this pod arrangement, so CAO’s revenue sharing arrangement continued to violate the Physician Self-Referral Law. In 2017, Dr. Omohundro left the MOST Division and was replaced in 2018 by Dr. Eric Guidi and Dr. Tariq Nayfeh. In January 2019, Dr. Gilbert, Dr. Guidi, and Dr. Nayfeh executed a new Professional Services Agreement with CAO (the “PSA”). The PSA includes the following provision relating to the arbitration of disputes:

The parties hereto agree that, unless [CAO] otherwise elects, any and all claims, disputes, or controversies arising out of or related to this Agreement, or the breach or threatened breach thereof, shall be resolved by binding arbitration in accordance with the rules of the American Arbitration Association as then in existence . . . Arbitration in accordance with this Section 19 is intended to be the exclusive means of resolution of any dispute or disagreement or controversy arising in connection with this Agreement and/or the relationship of the parties hereto, Notwithstanding the foregoing, this Section 19 shall not inhibit or limit [CAO’s] ability to seek equitable relief on behalf of the MOST Division or otherwise with respect to a Division Member's breach or threatened breach of any of the Restrictions, as described in Section 18 hereof. PSA Ex. A § 19, Mot. Ex. 1, ECF No. 15-2. In or about June 2019, Dr. Gilbert again raised concerns about compliance with the Physician Self-Referral Law with Nicholas Grosso, the President of CAO’s Board of Directors, and Lou Levitt, the Vice President of the Board. In approximately July 2019, CAO convened for the first time in its history a disciplinary committee to investigate “whether CAO’s MOST division members’ personal conduct or management warranted disciplinary action.” Compl. { 15. On November 4, 2019, the MOST Division members were scheduled to appear before the disciplinary committee. That day, Dr. Gilbert and Dr. Nayfeh informed CAO about personal misconduct by Dr. Guidi, announced that they were terminating Dr, Guidi’s membership for cause, and stated that they would also be leaving CAO. On December 3, 2019, Dr. Gilbert informed CAO in writing that the members of the MOST Division would be leaving CAO on or about May 1, 2020, thus triggering an unwinding provision in CAO’s operating agreement. In January 2020, CAO informed Dr. Gilbert and Dr. Nayfeh that they owed overhead expenses and outstanding loan obligations that exceeded the total amount of their outstanding accounts receivable. According to Dr. Gilbert, this claim was false, Nevertheless, CAO then “took control” of the MOST Division’s accounts receivable. Id. 4 19. Dr. Gilbert alleges that CAO then failed to pay him his “standard draw and living wages” for the period from November 2019 until

May 2020, with the exception of two checks totaling $62,000. fd. Dr. Gilbert also alleges that, between November 2019 and May 2020, CAO diverted over $2 million from the MOST Division and ignored multiple requests for an “accurate accounting.” Jd. 4 21. On March 31, 2020, CAO circulated an electronic ballot to its Class A shareholders through which it requested that the shareholders vote to terminate the CAO memberships of Dr, Gilbert and Dr. Nayfeh and to dissolve the MOST Division, effective May 1, 2020. The proposal, however, was not approved by the required two-thirds of the shareholders. On May 1, 2020, the MOST Division members, Dr. Gilbert and Dr. Nayfeh, officially withdrew from CAO. Dr. Gilbert alleges that, upon their departure, CAO failed to release to them approximately $2 million of MOST’s accounts receivable. Dr. Gilbert further alleges that CAO continued to “convert” the MOST Division’s accounts receivable after the departure. | 23. Furthermore, Dr. Gilbert asserts that where the MOST Division did not have billing software or a patient recordkeeping system independent of CAO, CAO deprived Dr. Gilbert and Dr. Nayfeh of their patient records, in violation of the unwinding agreement. On June 20, 2022, Dr. Gilbert filed the Complaint in the present case. In the Complaint, Dr. Gilbert alleges (1) in Count 1, that CAO engaged in retaliation against him for raising concems about noncompliance with the Physician Self-Referral Law, in violation of the FCA; (2) in Count 2, that CAO failed to pay him earned wages, in violation of the MWPCL; and (3) in Count 3, that CAO engaged in a breach of contract under Maryland law, specifically by taking control of the MOST Division’s accounts, failing to pay him certain revenue including his share of the outstanding accounts receivable, and withholding his patient records.

DISCUSSION In its Motion to Compe! Arbitration or, in the Alternative, to Dismiss for Failure to State a Claim, CAO seeks an order to send this case to binding arbitration.

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Gilbert v. Centers for Advanced Orthopaedics, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gilbert-v-centers-for-advanced-orthopaedics-llc-mdd-2023.