Kent Farnsworth v. Lutheran Medical Group, LLC (mem. dec.)

• Court: Indiana Court of Appeals
• Decided: December 19, 2019
• Docket: 19A-PL-1726
• Status: Published

Opinion

FILED MEMORANDUM DECISION Dec 19 2019, 10:37 am

CLERK Indiana Supreme Court Pursuant to Ind. Appellate Rule 65(D), this Court of Appeals and Tax Court Memorandum Decision shall not be regarded as precedent or cited before any court except for the purpose of establishing the defense of res judicata, collateral estoppel, or the law of the case.

APPELLANT PRO SE ATTORNEYS FOR APPELLEE Kent Farnsworth Roger K. Kanne Fort Wayne, Indiana David D. Becsey Erin E. Meyers Zeigler Cohen & Koch Indianapolis, Indiana

IN THE

COURT OF APPEALS OF INDIANA

Kent Farnsworth, December 19, 2019 Appellant-Plaintiff, Court of Appeals Case No. 19A-PL-1726 v. Interlocutory Appeal from the Allen Superior Court Lutheran Medical Group, LLC, The Hon. Craig J. Bobay, Judge Appellee-Defendant. Trial Court Cause No. 02D02-1903-PL-113

Bradford, Judge.

Court of Appeals of Indiana | Memorandum Decision 19A-PL-1726 | December 19, 2019 Page 1 of 11 Case Summary [1] As of 2017, Dr. Kent Farnsworth, M.D., practiced internal medicine for

Lutheran Medical Group, LLC, in Fort Wayne. That year, Lutheran’s Practice

Management Committee (“the Committee”) voted to eliminate call-coverage

duties for Dr. Farnsworth (among others) at Lutheran Hospital (“the

Hospital”). In March of 2019, Dr. Farnsworth sued Lutheran, claiming that it

had breached the terms of its employment agreement (“the Agreement”) with

him by eliminating call coverage. At the same time, Dr. Farnsworth requested

that the trial court enjoin enforcement of the non-compete provisions of the

Agreement, a request the trial court denied. Dr. Farnsworth contends that the

trial court abused its discretion in denying his request for a preliminary

injunction. Because we disagree, we affirm.

Facts and Procedural History [2] Dr. Farnsworth has practiced internal medicine in Indiana since 1996. In 2009,

Dr. Farnsworth became employed by Lutheran in the Internal Medicine

Section (“the Medical Group”), pursuant to the Agreement. The Agreement

provided that Dr. Farnsworth was to render “Professional Medical Services and

such reasonable administrative and management services as may be delegated

to Physician by Employer on an exclusive basis, in accordance with all of the

terms and conditions of this Agreement.” Appellant’s App. Vol. II p. 36.

[3] More specifically, the Agreement provided that Dr. Farnsworth was to conduct

office visits during normal business hours as determined by Lutheran, upon

Court of Appeals of Indiana | Memorandum Decision 19A-PL-1726 | December 19, 2019 Page 2 of 11 mutual agreement by Dr. Farnsworth, in consultation with the Committee.

The Agreement also provided that Dr. Farnsworth’s duties included

providing on-call coverage for patients of the Hospital (i.e. Emergency Room Call) after regular business hours in coordination with other Medical Group Physicians, in accordance with a schedule established by [the Committee] as necessary to satisfy the Medical Group Physicians’ obligations under the Hospital’s Medical Staff Bylaws, rules and regulations, and providing on-call coverage after regular business hours for patients of Physician or other physicians practicing in the same Medical Office in coordination with such other physicians, in accordance with a schedule established by [the Committee.] Appellant’s App. Vol. II p. 38. Hospital call coverage is a practice pattern that

can place heavy demands on a physician’s time because it requires admitting

and performing rounds on hospitalized inpatients before and after regular office

hours, including weekends. Dr. Farnsworth was also required to comply with

the policies and procedures established by Lutheran through the Committee as

they were liable to change from time to time. Finally, the Agreement contained

a non-competition provision, pursuant to which Dr. Farnsworth agreed that

after leaving employment with Lutheran, he would not practice medicine for

one year within a thirty-mile radius of Lutheran’s Hospital and Medical Office.

[4] In 2017, after one the internists in the Medical Group left, several of the

remaining internists decided that they no longer wanted to provide call

coverage at the Hospital. The Medical Group held a vote, which resulted in

three internists voting to continue call coverage and three voting to end it. The

deadlock was referred to the Ops-Finance Subcommittee (“Finance

Court of Appeals of Indiana | Memorandum Decision 19A-PL-1726 | December 19, 2019 Page 3 of 11 Subcommittee”) of the Committee. The Finance Subcommittee determined

and recommended to the Committee that the Medical Group no longer be

scheduled to have call-coverage duty in the Hospital.

[5] On April 20, 2017, the Committee held a meeting at which Dr. Farnsworth was

present. As it happens, Dr. Farnsworth had been a member of the Committee

for eighteen years. The Committee voted unanimously in favor of the Medical

Group call-coverage schedule change. The schedule change was reaffirmed,

again by unanimous vote, on May 18, 2017. On October 1, 2017, the new

Hospital call-coverage schedule went into effect.

[6] Over the course of the next year or so, Dr. Farnsworth noticed a significant

decrease in his compensation as a result of the elimination of call coverage. On

December 7, 2018, Dr. Farnsworth notified the Finance Subcommittee that he

considered the call-coverage schedule change to be a breach by Lutheran of the

Agreement. Checking with other members of the Medical Group revealed that

none of the other internists desired to resume call coverage.

[7] On February 18, 2019, Dr. Farnsworth received a letter from Lutheran, which

stated:

Thank you for taking the time to discuss your concerns with me. While we have not breached our employment agreement, allow this letter to document, permit and clarify that you shall have complete control over the diagnosis and treatment of patients assigned to you, including the ability to round on same in the hospital, before and after normal business hours. In addition, our employment agreement does not obligate us to create an on-call schedule, or provide you a call group, but requires you to provide

Court of Appeals of Indiana | Memorandum Decision 19A-PL-1726 | December 19, 2019 Page 4 of 11 on-call services should such a schedule be created. Currently, no such schedule exists. Appellant’s Br. p 35.

[8] On March 29, 2019, Dr. Farnsworth filed suit against Lutheran, alleging breach

of the Agreement and seeking declaratory judgment. Dr. Farnsworth claimed

that Lutheran had breached the Agreement by changing the call-coverage

schedule on April 20, 2017. Dr. Farnsworth also moved to preliminarily enjoin

enforcement of the non-competition provision of the Agreement. On June 27,

2019, the trial court denied Dr. Farnsworth’s motion for a preliminary

injunction.

Discussion and Decision [9] Dr. Farnsworth contends that the trial court abused its discretion in denying his

motion to preliminarily enjoin enforcement of the non-compete provisions of

the Agreement. “The grant or denial of a preliminary injunction rests within

the sound discretion of the trial court, and our review is limited to whether

there was a clear abuse of that discretion.” Ind. Family & Soc. Servs. Admin. v.

Walgreen Co., 769 N.E.2d 158, 161 (Ind. 2002) (citing Harvest Ins. Agency, Inc. v.

Inter-Ocean Ins. Co., 492 N.E.2d 686, 688 (Ind. 1986)).

To obtain a preliminary injunction, the moving party must demonstrate by a preponderance of the evidence: (1) a reasonable likelihood of success on the merits; (2) the remedies at law are inadequate, thus causing irreparable harm pending resolution of the substantive action; (3) the threatened injury to the moving party outweighs the potential harm to the nonmoving party from

Court of Appeals of Indiana | Memorandum Decision 19A-PL-1726 | December 19, 2019 Page 5 of 11 the granting of an injunction; and (4) the public interest would not be disserved by granting the requested injunction. Ind. High Sch. Athletic Ass’n, Inc. v. Cade, 51 N.E.3d 1225, 1235 (Ind. Ct. App.

2016).

[10] In addition, Dr. Farnsworth is appealing from a negative judgment, where he

failed to prevail on a claim where he had the burden of proof. Dr. Farnsworth

must therefore establish that the trial court’s judgment is contrary to law.

Pinnacle Healthcare, LLC v. Sheets, 17 N.E.3d 947, 953 (Ind. Ct. App. 2014). “A

judgment is contrary to law only if ‘the evidence in the record, along with all

reasonable inferences, is without conflict and leads unerringly to a conclusion

opposite that reached by the trial court.’” Id. (quoting Carley v. Lake Cty. Bd. of

Elections & Registration, 896 N.E.2d 24, 32 (Ind. Ct. App. 2008), trans. denied). If

the trial court correctly concluded that Dr. Farnsworth failed to establish any

one of the four requirements for a preliminary injunction by a preponderance of

the evidence, we will affirm.

[11] We choose to first address Dr. Farnsworth’s claim that he established a

likelihood of success on the merits. “To obtain a preliminary injunction, the

party seeking the injunction must have a reasonable likelihood of prevailing on

the merits.” Bowling v. Nicholson, 51 N.E.3d 439, 444 (Ind. Ct. App. 2016),

trans. denied. To demonstrate this element, the moving party is not required to

show that he is entitled to relief as a matter of law, but only that success on the

merits is probable. See id.

Court of Appeals of Indiana | Memorandum Decision 19A-PL-1726 | December 19, 2019 Page 6 of 11 [12] As mentioned, Dr. Farnsworth’s underlying claim is that Lutheran breached

the Agreement. To prevail in any contract action under Indiana law, a plaintiff

must establish that (1) a contract existed; (2) the defendant breached the

contract; and (3) the plaintiff suffered damage as a result of defendant’s breach.

Roche Diagnostics Operations, Inc. v. Marsh Supermarkets, LLC, 987 N.E.2d 72, 85

(Ind. Ct. App. 2013), trans. denied. Contract construction is a question of law

for the court, and if the intention of the parties can be ascertained from their

written expression, that intention must be carried out by the court. Eck &

Assocs., Inc. v. Alusuisse Flexible Packaging, Inc. 700 N.E.2d 1163, 1167 (Ind. Ct.

App. 1998), trans. denied.

[13] “Indiana courts have long recognized and respected the freedom to contract.”

Id. (quoting Trotter v. Nelson, 684 N.E.2d 1150, 1152 (Ind. 1997)). The courts

should interpret contracts as a whole to determine the intent of the parties. Id.

“‘[T]he general rule of freedom to contract includes the freedom to make a bad

bargain.’” Indpls.–Marion Cty. Pub. Library v. Chadier Clark & Linard, PC, et al.,

929 N.E.2d 838, 852 n.13 (Ind. Ct. App. 2010) (quoting Ind. Bell Tel. Co. v.

Mygrant, 471 N.E.2d 660, 664 (Ind. 1984)), trans. denied.

[14] Specifically, Dr. Farnsworth argues that the Committee’s elimination of call

coverage constituted a breach of the Agreement. The Agreement provided, in

part, that Dr. Farnsworth was required to provide call coverage “in accordance

with a schedule established by [the Committee] as necessary[.]” Appellant’s

App. Vol. II p. 38. So, the Agreement clearly provides that the call-coverage

schedule was to be established by the Committee.

Court of Appeals of Indiana | Memorandum Decision 19A-PL-1726 | December 19, 2019 Page 7 of 11 [15] Dr. Farnsworth does not dispute that the Committee (of which he was a

member) had the authority to establish the call-coverage schedule. Dr.

Farnsworth does argue, however, that the Committee was not authorized to

eliminate call coverage altogether. This argument ignores the fact that the

Agreement provides that a schedule would be established “as necessary[.]”

Appellant’s App. Vol. II p. 38. In other words, if no call coverage was deemed

necessary, none need have been scheduled. Moreover, the Agreement clearly

provided that Dr. Farnsworth was required to perform those medical services

delegated to him by Lutheran, and Lutheran simply decided to no longer

delegate call coverage to him.

[16] Dr. Farnsworth also contends that the elimination of call coverage ran afoul of

Section 11 of the Agreement, which prevented the Committee from exercising

“any direct supervision or control over the individual treatment of patients by

[Dr. Farnsworth.]” Appellant’s App. Vol. II p. 45. We have little hesitation in

concluding that the elimination of call coverage did not amount to the

Committee directly supervising or controlling Dr. Farnsworth’s care over any

individual patient. By eliminating call coverage, the Committee was merely

removing a class of patients from Dr. Farnsworth’s care, which is not the same

thing.1

1 If we were to accept Dr. Farnsworth’s argument on this point and follow it to its logical conclusion, any decision by the Committee regarding a call-coverage schedule—be it elimination, establishment, or alteration—would have violated Section 11 of the Agreement.

Court of Appeals of Indiana | Memorandum Decision 19A-PL-1726 | December 19, 2019 Page 8 of 11 [17] Given the Agreement’s clear language granting the Committee the power to

establish (or not establish) a call-coverage schedule, Dr. Farnsworth has failed

to show a reasonable likelihood of success on the merits of his breach-of-

contract claim. Consequently, Dr. Farnsworth has not established that the trial

court abused its discretion in denying his request to enjoin enforcement of his

non-compete agreement with Lutheran.

[18] We affirm the judgment of the trial court.

Altice, J., concurs.

Robb, J., concurs in result with opinion.

Court of Appeals of Indiana | Memorandum Decision 19A-PL-1726 | December 19, 2019 Page 9 of 11 IN THE COURT OF APPEALS OF INDIANA

Kent Farnsworth, Court of Appeals Case No. 19A-PL-1726 Appellant-Plaintiff,

v.

Lutheran Medical Group, LLC, Appellee-Defendant,

Robb, Judge, concurring in result.

[19] I agree that the trial court did not abuse its discretion in denying Dr.

Farnsworth’s request to enjoin the enforcement of the Agreement. However, I

do so for different reasons than the majority.

[20] The Agreement states that Dr. Farnsworth’s duties include providing on-call

coverage “in accordance with a schedule established by [the Committee] as

necessary to satisfy the [Medical Group’s] obligations[.]” Appellant’s App.,

Vol. II at 38. To me, that implies that there will be an on-call schedule and

therefore, eliminating the on-call schedule altogether would be a breach of the

Agreement. However, Dr. Farnsworth was a member of the Committee that

voted unanimously to eliminate the on-call coverage schedule, which means he

agreed to the change. See slip op. at ¶ 5. For that reason, I do not believe he

Court of Appeals of Indiana | Memorandum Decision 19A-PL-1726 | December 19, 2019 Page 10 of 11 has demonstrated by a preponderance of the evidence a reasonable likelihood of

success on the merits, and I would affirm the trial court’s judgment on that

basis.

Court of Appeals of Indiana | Memorandum Decision 19A-PL-1726 | December 19, 2019 Page 11 of 11