Maric Healthcare, LLC v. Perla Ramirez-Groothuis

CourtCourt of Chancery of Delaware
DecidedApril 16, 2026
DocketC.A. No. 2023-0878-NAC
StatusPublished

This text of Maric Healthcare, LLC v. Perla Ramirez-Groothuis (Maric Healthcare, LLC v. Perla Ramirez-Groothuis) is published on Counsel Stack Legal Research, covering Court of Chancery of Delaware primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Maric Healthcare, LLC v. Perla Ramirez-Groothuis, (Del. Ct. App. 2026).

Opinion

IN THE COURT OF CHANCERY OF THE STATE OF DELAWARE

MARIC HEALTHCARE, LLC; NEW ) MEXICO TREATMENT SERVICES, ) LLC; and COLORADO TREATMENT ) SERVICES, LLC ) ) Plaintiffs, ) ) v. ) C.A. No. 2023-0878-NAC ) PERLA RAMIREZ-GROOTHUIS ) ) Defendant. )

POST-TRIAL MEMORANDUM OPINION Date Submitted: October 13, 2025 Date Decided: April 16, 2026

John M. Seaman, Michael T. Manuel, Clara E. Hubbard, ABRAMS & BAYLISS LLP, Wilmington, Delaware; Counsel for Plaintiffs Maric Healthcare, LLC, New Mexico Treatment Services, LLC, and Colorado Treatment Services, LLC.

Glenn A. Brown, REAL WORLD LAW, P.C., Wilmington, Delaware; Thomas P. Howard, Kammie Cuneo, THOMAS P. HOWARD, LLC, Louisville, Colorado; Counsel for Defendant Perla Ramirez-Groothuis.

COOK, V.C. The plaintiffs seek more than $4 million in damages from the defendant, who

set up an opioid treatment facility two miles from the plaintiffs’ clinic. The plaintiffs

proved liability and damages resulting from the defendant’s solicitation of a single

key employee. They are entitled to travels costs for the replacement hire.

I. FACTUAL BACKGROUND

The facts are drawn from a relatively slim post-trial record, which includes 21

stipulations of fact, approximately 200 exhibits, deposition testimony of eight

witnesses, and trial testimony from four. 1 Having evaluated the credibility of the

witnesses and weighed the evidence, the Court makes the following findings by a

preponderance of the evidence.

A. Maric

With the opioid addiction crisis raging, Maric Healthcare LLC (“Maric”) grew

to include twenty-nine opioid addiction treatment centers across seven states in the

United States. 2 Maric is a Delaware limited liability company based in Tulsa,

Oklahoma 3 and owned by Michael Margolis. 4 Alan Jamieson served as its Chief

1 Citations to Pre-Trial Stip. refer to the Joint Pre-Trial Stipulation and Order. Dkt. 118. Joint trial exhibits are cited as “JX ___,” trial testimony is cited as “TT___([Name]),” and depositions are cited as “([Name]) Dep. ____.” Per the Joint Pre-Trial Stipulation and Order, any objections to deposition testimony and trial exhibits would be addressed in post-trial briefing unless resolved at or before trial. Pre-Trial Stip. VIII.A & C.

2 TT 5:19–20 (Ann Jamieson).

3 Pre-Trial Stip. ¶¶ 1, 2.

4 TT 7:13–14 (Ann Jamieson). Executive Officer since its formation in the early 2010s. 5 He resigned towards the

end of 2023 due, in part, to a difference in vision with Margolis. 6 His wife, Ann

Jamieson, assumed the role of chief operating officer in 2018, and in 2024 changed

roles to become chief clinical officer. 7 Starting out as a counselor, she has worked

with Margolis in the opioid addiction treatment industry since 2004. 8

Ann Jamieson described Maric’s “vision statement” to be “increasing access” to

“everybody who needs treatment for opioid abuse disorder.” 9 Its clinics provide

medication-assisted treatment plans using methadone and suboxone, as well as

counseling services to patients struggling with substance use disorder. 10 Much of its

patient population is insured by Medicaid. 11 Maric operates its clinics through

Delaware limited liability companies. 12 The Maric entity for Colorado was Colorado

Treatment Services, LLC (“CTS”).

5 TT 9:4–7 (Ann Jamieson).

6 TT 9:17–23 (Ann Jamieson). He also resigned due to illness. TT 9:13–14 (Ann Jamieson).

7 TT 8:5–9:1 (Ann Jamieson).

8 TT 7:13–24 (Ann Jamieson).

9 TT 48:9–12 (Ann Jamieson).

10 Pre-Trial Stip. ¶ 1–3.

11 TT 93:1–4 (Ann Jamieson).

12 Pre-Trial Stip. ¶ 1.

2 B. Ramirez’ Success at CTS

Defendant Perla Ramirez-Groothuis began her employment at CTS in

Colorado Springs as a counselor for substance abuse patients in 2016. 13 Before that,

she spent several years with the Idaho Department of Corrections working as a

substance abuse counselor for inmates and parolees. 14

As a counselor at CTS, Ramirez conducted individual counseling sessions, case

management, and care coordination for individuals with opioid addiction receiving

methadone treatment. 15 Less than a year into the job, Maric promoted Ramirez to

serve as the program director at CTS’ new Outpatient Treatment Program (“OTP”)

located in Pueblo, Colorado (“CTS Pueblo”). 16

Pueblo is one of the many urban centers grappling with the opioid addiction

crisis in this country. The statistics are grim. Ramirez described Pueblo as having

one of the highest rates of opioid-related deaths in the country. 17 Because of its

intergenerational use, Ramirez would see grandparents, aunts, uncles, and children

coming in as patients. 18 In an application for grant funding, CTS recorded Pueblo as

having the highest average number of heroin related deaths per year in southern

13 Id. ¶ 14.

14 TT 392:1–8, 395:20 (Ramirez).

15 TT 392:23–393:4 (Ramirez).

16 Id.

17 TT 441:2–6 (Ramirez).

18 Id.

3 Colorado, at 9.6 per 100,000 residents, between 2013 to 2017. 19 In the period of 2014

to 2016, Pueblo’s death rate was even higher, at 15 per 100,000 residents, compared

to 8.8 for the state as a whole. 20 Even with the high need, there was only one other

OTP operating in Pueblo. 21

About a year and a half after CTS Pueblo’s opening, Alan Jamieson promoted

Ramirez to executive director of CTS. 22 As executive director, Ramirez reported

directly to Alan Jamieson, the chairman of the board of directors of Maric at the

time. 23 Alan Jamieson and Ramirez were “very close,” and “friends.” 24

Ramirez’ new responsibilities covered CTS’ three OTPs, all in Colorado, and

included regulatory compliance, billing, and management. 25 Ramirez also became

Manager and President of CTS and signed CTS’ Limited Liability Company

Agreement (“CTS Agreement”) in that capacity. 26 The CTS Agreement provided that

19 JX 506 at 50.

20 Id.

21 TT 180:15–18 (Ann Jamieson).

22 Pre-Trial Stip. ¶ 15; TT 17:11–12, 18:8–10 (Ann Jamieson).

23 TT 17:16–22 (Ann Jamieson).

24 Id.

25 TT 398:23–399:5 (Ramirez).

26 JX 2, 3.Ramirez mistakenly signed on Maric’s signature line. JX 3. In a subsequent version, Maric’s CEO Alan Jamieson signed on behalf of Maric. JX 41.

4 Ramirez, as Manager of the entity, “shall be subject to the fiduciary duties that would

be due by an officer or a director of a Delaware corporation to such corporation.” 27

Ramirez’ upward trajectory continued. In late 2021, after serving as executive

director of CTS for about three years, Ramirez was promoted to regional executive

director, in which role she oversaw Maric’s OTPs in New Mexico and Colorado. 28

Ramirez executed, as Manager and President, a limited liability company agreement

with New Mexico Treatment Services (“NMTS”), a Delaware limited liability

company. 29 She agreed to be subject to the same fiduciary duties as in the CTS

Agreement. 30 NMTS operated four OTPs in New Mexico. 31

C. Ramirez Forms Elevate to Provide Consulting Services

As Ramirez’ responsibilities grew, she began receiving requests from

Colorado’s State Opioid Treatment Authority (“SOTA”) to assist providers in

27 JX 41 § 14. My impression from trial is that, in signing the CTS Agreement, Ramirez likely did not fully understand the import of the fiduciary responsibilities to which she was agreeing.

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Maric Healthcare, LLC v. Perla Ramirez-Groothuis, Counsel Stack Legal Research, https://law.counselstack.com/opinion/maric-healthcare-llc-v-perla-ramirez-groothuis-delch-2026.