Nasser v. The South Bend Clinic, LLC

CourtDistrict Court, N.D. Indiana
DecidedMarch 5, 2024
Docket3:23-cv-00506
StatusUnknown

This text of Nasser v. The South Bend Clinic, LLC (Nasser v. The South Bend Clinic, LLC) is published on Counsel Stack Legal Research, covering District Court, N.D. Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nasser v. The South Bend Clinic, LLC, (N.D. Ind. 2024).

Opinion

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF INDIANA SOUTH BEND DIVISION

NASEER NASSER, M.D.,

Plaintiff,

v. CAUSE NO. 3:23-CV-506 DRL-MGG

THE SOUTH BEND CLINIC, LLC and KELLY MACKEN-MARBLE,

Defendants.

OPINION AND ORDER While he was a partner at the South Bend Clinic, LLP,1 Dr. Naseer Nasser had extensive disagreements with South Bend Clinic management, including CEO Kelly Macken-Marble, regarding the company’s transparency and finances. Ms. Macken-Marble and other executives asked him to resign or they would proceed to a partnership vote on his termination. He resigned. He sues SBC and its CEO for discrimination under 42 U.S.C. § 1981, with certain additional state law claims for breach of fiduciary duties and publicity standards against SBC only. The defendants move to dismiss all claims under Federal Rule of Civil Procedure 12(b)(6). The court grants the motion in part. BACKGROUND Accepting all well-pleaded allegations as true and taking all reasonable inferences in Dr. Nasser’s favor, these facts emerge for today’s purposes. Dr. Nasser, an Iraqi-born dual citizen of Arab ethnicity and race [1 ¶¶ 7, 59], is a cardiology specialist in South Bend, Indiana with over 29 years of experience in cardiovascular disease, internal medicine, and interventional cardiology [id. ¶ 19]. From September 2007 to September 2021, Dr. Nasser was a partner practicing medicine at SBC [id. ¶ 20]. He resigned on September 1, 2021 [id. ¶ 21].

1 SBC is now an LLC [see 9 at 1]. In 2020, Dr. Nasser signed an agreement entitled “2020 Second Amended Restated Partnership Agreement of the South Bend Clinic, LLP” [id. ¶ 21; Agreement (id. 25)]. The Agreement included a non- competition clause for departing partners [id. ¶ 22; Agreement § 27(b) (id. 37)]. The Agreement also included a liquidated damages clause for violation of the non-competition obligations [Agreement § 27(e) (id. 39)]. The Agreement established a mechanism to seek a waiver of the non-competition and liquidated damages provisions upon the written request of a partner if at least two-thirds of the remaining partners

so agreed [Agreement § 27(h) (id. 42)]. Dr. Nasser held a spotless record at SBC and served on the board of trustees there and on the board of managers at Unity Physicians Hospital during his final year as partner [id. ¶¶ 32-34]. Early during his tenure as a member of the boards, Dr. Nasser questioned the lack of transparent communication and financial irregularities concerning administrative leaders Kelly Macken-Marble, the chief executive officer of both SBC and UPH, and Lisa Wine, the chief financial officer of SBC [id. ¶ 35]. He says he witnessed “unjust treatment” of a former CFO of UPH, Jose Diaz De Leon [id. ¶¶ 36-37]. He alleges Mr. De Leon tried to bring hidden irregularities in operation and financial reporting to UPH’s owners and partners but was told not to fix anything [id. ¶ 37]. Mr. De Leon was fired [id. ¶ 36]. Dr. Nasser raised what he calls “blatant” inconsistencies between SBC’s year-end financial statements provided by Ms. Wine and the audited statements provided by accounting firm Crowe LLP over a span of several consecutive years [id. ¶ 38]. For example, there was an unexplained $7 million variance in “net cash from investing activities” between the two documents in 2019 [id. ¶ 38]. When Dr.

Nasser shared these concerns with Ms. Macken-Marble, she responded a few minutes later by text that she could “see how Crowe reassigned the liabilities” [id. ¶ 39]. Dr. Nasser requested further explanation, but she never provided further explanation [id. ¶ 39]. Dr. Nasser also raised concerns about the accounting methods used for SBC’s cardiology department [id. ¶ 40]. Another partner, Dr. Rickyn Patel, reportedly found material accounting errors by Ms. Wine [id. ¶ 40]. According to the complaint, the SBC administrative team asked Dr. Patel to keep silent [id. ¶ 40]. In a meeting with Dr. Patel and SBC executives, including Ms. Macken-Marble, Ms. Wine, President Bradly Scott, and Vice President Daniel Brier, the finance chair, the department chair, and other cardiology partners, the executives admitted to the accounting errors [id. ¶ 40]. Dr. Nasser raised a concern about cardiology billing—also discovered by Dr. Patel—that services provided by one physician were submitted under the name of another physician [id. ¶ 41]. Dr. Nasser

alone had more than $1,000,000 in missing charges [id. ¶ 42]. Though Dr. Nasser requested a meeting, no resolution was relayed to Dr. Nasser [id. ¶ 41]. That said, as the billing team worked on this issue, nineteen members of the business office were suddenly sent home or terminated [id. ¶ 42]. Dr. Nasser alleges that SBC’s executive team has for years incorrectly reported cardiology financial statements by intentionally omitting revenue generated, which led to a portrayed loss in cardiology despite the department being one of SBC’s most profitable [id. ¶ 43]. This led to the cardiology partners having a false negative net income, a portrayed narrative that the cardiology partners were subsidized by other SBC partners, a compensation for the cardiology partners 30-40 percent below the national average, and a deprivation of proceeds from the Real Estate Equity Plan as to the cardiologists— proceeds that the rest of the partners enjoyed [id. ¶ 43]. Dr. Nasser raised these concerns to Ms. Macken-Marble, several other SBC executives, and two other cardiology partners in a meeting on December 15, 2020 [id. ¶ 44]. At this meeting, Ms. Wine admitted that she was new to the job and was following orders to conduct her accounting a certain way

[id.]. Ms. Macken-Marble acknowledged wrongdoing and agreed to write a letter to the partnership addressing the issue, though she never did [id.]. The vice president apologized to the cardiologists on behalf of the administrative team [id.]. In 2021, SBC merged with Allied Physicians of Mishawaka (APOM) [id. ¶ 45]. Before the merger, Dr. Nasser sent questions about the transaction to the CFO [id. ¶ 45]. He says he received vague answers to some but not all of his questions [id. ¶ 45]. At Dr. Nasser’s persistence, Ms. Macken-Marble set up a virtual meeting on February 17, 2021, attended by the CFO, president, and vice president as well [id. ¶ 45]. Dr. Nasser again expressed his concerns about transparency and financial irregularities [id. ¶ 45]. The vice president said that “no one wants to retire in SBC, everyone is aware of these financial decisions, and everyone wants to cash out” [id. ¶ 45]. Dr. Nasser challenged the administrative team’s misleading of the partnership [id. ¶ 45].

Ms. Macken-Marble asked Dr. Nasser to meet with her after this meeting [id. ¶ 46]. She denied that the vice president had said everyone wanted to cash out, and she said that Dr. Nasser was perceived to be a bully [id. ¶ 46]. When he asked her whom he was bullying, she said, “I am sharing that there is a sense of it” [id. ¶ 46]. After raising these concerns, Dr. Nasser voluntarily stepped down from the SBC board of trustees in early 2021 [id. ¶ 47]. Shortly after his resignation from SBC’s board, Dr. Nasser requested financial information from SBC’s finance department [id. ¶ 47]. His request was denied; and Dr. Brian Carter, the Chair of the Quality Physician’s Committee (QIPRCC), demanded that Dr. Nasser refrain from asking financial questions until after a follow-up meeting three weeks later [id. ¶ 47]. Dr. Nasser’s request for an earlier meeting was denied [id. ¶ 47]. At the meeting, QIPRCC relayed that it was told that Dr. Nasser had issues with former SBC administration regarding the cardiology department and that Dr. Nasser couldn’t get over it [id. ¶ 48]. Dr.

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