Nirmal Joshi, M.D. v. Apollo Medical Group, LLC Nirmal Joshi, M.D. v. Ayman Elfar, M.D. and Candido Guiao, M.D. (mem. dec.)

CourtIndiana Court of Appeals
DecidedOctober 5, 2017
Docket82A01-1612-CT-2842
StatusPublished

This text of Nirmal Joshi, M.D. v. Apollo Medical Group, LLC Nirmal Joshi, M.D. v. Ayman Elfar, M.D. and Candido Guiao, M.D. (mem. dec.) (Nirmal Joshi, M.D. v. Apollo Medical Group, LLC Nirmal Joshi, M.D. v. Ayman Elfar, M.D. and Candido Guiao, M.D. (mem. dec.)) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nirmal Joshi, M.D. v. Apollo Medical Group, LLC Nirmal Joshi, M.D. v. Ayman Elfar, M.D. and Candido Guiao, M.D. (mem. dec.), (Ind. Ct. App. 2017).

Opinion

MEMORANDUM DECISION Pursuant to Ind. Appellate Rule 65(D), this Memorandum Decision shall not be FILED regarded as precedent or cited before any Oct 05 2017, 9:03 am court except for the purpose of establishing CLERK the defense of res judicata, collateral Indiana Supreme Court Court of Appeals estoppel, or the law of the case. and Tax Court

ATTORNEYS FOR APPELLANT ATTORNEY FOR APPELLEE James D. Johnson Reed S. Schmitt Spencer Tanner Bingham Greenebaum Doll LLP Jackson Kelly PLLC Evansville, Indiana Evansville, Indiana Raymond T. Seach Riley Bennett Egloff LLP Indianapolis, Indiana

IN THE COURT OF APPEALS OF INDIANA

Nirmal Joshi, M.D., October 5, 2017 Appellant-Defendant, Court of Appeals Case No. 82A01-1612-CT-2842 v. Appeal from the Vanderburgh Superior Court, Indiana Apollo Medical Group, LLC, Commercial Court Appellee-Plaintiff The Honorable Richard G. D’Amour, Judge Trial Court Cause No. 82D07-1611-CT-5833 Nirmal Joshi, M.D., Third-Party Plaintiff

v.

Court of Appeals of Indiana | Memorandum Decision 82A01-1612-CT-2842 | October 5, 2017 Page 1 of 19 Ayman Elfar, M.D. and Candido Guiao, M.D., Third-Party Defendants

Baker, Judge.

[1] Dr. Nirmal Joshi is a member-manager of Apollo Medical Group, LLC

(Apollo). After Dr. Joshi began allegedly undermining Apollo’s relationships

with current clients, usurping future business opportunities, directing Apollo’s

emails to his own personal address, keeping Apollo’s physical mail from the

other member-managers, and taking Apollo’s website down and refusing to put

it back up, Apollo filed a complaint and sought a temporary restraining order

and preliminary injunction against Dr. Joshi. The trial court granted a

preliminary injunction. Dr. Joshi now appeals that order, arguing, among other

things, that a provision in Apollo’s operating agreement that permitted the

member-managers to compete with the company sanctioned his conduct in this

case. We disagree, find no errors with respect to the trial court’s order, and

affirm.

Court of Appeals of Indiana | Memorandum Decision 82A01-1612-CT-2842 | October 5, 2017 Page 2 of 19 Facts [2] Apollo was formed on June 7, 2013, as an Indiana member-managed limited

liability company (LLC) to provide anesthesia staffing services to hospitals and

surgical centers around the country. The company has three member-

managers: Drs. Joshi, Ayman Elfar, and Candido Guiao. Each physician

owns a one-third interest in Apollo. During the relevant period of time, Drs.

Elfar, Joshi, and Guiao were also practicing anesthesiologists at Deaconess

Hospital in Evansville.

[3] Apollo operates under an Amended and Restated Operating Agreement (the

Operating Agreement), which has an effective date of January 1, 2016.

Pursuant to the Operating Agreement, the “business and affairs of the

Company shall be managed by its Members.”1 Appellant’s App. Vol. II p. 56.

Each manager was required to “exercise business judgment in participating in

the management of the business operations and affairs of the Company.” Id. at

57.

[4] The Operating Agreement further specifies that the member-managers “shall

incur no liability to the Company or to any of the Members as a result of

engaging in any other business or venture, whether or not competitive,

1 The Operating Agreement distinguishes between “Managers” and “Members,” though each of the three doctors in this case qualify as both. A “Manager” “means the one or more managers elected by the Members pursuant to this Operating Agreement . . . but initially means [Drs. Elfar, Joshi, and Guiao], who shall have the title of Managing Partners.” Appellant’s App. Vol. II p. 53. “‘Member’ means each of the Initial Members, Additional Members and Substituted Members who are, at any relevant time, a Member of the Company.” Id. at 54.

Court of Appeals of Indiana | Memorandum Decision 82A01-1612-CT-2842 | October 5, 2017 Page 3 of 19 disclosed or undisclosed.” Id. The member-managers were permitted to have

other employment: “A Manager shall not be required to have the management

of the Company as his or her sole and exclusive function, and may have other

business interests and may engage in other activities in addition to those

relating to the Company.” Id.

[5] In the months leading up to the lawsuit, Apollo had service contracts with four

surgical centers: Kissing Camels Surgery Center (Kissing Camels) in Colorado;

Kentuckiana Medical Center (KMC) in Indiana; Riverview Surgery Center

(Riverview) in Indiana; and SurgeCenter of Louisville in Kentucky. Apollo

also had contracts with Bolder Anesthesia Management (Bolder), which

provides managerial and administrative services to Apollo, including assistance

in the recruitment of anesthesiologists, staff scheduling, billing, and collections.

[6] In 2016, Drs. Elfar, Joshi, and Guiao partnered with Gary Pilibosian to form a

separate entity called AMG Management Services, LLC (AMG). AMG was

formed to provide management, administrative, and other non-physician

services to Apollo’s clients. Each of AMG’s four members owns a one-quarter

interest in and is a member-manager of AMG.

[7] Dr. Joshi did not want Pilibosian to share in AMG’s business but could not

convince either Dr. Elfar or Dr. Guiao to cut him out. In September 2016, Dr.

Joshi told Drs. Elfar and Guiao that he intended to divert business away from

AMG in an attempt to limit Pilibosian’s financial benefit and that if the other

members did not agree with him, he would funnel any new business to a new

Court of Appeals of Indiana | Memorandum Decision 82A01-1612-CT-2842 | October 5, 2017 Page 4 of 19 company and that “Apollo would be dead.” Id. at 103. Drs. Elfar and Guiao

objected to the plan and told Dr. Joshi that they would not participate in a

scheme to cheat Pilibosian.

[8] Unbeknownst to Apollo, Dr. Joshi then began to actively undermine Apollo’s

business. He contacted KMC and Kissing Camels and misrepresented Apollo’s

current status, telling them that he had been removed as a manager of Apollo.

He also told Kissing Camels that Apollo had licensure issues in Colorado that

could harm Kissing Camels, which was untrue. As a result of Dr. Joshi’s

interactions with KMC and Kissing Camels, both entities terminated their

contracts with Apollo in October 2016. Around this time, Drs. Guiao and Elfar

learned that Dr. Joshi had also reached out to Riverview, telling it that Apollo

was breaking up, that it should make contingency plans for anesthesia services,

and that it could move its business to Dr. Joshi if it wanted to. Dr. Joshi also

told Drs. Guiao and Elfar that he has withheld at least one request for proposal

sent to Apollo by a prospective client for his own purposes.

[9] Around this same time, Dr. Joshi also hijacked Apollo’s mail, emails, and

website. Beginning in September 2016, Dr. Joshi diverted communications

from the company’s website server to his own personal server, eventually taking

the website offline. He also directed Apollo’s emails to be sent to his personal

email address. Apollo’s counsel demanded that Dr. Joshi restore Apollo’s

Court of Appeals of Indiana | Memorandum Decision 82A01-1612-CT-2842 | October 5, 2017 Page 5 of 19 website and allow it access to its email; Dr. Joshi refused to do so. 2 Dr. Joshi

also prevented Apollo from accessing its mail, which is sent to a private

mailbox to which only he had access. He refused Apollo’s demands for access

to its mailbox.

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Nirmal Joshi, M.D. v. Apollo Medical Group, LLC Nirmal Joshi, M.D. v. Ayman Elfar, M.D. and Candido Guiao, M.D. (mem. dec.), Counsel Stack Legal Research, https://law.counselstack.com/opinion/nirmal-joshi-md-v-apollo-medical-group-llc-nirmal-joshi-md-v-ayman-indctapp-2017.