Prime Healthcare Illinois Medical Group, LLC v. Kapoor
Opinion
NOTICE: This order was filed under Supreme Court Rule 23 and is not precedent except in the limited circumstances allowed under Rule 23(e)(1).
2026 IL App (3d) 250574-U
Order filed May 19, 2026
IN THE
APPELLATE COURT OF ILLINOIS THIRD DISTRICT
2026
PRIME HEALTHCARE ILLINOIS ) MEDICAL GROUP, LLC and ST. MARY’S ) Appeal from the Circuit Court HOSPITAL – KANKAKEE, LLC ) of the 12th Judicial Circuit, ) Will County, Illinois,
Plaintiffs/Counter-Defendants- )
Appellees, ) Appeal No. 3-25-0574 ) Circuit No. 25-CH-187
v. )
) Honorable
GUARAV KAPOOR, M.D., et al. ) Bennett J. Braun, ) Judge, Presiding.
Defendant/Counter-Plaintiff-Appellant. )
JUSTICE HOLDRIDGE delivered the judgment of the court.
Justices Bertani and Anderson concurred in the judgment.
ORDER
¶1 Held: The circuit court erred by issuing a preliminary injunction based on a noncompetition agreement where the employer failed to establish the employee breached the employment agreement.
¶2 The plaintiff, Prime Healthcare Illinois Medical Group, LLC (Prime), sued the defendant, Dr. Guarav Kapoor, and sought a preliminary injunction, claiming he breached his employment agreement when his new employer announced his hiring before his current employment contract
had concluded. Following a hearing, the circuit court issued a preliminary injunction, and Dr. Kapoor appealed.
¶3 I. BACKGROUND
¶4 On June 6, 2014, Dr. Kapoor, an interventional cardiologist, signed an employment agreement to work at St. Mary’s Hospital – Kankakee, LLC (St. Mary’s). Dr. Kapoor served as the medical director for cardiac services at St. Mary’s, and he eventually set up satellite clinics in Beecher and Watseka. St. Mary’s was later acquired by Prime Healthcare Illinois Medical Group, LLC (Prime), which assumed Dr. Kapoor’s employment contract.
¶5 The employment contract described three ways Dr. Kapoor’s employment could be terminated: (1) termination without cause upon 90 days’ notice by either party, (2) termination for breach of the employment agreement following written notice of the breach and a 30-day opportunity to cure, and (3) immediate termination for 11 specified causes, including the loss of Dr. Kapoor’s medical license and various other impediments to his practicing medicine.
¶6 The employment agreement also contained restrictive covenants preventing solicitation and competition “[f]or one (1) year following the termination or expiration of [the employment contract].” During that period, Dr. Kapoor would be prohibited from practicing medicine “within 20 miles of the Service Location(s)” and prohibited from soliciting employees or patients from St. Mary’s. Prime agreed to waive enforcement of the restrictive covenants if Dr. Kapoor was terminated without cause or if Dr. Kapoor terminated the agreement for Prime’s breach. In the event of a breach, the employment contract also provided for injunctive relief.
¶7 A later addendum clarified that the restrictive covenants would become “null and void” if (1) Prime terminated the employment agreement without cause or (2) Dr. Kapoor entered private practice with medical staff privileges solely at St. Mary’s.
¶8 Dr. Kapoor became unhappy with his employment at St. Mary’s in June of 2025. Prime sought to negotiate a lower salary for Dr. Kapoor, and Dr. Kapoor did not wish to accept a reduction in pay. On June 23, 2025, Dr. Kapoor provided a written notice of resignation. Dr. Kapoor intended to work for Riverside Hospital at their clinic in Coal City, which is approximately 29 miles from St. Mary’s.
¶9 While Dr. Kapoor was still employed at St. Mary’s, Prime discovered several advertisements placed by Riverside announcing Dr. Kapoor’s employment at Riverside’s Coal City facility. Specifically, Riverside announced on social media that Dr. Kapoor had joined the cardiovascular team and provided a phone number for more information. It also placed a similar announcement on its website and later took out an advertisement in the local Kankakee newspaper, each with the same information. None of the announcements specified that Dr. Kapoor was still employed at St. Mary’s.
¶ 10 That same day, Prime notified Dr. Kapoor it was terminating his employment with cause, effective immediately. It then brought suit against Dr. Kapoor and moved for injunctive relief, alleging breach of contract, breach of fiduciary duty, tortious interference, and civil conspiracy. The court held an evidentiary hearing. At the hearing, Dr. Kapoor denied authorizing or having any involvement with Riverside’s marketing decisions. When asked how Riverside obtained his photograph, Dr. Kapoor testified that he had provided the photograph after Riverside’s marketing department told him they needed his picture. He stated he found the photograph by searching for his own name online. He also stated he was aware of the terms of his employment agreement and scrupulously avoided discussing his future employment with the patients he continued to treat at St. Mary’s.
¶ 11 On October 2, 2025, the court issued a ruling that included detailed findings. The court found that Dr. Kapoor “gave and apparently continues to give *** Riverside actual and apparent authority” to announce his employment at Riverside. It found Dr. Kapoor’s statement that he was unaware what Riverside would do with his photograph to be “naïve and disingenuous.” Consequently, it found that his actions “constituted a material breach of his duty of loyalty” to Prime, and that Prime “properly terminated [Dr. Kapoor] for cause” for breach of the duty of loyalty based on the following actions: (1) Dr. Kapoor’s participation in the social media campaign, and (2) Dr. Kapoor’s failure to attempt to cure the breach. Somewhat confusingly, the court also found that the breach was incurable.
¶ 12 The court issued a preliminary injunction preventing Dr. Kapoor from practicing medicine within a 20-mile radius of the St. Mary’s hospitals located in Kankakee and Beecher for one year. The order permitted Dr. Kapoor to work at Riverside in their Coal City facility, but it prohibited him from “soliciting *** any patient who has received medical services at St. Mary’s *** by the interventional cardiology department.”
¶ 13 Dr. Kapoor appealed the court’s preliminary injunction.
¶ 14 II. ANALYSIS
¶ 15 On appeal, Dr. Kapoor argues (1) Prime failed to establish the elements necessary to grant a preliminary injunction, (2) the non-compete clause contained in his contract is facially unenforceable, and (3) the court’s order expands the restrictions contained in the contract. A preliminary injunction is properly granted when the movant establishes (1) a clearly ascertainable right in need of protection, (2) irreparable harm if the injunction is not granted, (3) no adequate remedy at law, and (4) a likelihood of success on the merits. We review an order granting or denying a preliminary injunction for an abuse of the court’s discretion. Smith,
Waters, Kuehn, Burnett & Hughes, Ltd. V. Burnett, 192 Ill. App. 3d 693, 699 (1989). A court’s factual findings will be overturned only if they are against the manifest weight of the evidence. JL Properties Group B, LLC v. Pritzker, 2021 IL App (3d) 200305, ¶ 58. A finding is against the manifest weight of the evidence when the opposite conclusion is apparent or when the findings appear to be unreasonable, arbitrary, or not based on the evidence. Bazydlo v. Volant, 164 Ill. 2d 207, 215 (1995).
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