Sethi v. Potomac Valley Orthopaedic Associates, Chartered

CourtDistrict Court, D. Maryland
DecidedJuly 31, 2024
Docket8:24-cv-01062
StatusUnknown

This text of Sethi v. Potomac Valley Orthopaedic Associates, Chartered (Sethi v. Potomac Valley Orthopaedic Associates, Chartered) is published on Counsel Stack Legal Research, covering District Court, D. Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sethi v. Potomac Valley Orthopaedic Associates, Chartered, (D. Md. 2024).

Opinion

UNITED STATES DISTRICT COURT . DISTRICT OF MARYLAND

DR. NAVIN SETHI, Plaintiff, ;

Vv. POTOMAC VALLEY ORTHOPAEDIC ASSOCIATES, CHARTERED, CENTERS FOR ADVANCED Civil Action No. TDC-24-1062 ORTHOPAEDICS, LLC, CHARTER ASC, LLC, DR. DENIS O’BRIEN, DR. IRA GELB and DR. DANIEL TANG, Defendants.

MEMORANDUM OPINION Plaintiff Dr. Navin Sethi has filed this civil action against Defendants Potomac Valley Orthopaedic Associates, Chartered (“PVOA”), Centers for Advanced Orthopaedics, LLC (“CAO”), Charter ASC, LLC (“Charter”), Dr. Denis O’Brien, Dr. Ira Gelb, and Dr. Daniel Tang, in which he alleges a race discrimination claim under 42 U.S.C. § 1981, as well as state law claims, arising out of his discharge from the orthopedic medical practices of which he was a member. PVOA and Charter have filed a Motion to Dismiss (“the PVOA Motion”), and CAO, O’Brien, Gelb, and Tang have filed a separate Motion to Dismiss (“the CAO Motion”), both of which are fully briefed. Having reviewed the submitted materials, the Court finds that no hearing is necessary. See D. Md. Local R. 105.6. For the reasons set forth below, the PVOA Motion will be GRANTED IN PART and DENIED IN PART, and the CAO Motion will be GRANTED IN PART and DENIED IN PART.

BACKGROUND I. Sethi and the Defendants Sethi is an orthopedic surgeon who has practiced in Maryland for over 20 years. He is of Indian heritage and is a practicing Sikh who wears a turban. Sethi began working with PVOA in 2001 and became a full equity partner and shareholder of the practice in 2003. CAO acquired PVOA in 2013, and though PVOA has retained its status as a separate corporate entity, CAO has since operated PVOA as one of its divisions. PVOA is a Maryland corporation, and CAO is a Maryland limited liability company (“LLC”). O’Brien, Gelb, and Tang (collectively, “the Individual Defendants”) were also owners and members of CAO and PVOA, and O’Brien served as PVOA’s manager. Pursuant to the CAO Amended and Restated Limited Liability Company Operating Agreement (“the CAO Operating Agreement”), Sethi and other partner physicians in the PVOA practice each held one membership unit in CAO, as well as separate units associated with PVOA, their clinical division within CAO. CAO was governed by a Board of Managers, which consisted of members designated by each of the clinical divisions, and O’Brien served as both PVOA’s member on the CAO Board of Managers and as a CAO Vice President. Sethi also signed a Professional Services Agreement (“PSA”) with CAO and PVOA, which allowed for his “for cause” termination based on certain specified conduct. Compl. 30. ECF No. 8-1. Since 2002, Sethi has also been a founding member and owner of Charter, a separate Maryland LLC. As of June 2022, Sethi owned approximately 15 percent of Charter. O’Brien, Gelb, and Tang were also owners and members of Charter, and they comprised the Charter Board of Managers. Charter’s Operating Agreement (“the Charter Operating Agreement”) authorized

the involuntary assignment of a member’s ownership rights to the remaining members upon a vote of members holding 75 percent of the ownership interest in Charter. II. The CAO Termination According to Sethi, as of 2022, he was the most profitable surgeon within PVOA, and he had excellent relationships with the staff and his patients. On June 13, 2022, however, CAO notified Sethi by letter (“the CAO termination letter”) that he was being terminated for cause (“the CAO termination”). O’Brien authored the CAO termination letter in his capacity as a CAO Vice President and PVOA’s designated member on the CAO Board of Managers. Sethi had received no prior notice of the CAO termination, and he had not been informed by O’Brien, Gelb, or Tang that he was under investigation for possible misconduct or that they were considering terminating him. The CAO termination letter identified three specific justifications for Sethi’s termination for cause: (1) in May 2022, he failed to “promptly execute and deliver” an amendment to his PSA, which had been necessitated by the addition of a new member to the practice, id. § 40; (2) he failed to report fees that he charged to a patient for a March 2021 procedure; and (3) during a surgery on January 27, 2022, he improperly left the operating room for a brief period and left a physician assistant (“PA”) in charge of the procedure. Under the PSA, which lists 15 specified categories of conduct that could justify termination for cause, for conduct that “does not involve an imminent threat to patient health and safety, Company shall provide notice to Physician of its intent to terminate [the PSA] and Physician shall have a period of thirty (30 days) from the date of such notice to cure such breach to the reasonable satisfaction of the Company, and if not so cured, [the PSA] shall terminate immediately upon expiration of such period.” Jd. § 31. While the CAO termination letter stated that the first basis for termination was curable, it stated that the other two

grounds were not curable. Although the CAO termination letter stated that Sethi’s discharge would be effective 30 days later, Sethi’s access to company databases and systems was cut off as of the date of the letter, June 13, 2022, and all of his scheduled surgical procedures following that date were canceled without Sethi’s input, requiring Sethi’s patients either to reschedule their procedures with different surgeons or to delay their surgery dates. Sethi asserts that the CAO termination was both procedurally and substantively improper. Procedurally, Sethi argues that CAO, PVOA, and the Individual Defendants did not provide him with either 30 days’ notice of the CAO termination or an opportunity to cure his alleged breaches of the PSA, as required by the PSA, and that all of the alleged breaches were curable. He further states that the CAO Operating Agreement required notice of a special meeting before a member could be involuntarily discharged, and that the Individual Defendants failed to issue such a notice prior to Sethi’s CAO termination. Sethi also asserts that the CAO termination was improper because he was not provided with information about any investigation conducted prior to his termination, he was not given the opportunity to respond to the results of any investigation, and there was no meeting of all members to discuss his termination. Substantively, Sethi disputes the validity of each of the stated reasons for the CAO termination. As for failing to sign and return the amended version of his PSA, Sethi states that he was in a busy period of surgeries and patient visits at the time of the proposed amendment, that he had not refused to sign the amended PSA, and that nobody had followed up with him to ask if he would sign it. As for failing to provide an accounting of fees arising out of a March 2021 surgery, Sethi asserts that the procedure was conducted outside of CAO, that he was permitted to retain the fees for medical services provided to patients outside of the practice without reporting the revenue

to CAO, that other PVOA physicians had engaged in the same practice, and that no other PVOA physician had previously been disciplined or terminated for such a practice. As for leaving a PA in charge of a surgery on January 27, 2022, Sethi asserts that the procedure was urgently rescheduled after it had originally been canceled due to the patient’s health complications, that Sethi left the operating room only briefly and had been present for all critical aspects of the procedure, and that not only was Sethi available to return to the operating room, but the procedure was successful and involved no complications or patient complaints.

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Sethi v. Potomac Valley Orthopaedic Associates, Chartered, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sethi-v-potomac-valley-orthopaedic-associates-chartered-mdd-2024.