Simek v. Orthopedic & Neurological Consultants, Inc.

2019 Ohio 3901
CourtOhio Court of Appeals
DecidedSeptember 26, 2019
Docket17AP-671
StatusPublished
Cited by5 cases

This text of 2019 Ohio 3901 (Simek v. Orthopedic & Neurological Consultants, Inc.) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Simek v. Orthopedic & Neurological Consultants, Inc., 2019 Ohio 3901 (Ohio Ct. App. 2019).

Opinion

[Cite as Simek v. Orthopedic & Neurological Consultants, Inc., 2019-Ohio-3901.]

IN THE COURT OF APPEALS OF OHIO

TENTH APPELLATE DISTRICT

Michael J. Simek, M.D., et al., :

Plaintiffs-Appellants/ : Cross-Appellees, : No. 17AP-671 v. (C.P.C. No. 15CV-6558) : Orthopedic & Neurological (REGULAR CALENDAR) Consultants, Inc., et al., :

Defendants-Appellees/ : Cross-Appellants. :

D E C I S I O N

Rendered on September 26, 2019

On brief: Vorys, Sater, Seymour and Pease LLP, Gary J. Saalman, and Damien C. Kitte, for appellants/cross- appellees. Argued: Gary J. Saalman.

On brief: Ice Miller LLP, James E. Davidson, and Catherine L. Strauss, for appellees/cross-appellants. Argued: James E. Davidson.

APPEAL from the Franklin County Court of Common Pleas

BEATTY BLUNT, J. {¶ 1} Plaintiffs-appellants/cross-appellees, Michael J. Simek, M.D., Scott M. Otis, M.D., and Emily J. Yu, M.D., appeal from a judgment of the Franklin County Court of Common Pleas granting in part the motion for summary judgment of defendants- appellees/cross-appellants, Orthopedic & Neurological Consultants, Inc. ("the medical corporation"), Orthopedic & Neurological Associates ("the real estate partnership"), Carl Berasi, D.O., Mark E. Gittins, D.O., Gregory A. Mavian, D.O., Daryl R. Sybert, D.O., Michael B. Cannone, D.O., Larry T. Todd, D.O., Desmond J. Strutzman, D.O., Jeffrey E. Gittins, No. 17AP-671 2

D.O., Martin Taylor, D.O., Donald Rohl, D.O., Ying Chen, D.O., Robert J. Nowinski, D.O., and Jeremy Mathis, D.O. (the non-entity defendants collectively, "individual defendants"). For the reasons which follow, we reverse in part and affirm in part the judgment of the trial court. I. Facts and Procedural History {¶ 2} On July 30, 2015, Drs. Simek and Otis filed a complaint against defendants asserting claims for breach of contract, breach of fiduciary duty, unjust enrichment, conversion, and spoliation of evidence. On May 13, 2016, plaintiffs filed an amended complaint adding Dr. Yu as a plaintiff. {¶ 3} Plaintiffs are physicians who specialize in physical medicine and rehabilitation ("PM&R"). The individual defendants are osteopathic physicians. Plaintiffs are former shareholders of the medical corporation and current partners in the real estate partnership. The individual defendants are both current shareholders of the medical corporation and current partners in the real estate partnership. {¶ 4} Plaintiffs were initially employed as physicians in the medical corporation before becoming shareholders. When plaintiffs became shareholders, they executed employment agreements defining the terms of their compensation. Essentially, plaintiffs' compensation as shareholder-physicians was equal to their net receipts for professional services minus charges for overhead. When plaintiffs became shareholders in the medical corporation, they were offered the opportunity to purchase an interest in the real estate partnership. Each plaintiff took advantage of this opportunity. {¶ 5} Shareholders of the medical corporation formed the real estate partnership in 1981 to own, hold, and develop medical office buildings. (Am. Compl. Ex. A, Partnership Agreement (hereafter "Partnership Agreement"), Section 2.) Historically, only shareholders of the medical corporation could become partners in the real estate partnership. The real estate partnership owned the following medical office buildings: 1313 Olentangy River Road in Columbus, Ohio ("Olentangy"); 70 South Cleveland Avenue in Westerville, Ohio ("Westerville"); and 4420 Refugee Road in Columbus, Ohio. {¶ 6} The real estate partnership leased space in each building to the medical corporation. Dr. Berasi, the medical corporation's president, explained that the real estate partnership had "delegated to [the medical corporation] some of the management for those No. 17AP-671 3

buildings." (Apr. 18, 2016 Berasi Dep. at 23.) Dr. M. Gittins, head of the medical corporation's finance committee, affirmed that the finance committee for the medical corporation also served as the finance committee for the real estate partnership. (M. Gittins Dep. 32-33.) {¶ 7} The real estate partnership also owned a 28 percent interest in a building known as Medical Office Building 2 ("MOB2") located in New Albany, Ohio. (Simek Dep. Ex. 18; Steffen Dep. at 124.) The other owners of MOB2 included some of the individual defendants and Equity, a real estate company. (Simek Dep. at 47; Apr. 18, 2016 Berasi Dep. at 106.) The medical corporation leased office space in MOB2. {¶ 8} Another tenant in MOB2 was an ambulatory surgical center ("ASC") known as the New Albany Surgical Center ("NASC"). A number of the individual defendants were owner/investors in NASC.1 Drs. Simek and Yu attempted to become owner/investors in NASC when the entity was formed. However, Dr. Berasi informed them that they could not join the entity because the other investors "wanted only to have surgeons as partners" in NASC. (Simek Dep. at 167.) {¶ 9} In February 2006, the medical corporation created a pain procedure suite in its New Albany office. Prior to the creation of the pain procedure suite, the PM&R physicians would perform spine injections at local area hospitals. The pain procedure suite allowed the PM&R physicians to perform spine injections in the medical corporation's offices. {¶ 10} Plaintiffs explained that they were compensated at a higher rate for performing injections in the pain procedure suite, versus when they performed the same injection at a hospital or an ASC, because procedures performed in the pain procedure suite were considered office-based procedures. (Simek Dep. at 108-09, 126; Yu Dep. at 41-42.) Dr. Otis noted that third-party payors, such as Medicare, compensated office-based procedures at a higher rate to try to "influence point of service." (Otis Dep. at 149.) {¶ 11} Dr. Berasi, however, stated that the physician's fee for a particular injection was the same regardless of whether the physician performed the procedure in a hospital or

1 The original owner/investors of NASC were Drs. Cannone, Chen, Duffey, J. Gittins, M. Gittins, Nowinski,

Rohl, Stutzman, and Todd, as well as the Sybert Family 2007, LLC. (M. Gittins Dep. Ex. 1.) Dr. Berasi became an owner/investor in NASC in 2015. (Apr. 18, 2016 Berasi Dep. at 111.) No. 17AP-671 4

in a regular exam room. Dr. Berasi stated that what the third-party payors paid more for was the "facility fee that goes beyond the physician's injection" when the procedure was performed in a hospital or an ASC. (Apr. 18, 2016 Berasi Dep. at 58.) {¶ 12} After he became president of the medical corporation in 2012, Dr. Berasi directed the medical corporation's CEO, Chris Masciola, to perform an analysis of the pain procedure suite. Masciola emailed his findings to Dr. Berasi in early 2014. Masciola found that the pain procedure suite had yearly expenses of roughly $492,000 and yearly revenue of roughly $1.8 million. Masciola indicated that, while the revenue from the pain procedure suite was split among the PM&R physicians, the expenses were split among all of the shareholders, "resulting in a net loss for most of the physicians." (Yu Dep. Ex. 7.) Masciola proposed alternative possible compensation formulas for the pain procedure suite. {¶ 13} At a February 25, 2014 medical corporation board meeting, Dr. Berasi made a motion to change the compensation structure for procedures performed in the pain procedure suite to a revenue split model. Under the revenue split model, the revenue from the pain procedure suite would be split into a professional component and a facility component at a 55 to 45 percent ratio. (Yu Dep. Ex.

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Bluebook (online)
2019 Ohio 3901, Counsel Stack Legal Research, https://law.counselstack.com/opinion/simek-v-orthopedic-neurological-consultants-inc-ohioctapp-2019.