Thakkar, S. v. Allegheny Clinic

CourtSuperior Court of Pennsylvania
DecidedDecember 16, 2025
Docket1436 WDA 2024
StatusUnpublished

This text of Thakkar, S. v. Allegheny Clinic (Thakkar, S. v. Allegheny Clinic) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Thakkar, S. v. Allegheny Clinic, (Pa. Ct. App. 2025).

Opinion

J-A19006-25

NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT O.P. 65.37

SHYAM THAKKAR, M.D. : IN THE SUPERIOR COURT OF : PENNSYLVANIA Appellant : : : v. : : : ALLEGHENY CLINIC, ALLEGHENY : No. 1436 WDA 2024 HEALTH NETWORK AND ACDH : ENDOSCOPY II, LLC :

Appeal from the Judgment Entered October 22, 2024 In the Court of Common Pleas of Allegheny County Civil Division at No(s): GD-21-001545

BEFORE: BOWES, J., STABILE, J., and BENDER, P.J.E.

MEMORANDUM BY BENDER, P.J.E.: FILED: December 16, 2025

Appellant, Shyam Thakkar, M.D., appeals from the judgment entered in

favor of Appellees, Allegheny Clinic (“AC”), Allegheny Health Network (“AHN”),

and ACDH Endoscopy II, LLC (“ACDH II”), following a non-jury trial. We

affirm.

Background

The trial court found the following facts in pertinent part: Dr. Thakkar is

an advanced therapeutic endoscopist gastroenterologist. Findings of Fact and

Conclusions of Law (“FFCL”), 6/10/24, at ¶ 1. AC is a domestic nonprofit

corporation that employs physicians and is a subsidiary of West Penn

Allegheny Health System, Inc., whose member is AHN. Id. at ¶ 2. ACDH II

is a Pennsylvania limited liability company comprised of physician-members

who perform procedures at McCandless Endoscopy Center. Id. at ¶ 3. ACDH J-A19006-25

II owns a 50% membership interest in McCandless Endoscopy Center, and

Allegheny General Hospital (“AGH”) owns the remaining 50% membership

interest. Id.1

Beginning in 2008, AC employed Dr. Thakkar as an advanced

therapeutic endoscopist gastroenterologist. Id. at ¶ 4. In September 2010,

Dr. Thakkar became a 20% member of ACDH II. Id. at ¶ 5.2 Dr. Thakkar

performed procedures at McCandless Endoscopy Center. Id. On July 1, 2017,

Dr. Thakkar entered into a Physician Employment Agreement with AC. Id. at

¶ 6. In relevant part, it provided: 5. Term. Unless terminated or renewed as hereinafter provided, the period of Physician’s employment under this Agreement shall commence as of July 1, 2017 (the “Commencement Date”), and shall terminate on June 30, 2020 (“Initial Term”). Each twelve (12) month period beginning on the Commencement Date, and each twelve month period thereafter which begins with each anniversary date of the Commencement Date, will be referred to as a “Contract Year.” Upon the expiration of the Initial Term and each applicable Renewal Term (hereinafter defined), this Agreement shall renew for additional successive one (1) year periods (“Renewal Term”), unless at least ninety days (90) prior to the expiration of the Initial Term or the applicable Renewal Term, as the case may be, either party shall have notified the other in writing that it does not intend to renew the Agreement or desires a modification to the terms and conditions of the Agreement. If there has been a timely notice received by one party from the other of an intent not to renew or a desire to modify a term or condition of the Agreement, and if the parties permit employment to continue beyond the above stated expiration date of the Initial Term or any subsequent Renewal Term without ____________________________________________

1 Testimony at trial indicated that AGH is an entity within AHN’s network. See N.T., 11/27/23 & 11/30/23, at 165-66, 191, 200, 204-05.

2 Dr. Thakkar testified that he became affiliated with ACDH II as part of his

recruitment at AC. N.T. at 63.

-2- J-A19006-25

mutually acceptable terms and conditions being agreed upon and reduced to writing, this Agreement shall be deemed extended on a month to month basis until such time as (i) the parties execute a legally binding document containing terms and conditions of or (ii) either party provides the other with written notice of termination. The Initial Term together with any Renewal Terms is referred to herein as the “Term”.

Either party may terminate this agreement, with or without cause, by giving the other party one-hundred-eighty (180) days[’] written notice.

Dr. Thakkar’s Exhibit 1 (“Physician Employment Agreement”) at ¶ 5; see also

FFCL at ¶¶ 27-30.

On March 11, 2020, Jennifer Certo, Vice President of the Medicine

Institute for AC and an employee of AHN, sent Dr. Thakkar a letter concerning

his Physician Employment Agreement with AC. Id. at ¶ 34. It stated: This letter serves as notice, pursuant to Section 5 of your Physician Employment Agreement with [AC] dated July 1, 2017 (the “Agreement”), that [AC] desires to modify the terms of the Agreement, effective July 1, 2020. We will present you with a new Physician Employment Agreement, to be effective July 1, 2020, that includes the modified terms.

In accordance with Section 5 of the Agreement, we have provided this letter to you more than 90 days prior to the expiration of the current renewal term of your Agreement (i.e., June 30, 2020).

I will reach out to schedule a meeting to discuss your new Physician Employment Agreement and any questions that you may have regarding this communication.

AHN and AC’s Exhibit F (“March 11, 2020 Letter”); see also FFCL at ¶¶ 35-

37.

On May 15, 2020, Dr. Thakkar discussed the construction of his new

contract with Ms. Certo, Diana Deweese, and Dr. Elie Aoun, the division chief

of the gastroenterology division. FFCL at ¶ 58; see also N.T. at 75, 249. On

-3- J-A19006-25

May 27, 2020, Ms. Certo emailed Dr. Thakkar stating that his compensation

package was being sent out for a third-party fair market value review to

finalize numbers and targets for the new contract. FFCL at ¶ 59. Between

May 27 and June 10, 2020, various discussions about compensation, role

positions, and metrics took place between Ms. Certo and Dr. Thakkar. Id. at

¶ 60. On June 11, 2020, AHN’s chief medical officer, Dr. Don Whiting — who

had reached out to Dr. Thakkar about an opportunity to become the chief

outcomes officer in April 2020 — emailed Dr. Thakkar, stating, “[I]t is my

understanding that your contract runs out at the end of the month. I will plan

to start a search for a new [o]utcomes director on Monday because I don’t

want to get to the end of the month and not have a smooth transition from

you.” Id. at ¶ 61 (citation omitted); see also N.T. at 73-75. Dr. Thakkar

replied that he “realize[d] the importance of having a contract in place.” FFCL

at ¶ 61 (citation omitted; brackets added by trial court). Later that day, Ms.

Certo communicated to Dr. Thakkar that his compensation and other targets

for the new contract met the standards of the market review process. Id. at

¶ 62.

On June 15, 2020, Dr. Thakkar provided a counteroffer to Ms. Certo’s

proposed new contract with a significant salary increase. Id. On this same

day, Dr. Whiting responded to this email thread, stating, “[B]ecause you did

not find ou[r] original offer acceptable[,] I must assume that you are declining

the [outcomes] position and therefore I will move forward [to] find another

person to fill the spot.” Id. at ¶ 63 (citation omitted; some brackets added).

-4- J-A19006-25

With the outcomes position withdrawn, Dr. Thakkar’s new contract was

required to be negotiated once again by Ms. Certo. Id. at ¶ 64. On June 18,

2020, Ms. Certo, Dr. Aoun, and Dr. Thakkar met to discuss Dr. Thakkar’s

counteroffer. Id. at ¶ 65. On June 19, 2020, Dr. Thakkar emailed these

parties stating his understanding that his current agreement would continue

month-to-month until a new contract was reached. Id. Ms. Certo responded

to his email the same day, writing: Attached please find an updated term sheet for your review.

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