Tuli v. Specialty Surgical Center of Thousand Oaks, LLC

CourtCalifornia Court of Appeal
DecidedOctober 16, 2024
DocketB321499
StatusPublished

This text of Tuli v. Specialty Surgical Center of Thousand Oaks, LLC (Tuli v. Specialty Surgical Center of Thousand Oaks, LLC) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tuli v. Specialty Surgical Center of Thousand Oaks, LLC, (Cal. Ct. App. 2024).

Opinion

Filed 10/16/24 CERTIFIED FOR PUBLICATION

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

SECOND APPELLATE DISTRICT

DIVISION EIGHT

RANDHIR S. TULI, B321499

Plaintiff and Appellant, Los Angeles County Super. Ct. No. (BC542350) v.

SPECIALTY SURGICAL CENTER OF THOUSAND OAKS, LLC et al.,

Defendants and Respondents.

APPEAL from judgment of the Superior Court of Los Angeles County, Gail Feuer and Robert Draper, Judges. Affirmed. Law Office of Bruce Adelstein and Bruce Adelstein for Plaintiff and Appellant. Holland and Knight, Jennifer L. Weaver and David I. Holtzman; the Ruttenberg Law Firm and David I. Ruttenberg for Defendants and Respondents. ____________________ Randhir Tuli is not a medical doctor, but he helped form a medical business. For a time, Tuli contributed to the enterprise, but then he lapsed into inactivity: he did nothing productive. He did, however, keep taking millions from the enterprise’s profits. His hardworking surgeon colleagues in this business became restive and sought to buy him out, but Tuli refused to surrender his lucrative perch. Then Tuli directed his lawyer to send an aggressive—and fateful—letter to a wide swath of recipients, including potential investors in the surgical business. The letter was professionally designed to be scary. It suggested the specter of criminal liability for all involved. Tuli had no good faith belief in the factual or legal basis for his specious claim. In response to his baseless and damaging letter, others in the limited liability company warned Tuli they would eject him without compensation, as was their right, unless he cured the situation within 30 days. Tuli spurned their offer. The surgeons made good on their ultimatum: they put Tuli out and paid him nothing. Tuli launched a decade-long litigation campaign against his former business colleagues. The trial court rejected all Tuli’s claims. We affirm. I From 1997 to 2005, Tuli and defendant Dr. Andrew Brooks worked together to create a group of surgery centers. Tuli was an experienced and sophisticated entrepreneur whose ventures had won him millions of dollars. At all relevant times, he was represented by legal counsel. Brooks was a surgeon, a veteran of some 15,000 operations.

2 A Tuli and Brooks located five of their surgery centers throughout the Los Angeles area. A sixth was in development in Thousand Oaks. This Thousand Oaks facility is the focus of this dispute. The entity that owned this business had the full name of Specialty Surgical Center of Thousand Oaks, LLC. We refer to it simply as Specialty. These centers created lower cost alternatives to hospitals: they eliminated a costly intermediary between surgeon and patient. For surgeries in hospitals, surgeons receive a fee for their work, but the hospital also charges—and keeps—a separate hospital facility fee that it does not share with surgeons. By contrast, the centers charged facility fees they returned proportionally to their owners, who were mainly surgeons, but who also included Tuli. The centers thus allowed doctors to own the surgery facility and to share in its substantial profits, free of hospital surcharges. The corporate form of ownership for each center was a limited liability company. Specialty was a limited liability company. An operating agreement governed its activities. As of July 2005, Tuli and Brooks owned equal interests in each company that owned each center. At centers besides Specialty, which then was nascent, other owners were the doctors Tuli and Brooks had recruited to join the limited liability companies, to perform surgeries at the centers, and to generate the centers’ income. Attracting more successful surgeons was important to the centers’ profitability. Tuli and Brooks wanted leading surgeons to join the centers’ limited liability companies and to bring their

3 business to the premises. Tuli and Brooks set the buy-in price to be low and attractive to the surgeons they were recruiting. The important thing was to gain their loyalty to—and their business at—the center. The more intensively the center was in use, the higher its profitability. In the doctor-patient relationship, surgeons usually make the vital business decision about where to operate. The centers wanted to recruit more successful surgeons, and thus more surgeries and more revenue. Between 1999 and 2005, Tuli and Brooks conducted between 15 and 30 syndications to bring new surgeons into their companies. Attracting new physician partners was the “lifeblood” of growing the facility. Brooks explained that “[p]hysicians start to retire, slow down, others move to a different area. So you want to always try to attract the best and most talented surgeons to your facility.” B In 2005, a Tennessee entity we will call Symbion paid Brooks and Tuli over $16 million each to buy their interests in every center except the Specialty location. Part of this transaction included Brooks’ and Tuli’s separate medical management company called Parthenon Management Partners, LLC, or Parthenon for short. Tuli and Brooks received an additional $333,333 for Parthenon’s management rights. Tuli and Brooks also entered into consulting agreements with Symbion. The consulting agreement fetched Tuli an additional $500,000 from 2008 to 2012. The Symbion transaction gave separate treatment to Specialty, which then was in development. Symbion took a 1%

4 interest in Specialty, with options to increase its share in the future. Tuli and Brooks collectively owned the other 99%. Tuli, Brooks, and Symbion set up Specialty to be a pass- through entity. Specialty did not accumulate retained earnings. Every month, it distributed to members all the revenue it collected from recent surgeries. The idea was to convince the member surgeons that this was an attractive and immediately profitable place for them to conduct surgeries. As Tuli testified, “[y]ou want to make them feel like, hey, I’m earning something valuable here.” As a result, every month Specialty would exhaust its cash on hand. Specialty did not own physical assets. Personally and separate from Specialty, Tuli and Brooks had jointly owned the physical property, but Tuli sold his half of this asset to Brooks for $2 million before this dispute arose. Specialty’s only real asset, then, was its members’ entitlements to get a share of the revenues from future surgeries. Its one asset was prospective only. Symbion, Tuli, and Brooks negotiated the original operating agreement for Specialty. They signed this agreement in 2005. There was no publicly traded market in Specialty’s shares. Tuli and Brooks had designed Specialty to be a closed and selective organization; they wanted complete control over the surgeon investors they would solicit and would accept for membership in their elite and highly profitable firm. It took a lot more than just money to become a Specialty member. As Brooks testified, “It’s just like a law firm. Legally, I could probably own part of a law firm, but I would never do that, never be allowed to do that. It’s not a marketable security. It’s very limited people

5 who you could sell it to, who would be qualified physician investors, and every transfer has to be approved by the governing board.” The 2005 purchase agreement gave Symbion two options to buy additional shares in Specialty. Symbion exercised the first option in February 2009, purchasing membership units from Tuli and Brooks for $54,265 per unit. Other doctors also had purchased membership interests in Specialty, and so Symbion’s option exercise meant Tuli and Brooks then each owned an 11.3% membership interest in Specialty. Symbion’s second option had an exercise date in 2011. Had Symbion exercised that option, it would have taken over all of Tuli’s and Brooks’ membership interests in Specialty. Symbion ultimately did not exercise this option.

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