Dr. Safadi & Assocs., Inc. v. McColley , 2023 Ohio 1234 ( 2023 )


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  • [Cite as Dr. Safadi & Assocs., Inc. v. McColley, 
    2023-Ohio-1234
    .]
    IN THE COURT OF APPEALS OF OHIO
    SIXTH APPELLATE DISTRICT
    LUCAS COUNTY
    Dr. Safadi & Associates, Inc.                               Court of Appeals No. L-22-1182
    Appellant                                          Trial Court No. CI0202202687
    v.
    Dana M. McColley, C.N.P.                                    DECISION AND JUDGMENT
    Appellee                                           Decided: April 14, 2023
    *****
    Roman Arce and Franceska N. Edinger, for appellant.
    Jared J. Lefevre and Charles E. Hatch, for appellee.
    *****
    ZMUDA, J.
    {¶ 1} This matter is before the court upon the appeal of appellant, Dr. Safadi &
    Associates, Inc.,1 challenging the judgment of the Lucas County Court of Common Pleas,
    denying Dr. Safadi’s request for a permanent injunction and granting judgment in favor
    of appellee, Dana M. McColley, C.N.P. on each of appellant’s claims. For the reasons
    that follow, we affirm.
    1
    For ease of discussion, we refer to appellant as “Dr. Safadi.”
    I.     Background and Procedural History
    {¶ 2} In 2016, McColley accepted a position with Dr. Safadi to provide nurse
    practitioner services to Dr. Safadi’s allergy and immunology practice. Dr. Safadi is the
    sole physician in the practice and he employs physician assistants and nurse practitioners
    to provide almost all of the direct patient care. McColley had prior experience, working
    in an emergency room as a nurse and for a family practice as a certified nurse practitioner
    (C.N.P.). As part of the employment agreement with Dr. Safadi, the parties negotiated a
    non-solicitation/non-competition provision, as follows:
    8.1 The Employee acknowledges and agrees that prior to her
    employment under this Agreement that she did not have any experience
    working with patients with allergy or immunology problems and as a result
    of this employment, will receive training that would enable her to compete
    with the Employer’s practice if this Agreement is terminated. The
    Employee further acknowledges and agrees that as a result of this
    employment, she will obtain knowledge of trade secrets, patients, patients’
    needs, and medical information, et al., which, if used by her subsequent to
    her termination, could endanger Employer’s ability to properly and
    profitably function. Finally, the Employee acknowledges and agrees that as
    a result of this employment, she will be afforded the opportunity to meet
    and ingratiate herself with the Employer’s patients, which, in the event of
    2.
    the termination of this Agreement, would provide her with the opportunity
    to appropriate goodwill belonging to the Employer. Therefore, in the event
    of the termination of this Agreement by either party for any reason, the
    Employee agrees that she will not do any of the following as an employee,
    agent, partner, member, shareholder, consultant or in any other capacity, for
    a period of three (3) years from the date of termination within thirty (30)
    miles of any office operated by the Employer at the time of termination:
    8.1.1 Directly or indirectly provide services involving the medical
    field of allergy or immunology to anyone or solicit, on behalf of anyone,
    patients with allergy or immunology problems; and
    8.1.2 Use or divulge any information obtained while she was an
    Employee, including but not limited to, names of patients, patients’ needs,
    patients’ addresses or other contact information, any medical information
    whatsoever concerning any patient and/or any and all other knowledge in
    the nature of “trade secrets” of Employer.
    {¶ 3} In early 2022, McColley sought out a new position, intending to leave Dr.
    Safadi’s practice. McColley submitted her resume to The Toledo Clinic on May 2, 2022,
    after hearing of an opening in the practice of Dr. Christopher Perry, D.O. McColley
    confided in her friend and coworker, Meghan Simpson, regarding her job search. In a
    3.
    text exchange, prior to her meeting with Dr. Perry, McColley expressed concern
    regarding the non-compete provision of her employment agreement.
    {¶ 4} Soon after applying, McColley interviewed with Dr. Perry. Dr. Perry is
    board certified in otorhinolaryngology, commonly referred to as ear, nose, and throat
    (ENT), and facial plastic surgery. After this meeting, McColley followed up with Terri
    Gingery, the office manager for human resources at The Toledo Clinic, providing notice
    of the non-compete provision in her employment agreement with Dr. Safadi. McColley
    emailed Gingery on May 9, 2022, and provided a copy of Dr. Safadi’s non-compete
    provision. She indicated her attorney wished to “understand how the Toledo Clinic
    foresees addressing the non-compete provision, because I am directly liable for any
    breach of the non-compete clause.” She requested The Toledo Clinic attorneys contact
    her attorney to discuss the issue.
    {¶ 5} On May 12, 2022, McColley resigned her position with Dr. Safadi and gave
    the 90-day notice required under the Employment Agreement. However, after
    discussion, the parties mutually agreed that McColley’s last day would be June 8, 2022.
    {¶ 6} On May 17, 2022, The Toledo Clinic extended a written offer of
    employment to McColley. On that same date, Terri Gingery emailed McColley,
    welcoming her to the practice and providing forms McColley needed to sign as part of
    the hiring process.
    4.
    {¶ 7} Following this offer, McColley exchanged text messages with Meghan
    Simpson regarding the non-compete. On May 23, 2022, McColley told Simpson she
    needed to decide whether to risk “30-40 grand” in legal fees, should Dr. Safadi pursue
    legal action, or to re-apply for other jobs. McColley and Simpson discussed the situation,
    and McColley stated, “Well [Dr.] Perry said that I can’t work there and do nothing
    allergy. [I]t just wouldn’t work.”
    {¶ 8} That same day, McColley notified Dr. Safadi that she had accepted a
    position with The Toledo Clinic ENT, effective June 20, 2022, working for Dr. Perry.
    {¶ 9} Once McColley had given notice to Dr. Safadi, she exchanged text messages
    with Dr. Perry regarding the non-compete provision. Dr. Perry indicated:
    I haven’t heard anything from [Dr.] Safadi yet. Just wanted to give
    you a heads up though. You should be receiving an employment contract
    soon. Also, you should receive another contract that spells out what would
    happen in the worst case scenario in the unlikely event that [Dr.] Safadi
    sues and wins your case. But the bottom line is that you will not be liable
    for any damages or attorney fees past this point.
    The Toledo Clinic ultimately entered into a written agreement with McColley, providing
    for a legal defense “of any breach of contract claim brought against you by Dr. Safadi &
    Associates, Inc. (“Former Employer”) with respect to the non-compete and non-
    solicitation provisions” within Dr. Safadi’s Employment Agreement.
    5.
    {¶ 10} On June 14, 2022, Dr. Safadi filed a verified complaint in the Lucas
    County Court of Common Pleas, seeking injunctive relief and monetary damages,
    alleging a breach of the non-competition and non-solicitation agreement by McColley.
    Dr. Safadi also filed a motion for a temporary restraining order. On June 15, 2022,
    McColley filed a brief in opposition to a temporary restraining order. The trial court
    granted the motion for a temporary restraining order on June 16, 2022, temporarily
    preventing McColley from commencing her employment with The Toledo Clinic ENT.
    {¶ 11} On June 30, 2022, McColley filed an answer to the verified complaint,
    asserting defenses that included a lack of breach of contract, in that the non-competition
    agreement did not “apply to services in the medical field of otolaryngology (ENT).”
    Alternatively, McColley asserted that the non-competition agreement “is unreasonable
    and unenforceable under Ohio law in its scope, length, and geographic restriction.”
    {¶ 12} On July 1, 2022, the parties agreed to consolidate hearing on the
    preliminary injunction with a trial on the merits, and the matter was tried to the court
    pursuant to Civ.R. 65(B)(2). In an order issued July 5, 2022, the trial court denied Dr.
    Safadi’s request for an injunction, dissolved the temporary restraining order issued June
    16, 2022, and found in favor of McColley on Dr. Safadi’s claims, ordering Dr. Safadi’s
    complaint dismissed. The trial court’s order indicated a written opinion would follow.
    {¶ 13} On August 4, 2022, the trial court entered an opinion and judgment entry,
    providing findings of fact and conclusions of law. Among other facts, the trial court
    6.
    found that Dr. Safadi’s practice and Dr. Perry’s ENT practice involve separate fields, and
    that Dr. Safadi and Dr. Perry held different board certifications, Dr. Safadi in pediatrics
    and allergy and immunology and Dr. Perry in the ENT specialty and in facial plastic
    surgery. The trial court also determined that there was very little overlap between Dr.
    Safadi’s and Dr. Perry’s practice that involved the treatment of allergy patients, and Dr.
    Perry used different methods and treatments. As a result, Dr. Perry would need to train
    McColley for six months before she could provide any services to The Toledo Clinic
    ENT patients.
    {¶ 14} After addressing the law governing non-competition agreements, both
    generally and for medical services, the trial court found the non-competition agreement
    was unreasonable as to the geographic restriction, without consideration of reasonable
    terms that would preserve the parties’ bargain. The trial court then found that Dr. Safadi
    failed to demonstrate that McColley breached her Employment Agreement by accepting
    employment with Dr. Perry and The Toledo Clinic ENT, with no analysis regarding this
    finding. The trial court entered judgment in favor of McColley as to Dr. Safadi’s verified
    complaint.
    {¶ 15} Dr. Safadi filed a timely appeal from the judgment.
    II.    Assignments of Error
    {¶ 16} Dr. Safadi argues three assignments of error on appeal:
    7.
    (1) The trial court erred by depriving [Dr. Safadi] of the benefit of
    the pre-hire bargain reached with [McColley] because during pre-hire
    negotiations for an Employment Agreement, [McColley] agreed to a three-
    year post-employment restriction on her providing “services in the medical
    field of allergy or immunology,” and not just a two-year restriction on her
    joining a medical practice “that specializes solely in allergy treatment or
    immunology,” as proposed by [McColley] and her attorney during pre-hire
    negotiations.
    (2) The trial court erred by concluding that [Dr. Safadi] does not
    have a legitimate business interest to protect because: (1) the trial court
    mistakenly applied the legal standard applicable to restrictive covenants on
    physicians, (2) [McColley’s] employment with the Toledo Clinic entails
    providing “services involving the medical field of allergy or immunology,”
    using skill, experience, training, and confidential information [McColley]
    acquired solely by virtue of her employment with [Dr Safadi], and (3)
    under applicable law, each of the relevant factors to be considered favor
    enforcement of the non-compete provision agreed to and accepted by
    [McColley].
    (3) The trial court erred: (1) by concluding that the geographic reach
    of the non-compete provision is unreasonable, and (2) even if the
    8.
    geographic scope is unreasonable, by failing to determine a lesser
    geographic restriction that would protect [Dr. Safadi’s] legitimate business
    interests without imposing undue hardship on [McColley] or injuring the
    public.
    III.   Analysis
    {¶ 17} The trial court’s ruling was two-fold, finding both an unreasonable non-
    compete provision and finding that McColley did not breach the Employment
    Agreement. While the trial court addressed the reasonableness of the non-compete
    provision first, before finding that McColley did not breach the agreement, we look to the
    language of the agreement first, as a threshold matter, to determine whether McColley’s
    subsequent employment with Dr. Perry violated the terms of that agreement.
    A. Breach of Contract
    {¶ 18} In the first assignment of error, Dr. Safadi argues that the trial court denied
    him the benefit of the bargain because McColley agreed to a restriction on her post-
    employment work in providing “services in the medical field of allergy or immunology.”
    In support, he relies on the negotiations between the parties, and more specifically, Dr.
    Safadi’s rejection of McColley’s proposed language that clarified restrictions against
    joining a practice “that specializes solely in allergy treatment or immunology.”
    9.
    1. Contract interpretation is subject to de novo review.
    {¶ 19} The first assignment of error presents an issue of contract interpretation.
    Because this issue presents a question of law, we review the trial court’s judgment
    relative to breach of the contract, applying de novo review. Amalgamated Transit Union,
    AFL-CIO, Local 697 v. Toledo Area Regional Transit Authority, 
    2020-Ohio-6655
    , 
    164 N.E.3d 569
    , ¶ 25 (6th Dist.), citing St. Marys v. Auglaize Cty. Bd. of Commrs., 
    115 Ohio St.3d 387
    , 
    2007-Ohio-5026
    , 
    875 N.E.2d 561
    , ¶ 38.
    {¶ 20} The law governing contract interpretation is well-settled. Beverage
    Holdings, LLC v. 5701 Lombardo, LLC, 
    159 Ohio St.3d 194
    , 
    2019-Ohio-4716
    , 
    150 N.E.3d 28
    , ¶ 13. We must “give effect to the intent of the parties, and we presume that
    the intent of the parties is reflected in the plain language of the contract.” 
    Id.,
     citing
    Westfield Ins. Co. v. Galatis, 
    100 Ohio St.3d 216
    , 
    2003-Ohio-5849
    , 
    797 N.E.2d 1256
    , ¶
    11. Where the terms within the agreement are clear and unambiguous, we will not
    “create a new contract by finding an intent not expressed in the clear and unambiguous
    language of the written contract.” Hamilton Ins. Serv., Inc. v. Nationwide Ins. Cos., 
    86 Ohio St.3d 270
    , 273, 
    714 N.E.2d 898
     (1999), citing Alexander v. Buckeye Pipe Line Co.,
    
    53 Ohio St.2d 241
    , 246, 
    374 N.E.2d 146
     (1978).
    2. The express terms of the non-compete provision address specialty
    and not treatment in restricting subsequent employment.
    {¶ 21} In this case, Dr. Safadi focuses on the terms of the non-compete provision,
    which prohibit McColley from working for a period of three years, within 30 miles of any
    10.
    of Dr. Safadi’s offices, and “directly or indirectly [providing] services involving the
    medical field of allergy or immunology to anyone[.]” We find no ambiguity in these
    terms, and therefore, do not consider the parties’ prior negotiations to explain these terms.
    “If no ambiguity appears on the face of the instrument, parol evidence cannot be
    considered in an effort to demonstrate such an ambiguity.” (Citation omitted) Shifrin v.
    Forest City Enterprises, Inc., 
    64 Ohio St.3d 635
    , 638, 
    597 N.E.2d 499
     (1992); see also
    Williams v. Spitzer Autoworld Canton, L.L.C., 
    122 Ohio St.3d 546
    , 
    2009-Ohio-3554
    , 
    913 N.E.2d 410
    , ¶14, quoting Ed Schory & Sons, Inc. v. Soc. Natl. Bank, 
    75 Ohio St.3d 433
    ,
    440, 
    662 N.E.2d 1074
     (1996) (integrated, written agreement does not permit evidence of
    “antecedent understandings and negotiations” to vary or contradict the writing)
    (additional citation omitted).
    {¶ 22} Dr. Safadi argues that the prohibition involving the “medical field of
    allergy or immunology” bars McColley’s employment with Dr. Perry’s ENT practice,
    because the ENT practice sees and treats patients with allergies. As support for this
    position, Dr. Safadi relies on the texts and emails of McColley and Dr. Perry, voicing
    concern regarding the non-compete provision, as well as Dr. Perry’s testimony of
    overlapping areas of his ENT practice and Dr. Safadi’s allergy and immunotherapy
    practice. Based on these overlapping areas, and bolstered by evidence of concern, Dr.
    Safadi argues that, because Dr. Perry’s ENT practice also treats allergy patients within
    his own specialty, McColley’s employment with Dr. Perry violates the noncompete
    11.
    provision. Our analysis, however, is limited to the terms included in the Employment
    Agreement.
    {¶ 23} In construing the terms based on treatment, Dr. Safadi contends the non-
    compete language includes any type of practice that might provide overlapping care with
    the “medical field of allergy or immunology.” The agreement, in this case, contains
    terms that do not address overlapping care, similar fields, or even allergy treatment.
    Instead, the clear language limits McColley’s employment after separation from directly
    or indirectly providing her services “involving the medical field of allergy or
    immunology.” Thus, we must consider what is meant by the phrase “provide services
    involving the medical field of allergy or immunology.”2
    {¶ 24} In considering this phrase, we give common words in the agreement “their
    ordinary meaning unless manifest absurdity results or unless some other meaning is clear
    from the face or overall contents of the agreement.” Cincinnati Ins. Co. v. Anders, 
    99 Ohio St.3d 156
    , 
    2003-Ohio-3048
    , 
    789 N.E.2d 1094
    , ¶ 34, citing Alexander at paragraph
    two of the syllabus; Shifrin, 64 Ohio St.3d at 638, 
    597 N.E.2d 499
    .
    2
    The parties do not address any argument to the “directly or indirectly” language. The
    language is not defined within the agreement. “Direct” has been defined as “marked by
    the absence of an intervening agency, instrumentality, or influence,” with “indirect”
    meaning “not direct, as deviating from a direct line or course.” Merriam Webster’s
    Collegiate Dictionary, 10th Ed. (1996), 328; 593. Applying these meanings to the record,
    it could be said that McColley provided direct care to Dr. Safadi’s patients, while
    employed there, and Dr. Safadi provided indirect care as the collaborating physician,
    supervising and reviewing McColley’s work. Because the parties make no attempt to
    argue the meaning of “directly or indirectly,” relative to the applicability of the non-
    compete provision of the agreement, we need not address such argument in this appeal.
    12.
    {¶ 25} The phrase “the medical field of allergy and immunology” is not defined
    within the agreement. However, based on context, the term, “field,” means “an area or
    division of an activity.” Merriam Webster’s Collegiate Dictionary, 10th Ed. (1996), 433;
    see also Merriam-Webster’s Medical Desk Dictionary (1993), 242 (defining “field” as
    “an area of division of an activity”).
    {¶ 26} The phrase, “medical field,” moreover, specifies the “area or division” of
    “allergy and immunology.” “Allergy” is the “medical practice concerned with allergies.”
    Merriam-Webster’s Medical Desk Dictionary at 22. “Immunology” is “a science that
    deals with the immune system and the cell-mediated and humoral aspects of immunity
    and immune responses,” and an immunologist is “a specialist in immunology.” Id. at
    328.
    {¶ 27} Finally, the terms of the non-compete provision prohibit McColley from
    providing services “involving the medical field of allergy or immunology.” The term
    “involve,” as used in the agreement, has been defined as “to have within or as part of
    itself: include; to require as a necessary accompaniment: entail.” Merriam Webster’s
    Collegiate Dictionary at 617.
    {¶ 28} Considering the language as a whole, and based on the meaning of the
    terms comprising the restriction, the phrase “involving the medical field of allergy or
    immunology” denotes a specialty. A “specialist” is “a medical practitioner who limits his
    practice to a particular class of patients (as children) or of diseases (as skin diseases) or of
    13.
    technique (as surgery); esp: a physician who is qualified by advanced training and
    certification by a specialty examining board to so limit his practice.” Merriam Webster’s
    Medical Desk Dictionary at 664; see also Merriam-Webster’s Collegiate Dictionary at
    1128 (“specialize” means “to concentrate one’s efforts in a special activity, field, or
    practice”).
    3. Dr. Safadi’s practice differs from Dr. Perry’s practice.
    {¶ 29} In challenging the trial court’s judgment, finding no breach of the
    agreement, Dr. Safadi argues that the non-compete provision bars McColley from
    treating allergy patients within 30 miles, for three years. Much of the testimony cited by
    Dr. Safadi, in support, demonstrates that a small part of Dr. Perry’s ENT practice
    involves seeing allergy patients and prescribing treatments also prescribed within the
    sphere of immunotherapy. Had the agreement prohibited McColley from treating allergy
    patients within 30 miles, for three years, the non-compete provision would have barred
    McColley’s employment from this and numerous other practices that might see and treat
    allergy patients. McColley recognized this fact in her testimony, stating:
    I think it comes down to wording as far as allergy patients. If that
    was the case, then I wouldn’t be able to see patients in the emergency room
    setting, I wouldn’t be able to see patients in Urgent Care settings, because
    allergy symptoms are a chief complaint there. My family practice, allergies
    are a very common, chronic condition in which family practice providers
    14.
    have to manage. So I think that comes – it’s hard to interpret. This was a
    complete different specialty, it was in the field – or medical specialty of
    otolaryngology, it was not specifically the field of allergy and immunology.
    I did not apply to – I believe at one point in time I did see that Toledo
    Clinic allergy department was hiring, I never applied or reached out in
    regards to that position.
    {¶ 30} Here, the evidence demonstrated Dr. Perry’s practice involves a different
    specialty, ENT and facial plastic surgery. Dr. Perry contrasted his practice from Dr.
    Safadi’s practice, denying his practice competes with Dr. Safadi’s practice for patients.
    Dr. Perry explained:
    I would also like to point out that Dr. Safadi’s practice is completely
    different from mine. The education is different, he goes through internal
    medicine or pediatrics residency, followed by an allergy and immunology
    fellowship. My training was in, as I said, ENT and facial plastic surgery,
    and a small part of my training is in allergy. Allergists work in a lot of
    different areas that I don’t work in, they do chemical testing, drug testing.
    And a part of what an allergist immunologist does is work with the immune
    system, which, I don’t have any – I don’t do any work in that arena as well.
    Dr. Perry also addressed the training that McColley would require, despite her prior
    experience with Dr. Safadi.
    15.
    She has experience as a nurse practitioner, but she’s working in a
    completely different field, as we’ve established, a completely different field
    of medicine. And so she’s – she’s gonna require some extensive training.
    And so, for me being the owner of my practice, it’s an investment, and
    that’s why I’m here, because I’m willing to make the investment in her, I
    think she’s worth the investment. For me to hire her and train her, it’s
    gonna take six months of time, and during that time I pay her salary but
    she’s not making – she’s not seeing patients, she’s not making any money.
    So, yeah, ENT is a very broad field, completely different than an allergy
    and immunology, and so it’s going to take a considerable amount of my
    time to train her, to get her up to speed before she’s gonna, in my opinion,
    be ready to see patients. I have a very high standard in my practice.
    {¶ 31} In emphasizing the difference between Dr. Safadi’s allergy and
    immunology practice and his own specialty, Dr. Perry acknowledged that immunology is
    a small part of his ENT practice. But he also testified that he is not considered an
    allergist or immunologist, and he refers patients to allergists when the patient has
    “allergies to chemicals or drugs or foods or if they have immune problems.” Because
    “[t]here’s many types of allergies that I don’t treat,” Dr. Perry testified his allergy
    patients represent “a small subset of allergic diseases.” The allergy testing he performs,
    moreover, is limited to “inhalant allergies or airborne allergies.”
    16.
    {¶ 32} Dr. Perry testified that he also receives referrals from allergists, and has
    received referrals from Dr. Safadi’s practice in the last five years, including referrals
    from McColley3 during her employment with Dr. Safadi. As to the type of case that is
    referred, Dr. Perry indicated:
    Well, if patients aren’t getting better. If they have structural
    problems with their nose or sinus. If they have a deviated septum or nasal
    polyps. If they need surgery. If they have ear problems that require
    surgery or ear tubes or tonsils problems that require surgery. So there’s a
    lot of reasons why allergists refer patients to ENT.
    {¶ 33} Despite the differences in Dr. Safadi’s and Dr. Perry’s respective practices,
    Dr. Safadi argues McColley’s employment would violate the Employment Agreement
    because she will treat allergy patients in her new employment, in violation of the non-
    compete provision. Because the non-compete provision contains terms regarding
    specialty and not treatment, the fact that McColley may treat allergy patients within Dr.
    Perry’s practice is irrelevant. Limiting the restriction as provided in the express terms of
    the parties’ agreement, McColley’s employment with Dr. Perry’s ENT practice involves
    3
    Dr. Perry admitted he sought out information on McColley’s professional reputation and
    he noted the quality of her work within patient files, noting “she did a great job of
    curating her thoughts and providing – a good job of, I think, providing care up to a
    certain point with patients[.]” Dr. Perry also testified that he did not solicit McColley to
    apply for the position and he met her for the first time at her employment interview.
    17.
    providing services within the medical field of ENT, and not the medical field of allergy
    and immunology.
    4. The scope of practice for a CNP is limited by statute.
    {¶ 34} Dr. Safadi next argues that McColley will be able to use her training and
    experience from his practice in her new practice with Dr. Perry. Because the non-
    compete provision is defined in terms of medical specialty and not allergy treatment, this
    argument presumes that, even though Dr. Perry has an ENT practice, McColley would be
    permitted to provide patient care in the allergy and immunology field. Based on the clear
    law governing the scope of practice for a nurse practitioner in Ohio, Dr. Safadi’s
    argument lacks merit.
    {¶ 35} In some states, such as Delaware and New Mexico, a nurse practitioner
    may prescribe, diagnose, and treat patients without a supervising physician, and may
    even maintain a private practice. See, e.g., 24 Del. Code. Ann. 1902(b) (providing a
    nurse practitioner is “an expanded scope of nursing licensed as an independent licensed
    practitioner * * * performing acts of advanced assessment, diagnosing, prescribing, and
    ordering”); N.M.Stat. Ann. 61-3-23.2 (permitting nurse practitioners in New Mexico to
    “practice independently and make decisions regarding health care needs of the individual,
    family or community and carry out health regimens, including the prescription and
    distribution of dangerous drugs and controlled substances”). Ohio is not one of those
    states.
    18.
    {¶ 36} In Ohio, a nurse practitioner’s scope of practice is limited by R.C.
    4723.43(C) and R.C. 4723.431, which requires a nurse practitioner to operate “in
    collaboration with one or more physicians” according to the standard care arrangement
    entered into with each physician. See also Ohio Adm.Code Ann. 4723-8-01 et seq.
    (governing scope of practice and requirements for the standard care arrangement). In this
    case, McColley’s standard care arrangement with The Toledo Clinic ENT identified Dr.
    Perry as the collaborating physician, with the scope of services defined as “primary care
    & ENT.”
    {¶ 37} In arguing McColley’s employment will require her to treat allergy
    patients, Dr. Safadi interprets the non-compete provision more broadly than written,
    beyond services that involve or include or entail the allergy and immunology specialty as
    provided within the non-compete provision of the agreement. He also ignores the limited
    scope of McColley’s practice, with the scope extending only to practice in collaboration
    with her supervising physician as specified by her standard care arrangement with Dr.
    Perry. Aside from Dr. Safadi’s testimony that both he and Dr. Perry practice in the field
    of allergy and immunology, the evidence demonstrates the two doctors have different
    specialties. McColley’s practice, therefore, is necessarily limited to the ENT specialty.
    5. McColley did not breach the Employment Agreement by taking a position
    with Dr. Perry’s ENT practice.
    {¶ 38} Dr. Perry practices in a different medical field than the field of allergy and
    immunology, and McColley’s practice is statutorily limited to the scope defined within
    19.
    her standard care agreement. Therefore, having carefully considered the language of Dr.
    Safadi’s Employment Agreement, and more specifically, the language of the non-
    compete provision within that agreement, we find the prohibition applies only to
    employment with an allergy and immunology practice. While Dr. Safadi seeks to
    construe the language more broadly, to encompass all allergy and immunology patients,
    this language was not included in the parties’ agreement. We, therefore, find the trial
    court did not err in finding McColley did not breach the non-compete provision of her
    Employment Agreement with Dr. Safidi. The first assignment of error, accordingly, is
    not well-taken.
    B. Reasonableness of the Non-Compete Restrictions
    {¶ 39} In the remaining two assignments of error, Dr. Safadi argues the trial court
    erred in applying an incorrect standard in addressing the reasonableness of the restrictions
    on competition, and in finding the geographic range of the non-compete provision
    unreasonable without also addressing a lesser restriction to preserve the parties’
    agreement. These remaining assignments of error address the relief sought by Dr. Safadi
    for an alleged breach of the Employment Agreement.
    {¶ 40} Dr. Safadi sought permanent, injunctive relief to prevent McColley’s
    employment with Dr. Peters during the three-year period of restriction within the
    Employment Agreement. To prevail on the claim for a permanent injunction to enforce
    the non-compete provision, Dr. Safadi needed to “show that [his practice] is likely to
    20.
    suffer irreparable harm as a result of [McColley’s] breach of that clause.” Gimex
    Properities Corp., Inc. v. Reed, 
    2022-Ohio-4771
    , 
    205 N.E.3d 1
     (6th Dist.), ¶ 63, quoting
    Brentlinger Enterprises v. Curran, 
    141 Ohio App.3d 640
    , 646, 
    752 N.E.2d 994
     (10th
    Dist.2001). Having found no breach of the Employment Agreement, consideration of the
    reasonableness of the non-compete provisions is unnecessary.4 Dr. Safadi’s second and
    third assignments of error, therefore, are deemed moot.
    IV.    Conclusion
    {¶ 41} Having found substantial justice has been done, we affirm the judgment of
    the Lucas County Court of Common Pleas. Appellant is ordered to pay the costs of this
    appeal pursuant to App.R. 24.
    Judgment affirmed.
    A certified copy of this entry shall constitute the mandate pursuant to App.R. 27.
    See also 6th Dist.Loc.App.R. 4.
    Thomas J. Osowik, J.                           ____________________________
    JUDGE
    Christine E. Mayle, J.
    ____________________________
    Gene A. Zmuda, J.                                      JUDGE
    CONCUR.
    ____________________________
    JUDGE
    4
    We further note that consideration of the reasonableness of the terms is a fact-intensive
    review, with validity determined in each case “on its own facts.” Raimonde v. Van
    Vlerah, 
    42 Ohio St.2d 21
    , 25, 
    325 N.E.2d 544
     (1975). The facts of this case do not merit
    consideration of remedy without breach.
    21.
    This decision is subject to further editing by the Supreme Court of
    Ohio’s Reporter of Decisions. Parties interested in viewing the final reported
    version are advised to visit the Ohio Supreme Court’s web site at:
    http://www.supremecourt.ohio.gov/ROD/docs/.
    22.
    

Document Info

Docket Number: L-22-1182

Citation Numbers: 2023 Ohio 1234

Judges: Zmuda

Filed Date: 4/14/2023

Precedential Status: Precedential

Modified Date: 4/14/2023