Filed 4/30/15 Sabit v. Abou-Samra CA2/6
                  NOT TO BE PUBLISHED IN THE OFFICIAL REPORTS
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              IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

                                     SECOND APPELLATE DISTRICT

                                                   DIVISION SIX


ARIA OMAR SABIT et al.,                                                    2d Civil No. B249793
                                                                     (Super. Ct. No. 56-2012-00427968-
     Plaintiffs and Appellants,                                                 CU-BT-VTA)
                                                                              (Ventura County)
v.

MOUSTAPHA ABOU-SAMRA et al.,

     Defendants and Appellants;

COMMUNITY MEMORIAL HEALTH
SYSTEM et al.,

     Defendants and Respondents.


                   Aria Omar Sabit and Aria Omar Sabit, a professional corporation ("Sabit"),
appeal the trial court's order granting a special motion to strike filed by Community
Memorial Health System, doing business as Community Memorial Hospital ("the
Hospital"); the medical staff of Community Memorial Hospital; and named individuals
comprising the Hospital's peer review committee (all aforementioned defendants referred
to collectively as "the Hospital defendants"). We conclude that the court properly
granted a special motion to strike the two causes of action alleged against the Hospital
defendants as a strategic lawsuit against public participation ("SLAPP"), and we affirm.
(Code Civ. Proc., § 425.16.)1
              Sabit also appeals the trial court's order granting a special motion to strike
filed by Moustapha Abou-Samra and Moustapha Abou-Samra, a professional corporation
(collectively "Abou-Samra"), regarding a cause of action for intentional interference with
prospective economic advantage. We conclude that the court also properly granted this
anti-SLAPP motion, and we affirm.
              Abou-Samra cross-appeals the trial court's order denying an anti-SLAPP
motion regarding two causes of action for breach of contract and one cause of action for
an accounting. We conclude that the court properly denied the anti-SLAPP motion
regarding these three causes of action, and we affirm.
                        FACTUAL AND PROCEDURAL HISTORY
              Sabit and Abou-Samra are California-licensed physicians who specialize in
neurosurgery. On July 1, 2009, Sabit began employment with Abou-Samra's professional
corporation pursuant to a written employment agreement. The agreement required Sabit
to obtain medical staff privileges at the Hospital and to provide neurosurgical services for
three years. It also set forth Sabit's compensation as a monthly salary, bonus
compensation calculated according to a specified formula, and other monetary benefits,
including an automobile allowance and reimbursement of certain expenses.
              On September 16, 2010, after Sabit formed a professional corporation, the
parties entered into an independent contractor agreement to "supersede and replace" the
existing employment agreement. ("Independent Contractor Agreement," ¶ 8.3, p. 12.)
This agreement also provided for a monthly salary, bonus compensation calculated
according to a specified formula, and reimbursement of certain expenses. The agreement
permitted early termination in the event Sabit lost his staff privileges at the Hospital,




1
  All further statutory references are to the Code of Civil Procedure unless stated
otherwise. We will refer to the parties by collective names except where clarity demands
that we draw a distinction.
                                               2
either temporarily or permanently. (Id., ¶ 5.1, pp. 8-9.) In that event, Sabit would receive
payment of any accrued and unpaid compensation, but not bonuses.
               On December 3, 2010, the Hospital's peer review committee, the Medical
Executive Committee, informed Sabit that it was summarily suspending his provisional
staff privileges at the Hospital "to protect the life or well-being of patients [and] to reduce
imminent danger to the life, health or safety of any person." The written notice of
suspension referred to two instances where Sabit allegedly did not render appropriate
medical care to patients. The committee also scheduled a meeting for December 7, 2010,
during which Sabit could defend the accusations of providing inappropriate medical care.
               Upon learning that Sabit had been suspended summarily from Hospital
privileges, Abou-Samra terminated the independent contractor agreement by written
notice dated December 3, 2010. In the written termination notice, Abou-Samra
referenced Sabit's "unacceptable surgical complication and infection rates," his
incomplete and misleading medical records, and his failure to obtain permanent Hospital
staff privileges.
               At the December 7, 2010, Hospital peer review hearing, Sabit appeared,
discussed his medical practices and patient care, and responded to questions. The
committee then decided to reinstate Sabit's provisional privileges, but it required his
improvement in six specified areas regarding patient care. Two weeks later, however,
Sabit resigned from the Hospital medical staff.
                                   Complaint Allegations
               On December 3, 2012, Sabit filed a lawsuit against the Hospital defendants,
alleging causes of action for denial of the right to practice medicine and intentional
interference with contract (third and fifth causes of action). Sabit alleged that the
Hospital defendants acted wrongfully in suspending his staff privileges because they
acted without proper investigation and with the intent to interfere with his employment
with Abou-Samra.
               Sabit also sued Abou-Samra, alleging causes of action for breach of the
independent contractor agreement, breach of the employment agreement, intentional

                                              3
interference with prospective economic advantage, and an accounting (first, second,
fourth, and sixth causes of action). Sabit alleged that Abou-Samra instigated and
influenced peer review proceedings to deny him permanent staff privileges and to revoke
his provisional staff privileges. According to the complaint, Abou-Samra then used the
lack of staff privileges as a pretext to terminate the independent contractor agreement and
deny bonus and other sums due pursuant to the two agreements.
                        The Hospital Defendants' Anti-SLAPP Motion
              On February 6, 2013, the Hospital defendants filed a special motion to
strike the third and fifth causes of action of the complaint pursuant to the anti-SLAPP
provisions of section 425.16. In support of the motion, Doctor Samuel D. Small, Chief of
Staff of the Hospital, declared that the medical staff became concerned regarding Sabit's
medical practices when one patient required urgent intervention from another hospital
and a second patient died. Following investigation and review of Sabit's medical charts,
the Medical Executive Committee discussed Sabit's performance and determined that
summary suspension of his Hospital privileges was necessary to protect patients. Small
stated that section 7:2-1 of the Hospital Bylaws expressly authorized summary
suspension under the circumstances.
                             Abou-Samra's Anti-SLAPP Motion
              On February 14, 2013, Abou-Samra filed a special motion to strike the first,
second, fourth, and sixth causes of action of the complaint pursuant to the anti-SLAPP
provisions of section 425.16. In support of the motion, Abou-Samra declared that in
2010, he served on the Hospital's peer review committee that reviewed Sabit's medical
practices and patient care. As a consequence of Sabit's summary suspension, Abou-
Samra terminated Sabit's employment pursuant to paragraph 5 of the independent
contractor agreement.
                            Sabit's Responses and Declarations
              In response to the anti-SLAPP motions, Sabit declared that Abou-Samra
owed him compensation, including reimbursement for automobile expenses and
insurance premiums, for his first year of employment (July 1, 2009, through June 30,

                                             4
2010), as well as substantial bonuses pursuant to the two agreements. He estimated that
the revenues deriving from his surgical services to Abou-Samra exceed $3 million. Sabit
also declared that he believed Abou-Samra sought a pretext to avoid paying the
compensation due. Sabit also described the summary suspension and the employment
termination as damaging to his professional reputation.
               Sabit stated that in addition to his provisional staff privileges at the
Hospital, he also held staff privileges at another hospital, Ventura County Medical
Center. At the time of the litigation in the trial court, Sabit was a licensed neurosurgeon
in Michigan.
               Sabit also presented the deposition testimony of Hospital Chief Executive
Gary Wilde. Wilde stated that during a conversation in November 2010, Abou-Samra
related that Sabit had committed medical errors and that Abou-Samra was disappointed
and would be "disassociating" with him.
                               Trial Court's Ruling and Orders
               The trial court granted the anti-SLAPP motion of the Hospital defendants,
awarded their attorney fees and costs, and entered a judgment of dismissal. (§ 426.16,
subd. (c)(1) [prevailing defendant on a special motion to strike entitled to attorney fees
and costs].) In its written decision, the court relied in part upon Kibler v. Northern Inyo
County Local Hospital Dist. (2006) 39 Cal.4th 192, 198 ["a lawsuit arising out of a peer
review proceeding is subject to a special motion under section 425.16 to strike the
SLAPP suit"].) The court noted the absence of evidence that the Hospital defendants and
Abou-Samra "worked in concert to manufacture a ground on which Dr. Abou-Samra
could terminate the agreement."
               The trial court also granted the anti-SLAPP motion of Abou-Samra
regarding the fourth cause of action (intentional interference with prospective economic
advantage) and awarded him attorney fees and costs. The court denied the motion
concerning the causes of action for breach of contract and an accounting.




                                               5
              Sabit appeals the orders granting the Hospital's and Abou-Samra's anti-
SLAPP motions and awarding their attorney fees and costs as prevailing parties.2 Abou-
Samra cross-appeals the order denying his anti-SLAPP motion regarding the three
remaining causes of action alleged against him.
              During briefing of this matter, the Hospital defendants and Abou-Samra
requested that we take judicial notice of the first amended accusation filed against Sabit
with the California Medical Board of California on November 5, 2013. By separate
order, we declined to take judicial notice of the amended accusation because it occurred
following Sabit's 2010 summary suspension and the filing of this lawsuit.
                                        DISCUSSION
                                               I.
                     Causes of Action against the Hospital Defendants
              Sabit argues that the Hospital's action in summarily suspending his staff
privileges cannot be the subject of an anti-SLAPP motion because the suspension is an
action, not a communication. He also asserts that the Hospital intentionally interfered
with his employment with Abou-Samra by issuing the suspension. Sabit relies upon
Wilde's deposition testimony that Abou-Samra stated that he intended to "disassociat[e]"
with Sabit. Sabit contends that this evidence suggests that the parties acted in concert to
suspend his hospital staff privileges and terminate his employment with Abou-Samra.
              Section 425.16, subdivision (b)(1) provides that a cause of action "arising
from" a defendant's act in furtherance of a constitutionally protected right of free speech
may be struck unless the plaintiff establishes a probability that he will prevail on his
claim. (Fahlen v. Sutter Central Valley Hospitals (2014) 58 Cal.4th 655, 665, fn. 3.)
"[S]ection 425.16 provides a procedure for the early dismissal of what are commonly
known as SLAPP suits . . . litigation of a harassing nature, brought to challenge the
exercise of protected free speech rights." (Ibid.) "The anti-SLAPP statute's definitional
focus is not the form of the plaintiff's cause of action but, rather, the defendant's activity

2
  By a subsequent notice of appeal, Sabit appeals the judgment of dismissal. We ordered
the appeals consolidated.
                                            6
that gives rise to his or her asserted liability--and whether that activity constitutes
protected speech or petitioning." (Navellier v. Sletten (2002) 29 Cal.4th 82, 92.)
              The analysis of an anti-SLAPP motion is two-fold. (§ 425.16, subd. (b)(1);
Flatley v. Mauro (2006) 39 Cal.4th 299, 314; Talega Maintenance Corp. v. Standard
Pacific Corp. (2014) 225 Cal.App.4th 722, 727.) The trial court first decides whether
defendant has made a threshold showing that the challenged cause of action is one arising
from protected activity. If the court finds that a showing has been made, it then
determines whether the plaintiff has demonstrated a probability of prevailing on his
claim. (§ 425.16, subd. (b)(1).) Our inquiry regarding the first prong of the analysis
concerns the principal thrust or gravamen of the cause of action--the allegedly wrongful
and injury-producing conduct that provides the foundation for the claims. (DeCambre v.
Rady Children's Hospital-San Diego (2015) 235 Cal.App.4th 1, 17; Gotterba v. Travolta
(2014) 228 Cal.App.4th 35, 51.)
              We apply a de novo review to the trial court's determination of each step of
the analysis. (Flatley v. Mauro, supra, 39 Cal.4th 299, 325-326; Gotterba v. Travolta,
supra, 228 Cal.App.4th 35, 51.) "'[W]e engage in the same two-step process as the trial
court to determine if the parties have satisfied their respective burdens. [Citations.] If
the defendant fails to show that the lawsuit arises from protected activity, we affirm the
trial court's ruling and need not address the merits of the case under the second prong of
the statute.'" (Talega Maintenance Corp. v. Standard Pacific Corp., supra, 225
Cal.App.4th 722, 728.)
              At the time of Sabit's summary suspension, section 7:2-1 of the Hospital
Bylaws authorized a summary suspension "[w]henever a member's conduct appears to
require that immediate action be taken to protect the life or well-being of patient(s) or to
reduce imminent danger to the life, health or safety of any patient or other person." This
bylaw is consistent with California law authorizing an immediate summary suspension
when "failure to take that action may result in an imminent danger to the health of any
individual." (Bus. & Prof. Code, § 809.5, subd. (a).)


                                               7
               In Kibler v. Northern Inyo County Local Hospital Dist., supra, 39 Cal.4th
192, 198, our Supreme Court held that an anti-SLAPP motion was available to a hospital
and its medical staff regarding their actions in a peer review proceeding where the
disciplined physician later sued for interference with his practice of medicine. There, the
hospital summarily suspended the physician's staff privileges for two weeks, but
reinstated them after he agreed to refrain from certain behaviors. (Id. at p. 196.) Kibler
reasoned that a lawsuit arising from a peer review proceeding is subject to a special
motion to strike pursuant to section 425.16 because it qualifies as "'any other official
proceeding authorized by law'" pursuant to section 425.16, subdivision (e)(2). (Id. at
p. 198; DeCambre v. Rady Children's Hospital-San Diego, supra, 235 Cal.App.4th 1, 14
[applying Kibler to an anti-SLAPP motion filed by hospital defendants in a lawsuit
arising from peer review proceedings].)
               The act of summarily suspending Sabit is part of the peer review process as
set forth in the Hospital Bylaws and as analyzed in Kibler. Sabit's characterization of the
gravamen of his complaint as unprotected action or conduct fails to acknowledge the
analysis in Kibler. (§ 425.16, subd. (b)(1) [a special motion to strike applies to a "cause
of action against a person arising from any act of that person in furtherance of the
person's right of petition or free speech"]; Kibler v. Northern Inyo County Local Hospital
Dist., supra, 39 Cal.4th 192, 198-201.) Sabit cannot avoid the anti-SLAPP statute by
characterizing the allegations of his complaint as unprotected conduct. (Nesson v.
Northern Inyo County Local Hospital Dist. (2012) 204 Cal.App.4th 65, 82-83,
disapproved on other grounds by Fahlen v. Sutter Central Valley Hospitals, supra, 58
Cal.4th 655, 686, fn. 18.) Indeed, the anti-SLAPP statute applies to claims made in
connection with the protected activity, regardless of the defendant's motive or the motive
plaintiff ascribes to him. (Id. at p. 83.)
               Regarding the second step of an anti-SLAPP motion analysis, Sabit has not
established a probability of success with either of the causes of action alleged against the
Hospital defendants. He admits that he possessed staff privileges at Ventura County
Medical Center (and now in Michigan) and therefore cannot establish that he has been

                                              8
excluded from the practice of medicine. (O'Byrne v. Santa Monica-UCLA Medical
Center (2001) 94 Cal.App.4th 797, 812-813 [plaintiff remained on staff at other hospitals
and defendant hospital took no action to prevent plaintiff from practicing at other
hospitals].)
               Sabit also has not established a probability of success regarding the
intentional interference with contract cause of action because he has not provided
evidence that the Hospital defendants knew of his employment contracts with Abou-
Samra and that they acted knowing that the contracts would be disrupted. (Davis v.
Nadrich (2009) 174 Cal.App.4th 1, 10 [elements of cause of action for intentional
interference with contract include a defendant's knowledge of the contract and his
intentional act designed to disrupt or induce a breach of the contract].) The sole evidence
upon which Sabit relies is Wilde's deposition testimony that he knew Abou-Samra had "a
partner [Sabit]," Abou-Samra was disappointed in Sabit, and Abou-Samra was thinking
of severing the relationship. There is no evidence that the Medical Executive Committee
knew this information or that they knew details of the employment or independent
contractor agreements. The only reasonable inference from the evidence is that the
Committee acted with an intent to protect the well-being of the hospital patients. (Nesson
v. Northern Inyo County Local Hospital Dist., supra, 204 Cal.App.4th 65, 82 [overriding
goal of the state-mandated peer review process is to protect the public, and although
important, physicians' due process rights are subordinate to public safety needs].)
                                              II.
                           Causes of Action against Abou-Samra
               Sabit argues that the fourth cause of action for intentional interference with
prospective economic advantage did not arise from protected activity because Abou-
Samra improperly influenced the Medical Executive Committee to disrupt Sabit's
professional relationship with the Hospital defendants.
               As discussed ante, our Supreme Court has determined that an anti-SLAPP
motion may lie in defense of a lawsuit raising tort damage theories arising directly from a
peer review committee recommendation. (Kibler v. Northern Inyo County Local

                                              9
Hospital Dist., supra, 39 Cal.4th 192, 196-197; Young v. Tri-City Healthcare Dist. (2012)
210 Cal.App.4th 35, 57.) The anti-SLAPP statute applies regardless of Abou-Samra's
motive or the motive that Sabit ascribes to him. (DeCambre v. Rady Children's Hospital-
San Diego, supra, 235 Cal.App.4th 1, 22 [anti-SLAPP statute applies to peer review
committee's protected activity in terminating physician, despite physician's claim of
discriminatory motive]; Nesson v. Northern Inyo County Local Hospital Dist., supra, 204
Cal.App.4th 65, 83.)
              Regarding the second step of the anti-SLAPP motion analysis, Sabit has not
demonstrated a probability of prevailing on this claim. Wilde testified that Abou-Samra
stated that he was disappointed with Sabit's patient care and that he questioned Sabit's
veracity. Abou-Samra also stated that he would be "disassociating" with Sabit. There is
no evidence that Abou-Samra and Wilde discussed Sabit's staff privileges or that Wilde
shared this conversation with anyone. Indeed, Wilde testified that he believed that Sabit
rendered appropriate medical care in "the vast majority of [his] cases." This evidence
does not establish the element of an intentional act designed to disrupt a relationship.
(Korea Supply Co. v. Lockheed Martin Corp. (2003) 29 Cal.4th 1134, 1153 [elements of
the cause of action of intentional interference with prospective economic advantage
include a defendant's knowledge of an economic relationship between plaintiff and a
third party, and defendant's intentional acts designed to disrupt the relationship].) The
trial court properly granted the anti-SLAPP motion regarding this cause of action.
                                              III.
                               Abou-Samra's Cross-Appeal
              Abou-Samra contends that the trial court erred by not granting his anti-
SLAPP motion concerning the causes of action for breach of contract and an accounting
because those causes of action arguably arise from the protected activity of a peer review
proceeding. He points out that his participation in Sabit's peer review proceedings is the
foundation for the complaint's allegations.
              The trial court's ruling was proper. At best, the causes of action for breach
of contract and an accounting allege a mix of protected and unprotected activity. Sabit

                                              10
alleges that Abou-Samra terminated the independent contractor agreement without cause
when he improperly caused and relied upon the summary suspension to terminate the
agreement. The gravamen of this allegation concerns Abou-Samra's influence upon and
interaction with the peer review committee as a pretext to terminate the agreement. As
such, Abou-Samra's activity is protected. (Kibler v. Northern Inyo County Local
Hospital Dist., supra, 39 Cal.4th 192, 198.)
              Sabit also alleges, however, that Abou-Samra owes him compensation
pursuant to the employment agreement and the independent contractor agreement. The
alleged non-payment of compensation and bonuses would be a breach of the agreements
whether or not the termination was valid. Proof of these allegations does not involve
evidence of protected activity. Indeed, the allegations of breach of the employment
agreement by failing to pay compensation due predate the convening of the peer review
committee and its recommendation of suspension. Sabit alleges that he earned unpaid
compensation for services rendered between July 1, 2009, and September 16, 2010; the
peer review committee met on December 3, 2010, and rendered its decision that day.
              Moreover, the sixth cause of action for an accounting of compensation and
bonuses is derivative of the causes of action for breach of contract. As such, it also does
not involve protected activity. (DeCambre v. Rady Children's Hospital-San Diego,
supra, 235 Cal.App.4th 1, 18 [physician's claims of harassment and intentional infliction
of emotional distress not subject to anti-SLAPP motion because claims arose from
alleged disparate treatment occurring throughout employment].)
              If plaintiff can show a probability of prevailing on any part of his claim, the
cause of action is not meritless and will not be struck in response to an anti-SLAPP
motion. (Oasis West Realty, LLC v. Goldman (2011) 51 Cal.4th 811, 820; Baral v.
Schnitt (2015) 233 Cal.App.4th 1423, 1438.) "[I]f the nonmoving party demonstrates a
prima facie case of prevailing on any part of a mixed cause of action, the anti-SLAPP
motion fails. Our conclusion is based on: (1) the express words of the statute; (2) its
underlying policies; and (3) the extraordinary consequences of the anti-SLAPP statute
that distinguishes it from all other procedural motions." (Baral, at p. 1438.) Here Sabit

                                               11
has established that the causes of action for breach of contract and an accounting for
failure to pay compensation, expenses, and bonuses due and owing have some merit.
              The orders are affirmed. The judgment of dismissal in favor of the Hospital
defendants is also affirmed. The Hospital defendants and Abou-Samra shall recover
costs and attorney fees in amounts to be determined by the trial court.
              NOT TO BE PUBLISHED.




                                          GILBERT, P. J.

We concur:



              YEGAN, J.



              EPSTEIN, J.*




*
 (Justice of the Court of Appeal, Second Appellate District, Div. 4, assigned by the Chief
Justice pursuant to art. VI, § 6 of the Calif. Const.)
                                               12
                                Mark S. Borrell, Judge


                          Superior Court County of Ventura


                         ______________________________




             Cohen & Lord, a P.C., Bruce M. Cohen, Jonathan F. Golding for Plaintiffs
and Appellants Aria Omar Sabit, M.D. and Aria Sabit, M.D., P.C.


             Reback, McAndrews, Kjar, Warford & Stockalper & Moore, LLP, Cindy
A. Shapiro, James J. Kjar, Evan N. Okamura, Jacob Kozaczuk for Defendants and
Appellants Moustapha Abou-Samra, M.D. P.C., Moustapha Abou-Samra, M.D.


             Arent Fox LLP, Steven E. Bledsoe, Jonathan E. Phillips for Defendants and
Respondents Community Memorial Health System, dba Community Memorial Hospital;
Medical Staff of Community Memorial Hospital of San Buenaventura; Marc Beaghler,
M.D.; Samuel D. Small, D.O.; Robert T. Mazurek, M.D.; William A. Speitel, M.D.; and
Thomas F. Golden, M.D.




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