Zafirov v. Florida Medical Associates, LLC

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION UNITED STATES OF AMERICA ex rel. CLARISSA ZAFIROV, Relator/Plaintiff, v. CASE NO. 8:19-cv-1236-KKM-SPF PHYSICIAN PARTNERS, LLC; FLORIDA MEDICAL ASSOCIATES, LLC d/b/a VIPCARE; ANION TECHNOLOGIES, LLC; FREEDOM HEALTH, INC.; and OPTIMUM HEALTHCARE, INC., Defendants. _____________________________/ ORDER Before the Court is Defendants Freedom Health, Inc. and Optimum Healthcare, Inc.’s Motion to Compel Production of Documents in Response to Requests for Production No. 11 (Doc. 280) and Relator’s Response in Opposition to Freedom Defendants’ Motion to Compel Production in Response to RFP No. 11 (Doc. 293). The Court held a hearing on the motion on June 18, 2024. At the hearing, the Court ordered Relator to produce the disputed document to the Court for in camera review. Now, upon consideration, the Court finds that Defendants’ motion is due to be GRANTED IN PART and DENIED IN PART.

In their Motion, the Freedom Defendants seek to compel production of an agreement between Relator Dr. Clarissa Zafirov and Dr. George Mansour (the “Relator Sharing Agreement”), as it is responsive to Request No. 11 of the Freedom Defendants’ First Request for Production, which sought “[a]ll Agreements between [Relator] and Dr. George Mansour.” (Doc. 280-2). Relator and Dr. Mansour are both physicians who contracted with Defendant Physician Partners, LLC, and both filed qui tam actions against Physician Partners and the Freedom Defendants. Dr. Mansour filed, voluntarily dropped, refiled, and voluntarily re-dropped his qui tam claims. The Freedom Defendants believe he will be a critical witness in this case. As such, the Freedom Defendants served Relator with an interrogatory asking that she “[d]escribe in detail every fact concerning the nature of your relationship with Dr. George Mansour, including, without limitation, any agreements or contracts between you and Dr. George Mansour related to the Amended Complaint or this litigation.” (Doc. 280-6). In response to this interrogatory, Relator revealed that she and Dr. Mansour are parties to a financial agreement that requires Relator to share 30% of the any money she recovers in this litigation with Dr. Mansour (Id.). Relator initially stated that “she and Dr. Mansour have a contractual relationship related to this case, which such contract will be produced in relevant and non-privileged part.” (Doc. 280-6 at 2). Relator later amended her interrogatory answer to state, in relevant part: Relator responds that she and Dr. Mansour have a contractual relationship related to this case. The nonprivileged information that is not protected work product related to that relationship is the following: Relator is represented in this matter by counsel who also represent Dr. Mansour in the case captioned U.S. ex rel. Mansour v. Freedom Health, et al., Case No. 8:19- cv-02877 (the “Mansour Matter”). Specifically, the law firm of Rabin Kammerer Johnson represents Dr. Zafirov in the instant matter and Dr. Mansour in the Mansour Matter.

Relator and Dr. Mansour have an agreement that establishes the division of any relator’s share resulting from the instant matter. Specifically, should a relator’s share result from this action, Relator shall retain 70% of such share, and Dr. Mansour shall receive 30%. (Id. at 3). Accordingly, Relator has refused to produce the Relator Sharing Agreement, maintaining that the only portion of the Relator Sharing Agreement that is relevant and nonprivileged is the fee-sharing provision, and that she has already described this portion of the agreement through her interrogatory answer.

The Freedom Defendants argue that Relator should produce the Relator Sharing Agreement because it is relevant, as it is important to (a) assessing Relator’s credibility and (b) their ability to defend against any evidence provided by Dr. Mansour or originating from Dr. Mansour’s involvement in this case. The Freedom Defendants also argue that Relator has failed to meet her burden of establishing that a privilege applies. Relator responds that the non-disclosed portions of the Relator Sharing Agreement are not relevant, and that the Relator Sharing Agreement is clearly protected by the work product doctrine, the attorney- client privilege, and common interest doctrine, as it was made between Relator, Dr. Masour, and their respective counsel in anticipation of and in furtherance of on-going litigation.

At the hearing, the Court concluded that an in camera review of the Relator Sharing Agreement was appropriate. See, e.g., In re Takata Airbag Prods. Liability Litig., No. 15-02599, 2017 WL 10351709, at *2–3 (S.D. Fla. Mar. 7, 2017) (finding in camera review of joint defense agreement to be necessary and warranted because it is inappropriate to exclusively rely on one party’s characterization of the disputed document and “the relevancy of a joint defense agreement depends upon the language in the agreement”) (quoting Warren Distrib. Co. v. InBev USA LLC, No. 0701053 (RBK), 2008 WL 4371763, at *2 (D.N.J. Sept. 18, 2008)); Biovail Labs. Int’l SRL v. Watson Pharms., Inc., No. 1:10-cv-20526, 2010 WL 3447187, at *1 (S.D. Fla. Aug. 30, 2010) (“When a party seeks to compel production of a joint defense agreement, courts will examine the agreement in camera and make an independent determination regarding the nature of the agreement.”) (citing Jeld–Wen, Inc. v. Nebula Glasslam Int’l, Inc., No. 07–22326, 2008 WL 756455, at *5 (S.D. Fla. Mar. 11, 2008)). Relator timely provided the agreement to the Court.

The undersigned has carefully reviewed the Relator Sharing Agreement, and concludes that it is not properly characterized as a typical joint prosecution or common interest agreement, as it does not contain the standard, boilerplate language establishing the terms, conditions, and limitations for the sharing of privileged and confidential information.1 Instead, the Relator Sharing Agreement memorializes Relator and Dr. Mansour’s agreement to share in any proceeds recovered in this litigation, and provides additional terms and conditions related to this sharing of proceeds. As such, the Court agrees that the Relator Sharing Agreement is relevant to the Freedom Defendants’ ability to assess Relator’s credibility and to defend against evidence provided by or originating from Dr. Mansour. See Jeld-Wen, 2008 WL 756455, at *9 (“Thus, Jeld-Wen’s showing that information contained in the June 11th Agreement could reasonably be found to demonstrate bias on the part of Howes in the instant case suffices to bring the June 11th Agreement within the definition of ‘relevance’ dictated by Rule 26, Fed.R.Civ.P., for discovery purposes.”).

Having determined that the Relator Sharing Agreement is relevant, the Court next must determine whether the agreement is privileged. The Court finds that the agreement qualifies as work product under Rule 26, as it is a document “prepared in anticipation of litigation or for trial by or for another party or its representative[.]” Fed. R. Civ. P.

26(b)(3)(A); see also Drummond Co. v. Conrad & Scherer, LLP, 885 F.3d 1324, 1334–35 (11th Cir. 2018) (“Attorney work product protection extends to material obtained or prepared by counsel in the course of their legal duties provided that the work was done with an eye toward litigation.”). As Relator states in her response, although she initiated this action in May 2019, the action remained under seal until June 2020. Dr. Mansour initiated his qui tam action in December 2019, and that action remained under seal until September 2020. The parties then executed this Relator Sharing Agreement in December 2020, with one attorney signing in January 2021.

The Court also finds that the common interest doctrine applies to the agreement. See, e.g., Lane Constr. Corp. v. Skanska USA Civil Se., Inc., No. 6:21-cv-164-RBD-DCI, 2022 WL 18773723, at *1 (M.D. Fla. Nov. 7, 2022) (“Under the ‘common interest’ exception to waiver, a party may share its work product with another party without waiving the right to assert the privilege when the parties have a shared interest in actual or potential litigation against a common adversary, and the nature of their common interest is legal, and not solely commercial.”) (quoting Spencer v. Taco Bell Corp., No. 8:12-cv-387-T-23TBM, 2013 WL 12156093, at *3 (M.D. Fla. Apr. 23, 2013)). The party asserting that a document falls within the common interest doctrine must show “(1) there was a common legal interest among them, (2) the parties are represented by separate lawyers and, (3) the parties (with their lawyers) agreed to exchange information concerning the matter of common interest.” Lane Constr. Corp., 2022 WL 18773723, at *1 (quoting United States v. Patel, 509 F. Supp. 3d 1334, 1340 (S.D. Fla. 2020)). Here, Relator has established each of these elements, as (1) Relator and Dr. Mansour shared a common legal interest in prosecuting Defendants for submitting allegedly false claims on behalf of the United States;2 (2) Relator and Dr. Mansour were represented by separate counsel when they negotiated and executed the Relator Sharing Agreement;3 and (3) the Relator Sharing Agreement reflects Relator and Dr. Mansour’s agreement to exchange information concerning this litigation.

The protection afforded to work product, however, is not absolute. Indeed, “[d]iscovery may be had into factual work product upon a party showing ‘substantial need for the materials to prepare its case’ and that it ‘cannot, without undue hardship, obtain their substantial equivalent by other means.’” Drummond, 885 F.3d at 1335 (quoting Fed. R. Civ. P. 26(b)(3)(A)). “Greater protection is given to the attorney’s opinion work product—that is, materials containing ‘the mental impressions, conclusions, opinions, or legal theories of a party’s attorney or other representative concerning the litigation.’” Drummond, 885 F.3d at 1335 (quoting Fed. R. Civ. P. 26(b)(3)(B)). “[O]pinion work product enjoys a nearly absolute immunity and can be discovered only in very rare and extraordinary circumstances.” Cox v. Admin. U.S. Steel & Carnegie, 17 F.3d 1386, 1422 (11th Cir. 1994) (quotations omitted).

The Court finds that the Freedom Defendants have established a substantial need for the Relator Sharing Agreement, and there is no substantial equivalent or alternative document

While the majority of the Relator Sharing Agreement is appropriately characterized as fact work product, the agreement also contains information that is properly characterized as opinion work product insofar as it reflects the parties’ reasons for entering into the Agreement, “and therefore necessarily reflect[s] the mental impressions and opinions of the parties’ counsel.” In re Takata, 2017 WL 10351709, at *6. As a result, these portions of the Relator Sharing Agreement may be redacted. Cf. Jeld-Wen, 2008 WL 756455, at *5–12 (recognizing that where settlement and joint defense provisions of an agreement can be segregated, courts should order the production of the settlement paragraphs but protect the joint-defense provisions from disclosure). To that end, Relator shall produce the Relator Sharing Agreement, but may redact the following provisions: (1) the third sentence in Recital A; (2) the first sentence of Recital D; (3) Term and Condition 1; (4) the 13th through 18th words of the first sentence in Term and Condition 4, as well as the 9th through 21st words of the second sentence in Term and Condition 4; and (5) Term and Condition 5.

Accordingly, it is hereby ORDERED: (1) Defendants Freedom Health, Inc. and Optimum Healthcare, Inc.’s Motion to Compel Production of Documents in Response to Requests for Production No. 11 (Doc. 280) is GRANTED IN PART AND DENIED IN PART as stated above. (2) Relator shall produce a redacted copy of the Relator Sharing Agreement to Defendants on or before July 3, 2024.

ORDERED in Tampa, Florida, June 27, 2024.

□□ ree SEAN P. FLYNN UNITED STATES MAGISTRATE JUDGE