A Florida appeals court ruled that Largo Medical Center, Inc. (LMC) is entitled to attorney fees and costs in its dispute with Dr. Robert Kowalski, Jr. The decision came after LMC successfully dismissed a lawsuit brought by Kowalski regarding a precautionary suspension from its medical staff. This ruling is significant as it clarifies the entitlement to attorney fees under Florida law in cases involving peer review processes.
The case, Largo Medical Center, Inc. v. Robert Kowalski, Jr., M.D., was filed in the District Court of Appeal of Florida under docket number 2D20-2574. It stems from a conflict between LMC and Dr. Kowalski, who was a neurosurgeon with clinical privileges at the hospital. The ruling affects medical professionals and hospitals across Florida, as it addresses the legal framework surrounding peer review and the associated rights of medical staff.
The dispute began on February 14, 2019, when Dr. Kowalski was suspended from his clinical privileges at LMC due to concerns about patient care. LMC informed him that the suspension was a precautionary measure and part of its professional review process. To avoid a report to the National Practitioner Data Bank, LMC offered Dr. Kowalski a leave of absence on February 26, 2019, which he accepted the following day. However, in August 2019, Dr. Kowalski filed a complaint seeking to maintain his leave and claiming that LMC's actions constituted fraudulent conduct during the peer review process.
Dr. Kowalski's legal battle escalated as he sought a temporary injunction to prevent LMC from reporting his suspension. He alleged that LMC failed to follow proper procedures and did not allow him to participate in the peer review process. In response, LMC moved to dismiss the complaint, arguing that Dr. Kowalski had not exhausted his administrative remedies. The trial court granted LMC's motion on February 10, 2020, dismissing the case with prejudice.
Following the dismissal, LMC sought to recover attorney fees and costs, citing section 395.0193 of the Florida Statutes, which mandates such awards for prevailing parties in peer review disputes. However, the trial court denied LMC's motion without prejudice, leading LMC to appeal the decision. The court ruled that LMC was indeed entitled to attorney fees and costs as the prevailing party, reversing the trial court's order.
The court's opinion stated, "Because LMC was entitled to an award of attorney fees and costs under section 395.0193, Florida Statutes (2019), we reverse and remand for the trial court to determine the amount of reasonable attorney fees and costs to be awarded to LMC." The ruling was made by Judge Sleet with concurrence from Judges Atkinson and Stargel.
This decision clarifies the legal landscape for hospitals and medical professionals involved in peer review processes. It establishes that a hospital can recover attorney fees even if a case is dismissed without prejudice, reinforcing the importance of adhering to statutory procedures in peer review matters.
Going forward, this ruling may influence how medical staff and hospitals handle disputes related to peer review and credentialing processes. It emphasizes the need for compliance with Florida statutes governing these proceedings, which could deter frivolous lawsuits from medical staff members.
Details were not available in the court filing regarding any potential appeals or related cases pending. However, the ruling sets a precedent that could impact future cases involving attorney fees in similar disputes.











