# Doiron v. Cruz

> United States Bankruptcy Court, M.D. Florida · October 13, 2020

URL: https://www.frixlaw.com/law-library/cases/10456439

## Case

- **Court:** United States Bankruptcy Court, M.D. Florida
- **Decided:** October 13, 2020
- **Opinion:** 100trialcourt
- **Cited by:** 0 later opinions in the Frix Law Library

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## Opinion text

ORDERED.
Dated: October 13, 2020
Karen vod
aren S. Jennemann
United States Bankrupt nde

UNITED STATES BANKRUPTCY COURT
MIDDLE DISTRICT OF FLORIDA
ORLANDO DIVISION
www.flmb.uscourts.gov
Inre )
)
Orlando Cruz, ) Case No. 6:16-bk-07815-KSJ
) Chapter 7
Debtor. )
)
)
Jessica Doiron, )
)
)
)
Plaintiff, )
)
VS. ) Adversary No. 6:17-ap-00043-KSJ
)
Orlando Cruz, )
)
Defendant. )
)

MEMORANDUM OPINION FINDING DEBT NOT DISCHARGEABLE
Plaintiff, Jessica Doiron, worked as an Adult Nurse Practitioner for the Debtor, Dr. Orlando
Cruz, for one year. On May 3, 2005, Dr. Cruz said she did “excellent” work in an evaluation form.
Two days later, Plaintiff resigned from her job with Dr. Cruz to work for a competitor. Dr. Cruz
was angry, and, on May 26, 2005, he sent a letter criticizing Plaintiff's work to the Missouri

nursing licensing board and local hospitals where she had practice privileges. A state court jury
already has found the statements in the letter false, constituted defamation, and awarded Plaintiff
damages of $150,000. The issue is whether this judgment debt is non-dischargeable under
§523(a)(6) of the Bankruptcy Code.1 Concluding that the defamatory statements made by the
Debtor were “willful and malicious,” I find the debt is not dischargeable.2

Section 523(a)(6) of the Bankruptcy Code excepts debts from discharge for “willful and
malicious injury by the debtor to another entity or to the property of another entity.”3 To prevail
on such a claim, “a plaintiff must prove by a preponderance of evidence that a debtor: 1)
deliberately and intentionally; 2) injured the plaintiff or the plaintiff’s property; 3) by a willful and
malicious act.”4 Willfulness and malice are separate and distinct. “Willfulness” implies intentional
behavior; “malice” connotes a malevolent purpose for the debtor’s action.5 A debtor commits a
willful injury when he commits an intentional act to cause injury or which he knows is substantially
certain to cause injury.6 “Substantial certainty exists if a debtor knew and appreciated the
substantial likelihood of injury to the party objecting to discharge.”7 A malicious act is “wrongful
and without just cause or excessive even in the absence of personal hatred, spite or ill-will.”8

Here, most facts already were established in the state court jury trial in Missouri. Dr. Cruz,
through his medical practice, IDXpert, P.C. (“IDXpert”), specialized in fighting infectious diseases

1 All references to the Bankruptcy Code refer to 11 U.S.C. § 101, et. seq.
2 A trial was held on August 21, 2019. On July 21, 2020, the adversary proceeding was reassigned to me because the
trial judge encountered serious health issues. I have thoroughly reviewed the amended transcript (Doc. No. 116), the
record, and all admitted exhibits prior to rendering this Memorandum Opinion.
3 11 U.S.C. § 523(a)(6).
4 In re Howard, 261 B.R. 513, 520 (Bankr. M.D. Fla. 2001) (citing Hope v. Walker (In re Walker), 48 F.3d 1161,
1163-65 (11th Cir. 1995)).
5 Howard, 261 B.R. at 520.
6 See Id.; In re Dowdell, 406 B.R. 106, 114 (Bankr. M.D. Fla. 2009); In re Vestal, 256 B.R. 326, 329 (Bankr. M.D.
Fla. 2000).
7 In re Vestal, 256 B.R. 326, 329 (Bankr. M.D. Fla. 2000); see Howard, 261 B.R. at 520.
8 Hope v. Walker (In re Walker), 48 F.3d 1161, 1164 (11th Cir. 1995) (quoting In re Ikner, 883 F.2d at 991 (quoting
Sunco Sales, Inc. v. Latch (In re Latch), 820 F.2d 1163, 1166 n. 4 (11th Cir.1987))) (internal quotations omitted).
at several hospitals in or near St. Louis, Missouri.9 Plaintiff was licensed as a certified Adult Nurse
Practitioner (“ANP”) by the Missouri State Board of Nursing (the “Nursing Board”). In April
2004, Dr. Cruz hired Plaintiff as an ANP to evaluate patients, assist in gathering patient
information, communicate with patients, and conduct pre-rounds at hospitals under a Collaborative
Practice Agreement (“CPA”).10

Defendant supervised Plaintiff’s work. Defendant periodically filed formal evaluations of
Plaintiff’s performance at each hospital where Plaintiff had practice privileges.11 On May 3, 2005,
Dr. Cruz prepared a performance review for the Plaintiff at St. Anthony’s Medical Center rating
Plaintiff excellent in every category.12 Two days later, on May 5, 2005, Plaintiff resigned from
IDXpert by handing Dr. Cruz her resignation letter.13 Plaintiff testified Dr. Cruz appeared
“surprised and shocked” and was “very emotional” upon receiving the resignation letter.14
Dr. Cruz met with the Plaintiff twice after receiving the resignation letter.15 Within a week,
he met with the Plaintiff to convince her to continue working with IDXpert.16 So, Dr. Cruz
obviously thought the Plaintiff’s work satisfactory enough to ask her to continue working with
him. Plaintiff, however, was determined to change jobs.17

At the second meeting on May 23, 2005, Dr. Cruz gave Plaintiff the infamous letter
(“Letter”) criticizing Plaintiff’s professional competence, work-commitment, and moral
character.18 It is this letter that caused harm to the Plaintiff and started years of litigation between

9 Defendant Exh. 39, ¶¶ 4, 6.
10 Defendant Exh. 20. Doc. No. 116. 8/21/19 Am. Tr. at 95.
11 Doc. No. 116. 8/21/19 Am. Tr. at 97.
12 Plaintiff Exh. 1. The Review specifically stated Plaintiff received no complaints regarding patient care, performed
no duties outside her delineated privileges, and Dr. Cruz provided no suggestions for improvements.
13 Plaintiff Exh. 2. Plaintiff gave Defendant twenty days’ notice of her resignation per the terms of the CPA.
14 Doc. No. 116. 8/21/19 Am. Tr. at 13.
15 Doc. No. 116. 8/21/19 Am. Tr. at 13-14.
16 Doc. No. 116. 8/21/19 Am. Tr. at 13-15.
17 Doc. No. 116. 8/21/19 Am. Tr. at 14.
18 Doc. No. 116. 8/21/19 Am. Tr. at 14-15. Plaintiff Exh. 3.
the parties. Plaintiff testified that Dr. Cruz particularly was upset because he recently had learned
Plaintiff planned to work at a competing practice, Infectious Diseases, P.C.19 When the Plaintiff
still refused to continue working with Dr. Cruz, on May 26, 2005, he sent the Letter to the Nursing
Board and to every hospital where Plaintiff had practice privileges.20

Plaintiff’s professional reputation and livelihood were harmed by the contents of the Letter
and the events that ensued. The Nursing Board promptly investigated the Plaintiff’s competence
based on Dr. Cruz’ statements in his Letter.21 Rather than admitting the Letter was sent in anger
and was not reflective of the Plaintiff’s professional competence, Dr. Cruz “double downed.” He
denied rating the Plaintiff’s work as “excellent” in his review on May 3, 2005, saying the review
was a “clerical error.”22 Instead, he “meant” to prepare a review for another ANP, Janice Keim,
the only other ANP he supervised.23 On March 6, 2006, the Nursing Board decided no disciplinary
action was warranted against Plaintiff.24
In 2008, Plaintiff sued Dr. Cruz for defamation in the Circuit Court of St. Louis County for
the State of Missouri (“Missouri State Court”).25 After a full trial, the jury found Plaintiff was

entitled to a $150,000 judgment for the damage to her professional reputation caused by the false
statements in the Letter (the “State Court Judgment”).26 The state court, therefore, finally
determined Dr. Cruz at fault for publishing the false statements about the Plaintiff that resulted in

19 Doc. No. 116. 8/21/19 Am. Tr. at 14-15.
20 Doc. No. 116. 8/21/19 Am. Tr. at 111-12, 120-21.
21 Doc. No. 116. 8/21/19 Am. Tr. at 17-18.
22 Doc. No. 116. 8/21/19 Am. Tr. at 103.
23 Doc. No. 116. 8/21/19 Am. Tr. at 105. Defendant already completed a review of Janice Keim’s work performance
at St. Anthony’s Medical Center on March 1, 2005, only two months prior to Dr. Cruz’s review of Plaintiff. Plaintiff’s
Exh. 9.
24 Plaintiff Exh. 7.
25 Plaintiff Exh. 11 and 12.
26 Plaintiff Exh. 13 and 14.
injury to her and her professional reputation.27 The only remaining prong of §523(a)(6) requiring
resolution is whether the false statements were made “willfully and maliciously.”
As to the willfulness prong, Dr. Cruz deliberately wrote the Letter, initially as a threat to
get the Plaintiff to remain in his employ. When she refused, Dr. Cruz sent the Letter to the Nursing

Board and the hospitals where Plaintiff worked. He knew the Letter was certain to cause an injury
to Plaintiff, which happened.
Dr. Cruz testified the credentialing and review process of his employees was very
important and required careful consideration.28 He acknowledged his reviews could affect
Plaintiff’s professional standing and privileges to work at other hospitals.29 By acknowledging
the importance of supervising doctor evaluations, Dr. Cruz admits false statements, such as those
made by him against the Plaintiff, necessarily would injure the Plaintiff and her professional
reputation.
During trial, Dr. Cruz stated that Letter was written to protect future patients not to
negatively affect Plaintiff’s credentials or hospital privileges.30 The Court does not find this

explanation credible considering the prior judgment finding his statements in the Letter false and

27 Plaintiff Exh. 13 and 14. “The general principle of res judicata prevents the relitigation of issues and claims already
decided by a competent court. ‘Once a party has fought out a matter in litigation with the other party, he cannot later
renew that duel.’ Res judicata comes in two forms: claim preclusion (traditional ‘res judicata’) and issue preclusion
(also known as ‘collateral estoppel’). In considering whether to give preclusive effect to state-court judgments under
res judicata or collateral estoppel, the federal court must apply the rendering state’s law of preclusion.”27 Community
State Bank v. Strong, 651 F.3d 1241, 1263 (11th Cir. 2011) (internal citations omitted). Under Missouri law, collateral
estoppel requires that “(1) the issue decided in the prior case mirrors that in the present action; (2) the prior suit resulted
in a final judgment on the merits; (3) the party against whom the doctrine is asserted participated as a party or in
privity with a party to the prior adjudication; and (4) the party against whom the doctrine may apply had a full and
fair opportunity to litigate the issue.” A.H. ex rel. Hubbard v. Midwest Bus Sales, Inc., 823 F.3d 448, 453-54 (8th Cir.
2016) (quoting Hollida v. Hollida, 190 S.W.3d 550, 554 (Mo. Ct. App. 2006). The State Court Judgment was a result
of the same facts, occurrences, and transactions that are the basis of this Adversary Proceeding. Dr. Cruz actively
participated in the litigation, and the State Court Judgment is entitled to res judicata finality.
28 Doc. No. 116. 8/21/19 Am. Tr. at 108. Defendant stated he had to be “careful on everything” and “credentialing [of
his employees] is important.”
29 Doc. No. 116. 8/21/19 Am. Tr. at 97, 132-33.
30 Doc. No. 116. 8/21/19 Am. Tr. at 194.
defamatory. And the timing of the events argues against this altruistic reason for his defamatory
and false statements. On May 3, 2005, Dr. Cruz said Plaintiff was an “excellent” ANP. When she
resigned two days later then left his employment to work for a competitor, on May 26, 2005, Dr.
Cruz suddenly changed his excellent opinion of the Plaintiff and complained to those who could

damage her career most—the Nursing Board and the hospitals where she worked.
Dr. Cruz was angry Plaintiff wanted to work for a competitor after he had spent a year
training her and reacted emotionally by publishing the false defamatory statements. Defendant is
a highly intelligent individual.31 He knew what would happen when he sent the Letter to the
Nursing Board and hospitals—an investigation would start, and Plaintiff could lose her license and
hospital privileges. Plaintiff has proven Dr. Cruz acted willfully in sending the Letter to others
intending to cause her harm.
Dr. Cruz also acted maliciously in sending the Letter. He made false and defamatory
statements intended to harm the Plaintiff, as finally determined in the State Court Judgment. His
false statements were excessive and made in anger because the Plaintiff went to work for a

competitor. Dr. Cruz admitted he exaggerated certain statements and included emotional overtones
in the Letter.32 These exaggerated, overstated, and false statements against Plaintiff were
maliciously made to harm to the Plaintiff.
The Court finds Dr. Cruz willfully, maliciously, and deliberately injured the Plaintiff and
her professional reputation. He wrote false and defamatory statements in the Letter then willfully
and maliciously sent the Letter to those who could most harm the Plaintiff—the Nursing Board
and hospitals where she worked. The Judgment Debt quantifies the extent of the harm and is non-

31 Defendant Exh. 38. Defendant holds a degree from the St. Louis University School of Medicine and is certified by
the American Board of Internal Medicine in Internal Medicine and Infectious Diseases.
32 Doc. No. 116. 8/21/19 Am. Tr. 119, 131.
dischargeable under 11 U.S.C. § 523(a)(6). A separate Final Judgment for the Plaintiff and against
the Defendant simultaneously shall enter.
###
Attorney, Neil L. Henrichsen, is directed to serve a copy of this order on interested parties who are
non-CM/ECF users and file a proof of service within 3 days of entry of the order.

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Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/10456439. Public record. Not legal advice.
