2012 Decisions

Opinions of the United

States Court of Appeals

for the Third Circuit

4-17-2012

Bocobo v. Radiology Consul

Precedential or Non-Precedential: Non-Precedential

Docket No. 07-3142

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Recommended Citation

"Bocobo v. Radiology Consul" (2012). 2012 Decisions. Paper 1147.

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NOT PRECEDENTIAL

UNITED STATES COURT OF APPEALS

FOR THE THIRD CIRCUIT

____________

No. 07-3142

____________

GEORGE G. BOCOBO, M.D.,

 Appellant

v.

RADIOLOGY CONSULTANTS OF SOUTH JERSEY, P.A., a New Jersey

Professional Corporation; SOUTH JERSEY HEALTH SYSTEM, INC.,

a New Jersey Corporation; PAUL CHASE, D.O.; RADIOLOGY AFFILIATES,

a business entity jointly, severally, and in the alternative;

ALLIANCE RADIOLOGY ASSOCIATES, L.L.C., a business entity,

jointly, severally, and in the alternative

____________

On Appeal from the United States District Court

for the District of New Jersey

(D.C. No. 02-cv-01697)

District Judge: Honorable Joseph E. Irenas

____________

Submitted Under Third Circuit LAR 34.1(a)

April 13, 2012

Before: McKEE, Chief Judge and HARDIMAN, Circuit Judge

and JONES*, District Judge.

(Filed: April 17, 2012)

 

*The Honorable C. Darnell Jones, District Judge for the United States District 

Court for the Eastern District of Pennsylvania, sitting by designation.
2

____________

OPINION OF THE COURT

____________

HARDIMAN, Circuit Judge.

Almost ten years ago, George Bocobo, M.D., brought a congeries of claims 

against a hospital, its director of radiology, and two radiology physician groups after they 

denied him participation in an exclusive contract. He appeals the District Court‘s 

summary judgment for Defendants on several of those claims. For the reasons explained 

below, we will affirm.

I

Dr. Bocobo began performing diagnostic radiology services at South Jersey Health 

System‘s (SJHS‘s) Millvale and Bridgeton divisions in 1985. According to Bocobo, he 

began ―complaining‖ almost immediately about inadequacies in SJHS‘s policies and 

practices. In 1993, Bocobo entered into a Business Relationship Agreement and a 

Shareholder Agreement with Dr. Paul Chase, who then was SJHS‘s Radiology 

Department Director, and Drs. Steven Rothfarb and Craig Taylor to form Radiology 

Consultants of South Jersey, P.A. (RCSJ). Pursuant to an exclusive contract (Exclusive 

Contract I), RCSJ served as the sole provider of radiology services for SJHS‘s Millvale 

and Bridgeton hospitals from 1993 until 2001. Exclusive Contract I provided:

Should [RCSJ] terminate its relationship with one or more of [its] Physicians, 

the status of such . . . Physicians, as members of [SJHS‘s] Medical Staff, and 

all accompanying privileges, shall terminate automatically and immediately, 
3

and such termination shall not be subject to a due process hearing or review by 

[SJHS‘s] Medical Staff or Board of Directors.

Bocobo‘s employment as a radiologist in the RCSJ group was governed by a 

separate contract (the Employment Contract), which took effect on October 1, 1993, and 

was set to terminate on September 30, 1995, if either RCSJ or Bocobo gave ninety days‘ 

notice. Paragraph two of the Employment Contract further provided:

In the absence of [such] notice, this Employment Contract shall continue in 

force with the right of either party to terminate with ninety (90) days‘ written 

notice. Notwithstanding the above, this Agreement shall immediately

terminate and [Dr. Bocobo] shall cease to be an Employee of [RCSJ] upon the 

occurrence of any of the following events: . . . (f) upon the dissolution of 

[RCSJ]; [or] (g) for cause . . . . 

In the event of termination pursuant to the above, [Dr. Bocobo] agrees 

to resign from the Medical Staff of Bridgeton and Millvale Hospitals without 

the right to due process . . . , such resignation to be effective on the date of 

termination as set forth above. 

During his nearly eight-year employment with RCSJ performing radiology at SJHS 

hospitals, Bocobo was the subject of several complaints. According to SJHS‘s files and 

deposition testimony, Bocobo harassed technologists and secretaries, wasted time, 

behaved hostilely towards coworkers, demanded personal medical treatment in his office, 

and boasted about his romantic prowess with female staff. In a certification filed with the 

District Court, Bocobo challenged the written reports as false and misleading ―one-sided 

anecdotal memos‖ that should not have been secretly kept by SJHS.1

 

1

 Because Bocobo disputes the veracity of the reports maintained by SJHS in a 

―secret personal file,‖ we will not consider that evidence at the summary judgment stage.
4

Apart from the disputed complaints in SJHS‘s files, Chase testified that Bocobo 

sometimes did not respond to emergency calls. SJHS staff claim that he was routinely 

inaccessible. Others insist they preferred not to work with Bocobo because he made work 

less efficient and more difficult. Various hospital staff called Bocobo ―self-centered,‖ 

―standoffish,‖ ―perseverative, argumentative and unreasonable.‖ On one occasion, a 

referring physician was so disappointed with Bocobo‘s handling of his patient that he 

―request[ed] that Dr. Bocobo not look at any of [his] patients or read any of the films 

from [his] patients.‖ Bocobo claims that SJHS and Chase ultimately grew dissatisfied 

with him not based on his purported misconduct, but rather due to his ―vocal patient 

advoca[cy]‖ regarding legitimate concerns about hospital policies and practices.

Around December 1998, in anticipation of its construction of a regional medical 

center, SJHS began entertaining plans to select one radiology group to service its three 

area hospitals: Bridgeton and Millvale, for which RCSJ then served as the exclusive 

radiology group, and Newcomb, for which Vineland Radiology Association (Vineland) 

provided exclusive radiology services at the time. An update to Exclusive Contract I 

between RCSJ and SJHS provided that the contract would end in January 2000 and could 

be terminated with notice any time after January 1999. Accordingly, beginning in 

January 2001, SJHS‘s exclusive contract with RCSJ proceeded on a month-to-month 

basis. In soliciting proposals for a new exclusive radiology provider, SJHS recommended 

that Chase and Dr. Ernesto Go, the head of Vineland, jointly bid for the contract. SJHS‘s 
5

President and CEO believed the radiology departments would be less disrupted in the 

transition to a single site if the existing radiology chiefs collaborated. Chase and Go 

made a presentation to SJHS on behalf of a planned consolidated group to be called 

Alliance Radiology. A different group, Booth Radiology, won the exclusive contract, but 

when Booth unexpectedly declined the contract, SJHS offered it to Alliance. Alliance 

was officially formed in March 2001, and it contracted with SJHS to become the 

exclusive provider of radiology services at all three of SJHS‘s hospitals in Cumberland 

County (Exclusive Contract II).

Bocobo was excluded from the new group. On April 12, 2001, RCSJ‘s legal 

counsel gave Bocobo ninety days‘ notice that he was being terminated pursuant to 

paragraph two of the Employment Contract. According to Chase, Bocobo was not invited 

to join Alliance because he was ―cantankerous [and] . . . uncooperative . . . [and] 

wouldn‘t conform to decisions . . . made [by] the group.‖ Rothfarb and Taylor likewise 

testified that Bocobo was excluded because his colleagues at RCSJ ―did not wish to 

associate with him further‖ and because ―he was disruptive, he was not a team player, 

[and] he had difficult relations with referring physicians, and [did not] accomodat[e] the 

referring physicians‘ requests.‖

At his deposition, Bocobo offered ―no opinion as to why‖ RCSJ terminated him. 

Nevertheless, he now claims that SJHS played a substantial role in his exclusion from 

Alliance. Bocobo asserts that Chase‘s decisions for RCSJ were motivated primarily by 
6

his concern for maintaining RCSJ‘s exclusive contract with SJHS. Bocobo points to 

testimony by SJHS‘s Vice President of Medical Affairs, Dr. Joseph Zeccardi, indicating 

that Zeccardi mentioned to Chase a situation in which Zeccardi previously ―had a similar 

responsibility of dissolving one group and forming another and hav[ing] a member of 

[the] group that [he] did not . . . want[] to hire.‖ Bocobo claims further that because not 

inviting him to the Alliance group left only five radiologists, one short of the minimum 

acceptable number under Exclusive Contract II, Chase obtained SJHS‘s consent before 

excluding Bocobo. In support of this claim, Bocobo cites testimony indicating that Chase 

―spoke to administration‖ before Alliance was created and that ―administration supported 

Dr. Chase[‘s] . . . actions and decisions.‖ Bocobo argues that ―SJHS authorized Chase to 

terminate [his] employment and his medical staff privileges, so that SJHS, as a 50% 

shareholder in RCSJ‘s outpatient radiology business, could reap [his] interests in RCSJ.‖ 

To the contrary, both RCSJ‘s legal counsel and SJHS‘s President and CEO, who 

recommended the merger of RCSJ and Vineland, claim they had ―no discussion . . . 

whatsoever‖ regarding what might happen to Bocobo when Alliance was formed.

Within two weeks of his termination, Bocobo was hired as a radiologist by a 

University of Pennsylvania hospital that is closer to his Villanova home than to SJHS‘s 

Millvale or Bridgeton locations. His starting annual salary ($190,000) was $20,000 less 

than his salary with RCSJ.

On April 12, 2002, Bocobo filed a twelve-count complaint against RCSJ, Alliance, 
7

Chase, and SJHS (collectively, Defendants).2In Counts 1 and 2, Bocobo alleged that 

Defendants violated the Sherman Act, 15 U.S.C. §§ 1 and 2, and the New Jersey Antitrust 

Act (NJAA), N.J. Stat. Ann. § 56:9-1 to -19. Count 3 alleged that RCSJ, Alliance, and 

Chase terminated Bocobo‘s employment in violation of New Jersey‘s whistleblower 

statute, the New Jersey Conscientious Employee Protection Act (CEPA), N.J. Stat. Ann. 

§ 34:19-1 to -14. Count 4 asserted that SJHS revoked Bocobo‘s hospital privileges 

contrary to public policy. Count 5 pleaded that RCSJ, Alliance, and Chase breached their 

fiduciary duties to Bocobo, and it was later amended to assert a civil conspiracy claim 

alleging that SJHS assisted and encouraged that breach. Count 6 claimed Defendants 

breached Bocobo‘s Employment Contract.3 Count 8 asserted that Defendants defamed 

Bocobo and committed trade libel against him. Finally, Count 10 alleged that Defendants 

tortiously interfered with Bocobo‘s prospective economic advantages.

On February 25, 2004, the District Court granted Defendants‘ motion for partial 

summary judgment and dismissed Bocobo‘s federal and state antitrust claims (Counts 1 

 

2 Bocobo‘s brief does not assert error in the resolution of Counts 7, 9, 11, and 12, 

or in Counts 13, 14, and 15, which were added in an amended complaint. Additionally, it 

offers no argument regarding his defamation claim under Count 8. Therefore, he has 

waived any arguments regarding the resolution of Counts 7, 8 (as to defamation only), 9, 

and 11 through 15. See United States v. Pelullo, 399 F.3d 197, 222 (3d Cir. 2005).

3 Although it is unclear from Bocobo‘s complaint whether he intended to include 

SJHS as a defendant in Count 6, the District Court found the conduct charged in Count 6 

―factually interrelated‖ to other counts in which SJHS was a named defendant and treated 

SJHS as a Count 6 defendant. We do the same.
8

and 2). On November 22, 2005, the Court granted complete summary judgment for SJHS 

on all remaining claims against it (Counts 4, 5, 6, 8, and 10) and for RCSJ, Alliance, and 

Chase on Counts 3, 8, and 10. On Counts 5 and 6, the District Court granted RCSJ, 

Alliance, and Chase only partial summary judgment, dismissing those claims only insofar 

as they were grounded in Bocobo‘s loss of medical staff privileges at SJHS. Bocobo then 

proceeded to a jury trial against RCSJ, Alliance, and Chase on his shareholder-based 

claims and an alleged breach of a Deferred Compensation Agreement with RCSJ. The 

jury found in Bocobo‘s favor and awarded him $300,000. The District Court has resolved 

all post-judgment motions, and Bocobo‘s timely appeal of the summary judgment orders 

is now properly before us.4

II

We exercise plenary review over the District Court‘s orders. Groman v. Twp. of 

Manalapan, 47 F.3d 628, 633 (3d Cir. 1995). Summary judgment is appropriate only 

where, viewing the facts ―in the light most favorable to the nonmoving party,‖ Scott v. 

Harris, 550 U.S. 372, 380 (2007), there is ―no genuine dispute as to any material fact,‖ 

such that he is ―entitled to judgment as a matter of law,‖ Fed. R. Civ. P. 56(a). 

Ultimately, ―[w]here the record taken as a whole could not lead a rational trier of fact to 

find for the non-moving party, there is no genuine issue for trial.‖ Matsushita Elec. 

 

4

The District Court had jurisdiction pursuant to 15 U.S.C. §§ 1, 2, and 15, and 28 

U.S.C. §§ 1331 and 1332. We have jurisdiction under 28 U.S.C. § 1291.
9

Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587 (1986) (citation and internal 

quotation marks omitted).

A

We begin with Bocobo‘s antitrust claims under sections one and two of the 

Sherman Act and the NJAA.5 With respect to Sherman Act § 1, which prohibits 

contracts, combinations, and conspiracies that impose unreasonable restraints on trade, 15 

U.S.C. § 1; W. Penn Allegheny Health Sys., Inc. v. UPMC, 627 F.3d 85, 99 (3d Cir. 2010) 

(citing Standard Oil Co. v. United States, 221 U.S. 1, 58 (1911)), Bocobo alleges that 

Defendants conspired to boycott him in the local radiology market and used illegal tying 

arrangements to link radiology services to hospital services. He also asserts that SJHS 

and Chase violated § 2 by signing exclusive contracts intended to monopolize the 

outpatient and hospital radiology markets. See 15 U.S.C. § 2 (creating liability for 

―[e]very person who shall monopolize, or attempt to monopolize . . . any part of the trade 

or commerce among the several States‖). This, Bocobo says, was designed to free SJHS 

from competing on quality and led to substandard radiology services.

Bocobo‘s ability to bring an antitrust claim is dependent on § 4 of the Clayton Act, 

 

5

Substantively, the NJAA is ―virtually identical‖ to the Sherman Act, and the New 

Jersey legislature ―intended the [NJAA] as consistent with federal antitrust law, and 

expressly provided that it  ̳be construed in harmony with ruling judicial interpretations of 

comparable Federal antitrust statutes and to effectuate, insofar as practicable, a uniformity 

in the laws.‘‖ Ideal Dairy Farms, Inc. v. Farmland Dairy Farms, Inc., 659 A.2d 904, 920 

(N.J. Super. Ct. 1995) (quoting N.J. Stat. Ann. § 56:9-18). Accordingly, our analysis of 

Bocobo‘s federal antitrust claims in Count 1 applies to his NJAA claims in Count 2, and 
10

5 U.S.C. § 15, which limits private antitrust suits to those who have been injured by 

conduct forbidden by the antitrust laws. Brader v. Allegheny Gen. Hosp., 64 F.3d 869, 

875 (3d Cir. 1995) (citing 5 U.S.C. § 15(a)). To establish his standing to sue, Bocobo 

must demonstrate: (1) that he has suffered an ―antitrust injury‖; and (2) that he is the 

proper plaintiff to bring the claim. See, e.g., Alberta Gas Chems., Ltd. v. E.I. DuPont de 

Nemours & Co., 826 F.2d 1235, 1240 (3d Cir. 1987). ―An antitrust injury is an  ̳injury of 

the type the antitrust laws were intended to prevent and that flows from that which makes 

[the] defendants‘ acts unlawful. The injury should reflect the anticompetitive effect either 

of the violation or of anticompetitive acts made possible by the violation.‘‖ W. Penn 

Allegheny Health, 627 F.3d at 101 (alteration in original) (citation omitted) (quoting 

Brunswick Corp. v. Pueblo Bowl-O-Mat, Inc., 429 U.S. 477, 489 (1977)). ―If antitrust 

injury is not found, further inquiry is unnecessary.‖ City of Pittsburgh v. W. Penn Power 

Co., 147 F.3d 256, 265 (3d Cir. 1998).

The District Court granted summary judgment to Defendants after finding that 

Bocobo had not demonstrated antitrust injury. Defining the market for radiology jobs as 

including, ―at the very least, southern New Jersey and the Philadelphia area,‖ Bocobo v. 

Radiology Consultants of S. Jersey (Bocobo I), 305 F. Supp. 2d 422, 426 (D.N.J. 2004), 

the District Court concluded that Bocobo had presented no evidence that his exclusion 

from Alliance had negatively impacted that market. Looking to the consumer market for 

 

we resolve both counts together.
11

radiology services, the District Court likewise found no indication in the record that 

Bocobo‘s exclusion from SJHS‘s Cumberland County hospitals had affected consumer 

choice or the price or quality of radiology services.

Bocobo argues that the District Court abandoned the summary judgment standard, 

made conclusions that are reserved to experts and the jury, and improperly rejected his 

proposed definitions of the relevant product and geographic markets. We find no such 

errors in the District Court‘s reasoning.6

Viewing the evidence in his favor, Bocobo has not established a nexus between his 

purported exclusion from the market for radiology jobs and the anticompetitive effects on 

that market that would make Defendants‘ exclusive contracts or alleged boycott illegal 

under the antitrust laws. See, e.g., Atl. Richfield Co. v. USA Petrol. Co., 495 U.S. 328, 

335–36 (1990) (holding that losses resulting from a competitor‘s vertical, maximum 

price-fixing agreements were not ― ̳antitrust injury,‘ since [the] losses d[id] not flow from 

the aspects of vertical, maximum price fixing that render it illegal‖); Brunswick, 429 U.S. 

at 489; W. Penn Allegheny Health, 627 F.3d at 102 (finding no antitrust injury to a 

hospital where ―Highmark‘s elimination of [its low-cost insurance plan] violated the 

 

6

 Preliminarily, we reject Bocobo‘s objections to the District Court‘s act of 

defining the relevant product and geographic markets rather than preserving that question 

for the jury. It was proper for the District Court to delimit the market in order to assess 

antitrust injury at the summary judgment stage. Cf., e.g., Barton & Pittinos, Inc. v. 

SmithKline Beecham Corp., 118 F.3d 178, 182 (3d Cir. 1997) (upholding summary 

judgment based on a lack of antitrust injury where the district court‘s decision depended 

heavily on its definition of the relevant product market).
12

antitrust laws, if at all, because it tended to reduce competition in the . . . market for 

health insurance,‖ not medical services (emphasis added)); Balaklaw v. Lovell, 14 F.3d 

793, 799 (2d Cir. 1994) (upholding summary judgment based on a lack of standing where 

an anesthesiologist-plaintiff alleging exclusive dealing failed to show that multi-state and 

national competition for anesthesiologist positions had been hampered).

Bocobo has not shown that he was excluded entirely from the radiology job 

market;7 within two weeks of his termination from RCSJ, he obtained a radiology 

position with a nearby hospital. Compare, e.g., Angelico v. Lehigh Valley Hosp., Inc., 

184 F.3d 268, 274 (3d Cir. 1999) (reversing summary judgment for the defendant where 

―the injury [Angelico] suffered, when shut out of competition for anticompetitive reasons, 

[was] indeed among those the antitrust laws were designed to prevent‖ (emphases 

added)), with, e.g., Untracht v. Fikri, 454 F. Supp. 2d 289, 309–10 (W.D. Pa. 2006) 

(finding no antitrust injury, even where the plaintiff‘s staff privileges were revoked at 

several hospitals, because he maintained the option of practicing at at least one area 

 

7 We find the District Court‘s definition of the relevant geographic market for 

radiology jobs proper, given uncontested evidence that: (1) SJHS recruited radiologists 

from Colorado; (2) Chase was hired from Camden County, New Jersey; and (3) Bocobo 

himself searched for a new position at least as far as the Philadelphia area. See, e.g., 

Jefferson Parrish Hosp. Dist. No. 2 v. Hyde, 466 U.S. 2, 29 (1984) (noting that the market 

for anesthesiologist jobs ―is not necessarily the same as the market in which hospitals 

compete in offering services to patients . . . [and that] it may encompass competition 

among anesthesiologists for exclusive contracts . . . and might be statewide or merely 

local‖), abrogated in part on other grounds by Ill. Tool Works Inc. v. Indep. Ink, Inc., 547 

U.S. 28 (2006); Balaklaw, 14 F.3d at 799; Collins v. Assoc. Pathologists Ltd., 844 F.2d 

473, 478–79 (7th Cir. 1988).
13

hospital).

Nor has Bocobo demonstrated that Defendants‘ conduct was anticompetitive. 

Specifically, he has failed to show that their behavior leading to his exclusion—the 

change of contractor in a long-standing practice of exclusive contracting for radiology 

services—is the type that might lessen competition among radiology providers for the 

right to practice in the eastern Pennsylvania and south New Jersey areas. See, e.g., B & H 

Med., LLC v. ABP Admin., Inc., 526 F.3d 257, 266 (6th Cir. 2008) (finding no antitrust 

injury where the ―record [was] devoid of evidence that competition as a whole ha[d] 

suffered as a result of [an] exclusive [contract] . . . program‖ (citation and internal 

quotation marks omitted)); Balaklaw, 14 F.3d at 799; Steuer v. Nat’l Med. Enters., Inc., 

672 F. Supp. 1489, 1501–02 (D.S.C. 1987) (finding no standing where former exclusive 

contractors brought antitrust conspiracy claims against the hospital and the successor 

exclusive contractor because ―reduced to its essentials, [the] plaintiffs‘ . . . Complaint

rest[ed] not on any showing of lessened competition, but merely on the fact that they 

[were] disappointed competitors who [were forced to] provide their services elsewhere‖).

Finally, Bocobo has failed to establish that his displacement stemmed directly from 

conduct that is illegal because of its anticompetitive effects on the price, output, or quality 

of radiology services available to consumers, such as illegal tying arrangements or 

monopoly behavior. See, e.g., Jefferson Parrish, 466 U.S. at 26 (measuring the 

anticompetitive effects of tying anesthesiology services to hospital care by looking to the 
14

consumer market for anesthesiology). See generally Angelico, 184 F.3d at 274 (noting 

that the ―directness of the injury‖ bears on antitrust standing). Bocobo argues that 

Defendants‘ market position and exclusive contracts allow them to provide substandard 

radiology services and reduce consumer choice, but there is no indication that 

Defendants‘ actions that resulted in Bocobo‘s ouster from SJHS hospitals or Cumberland 

County might cause such harms. As the District Court explained, consumers of radiology 

services rarely shop around for radiologists or learn who interpreted their scans and Xrays. If consumers are likely to be harmed by Defendants‘ exclusive contracts, those 

―effects will not be missed by patient-consumers or insurers,‖ who are better positioned 

than Bocobo to challenge Defendants‘ practices. Kochert v. Greater Lafayette Health 

Servs., Inc., 463 F.3d 710, 719 (7th Cir. 2006).

Viewed in Bocobo‘s favor, the evidence shows merely that Bocobo was displaced 

when SJHS granted its exclusive contract to a new company better suited for SJHS‘s 

plans to consolidate its hospitals. Losing out in such competition is not an 

anticompetitive harm. Cf., e.g., Race Tires Am., Inc. v. Hoosier Racing Tire Corp., 614 

F.3d 57, 83 (3d Cir. 2010) (―It is well established that competition among businesses to 

serve as an exclusive supplier should actually be encouraged.‖). In the absence of a link 

between Bocobo‘s losses and the anticompetitive aspects of exclusive contracts, boycotts, 

tying arrangements, and monopolies, we agree with the District Court that Bocobo lacks 

standing to assert his antitrust claims. Therefore, summary judgment was appropriate on 
15

Counts 1 and 2.

B

We next consider Bocobo‘s claim at Count 3 that RCSJ, Alliance, and Chase 

violated New Jersey‘s whistleblower statute by terminating him based on his complaints 

regarding their radiology policies and practices.8 See CEPA, N.J. Stat. Ann. § 34:19-1 to 

-8. A CEPA plaintiff must show that

(1) he . . . reasonably believed that his . . . employer‘s conduct was violating 

either a law, rule, or regulation promulgated pursuant to law, or a clear 

mandate of public policy; (2) he . . . performed a ―whistle-blowing‖ activity 

. . . ; (3) an adverse employment action was taken against him . . . ; and (4) a 

causal connection exists between the whistle-blowing activity and the adverse 

employment action.

Dzwonar v. McDevitt, 828 A.2d 893, 900 (N.J. 2003). The plaintiff need not ―set forth 

facts that, if true, would constitute a violation of [a statute],‖ id. at 903, but he must 

establish a ―substantial nexus between the complained-of conduct and a law or public 

policy identified by the court or the plaintiff,‖ id. at 901; accord Caver v. City of Trenton, 

420 F.3d 243, 254 (3d Cir. 2005).

The District Court granted summary judgment for Defendants, finding the absence 

of a genuine issue of material fact regarding the causation element of Bocobo‘s CEPA 

 

8 We reject Defendants‘ argument that Bocobo‘s CEPA claim is barred by the 

statute of limitations. In CEPA cases, ―the employee‘s cause of action . . . accrues on the 

date of actual discharge[,] . . . [which is] the last day for which the employee is paid a 

regular salary or wage,‖ Alderiso v. Med. Ctr. of Ocean Cnty., Inc., 770 A.2d 275, 277 

(N.J. 2001), and Bocobo brought his suit well within one year of his final day of work, 

July 13, 2001.
16

claim. Specifically, the Court reasoned that Bocobo had been complaining since 1985 

and that no reasonable jury could find that his termination in 2000 was motivated by 

anything other than his own ―difficult personality.‖ Bocobo v. Radiology Consultants of 

S. Jersey, PA (Bocobo II), No. 02-1697, 2005 WL 3158053, at *4 (D.N.J. Nov. 21, 2005). 

Bocobo argues that the District Court misapplied the summary judgment standard by 

implicitly crediting testimony indicating that he was excluded from Alliance merely 

because hospital staff and RCSJ colleagues disliked working with him. Defendants 

respond that summary judgment was fully supported by both a lack of causation and 

Bocobo‘s failure to identify the specific regulations or laws he complained were being 

violated. We agree with the District Court that, as is true ―in most CEPA cases,‖ 

Bocobo‘s claim ―turn[s] on the fourth element: evidence of a causal connection‖ between 

his termination and his purported whistle-blowing. Donofry v. Autotote Sys., Inc., 795 

A.2d 260, 269 (N.J. Super. Ct. 2001). Because we also agree that no genuine issue of 

material fact exists as to whether Bocobo‘s termination resulted from his complaints, 

rather than his own failings, we will affirm the grant of summary judgment on Bocobo‘s 

CEPA claim.

Bocobo‘s CEPA claim depends on circumstantial evidence, so we apply the 

burden-shifting framework of McDonnell-Douglas Corp. v. Green, 411 U.S. 792 (1973). 

See Fleming v. Corr. Healthcare Solutions, Inc., 751 A.2d 1035, 1041 (N.J. 2000). Even 

assuming that Bocobo has made out a prima facie case of retaliation, he cannot satisfy his 
17

burden of discrediting Defendants‘ legitimate, non-retaliatory explanation for his 

exclusion from Alliance as implausible, inconsistent, incoherent, or contradictory. 

Compare, e.g., Blackburn v. UPS, Inc., 179 F.3d 81 (3d Cir. 1999) (upholding summary 

judgment for UPS where Blackburn raised alarms of potential antitrust violations without 

any sophisticated knowledge of antitrust and where the record provided him no fodder to 

undermine UPS‘s proffered legitimate explanations that it terminated him for his own 

violations of UPS‘s anti-nepotism, favoritism, integrity and accountability policies); 

Campbell v. Abercrombie & Fitch, Co., No. 03-3159, 2005 WL 1387645 (D.N.J. June 9, 

2005) (granting summary judgment on a store employee‘s CEPA claim, despite his 

allegations that he was fired for voicing concerns about discriminatory hiring practices, 

because no evidence assailed Abercrombie & Fitch‘s legitimate, non-retaliatory 

explanation that the employee had misrepresented himself at other store locations in order 

to conduct unauthorized undercover investigations), with, e.g., Schlichtig v. Inacom 

Corp., 271 F. Supp. 2d 597 (D.N.J. 2003) (finding that Inacom‘s explanation that it fired 

the plaintiff for conducting unauthorized background checks of other employees, rather 

than for reporting a coworker‘s marijuana use to police against Inacom‘s instructions, was 

discredited by evidence that, after first learning of the unauthorized background checks, 

Inacom gave express permission for the plaintiff to conduct further investigations).

As in Blackburn and Campbell, the record in Bocobo‘s case is replete with 

evidence bolstering Defendants‘ non-retaliatory explanation for his termination. The 
18

record indicates that he caused delays in the operations of the radiology department, 

refused to cooperate, and generated friction through his idiosyncratic practices and 

requests. We need not weigh the credibility of the witnesses who offered such 

testimony—and neither did the District Court—because Bocobo offers no contrary 

evidence aside from his own self-serving allegations. Rather, he merely posits the 

alternative view that he was terminated for expressing his disagreements with 

Defendants‘ patient care. But that claim is significantly undermined by the fact that RCSJ 

and Chase took no action in response to his complaints for at least eight years—from the 

creation of RCSJ in 1993 until its dissolution in 2001. The temporal proximity of a 

CEPA plaintiff‘s termination to his alleged whistle-blowing is important circumstantial 

evidence of the employer‘s motivation, see, e.g., Kachmar v. SunGard Data Sys., 109 

F.3d 173, 177 (3d Cir. 1997), and Bocobo‘s lengthy employment despite his complaints 

distinguishes his case from those in which CEPA claims have been countenanced, see, 

e.g., Caver, 420 F.3d at 249–52 (alleged retaliation within six months of first complaints); 

Schlichtig, 271 F. Supp. 2d at 613 (termination two weeks after complaints). Given the 

strong evidence supporting Defendants‘ proffered legitimate, non-retaliatory reason for 

excluding Bocobo from Alliance and Bocobo‘s failure to call that justification into 

question, we readily conclude that no reasonable jury could have found in Bocobo‘s favor 

on his CEPA claim. Accordingly, we will affirm the District Court‘s summary judgment 

on Count 3.
19

C

We now turn to Bocobo‘s claim of trade libel in Count 8. Under New Jersey law, 

to prove trade libel a plaintiff must show

publication of a matter derogatory to the plaintiff‘s property or business, of a 

kind designed to prevent others from dealing with him or otherwise to interfere 

with plaintiff‘s relations with others. . . . The communication must be made to 

a third person and must play a material part in inducing others not to deal with 

plaintiff. . . . [W]hereas the need to demonstrate damages is [sometimes] 

waived in a defamation suit[,] . . . proof of damages is essential in an action for 

trade libel. 

Patel v. Soriano, 848 A.2d 803, 834 (N.J. Super. Ct. 2004) (internal citations omitted); 

accord Arista Records, Inc. v. Flea World, Inc., 356 F. Supp. 2d 411, 424 (D.N.J. 2005) 

(Trade libel requires proof of: ―(1) publication, (2) with malice, (3) of false allegations 

concerning [the plaintiff‘s] property, product or business, and (4) special damages.‖ 

(citing FDIC v. Bathgate, 27 F.3d 850, 870–71 (3d Cir. 1994))).

Bocobo dedicates only one sentence of his opening brief to his trade libel claim. 

He argues that the District Court‘s finding that he could not demonstrate special damages 

was based on the erroneous conclusion that RCSJ could terminate him without cause 

under the Employment Contract.9

 

9

In his reply brief, as in his briefs before the District Court, Bocobo asserts in 

much greater detail that SJHS and Chase collected ―anecdotal allegations‖ about him in a 

―secret personal file‖ and published false and misleading statements to hospital personnel,

RCSJ, and Alliance based on ―one-sided and incomplete portrayals of events.‖ (Reply 

22.) Bocobo claims SJHS and Chase knew the stories were false or recklessly 

disregarded their unreliability. Because Bocobo did not raise this argument in his 

opening brief, he waived it, see Pelullo, 399 F.3d at 222, and we consider only his 
20

As the Court noted, Bocobo had to ― ̳allege either loss of particular customers by 

name, or a general diminution of business, and extrinsic facts showing that such special 

damages were the natural and direct result of the false publication.‘‖ Bocobo II, 2005 

WL 3158053, at *8 (quoting Mayflower Transit, LLC v. Prince, 314 F. Supp. 2d 362, 378 

(D.N.J. 2004)). We agree with the District Court that his trade libel claim fell short in 

this respect. His complaint pleaded only general losses, including avoidance by his peers, 

loss of goodwill and respect, and ―substantial money damages, including but not limited, 

to damages to his personal and business reputation.‖ Bocobo failed to allege any loss of 

patients, let alone specifically named patients, and he did not show that the difference 

between his prior salary with RCSJ and his current salary with the University of 

Pennsylvania, even if construed as specific damages, was a direct result of Defendants‘ 

purportedly libelous statements. Rather, the only reasonable reading of the record shows 

that Bocobo‘s colleagues at RCSJ believed he was ―difficult‖ and did not wish to 

associate with him further based on their own extensive personal interactions with him 

and his work-related deficiencies, such as inaccessibility and combativeness. Therefore, 

we will uphold summary judgment for SJHS and Chase on Count 8.

D

Bocobo‘s remaining claims at Counts 4, 5, 6, and 10 can be disposed of 

summarily.

 

challenge to the District Court‘s ruling on special damages.
21

1

At Count 4, Bocobo alleged a violation of public policy under Nanavati v. 

Burdette Tomlin Memorial Hospital, 526 A.2d 697 (N.J. 1987). Although Nanavati

stands for the proposition that a hospital must afford a physician due process before 

revoking his privileges, the case is inapposite here because, from SJHS‘s perspective, 

Bocobo‘s privileges were terminated not because of any belief as to his medical 

competence or personality, but rather by operation of contract once he ceased practicing 

radiology for SJHS‘s exclusive provider. See Bloom v. Clara Maass Med. Ctr., 685 A.2d 

966, 973 (N.J. Super. Ct. 1996) (holding that the ―decision to award an exclusive contract 

for the provision of radiological services, which le[ads] to the revocation of [a doctor‘s] 

staff privileges, constitute[s] a reasonable management decision‖ under Nanavati); 

Courtney v. Shore Mem’l Hosp., 584 A.2d 817, 819 (N.J. Super. Ct. 1990) (―Nanavati

deals with disharmony-personality difficulties which are largely subjective . . . . An 

objective violation of a specific rule or regulation is quite different.‖) (holding that 

revocation of the plaintiff‘s privileges when he let his medical malpractice insurance 

lapse did not have to satisfy Nanavati).

2

At Count 5, Bocobo alleged civil conspiracy against SJHS. This claim fails for 

two independent reasons. First, we readily agree with the District Court‘s conclusion 

that, under the plain language of the Employment Contract, after September 30, 1995, 
22

either party could terminate Bocobo‘s employment upon ninety days‘ notice, with or 

without cause. The additional clause providing for immediate termination without notice 

―for cause‖ did not alter RCSJ‘s ability under the preceding clause to terminate Bocobo 

merely upon ninety days‘ notice. Because Bocobo‘s termination was permitted under his 

contract, any collaboration among Defendants to terminate Bocobo lacked the ―unlawful 

purpose or . . . lawful purpose achieved by unlawful means‖ or the ―wrongful act‖ 

required for Bocobo‘s civil conspiracy and aiding and abetting claims under Count 5. 

See, e.g., Morganroth & Morganroth v. Norris, McLaughlin & Marcus, 331 F.3d 406, 

414–15 (3d Cir. 2003) (setting forth the elements of civil conspiracy and aiding and 

abetting). Second, we agree with the District Court that Bocobo failed to adduce 

sufficient evidence suggesting that SJHS participated in or encouraged his ouster from 

RCSJ and exclusion from Alliance. Evidence that Chase had discussions with the SJHS 

administration prior to terminating Bocobo—even including Zeccardi‘s testimony that he 

told Chase of an instance in which a newly formed physicians‘ group eliminated a prior 

partner—does not establish that SJHS recommended that Bocobo be removed from the 

radiology group. Indeed, the only direct testimony presented on the subject consists of 

SJHS‘s CEO‘s and RCSJ‘s legal counsel‘s flat denials that they ever discussed Bocobo 

―whatsoever‖ in preparation for Exclusive Contract II between SJHS and Alliance.

3

At Count 6, Bocobo alleged breach of contract by all Defendants. This claim fails 
23

against RCSJ and Chase because, as we explained above, Bocobo‘s Employment Contract 

permitted termination without cause so long as he received ninety-days‘ notice. As to 

SJHS, Exclusive Contract I contemplated that Bocobo‘s privileges would be revoked 

automatically the moment he was no longer employed by RCSJ, so SJHS committed no 

breach by denying Bocobo hospital privileges.

4

Finally, at Count 10, Bocobo alleged tortious interference against SJHS, RCSJ, 

and Chase. Pitting Defendants against each other, he claims that SJHS interfered with his 

prospective contractual relationship with RCSJ and Chase, and vice versa. But SJHS 

could not have committed tortious interference because after September 30, 1995, the 

Employment Contract gave Bocobo no ―reasonable expectation of economic benefit or 

advantage‖ in his position with RCSJ, which is an essential element of a tortious 

interference claim. See, e.g., Fineman v. Armstrong World Indus., Inc., 980 F.2d 171, 

186 (3d Cir. 1992) (citing Printing Mart-Morristown v. Sharp Elecs. Corp., 563 A.2d 31, 

37 (N.J. 1989)); Printing Mart-Morristown, 563 A.2d at 37 (―A complaint based on 

tortious interference must allege facts that show some protectable right—a prospective 

economic or contractual relationship.‖). Nor could RCSJ have interfered with Bocobo‘s 

prospective contractual relationship with SJHS. It merely fired him pursuant to the 

Employment Contract, which could not constitute a ―wrongful, intentional interference.‖ 

See Fineman, 980 F.2d at 186; accord Printing Mart-Morristown, 563 A.2d at 39. 
24

Moreover, after September 30, 1995, when he became terminable from RCSJ without 

cause, Bocobo lacked a reasonable expectancy in his SJHS privileges, which were 

dependent on his RCSJ employment.

5

In sum, because Bocobo‘s termination from RCSJ, exclusion from Alliance, and 

loss of staff privileges at SJHS were all permissible under the governing contracts, and 

because the revocation of his privileges was automatic upon his termination from RCSJ, 

summary judgment was appropriate for all Defendants on Bocobo‘s claims for wrongful 

termination (Count 4), civil conspiracy and aiding and abetting (Count 5), breach of 

contract (Count 6), and tortious interference (Count 10).

III

For the foregoing reasons, we will affirm the District Court‘s summary judgment 

on all counts and against all Defendants.