J. A06015/16


NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37


ELIZABETH PIPE, INDIVIDUALLY AND AS :         IN THE SUPERIOR COURT OF
ADMINISTRATRIX FOR THE ESTATE OF :                 PENNSYLVANIA
JASON PIPE                          :
                                    :
                     Appellant      :
                                    :
                v.                  :
                                    :
WILLIAM C. SHEPHERD, M.D., CARSON :
THOMPSON, M.D., ROBERT PACKER       :
HOSPITAL, CORNING HOSPITAL T/D/B/A :
GUTHRIE CORNING DEVELOPMENT         :
HOSPITAL, INC. GUTHRIE CLINIC LTD :
T/D/B/A GUTHRIE CLINIC, A           :
PROFESSIONAL CORPORATION T/D/B/A :
GUTHRIE CLINICS GROUP PRACTICE      :
PARTNERSHIP, LLP                    :
                                    :         No. 948 MDA 2015

                 Appeal from the Order Entered April 27, 2015
               In the Court of Common Pleas of Bradford County
                      Civil Division No(s).: 11 MM 000285

BEFORE: LAZARUS, J., STABILE ,J., and DUBOW, J.

MEMORANDUM BY DUBOW, J.:                            FILED JUNE 03, 2016

     Appellant, Elizabeth Pipe, individually and as administratrix for the

estate of Jason Pipe (“Decedent”), appeals from the Order entered in the

Bradford County Court of Common Pleas on April 27, 2015.         The Order

sustained the Preliminary Objections regarding improper venue filed by

Appellee Corning Hospital, sustained the Preliminary Objections regarding

personal jurisdiction filed by Appellee William C. Shepherd, M.D., and

dismissed Appellant’s claims against Appellees. We affirm.
J.A06015/16


      We summarize the facts and procedural history of this medical

malpractice case as follows.   On February 25, 2009, Decedent underwent

benign brain tumor surgery at Robert Packer Hospital in Bradford County,

Pennsylvania. Decedent reported headaches and hallucinations following the

surgery, but the hospital discharged him on March 3, 2009.

      Over the next two days, Decedent’s symptoms worsened and a

physician at Robert Packer Hospital instructed him to report to Appellee

Corning Hospital in Corning, New York for a cranial CT scan.          Appellee

William C. Shepherd, M.D. and other medical support staff cared for

Decedent.

      Several days later, after Appellee Corning Hospital had discharged

Decedent, Decedent’s condition worsened; he was delirious, incoherent, and

not ambulatory.    Decedent presented to the emergency room at Robert

Packer Hospital on March 9, 2009, wherein he underwent a spinal tap.

Doctors at Robert Packer Hospital diagnosed Decedent with meningitis.

Decedent spent almost 11 weeks in Robert Packer Hospital before being

released. On February 15, 2010, Decedent died due to complications from

meningitis.

      On March 4, 2011, Appellant commenced a civil action against five

defendants, including Appellees herein, for medical malpractice in the United

States District Court for the Middle District of Pennsylvania. With respect to

the parties to the instant appeal, Appellant specifically claimed that Appellee



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Corning Hospital is vicariously liable as a result of the care provided by its

agent Appellee Shepherd.    On June 21, 2011, Appellees filed a motion to

dismiss the action asserting lack of complete diversity between the parties.

      On June 23, 2011, Appellant filed a Notice of Voluntary Dismissal with

the federal court. On July 20, 2011, Appellant filed a “Praecipe to Enter a

Foreign Judgment,” along with the pleadings he filed in federal court, in the

Bradford County Court of Common Pleas.

      On January 26, 2012, Appellee Shepherd, a doctor who resides in New

York and exclusively practices medicine in New York, filed Preliminary

Objections alleging that Pennsylvania lacked both general and specific

jurisdiction over him and that venue was not proper in Bradford County. On

January 30, 2012, Appellee Corning Hospital also filed Preliminary Objections

on the basis of improper venue.

      On February 16, 2012, defendants Carson Thompson, M.D., Robert

Packer Hospital, and Guthrie Clinic, Ltd., and Appellee Corning Hospital filed

a Motion to Strike Appellant’s Praecipe to Enter Foreign Judgment. Appellant

filed a response and the trial court held a hearing on the matter, after which

it granted Appellees’ motion and struck Appellant’s Praecipe to Enter Foreign

Judgment on December 14, 2012.

      Appellant filed a timely appeal from the trial court’s December 14,

2012 Order.   On May 7, 2014, this Court reversed the trial court’s order,

concluding that, although Appellant had incorrectly captioned its pleading



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“[P]raecipe to [E]nter [F]oreign [J]udgment” instead of “Complaint,” the

“sum and substance of the pleading and its practical effect was to transfer

the action from federal court to state court.” See Pipe v. Shepherd, No.

118 MDA 2013 (unpublished memorandum) (filed May 7, 2014). 1

      Following remand, the trial court held a hearing on Appellees’

outstanding Preliminary Objections.      On April 3, 2015, the trial court

sustained Appellees’ Preliminary Objections and dismissed Appellant’s claims

against them.     The trial court concluded that Pennsylvania’s Long Arm

Statute, 42 Pa.C.S. § 5322(a)(4), did not provide a basis for specific

jurisdiction over Appellees. Trial Ct. Op., 9/15/15, at 5 (unpaginated). The

trial court also determined that the version of Pa.R.C.P. 1006 in effect at the

time Appellant filed her Complaint did not establish the basis for venue for a

cause of action arising out of state. Consequently, Bradford County was an

inappropriate venue for claims against Appellee Corning Hospital.

      Appellant filed an Emergency Application for an Express Determination

of Finality pursuant to Pa.R.A.P. 341(c),2 which the trial court granted on

April 27, 2015.



1
  Henceforth, Appellant’s “Praceipe to Enter Foreign Judgment” is treated as
a Complaint.
2
  Pa.R.A.P. 341(c) provides in relevant part: “Where more than one claim for
relief is presented in an action . . . or where multiple parties are involved,
the trial court . . . may enter a final order as to one or more but fewer than
all of the claims and parties upon an express determination that an



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      Appellant filed a timely notice of appeal on May 28, 2015.         Both

Appellant and the trial court complied with Pa.R.A.P. 1925.

      Appellant presents the following two issues on appeal:

         1. Whether the trial court erred when it sustained
         [Appellee’s] Preliminary objection regarding proper venue
         for [Appellee] Corning Hospital, when this claim was
         properly transferred from the Middle District of
         Pennsylvania to the Bradford County Court of Common
         Pleas pursuant to Pa.R.C.P. 1006(a.1) and 1006(c)(2),
         applicable on July 20, 2011, and therefore Bradford County
         is the proper venue for [Appellee] Corning Hospital?

         2. Whether the trial court erred with it sustained
         [Appellee’s] Preliminary Objection regarding jurisdiction for
         [Appellee] Shepherd, when the Bradford County Court of
         Common Pleas has personal jurisdiction over [Appellee]
         Shepherd because [Appellee] Shepherd is an agent of
         [Appellee] Corning Hospital, and, by way of the
         Pennsylvania Long Arm Statute, minimum contacts
         analysis, and admission of [Appellee] Corning Hospital, the
         Bradford County Court of Common Pleas has jurisdiction
         over [Appellee] Corning Hospital and therefore jurisdiction
         over [Appellee] Shepherd?

Appellant’s Brief at 2.

      Appellant first claims that the trial court erred in sustaining Appellee

Corning Hospital’s Preliminary Objections and dismissing Appellant’s claims

against the hospital. Appellant argues that, under the version of Pa.R.C.P.

1006(a.1) and 1006(c)(2) in effect at the time she filed her Complaint, the




immediate appeal would facilitate resolution of the entire case.” Pa.R.A.P.
341(c).



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Bradford County Court of Common Pleas was the proper venue for an action

against Appellee Corning Hospital.3

         Appellant’s issue requires us to interpret and apply the Pennsylvania

Rules of Civil Procedure.     This raises a question of law.    Barrick v. Holy

Spirit Hosp. of the Sisters of Christian Charity, 32 A.3d 800, 808 (Pa.

Super. 2011). Therefore, “our standard of review is de novo and our scope

of review is plenary.” Id. (citation omitted).

         The version of Pa.R.C.P. 1006(a.1) in effect on July 20, 2011, the day

Appellant filed her Complaint in the Bradford County Court of Common

Pleas,     provided for proper venue of a medical professional liability claim

only in the county in which the plaintiff’s cause of action arose.              See

Pa.R.A.P.     1006(a.1).    Rule   1006(c)(1)    required   that,   in   a   medical

professional liability claim seeking to enforce joint and several liability

against two or more defendants, the action be brought in any county in

which venue was proper against any defendant. See Pa.R.A.P. 1006(c)(1).

         Effective August 1, 2011, 12 days after Appellant commenced her

action in Bradford County, Rule 1006 was amended.               The Explanatory

Comment published at the time of the amendment explained that:

           Currently a lawsuit based on medical treatment
           furnished in another state cannot be brought in
           Pennsylvania even if the defendants have substantial

3
 Both of the subsections of Rule 1006 at issue in the instant matter were
amended effective August 1, 2011, 12 days after Appellant filed her
Complaint.



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           contact with the state whereas Pennsylvania defendants
           can be sued in any state in which they have at least
           minimum contacts. The amendment to this rule would
           eliminate this discrepancy.

Pa.R.C.P. 1006 Venue.        Change of Venue, Explanatory Comment—2011

(emphasis added). The amended version of Rule 1006 is not applicable in

the instant case.

         In Searles v. Estrada, 856 A.2d 85 (Pa. Super. 2004), this Court

considered the same pre-amendment version of Rule 1006 in an analogous

circumstance. There, the plaintiffs filed a medical professional liability action

in Northampton County against the defendant doctor arising from a surgical

procedure that took place in New Jersey. Id. at 87, 89. The doctor filed

Preliminary Objections in the nature of a Motion to Dismiss for improper

venue, pursuant to Pa.R.C.P. 1006(a.1), which the trial court overruled. Id.

at 87.     On appeal, this Court reversed, holding that Northampton County

was not the proper venue for a medical professional liability action where the

cause of action arose in New Jersey. Id. at 92-93. This Court concluded

that, “the venue rules permit a trial court to dismiss a medical professional

liability action when the cause of action arose outside of Pennsylvania.” Id.

at 92.

         In the instant matter, the trial court concluded that “any failure to

diagnose and treat by [Appellee] Shepherd [at Appellee Corning Hospital]

originated in New York State[]” and thus, Appellant’s cause of action against

Appellees Corning Hospital and Shepherd arose from “out of state medical


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treatment.” Trial Court Op. at 5, 7 (unpaginated). Appellant baldly states,

however, that her cause of action arose in Bradford County.        Appellant’s

Brief at 10.   We disagree with Appellant and agree with the trial court’s

conclusion that Appellant’s cause of action against Appellees Corning

Hospital and Shepherd arose in New York.

     To determine where Appellant’s cause of action arose, we must look to

the facts alleged in her Complaint. Searles, 856 A.2d 85. In the Complaint,

Appellant alleged that on March 5, 2009, Decedent presented to Appellee

Corning Hospital in Corning, New York, for a head CT scan. At the time of

the head CT scan, Decedent was in such severe pain that he presented to

Appellee   Corning   Hospital’s   emergency   room   for   treatment.   Upon

examination, Appellee Shepherd noted that Decedent had had a headache

for several days and an elevated temperature. Appellee Shepherd ordered

Decedent an injection of Dilaudid, and injection of Phenogram, started him

on Percocet, and discharged him with prescriptions for Percocet and Flexeril.

Appellant claims that Appellee Shepherd, as an agent of Appellee Corning

Hospital, failed to diagnose and treat Decedent’s meningitis and negligently

discharged Decedent from Appellees Shepherd and Corning Hospital’s care.

See Complaint, 7/20/11, at ¶ 7, 21, 23-24, 26-28, 50-52, 57-58. Appellant

does not aver that Appellee Shepherd treated Decedent in Pennsylvania, and

does not claim that Appellee Shepherd’s actions or omissions took place

anywhere other than in New York.



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        This Court recently considered the situs of a cause of action for

purposes of medical professional liability actions in Mendel v. Williams, 53

A.3d 810 (Pa. Super. 2012). In Mendel, the plaintiff patient alleged in her

Complaint, filed in the Philadelphia County Court of Common Pleas, that a

New Jersey doctor working in a New Jersey facility failed to timely diagnose

and treat her for an infection that arose following back surgery that took

place in a Pennsylvania hospital, and that this negligence resulted in her

paralysis.     Id. at 815.    The Mendel court affirmed the trial court’s order

dismissing the plaintiff’s action against the New Jersey hospital, reasoning

that,   “the    mere   fact   that   [plaintiff’s]   paralysis   was   discovered   in

Pennsylvania, or that it manifested in Pennsylvania, does not necessarily

mean it was caused in Pennsylvania.”            Id. at 823 (emphasis in original).

Further, this Court concluded that any harm resulting from the defendant

doctor and hospital’s delay in diagnosing and treating the plaintiff began

when the plaintiff was a patient in the New Jersey hospital. Id. at 823-24.

The Court opined, “[t]hat the harm may have continued in Pennsylvania and

was ultimately discovered in Pennsylvania does not alter the fact that it

originated in New Jersey.” Id. at 824 (citation omitted).

        Informed by the factual averments in Appellant’s Complaint and this

Court’s reasoning in Mendel, supra, we conclude Appellant’s cause of action

against Appellees arose in New York.                 Reading Rules 1006(a.1) and

1006(c)(1) together, and guided by the Rule’s Explanatory Comment, we



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further conclude that the trial court did not err in determining that the

Bradford County Court of Common Pleas is not the proper venue for

Appellant’s claims against Appellee Corning Hospital, and in dismissing

Appellant’s Complaint. See Searles, 865 A.2d at 92.

      Appellant next claims that the trial court erred in sustaining Appellee

Shepherd’s Preliminary Objections and dismissing Appellant’s claims against

the doctor.   Appellant argues that the Bradford County Court of Common

Pleas has jurisdiction over Appellee Shepherd because Appellee Shepherd is

an agent of Appellee Corning Hospital over whom the Bradford County Court

of Common Pleas has jurisdiction under Pennsylvania’s Long Arm Statute, 42

Pa.C.S. § 5322(b), the minimum contacts test,4 and Appellee Corning

Hospital’s own admission. Appellant’s Brief at 13-16. Specifically, Appellant

claims that, because Appellee Corning Hospital did not contest jurisdiction,

Appellee Shepherd, as Corning Hospital’s agent, is also subject to the

jurisdiction of the Pennsylvania courts. Id. at 15-16.

      Appellee Shepherd argues that Appellant’s conclusion is flawed

because Appellant “improperly inverted the agency relationship to impute


4
  To satisfy the Due Process Clause, it must be shown that the defendant has
purposefully established minimum contacts with the forum state. “Where a
defendant has established no meaningful contacts, ties or relations with the
forum, the Due Process Clause prohibits the exercise of personal jurisdiction.
However where a defendant has purposefully directed his activities at the
residents of the forum, he is presumed to have fair warning that he may be
called to suit there.” Mendel, 53 A.3d at 817 (citation and quotation
omitted).



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[Appellee Corning Hospital’s minimum] contacts upon [Appellee] Shepherd.”

Appellee Shepherd’s Brief at 4.

      When reviewing a trial court’s order sustaining preliminary objections

challenging personal jurisdiction we will reverse the trial court’s decision only

where there has been an error of law or abuse of discretion.          Mendel, 53

A.3d at 816.

      We agree with the trial court that Pennsylvania lacks jurisdiction over

Appellee Shepherd, albeit on grounds other than that found by the trial

court.5   See Liberty Mutual Ins. Co. v. Domtar Paper Co., 77 A.3d

1282, 1286 (Pa. Super. 2013) (“It is well settled that this Court may affirm

the decision of the trial court if it is correct on any grounds.”).

      Appellant’s sole basis for asserting her claim that Appellee Shepherd is

subject to Pennsylvania jurisdiction is that Shepherd is an agent of Appellee

Corning Hospital, who Appellant avers is itself subject to Pennsylvania

jurisdiction based on its minimum contacts with Pennsylvania.           However,

Appellant fails to cite to any controlling authority to support her claim that,

as an employee of Appellee Corning Hospital, Pennsylvania’s jurisdiction over

Corning Hospital can be imputed to Appellee Shepherd.            Accordingly, we

find Appellant’s argument waived. See Pa.R.A.P. 2119(a); In re Estate of

5
  Relying on the rationale in Mendel, supra, the trial court in the instant
matter concluded that Pennsylvania’s Long Arm Statute, 42 Pa.C.S. §
5322(b), did not provide a basis for specific personal jurisdiction over
Appellee Shepherd or Appellee Corning Hospital.        Trial Ct. Op. at 5
(unpaginated).



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Whitley, 50 A.3d 203, 209-10 (Pa. Super. 2012) (“Failure to cite relevant

legal authority constitutes waiver of the claim on appeal.”).6

       Because Appellant has not argued on appeal that Pennsylvania has an

independent basis through which it may exercise jurisdiction over Appellee

Shepherd, we conclude that the trial court properly sustained Appellee

Shepherd’s preliminary objections and dismissed Appellant’s claims against

him.

       Order affirmed. Jurisdiction relinquished. Case remanded.



Judgment Entered.




Joseph D. Seletyn, Esq.
Prothonotary

Date: 6/3/2016




6
  This court also could not find any legal basis to support Appellant’s
argument that because the trial court has jurisdiction over Appellee Corning
Hospital, it has jurisdiction over the hospital’s agent, Appellee Shepherd.



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