[Cite as Stewart v. Forum Health, 190 Ohio App.3d 484, 2010-Ohio-4855.]



                          STATE OF OHIO, MAHONING COUNTY

                                 IN THE COURT OF APPEALS

                                      SEVENTH DISTRICT

STEWART ET AL.,                                      )
                                                     )
        APPELLANTS,                                  )
                                                     )
VS.                                                  )             CASE NO. 09-MA-129
                                                     )
FORUM HEALTH ET AL.; FOUGHT,                         )                    OPINION
                                                     )
        APPELLEE.                                    )



CHARACTER OF PROCEEDINGS:                                Civil Appeal from Court of Common Pleas
                                                         of Mahoning County, Ohio
                                                         Case No. 05CV4667

JUDGMENT:                                                Reversed and Remanded

APPEARANCES:

        Gregg A. Rossi and Thomas R. Wright, for appellants.

        Stephen A. Skiver & Associates, L.L.C., and Kristen A. Connelly, for appellee.



JUDGES:

Hon. Gene Donofrio
Hon. Cheryl L. Waite
Hon. Mary DeGenaro



                                                         Dated: September 28, 2010
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          DONOFRIO, Judge.

          {¶ 1} Plaintiffs-appellants, Carl Stewart and Janet Stewart, appeal the Mahoning

County Common Pleas Court decision dismissing their claims for medical malpractice

and loss of consortium against defendant-appellee, Dr. Daniel Fought. Appellants claim

that the trial court erred by dismissing their claims for failure of service of process and

expiration of the statute of limitations.

          {¶ 2} The only available underlying facts are those alleged in appellants’

complaint. On August 14, 2002, plaintiff-appellant Carl E. Stewart injured his hand and

the next day went to seek care from Beeghly Medical Park, which employs or contracts

with Emergency Professional Services, Inc.         Carl complained of severe pain and

swelling in his right hand. He was x-rayed and diagnosed with a contusion to his right

hand. He was fitted with a splint, given medication to control his pain, and discharged.

          {¶ 3} On August 16, 2002, Carl continued to experience pain and swelling in his

hand, so he sought additional emergency medical treatment from St. Charles Mercy

Hospital. A physician there examined and x-rayed Carl and fitted him with another

splint.

          {¶ 4} According to the complaint, Carl never underwent blood tests and did not

receive any antibiotics after his injury occurred. He alleges that his condition worsened

over the next few days, so he went to his family physician, Michael Devine, M.D., who

referred him to the hospital for admission on August 20, 2002. At the hospital, Carl was

given antibiotics and underwent surgery.
                                                                                         -3-


       {¶ 5} In August 2003, appellants filed a medical-malpractice claim against

Forum Health, d.b.a. Beeghly Medical Park, St. Charles Mercy Hospital, and

Emergency Professional Services, Inc., including defendant-appellee, Dr. Daniel

Fought.     Carl alleged permanent injury as a direct and proximate result of the

compartment syndrome to his right hand.           Carl alleged that every appellee was

negligent in the care they provided to him and failed to properly diagnose and treat his

condition. The complaint included a claim for loss of consortium on behalf of Carl’s

wife, plaintiff-appellant Janet Stewart. That complaint was later voluntarily dismissed

pursuant to Civ.R. 41(A).

       {¶ 6} Appellants refiled their complaint on December 22, 2005.           Successful

service was obtained on Forum Health and Emergency Professional Services. The

summons and complaint were sent to the same address where St. Charles Hospital and

Dr. Fought had been successfully served in the first case. Dr. Fought subsequently filed

an answer and amended answer, each asserting the affirmative defenses of

insufficiency of service of process and statute of limitations.

       {¶ 7} The refiled complaint lacked an affidavit of merit as required by Civ.R.

10(D)(2)(a). However, contemporaneous with the filing of their complaint, appellants

filed a motion pursuant to Civ.R. 10(D)(2)(b) to extend the period of time within which to

file the affidavit of merit. Since the time for refiling was rapidly approaching, appellants

asked for a reasonable amount of time to file an amended complaint and/or the affidavit

of merit.
                                                                                                -4-


         {¶ 8} On March 22, 2006, Forum Health filed a notice of discovery indicating

that a set of interrogatories and a request for production of documents had been sent to

counsel for appellants. After receiving no response, Forum Health filed a motion to

compel on May 19, 2006.

         {¶ 9} In separate motions, St. Charles Mercy Hospital, Forum Health, and Dr.

Fought filed motions to dismiss on June 2, June 6, and June 15, 2006, respectively.

The motions were premised on the assertion that appellants’ complaint failed to comply

with Civ.R. 10(D)(2) (affidavit-of-merit requirement).

         {¶ 10} The trial court granted Forum Health’s motion to compel and ordered

appellants to comply with discovery requests.

         {¶ 11} On June 30, 2006, appellants filed a brief in opposition to the motions to

dismiss. Appellants highlighted the fact that the trial court had never ruled on their

motion for an extension of time within which to file the affidavit of merit. They indicated

that they had contacted their expert and were awaiting the medical report.                    They

believed it would be available within 60 days and asked for that much time within which

to file it.

         {¶ 12} On July 12, 2006, the trial court granted the motions to dismiss. The trial

court acknowledged that appellants had moved for an extension of time within which to

file the affidavit of merit. However, the court noted that no affidavit had yet been filed

and that a reasonable time for an extension had passed as contemplated by Civ.R.

10(D). Appellants appealed the dismissal to this court.1 Stewart v. Forum Health, 7th


1.   Emergency Professional Services, Inc. filed a motion to dismiss in the trial court arguing that
                                                                                                      -5-


Dist. No. 06-MA-120, 2007-Ohio-6922.               This court held that the proper remedy for

failure to attach the required affidavits under Civ.R. 10(D)(2) was not dismissing the

case for failure to state a claim, but for the defendant to request a more definite

statement. That, combined with the trial court’s failure to rule on appellants’ Civ.R.

10(D)(2)(b) motion to extend the period of time to file the affidavit, prompted this court to

reverse the trial court’s judgment dismissing the case and remand the matter to the trial

court for further proceedings.

        {¶ 13} On remand, Dr. Fought filed a motion pursuant to Civ.R. 12(B), claiming

improper venue, and the trial court overruled the motion. Meanwhile, appellants filed

notices of voluntary dismissal regarding Forum Health, d.b.a. Beeghly Medical Park,

and St. Charles Mercy Hospital, leaving Dr. Fought as the sole remaining defendant.

        {¶ 14} On April 9, 2009, Dr. Fought filed a motion for summary judgment, arguing

insufficiency of process and that appellants’ claims were barred by the statute of

limitations. Dr. Fought argued that the statute of limitations had run because appellants

had not timely served him with the complaint as required by Civ.R. 3 and R.C. 2305.17.

        {¶ 15} On July 8, 2009, the trial court sustained Dr. Fought’s summary-judgment

motion, stating:

        {¶ 16} “Defendant Daniel Fought, D.O. was never served with the Complaint,

and, as such this action was never commenced pursuant to Civ.R. 3(A). Defendant did

appellants had failed to identify in their complaint any agent of Emergency Professional Services, Inc.
and, therefore, secondary liability could not accrue to it. The trial court determined that appellants’
complaint did not contain “any legal claim” against Emergency Professional Services, Inc. and sustained
its motion to dismiss accordingly. Although appellants appealed the dismissal, appellants did assign error
to that portion of the trial court’s decision dismissing the case against Emergency Professional Services,
Inc. At oral argument, appellants’ counsel conceded that they were not raising any issue on appeal as to
Emergency Professional Services, Inc. and that it remained dismissed from this matter.
                                                                                       -6-


not waive his defenses and Plaintiffs’ claims are now barred by the applicable statute of

limitations.”

       {¶ 17} This appeal followed. Appellants’ sole assignment of error states:

       {¶ 18} “The trial court erred in concluding that appellants’ action was not

commenced and that appellee did not waive his defenses of insufficiency of process

and statute of limitations.”

       {¶ 19} The statute of limitations for medical claims is one year. R.C. 2305.113(A).

A plaintiff is permitted to dismiss the claims once pursuant to Civ.R. 41(A) (voluntary

dismissal) and, under the saving statute, is permitted to refile them within one year of

the dismissal or the expiration of the statute of limitations, whichever is later. R.C.

2305.19(A).

       {¶ 20} Appellants sustained their injuries on August 14, 2002. They filed their

first complaint on August 11, 2003. They dismissed their claims on December 22, 2004,

pursuant to Civ.R. 41(A). Appellants refiled their complaint on December 22, 2005.

Therefore, appellants had to serve Dr. Fought with their refiled complaint by December

22, 2006.

       {¶ 21} Appellants readily concede that Dr. Fought was not served with a copy of

the complaint.     Instead, they argue that Dr. Fought waived those defenses.           In

response, Dr. Fought contends that he properly preserved those defenses by including

them in his answer and amended answer.

       {¶ 22} R.C. 2305.17 and Civ.R. 3(A) govern the commencement of a civil action.

R.C. 2305.17 states:
                                                                                           -7-


       {¶ 23} “An action is commenced * * * by filing a petition in the office of the clerk of

the proper court together with a praecipe demanding that summons issue or an affidavit

for service by publication, if service is obtained within one year.”

       {¶ 24} Civ.R. 3(A) states:

       {¶ 25} “A civil action is commenced by filing a complaint with the court, if service

is obtained within one year from such filing upon a named defendant * * *.”

       {¶ 26} As already indicated, appellants concede that Dr. Fought was not served

with a copy of the complaint.         Therefore, the only way the action could have

commenced was if Dr. Fought waived service of process. In other words, the central

question of this case is whether Dr. Fought waived the defense of insufficiency of

process.

       {¶ 27} Civ.R. 12 governs defenses and when and how they must be presented,

either by pleading or motion.        Civ.R. 12(B) addresses how defenses are to be

presented:

       {¶ 28} “Every defense * * * shall be asserted in the responsive pleading thereto if

one is required, except that the following defenses may at the option of the pleader be

made by motion: (1) lack of jurisdiction over the subject matter, (2) lack of jurisdiction

over the person, (3) improper venue, (4) insufficiency of process, (5) insufficiency of

service of process, (6) failure to state a claim upon which relief can be granted, (7)

failure to join a party under Rule 19 or Rule 19.1. A motion making any of these

defenses shall be made before pleading if a further pleading is permitted. No defense
                                                                                         -8-


or objection is waived by being joined with one or more other defenses or objections in

a responsive pleading or motion.”

       {¶ 29} Dr. Fought did not file a preanswer motion and instead chose to preserve

the defense of insufficiency of service of process by including it in his answer, along

with the statute-of-limitations defense (which is not subject to the waiver provisions of

Civ.R. 12). Subsequently, he filed a motion to dismiss for appellants’ failure to attach an

affidavit of merit and then a motion to transfer venue. Appellants argue that by filing

those motions, Dr. Fought waived the defenses he asserted in his answer. Dr. Fought

maintains that the filing of those motions does not result in waiver of his asserted

defenses. Dr. Fought contends that as long as a defendant includes the defenses in an

answer, those defenses are preserved and not waived by the filing of subsequent

motions.

       {¶ 30} Indeed, the Ohio Supreme Court has held that when the affirmative

defense of insufficiency of service of process is properly raised and preserved, a party’s

active participation in the litigation does not constitute a waiver of that defense. Gliozzo

v. Univ. Urologists of Cleveland, Inc., 114 Ohio St.3d 141, 2007-Ohio-3762, 870 N.E.2d

714, syllabus. The court has even gone so far as to hold that the defense is still

preserved even after trial has begun and all the evidence has been presented and the

defendant then files a motion to dismiss for insufficiency of service of process. First

Bank of Marietta v. Cline (1984), 12 Ohio St.3d 317, 12 OBR 388, 466 N.E.2d 567.

       {¶ 31} Nonetheless, there are specific circumstances in which a defendant can

waive the defense of insufficiency of service of process. None of those circumstances
                                                                                        -9-


were present in Gliozzo or Cline. In addition to determining how and when defenses

must be raised, two subdivisions of Civ.R. 12 specifically address how they may be

waived:

       {¶ 32} “(G) Consolidation of defenses and objections

       {¶ 33} “A party who makes a motion under this rule must join with it the other

motions herein provided for and then available to him. If a party makes a motion under

this rule and does not include therein all defenses and objections then available to him

which this rule permits to be raised by motion, he shall not thereafter assert by motion

or responsive pleading, any of the defenses or objections so omitted, except as

provided in subdivision (H) of this rule.

       {¶ 34} “(H) Waiver of defenses and objections

       {¶ 35} “(1) A defense of lack of jurisdiction over the person, improper venue,

insufficiency of process, or insufficiency of service of process is waived (a) if omitted

from a motion in the circumstances described in subdivision (G), or (b) if it is neither

made by motion under this rule nor included in a responsive pleading or an amendment

thereof permitted by Rule 15(A) to be made as a matter of course.”

       {¶ 36} Thus, the defense of insufficiency of service of process can be waived in

one of two ways: (1) if a motion is made raising other Civ.R. 12(B) defenses and it is not

included in that motion and (2) if there is no such motion, if it is not raised by separate

motion or included in the responsive pleading. Gliozzo v. Univ. Urologists of Cleveland,

Inc., 114 Ohio St.3d 141, 2007-Ohio-3762, 870 N.E.2d 714, ¶9.
                                                                                         - 10 -


       {¶ 37} Clearly, in this case, Dr. Fought waived the defense of insufficiency of

service of process in the first way – he filed a motion raising another Civ.R. 12(B)

defense (improper venue) and did not include the defense of insufficiency of service of

process in that motion.

       {¶ 38} Dr. Fought implies that Civ.R. 12’s waiver provisions are implicated only if

a defendant files a preanswer motion to dismiss and fails to preserve the defenses in

their answer, citing this court’s decision in Franklin v. Franklin (1981), 5 Ohio App.3d 74,

5 OBR 186, 449 N.E.2d 457. In Franklin, the defendant attempted to raise the defense

of lack of personal jurisdiction despite not raising the defense in a preanswer motion or

in their answer. Consequently, this court held that the defendant waived the defense.

Franklin does not support Dr. Fought’s contention that provided a defendant preserves

a Civ.R. 12(B) defense in his answer, he can later file separate Civ.R. 12(B) motions.

       {¶ 39} In sum, the plain language of Civ.R. 12 provides that the filing of a Civ.R.

12(B) motion asserting defenses such as improper venue and insufficiency of service of

process must be consolidated or they are waived, regardless of whether the defendant

asserted those defenses in their answer. Preserving those defenses in the answer

simply allows the defendant to assert those defenses at some later time. But when and

if they do, they must consolidate all such defenses in the Civ.R. 12(B) motion. By filing

his motion for Civ.R. 12(B) for improper venue and not including with it a motion

advancing insufficiency of service of process, he waived that defense.           Since his

statute-of-limitations defense was inextricably linked to his defense of insufficiency of

service of process, the statute-of-limitations defense simply became inapplicable.
                                                                                        - 11 -


      {¶ 40} Accordingly, appellants’ sole assignment of error has merit.

      {¶ 41} The judgment of the trial court is hereby reversed, and the cause is

remanded for further proceedings according to law and consistent with this court’s

opinion.

                                                                       Judgment reversed

                                                                    and cause remanded.

      WAITE, J., concurs.

      DEGENARO, J., dissents.

                              __________________

      DEGENARO, JUDGE, dissenting.

      {¶42} Because I interpret Gliozzo v. Univ. Urologists of Cleveland, Inc., 114 Ohio

St.3d 141, 2007-Ohio-3762, 870 N.E.2d 714, and Civ.R. 12 differently from my

colleagues, I would affirm the decision of the trial court.    Reading them together, I

believe that the defense consolidation requirement of Civ.R. 12(G) contemplates

preanswer motions only, which is reinforced by the language from Civ.R.12(H) and the

holding in Gliozzo.

      {¶43} It is within the realm of trial strategy for a defendant to determine whether

to assert his Civ.R. 12 defenses in either his answer or a preanswer motion. If raised in

the answer, the defendant has preserved the defense, in this case insufficiency of

service of process, and has not waived it by active participation in the case. Gliozzo at ¶

6 and 12. In this procedural posture, interpretation of Civ.R. 12 is straightforward. The
                                                                                       - 12 -


plain language of the rule dictates that when these defenses are raised in an answer,

they can be more fully litigated by a postanswer motion to dismiss as contemplated by

Civ.R. 12(H)(1)(b) or by a motion for summary judgment pursuant to Civ.R. 56.

      {¶44} Closer rule analysis is required when the defendant chooses to raise

these defenses in a preanswer Civ.R. 12(B) motion to dismiss.          In this procedural

posture, I agree with my colleagues. Civ.R. 12(G) and (H)(1)(a) require a defendant to

raise the defenses of improper venue and insufficiency of service of process in the

same motion; otherwise, the omitted defense is waived if raised at a later date. Gliozzo

at ¶9. And the plain reading of the rule leads to the conclusion that this applies only

when the defenses are raised in a preanswer motion.

      {¶45} The pertinent sections of Civ.R. 12 state: "(G)       A party who makes a

motion under this rule must join with it the other motions herein provided for and then

available to him," and "(H)(1) A defense of * * * improper venue * * * or insufficiency of

service of process is waived (a) if omitted from a motion in the circumstances described

in subdivision (G)." (Emphasis added.) Id. I read the phrase "motion under this rule" to

mean a preanswer Civ.R. 12(B)(6) motion to dismiss. Otherwise, the phrase in Civ.R.

12(H)(1)(b) "nor included in a responsive pleading" would have no meaning. Moreover,

it would, in effect, eliminate the option of asserting these defenses in a responsive

pleading, here the answer, as expressly permitted by Civ.R. 12(B).

      {¶46} The Staff Notes accompanying Civ.R. 12 support the notion that Civ.R.

12(G) does not apply to postanswer motions:

      {¶47} "Rule 12(G) follows up the abolition of the special appearance in Rule
                                                                                         - 13 -


12(B) by actually compelling the defendant who makes a motion to include therein all

defenses and objections then available to him which this rule permits to be raised by

motion. This compulsion is accomplished by the provision that no waivable defense or

objection which is omitted from a motion may thereafter be asserted in an answer. * * *

Subdivision (G) of Rule 12 adds the further clause, 'or assert by any responsive

pleading' as an additional warning that a defendant who omits a waivable defense from

a motion may not thereafter assert the omitted defense in an answer." Staff Notes to

Civ.R. 12(G) (1970).

       {¶48} This discussion indicates that the repercussion of a failure to consolidate

is only effected by preventing the use of the unconsolidated defense in the answer. It

logically follows that once the defense is properly preserved in the answer, Civ.R. 12(G)

ceases to be applicable. The Gliozzo opinion further supports the limitation of Civ.R.

12(G)'s applicability to preanswer motions, by stating, "The only way in which a party

can voluntarily submit to a court's jurisdiction * * * is by failing to raise the defense of

insufficiency of service of process in a responsive pleading or by filing certain motions

before any pleading. Only when a party submits to jurisdiction in one of these manners

will the submission constitute a waiver of the defense." (Citations omitted; emphasis

added.) Gliozzo, 114 Ohio St.3d 141, 2007-Ohio-3762, 870 N.E.2d 714, at ¶ 13, citing

Maryhew v. Yova (1984), 11 Ohio St.3d 154, 157-158, 11 OBR 471, 464 N.E.2d 538.

       {¶49} Dr. Fought asserted the defenses of improper venue and insufficiency of

service of process in his answer and amended answer, rather than a preanswer motion,

as permitted by Civ.R. 12. He properly preserved these defenses as contemplated by
                                                                                      - 14 -


the rule and the holding in Gliozzo.        I disagree with my colleagues that the

circumstances in Gliozzo and Cline are not present in this case. They are. In all three

cases, the defendant asserted the defense of insufficiency of service of process not in a

preanswer motion but in the answer itself. This properly preserved the defense for

further litigation in the proceedings, and Fought did not waive the defense through his

postanswer Civ.R. 12(B) motion. Accordingly, I would affirm the decision of the trial

court.
