Case Information
*1
Opinions of the United States Court of Appeals for the Third Circuit
7-16-1999
Angelico v. Lehigh Valley Hosp
Precedential or Non-Precedential: Docket 97-1927
Follow this and additional works at: http://digitalcommons.law.villanova.edu/thirdcircuit_1999
Recommended Citation
"Angelico v. Lehigh Valley Hosp" (1999). 1999 Decisions. Paper 203. http://digitalcommons.law.villanova.edu/thirdcircuit_1999/203
This decision is brought to you for free and open access by the Opinions of the United States Court of Appeals for the Third Circuit at Villanova University School of Law Digital Repository. It has been accepted for inclusion in 1999 Decisions by an authorized administrator of Villanova University School of Law Digital Repository. For more information, please contact Benjamin.Carlson@law.villanova.edu.
*2 Filed July 16, 1999 UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT No. RICHARD J. ANGELICO, M.D., Appellant v. LEHIGH VALLEY HOSPITAL, INC.; SAINT LUKE'S HOSPITAL OF BETHLEHEM PENNSYLVANIA; EASTON HOSPITAL; PANEBIANCO-YIP HEART SURGEONS; BETHLEHEM CARDIOTHORACIC SURGICAL ASSOCIATES, P.C.; BRIAN M. PETERS, ESQ.; POST &; SCHELL, P.C. Caption amended pursuant to 2/10/98 order APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA (D.C. No. 96-cv-02861)
District Judge: The Honorable J. Curtis Joyner ARGUED December 4, 1998 BEFORE: SLOVITER, NYGAARD, and WOOD,* Circuit Judges. (Filed: July 16, 1999)
- The Honorable Harlington Wood, Jr., Circuit Judge of the United States Court of Appeals for the Seventh Circuit, sitting by designation.
*3
Henry F. Siedzikowski, Esq. (Argued)
Elliott, Reihner, Siedzikowski
& Egan
925 Harvest Drive
Union Meeting Corporate Center V
Blue Bell, PA 19422
Attorney for Appellant
Richard F. Stevens, Esq. (Argued)
Stevens & Johnson
740 Hamilton Mall
Allentown, PA 18101
Edward C. Mengel, Jr., Esq.
David E. Edwards, Esq.
White & Williams
One Liberty Place, Suite 1800
Philadelphia, PA 19103
Wayne A. Mack, Jr.
Duane, Morris & Heckscher
4200 One Liberty Place
Philadelphia, PA 19103-7396
Donald H. Lipson, Esq.
Tallman, Hudders & Sorrentino
1611 Pond Road
The Paragon Centre, Suite 300
Allentown, PA 18104
Mark H. Scoblionko, Esq.
Scoblionko, Scoblionko, Muir
& Bartholomew
40 South 5th Street
Allentown, PA 18101
Frederick B. Buck, III, Esq.
Rawle & Henderson
One South Penn Square
The Widener Building
Philadelphia, PA 19107
*4 Jeffrey G. Weil, Esq. (Argued) Dechert, Price &; Rhoads 1717 Arch Street 4000 Bell Atlantic Tower Philadelphia, PA 19103 Attorneys for Appellees OPINION OF THE COURT
NYGAARD, Circuit Judge. Dr. Richard Angelico appeals a summary judgment for the defendants, Lehigh Valley Hospital, St. Luke's Hospital of Bethlehem, Pennsylvania, Easton Hospital, the Panebianco-Yip Heart Surgeons, and Bethlehem Cardiothoracic Surgical Associates ("Bethlehem") (collectively, the "hospital defendants") on his antitrust claims. The District Court held that Angelico did not have standing to assert antitrust claims because he had not shown an injury to competition. We will reverse and remand for further proceedings.
Angelico also appeals the dismissal of his due process claims under 42 U.S.C. S 1983 against Brian M. Peters, Esq., his law firm Post &; Schell, P.C., and the firm's client, Lehigh Valley Hospital (collectively, the "attorney defendants"). Finally, he appeals the District Court's sanction in the form of attorney's fees for Peters. We will affirm the dismissal and attorney's fees award. I. Facts and Procedural History
Angelico is a cardiothoracic surgeon. The three hospitals are located in the Lehigh Valley area in Pennsylvania. Panebianco-Yip and Bethlehem are physician practice groups specializing in thoracic and cardiothoracic surgery in the same area. Angelico began his career in the Lehigh Valley area with a group of cardiovascular specialists and became a member of the active medical staff of Lehigh Valley Hospital, where he performed cardiothoracic surgery. Just over a year later, Angelico left his original practice
*5 group, joined Panebianco-Yip as that practice group's primary surgeon, and acquired active privileges at St. Luke's.
In 1989, Angelico resigned from Panebianco-Yip and established his own practice. He maintained his privileges at both Lehigh Valley and St. Luke's until January of 1991, when he requested that his active privileges at Lehigh Valley be reduced to "courtesy" privileges, which allowed him to perform only a limited number of operations there each year. He maintained his courtesy privileges at Lehigh Valley until October 15, 1995.
In March 1994, Angelico notified St. Luke's that he was resigning his staff privileges. He then attempted to apply for staff privileges at Easton. Easton, however, informed him that it had adopted a temporary moratorium on applications in its newly established heart program because it was considering whether to award an exclusive contract. Later, Easton informed Angelico that it had awarded an exclusive contract to another surgeon from outside of the region.
Angelico asserts that he resigned from St. Luke's because the hospital willfully failed to provide him with competent surgical support and that he was therefore constructively terminated. He further contends that the hospital defendants had a sufficient share of the relevant market to control it and that they conspired to eliminate him as a competitor through "various predatory acts," including circulating defamatory remarks regarding his interpersonal and patient care skills. Angelico claims that his courtesy privileges аt Lehigh Valley were improperly terminated as a part of this conspiracy and that he has now been "blackballed" by the three hospitals.
Angelico sued the three hospitals and two practice groups, alleging that they had violated the Sherman Act by conspiring to eliminate him as a competitor. Specifically, he claims that the hospital defendants engaged in exclusive dealing and a group boycott in violation of section 1 of the Sherman Act, 15 U.S.C. S 1, and that they control a dominant (monopoly) share of the market in violation of section 2 of the Sherman Act, 15 U.S.C. S 2. He seeks treble
*6 damages under section 4 of the Clayton Act, 15 U.S.C. S 15. Angelico also argues that the attorney defendants violated his constitutional rights through their use of the state subpoena process and that the District Court improperly assessed attorney's fees against him.
The District Court dismissed Angelico's claims against the attorney defendants and granted the attorney defendants' motion for sanctions. See Angelico v. Lehigh Valley Hosp., Inc., No. Civ.A. 96-2861,
The District Court noted that Angelico suffered significant lost income but held that "an injury to Dr. Angelico personally does not confer standing upon him without a showing that his absence from the relevant product and geographic markets injured competition and/or the consumers of cardiothoracic surgical services in these markets." Id. at 313. Focusing on the effect of Angelico's removal on the market, the court found "no evidence" that there were any fewer competing surgeons or that the quality of cardiothoracic care had been reduced by his absence, see id., and "insufficient evidence of a negative impact on price." Id. at 314. Based on these findings, the District Court concluded that Angelico had not "suffered the type of injury that the antitrust laws were designed to prevent . . . [or] that Dr. Angelico is the most efficient enforcer of those laws." Id.
On appeal, Angelico argues that the District Court erred by: (1) holding that he failed to establish antitrust standing because he could not show an effect on the prices, quantity or quality in the relevant market; (2) failing to declare that the hospital defendants' acts were illegal "per se"; (3) holding that he failed to state a section 1983 claim upon which relief could be granted against the attorneys for
*7
Lehigh Valley, and (4) imposing sanctions against him without holding a hearing. We have plenary review of the antitrust standing question, see McCarthy v. Recordex Serv., Inc.,
II. The Antitrust claims
In this case, we must distinguish the antitrust injury that is required for a plaintiff to have standing to bring an antitrust claim from the anticompetitive market effect element of a claim under section 1, which is also generally referred to as "antitrust injury."
A. Antitrust Standing
Section 4 of the Clayton Act, 15 U.S.C. S 15, provides that "any person who shall be injured in his business or property by reason of anything forbidden in the antitrust laws may sue therefor in any district court of the United States . . . without respect to the amount in controversy, and shall recover threefold the damages by him sustained, and the cost of suit, including a reasonable attorney's fee." Id. Antitrust standing, however, is narrower than the statute's wording indicates. See Associated Gen. Contractors of Cal. v. California State Council of Carpenters,
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.' " Cargill, Inc. v. Monfort, Inc.,
*8
477, 489,
Drawing on AGC, we have stated the factors to be employed in a standing analysis under section 4 of the Clayton Act. These are: (1) the causal connection between the antitrust violation and the harm to the plaintiff and the intent by the defendant to cause that harm, with neither factor alone conferring standing; (2) whether the plaintiff 's alleged injury is of the type for which the antitrust laws were intended to provide redress; (3) the directness of the injury, which addresses the concerns that liberal application of standing principles might produce speculative claims; (4) the existence of more direct victims of the alleged antitrust violations; and (5) the potential for duplicative recovery or complex apportionment of damages.
In re Lower Lake Erie Iron,
First, because no discovery was allowed on the issue, we must assume Angelico's allegation that the defendants acted in concert and with an anticompetitive motive, i.e., conspired, is true. Following this assumption, Angelico's harm clearly resulted from the conspiracy that preventеd him from competing in the market and thereby earning a living. At this stage, therefore, the causal connection/defendant intent element of the standing analysis is satisfied.
*9
Turning to the second element, whether Angelico's alleged injury is of the type the antitrust laws were meant to redress, we conclude that the injury he suffered, when shut out of competition for anticompetitive reasons, is indeed among those the antitrust laws were designed to prevent. In Brader v. Allegheny General Hospital ,
-
Appellees assert that only persons with the same interests as consumers have standing under the antitrust laws and cite Brunswick Corp. v. Pueblo Bowl-O-Mat, Inc.,
429 U.S. 477 , 488 (1977), in which the Supreme Court stated:
The antitrust laws . . . were enacted for the protection of competition not competitors . . . . The injury should reflect the anticompetitive effect either of the violation or of anticompetitive acts made possible by the violation. It should, in short, be the type of loss that the claimed violations . . . would be likely to cause.
*10
Cardiology,
Angelico also satisfies the third, fourth andfifth elements of the AGC standing analysis. The injury to Angelico from the assumed conspiracy is clearly direct (and substantial). Angelico's injury is the direct result of the alleged conspiracy. In contrast, the harm to consumers is less direct because it will only arise from higher costs or poorer treatment that result from the removal of a strong competitor from the market. A consumer would be highly unlikely to sue for a loss of this type. Finally, there is no potential for duplicative recovery or complex apportionment of damages, see, e.g., Illinois Brick Cо. v. Illinois,
In sum, we hold that Angelico has standing. This is not a case, however, in which we grant standing to a competitor who was simply harmed by strong competition. Rather, Angelico has asserted facts indicating that he was harmed by a conspiracy with an illegal anticompetitive intent. He has standing because he has asserted an injury of "the type the antitrust laws were designed to prevent" flowing from "that which makes the defendants' acts unlawful." Cargill,
Section 1 of the Sherman Act, 15 U.S.C. S 1, prohibits "contracts, combinations or conspiracies
in restraint of trade.' " City of Pittsburgh v. West Penn Power Co., 147 F.3d
2. The District Court erred by incorporating the issue of anticompetitive market effect into its standing analysis, confusing antitrust injury with an element of a claim under section 1 of the Sherman Act, 15 U.S.C. S 1, which prohibits "contracts, combinations or conspiracies
in restraint of trade.' " The court's approach may have been the result of the similar "antitrust injury" label which is applied to the injury component of antitrust standing analysis and to the marketplace harm element under section 1 .
*11 256, 267 (3d Cir. 1998). To establish a section 1 claim under the rule of reason test, 3 plaintiffs must prove, (1) that the defendants contracted, combined, or conspired among each other; (2) that the combination 953<!>or conspiracy produced adverse, anti-competitive effects within relevant product and geographic markets; (3) that the objects of and the conduct pursuant to that contract or conspiracy were illegal; and (4) that the plaintiffs were injured as a proximate result of that conspiracy.
Tunis Bros.,
The plaintiff may satisfy this burden by proving the existence of actual anticompetitive еffects, such as reduction of output, increase in price, or deterioration in quality of goods and services. Due to the difficulty of isolating the market effects of the challenged conduct, however, such proof is often impossible to make.
3. We reject Angelico's assertion (citing Klors, Inc. v. Broadway-Hale Stores, Inc.,
Group boycotts or concerted refusals to deal are not always per se violations of the Sherman Act; rather, the analysis turns on the facial effects of the challenged practice. See Northwest Wholesale Stationers, Inc. v. Pacific Stationery &; Printing Co.,
*12
Accordingly, the courts allow proof of the defendant's
"market power" instead. Market power--the ability to
raise prices above those that would prevail in a
competitive market--is essentially a " `surrogate for
detrimental effects.' "
Orson, Inc. v. Miramax Film Corp.,
- We note in this regard that Angelico's counsel conceded at oral argument that he did not need further discоvery into the element of marketplace harm.
We likewise decline the hospital defendants' suggestion that we affirm the District Court's holding on the ground that Angelico failed to properly define or prove the relevant product and geographic markets because the District Court did not address the issue. See Angelico II,
*13 III. The section 1983 claim
Angelico asserts that the District Court erred by holding that he failed to state a claim upon which relief could be granted against the attorney defendants under section 1983. This claim arises out of the litigation of a related state court suit that was resolved during the course of this litigation. Geoffrey Toonder, a cardiothoracic surgeon, sued Lehigh Valley Hospital, claiming that it improperly denied Toonder an "active manpower slot" that would have been filled by Angelico. See Toonder v. Lehigh Valley Hosp., No. Civ.A. 94-E-18 (Pa. Ct. of Common Pleas May 31, 1995) [the "Toonder litigation"]. Toonder was represented by the same attorneys who represent Angelico. Lehigh Valley, through its attorneys -- defendants Peters and hisfirm, Post &; Schell, P.C. -- subpoenaed various members of St. Luke's staff, seeking information rеgarding Angelico's resignation from that hospital. Angelico claims that, through the use of the subpoenas, the attorney defendants violated his constitutionally protected property and liberty interests. The District Court dismissed these claims. See Angelico I,
Under 42 U.S.C. S 1983, Angelico must show that the attorney defendants acted under the color of state law and denied him a federally protected constitutional or statutory right. See Lugar v. Edmondson Oil Co.,
A person may be found to be a state actor when (1) he is a state official, (2) "he has acted together with or has obtained significant aid from state officials," or (3) his conduct is, by its nature, chargeable to the state. Id. at 937,
*14
"[w]ithout a limit such as this, private parties could face constitutional litigation whenever they seek to rely on some state rule governing their interactions with thе community surrounding them." Id. at 937,
Attorneys performing their traditional functions will not be considered state actors solely on the basis of their position as officers of the court. See, e.g., Polk County v. Dodson,
(b) A subpoena may be used to command a person to attend and to produce documents or things only at (1) a trial or hearing in an action or proceeding pending in the court, or (2) the taking of a deposition in an action or proceeding pending in the court. (c) A subpoena may not be used to compel a person to appear or to produce documents or things ex parte before an attorney, a party or a representative of the party.
Pa. R. Civ. P. 234.1 (emphasis added).
*15
As we said in Jordan, "[b]efore private persons can be considered state actors for purposes of section 1983, the state must significantly contribute to the constitutional deprivation, e.g., authorizing its own officers to invoke the force of law in aid of the private persons' request."
Although plaintiff notes that there are potential legal consequences attached to failure to obey a subpoena which might ultimately involve invoking the assistance of state officials, such possibility serves only to highlight the difference between resorting to an available state procedure and actually using state officials to enforce or carry out that procedure. The potential for involving the coercive power of the state likewise exists when a judgment by confession is entered, yet . . . a private party is not converted into a state actor as long as the assistance of state officials remains merely a potential threat. It is only when, and if, such potential is realized that a private party may be
*16
converted into a state actor for purposes of satisfying the state action element of a S 1983 claim.
Angelico I,
IV. Sanctions
In the same order in which it dismissed the section 1983 claims, the District Court agreed to award sanctions to the attorney defendants in the form of attorney's fees. See Angelico I,
*17 by the defendants, a Motion to Vacate, Reconsider or Certify Pursuant to 28 U.S.C. S 1292(b) by Angelico, and a response thereto by the attorney defendants, the District Court awarded to attorney Peters for his costs in preparing to defend the withdrawn antitrust сlaims against him and his firm. 8
Awarding attorney's fees as a means of sanctioning a party is within the District Court's inherent power. See Chambers v. NASCO, Inc.,
Although, "like other sanctions, attorney's fees certainly should not be assessed lightly or without fair notice and an opportunity for a hearing on the record," Roadway Express, Inc. v. Piper,
*18
American Broad. Cos.,
Here, the District Court decided that further factfinding was unnecessary. Appellant had both fair notice of the charges and an opportunity to respond because the motion for sanctions was made along with attorney defendants' motion to dismiss. All of the acts by Angelico and his counsel that were at issue were part of the record and could be considered without an evidentiary hearing. We find no abuse of discretion. 10
V. Conclusion
We conclude that the District Court did not err by dismissing the section 1983 claims against the attorney defendants, and that it was well within its considerable discretion when it imposed sanctions. Angelico, however, has standing to assert his antitrust claims, and we will remand the cause for further proceedings.
A True Copy: Teste: Clerk of the United States Court of Appeals for the Third Circuit 10. In addition, the District Court made additional findings of bad faith. In choosing not to sanction Appellant for this other conduct, the court doubtless took into account that it was already sanctioning him for the antitrust claims.
