Cardio-Medical Associates, Ltd. v. Crozer-Chester Medical Center

721 F.2d 68
CourtCourt of Appeals for the Third Circuit
DecidedNovember 18, 1983
DocketNo. 82-1817
StatusPublished
Cited by15 cases

This text of 721 F.2d 68 (Cardio-Medical Associates, Ltd. v. Crozer-Chester Medical Center) is published on Counsel Stack Legal Research, covering Court of Appeals for the Third Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cardio-Medical Associates, Ltd. v. Crozer-Chester Medical Center, 721 F.2d 68 (3d Cir. 1983).

Opinion

OPINION OF THE COURT

SEITZ, Chief Judge:

This is an appeal from two orders of the district court striking appellants’ demand for a jury trial and dismissing appellants’ amended complaint for lack of subject matter jurisdiction.

The issues on appeal are two: whether appellants, plaintiffs in an action charging violations of sections 1 and 2 of the Sherman Act, have alleged sufficient effects on interstate commerce to withstand a motion to dismiss for lack of subject matter jurisdiction, and whether appellants are entitled to a jury trial.

[71]*71 I. Background

Appellants in this case are four physicians and their employer, Cardio-Medical Associates, Ltd. (hereafter referred to as “plaintiffs”). All four physicians practice in Pennsylvania and specialize in cardiology and internal medicine. Cardio-Medical Associates is a Pennsylvania corporation created for the purpose of facilitating the physicians’ practice of cardiology and internal medicine

Appellees are the Crozer-Chester Medical Center and various of its employees (hereafter referred to as “defendants”). The Medical Center is a health care facility located in Upland, Pennsylvania. It provides various medical services, including cardio-logical services. Plaintiffs maintain their offices in one of the buildings in defendants’ complex.

Plaintiffs filed a complaint against defendants in the district court in 1981, charging violations of sections 1 and 2 of the Sherman Act, 15 U.S.C. §§ 1, 2, and the equal protection and due process clauses of „ i , \ , the fourteenth amendment. Plaintiffs al- . , , , „ . j n A , . eged that defendants had entered into contracts and other agreements to prevent the plaintiff doctors from using certain of defendants specialized cardiological equipment, located m defendants complex. These agreements, according to plaintiffs, were part of a conspiracy to restrain trade and monopolize the local market for cardio-logical services. As a result, plaintiffs were allegedly foreclosed from this market and were injured both in their ability to offer full cardiological services to existing patients and in their ability to attract new patients.

Defendants answered the complaint and then filed a motion for judgment on the pleadings under Fed.R.Civ.P. 12(c), alleging a failure to state a claim and lack of subject matter jurisdiction. The district court granted this motion. The constitutional claim was dismissed with prejudice, and plaintiffs have not renewed that claim in subsequent proceedings. The Sherman Act claims were dismissed for lack of subject matter jurisdiction. This dismissal was without prejudice, and plaintiffs were given sixty days in which to file an amended complaint. 536 F.Supp. 1065.

, Pontiffs filed a timely amended comPlaJnt m Jhlch, they renewed their claims un^e" sectl01ns! 1 and ? of the Sherman Act and de™anded’ for the first time, a jury J Wlthout ™rmg this complaint, de*eildants moved to dismiss for lack of * Jjed; matter jurisdiction under Rule 12(b)(1). Defendants also moved to strike plaintiffs’ demand for a jury trial and to stay au discovery pending disposition of the j^uje 12(b)(1) motion

. . . In sffate «P1111011?* the dlstnct court ^ai\ted both the motion to strike the de- . mand for 8' ?U17tnal- 95 J*RD-194> and the motion to dismiss, 552 F.Supp. 1170. PlaintófsfPeal from orders implementing those tw0 decisi0ns'

jj. Jurisdiction Under the Sherman Act

Sections j and 2 of tbe gherman Act both r ire that tbe actg hibited b those „ , • „ , . , , , sections relate to trade or commerce u ____ , •., , ,, mi* among the several States . This requirement intergtate commerce hag been con. gtrued ag an e]ement of both ^ jur.igdic. tíonal gtandard and ^ subgtantive offense under the Sherman Act. See Mortensen v. First Federal Savings & Loan Association, 549 F.2d 884, 890-91 (3d Cir.1977). In the present apppeal we are concerned only with jurisdiction.

There are two wayg to gatigfy tbe jurisdictional requirement. The proscribed conduct may ifeelf be «in interstate commeree”, or the conduct may be a purely intrastate activity that has a “substantial and adverse effect” (or, what is apparently the same thing, a “not insubstantial effect”) on interstate commerce. See, e.g., McLain v. Real Estate Board of New Orleans, 444 U.S. 232, 246, 100 S.Ct. 502, 511, 62 L.Ed.2d 441 (1980) (“not insubstantial effect”); Hospital Building Co. v. Trustees of Rex Hospital, 425 U.S. 738, 743, 96 S.Ct. 1848, 1852, 48 L.Ed.2d 338 (1976) (“substantially and adversely affects interstate commerce”). In this appeal, plaintiffs argue that they have [72]*72adequately alleged that defendants’ actions had the requisite “effect” on commerce.

The first issue that we must consider is the question of the type of effect that must be shown. The district court held that plaintiffs’ complaint must satisfy a “tripartite test” by demonstrating the following:

(i) the presence of interstate commerce; (ii) the existence of a substantial and adverse effect on interstate commerce; and (iii) the requisite nexus between the challenged activities of defendants and the effect on the relevant channel of interstate commerce.

552 F.Supp. at 1177 (emphasis in original). The district court based this test on language in various decisions of the Supreme Court. In our opinion, however, the first and third findings in this analysis are subsumed within the second finding. Cf. McLain, 444 U.S. at 242, 100 S.Ct. at 509; Hospital Building Co., 425 U.S. at 743-44, 96 S.Ct. at 1852. We therefore require only that plaintiffs show a substantial and adverse effect on commerce.

This court has elsewhere explained this requirement in the following terms: “[s]ub-stantiality of effect ... is to be viewed on a case-by-case, practical economic basis, from the perspective of whether the local activity has a significant impact on competition in commerce and whether the commerce so affected is substantial in volume.” Harold Friedman, Inc. v. Thorofare Markets Inc., 587 F.2d 127, 132 (3d Cir.1978).

The district court also held that the plaintiffs may not meet their burden merely by demonstrating that the defendants’ conduct “shifted” the flow of interstate commerce away from the plaintiffs and toward some other firm. According to the district court, the plaintiffs must demonstrate a net change in the flow of interstate commerce into or out of the state. 552 F.Supp. at 1178. In making such a showing, “the identified aspect of interstate commerce must relate to the activities of the plaintiffs, not the defendants.” Id. at 1177. We consider these two holdings in turn.

There is no doubt, at least in the Third Circuit, that the requisite effect need not be a reduction in commerce. In

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721 F.2d 68, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cardio-medical-associates-ltd-v-crozer-chester-medical-center-ca3-1983.