Lutzenkirchen v. OSF Saint Anthony Medical Center

2025 IL App (1st) 250028

• Court: Appellate Court of Illinois
• Decided: October 10, 2025
• Docket: 1-25-0028
• Status: Published

Opinion

2025 IL App (1st) 250028

FIFTH DIVISION October 10, 2025

No. 1-25-0028

IN THE APPELLATE COURT OF ILLINOIS FIRST DISTRICT

ANDREW LUTZENKIRCHEN, as the Independent ) Administrator of the Estate of William J. ) Lutzenkirchen, Deceased, ) ) Plaintiff-Appellee, ) ) v. ) ) OSF HEALTHCARE SYSTEM, d/b/a OSF Saint ) Anthony Medical Center; NORTH AMERICAN ) PARTNERS IN ANESTHESIA (ILLINOIS), LLC; ) DORIS ELIZABETH ORE SOSA, M.D. Individually ) Appeal from the and as an Agent, Apparent Agent and/or Employee of ) Circuit Court of OSF Healthcare System and North American Partners in ) Cook County Anesthesia (Illinois), LLC; SCOTT ANDREW ) GIRARD, M.D. Individually and as an Agent, Apparent ) No. 2024 L 05546 Agent and/or Employee of OSF Healthcare System and ) North American Partners in Anesthesia (Illinois), LLC; ) The Honorable AMORY SORIANO BALUCATING, Individually and ) Charles S. Beach, II, as an Agent, Apparent Agent and/or Employee of OSF ) Judge, presiding. Healthcare System and North American Partners in ) Anesthesia (Illinois), LLC; RAFAL BOGUSLAW ) BANEK, Individually and as an Agent, Apparent Agent ) and/or Employee of OSF Healthcare System and North ) American Partners in Anesthesia (Illinois), LLC; ) JENNIFER CLAIR LANE, D.O., Individually and as an ) Agent, Apparent Agent and/or Employee of OSF ) Healthcare System and North American Partners in ) Anesthesia (Illinois), LLC; and JOYCE CHENG, M.D., ) Individually and as an Agent, Apparent Agent and/or ) Employee of OSF Healthcare System and North ) American Partners in Anesthesia (Illinois), LLC, ) No. 1-25-0028

) ) Defendants-Appellants. ) ) )

JUSTICE TAILOR delivered the judgment of the court, with opinion. Justice Mikva concurred in the judgment and opinion. Justice Oden Johnson specially concurred, with opinion.

OPINION

¶1 This case presents an interlocutory review of an order denying defendants’ motion to

transfer venue based on the equitable doctrine of forum non conveniens. We review such decisions

under the highly deferential abuse of discretion standard. In this medical malpractice case, the

decedent was treated and died at a hospital in Rockford, Illinois, which is located in Winnebago

County. Suit was filed by the decedent’s son in Cook County, a forum with hardly any connection

to this action. Because the substantial majority of the private and public interest factors here

strongly weigh in favor of transfer and the remaining factors are neutral, we find the circuit court

abused its discretion when it denied defendants’ motion to transfer venue and, therefore, reverse

and remand for this matter to be transferred to Winnebago County.

¶2 I. BACKGROUND

¶3 Plaintiff, Andrew Lutzenkirchen, filed a medical malpractice action in the circuit court of

Cook County against defendants OSF Saint Anthony Medical Center (OSF), a hospital in

Rockford, Illinois; Joyce Cheng, M.D.; Dorie Ore Sosa, M.D.; Scott Andrew Girard, M.D.,

Amory Balucating, CRNA; Rafal Banek, CRNA; North American Partners in Anesthesia

(Illinois), LLC (NAPA); and Jennifer Claire Lane, D.O. The complaint alleges that plaintiff’s

decedent and father, William J. Lutzenkirchen (William), died at OSF due to defendants’

negligent treatment. William was admitted to OSF on June 27, 2023, for a nonhealing wound on

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his left toe. During a surgical procedure on July 3, 2023, defendants were allegedly negligent in

lacerating William’s palate and uvula while providing anesthesia services, which ultimately led

to his death following a code blue on July 5, 2023. OSF provided all medical care and treatment

to William in Winnebago County between June 27, 2023, and July 5, 2023.

¶4 William was a resident of Stephenson County, which is immediately west of Winnebago

County. He is survived by his four children: plaintiff, Maureen, Ellyn, and Michael. Plaintiff

resides in Kane County, Maureen resides in Winnebago County, Ellyn resides in Stephenson

County, and Michael resides in Georgia.

¶5 After plaintiff filed the complaint, defendants Dr. Sosa, nurse anesthetist Balucating,

nurse anesthetist Banek, and NAPA—who were later joined by OSF, Dr. Cheng, and Dr. Lane—

moved to transfer venue pursuant to the doctrine of forum non conveniens, arguing that Cook

County was an inconvenient forum and that the case should be transferred to Winnebago County.

They argued that Winnebago County is a more convenient forum because (1) all medical care

relevant to William occurred at OSF in Winnebago County; (2) plaintiff resides in Kane County,

and his travel distance to either Cook or Winnebago County is approximately the same; (3) only

two Defendants reside in Cook County, whereas all Defendants work in or near Winnebago

County; and (4) public interest factors weigh in favor of transfer because Cook County’s docket

is more congested, residents of Winnebago County have a stronger interest in hearing the case,

and imposing the burden of jury service on Cook County residents would be inequitable.

¶6 Defendants submitted several pieces of evidence to support their position, including

affidavits from Dr. Cheng, Balucating, and Dr. Lane. In her affidavit, Dr. Cheng averred that she

resides in Kane County and works full time at OSF in Winnebago County. She stated that

attending trial in Cook County would interfere with her clinical duties, whereas she could

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continue working while attending court in Winnebago County due to the short distance between

the courthouse and OSF. In her affidavit, Balucating averred that she resides in McHenry County

and works full time in Winnebago County. She averred that attending trial in Cook County

would require significantly more travel than attending trial in Winnebago County. In her

affidavit, Dr. Lane averred that she is currently a Minnesota resident. She explained that she has

access to housing in Winnebago County with friends, whereas staying in Cook County for trial

would result in higher financial costs due to the need for accommodations and meals.

¶7 Additional evidence submitted by defendants included Google Maps estimates showing

comparable driving times from plaintiff’s home in Kane County to both courthouses—

approximately 1 hour and 13 minutes to Winnebago County and 1 hour and 16 minutes to Cook

County. Defendants also included probate documents listing addresses for William’s three other

children: one lives in Winnebago County, another in Stephenson County (adjacent to

Winnebago), and the third in Georgia. Finally, Defendants submitted official Illinois Courts data

showing a significantly higher caseload in Cook County compared to Winnebago County.

¶8 In response, plaintiff argued that venue should remain in Cook County because (1) his

choice of forum is entitled to strong deference; (2) Winnebago County is not convenient for all

parties, particularly plaintiff and his brother, Michael, for whom travel to Winnebago County

would be burdensome; (3) some defendants live and work in Cook County; (4) OSF also has

healthcare at facilities in Cook County; (5) it is unlikely that anyone would need to visit the site

of the injury or be physically present for testimony; and (6) Cook County is better equipped to

manage a busy docket than Winnebago County.

¶9 For support, plaintiff submitted affidavits from himself and his brother Michael, as well

as answers to interrogatories from Dr. Sosa and Dr. Girard, which indicate that they reside in

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Cook County. In his affidavit, plaintiff averred that Cook County would be a substantially more

convenient forum for him than Winnebago County because attending trial in Cook County would

allow easier access to the courthouse and legal counsel, while a trial in Winnebago County

would create significant travel burdens and interfere with his work obligations and family

responsibilities, including teaching and childcare commitments. Michael explained in his

affidavit that Cook County would be a more convenient trial location for him because he lives in

Georgia and can access Chicago via direct flights from Atlanta. He stated that he would stay

either in the city or with his brother in Kane County. A trial in Winnebago County would require

him to rent a car or depend on his sibling for transportation, resulting in added expense and

logistical difficulty.

¶ 10 The circuit court denied defendants’ motion to transfer venue. Regarding plaintiff’s

choice of venue, the court found that “[w]hile a plaintiff’s choice of forum is usually given

strong deference, because Plaintiff does not reside in Cook County and the action did not arise

from there, this deference is reduced.”

¶ 11 Additionally, the court recognized that certain private interest factors—such as the

convenience of most parties, the accessibility of live testimony, and the location of the events—

favored a transfer to Winnebago County. Nevertheless, the court found Cook County to be a

proper venue, giving minimal weight to public interest factors.

¶ 12 Specifically, the court stated:

“As for the private interest factors, Winnebago County is more convenient for many of the

parties because most of the Defendants either live in Winnebago County or work there as

medical professionals. However, this does not apply to all of the defendants as some live

in Cook County. As the action arose from Winnebago County, it would appear to be easier

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for the parties and the court in Winnebago County to access the testimonial, documentary,

and real evidence of this case. However, the distance between Winnebago and Cook

County[ ] does not preclude Cook County handling this matter. Both the Winnebago Court

and the Cook Court will be capable of securing the attendance of unwilling witnesses and

compulsory process. As many of the witnesses live or work in Winnebago County, it may

be less expensive to produce the attendance of willing witnesses there.

Since virtually all of the relevant facts that make up the subject matter of this case

occurred at OSF Saint Anthony Medical Center in Rockford, Winnebago County, Illinois,

and more of the party members and witnesses and much of the evidence are in or closer to

Winnebago County than they are to Cook County, Winnebago County is the more

convenient forum when it comes to private interest factors. As a final note on private

interest factors, while it may be true that witnesses can be deposed anywhere, Illinois courts

have recognized that ‘depositions are an inadequate substitute for live testimony,’ and if

deposition testimony is required at trial in place of live testimony due to the burden and

expense of witness travel, the out-of-venue party would be disadvantaged. Moore v.

Chicago & N.W. Transp. Co., 99 Ill. 2d 73, 80, 457 N.E.2d 417, 420 (1983).

As for the public interest factors, since OSF Healthcare System operates in both

Winnebago and Cook County this factor is given little weight. While Cook County might

have more means of handling a large docket than Winnebago County, that doesn’t change

the fact that at any one time Cook County still has a vastly larger docket than Winnebago

County does. This factor thus is given little weight.

Therefore, this Court uses its sound discretion [and] finds that the totality of the

factors [favor] retaining Cook County as the forum for this matter.”

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¶ 13 Defendants appealed the denial of their forum non conveniens motion by filling a petition

for leave to appeal pursuant to Illinois Supreme Court Rule 306(a)(2) (eff. Oct. 1, 2020). We

granted the petition, and this appeal follows.

¶ 14 II. ANALYSIS

¶ 15 Defendants argue that the circuit court abused its discretion when it denied their motion

to transfer venue. They argue that the circuit court inaccurately weighed the private interest

factors and failed to adequately consider the public interest factors under the doctrine of

forum non conveniens, which clearly support transferring the case to Winnebago County.

Plaintiff argues that the circuit court did not abuse its discretion in denying defendants’ motion to

transfer venue and properly weighed all forum non conveniens factors.

¶ 16 A. Doctrine of Forum Non Conveniens

¶ 17 “Forum non conveniens is an equitable doctrine founded in considerations of

fundamental fairness and the sensible and effective administration of justice.” Langenhorst v.

Norfolk Southern Ry. Co., 219 Ill. 2d 430, 441 (2006) (citing Vinson v. Allstate, 144 Ill. 2d 306,

310 (1991)). Courts use the doctrine of forum non conveniens to determine the most appropriate

forum when multiple jurisdictions have authority over the parties and subject matter of a case.

Griffith v. Mitsubishi Aircraft International, Inc., 136 Ill. 2d 101, 105 (1990). This doctrine

allows a trial court to decline jurisdiction when trial in another forum “would better serve the

ends of justice.” Vinson, 144 Ill. 2d at 310.

¶ 18 To determine whether to grant a party’s motion to transfer venue under the doctrine of

forum non conveniens, courts examine the private interest factors, which relate to the

convenience of the litigants and the practicalities of conducting the trial, as well as the public

interest factors, which concern the efficient administration of justice and the connection of the

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litigation to the forum. Dawdy v. Union Pacific R.R. Co., 207 Ill. 2d 167, 172-73 (2003). In this

balancing test, “no single factor is controlling.” Erwin v. Motorola, Inc., 408 Ill. App. 3d 261,

274 (2011) (citing Langenhorst, 219 Ill. 2d at 443). Ultimately, a trial court must weigh all

relevant considerations—including the private and public interest factors as well as the plaintiff’s

choice of forum—to determine whether the chosen venue will best serve the ends of fairness and

justice. Fennell v. Illinois Central R.R. Co., 2012 IL 113812, ¶ 17.

¶ 19 B. Standard of Review

¶ 20 We will reverse the trial court’s ruling on a forum non conveniens motion only if the

court abused its discretion. Dawdy, 207 Ill. 2d at 177. Under this deferential standard of review,

two judges presented with the very same facts could weigh the relevant factors differently and

arrive at opposite results, and “both decisions would be upheld on appeal unless it could be said

that no reasonable person would conclude as those circuit courts did.” Starr v. Presence Central

& Suburban Hospitals Network, 2024 IL App (1st) 231120, ¶ 70. See also Vivas v. The Boeing

Co., 392 Ill. App. 3d 644, 657 (2009) (“The issue *** is not what decision we would have

reached if we were reviewing the facts on a clean slate, but whether the trial court acted in a way

that no reasonable person would.”)

¶ 21 In assessing whether the circuit court abused its discretion when it denied defendants’

motion to transfer venue here, we first consider plaintiff’s selected forum and then turn to the

applicable private and public interest factors.

¶ 22 C. Plaintiff’s Choice of Forum

¶ 23 Courts typically defer to a plaintiff’s choice of forum when the plaintiff resides in the

county where the claim is filed. Dawdy, 207 Ill. 2d at 173 (“ ‘When the home forum has been

chosen, it is reasonable to assume that this choice is convenient.’ ” (quoting Piper Aircraft Co. v.

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Reyno, 454 U.S. 235, 255-56 (1981))). When the plaintiff or the real parties in interest reside

outside the forum, however, this assumption loses force, and courts afford the plaintiff’s choice

less deference. Id. at 173-74. A plaintiff’s choice of forum will also be accorded less deference if

the action giving rise to the litigation did not occur there. Fennell, 2012 IL 113812, ¶ 18; Wieser

v. Missouri Pacific R.R. Co., 98 Ill. 2d 359, 367-68 (1983) (holding that plaintiff’s choice of

forum was entitled to less deference where the forum lacked a significant connection to the

litigation).

¶ 24 Defendants argue plaintiff’s choice of forum should be given little to no deference

because he “is attempting to game Illinois' procedural rules to fix venue in Cook County, a forum

with no substantive connection of any kind to the allegations Plaintiff has brought in this suit”.

Courts consistently disfavor forum shopping. Dawdy, 207 Ill. 2d at 174-75. Our supreme court

underscored this principle by explaining that “[d]ecent judicial administration cannot tolerate

forum shopping as a persuasive or even legitimate reason for burdening communities with

litigation that arose elsewhere and should, in all justice, be tried there.” Fennell, 2012 IL 113812,

¶ 19 (citing Dawdy, 207 Ill. 2d at 175). While forum shopping is disfavored, we do not consider

this practice in our forum non conveniens analysis. Dawdy, 207 Ill. 2d at 175.

¶ 25 The circuit court found that “[w]hile a plaintiff’s choice of forum is usually given strong

deference, because Plaintiff does not reside in Cook County and the action did not arise from

there, this deference is reduced.” We agree. Because plaintiff does not reside in Cook County

and the incidents giving rise to this incident did not occur in Cook County, plaintiff’s choice of

forum is entitled to little deference. See Smith v. Walgreen Co., 2024 IL App (5th) 240394, ¶ 19

(“when the plaintiff is foreign to the chosen forum and the action that gave rise to the litigation

did not occur in the chosen forum, ‘it is reasonable to conclude that the plaintiff engaged in

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forum shopping to suit his individual interests, a strategy contrary to the purposes behind the

venue rules’ ” (quoting Dawdy, 207 Ill. 2d at 174)). We turn now to the private interest and

public interest factors.

¶ 26 D. Private Interest Factors

¶ 27 The private interest factors are

“(1) the convenience of the parties; (2) the relative ease of access of sources of

testimonial, documentary, and real evidence; (3) the availability of compulsory process to

secure attendance of unwilling witnesses; (4) the cost to obtain attendance of willing

witnesses; (5) the possibility of viewing the premises, if appropriate; and (6) all other

practical considerations that make trial of a case easy, expeditious, and inexpensive.”

Larson v. Illinois Central School Bus, LLC, 2023 IL App (3d) 220360, ¶ 20.

The court must take all relevant factors into account and assign appropriate weight to each factor

when deciding whether to grant a party’s forum non conveniens motion to transfer venue.

Griffith, 136 Ill. 2d at 107-08. We address each private interest factor in turn.

¶ 28 1. Convenience of Parties

¶ 29 The circuit court found “Winnebago [C]ounty is a more convenient forum for many of

the parties because most of the Defendants either live in Winnebago County or work there as

medical professionals.” It also stated that “this does not apply to all of the defendants as some

live in Cook County.”

¶ 30 The record supports the circuit court’s conclusion and shows that Winnebago County is

the more convenient forum for the large majority of defendants. The alleged negligence occurred

at OSF, which is located in the city of Rockford, Winnebago County, and all defendants either

currently practice or have previously practiced there. See Larson, 2023 IL App (3d) 220360,

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¶¶ 22-27 (holding that the forum connected to the injury, witnesses, and evidence was the proper

venue). Defendant Dr. Cheng practices exclusively at OSF and resides in Kane County.

Defendant nurse anesthetist Balucating resides in McHenry County, which is closer to

Winnebago County than to Cook. Defendant nurse anesthetist Banek lives in Lake County and

primarily provides care in Winnebago County. Defendant Dr. Lane also stated in her affidavit

that Winnebago County would be a significantly more convenient venue for her. Although she

now lives in Minnesota, she previously worked at OSF and lived in Winnebago County.

¶ 31 Although plaintiff argues that Cook County is a more convenient venue for defendants

Dr. Girard and Dr. Sosa because they reside in Cook County, his contention is not borne out by

the record. Dr. Girard lives in Cook County; however, the record reflects that the travel time

from his residence to either the Cook or Winnebago County courthouse would be comparable.

¶ 32 The only defendant for whom Cook County would arguably be a more convenient forum

is Dr. Sosa, because she resides and works in Cook County. The record reflects that she practices

at several hospitals in Cook County, including John H. Stroger Jr. Hospital, the Rubschlager

Endoscopy Clinic at Rush University, and AMITA Health Saint Joseph. However, the fact that

two of the six defendants live in Cook County and one of them practices there cannot counteract

the fact that, overall, Winnebago County would be a far more convenient forum for the large

majority of the parties.

¶ 33 Indeed, Winnebago County would also be a more convenient forum for William’s

daughter Maureen, who resides in Winnebago County, and his daughter Ellyn, who resides in

nearby Stephenson County. They live significantly closer to the Winnebago courthouse than the

Cook County courthouse in the Chicago Loop.

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¶ 34 Although plaintiff and his brother asserted in their affidavits that Cook County would be

a more convenient forum for them, this assertion is questionable, as the record reflects that

plaintiff’s commute from his residence to the Daley Center in Cook County would be nearly the

same as his commute to the Winnebago County Courthouse, and his brother acknowledged he

would likely either be staying with plaintiff or in Cook County. Thus, when weighing

convenience of all parties, we agree with the circuit court and find this factor soundly supports

transfer to Winnebago County.

¶ 35 2. Ease of Access to Evidence

¶ 36 Turning to the location of the underlying events and the accessibility of evidence, the

circuit court correctly observed that “as the action arose from Winnebago County, it would … [be]

easier for the parties and the court in Winnebago County to access the testimonial, documentary,

and real evidence of this case.” The circuit court’s conclusion is supported by the record: the

alleged negligence occurred at OSF in Winnebago County, and most of the potential witnesses are

OSF employees who work there. See id. ¶ 27 (holding Texas was the more appropriate forum

where the injury occurred there, the key witnesses and medical providers were located there, and

documentary evidence—such as employment and maintenance records—was more easily

accessible there). While the court acknowledged that depositions may be taken regardless of a

party or witness’s location, it emphasized that “depositions are an inadequate substitute for live

testimony.” We agree and find that the ability to present live testimony further supports transfer to

Winnebago County, where a majority of the witnesses are located.

¶ 37 Illinois courts have emphasized that the convenience of accessing willing witnesses and

documentary evidence remains a central consideration. See Fennell, 2012 IL 113812, ¶¶ 36, 39.

All relevant documents, including medical records, are located at OSF in Rockford, where the

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events giving rise to the claim occurred. Therefore, we agree with the circuit court that the ease

of access to witnesses and evidence favors transfer to Winnebago County.

¶ 38 3. Availability of Compulsory Process

¶ 39 The circuit court determined that this factor was not relevant to the analysis because

“both the Winnebago court and the Cook court are capable of securing the attendance of

unwilling witnesses through compulsory process,” making this factor neutral in weighing the

private interest factors. See Meier v. Ryan, 2023 IL App (1st) 211674, ¶ 37 (finding the

availability of compulsory process for unwilling witnesses to be a neutral factor since “ ‘[a]

judge in either Cook or DuPage County would have equal authority to subpoena unwilling

witnesses’ ”). We agree that the availability of compulsory process is a neutral factor.

¶ 40 4. Cost of Attendance

¶ 41 The court acknowledged that “many of the witnesses live or work in Winnebago County,

[so] it may be less expensive to procure the attendance of willing witnesses,” and found that

transferring venue to Winnebago County would improve trial fairness and reduce associated

costs. We agree and find that the circuit court’s conclusions are supported by the record. The

large majority of the parties and witnesses—including medical providers employed at OSF—live

or work in Winnebago County or nearby. Several submitted affidavits explaining the burden of

attending proceedings in Cook County.

¶ 42 Thus, the record reflects that the large majority of witnesses and defendants are more

closely connected to Winnebago County and would face greater inconvenience if the case were

tried in Cook County. Dr. Lane, for example, emphasized the comparative ease and reduced

expense of appearing in Winnebago County, where she previously resided and could stay with

friends. See Botello v. Illinois Central R.R. Co., 348 Ill. App. 3d 445, 456 (2004) (finding

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transfer to DuPage County was justified based on a number of factors, including the fact that the

majority of witnesses lived or worked in DuPage County and would face undue burden if the

case was litigated elsewhere).

¶ 43 5. View of the Premises

¶ 44 Illinois courts consider the possibility—rather than the necessity—of viewing the site

where the events occurred as a relevant private interest factor. See Fennell, 2012 IL 113812,

¶ 37; Dawdy, 207 Ill. 2d at 178 (stating that this factor “is not concerned with the necessity of

viewing the site of the injury, but rather is concerned with the possibility of viewing the site, if

appropriate” (emphases in original)). While rarely applicable in medical malpractice cases,

courts still weigh whether a view may be appropriate. See Hackl v. Advocate Health & Hospitals

Corp., 382 Ill. App. 3d 442, 452 (2008).

¶ 45 Defendants argued this factor supports transfer because all relevant events occurred at

OSF in Winnebago County, but the circuit court did not address this factor at all. While the

possibility of a site visit to OSF in Winnebago County may be unlikely, it still should have been

considered by the circuit court. Fennell, 2012 IL 113812, ¶ 24 (“remind[ing] *** trial courts to

include all of the relevant private and public interest factors in their analyses”). See Kuhn v.

Nicol, 2020 IL App (5th) 190225, ¶ 15 (noting that although a jury view is unlikely in a medical

malpractice case, the decision rests with the trial court, and if such a view were deemed

necessary by the trial court, it would be unreasonable to require a St. Clair County jury to travel

to Clinton County).

¶ 46 6. Practical Considerations

¶ 47 The final private interest factor is practical considerations that would make a trial more

efficient and inexpensive. Evans, 2020 IL App (1st) 200528, ¶ 32. Defendants argue that it

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would be a “great injustice to require witnesses to travel four hours round-trip by car to provide

testimony at trial when the Winnebago County Courthouse . . . would be so much more

convenient and economical for all of them.”

¶ 48 The circuit court agreed and found that this factor favored transfer, stating that:

“[s]ince virtually all of the relevant factors that make up the subject matter of this

case occurred at OSF Saint Anthony Medical Center in Rockford, Winnebago

County, Illinois, and more of the party members and witnesses and much of the

evidence are in or closer to Winnebago County than they are to Cook County,

Winnebago County is the more convenient forum when it comes to private interest

factors.”

¶ 49 When evaluating practical considerations such as travel, traffic, convenience, and witness

availability, the record supports the circuit court’s finding that Winnebago County is clearly the

more convenient forum. Defendants who work in Winnebago County could continue treating

patients without disruption if the case were transferred to Winnebago County. If the case remained

in Cook County, they would face disruption in their medical practices if required to appear in court.

For plaintiff, the comparative travel time to either the Winnebago or Cook County courthouses is

the same.

¶ 50 Although plaintiff asserts that Cook County is the more practical forum because his

attorneys’ offices are located there, the location of parties’ attorneys is given little weight in

forum non conveniens cases. See, e.g., Hale v. Odman, 2018 IL App (1st) 180280, ¶¶ 47, 60, 63

(reversing the denial of a motion to transfer venue to Kane County where the accident, witnesses,

and evidence were in Kane County, and practical considerations, like travel and cost, favored Kane

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County, even though the plaintiff’s attorneys were based in Cook County, noting that the location

of parties’ attorneys should be given “little weight”).

¶ 51 Taken together, we agree with the circuit court’s conclusion that the private interest factors

overwhelmingly support transfer. We turn now to the public interest factors.

¶ 52 E. Public Interest Factors

¶ 53 The relevant public interest factors are (1) administrative difficulties arising from court

congestion, (2) the unfairness of imposing jury duty on residents of a forum unconnected to the

litigation, and (3) the interest in having local controversies decided locally. Dawdy, 207 Ill. 2d at

173. As with the private interest factors, no single public interest factor is controlling. Meier,

2023 IL App (1st) 211674, ¶ 19 (citing Langenhorst, 219 Ill. 2d at 443).

¶ 54 1. Court Congestion

¶ 55 A central goal of the forum non conveniens doctrine is to ensure that litigation proceeds in

the forum best suited to serve both the convenience of the parties and the efficient administration

of justice. Langenhorst, 219 Ill. 2d at 441. That goal becomes difficult to achieve when a case is

heard in a forum with minimal connection to the dispute and a heavily burdened docket, limiting

the time and attention the case can receive. Smith, 2024 IL App (5th) 240394, ¶¶ 30-31.

¶ 56 Plaintiff argues that the 2023 Annual Report from the Illinois Supreme Court demonstrates

that new case filings are down significantly across the state and therefore it would not be

burdensome for Cook County to hear this matter. However, this statewide trend does little to

advance plaintiff’s point. If filings are down everywhere, that includes Winnebago County, so the

statewide decline in 2023 fails to address the relative docket burdens between counties. The record

from the 2023 Annual Report Statistical Summary confirms that Cook County had 161,064 new

civil case filings compared to only 9,110 in Winnebago County. Admin. Off. of the Ill. Cts., 2023

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Annual Report of the Illinois Courts, Statistical Summary 46, 49 (2024),

https://ilcourtsaudio.blob.core.windows.net/antilles-resources/resources/2e8fe39f-d040-47ee-

a2b5-d53880fccb19/2023%20Annual%20Report%20Statistical%20Summary.pdf

[https://perma.cc/B5UG-5ABQ]. Therefore, although Cook County may be better equipped to

manage a higher volume of cases because it has more judges, the disparity between the caseloads

in the two forums is still substantial. When addressing the public interest factors, the circuit court

acknowledged as much, stating that “Cook County might have more means of handling a large[r]

docket than Winnebago County.” However, because “at any one time, Cook County still has a

vastly larger docket than Winnebago County[,]” the circuit court accorded this factor “little

weight.”

¶ 57 We disagree with the circuit court’s decision to accord this factor little weight and find

that it favors transfer to Winnebago County. Considering its substantially higher volume of cases

and rate of growth of its docket, Cook County’s ability to handle a larger docket does not mean

that it would be better equipped to resolve this case in a more timely and efficient manner. In

Botello, 348 Ill. App. 3d at 459-60, the court documented Cook County’s significantly slower

time to verdict than DuPage County and relied on this fact to support its conclusion that the

public interest factors, including court congestion in Cook County, warranted transfer to DuPage

County. It would be pertinent to our analysis to review Winnebago’s and Cook County’s time to

verdict here, but Cook County reported no data regarding disposition times in 2022 or 2023,

making it impossible for us to do so. In Matthiessen v. Greenwood Motor Lines, Inc., 2021 IL

App (1st) 200405-U, ¶ 19, the court similarly found that court congestion favored transfer to

Kane County when docket data showed that Kane County was less burdened than Cook County.

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The record here reflects that, as of 2022, Winnebago County had significantly fewer civil filings

than Cook County and maintained a comparatively smaller docket overall.

¶ 58 This court also takes judicial notice of more recent publicly available data showing that

the number of new civil cases filed in 2024 alleging damages over $50,000 in Winnebago

County was 398, while in Cook County it was 15,060. See Washington v. Illinois Power Co., 144

Ill. 2d 395, 403 (1991) (finding the annual report of the Administrative Office of the Illinois

courts to be “a proper source of reference in assessing court congestion”); Boston v. Rockford

Memorial Hospital, 140 Ill. App. 3d 969, 972 (1986) (this court may take judicial notice of

matters not presented to the trial court if they are capable of instant and unquestionable

demonstration, such as the contents of a circuit court docket (citing May Department Stores Co.

v. Teamsters Union Local No. 743, 64 Ill. 2d 153, 159 (1976))). For comparison, the record

reflects that in 2023, there were 480 new case filings in Winnebago County and 13,107 in Cook

County. Admin. Office of the Ill. Courts, 2023 Annual Report of the Illinois Courts, Statistical

Summary 46, 49 (2024), https://ilcourtsaudio.blob.core.windows.net/antilles-

resources/resources/2e8fe39f-d040-47ee-a2b5-

d53880fccb19/2023%20Annual%20Report%20Statistical%20Summary.pdf

[https://perma.cc/B5UG-5ABQ]. This data indicates a consistent trend: Cook County continues

to experience a substantially higher volume of high-dollar civil filings. More importantly, the

rate of growth of Cook County’s docket is substantially higher than Winnebago County’s. In

2024, Cook County began the year with 498,378 pending cases and ended the year with 694,554

pending cases, representing a 39.4% growth in its case load. Admin. Off. of the Ill. Cts., Civil

Caseload Statistics by County Circuit Courts of Illinois, First Quarter 2024,

https://ilcourtsaudio.blob.core.windows.net/antilles-resources/resources/ac25a33d-d20a-4fe1-

18 No. 1-25-0028

8084-1bf6ddeaf1e4/Civil%20Caseload%20Statistics%20by%20County.pdf (last visited Sept. 28,

2025) [https://perma.cc/9TGG-N3S7]; Admin. Off. of the Ill. Cts., Civil Caseload Statistics by

County Circuit Courts of Illinois, Fourth Quarter 2024,

https://ilcourtsaudio.blob.core.windows.net/antilles-resources/resources/9b746ac2-8756-472f-

b27b-8f0d8330b704/Civil%20Caseload%20Statistics%20by%20County.pdf (last visited Sept.

28, 2025) [https://perma.cc/N6DR-PQX4]. During the same period, Winnebago County

experienced a decrease in its case load, going from 61,783 pending cases at the beginning of the

year to 59,372 cases at the end of the year, a 3.9% decrease in case load. Admin. Off. the Ill.

Cts., Civil Caseload Statistics by County Circuit Courts of Illinois, First Quarter 2024,

https://ilcourtsaudio.blob.core.windows.net/antilles-resources/resources/ac25a33d-d20a-4fe1-

8084-1bf6ddeaf1e4/Civil%20Caseload%20Statistics%20by%20County.pdf (last visited

September 28, 2025) [https://perma.cc/9TGG-N3S7]; Admin. Off. of the Ill. Cts., Civil Caseload

Statistics by County Circuit Courts of Illinois, Fourth Quarter 2024,

https://ilcourtsaudio.blob.core.windows.net/antilles-resources/resources/9b746ac2-8756-472f-

b27b-8f0d8330b704/Civil%20Caseload%20Statistics%20by%20County.pdf (last visited Sept.

28, 2025) [https://perma.cc/N6DR-PQX4]. The statistics from 2023 show a similar disparity—

Cook County experienced a 64% increase in its case load in 2023 compared to a 1% increase in

Winnebago County. Admin. Off. of the Ill. Cts., 2023 Annual Report of the Illinois Courts,

Statistical Summary 19 (2024), https://ilcourtsaudio.blob.core.windows.net/antilles-

d53880fccb19/2023%20Annual%20Report%20Statistical%20Summary.pdf

[https://perma.cc/B5UG-5ABQ]. Given this significant disparity in docket growth rates, we find

19 No. 1-25-0028

that the circuit court erred by giving “little weight” to court congestion in its

forum non conveniens analysis. This factor favors transfer.

¶ 59 2. Unfairness of Imposing Jury Duty

¶ 60 Another key public interest factor is “the unfairness of imposing jury duty upon residents

of a county with no connection to the litigation.” Dawdy, 207 Ill. 2d at 173; see Fennell, 2012 IL

113812, ¶ 45 (“ ‘Jury duty constitutes a burden to the citizens of a county who must serve on the

jury. The county in which the trial is held is financially burdened by the payment of jurors’ fees

and by providing court personnel and court facilities.’ ” (quoting Wieser, 98 Ill. 2d at 371)). This

principle underscores that jurors should not be asked to resolve disputes that have no relevance to

their community or impact on their lives. Blakey v. Gilbane Building Co., 264 Ill. App. 3d 626,

629-30 (1994) (stressing the importance of trying cases in forums with meaningful ties to the

litigation to avoid burdening unrelated communities).

¶ 61 Here, the circuit court did not address the burden of jury duty at all. We find this was a

significant omission. The principle is not merely administrative; it reflects a broader concern for

civic fairness and efficient resource allocation. Id. Jurors are drawn from their communities to

adjudicate disputes that affect those communities. Requiring them to resolve controversies rooted

in unrelated jurisdictions undermines this core function. To illustrate, in Fennell, the plaintiff, a

Mississippi resident, filed a personal injury suit in St. Clair County, Illinois, alleging workplace

exposure to asbestos while employed by the defendant railroad. Fennell, 2012 IL 113812, ¶ 3.

The defendant moved to dismiss under the interstate doctrine of forum non conveniens, arguing

that Mississippi was the more appropriate forum given the location of the alleged exposure, the

witnesses, and the plaintiff’s residence. Id. ¶ 7. In addressing the public interest factors, our

supreme court stated that “[j]ury duty constitutes a burden to the citizens of a county who must

20 No. 1-25-0028

serve on the jury,” and that burden extends to the county’s financial and logistical

responsibilities. (Internal quotation marks omitted.) Id. ¶ 45. It found that dismissal based on the

doctrine of forum non conveniens was warranted, reasoning that the citizens of St. Clair County

should not be asked to bear the burden of this lawsuit where the events and witnesses were tied

to Mississippi. Id. ¶ 46.

¶ 62 This same rationale applies here. William was treated in Winnebago County, all the

allegedly negligent conduct occurred there, and the witnesses and parties are primarily based

there. Other than the fact that one defendant works in Cook County and two defendants live

there, Cook County and its jurors bear no relationship to the events, individuals, or institutions

involved in this case. Because the record reflects an absence of connection between the litigation

and Cook County, the jury burden factor favors transfer. See Matthiessen, 2021 IL App (1st)

200405-U, ¶ 20 (finding the jury burden weighed in favor of transferring the case to Kane

County given the case’s lack of factual ties to Cook County); Monteagudo v. The Gardens of

Belvidere, LLC, 2023 IL App (1st) 220045, ¶¶ 54, 56 (reversing the trial court’s denial of

defendant’s forum non conveniens motion, finding that because the alleged negligence occurred

at a medical facility in Boone County, its residents had a “significant interest in this case” and it

would “not be unfair to burden the residents of Boone County with jury duty” whereas “Cook

County residents should *** not be burdened with jury duty when the cause of action did not

occur there and had minimal connection there”); cf. Starr, 2024 IL App (1st) 231120, ¶¶ 58, 69,

70, 72 (finding that the trial court did not abuse its discretion when it denied defendants’ motion

to transfer venue to Will County where the alleged medical negligence occurred because plaintiff

was subsequently transferred to a Cook County hospital and received extensive follow up care

21 No. 1-25-0028

there, demonstrating “a connection between the alleged acts of negligence and the people of

Cook County” and giving Cook County residents an interest in the case).

¶ 63 3. Local Controversies

¶ 64 Illinois courts have consistently recognized that the forum where the events giving rise to

the litigation occurred holds the strongest interest in resolving the dispute. See Foster v. Chicago

& North Western Transportation Co., 102 Ill. 2d 378, 383 (1984) (“This court has consistently

held that a case should not be tried in a forum that has no significant factual connections to the

cause of action.”). This principle is consistently reflected in case law, which emphasizes that the

location where the events occurred, along with the residency of the parties and witnesses, plays a

central role in determining the proper forum. See Adamian v. Balash, 2024 IL App (1st) 231876,

¶ 26; Larson, 2023 IL App (3d) 220360, ¶ 27. In Monteagudo, 2023 IL App (1st) 220045, ¶ 52,

the court found that the local controversy public interest factor favored transfer, reasoning that

because “plaintiff’s allegations of medical negligence arise out of the medical care the decedent

received at [a long-term care facility] in Boone County,” “Boone County has a clear interest in

the medical care provided to its residents at its medical facilities.”

¶ 65 Similarly here, the alleged negligence occurred at OSF in Rockford, which is in

Winnebago County. All relevant medical records, witnesses—including treating physicians and

medical staff—and the events giving rise to plaintiff’s claim are located in Winnebago County or

nearby, showing that Winnebago County has the strongest interest in resolving the dispute.

Nevertheless, the circuit court gave “little weight” to this factor because “OSF Healthcare

System operates in both Winnebago and Cook County.” But Illinois courts, including our

supreme court, have repeatedly held that conducting the same business in another forum does not

establish a substantial connection to litigation arising from events elsewhere. Id. ¶ 53 (stating that

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“merely conducting business in Cook County does not affect the forum non conveniens issue”);

Gundlach v. Lind, 353 Ill. App. 3d 677, 683 (2004) (reversing denial of a motion to transfer and

holding that defendants’ business operations in Cook County were insufficient to establish a

substantial local interest where the alleged malpractice occurred in McHenry County and

plaintiffs resided in Lake County, emphasizing that localized controversies should be resolved in

the community where the events occurred); Dawdy, 207 Ill. 2d at 182 (rejecting argument that

the fact that the railroad also operated in the plaintiff’s chosen forum made transfer improper and

recognizing that accepting such an argument could elevate plaintiff’s choice of forum to

dispositive status and thereby vitiate the forum non conveniens doctrine). Therefore, the circuit

court erred when it gave little weight to the fact that the alleged malpractice occurred in

Winnebago County simply because OSF also provides healthcare in Cook County.

¶ 66 None of the events giving rise to plaintiff’s claim occurred in Cook County, and the large

majority of defendants practice medicine exclusively in Winnebago County. While the record

indicates that Dr. Sosa practices at several hospitals in Cook County, most defendants primarily

practice at OSF in Winnebago County, and there is no indication that any other defendant

possesses a substantial or regular practice in Cook County sufficient to establish a meaningful

local interest. In Meier, this court affirmed the trial court’s decision to transfer a medical

negligence case from Cook County to DuPage County based on the doctrine of

forum non conveniens, even though a few of the individual defendants resided in Cook County

and provided medical services there. Meier, 2023 IL App (1st) 211674 ¶¶ 24, 26-28. The court

concluded that despite some connections to Cook County, all relevant medical treatment

occurred at a single hospital in DuPage County, and therefore, the local interest and convenience

factors favored transfer. Id. ¶¶ 28, 43.

23 No. 1-25-0028

¶ 67 The same logic applies here. As in Meier, the alleged negligence occurred entirely within

a single hospital, OSF in Winnebago County. While the record reflects that Dr. Sosa maintains a

practice in Cook County, no other defendant maintains a substantial or regular practice there, and

most are primarily based in Winnebago County. That plaintiff does not reside in Cook County

further weakens any claim of local interest. As in Meier, incidental connections to Cook County

do not outweigh the strong ties to the alternate forum or justify burdening courts and jurors in a

county with minimal ties to the litigation.

¶ 68 Plaintiff’s reliance on Evans, 2020 IL App (1st) 200528, is misplaced. In Evans, the court

denied defendants’ motion to transfer venue to Lake County where the record established that the

defendant doctor resided and practiced in Cook County, and the other forum non conveniens

factors did not strongly favor transfer. Id. ¶¶ 23-24. Here, by contrast, the private and public

interest factors weigh in favor of transfer, and Dr. Sosa’s ties to Cook County do not outweigh

the strong factual nexus to Winnebago County.

¶ 69 Time and again, this court has held that fairness requires resolving local controversies in

the forums most closely connected to the events. See Larson, 2023 IL App (3d) 220360, ¶ 27

(reversing the trial court’s decision to deny defendant’s motion to dismiss based on the doctrine

of forum non conveniens, holding that the locality factor favored dismissal where the incident

occurred in Texas and most witnesses and evidence were located there). As in Larson, the

locality factor strongly favors transfer here because the incident occurred in Winnebago County

and Cook County has no meaningful interest in deciding the controversy. The circuit court

therefore erred in according this factor “little weight”.

¶ 70 F. Weighing the Relevant Factors

24 No. 1-25-0028

¶ 71 When determining whether to grant a party’s motion to transfer venue under the doctrine

of forum non conveniens, a trial court must weigh all relevant considerations—including the

private and public interest factors as well as the plaintiff’s choice of forum—to determine

whether the chosen venue will best serve the ends of fairness and justice. Fennell, 2012 IL

113812, ¶ 17. Here, the circuit court found that plaintiff’s choice of forum was entitled to little

deference “because Plaintiff does not reside in Cook County and the action did not arise from

there.” It also found that all of the private interest factors were either neutral or favored transfer

because Winnebago County was the more convenient forum for almost all parties, evidence

could more easily be accessed there, and it would be less expensive to compel the attendance of

willing witnesses there. Nevertheless, the court concluded that “the totality of the factors [favor]

retaining Cook County as the forum for this matter.” In reaching this conclusion, however, the

circuit court failed to give proper weight to several critical public interest factors in its balancing

test, including the unfairness of imposing the expenses of trial and the burden of jury duty on

residents of Cook County, that the residents of Winnebago County had a significant interest in

resolving the case about alleged negligence that occurred in their local hospital, and that court

congestion favored transfer. Because the circuit court conceded that plaintiff’s choice of forum is

entitled to little deference and all of public and private interest factors here are either weighed in

favor of transfer to Winnebago County or were neutral, we find that the circuit court abused its

discretion when it denied defendants’ motion to transfer venue to Winnebago County.

¶ 72 Accordingly, we reverse the circuit court’s order denying defendants’ motion to transfer

and remand with directions to grant defendants’ motion and transfer the case to Winnebago

County. See, e.g., Fennell, 2012 IL 113812, ¶¶ 24, 48-51, 74-75 (reversing and remanding with

directions to dismiss the action in favor of sister state forum where the weight of the public and

25 No. 1-25-0028

private interest factors greatly favored dismissal and plaintiff’s choice of forum was entitled to

little deference, over Justice Kilbride’s dissent that the case should be “remand[ed] to the trial

court for a more thorough decision considering all forum non conveniens factors”); Monteagudo,

2023 IL App (1st) 220045, ¶¶ 56-58 (concluding the circuit court abused its discretion when it

denied defendants’ motion to transfer, stating “from our review of the record and evaluation of

the public and private interest factors, we find that the balance of the private and public interest

factors weigh strongly in favor of transfer” and therefore reversing and remanding “with

directions to transfer the cause to Boone County”); Smith, 2024 IL App (5th) 240394, ¶¶ 37-38

(same).

¶ 73 III. CONCLUSION

¶ 74 For the foregoing reasons, the judgment of the circuit court is reversed.

¶ 75 Reversed.

¶ 76 JUSTICE ODEN JOHNSON, specially concurring:

¶ 77 While I agree that the case should be reversed, I write separately because I disagree with

the majority’s position that we should simply send it back for transfer. Rather, I believe that the

cause should be remanded with instructions for the circuit court to properly apply the standard for

determining whether a motion to transfer based on forum non conveniens should be granted.

¶ 78 The standard of review for a forum non conveniens decision is abuse of discretion. Susman

v. North Star Trust Company, 2015 IL App (1st) 142789, ¶ 14 (citing Langenhorst, 219 Ill. 2d at

441). A trial court is afforded considerable discretion in ruling on a forum non conveniens motion.

Langenhorst, 291 Ill. 2d at 441. “We will reverse the circuit court’s decision only if defendants

have shown that the circuit court abused its discretion in balancing the relevant factors.” Id. at 442.

26 No. 1-25-0028

“A circuit court abuses its discretion in balancing the relevant factors only where no reasonable

person would take the view adopted by the circuit court.” Id. “The issue then, is not what decision

we would have reached if we were reviewing the facts on a clean slate, but whether the [circuit]

court acted in a way that no reasonable person would.” Susman, 2015 IL App (1st) 142789, ¶ 18

(quoting Vivas, 392 Ill. App. 3d at 657).

¶ 79 Here, I believe the majority’s analysis reviewed the facts on a clean slate rather than

whether the circuit court’s decision was one that no reasonable person would take. The majority

weighs each of the factors and makes its own determination as to whether the factor favors transfer

rather than simply evaluating the circuit court’s finding, which is simply not the standard of review

in this case. Since the majority found that the circuit court did not consider the public interest factor

related to the fairness in imposing a burden on expense on the residents of a forum, I would remand

for the circuit court to consider all relevant factors in determining the motion for transfer of venue.

27 No. 1-25-0028

Lutzenkirchen v. OSF Healthcare System, 2025 IL App (1st) 250028

Decision Under Review: Appeal from the Circuit Court of Cook County, No. 2024-L- 05546; the Hon. Charles S. Beach II, Judge, presiding.

Attorneys Jerrod L. Barenbaum, Matthew A. Turley, Eileen M. Caver, and for Nathan W. Friedman, of Allen Galluzzo Hevrin Leake, LLC, of Appellant: Rockford, for appellants OSF Healthcare System and Joyce Cheng.

Jeffry S. Spears, of Faulkner Spears & Chudoba, LLC, of Rockford, for appellant Jennifer Claire Lane.

Scott L. Howie, Sherri M. Arrigo, and Peter L. LeGrand, of Donohue Brown Smyth LLC, of Chicago, for appellants Doris Ore Sosa, Amory Balucating, Rafal Banek, and North American Partners in Anesthesia (Illinois), LLC.

No brief filed for other appellant.

Attorneys Brian LaCien and Carla Colaianni, of Smit LaCien LLP, of for Chicago, for appellee. Appellee: