People v. Bickham

414 N.E.2d 37, 90 Ill. App. 3d 897, 46 Ill. Dec. 315, 1980 Ill. App. LEXIS 3938
CourtAppellate Court of Illinois
DecidedNovember 19, 1980
Docket79-339
StatusPublished
Cited by7 cases

This text of 414 N.E.2d 37 (People v. Bickham) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
People v. Bickham, 414 N.E.2d 37, 90 Ill. App. 3d 897, 46 Ill. Dec. 315, 1980 Ill. App. LEXIS 3938 (Ill. Ct. App. 1980).

Opinion

Miss PRESIDING JUSTICE McGILLICUDDY

delivered the opinion of the court:

On January 26, 1979, the Circuit Court of Cook County found Dr. Arnold Bickham in contempt of court for failure to comply with two subpoenas duces tecum issued by the November 1978 grand jury. The court ordered Dr. Bickham incarcerated until he purged himself of contempt. The order of incarceration was stayed pending Dr. Bickham’s appeal of this order.

The grand jury issued the two subpoenas requesting that Dr. Bickham, as president of the Water Tower Reproductive Center, Ltd., (Water Tower) produce various medical records of 63 women, including those of Sherry Emry. Water Tower filed a petition to quash the subpoenas asserting that the medical records were the personal property of Dr. Bickham. Water Tower further claimed that the documents were protected by the physician-patient privilege.

Subsequently, Dr. Bickham was presented with a “Waiver of Doctor/Patient Privilege” executed by the administratrix of the estate of Sherry Emry. The waiver authorized Water Tower to release all materials concerning the treatment of Emry to any duly authorized investigative body of the State of Illinois.

Following a hearing on the petition to quash the subpoenas, the court ordered Dr. Bickham to produce the records for an in camera inspection in order to determine whether the documents were subject to any privilege. Dr. Bickham refused to comply with this order and failed to produce the records, which he claimed were his personal property. The State filed a petition for a rule to show cause why Dr. Bickham should not be held in contempt of court.

The court conducted an evidentiary hearing to determine whether the records were the personal property of Dr. Bickham or of Water Tower. Mindy Trossman, an investigator for the Better Government Association, testified that she worked at Water Tower from August 26 to October 21, 1978, as a nurse’s aid and counselor. Her responsibilities included assisting the patients and doctors and completing sections of the patients’ charts.

Trossman testified that patients who came to Water Tower for a pregnancy termination were given an eight-page booklet with the name of Water Tower on the cover. This booklet was the patient’s chart. This booklet was not given to Dr. Bickham’s private patients who visited the facility.

In addition to Dr. Bickham, four other doctors performed abortions at Water Tower and used the patient chart. Trossman was instructed by a medical assistant to indicate on the chart that Dr. Bickham was the surgeon, regardless of which doctor performed the abortion. When another doctor was the surgeon, he would leave the physician’s signature space blank and initial the back of the chart.

Trossman also testified that Dr. Bickham examined his private patients in a room which did not contain abortion equipment. The charts of these patients were hung on the door of the examining room and no other doctor would enter the room. The private patients received a different receipt than the one given to the abortion patients.

Michael T. Berger, the manager of the professional review section of the Department of Public Aid, testified on behalf of Dr. Bickham. His section, which conducted audits of participants in the Medicaid program, was auditing Dr. Bickham in connection with services he performed at a second facility, Bio-Genetics.

Berger testified that Dr. Bickham had informed the department that he was unable to produce certain records requested in connection with the audit because they were in the custody of Bio-Genetics. The department rejected this claim and considered that the records belonged to Dr. Bickham. Berger further stated that if a doctor is unable or refuses to produce the records, the department will take administrative action to terminate his participation in the Medicaid program.

At the conclusion of the hearing the court ruled that the records belonged to Water Tower and must be produced before the grand jury. On January 26, 1979, when Dr. Bickham appeared before the grand jury and refused to turn over the subpoenaed documents, he was held in contempt of court.

The first issue raised on appeal is whether the trial court’s finding that the subpoenaed records belonged to Water Tower was erroneous. Dr. Bickham concedes that the subpoenaed records were located at the Water Tower facility, an ambulatory surgical treatment center licensed by the Illinois Department of Public Health. He contends that because the facility is not required to maintain medical records, custom dictates the conclusion that the medical records are his personal property.

The statement that Water Tower is not required to keep medical records is inaccurate. The Ambulatory Surgical Treatment Center Act defines such a center as “any facility in which a medical or surgical procedure is utilized to terminate a pregnancy, irrespective of whether the facility is devoted primarily to this purpose.” (Ill. Rev. Stat. 1977, ch. 111/2, par. 157 — 8.3(A).) In addition to other requirements, the statute specifically requires that a license shall be issued only to a facility which maintains adequate medical records for each patient. Ill. Rev. Stat. 1977, ch. 111½, par. 157 — 8.6.

The evidentiary hearing disclosed that the records of abortion patients were processed differently than the records of Dr. Bickham’s private patients whom he treated at the facility. The eight-page booklet which constituted the medical record of an abortion patient was completed in part by the patient, in part by a counselor and in part by the doctor who performed the abortion. Although Dr. Bickham was always indicated as the surgeon in the records, four other doctors performed abortions at the facility.

In contrast, Dr. Bickham kept different records for his private patients and examined these patients in rooms into which no other doctor entered. The abortion patients and the private patients did not receive the same form for a receipt.

We believe that the evidence strongly supports the trial court’s conclusion that the subpoenaed records belonged to Water Tower. The fact that the Department of Public Aid holds Dr. Bickham responsible for providing it with records, in connection with an audit of services for which they pay him, does not render the records his personal property. Our holding that the medical records are the property of Water Tower prevents Dr. Bickham from invoking the fifth amendment privilege against self-incrimination. An individual cannot rely upon the privilege to avoid producing the records of a collective entity which are in his possession in a representative capacity, even if these records might incriminate him personally. (See Bellis v. United States (1974), 417 U.S. 85, 40 L. Ed. 2d 678, 94 S. Ct. 2179, and cases cited therein.) This rule applies even when the subpoenaed corporate official is the sole owner or alter ego of the corporation. United States v. Rosenstein (2d Cir. 1973), 474 F.2d 705.

The second issue raised on appeal is whether Dr.

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Bluebook (online)
414 N.E.2d 37, 90 Ill. App. 3d 897, 46 Ill. Dec. 315, 1980 Ill. App. LEXIS 3938, Counsel Stack Legal Research, https://law.counselstack.com/opinion/people-v-bickham-illappct-1980.