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J. A13023/00
2000 PA Super 143
RICHARD HOOSE AND ROBIN HOOSE, H/W : IN THE SUPERIOR COURT OF
Appellants
:
PENNSYLVANIA
:
VS
:
:
JEFFERSON HOME HEALTH CARE, INC.,
:
MARGARET PEGGY WAGNER, R.N., STEVE
:
GUNTER, P.T., UNITED STATES
:
HEALTHCARE SYSTEMS OF PENNSYLVANIA, :
INC. D/B/A THE HEALTH MAINTENANCE
:
ORGANIZATION OF PENNSYLVANIA, A
:
SUBSIDIARY OF U.S. HEALTHCARE, INC.,
:
JAMES WEINBERG, D.O., MELISSA SCOTT, :
AND BRYN MAWR HOSPITAL,
:
Appellees
: No. 3373 EDA 1999
Appeal from the Order dated October 5, 1999
In the Court of Common Pleas of Philadelphia
County, Civil No. 482 October Term, 1997
BEFORE:
FORD ELLIOTT, MONTEMURO*, JJ. and CIRILLO, P.J.E.
***Petition for Reargument Filed 5/23/2000***
OPINION BY CIRILLO, P.J.E.:
Filed: May 9, 2000
***Petition for Reargument Denied 7/13/2000***
¶ 1
Richard and Robin Hoose, h/w, appeal from the order entered in the
Court of Common Pleas of Philadelphia County granting the petition of
Appellee/Defendant, United States Healthcare Systems of Pennsylvania ("U.S.
Healthcare"), to transfer venue of the underlying medical malpractice action
from Philadelphia County to Delaware County.1 We reverse and remand.

1 None of the other defendants/appellees in the underlying action joined in U.S.
Healthcare's petition to transfer venue; however, Jefferson Home Health Care,
Margaret Wagner and Bryn Mawr Hospital (collectively referred to as
"Defendants") have filed a brief to this court supporting the trial court's
transfer order. We note with disapproval the Defendants' reliance, in their
brief, upon the case Techtmann v. Howie, 692 A.2d 230 (Pa. Super. 1997),
which is no longer good law as it has been reversed and remanded by our
Pennsylvania Supreme Court. See Techtmann v. Howie, 548 Pa. 567, 699
A.2d 729 (1997).
* Retired Justice assigned to the Superior Court.

J. A13023/00
¶ 2
The facts and procedural history of this case are as follows. In mid-
October of 1995, Appellant, Richard Hoose, suffering from gangrene in his right
leg, underwent a below-the-knee amputation ("BKA") at Defendant/Appellee,
Bryn Mawr Hospital in Montgomery County. The surgery was performed by
Ronald Mattson, M.D. Doctor Mattson performed a femoral bypass in order to
lower the amputation level to below the knee ­ a situation more suitable for
rehabilitation purposes. At the time of his surgery, Hoose was insured by
Appellee U.S. Healthcare pursuant to a welfare benefit plan provided by
Hoose's employer.
¶ 3
Both Dr. Mattson and the Chief of Psychiatry Service at Bryn Mawr
Hospital ordered that Mr. Hoose be transferred to Bryn Mawr Rehabilitation
Hospital ("Bryn Mawr Rehab") after the surgery. Appellee, however, refused to
honor the transfer believing that the "acute rehab benefits" from such a
medical decision did not fit within U.S. Healthcare's guidelines. Rather, U.S.
Healthcare directed that once Mr. Hoose's incision had properly and fully
healed, it would sanction his transfer to Bryn Mawr Rehab.
¶ 4
Mr. Hoose was discharged from Bryn Mawr, opting for home health care
which was provided by Jefferson Home Health Care; the home care included
the use of a physical therapist and a registered nurse. During this time, Mr.
Hoose developed a post-operative stump infection which ultimately led to a
rupture, requiring an above-the-knee amputation ("AKA"). The Hooses filed
the underlying medical malpractice action against Appellees in the Court of
- 2 -

J. A13023/00
Common Pleas of Philadelphia County.2 U.S. Healthcare removed the action to
federal court, specifically, the United States District Court for the Eastern
District of Pennsylvania; Appellee alleged that federal employee retirement
benefit laws were implicated in the underlying lawsuit. The Hooses filed a
motion to remand the case to the Court of Common Pleas of Philadelphia
County. The court granted the motion. After the filing of various unsuccessful
preliminary objections by the parties involved, extensive discovery was
conducted in the case, including a number of depositions. U.S. Healthcare filed
a motion to transfer venue of the case. During a scheduling conference, the
trial judge granted U.S. Healthcare's motion and transferred the case from
Philadelphia County to Delaware County.
¶ 5
On appeal, the Hooses raise the following issue for our review:
Whether the trial court erred in granting Defendant U.S.
Healthcare's Petition to Transfer Venue from Philadelphia County to
Delaware County, given that the discovery period had closed, the
case was ready to receive a trial date, venue in Philadelphia was
proper, U.S. Healthcare had provided no record evidence that
Plaintiffs' choice of forum was oppressive or vexatious, and given
that U.S. Healthcare had earlier removed the case to the United
States Federal District Court sitting in Philadelphia County?
¶ 6
A trial judge has great discretion in reviewing petitions to change venue
based upon forum non conveniens; on appeal the superior court must
determine whether the trial judge abused that discretion. McCrory v.

2 The basis of jurisdiction for venue purposes existed from the fact that the
various defendants, namely Jefferson Home Health Care, Inc., has its principal
place of business in Philadelphia County. Moreover, it was proven that U.S.
Healthcare regularly conducts business in Philadelphia.
- 3 -

J. A13023/00
Abraham, 657 A.2d 499 (Pa. Super. 1995) (citations omitted). See Purcell
v. Bryn Mawr Hospital, 525 Pa. 237, 579 A.2d 1282 (1990). In order to
demonstrate that the trial court has abused its discretion, "an appellant must
show that in reaching a conclusion, the law is overridden or misapplied, or the
judgment exercised is manifestly unreasonable, or the result of partiality,
prejudice, bias, or ill will." McCrory, supra at 501 (quotation omitted).
¶ 7 In Cheeseman v. Lethal Exterminator, Inc., 549 Pa. 200, 701 A.2d
156 (1997), our supreme court clarified the appropriate standard that a
defendant must meet to successfully transfer venue of a case. In sum, "a
petition to transfer venue should not be granted unless the defendant meets its
burden of demonstrating, with detailed information on the record, that the
plaintiff's chosen forum is oppressive or vexatious to the defendant." Id. at
213, 701 A.2d at 162. Thus:
The defendant may meet its burden of showing that the plaintiff's
choice of forum is vexatious to him by establishing with facts on
the record that the plaintiff's choice of forum was designed to
harass the defendant, even at some inconvenience to the plaintiff
himself. [citation omitted] Alternatively, the defendant may meet
his burden by establishing on the record that trial in the chosen
forum is oppressive to him; for instance, that trial in another
county would provide easier access to witnesses or other sources
of proof, or to the ability to conduct a view of premises involved in
the dispute. But, we stress that the defendant must show
more than that the chosen forum is merely inconvenient to
him.
Id. (emphasis added).
¶ 8
In the present case, the trial court highlighted the following facts, giving
rise to the grant of Appellee's petition to transfer: all defendants are residents
- 4 -

J. A13023/00
or maintain their principal places of business in Delaware or Montgomery
Counties; no deponent or other potential fact witness resides or works in
Philadelphia; no care or treatment took place in Philadelphia; and all medical
records and other sources of relevant proof are located in hospitals and
physicians' offices in Delaware County. In sum, the trial court found that
under these facts "it is truly vexatious and oppressive to allow venue in
Philadelphia County." We disagree.
¶ 9
In Cheeseman, supra, our supreme court specifically stated that
claims by a defendant that "no significant aspect of a case involves the chosen
forum, and that litigating in another forum would be more convenient" is not
the type of record evidence that proves litigating the case in the chosen forum
is "oppressive or vexatious." Cheeseman, supra at 162, 701 A.2d at 214.
Moreover, the court found that an assertion in a defendant's petition that "the
trial court in plaintiff's chosen forum is congested," is also not sufficient proof
to sustain a burden to transfer venue. Id.
¶ 10 Presently, we note that a majority of pre-trial procedures, including
depositions of various witnesses, have already been conducted in Philadelphia.
Moreover, at the behest of U.S. Healthcare, this case had already been
removed to the Eastern District Court, located in Philadelphia.3 Accordingly,
we are aware that Appellee has consistently been appearing in plaintiff's

3 At the same time it filed its motion for removal to federal district court, U.S.
Healthcare also filed a motion to dismiss the case for failure to state a claim.
- 5 -

J. A13023/00
chosen forum for purposes of this case to date. Finally, we note that
Appellants' response to Appellee's petition to transfer denies that no medical
treatment occurred in Philadelphia. Appellants claim that Mr. Hoose, in fact,
received medical care relevant to his underlying condition at Hahnemann
University Hospital in the City of Philadelphia.
¶ 11 We note that this is not a case where the alleged tortious conduct
occurred in a distant state or where the appellant resides in a foreign state.
See Dulaney v. Consolidated Rail Corp., 715 A.2d 1217 (Pa. Super. 1998)
(where accident occurred in Ohio, appellant resided in West Virginia and
worked out of appellee's Allegheny County office and all of witnesses to the
accident and appellant's medical providers resided in Ohio, West Virginia or
Western Pennsylvania, trial court properly transferred venue of case from
Philadelphia County to Allegheny County). Rather, the majority of the sources
of proof in the instant case, including witnesses and medical care providers,
reside or are located in Philadelphia's neighboring counties ­ Delaware County
or Montgomery County.
¶ 12 In its petition to change venue, U.S. Healthcare does list the various
medical care providers and other witnesses who do not reside in Philadelphia
County. However, petitioner alleges that the patients of physicians, who must
travel from their Delaware County or Montgomery County offices to testify in
Philadelphia, will suffer unnecessary hardship. Nevertheless, it is the
oppressiveness suffered by the witnesses, not their patients or clients, that
- 6 -

J. A13023/00
must be demonstrated on the record to succeed in transferring venue of this
case. Cheeseman, supra. Moreover, U.S. Healthcare has not produced any
affidavits from these alleged witnesses attesting to the fact that they would
suffer such hardship. See Johnson v. Henkles & McCoy, 707 A.2d 237, 240
(Pa. Super. 1997); see also Petty v. Suburban General Hosp., 525 A.2d
1230 (Pa. Super. 1987). Finally, it has been conceded that a number of the
non-Philadelphia County medical providers have been granted the opportunity
to stipulate to their dismissal from the plaintiffs' case.
¶ 13 After a review of the record, we cannot classify the chosen forum as one
designed to "harass" the defendants or one so oppressive and vexatious as to
require transfer of venue. See Johnson, supra (where appellant/plaintiff
received a significant portion of medical treatment in Montgomery County,
individuals having knowledge of the accident and aftermath resided in
Montgomery County, and where defendant alleged that all the parties would be
"unjustifiably inconvenienced by pre-trial procedures and trial in Philadelphia
County," our court did not find these facts of record sufficient to support
transfer of venue).
¶ 14 Appellee broadly states that various witnesses will suffer hardship by
travelling from their Delaware County or Montgomery County residences to
trial in Philadelphia. However, we stress that there is a vast difference
between a finding of inconvenience and one of oppressiveness. It is the former
that we believe has been alleged and shown today; without more, we must
- 7 -

J. A13023/00
reverse. Accordingly, we find that the trial court abused its discretion by
transferring the instant case from Philadelphia County to Delaware County.
The court misapplied the law as annunciated by our supreme court in
Cheeseman, supra.
¶ 15 Order reversed. Case remanded to the trial court for proceedings
consistent with this decision. Jurisdiction relinquished.
- 8 -

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