Brandt v. Shekar

Rule 23 order filed 2020 IL App (5th) 190137
July 29, 2020.
Motion to publish granted NO. 5-19-0137
August 25, 2020.
IN THE

APPELLATE COURT OF ILLINOIS

FIFTH DISTRICT
______________________________________________________________________________

JAMIE L. BRANDT and DARIN BRANDT, ) Appeal from the
) Circuit Court of
Plaintiffs-Appellees, ) St. Clair County.
)
v. ) No. 17-L-34
)
PRASHANTH C. SHEKAR, M.D., TIMOTHY J. )
CARMODY, M.D., and MID-AMERICA )
RADIOLOGY, S.C., ) Honorable
) Heinz M. Rudolf,
Defendants-Appellants. ) Judge, presiding.
______________________________________________________________________________

JUSTICE BARBERIS delivered the judgment of the court, with opinion.
Justice Moore concurred in the judgment and opinion.
Presiding Justice Welch dissented, with opinion.

OPINION

¶1 Defendants, Prashanth C. Shekar, M.D., Timothy J. Carmody, M.D., and Mid-America

Radiology, S.C. (Mid-America), appeal from an order of the circuit court of St. Clair County,

which denied their motion to transfer the medical negligence action filed by plaintiffs, Jamie and

Darin Brandt, to Marion County on the grounds of forum non conveniens. For the following

reasons, we reverse and remand with directions.

¶2 BACKGROUND

¶3 The following factual recitation was adduced from the orders, pleadings, affidavits, and

other supporting documents of record. We recite only those facts necessary to the resolution of

this appeal.
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¶4 Jamie presented to St. Mary’s Hospital in Marion County, Illinois, for yearly screenings

and diagnostic mammograms on August 30, 2012, November 26, 2013, December 15, 2014, and

December 18, 2015. The radiological services at St. Mary’s Hospital, including Jamie’s yearly

mammograms, were provided by Mid-America, an Illinois corporation headquartered in

Jefferson County, Illinois. Jamie’s yearly studies were alternatively interpreted by two licensed

radiologists employed by Mid-America, Drs. Shekar and Carmody, at St. Mary’s Hospital. In

interpreting the study following Jamie’s December 18, 2015, mammogram, Dr. Shekar noted a

suspicious lesion and referred her for additional testing. A biopsy later revealed invasive ductal

carcinoma in Jamie’s left breast.

¶5 On February 11, 2016, Dr. Merrilee Brandt, a general surgeon located in Marion County,

performed surgery on Jamie at St. Mary’s Hospital. Jamie then presented to Cancer Care

Specialists at St. Mary’s Hospital for additional treatment with Dr. Bassam Maalouf, an

oncologist. Dr. Maalouf ordered a PET scan to stage Jamie’s breast cancer in her left breast on

February 24, 2016. The PET scan also revealed evidence of possible cancer in Jamie’s right

breast.

¶6 Following this diagnosis, Jamie sought additional opinions and treatment options with

three physicians affiliated with Washington University in St. Louis, Missouri, including Dr. Julie

Margenthaler, a breast surgeon; Dr. Jairam Krishnamurthy, an oncologist; and Dr. Keith Brandt,

a plastic surgeon. Dr. Margenthaler ultimately performed a bilateral mastectomy with sentinel

node biopsies on April 20, 2016, and Jamie consulted with Dr. Keith Brandt for reconstructive

surgery of her breast tissue.

¶7 After Jamie underwent surgical treatment in St. Louis, she elected to receive

chemotherapy and radiation therapy at St. Mary’s Hospital in Marion County. This treatment,

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which was administered by Dr. Maalouf and Dr. Graeme Fisher, was successfully completed in

2016 and early 2017. In March 2017, Dr. Francisco Xynos performed a laparoscopic total

hysterectomy on Jamie in Richmond Heights, Missouri.

¶8 On January 31, 2017, prior to the completion of Jamie’s treatment, plaintiffs filed a

multi-count complaint in the circuit court of St. Clair County, alleging separate causes of action

against each defendant for medical negligence. The complaint generally alleged that Drs. Shekar

and Carmody negligently failed to timely diagnose and treat Jamie’s breast cancer during her

yearly screenings and diagnostic mammograms from 2012 to 2015, which caused Jamie to suffer

injury and damages. The complaint specified that Dr. Shekar was negligent in interpreting

Jamie’s mammogram on November 26, 2013, and Dr. Carmody was negligent in interpreting

Jamie’s mammograms on three occasions: August 30, 2012, December 15, 2014, and December

18, 2015. The complaint further specified that Mid-America was negligent, by and through the

acts of Drs. Shekar and Carmody, in providing medical services to Jamie on each of the above-

referenced dates. In addition, the complaint alleged that Darin, who was married to Jamie at all

relevant times, suffered a loss of consortium due to Jamie’s injuries.

¶9 On February 16, 2017, the complaint was served on Mid-America’s registered agent,

attorney Mark J. Ballard, in Jefferson County. Dr. Shekar was served at his personal residence in

St. Clair County, and Dr. Carmody was served at his personal residence in Clive, Iowa.

¶ 10 On March 20, 2017, Dr. Shekar filed an answer to plaintiffs’ complaint, along with a

motion to transfer the case to Marion County on the grounds of forum non conveniens. In the

answer, Dr. Shekar asserted, as an affirmative defense, that St. Clair County was an inconvenient

forum. In the motion to transfer, Dr. Shekar argued that the case should be transferred to Marion

County, where plaintiffs resided and the alleged medical negligence occurred. Dr. Shekar

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recognized that St. Clair County was considered a proper forum under section 2-101 of the Code

of Civil Procedure (735 ILCS 5/2-101 (West 2016) (“Except as otherwise provided in this Act,

every action must be commenced (1) in the county of residence of any defendant who is joined

in good faith and with probable cause for the purpose of obtaining a judgment against him or her

and not solely for the purpose of fixing venue in that county, or (2) in the county in which the

transaction or some part thereof occurred out of which the cause of action arose.”)), but he

claimed that plaintiffs had engaged in forum shopping because they did not reside in St. Clair

County and the cause of action did not occur there. Dr. Shekar also argued that an analysis of the

relevant private and public interest factors showed that St. Clair County was not a convenient

forum for the action, and discovery would show that Marion County was a substantially more

convenient forum. Dr. Shekar indicated that he would file a detailed memorandum of law in

support of his motion to transfer after conducting discovery. Dr. Carmody and Mid-America

subsequently joined in the motion to transfer.

¶ 11 On September 27, 2018, following discovery and several continuances, defendants filed a

memorandum in support of the motion to transfer with attachments, which included affidavits on

behalf of each defendant and certain discovery responses by both parties. According to

defendants, the attachments revealed the following undisputed facts: (1) plaintiffs resided in

Marion County; (2) the medical treatment at issue occurred in Marion County; (3) three potential

lay witnesses resided in or near Marion County, including Jamie’s mother, sister-in-law, and

brother-in-law; (4) Dr. Shekar resided in St. Clair County but provided medical services in

Marion County, not St. Clair County; (5) Dr. Carmody resided in Iowa but lived at an apartment

in Jefferson County when he worked for Mid-America; (6) Dr. Carmody provided medical

services in Marion County, not St. Clair County; (7) Drs. Shekar and Carmody were partners and

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employees of Mid-America; (8) Mid-America was an 11-member radiology group that employed

7 full-time physician radiologists and 4 part-time physician radiologists; (9) Mid-America had a

registered agent in Jefferson County; (10) Mid-America provided radiology services in Marion,

Bond, Madison, and Jefferson Counties but not in St. Clair County; (11) Jamie received medical

treatment in Marion County and St. Louis; and (12) Jamie did not receive medical treatment in

St. Clair County.

¶ 12 Based on these facts, defendants argued that a balance of the private and public interest

factors favored transfer to Marion County. Specifically, defendants argued that both Drs. Shekar

and Carmody spent a considerable portion of their professional time providing medical services

at St. Mary’s Hospital. According to defendants, St. Mary’s Hospital was located 17.5 miles

from the Marion County courthouse and 61.3 miles from the St. Clair County courthouse.

Defendants also argued that Mid-America’s corporate office in Jefferson County was

significantly closer to Marion County than St. Clair County. As such, defendants claimed that a

trial in Marion County would be less burdensome for defendants to find coverage for their

professional medical practice. In addition, defendants argued that most of the potential witnesses

were located in Marion County, including Dr. Merrilee Brandt, Dr. Maalouf, Dr. Fisher, and

Jamie’s primary care physician, Dr. James Schutzenhofer. Defendants also asserted that Jamie

had identified three lay witnesses residing in or near Marion County. While acknowledging that

Jamie also received treatment from four physicians in St. Louis, defendants asserted that this

witness testimony would likely be secured via videotaped evidence deposition. Lastly,

defendants asserted that the public interest factors weighed in favor of transfer because St. Clair

County had no connection with the alleged medical negligence.

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¶ 13 On March 8, 2019, plaintiffs filed a response in opposition to defendants’ motion to

transfer, arguing that the public and private interest factors did not weigh strongly in favor of

transfer to Marion County. Plaintiffs specifically argued that defendants were unable to show

that Marion County was a more convenient forum because Dr. Shekar resided in St. Clair

County, and neither Mid-America nor Dr. Carmody resided in Marion County. Plaintiffs

additionally argued that a trial in St. Clair County would be more convenient for several

witnesses, including Jamie’s medical providers in the St. Louis area. Plaintiffs also pointed out

that the offices of the attorneys of record were in St. Clair County and St. Louis.

¶ 14 On March 12, 2019, the circuit court held a hearing on the motion to transfer. After

considering the parties’ arguments, the court directed plaintiffs’ attorney to prepare a written

order denying the motion to transfer.

¶ 15 On April 5, 2019, the circuit court entered a 16-page written order denying defendants’

motion to transfer based on forum non conveniens. At the outset of its analysis, the circuit court

recognized that plaintiffs’ chosen forum, St. Clair County, was entitled to less deference because

plaintiffs did not reside there. However, the court generally concluded that, “[h]ere, not only

[have plaintiffs] filed suit where Defendant Dr. Shekar resides, but Defendants fail to meet their

burden in demonstrating that the relevant private and public interest factors greatly favor Marion

County, requiring transfer.” The court then evaluated the relevant private and public interest

factors.

¶ 16 First, the circuit court determined that the private interest factors did not strongly weigh

in favor of transfer to Marion County. Regarding convenience of the parties, the court

determined that defendants had failed to prove that plaintiffs’ chosen forum was inconvenient to

defendants and that another forum was more convenient to all parties. Specifically, the court

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rejected defendants’ argument that plaintiffs’ personal residence in Marion County weighed in

favor of transfer, noting that a defendant “ ‘cannot assert that the plaintiff’s chosen forum is

inconvenient to the plaintiff’ ” (Whirlpool Corp. v. Certain Underwriters at Lloyd’s London, 295

Ill. App. 3d 828, 837 (1998)). The court also found “it difficult to believe” that St. Clair County,

where Dr. Shekar “sleeps, votes and pays taxes,” was inconvenient to him. Moreover, the court

noted that, although defendants spend professional time in Marion County and provided services

to Jamie there, none of them live there, and the parties and witnesses were scattered throughout

different states and counties. As such, the court determined that defendants had failed to prove

that St. Clair County was an inconvenient forum.

¶ 17 In considering the ease of access to evidence, the availability of compulsory service of

process, and the cost to obtain the attendance of witnesses, the circuit court noted that the case

involved medical negligence, thus, the primary sources of evidence would “presumably come

from [Jamie’s] medical records as well as opinion and expert testimony,” which the parties had

no difficulty obtaining. Next, after determining that witnesses were scattered throughout Illinois

and Missouri, given that Jamie’s treatment was not centrally located, the court found that some

of the potential witnesses would be inconvenienced by either forum, and the Missouri witnesses

would remain outside the compulsory service power of the court. Moreover, Jamie had not

determined who would testify, but she stated that her three family members would not feel

inconvenienced if the case remained in St. Clair County. Regardless of the forum, the court noted

that recent technological advances allowed both parties to take evidence depositions of witnesses

and access witness testimony much easier. The court also noted the parties agreed that the

possibility of viewing the premises was not at issue, given the dispute was limited to a claim of

medical negligence.

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¶ 18 Lastly, in considering the final private interest factor, all other practical considerations,

the circuit court found that expert witnesses would likely be called to testify regarding the

alleged medical negligence. The court presumed that most of these expert witnesses would have

to travel from out of state, “which would certainly make St. Clair County more convenient to

travel to as opposed to Marion County since [the] majority would likely be traveling through

Lambert Airport” in St. Louis. While acknowledging that little weight should be given to the

location of the attorneys, the court noted that the offices of the attorneys of record were located

in St. Clair County and St. Louis.

¶ 19 After analyzing each of the private interest factors, the circuit court determined that

defendants had failed to show that St. Clair County was inconvenient to them and Marion

County was more convenient to all parties, especially given that Dr. Shekar resided in St. Clair

County and no named defendant resided in Marion County. The court also found that the

witnesses were “located throughout the St. Louis Metropolitan Area and State of Illinois,” and

defendants had failed to show “a serious impediment to accessing or presenting evidence” in St.

Clair County. Thus, the relevant private interest factors did not weigh in favor of transfer to

Marion County.

¶ 20 Next, the circuit court determined that the public interest factors did not weigh in favor of

transfer to Marion County. Specifically, with regard to administrative concerns, the court

acknowledged defendants’ presentation of various statistics showed the number of cases filed in

St. Clair County nearly doubled those filed in Marion County in 2016. However, the court did

“not foresee it being an issue,” especially considering that courts have generally found this factor

insignificant. As to the administrative and technological resources, the court found that “a trial of

this magnitude” would be conducted easily in a St. Clair County courtroom, “where judges and

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administrative staff are accustomed to handling trials of this length and complexity, and where

updated monitors and the availability of internet access allow for a quick and easy presentation

of evidence.”

¶ 21 With respect to the imposition of jury duty on the residents of the pending forum, the

circuit court initially acknowledged that jurors in Marion County would have an interest in the

case because the alleged malpractice occurred there. However, Dr. Shekar was a resident of St.

Clair County. As such, the “jurors have just as much of a right, if not more, when one of the

named Defendants is a resident of their respective county.”

¶ 22 With regard to the interest in deciding controversies locally, the circuit court found that

St. Clair County had “a legitimate interest in litigating controversies involving its residents.” The

court emphasized that, as a resident of St. Clair County, Dr. Shekar “pays taxes, votes and

maintains other privileges in the County,” and, therefore, the court concluded that St. Clair

County had an interest in the case. After analyzing the relevant public interest factors, the court

determined that transfer to Marion County was not warranted.

¶ 23 In conclusion, the circuit court reiterated that defendants had “failed to meet the initial

threshold that Plaintiff’s chosen forum is inconvenient to the Defendants and that another forum

is more convenient to all parties.” The court stated the following:

“Here, Defendant Dr. Shekar is a resident of St. Clair County where he lives, pays taxes
and maintains certain rights; the parties and witnesses are not centralized, but rather
scattered throughout Illinois and Missouri; traveling to St. Clair County would be more
convenient for any out of state experts, witnesses, as well as the attorneys of record;
evidence is being stored in the offices of the attorneys of record which is [sic] located in
St. Clair County and St. Louis; viewing the premises is not an issue; court congestion is
not an issue; jurors have an interest in deciding cases involving one of its residents.”

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Based on its findings, the court concluded that a balance of the private and public interest factors

“demonstrated that this is not a case of exceptional circumstances where the interests of justice

require transfer.”

¶ 24 On April 10, 2019, this court granted defendants’ motion for extension of time to file a

petition for leave to appeal. On May 9, 2019, defendants filed their petition for leave to appeal

pursuant to Illinois Supreme Court Rule 306(a)(2) (eff. Oct. 1, 2019), and this court granted

leave to appeal on June 26, 2019.

¶ 25 ANALYSIS

¶ 26 The sole question on appeal is whether the circuit court abused its discretion in denying

defendants’ motion to transfer the case to Marion County on the grounds of

forum non conveniens. A circuit court is vested with a considerable amount of discretion in

determining whether to grant a forum non conveniens motion. Langenhorst v. Norfolk Southern

Ry. Co., 219 Ill. 2d 430, 441 (2006). “A trial court’s decision on a forum non conveniens motion

will be reversed only if it can be shown that the trial court abused its discretion in balancing the

various factors at issue.” Gridley v. State Farm Mutual Automobile Insurance Co., 217 Ill. 2d

158, 169 (2005). An abuse of discretion occurs only where no reasonable person would take the

view adopted by the court. Dawdy v. Union Pacific R.R. Co., 207 Ill. 2d 167, 177 (2003).

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

fundamental fairness and the sensible and effective administration of justice.” Langenhorst, 219

Ill. 2d at 441. The doctrine allows circuit courts to decline jurisdiction when a trial in a different

forum would better serve the ends of justice. Id. “Every request for transfer based upon

forum non conveniens must be decided pursuant to an ‘individualized, case-by-case

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consideration of convenience and fairness.’ ” Gridley, 217 Ill. 2d at 168 (quoting Van Dusen v.

Barrack, 376 U.S. 612, 622 (1964)).

¶ 28 In considering whether to grant or deny a motion to transfer based on

forum non conveniens, a circuit court must balance the private interest factors that affect the

litigants and the public interest factors that affect the administration of the courts. Dawdy, 207

Ill. 2d at 172. When considering which is the more appropriate forum, no “single factor is given

conclusive effect or central emphasis.” Gundlach v. Lind, 353 Ill. App. 3d 677, 682 (2004)

(citing Dawdy, 207 Ill. 2d at 180). The burden is on a defendant to show that the balance of the

relevant public and private interest factors strongly favors transfer. Dawdy, 207 Ill. 2d at 172. A

circuit court must evaluate the totality of the circumstances in determining whether that burden

has been met. Fennell v. Illinois Central R.R. Co., 2012 IL 113812, ¶ 17.

¶ 29 The private interest factors include: (1) the convenience of the parties; (2) the relative

ease of access to 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 a trial easy, expeditious, and inexpensive. Dawdy, 207 Ill. 2d

at 172. The public interest factors include: (1) the administrative difficulties flowing from court

congestion; (2) the unfairness of burdening citizens in an unrelated forum with jury duty; and

(3) the interest in having local controversies decided locally. Id. at 173.

¶ 30 In addition to these factors, courts must consider the plaintiff’s substantial right to select

the forum. Id. “It is generally assumed that the plaintiff’s choice of forum is convenient, and

unless the balance of the relevant factors strongly favors a dismissal, the plaintiff’s choice should

rarely be disturbed.” Shaw v. Haas, 2019 IL App (5th) 180588, ¶ 19. “However, when the

11
plaintiff is foreign to the chosen forum and when the action giving rise to the litigation did not

occur in the chosen forum, the plaintiff’s choice of forum is accorded less deference” (id. (citing

Fennell, 2012 IL 113812, ¶ 18)) and the “ ‘assumption [of convenience] is no longer

reasonable’ ” (Dawdy, 207 Ill. 2d at 174 (quoting Certain Underwriters at Lloyds, London v.

Illinois Central R.R. Co., 329 Ill. App. 3d 189, 196 (2002))). Moreover, “ ‘[w]hen the plaintiff is

foreign to the forum chosen and the action that gives rise to the litigation did not occur in the

chosen forum, *** it is reasonable to conclude that the plaintiff engaged in forum shopping to

suit his individual interests, a strategy contrary to the purposes behind the venue rules.’ ” Dawdy,

207 Ill. 2d at 174 (quoting Illinois Central R.R. Co., 329 Ill. App. 3d at 196). “A plaintiff’s right

to choose a forum ‘cannot be permitted to override the public interest in, and need for, an

orderly, efficiently operated judicial system.’ ” Id. at 175 (quoting Espinosa v. Norfolk &

Western Ry. Co., 86 Ill. 2d 111, 123 (1981)).

¶ 31 Applying the above principles to the present case, we conclude that the circuit court

abused its discretion in denying defendants’ motion to transfer from St. Clair County to Marion

County. In our view, the record clearly demonstrates that the litigation has no practical

connection to St. Clair County and a balance of the relevant factors strongly favors transfer to

Marion County. Despite our conclusion, we commend the circuit court on providing a written

order that sets forth detailed findings and a thorough analysis of the relevant factors. See First

American Bank v. Guerine, 198 Ill. 2d 511, 520-21 (2002) (directing circuit courts to carefully

consider forum non conveniens motions and to leave a better record of their analyses so as to

allow reviewing courts to make informed decisions and develop a guiding body of law).

¶ 32 In the circuit court’s 16-page order, it initially considered plaintiffs’ interest in choosing

the forum to file their complaint. Before considering the private and public interest factors,

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courts should determine “how much deference to give a plaintiff’s choice of forum.” Vivas v.

Boeing Co., 392 Ill. App. 3d 644, 657 (2009). For instance, a plaintiff’s chosen forum is entitled

to less deference in a forum non conveniens analysis when the plaintiff chooses a forum other

than the forum where he or she resides, or the cause of action arose. Guerine, 198 Ill. 2d at 517.

Similar to this court’s recent decision in Kuhn v. Nicol, 2020 IL App (5th) 190225, ¶ 19, where

the plaintiffs’ choice of forum of St. Clair County was afforded less deference because the

plaintiffs resided in Clinton County, and the action giving rise to litigation occurred in Clinton

County; here, plaintiffs’ chosen forum of St. Clair County is afforded less deference, given that

plaintiffs reside in Marion County, and the alleged medical negligence occurred in Marion

County. Thus, we conclude that plaintiffs’ chosen forum, St. Clair County, is owed less

deference.

¶ 33 While a plaintiff’s chosen forum will prevail in most instances when venue is proper, a

court should grant a motion to transfer if “the litigation has no practical connection to the forum,

and a defendant establishes the necessary showing” under the forum non conveniens doctrine.

Peile v. Skelgas, Inc., 163 Ill. 2d 323, 335-36 (1994). Here, it is undisputed that venue is proper

in St. Clair County, as one of the three defendants, Dr. Shekar, resides there. See 735 ILCS 5/2-

101 (West 2016). We find it significant, however, that Dr. Shekar’s personal residence, while

sufficient to make venue proper in St. Clair County, was in no way connected to the medical

negligence alleged in plaintiffs’ complaint.

¶ 34 It is undisputed that the alleged negligent interpretation of Jamie’s mammograms by Drs.

Shekar and Carmody, which was the basis for the alleged medical negligence, occurred at St.

Mary’s Hospital in Marion County. In fact, aside from Dr. Shekar’s residence and the location of

plaintiffs’ attorney’s office, our review of the record leads to the conclusion that St. Clair County

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has absolutely no practical connection to this litigation. None of the named defendants provide

medical services or treatment in St. Clair County, none of the treatment Jamie received for her

breast cancer occurred in St. Clair County, and none of the potential witnesses are located in St.

Clair County. With this in mind, we turn to the circuit court’s analysis of the private and public

interest factors.

¶ 35 The circuit court first found that the private interest factors, which include

(1) convenience of the parties, (2) ease of access to the evidence, (3) availability of compulsory

process, (4) cost to obtain attendance of willing witnesses, (5) possibility of viewing the

premises, and (6) all other practical considerations, did not strongly weigh in favor of transfer to

Marion County. As to the convenience of the parties, the court found that defendants had failed

to show that St. Clair County was inconvenient to them and that Marion County was a more

convenient forum for all parties. In support, the court found it “difficult to believe” that Dr.

Shekar would be inconvenienced by a trial in St. Clair County, which was his county of

residence, and that no named defendant resided in Marion County. Defendants argue, and we

agree, that the court placed undue weight on Dr. Shekar’s place of residence in forming its

conclusion.

¶ 36 As noted, although Dr. Shekar’s place of residence makes venue proper in St. Clair

County (735 ILCS 5/2-101 (West 2016)), this fact alone is not dispositive in a

forum non conveniens analysis. Instead, “the inquiry in a forum non conveniens analysis requires

a court to look beyond the statutory criteria for venue and to determine the relative convenience

of competing forums.” Bruce v. Atadero, 405 Ill. App. 3d 318, 325 (2010). Because Dr. Shekar’s

personal residence had no connection to the medical negligence alleged against him, we find this

fact less significant in this case. Given the circuit court’s repeated references to this fact in its

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consideration of the first private interest factor, we find the court improperly focused on this fact

and failed to properly consider the convenience of all other parties. Accordingly, the record

demonstrates that plaintiffs reside in Marion County. While defendants are precluded from

asserting that plaintiffs would be inconvenienced by a trial in St. Clair County, it is clear that

Marion County would be a convenient forum for plaintiffs to litigate this action.

¶ 37 Defendants filed a motion to transfer and subsequently filed a memorandum in support of

the motion to transfer, asserting that a trial in St. Clair County would be inconvenient to them

due to the nature of their practice, and that a trial in Marion County would be more convenient to

all parties. Defendants specifically asserted that a trial in Marion County would be less

burdensome on Mid-America in terms of securing practice coverage during the trial. The record

shows that Mid-America has a registered agent in Jefferson County, and the radiology services at

issue were provided by Mid-America at St. Mary’s Hospital in Marion County. According to an

affidavit prepared by Mid-America’s president, Mid-America’s professional medical practice

consists of seven full-time physician radiologists, including Drs. Shekar and Carmody, and four

part-time physician radiologists. Mid-America’s president further attested that, in addition to St.

Mary’s Hospital in Marion County, Mid-America provides radiological services at hospitals

located in Jefferson, Bond, and Madison Counties but not in St. Clair County.

¶ 38 The record shows that Dr. Carmody resides in Iowa but stays in an apartment in Mt.

Vernon, Jefferson County, while working for Mid-America. As noted, Dr. Shekar resides in St.

Clair County. Both Drs. Shekar and Carmody attested in their respective affidavits that they

provided medical services in Marion County, not St. Clair County. The record demonstrates that

both Drs. Shekar and Carmody spend a considerable portion of their time treating patients in

Marion County. Both Mid-America’s headquarters and Dr. Carmody’s apartment are located 27

15
miles from the Marion County courthouse but 67.6 miles from the St. Clair County courthouse,

while St. Mary’s Hospital is located 17.6 miles from the Marion County courthouse but 49.6

miles from the St. Clair County courthouse. Google Maps (http://www.google.com/maps (last

visited May 29, 2020)); see Dawdy, 207 Ill. 2d at 177; see also Hoskin v. Union Pacific R.R. Co.,

365 Ill. App. 3d 1021, 1024-25 (2006) (permitting judicial notice of matters, such as distances,

when the matters are capable of instant and unquestionable demonstration). Thus, the record

shows that both Mid-America and Dr. Carmody have no apparent ties to St. Clair County but are

familiar with, and connected to, Marion County. In addition, a trial in Marion County would

require less travel time for Dr. Carmody and would ease the burden in terms of securing practice

coverage for Mid-America. Thus, we find a trial in St. Clair County would be inconvenient for

two of the three defendants, and a trial in Marion County would be convenient for all parties.

¶ 39 In sum, we conclude that the circuit court abused its discretion with regard to its findings

in evaluating the first private interest factor. After placing less weight on the location of Dr.

Shekar’s personal residence and considering the convenience of all parties, we find the first

private interest factor weighs in favor of Marion County.

¶ 40 The circuit court also found that the second private interest factor, the relative ease of

access to sources of testimonial and documentary evidence, did not favor transfer because the

witnesses were scattered throughout different counties in Illinois and Missouri. The primary

sources of evidence in this medical negligence action are Jamie’s medical records, which the

parties’ respective attorneys currently possess, and testimony from the medical witnesses.

Contrary to the court’s determination that the witnesses were scattered throughout different

counties in Illinois and Missouri, the record clearly demonstrates that Jamie’s treatment

providers were located in Marion County and St. Louis. The record shows that much of Jamie’s

16
care and treatment was provided by four physicians in Marion County, including Dr. Merrilee

Brandt, who performed the initial surgical treatment on Jamie at St. Mary’s Hospital following

her diagnosis, Dr. Maalouf, who provided Jamie with an initial opinion regarding the stage of her

breast cancer and later treated Jamie by way of chemotherapy and radiation therapy, Dr. Fisher,

who also treated Jamie by way of chemotherapy and radiation therapy, and Dr. Schutzenhofer,

Jamie’s primary care physician.

¶ 41 Due to the nature of their profession, it would be easier to access live testimony from

these witnesses if the cause were transferred to a courthouse located closer to their offices in

Marion County. In addition, Jamie identified three potential lay witnesses residing in or near

Marion County. The circuit court disregarded the location of these potential witnesses, noting

plaintiffs’ contention in their brief that these witnesses would not be inconvenienced by a trial in

St. Clair County. We are unpersuaded by plaintiffs’ self-serving assertion, as these witnesses are

not parties to the action and plaintiffs have not provided affidavits from these witnesses attesting

to this fact. Consequently, for these seven witnesses, the more convenient forum is Marion

County.

¶ 42 The record also shows that Jamie received care and treatment from four physicians

located in the St. Louis area: Dr. Krishnamurthy, who provided a second opinion consultation;

Dr. Margenthaler, who performed a bilateral mastectomy on Jamie; Dr. Keith Brandt, who

performed breast reconstruction surgery; and Dr. Xynos, who performed a hysterectomy.

Procuring the live testimony of the Missouri providers would likely be easier in St. Clair County,

which is undoubtedly closer to these witnesses than Marion County. Google Maps

(http://www.google.com/maps (last visited Apr. 7, 2020)); see Mowen v. Illinois Valley Supply

17
Co., 257 Ill. App. 3d 712, 716 (1994) (medical providers in St. Louis are more likely to travel to

Edwardsville than to Jerseyville to testify because of the mileage differential).

¶ 43 The circuit court also found that unknown expert witnesses would presumably be

traveling from outside Illinois through the St. Louis airport to provide unknown testimony at trial

in St. Clair County. Because plaintiffs have not identified, and the record fails to reveal, any

experts that would require travel through the St. Louis airport, this court cannot confirm their

locations or the corresponding ease of access to their testimony in conjunction with travel to

either forum. Moreover, the court was not free to speculate about the possible inconvenience of

an unnamed group of witnesses who would be traveling from unknown locations to provide

unspecified testimony. See Brant v. Rosen, 373 Ill. App. 3d 720, 728 (2007) (“The trial court was

not free to speculate about the possible inconvenience to a group of unnamed witnesses who

would have to travel from unknown locations *** to give unspecified testimony ***.”). Even

assuming, arguendo, that the experts were disclosed in the record, we would give little weight to

the location of such experts. See Fennell, 2012 IL 113812, ¶ 33 (according significance to the

location of plaintiff’s chosen expert witnesses would allow plaintiffs to “frustrate the forum non

conveniens principle” by choosing experts who live in counties that are not otherwise

convenient); see also Eads v. Consolidated R. Corp., 365 Ill. App. 3d 19, 32 (2006) (“ ‘a

compensated expert would be more inclined to testify wherever instructed’ ” (quoting Hulsey v.

Scheidt, 258 Ill. App. 3d 567, 577 (1994))).

¶ 44 In sum, the ease of access to Jamie’s medical records favors neither forum. We find the

circuit court abused its discretion in weighing the testimonial evidence where seven witnesses

are located in or near Marion County and only four are located in St. Louis. We also note, as did

the circuit court, that evidence depositions of the Missouri physicians would be equally

18
accessible to all parties and likely obviate the need for live testimony from these physicians. See

Roberts v. Illinois Power Co., 311 Ill. App. 3d 458, 465 (2000) (noting that the use of evidence

depositions might obviate the need for doctors to testify at trial). Thus, we find this factor weighs

in favor of Marion County.

¶ 45 The circuit court found, and we agree, that the availability of compulsory process to

secure the attendance of unwilling witnesses favored neither forum, as all disclosed witnesses

residing in Illinois are subject to subpoena in both forums, and the four Missouri physicians are

not subject to subpoena in Illinois. See Fennell, 2012 IL 113812, ¶ 34. With regard to the cost of

obtaining the attendance of unwilling witnesses, the record demonstrates that a majority of the

witnesses reside closer to Marion County than St. Clair County. The overall cost to travel to each

forum correlates with the number of witnesses that would be required to travel to each forum.

The distance between Marion County courthouse and St. Clair courthouse is 62.4 miles. See

Google Maps (http://www.google.com/maps (last visited May 29, 2020)). While this difference

in mileage is not significant enough to result in a vast difference in travel cost, it is worth

observing that a greater number of witnesses would have to travel farther to St. Clair County

than Marion County. Accordingly, we find this factor weighs in favor of Marion County.

¶ 46 As to the possibility of viewing the site of injury, defendants conceded that this would be

a “non-issue” at a trial involving medical negligence. We agree that viewing of the premises is

unlikely in a medical malpractice case.

¶ 47 Regarding all other practical considerations that make a trial easy, expeditious, and

inexpensive, the circuit court observed that plaintiffs’ counsel maintained a professional office in

St. Clair County. While this may slightly weigh in favor of St. Clair County, the court

recognized, and we agree, that little weight should be accorded to the location of the parties’

19
attorneys. See Boner v. Peabody Coal Co., 142 Ill. 2d 523, 534 (1991) (while a circuit court may

consider location of parties’ attorneys in determining a forum non conveniens motion, little

weight should be accorded to it). Viewing the private interest factors as a whole, we find that

such factors favor Marion County over St. Clair County.

¶ 48 We now turn our attention to the circuit court’s determination that the public interest

factors, which include (1) court congestion and administrative concerns, (2) interest in deciding

controversies locally, and (3) imposition of jury duty on residents of the chosen forum, did not

warrant transfer to Marion County. As to administrative concerns, statistical data shows that the

average delay in disposing of large civil cases via trial in St. Clair County is 57.8 months (see

Illinois Courts Statistical Summary 2017,

https://courts.illinois.gov/SupremeCourt/AnnualReport/2017/2017_Statistical_Summary_Final.

pdf). Statistical data also shows that St. Clair County, in comparison to Marion County, had

more than 10 times the number of large civil cases filed in 2017 and only 11 cases were disposed

of by trial. See id. Although Marion County had a similar percentage rate of settlements in 2017

as St. Clair County, Marion County did not have any large civil cases disposed of by trial. Id. In

2016, however, Marion County had one large civil case disposed of by trial, and the timeline

from filing to verdict was only 18.6 months, more than 39 months faster than the average

timeline in St. Clair County (see Illinois Courts Statistical Summary 2016,

https://courts.illinois.gov/SupremeCourt/AnnualReport/2016/2016_Statistical_Summary_Final.p

df). Thus, considering that large civil cases reach trial substantially faster in Marion County and

the statistical data above demonstrates the likelihood of docket congestion in St. Clair County,

this public interest factor favors Marion County.

20
¶ 49 Contrary to the circuit court, we find the two remaining public interest factors, the local

interest in local controversies and the imposition of jury duty upon the residents of the pending

forum, strongly weigh in favor of Marion County. In considering these two factors, the court,

again, placed undue weight on Dr. Shekar’s residence in St. Clair County. Although the location

of the parties’ respective residences may be relevant in considering the private interest factors,

the location of the injury giving rise to the litigation is the most significant factor in giving any

county a local interest. We reiterate, here, that the alleged medical negligence occurred at St.

Mary’s Hospital in Marion County; plaintiffs reside in Marion County; two of the three

defendants have no connection whatsoever to St. Clair County, and all three defendants provide

medical services in Marion County; a substantial portion of Jamie’s subsequent medical care

took place in Marion County; and Drs. Shekar and Carmody treat patients in Marion County, and

they do not provide medical services in St. Clair County.

¶ 50 Given these facts, we find the residents of Marion County clearly have a strong public

interest in this litigation, given the plaintiffs reside in Marion County and the alleged medical

malpractice and circumstances related thereto occurred in Marion County. As such, similar to the

circumstances in Nicol, 2020 IL App (5th) 190225, ¶ 17 (this court determined the controversy at

issue was “local to Clinton County that would be of interest to the citizens of Clinton County

who rely on the defendants for their medical treatment”); here, the alleged malpractice occurred

at a hospital in Marion County, thus, the citizens of Marion County have an interest in the

controversy, given that they would rely on defendants for medical treatment. Based on the

foregoing, it would be unfair to burden the citizens of St. Clair County with jury duty, given the

action neither arose there nor had any relation to that county, aside from Dr. Shekar’s personal

21
residence being in St. Clair County. See id. ¶ 18. Accordingly, the public interest factors strongly

weigh in favor of Marion County.

¶ 51 In conclusion, we find that St. Clair County has no practical connection to this litigation

and that a balance of the relevant private and public interest factors strongly favors transfer to

Marion County, which enjoys a predominant connection this litigation. Therefore, we hold that

the circuit court abused its discretion in denying defendants’ motion to transfer to Marion

County.

¶ 52 CONCLUSION

¶ 53 For the foregoing reasons, we reverse the circuit court’s April 5, 2019, order denying

defendants’ motion to transfer on the basis of forum non conveniens to Marion County. The

cause is remanded with directions for the court to grant the motion to transfer, pursuant to

Illinois Supreme Court Rule 187(c)(1) (eff. Jan. 1, 2018).

¶ 54 Reversed and remanded with directions.

¶ 55 PRESIDING JUSTICE WELCH, dissenting:

¶ 56 I respectfully dissent with the majority as I do not believe the trial court abused its

discretion in denying the defendants’ motion to transfer based on the doctrine of

forum non conveniens. The court is vested with a considerable amount of discretion in

determining whether to grant a forum non conveniens motion. Langenhorst v. Norfolk Southern

Ry. Co., 219 Ill. 2d 430, 441 (2006). However, that discretion should be exercised only in

exceptional circumstances where the interests of justice require a trial in a more convenient

forum. First American Bank v. Guerine, 198 Ill. 2d 511, 520 (2002). “A trial court’s decision on

a forum non conveniens motion will be reversed only if it can be shown that the trial court

abused its discretion in balancing the various factors at issue.” Gridley v. State Farm Mutual

22
Automobile Insurance Co., 217 Ill. 2d 158, 169 (2005). An abuse of discretion occurs only where

no reasonable person would take the view adopted by the court. Dawdy v. Union Pacific R.R.

Co., 207 Ill. 2d 167, 177 (2003).

¶ 57 The facts in this case do not present an exceptional circumstance warranting transfer. As

the trial court pointed out in its detailed decision, it was reasonable to deny a motion for transfer

based on the doctrine of forum non conveniens where the pleadings were filed in a forum in

which a defendant resides, and where no factors exceptionally favor a transfer. In fact, even as

the majority recognizes, there are several factors that have no bearing on this case. The residency

of a defendant, however, along with the burden placed on the defendants in bringing the motion,

the initial deference given to the plaintiff’s choice of forum, and the broad discretion invested in

the trial court all indicate that the court’s denial of the motion was not an abuse of discretion.

The majority does not adhere to the limitations of this court under the standard of review.

Instead, it conducts what reads as a de novo review of the facts and factors. This court should not

substitute its opinion for that of the trial court. The majority recognizes that the trial court did a

very detailed and thorough analysis of the factors. However, because it disagrees with the lower

court’s reasonable conclusion, they effectively lower our standard of review in order to reverse. I

find its analysis improper and would therefore defer to the trial court and affirm.

23
 2020 IL App (5th) 190137

NO. 5-19-0137

IN THE

APPELLATE COURT OF ILLINOIS

FIFTH DISTRICT
______________________________________________________________________________

JAMIE L. BRANDT and DARIN BRANDT, ) Appeal from the
) Circuit Court of
Plaintiffs-Appellees, ) St. Clair County.
)
v. ) No. 17-L-34
)
PRASHANTH C. SHEKAR, M.D., TIMOTHY J. )
CARMODY, M.D., and MID-AMERICA )
RADIOLOGY, S.C., ) Honorable
) Heinz M. Rudolf,
Defendants-Appellants. ) Judge, presiding.
______________________________________________________________________________

Rule 23 Order Filed: July 29, 2020
Motion to Publish Granted: August 25, 2020
Opinion Filed: August 25, 2020
______________________________________________________________________________

Justices: Honorable John B. Barberis, J.

Honorable James R. Moore, J., concurring, and
Honorable Thomas M. Welch, P.J., dissenting
______________________________________________________________________________

Attorneys Thomas J. Smith, Michael E. Donelson, Margaret D. Gentzen, Fox Galvin,
for LLC, 1 S. Memorial Drive, 12th Floor, St. Louis, MO 63102
Appellants
______________________________________________________________________________

Attorneys Colleen C. Jones, Leah A. Captain, Cook, Bartholomew, Shevlin, Cook &
for Jones, LLP, 12 W. Lincoln Street, Belleville, IL 62220
Appellees
______________________________________________________________________________