Anthem Ins. Companies v. Tenet Healthcare Corp.


Attorneys for Appellants

Thomas G. Stayton
Nancy G. Tinsley
Baker & Daniels
Indianapolis, IN


Attorneys for Appellees

Susan Williams
Brown, Todd and Heyburn
New Albany, IN

Ethan M. Posner
Covington & Burling
Washington, D.C.



      IN THE
      INDIANA SUPREME COURT


ANTHEM INSURANCE COMPANIES, INC., f/k/a Associated Insurance Companies,
Inc., d/b/a Anthem Blue Cross and Blue Shield, and ANTHEM LIFE INSURANCE
COMPANY,
      Appellants (Plaintiffs below),

      v.

TENET HEALTHCARE CORPORATION, f/k/a National Medical Enterprises, Inc.,
f/k/a Psychiatric Institutes of America et al.,
      Appellees (Defendants below).



)
)     Supreme Court No.
)     10S01-9909-CV-501
)
)
)     Court of Appeals No.
)     10A01-9807-CV-243
)
)
)
)
)
)
)


      APPEAL FROM THE CLARK CIRCUIT COURT
      The Honorable Daniel F. Donahue, Judge
      Cause No. 10C01-9512-CP-435



                           ON PETITION TO TRANSFER



                                June 8, 2000
SULLIVAN, Justice.
      An Indiana insurance company sued the parent corporation  of  a  chain
of psychiatric hospitals alleging  fraud  in  submitting  insurance  claims.
The Indiana trial court found that  the  parent  corporation  did  not  have
sufficient contacts with Indiana to be able to be sued here consistent  with
due process.  Reviewing the question of law presented de novo, we  find  the
requirements  for  personal  jurisdiction  over  the   parent   corporation,
mandated by both Trial Rule 4.4(A) and the  Due  Process  Clause,  satisfied
and reverse the judgment of the trial court.




                                 Background


      On December 19, 1995, Anthem Insurance Companies, Inc.,[1] filed  suit
against forty-four related entities, including Tenet Healthcare  Corporation
(“Tenet”),[2]  three  wholly-owned  subsidiaries  of  Tenet,  and  40  other
entities  affiliated  with  Tenet   (“providers”)[3]   alleging   fraud   in
connection with claims submitted for psychiatric services rendered.   Anthem
contends that these companies engaged  in  a  fraudulent  scheme  to  obtain
payments for psychiatric  patients  who  did  not  need  hospitalization  or
continued treatment.  Specifically, Anthem claims  that  these  health  care
providers   obtained   insurance   payments   of   over   $30   million   by
misrepresenting patient information to extend  hospital  stays  longer  than
medically necessary.

      On February 16, 1996, 40  of  the  Defendants  moved  to  dismiss  the
claims for lack of personal jurisdiction.  Included among  these  Defendants
was Tenet (the parent corporation), National Medical Enterprises  Hospitals,
Inc., and National Medical Enterprises Psychiatric Properties,  Inc.,  which
are two  wholly-owned  subsidiaries  of  Tenet,  and  37  providers.   After
discovery and a hearing on the motion to dismiss, the  trial  court  granted
the motion with  respect  to  Tenet,  NME  Hospitals,  and  NME  Psychiatric
Properties.  Anthem appealed the dismissal of Tenet  and  NME  Hospitals.[4]
The Court of Appeals affirmed the  dismissal  of  Tenet,  but  reversed  the
dismissal of NME Hospitals.  See Anthem Insurance Cos. v.  Tenet  Healthcare
Corp., 709 N.E.2d 1060, 1069 (Ind. Ct. App. 1999).   Judge  Robb  dissented,
believing that there were sufficient contacts to establish general  personal
jurisdiction over Tenet.  Id. at 1069-70.  This Court  granted  transfer  to
clarify the criteria for evaluating personal jurisdiction questions and  the
standard for reviewing trial court personal jurisdiction decisions.


                                 Discussion



                                      I



      Personal Jurisdiction Under Indiana Law.  Personal jurisdiction is  “a
court’s power to bring a person into its adjudicative process” and render  a
valid judgment over a person.  Black’s Law Dictionary 857  (7th  ed.  1999);
accord Mishler v. County of Elkhart, 544 N.E.2d 149, 151  (Ind.  1989)  (“To
render a valid judgment, a court must possess  two  forms  of  jurisdiction:
jurisdiction over the subject matter and jurisdiction over  the  parties.”).
Traditionally, courts  relied  on  consent,  service  of  process  within  a
jurisdiction, and domicile  as  bases  for  asserting  jurisdiction  over  a
person, but the United States Supreme Court, in International  Shoe  Co.  v.
Washington, 326  U.S.  310,  316  (1945),  formulated  a  new  standard  for
personal jurisdiction based on the defendant’s contacts with a  forum  state
and notions of fairness and reasonableness.


       Because  Indiana  state  trial   courts   are   courts   of   general
jurisdiction,   jurisdiction  is  presumed.[5]   See   Mid-States   Aircraft
Engines, Inc. v. Mize Co., 467 N.E.2d  1242,  1247  (Ind.  Ct.  App.  1984);
Weenig v. Wood, 169 Ind. App. 413,  419-20,  349  N.E.2d  235,  240  (1976),
transfer denied.  Therefore, the plaintiff need not allege  jurisdiction  in
its complaint.  Weenig, 169  Ind.  App.  at  420,  349  N.E.2d  at  240.   A
challenge to personal jurisdiction may be raised either  as  an  affirmative
defense in the answer to the complaint or in a motion to dismiss.  See  Ind.
Trial Rules 8(C) & 12(B)(2); see also Lee v. Goshen Rubber Co.,  635  N.E.2d
214, 215 (Ind. Ct. App. 1994), transfer denied.  In either  case,  once  the
party contesting jurisdiction, usually the defendant,  challenges  the  lack
of personal jurisdiction, the plaintiff must present evidence to  show  that
there is  personal  jurisdiction  over  the  defendant.   See  Brokemond  v.
Marshall Field & Co., 612 N.E.2d 143, 145 (Ind. Ct.  App.  1993).   However,
the defendant bears the burden of proving the lack of personal  jurisdiction
by a preponderance of the evidence,  unless  the  lack  of  jurisdiction  is
apparent on the face of the complaint.  Suyemasa v. Myers, 420 N.E.2d  1334,
1340 (Ind. Ct. App. 1981).


                                      A

      Trial Rule 4.4(A) – Indiana’s  Long-Arm  Statute.  Any  discussion  of
personal jurisdiction in Indiana must first start with  Trial  Rule  4.4(A),
Indiana’s equivalent of a “long-arm statute.”[6]  This trial  rule  provides
a limit on the exercise of jurisdiction over nonresident defendants.   There
are two types of long-arm statutes:  (1) those which  direct  the  court  to
exercise jurisdiction to the extent allowed by the United States  and  state
constitutions and (2) “enumerated act” statutes, which direct the  court  to
assert jurisdiction over  defendants  who  commit  any  act  listed  in  the
statute in the state.  See 16  James  Wm.  Moore  et  al.,  Moore’s  Federal
Practice §108.60[1] (3d ed. 1999).

      Indiana’s statute is an “enumerated act”  statute.   Typically,  under
such a statute, courts must proceed with a two-step  analysis.   First,  the
court must determine if the defendant’s contacts with the forum  state  fall
under the long-arm statute.[7]  Second, if they  do,  the  court  must  then
determine whether the  defendant’s  contacts  satisfy  federal  due  process
analysis.


      The Court of Appeals has frequently recited “‘that Indiana Trial  Rule
4.4 is intended to extend personal jurisdiction of courts  sitting  in  this
state . . . to the limits permitted under the  Due  Process  Clause  of  the
Fourteenth Amendment.’” Griese-Traylor Corp. v.  Lemmons,  424  N.E.2d  173,
179 (Ind. Ct. App. 1981) (quoting Valdez v.  Ford,  Bacon  &  Davis,  Texas,
Inc., 62 F.R.D. 7, 14 (N.D. Ind. 1974)), transfer  denied;  accord  Conseco,
Inc. v. Hickerson, 698 N.E.2d 816, 818 (Ind. Ct. App. 1998);  Yates-Cobb  v.
Hays, 681 N.E.2d 729, 732 (Ind. Ct. App. 1997); North  Texas  Steel  Co.  v.
R.R. Donnelley & Sons Co.,  679  N.E.2d  513,  518  (Ind.  Ct.  App.  1997),
transfer denied; Torborg v. Fort Wayne Cardiology,  Inc.,  671  N.E.2d  947,
949 (Ind. Ct. App. 1996); Rosowsky v. University  of  Colorado,  653  N.E.2d
146, 148 (Ind. Ct. App. 1995), transfer denied; Fidelity  Financial  Servs.,
Inc. v. West, 640 N.E.2d 394, 397  (Ind.  Ct.  App.  1994);  Brokemond,  612
N.E.2d at 145; Freemond v. Somma, 611 N.E.2d 684, 688 (Ind. Ct. App.  1993),
transfer denied.  The majority of these opinions then proceed directly to  a
discussion of the  limits  of  federal  due  process  and  the  accompanying
federal and state case law without first determining whether the conduct  in
question falls under Indiana Trial Rule 4.4(A).  See Hickerson,  698  N.E.2d
at 818; Yates-Cobb, 681 N.E.2d at 732; North  Texas  Steel,  679  N.E.2d  at
518; Torborg, 671 N.E.2d at 949;  Brokemond,  612  N.E.2d  at  145;  Griese-
Traylor, 424 N.E.2d at 180.


      Although the result in many of these cases would likely have been  the
same, this one-step analysis has the effect of ignoring T.R.  4.4(A).[8],[9]
 If the Indiana long-arm statute were intended to be  coextensive  with  the
limits of personal jurisdiction under the Due Process Clause,  it  could  be
written with general  language,  such  as  the  “any  constitutional  basis”
statutes used in several other states.  Most courts  with  “enumerated  act”
statutes, and indeed the correct approach under Indiana  Trial  Rule  4.4(A)
is to, engage in a two-step analysis, first determining whether the  conduct
falls under the long-arm statute and then whether it comports with  the  Due
Process Clause as interpreted by the United States Supreme Court and  courts
in this state.  See Mart v. Hess, 703 N.E.2d  190,  192-93  (Ind.  Ct.  App.
1998); Fidelity Financial, 640 N.E.2d at 396-97; Lee, 635 N.E.2d at  215-16;
see also FMC Corp. v. Varonos, 892 F.2d 1308, 1310 (7th Cir.  1990);  Joseph
M. Coleman & Assocs., Ltd. v. Colonial Metals, 887 F. Supp. 116, 118-19  n.2
(D. Md. 1995); Green v. Advance Ross Elecs. Corp., 427 N.E.2d 1203,  1206-07
(Ill. 1981); Lincoln v. Seawright, 310 N.W.2d 596, 599-600 (Wis. 1981).


      Indiana Trial Rule 4.4(A) provides:
      Acts Serving as a Basis for Jurisdiction.  Any person or  organization
      that is a nonresident of this state, a resident of this state who  has
      left the state, or a person whose residence is unknown, submits to the
      jurisdiction of the courts of this state as to any action arising from
      the following acts committed by him or her or his or her agent:
           (1) doing any business in this state;
           (2) causing personal injury or property  damage  by  an  act  or
      omission done within this state;
           (3) causing personal injury or property damage in this state  by
      an occurrence, act or omission done outside this state if he regularly
      does or solicits business or engages in any other persistent course of
      conduct,  or  derives  substantial  revenue  or  benefit  from  goods,
      materials, or services used, consumed, or rendered in this state;
           (4) having supplied or contracted to supply services rendered or
      to be rendered or goods or materials furnished or to be  furnished  in
      this state;
           (5) owning,  using,  or  possessing  any  real  property  or  an
      interest in real property within the state;
           (6) contracting to insure or act as surety for or on  behalf  of
      any person, property or risk located within this state at the time the
      contract was made;
           (7)  living  in  the  marital  relationship  within  the   state
      notwithstanding  subsequent  departure  from  the  state,  as  to  all
      obligations  for  alimony,  custody,  child   support,   or   property
      settlement, if the other party to the marital  relationship  continues
      to reside in the state; or
           (8) abusing, harassing, or disturbing the peace of, or violating
      a protective or restraining order for the protection  of,  any  person
      within the state by an act or omission done in this state, or  outside
      this state if the act or omission is part of a  continuing  course  of
      conduct having an effect in this state.


If a person’s contacts with Indiana fall into any of  the  eight  categories
described above, Trial Rule 4.4(A) is satisfied.


                                      B

      Due Process.  After finding a basis for jurisdiction under  the  long-
arm statute, courts must examine  whether  asserting  jurisdiction  violates
the Due Process Clause of the  Fourteenth  Amendment.   Cf.  Moore  et  al.,
supra, § 108.11[2] (“A court that exercises jurisdiction over the  defendant
in  the  absence  of  a  proper  jurisdictional  basis  has   violated   the
defendant’s right not to be deprived of property without  due  process  and,
thus, its judgment is  invalid.”).   The  modern-day  approach  to  personal
jurisdiction was established in International Shoe Co.  v.  Washington,  326
U.S.  310  (1945),  and  Hanson  v.  Denckla,  357  U.S.  235  (1958).    In
International Shoe, the United States Supreme Court  stated  that  a  person
must  “have  certain  minimum  contacts  with  [the  forum]  such  that  the
maintenance of the suit does not offend ‘traditional notions  of  fair  play
and substantial justice.’” 326 U.S. at 316 (quoting Milliken v.  Meyer,  311
U.S. 457, 463 (1940)).  The Court went on to  note  that  the  existence  of
personal jurisdiction depended on the nature and  quality  of  the  contacts
with the forum, not a “mechanical” test.  International Shoe,  326  U.S.  at
318-19 (“Whether due process is  satisfied  must  depend  .  .  .  upon  the
quality and nature of the activity in  relation  to  the  fair  and  orderly
administration of the laws which it was  the  purpose  of  the  Due  Process
Clause to insure.”).  In Hanson, the Supreme Court added a new component  to
the mix,  stating  that  contacts  were  sufficient  to  establish  personal
jurisdiction only if there is “some act by which the defendant  purposefully
avails itself of the privilege of conducting  activities  within  the  forum
State, thus invoking the benefits and protections of its  laws.”   357  U.S.
at 253.  In other  words,  the  contacts  that  are  examined  must  be  the
purposeful acts of the defendant, not the  acts  of  the  plaintiff  or  any
third parties.

      The language in International Shoe has been interpreted  to  create  a
two-part test to determine whether personal jurisdiction  exists  under  the
Due Process Clause.  First, courts must look at  the  contacts  between  the
defendant and the forum  state  to  determine  if  they  are  sufficient  to
establish that the defendant could “reasonably anticipate being  haled  into
court there.”  Burger King Corp. v. Rudzewicz,  471  U.S.  462,  474  (1985)
(citations omitted); accord Shaffer v. Heitner, 433 U.S.  186,  216  (1977).
If the contacts are sufficient, then the court  must  evaluate  whether  the
exercise of personal jurisdiction offends “traditional notions of fair  play
and substantial justice” by weighing a variety  of  interests.   See  Burger
King, 471 U.S. at 476.
      There are two types of contacts that may be  sufficient  to  establish
jurisdiction:  (1) defendant’s  contacts  with  the  forum  state  that  are
unrelated to the basis of the lawsuit, and  (2)  defendant’s  contacts  that
are related to the subject matter  of  the  lawsuit.   This  concept,  first
established  in  International  Shoe,  was  expanded  upon  in  Helicopteros
Nacionales de Columbia, S.A. v. Hall, 466 U.S. 408, 414, 414 nn.8-9  (1984).
 In Helicopteros, the Court  first  adopted  the  terms  long  used  in  the
Federal Court of Appeals to describe these contacts:  general  and  specific
personal jurisdiction.


                                     B-1

      General Personal Jurisdiction.  General personal  jurisdiction  refers
to the ability to be sued for  any  claim  in  a  state.   See  Black’s  Law
Dictionary 856 (7th ed. 1999) (“A  court’s  authority  to  hear  all  claims
against a defendant, at the place of the defendant’s domicile or  the  place
of service [of process],  without  any  showing  that  a  connection  exists
between the claims and the forum state.”).  In order  to  establish  general
personal  jurisdiction,  the  court  must  find  continuous  and  systematic
contacts with the forum state  such  that  the  defendant  could  reasonably
foresee being haled into court in that state for any matter.   However,  the
claim need not arise from the defendant’s contacts with the state.


      The United States Supreme Court has addressed  the  issue  of  general
personal jurisdiction in two cases, Perkins v. Benguet  Consolidated  Mining
Co., 342 U.S. 437, 447-49 (1952), and Helicopteros, 466 U.S. at 414-15.   In
Perkins, the Court firmly established  that  personal  jurisdiction  over  a
defendant for a cause unrelated to the defendant’s contacts with  the  forum
state may exist if the contacts are  “substantial,  .  .  .  continuous  and
systematic.”  342 U.S. at 446-47.  The Court  looked  at  the  strength  and
length of the contacts with the forum state to determine that  a  Philippine
corporation could be sued in Ohio for a cause of  action  unrelated  to  its
Ohio contacts when the corporation had its temporary  headquarters  in  Ohio
and had been conducting all of its activities in Ohio since the outbreak  of
World War II.  Id. at 448.  In Helicopteros, the  Supreme  Court  determined
that a Columbian aviation  services  company  was  not  subject  to  general
personal jurisdiction in Texas courts when its contacts with Texas were  the
Columbian  company’s  continuous  purchasing   activity   and   accompanying
training.  Id. at 416.  The Court  further  made  clear  that  the  contacts
required for general personal jurisdiction were greater  than  those  needed
to establish specific personal jurisdiction.  See Helicopteros, 466 U.S.  at
414-15.


      The Indiana Court of Appeals has  also  addressed  what  contacts  are
necessary to obtain  general  personal  jurisdiction  over  a  defendant  in
Indiana.  In North Texas Steel Co. v. R.R. Donnelley & Sons Co., 679  N.E.2d
513, 519 (Ind. Ct. App. 1997), transfer denied, the  court,  in  determining
that no general personal jurisdiction existed over the defendant,  discussed
some contacts that may constitute general personal jurisdiction,  including:
(1) direct advertising and solicitation of Indiana  residents,  (2)  offices
in Indiana, (3) employees  in  Indiana,  (4)  agents  in  Indiana,  and  (5)
property in Indiana.[10]  The court  also  noted  that  “[c]ourts  are  more
demanding when  jurisdiction  is  sustained  only  on  a  basis  of  general
jurisdiction.”  Id. at 518.  This echoed Brokemond v. Marshall Field &  Co.,
612 N.E.2d 143 (Ind. Ct. App. 1993), where the  court  stated  that  if  the
defendant’s contacts with a forum state were unrelated to the lawsuit,  they
“must be fairly extensive to confer jurisdiction.”  Id.  at  145.   In  that
case,  the  court  determined  that  advertising,  delivering   merchandise,
collecting Indiana sales tax, and distributing credit cards in Indiana  were
insufficient to obtain general personal  jurisdiction  over  the  defendant.
Id. at 146.  In sum, an  Indiana  court  has  general  jurisdiction  over  a
defendant  if  the  defendant’s  contacts  with  Indiana  are   substantial,
continuous,  extensive,  and   systematic,   which   Indiana   courts   have
interpreted to include, among  other  things,  having  offices  in  Indiana,
being incorporated in Indiana, and having employees in Indiana.




                                     B-2

      Specific Personal Jurisdiction.   Specific  personal  jurisdiction  is
“[j]urisdiction that stems  from  the  defendant’s  having  certain  minimum
contacts with the forum state so that  the  court  may  hear  a  case  whose
issues arise from those minimum contacts.”  Black’s Law Dictionary 857  (7th
ed. 1999).  In other words, the defendant’s isolated contacts with  a  state
that are not enough  to  establish  general  personal  jurisdiction  may  be
sufficient to  allow  jurisdiction  over  any  incidents  related  to  those
contacts.  In order to  establish  specific  personal  jurisdiction  over  a
defendant, the defendant must have  purposefully  established  contact  with
the forum state and the basis  of  the  lawsuit  must  arise  out  of  these
contacts.  See Burger King, 471 U.S. at 472.

      Contacts are “acts physically performed in the forum  state  and  acts
performed outside the forum state that have an  effect  within  the  forum.”
Moore et al., supra, § 108.42[2][a].  The Supreme  Court  has  held  that  a
single contact with a forum  state  may  be  enough  to  establish  specific
personal jurisdiction.  In McGee v. International Life  Insurance  Co.,  355
U.S. 220 (1957), the defendant, an Arizona life insurance company,  sold  an
insurance policy to plaintiff’s son, a California resident.  Id. at  221-23.
 The policy was renewed through the mail, but the defendant had  no  offices
in California and had not conducted any other business in  California.   The
Supreme Court stated that a single act can support jurisdiction so  long  as
it creates a “substantial connection” with the forum state and the  suit  is
based on that connection.  See  id.  at  223.   However,  the  act  must  be
purposeful, not a “random, fortuitous, or attenuated contact[],  or  .  .  .
the unilateral activity of another party or a third person.”   Burger  King,
471 U.S. at 475 (citations and internal quotations omitted).


      As the foregoing suggests, the analysis of the contacts  for  specific
personal jurisdiction is determined on a case-by-case basis.  See Mart,  703
N.E.2d at 192-93 (jurisdiction existed where  former  wife  sent  defamatory
letters to ex-husband’s new wife’s workplace, but had  no  visits  or  other
contact with Indiana); North  Texas  Steel,  679  N.E.2d  at  519  (specific
personal jurisdiction existed  where  the  defendant  had  manufactured  and
shipped its product to Indiana  for  use  by  an  Indiana  company);  Harold
Howard Farms  v.  Hoffman,  585  N.E.2d  18,  20-22  (Ind.  Ct.  App.  1992)
(Michigan horse breeder’s advertisement in  Michigan  journal  that  Indiana
horse breeder received, and telephone calls and business  trips  to  Indiana
were insufficient to establish personal jurisdiction); Baseball Card  World,
Inc.  v.  Pannette,  583  N.E.2d  753,  755-56  (Ind.  Ct.  App.  1991)  (no
jurisdiction where Pennsylvania card business’s contacts with  Indiana  were
phone conversations with Indiana  company  and  mailing  checks  to  Indiana
company), transfer denied; Woodmar Coin Ctr., Inc. v. Owen, 447 N.E.2d  618,
620-21 (Ind. Ct. App. 1983) (jurisdiction existed where defendant  initiated
relationship with Indiana resident with two out-of-state  phone  calls,  and
substantial  negotiations  and  a  contract  were  made  with  the   Indiana
resident), transfer denied.


      Things to consider when evaluating the defendant’s contacts  with  the
forum state are:  (1) whether the claim arises from  the  defendant’s  forum
contacts, (2) the overall contacts of the defendant or its  agent  with  the
forum state, (3) the foreseeability  of  being  haled  into  court  in  that
state, (4) who  initiated  the  contacts,  and  (5)  whether  the  defendant
expected or encouraged contacts with the state.   In  sum,  when  evaluating
issues of  specific  personal  jurisdiction,  the  court  must  examine  the
quality and nature of the  activities  taking  place  within  the  state  to
determine if they are related to the basis of the lawsuit and the result  of
deliberate conduct by the defendant.  See Fetner v. Maury  Boyd  &  Assocs.,
Inc., 563 N.E.2d 1334, 1337 (Ind. Ct. App. 1990), transfer denied.


                                     B-3

      “Fair Play and Substantial  Justice.”   Once  contacts  sufficient  to
establish personal jurisdiction, be it general or specific, are  found,  the
court must further decide whether asserting personal jurisdiction  over  the
defendant “offend[s]  traditional  notions  of  fair  play  and  substantial
justice.”  International Shoe, 326  U.S.  at  316  (citations  and  internal
quotations omitted).  Generally, this is not as great an  issue  in  general
personal jurisdiction cases  because  the  requirement  for  continuous  and
systematic  contacts  with  the  state  ensures  that  jurisdiction  over  a
particular  defendant  is  reasonable.   Nonetheless,  this   reasonableness
analysis  is  the  final  step  in  evaluating  whether  there  is  personal
jurisdiction over the defendant under the federal Due Process Clause.

      The United States Supreme Court has set out five factors that must  be
balanced to determine whether the assertion of  jurisdiction  is  reasonable
and fair.  They are:  “(1) the  burden  on  the  defendant;  (2)  the  forum
State’s interest in adjudicating the dispute; (3) the  plaintiff’s  interest
in obtaining convenience and effective relief; (4) the  interstate  judicial
system’s  interest  in  obtaining   the   most   efficient   resolution   of
controversies; and  (5)  the  shared  interest  of  the  several  States  in
furthering fundamental substantive social policies.”  Burger King, 471  U.S.
at 476-77 (numbering added) (citations  and  internal  quotations  omitted).
These interests must be balanced and weighed to make certain that  asserting
jurisdiction is fair in a particular case.


      This analysis only occurs if there are sufficient  contacts  first  to
establish jurisdiction.  See World-Wide Volkswagen  Corp.  v.  Woodson,  444
U.S. 286, 294 (1980).  However, the Supreme Court made clear in Asahi  Metal
Industry Co. v. Superior Court, 480 U.S. 102, 116 (1987), that the  fairness
inquiry is separate from the contacts question and may  be  used  to  defeat
jurisdiction even if the defendant has sufficient contacts  with  the  forum
state.  Id. at 121-22 (“[T]his case  fits  within  the  rule  that  ‘minimum
requirements inherent in the concept of fair play  and  substantial  justice
may defeat the reasonableness of jurisdiction  even  if  the  defendant  has
purposefully engaged  in  forum  activities.’”)  (Stevens,  J.,  concurring)
(quoting Burger King, 471 U.S. at 477-78).  After the plaintiff  establishes
that there are minimum contacts, the defendant then carries  the  burden  of
proving that asserting jurisdiction is unfair and unreasonable.  See  Burger
King, 471 U.S. at 477 (“[W]here a defendant who  purposefully  has  directed
his activities at forum residents seeks  to  defeat  jurisdiction,  he  must
present a compelling case that the presence  of  some  other  considerations
would render jurisdiction unreasonable.”)


      These same interests have been recognized  by  the  Indiana  Court  of
Appeals.  See North Texas Steel, 679 N.E.2d at 519; Fidelity Financial,  640
N.E.2d at 398-99; Brokemond,  612  N.E.2d  at  146.   To  determine  if  the
exercise of personal jurisdiction is reasonable in a  particular  case,  the
Court of Appeals has also looked at “‘the relationship among the  defendant,
the  forum,  and  the  litigation,’”  the  preservation  of   constitutional
principles of interstate federalism, and the  existence  of  an  alternative
forum to hear the dispute.   Greise-Traylor,  424  N.E.2d  at  180  (quoting
Shaffer, 433 U.S. at 204).








                                      C

      Appellate Review of Questions of Personal Jurisdiction.  The decisions
of the Court of Appeals are in conflict as to  the  standard  of  review  of
trial court decisions on personal jurisdiction.  In this case, the Court  of
Appeals applied an  abuse  of  discretion  standard  to  the  trial  court’s
ruling, stating that the “decision whether to  grant  a  motion  to  dismiss
based on lack of personal jurisdiction lies within the sound  discretion  of
the trial court.”  Anthem Ins. Cos. v. Tenet Healthcare  Corp.,  709  N.E.2d
1060, 1064 (Ind. Ct. App. 1999); accord Torborg, 671 N.E.2d at 949; Ryan  v.
Chayes Virginia, Inc., 553 N.E.2d 1237, 1239 (Ind. Ct. App. 1990),  transfer
denied.  However, other Court of Appeals decisions have held  that  personal
jurisdiction is a question of law  to  be  reviewed  de  novo.   D’Iorio  v.
D’Iorio, 694 N.E.2d 775, 777-78 (Ind. Ct. App.  1998);  North  Texas  Steel,
679 N.E.2d at 519; Fidelity Financial, 640 N.E.2d at 396.

      “Judicial discretion is  the  option  which  the  judge  may  exercise
between the doing and the not doing of a thing, the doing  of  which  cannot
be demanded as an absolute right  of  the  party  asking  it  to  be  done.”
McFarlan v. Fowler Bank City Trust Co., 214 Ind. 10, 14, 12 N.E.2d 752,  754
(1938).  “Discretion, in  its  true  sense,  then,  contemplates  situations
where the court upon finding certain  facts  or  circumstances  may,  rather
than must, act in a prescribed fashion.”   4A  Kenneth  M.  Stroud,  Indiana
Practice § 12.8 (2d ed. 1990) (emphasis  in  original).   The  existence  of
personal jurisdiction over a defendant is a  constitutional  requirement  to
rendering a valid judgment, mandated  by  the  Due  Process  Clause  of  the
Fourteenth Amendment.    Personal jurisdiction is a question of law and,  as
such, it either exists or does not.  See North Texas,  679  N.E.2d  at  519;
Freemond, 611  N.E.2d  at  687.   The  question  of  its  existence  is  not
entrusted to a trial court’s discretion.


      The Court of Appeals  in  this  case  relied  on  Mid-States  Aircraft
Engines, Inc. v. Mize Co., 467 N.E.2d 1242, 1247 (Ind. Ct.  App.  1984),  as
the basis of its abuse of discretion standard of review.  In that case,  the
court stated that “[t]he procedure  by  which  a  trial  court  reaches  its
decision on a T.R. 12(B)(2) challenge to in personam jurisdiction is  within
the sound discretion of the trial court.”  Id. (emphasis  added).   However,
the issue here is not the procedure used by the trial court, but the  result
reached by the trial court.  The Court of Appeals and  indeed,  this  Court,
evaluate questions of law de novo and owe no deference to  a  trial  court’s
determination of such questions.  See  Stroud,  supra,  §  12.3,  Budden  v.
Board of School Comm’rs, 698 N.E.2d 1157, 1160 (Ind. 1998).  Therefore,  the
de novo standard is employed  when  appellate  courts  review  questions  of
whether personal jurisdiction exists.[11]


      It is worth pausing  to  distinguish  between  findings  of  fact  and
conclusions of law in this context.  The legal question of whether  personal
jurisdiction exists given a set of facts is reviewable  de  novo.   However,
the  presence  of  personal  jurisdiction  is  based  on  the  existence  of
jurisdictional facts.  When determining these  facts,  the  trial  court  is
performing  its  classic  fact-finding  function,   often   evaluating   the
character and truthfulness of witnesses, and is  in  a  better  position  to
determine these issues than a reviewing court.  For  this  reason,  a  trial
court’s findings of jurisdictional facts are generally  reviewed  for  clear
error.  See Fidelity Financial, 640 N.E.2d at 396.[12]   Because  the  Court
of Appeals used the incorrect standard  of  review  to  evaluate  the  legal
issue of whether the  trial  court  had  jurisdiction  over  Tenet  and  NME
Hospitals, we must now reevaluate those issues.



                                     II



      General Personal Jurisdiction over Tenet.  Anthem argues that  Tenet’s
contacts[13] were sufficient  to  establish  general  personal  jurisdiction
over Tenet.  Tenet responds by placing its contacts into several  categories
and then discussing how each category itself is  insufficient  to  establish
jurisdiction.  Anthem contends that: (1) Tenet sent employees to Indiana  to
conduct business with four Indiana psychiatric hospitals that were  operated
by its subsidiaries; (2) Tenet transacted  business  with  Indiana  entities
spending $385,000 since 1990; (3) Tenet was involved in  a  several  million
dollar settlement with the State of Indiana; (4) Tenet  previously  defended
a lawsuit in Indiana; (5)  Tenet  held  itself  out  as  doing  business  in
Indiana through a web page and other business listings; and  (6)  Tenet  had
contact with Indiana regulatory agencies.  Tenet  disputes  jurisdiction  by
pointing to the fact that:  (1) Tenet  is  a  Nevada  corporation  with  its
headquarters in California; (2) it had  no  employees  in  Indiana;  (3)  it
owned no property and held no bank accounts  in  Indiana;  (4)  it  was  not
registered to do business in Indiana; and  (5)  none  of  its  directors  or
officers reside in Indiana.


      As discussed in Part I.A, supra, when evaluating questions of personal
jurisdiction, the first line of inquiry is Trial Rule 4.4(A).   Rule  4.4(A)
reads:
      Any person or organization that is a  nonresident  of  this  state,  a
      resident of this state who has left  the  state,  or  a  person  whose
      residence is unknown, submits to the jurisdiction  of  the  courts  of
      this state as to any action arising from the following acts  committed
      by him or her or his or her agent:  (1) doing  any  business  in  this
      state; . . . .


Tenet’s  activities,  including  several  business  trips  to  Indiana   and
transactions  with  Indiana  businesses,  including   law   firms,   storage
companies, and computer companies, clearly satisfy this requirement.[14]


      Next, we  must  review  whether  Tenet’s  contacts  with  Indiana  are
sufficient to satisfy the Due Process Clause of  the  Fourteenth  Amendment.
First, to establish general personal  jurisdiction,  Tenet’s  contacts  with
Indiana must be examined to  determine  whether  they  are  “continuous  and
systematic.”[15]  Tenet challenges its  contacts  with  Indiana  in  several
ways.


      Tenet first claims that its contacts  with  Indiana  are  insufficient
given that they  constitute  only  a  small  percentage  of  its  nationwide
business.   In  support  of  this  proposition,  Tenet  relies  on   Landoil
Resources Corp. v. Alexander & Alexander  Services,  Inc.,  918  F.2d  1039,
1045-46 (2d Cir. 1990), and Marsin Medical International, Inc. v.  Bauhinia,
Ltd., 948 F. Supp. 180, 186 (E.D.N.Y. 1996).   Neither  of  these  cases  is
binding authority  on  Indiana  courts.   Although  the  percentage  of  its
nationwide business that  is  conducted  in  Indiana  may  be  a  factor  to
consider in determining  whether  there  is  personal  jurisdiction  over  a
defendant in this state, it is by no means  the  only  or  dominant  factor.
Here, given the extent and nature of Tenet’s  contacts  with  Indiana,  this
factor is not of overwhelming significance.  Compare Gallert  v.  Courtaulds
Packaging Co., 4 F. Supp. 2d 825, 831  (S.D.  Ind.  1998)  (finding  general
jurisdiction where defendant argued that its sales  in  Indiana  represented
.0055% of its business), with Charlesworth v. Marco Mfg. Co., 878  F.  Supp.
1196,  1201  (N.D.  Ind.  1995)  (finding  no  personal  jurisdiction  where
defendant’s sales in Indiana were less than .50% of its total).


      Tenet also claims that its contacts with Indiana are  insufficient  to
establish personal jurisdiction over it based on its  examination  of  these
contacts in isolation, not as a whole, and reliance on cases  in  which  the
defendant had only one type of contact with the  forum  state.   See,  e.g.,
Asarco, Inc. v. Glenara Ltd., 912  F.2d  784,  787  (5th  Cir.  1990)  (only
contacts were port calls); Travelers Indemnity  Co.  v.  Calvert  Fire  Ins.
Co., 798 F.2d 826, 833 (5th Cir. 1986) (only  contacts  were  listing  as  a
client of a forum state law firm and listing as defendants in other  suits).
 Tenet breaks  down  its  contacts  with  Indiana  into  four  categories  –
employee visits, payments to Indiana businesses, contacts with  the  Indiana
government, and the maintenance of a website – and attacks each category  as
insufficient.  However, Tenet’s  contacts  with  Indiana  must  be  examined
together to determine whether  they  are  sufficient  to  establish  general
personal jurisdiction.  Cf. Hotmix & Bituminous  Equip.,  Inc.  v.  Hardrock
Equip. Corp., 719 N.E.2d 824, 827 (Ind. Ct. App. 1999).   Although  any  one
set  of  contacts  may  not  be  enough  to   establish   general   personal
jurisdiction over Tenet, when examined together, these  groups  of  contacts
show that Tenet has continuous and systematic contacts with Indiana.


      Although Tenet does not meet the traditional  bases  for  establishing
general personal jurisdiction such as offices or property  in  Indiana,  its
contacts with Indiana are nonetheless “continuous  and  systematic.”   Tenet
made 28 business trips to Indiana, including  sending  its  chief  executive
officer and several vice-presidents.  These trips  involved  executive-level
employees  from  many  different  departments  and  included   real   estate
transactions, recruiting, litigation, interviewing, and  operations.   Tenet
contracted with several  Indiana  businesses  during  this  time,  including
consulting firms, storage  companies,  law  firms,  and  computer  services.
Also, Tenet corresponded  with  Indiana  entities  concerning  Medicare  and
Medicaid audits and requested hearings with the Indiana  Family  and  Social
Services Administration’s Office of Medicaid Policy and Planning.   In  many
of these  proceedings,  the  hospitals  were  referred  to  as  wholly-owned
subsidiaries of Tenet,[16] and concerns of the  parent  corporation,  Tenet,
were discussed.  This  shows  Tenet  purposefully  availing  itself  of  the
privileges and powers of Indiana law.  In addition,  Tenet  responded  to  a
previous lawsuit filed in Indiana and entered into  a  settlement  agreement
with the State of Indiana in October, 1994.  Looking at all  these  contacts
together, and not piecemeal as Tenet  does,  it  is  clear  that  Tenet  has
enough continuous and systematic contacts with Indiana to establish  general
personal jurisdiction.


      The final step to ensure compliance with the  Due  Process  Clause  is
evaluating whether the exercise of general personal jurisdiction over  Tenet
“offend[s] traditional notions of fair play and  substantial  justice.”   To
make this determination, we look at the five factors from Burger King:   (1)
the burden on the defendant; (2) the forum state’s interest in  adjudicating
the dispute; (3) the  plaintiff’s  interest  in  obtaining  convenience  and
effective  relief;  (4)  the  interstate  judicial  system’s   interest   in
obtaining the most  efficient  resolution  of  controversies;  and  (5)  the
shared interest of the several states in furthering fundamental  substantive
social policies.  471 U.S. at 476-77.


      Given Tenet’s contacts with Indiana, its size, and the  fact  that  it
has already defended one lawsuit in Indiana, it does not appear it  will  be
too great  a  burden  on  Tenet  to  defend  another  suit  in  this  state.
Furthermore,  Indiana  has  an  interest  in  seeing   its   residents   and
corporations protected from fraud.  Finally, it is unlikely that  any  other
state will have jurisdiction over all of the  parties  to  the  transaction.
Therefore, this suit can be most efficiently  resolved  in  Indiana.   Given
these concerns,  we  cannot  say  that  the  exercise  of  general  personal
jurisdiction over Tenet “offend[s] traditional  notions  of  fair  play  and
substantial justice.”[17]



                                     III


      Specific  Personal  Jurisdiction  over  NME  Hospitals.   Anthem  also
asserts that specific personal jurisdiction  may  be  established  over  NME
Hospitals, Tenet’s subsidiary, based  on  letters  and  telephone  calls  to
Anthem in order to secure payments from  Anthem.   NME  Hospitals  does  not
dispute  these  calls  and  correspondences,  but  claims  that   they   are
insufficient to establish specific personal  jurisdiction  because  “[t]hese
fortuitous phone calls and  letters  are  not  enough  to  support  personal
jurisdiction over  the  owner  of  these  Texas  facilities.”   The  parties
stipulated to the following:
      On numerous occasions from January 1, 1989 through December 31,  1991,
      employees working at  health  care  facilities  owned  by  Nonresident
      Providers sent correspondences and made telephone calls to  Associated
      Insurance Companies, Inc., in  the  State  of  Indiana  regarding  the
      processing  and  payment  of  health  insurance  claims  submitted  to
      Plaintiffs for  health  care  services  performed  wholly  outside  of
      Indiana.



      First, NME Hospitals’s contacts must  fall  under  Indiana’s  long-arm
statute, Trial Rule 4.4(A).  It appears that  NME  Hospitals’s  phone  calls
and correspondence were in  furtherance  of  its  business  in  Indiana  and
therefore, the contacts could constitute “doing any  business”  in  Indiana.
See Ind. Trial Rule 4.4(A)(1).

      Next, because there are not sufficient  contacts  to  support  general
personal  jurisdiction,  NME  Hospitals’s  contacts  must  satisfy  the  due
process requirements  of  specific  personal  jurisdiction:   they  must  be
related to the cause of action and  the  defendant  must  have  purposefully
availed itself of the jurisdiction of the forum state.  In  support  of  its
argument that these phone calls and letters  are  not  enough  to  establish
personal jurisdiction, NME Hospitals relies on  Rosowsky  v.  University  of
Colorado, 653 N.E.2d 146, 149 (Ind. Ct. App.  1995),  transfer  denied,  and
Baseball Card World, Inc. v. Pannette, 583  N.E.2d  753,  755-56  (Ind.  Ct.
App. 1991), transfer denied, in which the Court  of  Appeals  held  in  each
case that personal jurisdiction may  not  be  based  solely  on  “interstate
letters and calls.”

      Here, however, the phone calls and  letters  are  the  very  means  by
which Anthem claims that  NME  Hospitals  perpetrated  its  fraud.   As  the
United States Supreme Court observed in Burger King, defendants  should  not
be able to escape the  consequences  of  their  actions  by  not  physically
entering a jurisdiction.  471 U.S. at 467 (“So long as a commercial  actor’s
efforts are ‘purposefully directed’ toward residents of  another  State,  we
have consistently rejected the notion that an absence of  physical  contacts
can deter  personal  jurisdiction  there.”).   The  Court  of  Appeals  also
recognized this doctrine in Mullen v. Cogdell, 643  N.E.2d  390,  398  (Ind.
Ct. App. 1994), transfer denied, in which the court found jurisdiction  over
a defendant whose only contacts with Indiana were letters and  phone  calls.
The court enjoyed jurisdiction in that case because the  calls  and  letters
were made in furtherance of a fraudulent real  estate  deal.   “A  defendant
should expect to answer in the state of  residence  of  those  he  defrauded
when correspondences and telephone calls  were  purposefully  made  to  that
state in furtherance of the fraud.”  Rosowsky, 653 N.E.2d at  149  n.1.   We
agree with the Court of Appeals that  “NME  Hospitals  purposefully  availed
itself of the benefits and responsibilities of  doing  business  in  Indiana
when it chose to directly  contact  Anthem  regarding  insurance  payments.”
Anthem Ins. Cos. v. Tenet Healthcare Corp., 709 N.E.2d 1060, 1069 (Ind.  Ct.
App. 1999).  There are sufficient contacts to  establish  specific  personal
jurisdiction over NME Hospitals in Indiana.

      Finally, we must balance the fairness  factors  to  determine  if  the
exercise of specific personal  jurisdiction  is  reasonable  in  this  case.
Although there will be a substantial  burden  on  the  NME  Hospitals,  this
factor is outweighed by Indiana’s interest in preventing fraudulent  conduct
against its citizens, Anthem’s  interest  in  obtaining  a  remedy  for  the
alleged fraud, and the  judicial  system’s  interest  in  avoiding  multiple
litigation of the same facts.  Therefore, the exercise of specific  personal
jurisdiction over NME Hospitals complies with Indiana Trial Rule 4.4(A)  and
the Due Process Clause.


                                 Conclusion


      The judgment of the trial court is reversed and this case is  remanded
for proceedings consistent with this opinion.


      SHEPARD, C.J., and RUCKER, J., concur.
      DICKSON, J., concurs as to Parts II and III, and concurs  in  result
as to Part I.
      BOEHM, J., not participating.
-----------------------
[1] Anthem Life Insurance Company is a co-plaintiff in  this  case.   Anthem
Insurance Companies,  Inc.,  was  formerly  known  as  Associated  Insurance
Companies, Inc., and does business as Anthem Blue  Cross  and  Blue  Shield.
Anthem Insurance Companies, Inc., is incorporated  under  Indiana  law  with
its principal place of business  in  Indianapolis.   Anthem  Life  Insurance
Company is  incorporated  under  Texas  law  with  its  principal  place  of
business in Texas.  In this opinion, the companies will simply  be  referred
to as Anthem.

[2] Tenet was formerly known as  National  Medical  Enterprises,  Inc.,  but
changed its name in  1995  to  Tenet  Healthcare  Corporation  and  will  be
referred to as Tenet throughout this opinion.

[3] These are entities within  the  Tenet  corporate  family  that  own  and
operate hospitals or other health care facilities that  provide  psychiatric
services.

[4]  Anthem  did  not  appeal  the  decision  to  dismiss  NME   Psychiatric
Properties, but the 37 providers appealed  the  trial  court’s  decision  to
deny the motion to dismiss as to them.  The Court of  Appeals  affirmed  the
trial court’s decision in a separate not-for-publication opinion.   See  NME
Psychiatric Hosps., Inc. v. Anthem Ins. Cos.,  No.  10A01-9810-CV-368  (Ind.
Ct. App. June 4, 1999).
[5] The  same  is  not  true  for  federal  courts,  which  are  of  limited
jurisdiction.  In  federal  courts,  the  plaintiff  must  plead  and  prove
jurisdiction if it is challenged.  See Oddi v. Mariner-Denver, Inc., 461  F.
Supp. 306, 308, 310 (S.D. Ind. 1978).
[6] Although Indiana has a trial rule, it performs the same  function  as  a
long-arm statute and will be referred to throughout this opinion  as  either
Trial Rule 4.4(A) or Indiana’s long-arm statute.

[7] Trial Rule 4.4(A) applies to nonresidents or  residents  who  have  left
the state.  The court may still use the traditional  bases  discussed  above
to assert jurisdiction  over  a  defendant  including  consent,  service  of
process within the state, and domicile in the state.
[8] We acknowledge that we denied transfer in several of these cases.

[9] Many of the decisions rely on a comment to the rule  which  reads,  “The
adoption of this rule will  expand  the  in  personam  jurisdiction  of  the
courts of this state to the limits permitted under the  Due  Process  Clause
of the Fourteenth Amendment.” Civil Code Study Commission Comments to  Trial
Rule 4.4.  The better interpretation of this comment is “that  the  specific
enumerated act provisions of the statute . . .  be  broadly  interpreted  so
that if the language of the statute rationally can  be  construed  to  reach
the defendant’s situation, the statute should be so  construed.”   Moore  et
al., supra, § 108.60[3][a] (citing Robert Leflar et al., American  Conflicts
of Law 103 (4th ed. 1986)).
[10] In North Texas Steel, the  Court  of  Appeals  went  on  to  hold  that
Indiana had specific personal jurisdiction  over  the  defendant.   See  679
N.E.2d at 519.  We express no opinion as to that conclusion.
[11] The use of the de novo standard of review  for  questions  of  personal
jurisdiction is also supported by cases in other jurisdictions.  See,  e.g.,
Latshaw v. Johnston, 167 F.3d 208, 210-11 (5th Cir. 1999);  Steel  Warehouse
v. Leach, 154 F.3d 712, 714 (7th Cir. 1998).
[12] The trial court may decide the jurisdictional facts using only a  paper
record, in which case it appears that the appellate court is in  as  good  a
position  as  the  trial  court  to   determine   the   existence   of   the
jurisdictional facts, and should review the trial court’s decision de  novo.
 Cf. Houser v. State, 678 N.E.2d 95,  98  (Ind.  1997)  (“Because  both  the
appellate and trial courts are reviewing the paper record submitted  to  the
magistrate, there is no reason for appellate courts to defer  to  the  trial
court’s  finding  that  a  substantial  basis  existed   for   issuing   the
warrant.”).

[13] The parties dispute what  contacts  are  relevant  in  determining  the
existence of personal jurisdiction.  Tenet claims  that  only  its  contacts
when  the  complaint  was  filed,  in  December  1995,  should  count   when
determining jurisdiction, relying on Klinghoffer v.  S.N.C.  Achille  Lauro,
937 F.2d 44, 52 (2d Cir. 1991).  Anthem contends that the  trial  court  may
look at the contacts occurring during the course of the  alleged  fraudulent
relationship up until the complaint was filed,  citing  Simpson  v.  Quality
Oil Co., 723 F. Supp. 382, 391 n.6 (S.D. Ind. 1989)  (“[P]ost-tort  activity
has  a  one-way  ratchet  effect.   Nonresident  defendants  cannot   defeat
personal jurisdiction by severing all contact with  the  forum  state  after
the [alleged bad act].  However, they can tip the balance of factors  toward
personal jurisdiction by expanding their contact with the  forum  after  the
[alleged bad act].”).  We agree  with  Anthem  that  nonresident  defendants
should not be allowed  to  escape  personal  jurisdiction  by  ending  their
contact with the forum state after they commit a wrong.

[14] Tenet contends that its defense of a prior lawsuit  and  settlement  do
not constitute  “doing  business”  under  Trial  Rule  4.4(A)(1).   Assuming
without deciding that this is correct, those contacts are not  necessary  to
establish that Tenet was “doing business” in Indiana.

[15] Because Tenet’s contacts are not related to the subject matter  of  the
lawsuit, there is no basis for specific personal jurisdiction.
[16] The records refer to National Medical Enterprises, Inc., which was  the
previous name of Tenet.
[17] Anthem also argued that it was  entitled  to  jurisdiction  over  Tenet
based on the contacts  of  its  subsidiaries  with  Indiana.   Although  the
contacts of a subsidiary may be aggregated with the contacts of  the  parent
to achieve personal jurisdiction over the parent, this is only  possible  in
the narrow instances “[w]here a parent utilizes its  subsidiary  in  such  a
way that an agency relationship can be perceived . . . [or] the  parent  has
greater control over the subsidiary than  normally  associated  with  common
ownership and directorship or  where  the  subsidiary  is  merely  an  empty
shell.”  Wesleyan Pension Fund, Inc. v. First Albany  Corp.,  964  F.  Supp.
1255, 1261 (S.D. Ind. 1997) (citations  and  internal  quotations  omitted).
This does not appear to be the case here and given  the  resolution  of  the
general personal jurisdiction question, this issue need  not  be  addressed.
For the same reason, we do not address Anthem’s claim that the  trial  court
abused its discretion by failing to allow Anthem to  complete  discovery  on
Tenet’s parent/subsidiary relationships.