Bertolini-Mier et al v. Upper Valley Neurology Neurosurgery, P.C.

Filing 31

OPINION AND ORDER denying 19 Motion to Dismiss. Signed by Judge Geoffrey W. Crawford on 12/7/2016. (esb)

U.S. OfSTRICT COURT
DiSTRICT OF VERMONT
UNITED STATES DISTRICT COURT
FOR THE
DISTRICT OF VERMONT
KIM BERTOLINI-MIER and ROGER
MIER,
Plaintiffs,
v.
UPPER VALLEY NEUROLOGY
NEUROSURGERY, P.C., DONALD W.
AYRES, M.D., and ALICE PECK DAY
MEMORIAL HOSPITAL,
Defendants.

)
)
)
)
)
)
)
)
)
)
)
)
)

r~n~~ED

2016 DEC -7 PM 12: 02

Case No. 5:16-cv-35

OPINION AND ORDER
(Doc. 19)

In this diversity action, Plaintiffs Kim Bertolini-Mier and her husband Roger Mier sue
Upper Valley Neurology Neurosurgery, P.C. ("UVNN"), UVNN physician Dr. Donald W.
Ayres, and the Alice Peck Day Memorial Hospital ("APD") for medical malpractice and loss of
consortium, alleging that, between 2007 and 2011, APD improperly administered and interpreted
radiologic studies as indicating that Ms. Bertolini-Mier suffered from multiple sclerosis (MS).

(See Doc. 8.) Plaintiffs further allege that Dr. Ayres mistakenly relied on APD's findings,
misdiagnosed her with MS, and improperly treated her with an MS drug that caused her harm,
including a neurological event in 2014 that required extended hospitalization. (See id.) APD has
filed a Motion to Dismiss under Fed. R. Civ. P. 12(b)(2), asserting that it is not subject to
personal jurisdiction in Vermont. (Doc. 19.) The court heard argument on the motion on
August 30, 2016. The parties filed supplemental memoranda and the motion was taken under
advisement on October 11, 2016.

Background
The following facts relate to APD's contacts with Vermont and its involvement in
Ms. Bertolini-Mier's treatment. APD's principal place ofbusiness is in Lebanon, New
Hampshire; it is a non-profit corporation incorporated in New Hampshire and registered in
Vermont to do business as a foreign corporation. (See Doc. 8 ,-r 7; Doc. 19-1 ,-r 2; Doc. 21-1 ,-r 8,
Doc. 21-7.) The "Principal Office Business Address" listed on APD's Vermont foreign nonprofit registration is the Fairlee, Vermont home address of APD's Vice President ofHuman
Resources. (See Doc. 21-7 at 1; Doc. 25-3 ,-r 2.) APD's corporate secretary also lives in
Vermont, and her Vermont mailing address is identified on APD's Vermont foreign non-profit
registration. (See Doc. 21-7 at 1; Doc. 25-3 ,-r 3.) APD owns several tradenames that are
registered in Vermont. (See Doc. 21-1 ,-r 8; Doc. 21-7.) As of June 2016, APD had filed six
collection lawsuits in Vermont Superior Court. (See Doc. 21-1 ,-r,-r 6-7; Doc. 21-5.)
Approximately one third of APD's 93 physicians and other medical providers are
licensed in Vermont. (Doc. 21-1 ,-r,-r 4-5; Doc. 21-3; Doc. 21-4.) 1 Since March 1, 2016, APD has
been affiliated with the Dartmouth-Hitchcock Medical Center ("DHMC"). (See Doc. 8 ,-r 7; Doc.
19-1 ,-r 3.) APD owns ten separate clinics, one of which began operating on leased property in
Vermont in January 2011. (Doc. 19-1 ,-r 6.) The Vermont clinic relocated to New Hampshire as
of June 10, 2016, and all ten of APD's clinics are now in New Hampshire. (See id. ,-r,-r 5-6.)
While it was in operation, APD's Vermont clinic had four to five employees, representing
approximately 1% of APD's total workforce. (Id. ,-r 7.) Between 2011 and 2015, the Vermont
clinic generated more than $3 million in revenues, representing about 1% of APD's total revenue
for that period. (Id. ,-r 8.)
1

APD asserts that most of its medical providers are not actually APD employees.
(See Doc. 25 at 7.)
2

As ofMarch 2016, APD's primary service area included at least 20 Vermont towns.
(Doc. 8 ~ 7l APD continues to provide services to Vermonters, advertises in Vermont, and
consults with the Vermont Department of Health. (Id.) APD receives payment for patient care
from Medicaid of Vermont, and is registered as a provider in Vermont with Blue Cross Blue
Shield of Vermont ("BCBS"). (Id.) Citing a one-page printout of a BCBS report dated
January 26, 2016, Plaintiffs assert that BCBS does not code APD as an "out of state provider."
(See Doc. 21 at 2; Doc. 21-9.)

Ms. Bertolini-Mier first met with Dr. Ayres on August 16, 2007, after being referred to
him by her Lyndonville, Vermont-based neurologist and primary care provider, Dr. Thomas F.
Broderick. (See Doc. 25-2 ~ 2.) Dr. Ayres treated Ms. Bertolini-Mier between August 16, 2007
and April22, 2014. (Id.) During that time, Dr. Ayres and other UVNN providers ordered MRis
of Ms. Bertolini-Mier. (Id. ~ 3.) UVNN ordered some of those studies to be performed at
APD's facility in Lebanon, New Hampshire, and others to be performed at DHMC's Lebanon,
New Hampshire facility. (Id.

~

4.) The MRis performed at APD were interpreted by radiologists

affiliated with an independent entity that provides radiology services to APD. (Id. ~ 5; see also
Doc. 25-3

~

4.) APD sent radiology reports to Dr. Broderick in Lyndonville, Vermont.

(See Doc. 21-8.) BCBS processed payments to APD for services that APD provided to

Ms. Bertolini-Mier. (See Doc. 21-1

~

10; Docs. 21-9, 21-10.)
Analysis

I.

Rule 12(b)(2) Standard

Without personal jurisdiction over a defendant, the court lacks the power to enter a valid
order affecting the rights of that defendant. See Frontera Res. Azerbaijan Corp. v. State Oil Co.
2

It is unclear whether the closure of APD's Vermont clinic in June 2016 affected APD's

service area. The court presumes that APD's service area still includes multiple Vermont towns.
3

ofAzerbaijan Republic, 582 F.3d 393, 397 (2d Cir. 2009) ("The validity of an order of a federal

court depends upon that court's having jurisdiction over both the subject matter and the parties."
(quoting Ins. Corp. ofIreland, Ltd. v. Compagnie des Bauxites de Guinee, 456 U.S. 694, 701
(1982) [hereinafter "Bauxites"])). Under Fed. R. Civ. P. 12(b)(2), a party may move for
dismissal for lack of personal jurisdiction.
The court may determine a Rule 12(b)(2) motion on the basis of pleadings and affidavits
alone, or it may permit discovery, or it may conduct an evidentiary hearing. Dorchester Fin.
Sec., Inc. v. Banco BRJ, S.A., 722 F.3d 81, 84 (2d Cir. 2013) (per curiam). Where a court

determines the motion on the basis of pleadings and affidavits, the plaintiffs burden is to "'make
a prima facie showing that jurisdiction exists."' In re Terrorist Attacks on Sept. 11, 2001,
714 F.3d 659, 673 (2d Cir. 2013) (quoting Penguin Grp. (USA) Inc. v. Am. Buddha, 609 F.3d 30,
34 (2d Cir. 2010)). The pleadings and affidavits must be construed in the light most favorable to
Plaintiffs, with all doubts resolved in Plaintiffs' favor. Id. at 85. However, the court need not
draw "argumentative inferences" in Plaintiffs' favor, nor should the court "'accept as true a legal
conclusion couched as a factual allegation."' In re Terrorist Attacks, 714 F.3d at 673 (quoting
Jazini v. Nissan Motor Co., 148 F.3d 181, 185 (2d Cir. 1998)).

Generally, "in resolving questions of personal jurisdiction in a diversity action, a district
court must conduct a two-part inquiry." Metro. Life Ins. Co. v. Robertson-Ceca Corp., 84 F.3d
560, 567 (2d Cir. 1996). "First, it must determine whether the plaintiff has shown that the
defendant is amenable to service of process under the forum state's laws; and second, it must
assess whether the court's assertion of jurisdiction under these laws comports with the
requirements of due process." Id. However, Vermont's long-arm statute, 12 V.S.A. § 913(b),
reflects a "clear policy to assert jurisdiction over individual defendants to the full extent

4

permitted by the Due Process Clause." Id. (quoting Bechard v. Constanzo, 810 F. Supp. 579,
582-83 (D. Vt. 1992)). Thus the two inquiries in this case merge into one: "whether the court's
exercise of personal jurisdiction over the defendant satisfies the requirements of due process."
I d.

Consistent with the requirements of due process, the court "may exercise two types of
personal jurisdiction over a corporate defendant properly served with process." Brown v.
Lockheed Martin Corp., 814 F.3d 619, 624 (2d Cir. 2016). "These are specific (also called

'case-linked') jurisdiction and general (or 'all-purpose') jurisdiction." I d. "Specific jurisdiction
is available when the cause of action sued upon arises out ofthe defendant's activities in a state."
I d. "General jurisdiction, in contrast, permits a court to adjudicate any cause of action against

the corporate defendant, wherever arising, and whoever the plaintiff." Id. If the minimumcontacts inquiry is satisfied, it is also necessary to perform a "reasonableness" inquiry. See id.
("Whether specific or general, however, the exercise of personal jurisdiction over a defendant is
informed and limited by the U.S. Constitution's guarantee of due process, which requires that
any jurisdictional exercise be consistent with 'traditional notions of fair play and substantial
justice."' (quotingJnt'l Shoe Co. v. Washington, 326 U.S. 310, 316 (1945))).
II.

Whether APD has Consented to Personal Jurisdiction

"Unlike subject matter jurisdiction, 'the requirement of personal jurisdiction represents
first of all an individual right, [and therefore] it can, like other such rights, be waived."'
Lockheed Martin, 814 F.3d at 625 (alteration in original) (quoting Bauxites, 456 U.S. at 703).

"Also, unlike subject matter jurisdiction, a party may simply consent to a court's exercise of
personal jurisdiction: for example, an entity may contract or stipulate with another to permit
proceedings in a state's courts, notwithstanding the remoteness of the state of its operations and

5

organization." I d. Thus, "[a] variety oflegal arrangements have been taken to represent express
or implied consent to the personal jurisdiction of the court." Bauxites, 456 U.S. at 703. More
specifically, for example, the Supreme Court "has upheld state procedures which find
constructive consent to the personal jurisdiction of the state court in the voluntary use of certain
state procedures." Id. at 704 (citing Adam v. Saenger, 303 U.S. 59, 67-68 (1938)).
Here, as noted above, APD had filed six lawsuits in Vermont Superior Court as of June
2016. Plaintiffs do not assert that the six prior Vermont lawsuits are related to their claim in this
federal case. However, Plaintiffs contend that, by voluntarily and repeatedly using Vermont's
courts for its own benefit, APD has consented to personal jurisdiction in Vermont. (Doc. 21
at 5.)
The court rejects Plaintiffs' contention. As the Second Circuit has explained, "[a] party's
consent to jurisdiction in one case ... extends to that case alone. It in no way opens that party up
to other lawsuits in the same jurisdiction in which consent was given, where the party does not
consent and no other jurisdictional basis is available." Klinghoffer v. S.N C. Achille Lauro Ed

Altri-Gestione Motonave Achille Lauro in Amministrazione Straordinaria, 937 F.2d 44, 50 n.5
(2d Cir. 1991); see also Funai Elec. Co. v. Personalized Media Commc'ns, LLC, Civ. No. 15558-RGA, 2016 WL 370708, at *3 (D. Del. Jan. 29, 2016) (defendant that had filed two earlier
patent-infringement suits in Delaware against unrelated defendants had not impliedly consented
to jurisdiction in Delaware). Here, there is no indication that any of the six prior Vermont
lawsuits are the same "case" as this one, or that they are even related to this case.
The authorities that Plaintiffs cite are unpersuasive on this point. It is true that in

Saenger, the Supreme Court stated that a plaintiff, "by his voluntary act in demanding justice
from the defendant, submitted himself to the jurisdiction of the court," and the court could

6

therefore enter a judgment against the plaintiff on a cross-claim brought against the plaintiff.

Saenger, 303 U.S. at 67. Nothing in Saenger suggests that the rule extends to subject such a
litigant to jurisdiction in separate, unrelated cases.
Plaintiffs' other cases are similarly distinguishable. They suggest that a defendant's prior
litigation as a plaintiff in other cases might amount to consent to jurisdiction in the case against
the defendant when the prior cases arise out of the same nucleus of operative facts. See Gen.

Contracting & Trading Co. v.Interpole, Inc., 940 F.2d 20, 23 (1st Cir. 1991) ("Trastco elected to
avail itself of the benefits of the New Hampshire courts as a plaintiff, starting a suit against
Interpole. By so doing, we think it is inevitable that Trastco surrendered any jurisdictional
objections to claims that Interpole wished to assert against it in consequence of the same
transaction or arising out of the same nucleus of operative facts." (footnote omitted)); Marron v.

Whitney Grp., 662 F. Supp. 2d 198, 200 (D. Mass. 2009) ("A defendant who purposely avails
himself of a particular forum state's courts by initiating a lawsuit there impliedly submits to that
forum's jurisdiction with regard to all actions arising from the same nucleus of operative facts, or
sharing the same transactional core."). There is no suggestion that the six prior Vermont cases
arise from the same nucleus of operative facts as this case.
As noted above, APD is registered to do business in Vermont as a foreign corporation.
Plaintiffs do not contend that APD's compliance with Vermont's business registration statutes
amounts to consent to personal jurisdiction in Vermont, or otherwise automatically confers
jurisdiction. (See Doc. 21 at 5 n.2.) The court agrees that mere registration to do business in
Vermont is not determinative of the jurisdictional questions in this case. See Lockheed Martin,
814 F.3d at 637 (history ofbusiness registration statutes suggests that they require assent only to
specific jurisdiction, if there is a basis for the exercise of specific jurisdiction); Viko v. World

7

Vision, Inc., No. 2:08-CV-221, 2009 WL 2230919, at *7 (D. Vt. July 24, 2009) ("[C]ompliance

with Vermont's foreign corporation registration statute does not entail consent to general
personal jurisdiction, at least independently of the minimum contacts required by due process.").
For all of the above reasons, the court finds no basis to conclude that APD consented to personal
jurisdiction in this case.
III.

General Jurisdiction-Is APD "Essentially at Home" in Vermont?
The Supreme Court's decision in Daimler AG v. Bauman, 134 S. Ct. 746 (2014), changed

the law of general jurisdiction, making it substantially more difficult to establish that type of
personal jurisdiction. See Lockheed Martin, 814 F .3d at 627 (reading Daimler as implementing a
"restrictive" test); Gucci Am., Inc. v. Weixing Li, 768 F.3d 122, 135-36 (2d Cir. 2014)
(articulating change in the law effected by Daimler); Weiss v. Nat 'I Westminster Bank PLC,
176 F. Supp. 3d 264,274 (E.D.N.Y. 2016) (noting that Daimler "narrowed the law on general
jurisdiction"); 7 W. 57th St. Realty Co. v. Citigroup, Inc., No. 13 Civ. 981(PGG), 2015 WL
1514539, at *7 (S.D.N.Y. Mar. 31, 2015) ("Daimler effected a change in the law .... "). The
court must approach the general jurisdiction question in this case under Daimler's more
restrictive test.
A foreign corporation is subject to general jurisdiction in a state where "that
corporation's 'affiliations with the State are so "continuous and systematic" as to render [it]
essentially at home in the forum state."' Daimler, 134 S. Ct. 746 at 761 (alteration in original)
(quoting Goodyear Dunlop Tires Operations, SA. v. Brown, 564 U.S. 915, 919 (2011)). 3
3

Plaintiffs contend that Daimler is distinguishable because it involves corporations that
conducted business internationally and throughout the United States, whereas APD conducts
business in only two states. (Doc. 21 at 10.) However, Plaintiffs point to no authority
suggesting that a different standard applies for foreign corporations with contacts in only a few
. (or even one) other state.
8

"[E]xcept in a truly 'exceptional' case, a corporate defendant may be treated as 'essentially at
home' only where it is incorporated or maintains its principal place of business." Lockheed

Martin, 814 F.3d at 627. Here, APD is incorporated in New Hampshire and maintains its
principal place of business there. Plaintiffs therefore have the "heavy burden" of showing that
APD's presence in Vermont constitutes an "exceptional" case rendering APD "at home" and
subject to suit for all purposes in Vermont. Id.
The Supreme Court in Daimler cited only Perkins v. Benguet Consolidated Mining Co.,
342 U.S. 437 (1952), as an example of an "exceptional" case. Daimler, 134 S. Ct. at 761 n.19.
"In Perkins, the defendant company's principal place ofbusiness was-temporarily, because of
wartime circumstances-in Ohio, where it was sued." Lockheed Martin, 814 F.3d at 629. For
the reasons discussed below, this case is much more like Lockheed Martin. In that case,
Lockheed Martin had a continuous 30-year presence in Connecticut, leased locations in that
state, employed up to 70 workers there, and made about $160 million in revenue from its
Connecticut-based work during the five years relevant to the lawsuit. See id. at 628. Applying

Daimler, the Second Circuit concluded that Lockheed Martin-which was incorporated in
Maryland and had its principal place of business there-was not subject to general jurisdiction in
Connecticut. See id. at 630.
As described above-and similar to Lockheed Martin's contacts with ConnecticutAPD's contacts with Vermont are substantial and long-standing. Those contacts include APD's
registration to do business in Vermont, advertising in Vermont, ownership of trade names
registered in Vermont, a service area that includes multiple Vermont towns, use of medical
providers who are licensed in Vermont, use of the Vermont court system, and operation of a
clinic in Vermont between 2011 and 2016 that generated several million dollars in revenues.

9

However, nothing about those contacts is particularly "exceptional"; they are precisely the sort of
contacts one might ordinarily expect from a hospital or business located near a state border.
Plaintiffs' other allegations regarding APD's contacts with Vermont do not alter the
court's conclusion. There is no doubt that APD treats many Vermont residents and receives
compensation from insurers and government programs such as BCBS and Vermont Medicaid.
But that is not enough to prove that APD is essentially at home in Vermont. The January 26,
2016 one-page printout is insufficient by itself to establish that BCBS considers APD to be an instate provider, and BCBS's coding practices are in any case minimally useful in evaluating
APD's contacts with Vermont. APD's recent affiliation with DHMC is also minimally useful to
the present analysis. Even assuming that DHMC is subject to all-purpose personal jurisdiction in
4

Vermont, APD's mere "affiliation" with DHMC is insufficient to impute to APD any general
jurisdiction that Vermont might have over DHMC. See In re Ski Train Fire in Kaprun, Austria

on Nov. 11, 2000, 343 F. Supp. 2d 208, 216-17 (S.D.N.Y. 2004) (absent facts suggesting that
one company controls or is controlled by affiliate, court would not conflate them for
jurisdictional purposes).
The Fairlee, Vermont "Principal Office Business Address" listed on APD' s Vermont
foreign non-profit registration is not determinative on the jurisdictional question. APD asserts
that the Fairlee address was probably used because, under 11A V.S.A. § 15.07(1), in order to
register as a foreign corporation in Vermont, APD was required to have a "registered office" in

4

The Second Circuit in Braman v. Mary Hitchcock Memorial Hospital, 631 F.2d 6
(2d Cir. 1980), did not decide whether DHMC was subject to general jurisdiction in Vermont,
but it did remand for further proceedings on that issue. Braman, of course, issued many years
prior to the Daimler decision and provides little guidance about current standards for general
jurisdiction.
10

Vermont. (See Doc. 25 at 9 n.4.) 5 The Fairlee address is the residence of APD's Vice President
of Human Resources. Even ifthe use of the Fairlee address on Vermont's foreign non-profit
organization form is considered in the light most favorable to Plaintiffs, the court cannot
conclude that the address is also APD's principal office address for jurisdictional purposes.
The court rejects Plaintiffs' suggestion that the general-jurisdiction analysis in
Metropolitan Life should control in this case. It is true that, in that case, the Second Circuit
concluded that, although it was a "close case," the defendant's contacts in Vermont were
sufficient for general jurisdiction purposes. Metro. Life, 84 F .3d at 572-73. 6 However, as the
Second Circuit has stated, Metropolitan Life was a pre-Daimler case, and it employed a different
general-jurisdiction standard. See Lockheed Martin, 814 F.3d at 626 (pre-Daimler standard that
prevailed in the past was "more forgiving"); see id. at 628 n.8 (Metropolitan Life was decided
"pre-Daimler, when the 'continuous and systematic' standard governed exercise of general
jurisdiction"). In short, as the Second Circuit has stated regarding the test that now governs,
"mere contacts, no matter how 'systematic and continuous,' are extraordinarily unlikely to add
5

Section 15.07 of Title 11A provides:

Each foreign corporation authorized to transact business in this state must
continuously maintain in this state:
(1) a registered office that may be the same as any of its places of business; and
(2) a registered agent, who may be:
(A) an individual who resides in this state and whose business office is
identical with the registered office;
(B) a domestic corporation or domestic not-for-profit corporation whose
business office is identical with the registered office; or
(C) a foreign corporation or foreign not-for-profit corporation authorized
to transact business in this state whose business office is identical with the
registered office.
6

Analyzing the reasonableness factors applicable to the inquiry as to whether exercising
jurisdiction comported with traditional notions of fair play and substantial justice, the
Metropolitan Life court concluded that exercising general jurisdiction would not be fair or
reasonable. I d. at 573.
11

up to an 'exceptional case."' I d. at 629. For the reasons discussed above, APD' s contacts with
Vermont do not qualify as exceptional such that APD could be considered "essentially at home"
here. In the absence of exceptional circumstances, general jurisdiction is available only inN ew
Hampshire where APD is incorporated and where it maintains its principal place of business.
IV.

Specific Jurisdiction; Jurisdictional Discovery

Finally, the court turns to the issue of whether APD has sufficient "case-linked" contacts
with Vermont to support the exercise of specific personal jurisdiction in this case. "Where the
claim arises out of, or relates to, the defendant's contacts within the forum-i.e., specific
jurisdiction [is asserted]-minimum contacts [necessary to support such jurisdiction] exist where
the defendant purposefully availed itself of the privilege of doing business in the forum and
could foresee being haled into court there." Licci ex ref. Licci v. Lebanese Canadian Bank, SAL,
732 F.3d 161, 170 (2d Cir. 2013) (alterations in original) (quoting Bank Brussels Lambert v.
Fiddler Gonzalez & Rodriguez, 305 F.3d 120, 127 (2d Cir. 2002)). This test includes a "nexus"

requirement: the cause of action must "relate to" the defendant's minimum contacts with the
forum. Chloe v. Queen Bee ofBeverly Hills, LLC, 616 F.3d 158, 166-67 (2d Cir. 2010).
On the question of specific jurisdiction, the court concludes that jurisdictional discovery
is appropriate. "When courts authorize discovery to resolve a Rule 12(b)(2) motion, it is
typically in cases where the plaintiff has made less than a prima facie showing, but has instead
made a threshold showing that there is some basis for the assertion of jurisdiction or a sufficient
start toward establishing jurisdiction." Gingras v. Rosette, No. 5:15-cv-101, 2016 WL 4442792,
at *2 (D. Vt. Aug. 22, 2016) (internal quotation marks omitted). Courts do not permit
jurisdictional discovery for the purpose of a "fishing expedition." Cernansky v. Lefebvre,

12

88 F. Supp. 3d 299,309 (D. Vt. 2015) (quoting Wego Chern. &Mineral Corp. v. Magnablend
Inc., 945 F. Supp. 2d 377, 386 (E.D.N.Y. 2013)).

Having carefully reviewing the parties' filings, and in light of the variety of contacts
Plaintiffs have described between APD and Vermont, the court elects to exercise its discretion
and permit jurisdictional discovery. Plaintiffs suggest that jurisdictional discovery is necessary
to determine, among other things, if "services were extended in Vermont" or if "communication
and advice were provided in Vermont." (Doc. 21 at 5 n.3.) These issues are relevant to specific
jurisdiction.
The court has discretion to limit the scope of jurisdictional discovery, Arch Trading
Corp. v. Republic ofEcuador, 839 F.3d 193,206 (2d Cir. 2016), and in this case, the court

concludes that jurisdictional discovery should not extend to issues bearing on general
jurisdiction. Plaintiffs have not made a threshold showing for the assertion of general
jurisdiction under the more restrictive test announced in Daimler. This case is not likely to be
transformed into an "exceptional" one through additional discovery on topics such as quantity of
work done by APD physicians in Vermont, percentage of revenue from Vermont patients, or
relationships with other Vermont agencies or providers. See Daimler, 134 S. Ct. at 762 n.20
("[I]t is hard to see why much in the way of discovery would be needed to determine where a
corporation is at home.").

Conclusion

Alice Peck Day Memorial Hospital's Motion to Dismiss (Doc. 19) is DENIED without
prejudice. Plaintiffs are granted 90 days in which to conduct jurisdictional discovery with
respect to APD on the question of specific jurisdiction. Plaintiffs may file a supplemental

13

opposition within 15 days of the completion of jurisdictional discovery and APD may file a reply
within 15 days thereafter.
Dated at Rutland, in the District ofVermont, this

2

day ofDecember 2016.

Geoffrey W. Crawford, Judge
United States District Court

14