#### Steven H. UNTRACHT, M.D., Appellant v. Robert B. WEIMANN, M.D.; West Jersey Health System, also known as Virtura Health System; West Jersey Health System Board of Trustees, as known as Virtura Health Hospital Board of Trustees.

No. 04-4603.

United States Court of Appeals, Third Circuit.

Submitted Under Third Circuit LAR 34.1(a) July 1, 2005.

Decided July 5, 2005.

*47Steven H. Untracht, M.D., Johnstown, PA, pro se.

Gary J. Lesneski, Archer *&*Greiner, Haddonfield, NJ, for Appellee.

Before NYGAARD, VANANTWERPEN and GREENBERG, Circuit Judges.

OPINION

PER CURIAM

Dr. Steven Untracht appeals *pro se*from the November 23, 2004, order of the United States District Court for the District of New Jersey dismissing his complaint for lack of subject matter jurisdiction. For the reasons that follow, we will affirm.

The details of Untracht’s claims and the protracted history of the case are well known to the parties, and thus need not be discussed at length. In short, in April 1990, Untracht, who is a surgeon, had his Marlton Hospital privileges summarily suspended. In June 1990, Untracht filed a complaint in the Chancery Division of the New Jersey Superior Court against, *inter alia,*the West Jersey Health System and Dr. Robert Weimann, alleging unfair competition, tortious interference with contract, breach of fiduciary duty, intentional infliction of emotional distress, and defamation stemming from the April 1990 suspension.1 In November 1991 and January 1992, the Chancery Division granted summary judgment to the defendants.

While his appeal to the Appellate Division was pending, Untracht filed a second complaint in the District Court against, *inter alia,*the West Jersey Health System and Dr. Weimann, alleging violations of 42 U.S.C. § 1983, the Health Care Quality Improvement Act of 1986 and the Sherman Act, and tortious interference with prospective economic advantage. The District Court granted the defendants’ motion for summary judgment on the ground that Untracht’s claims were precluded by the Chancery Division’s prior decision. *See Untracht v. West Jersey Health System,*803 F.Supp. 978 (D.N.J.1992). This Court affirmed. *See Untracht v. West Jersey Health System,*3d Cir. No. 92-5538. On March 23, 1994, the Appellate Division upheld the Chancery Division’s November 1991 and January 1992 decisions relating to the suspension of Untracht’s privileges. However, the Appellate Division reversed the order of summary judgment as to Un*48tracht’s defamation claim against Weimann, and remanded the claim to the Chancery Division for additional discovery.

In the meantime, on December 22, 1991, Untracht's privileges at the hospital were restored. Untracht then filed the required application for reappointment to the hospital staff. Untracht’s reappointment application was denied at the end of 1992, and he was subsequently banned from applying for reappointment for five years. The following year, while the litigation regarding his April 1990 suspension was pending in the state courts, Untracht filed a third complaint in the District Court stemming from the 1992 denial of his reappointment request and five year ban on reapplication. *See Untracht v. Kelly,*D.N.J. Civ. No. 93-cv-04563. The District Court dismissed the complaint for lack of subject matter jurisdiction in March 1995. Untracht did not appeal.

Three months later, Untracht filed another complaint in the Law Division of the New Jersey Superior Court against, *inter alia,*the West Jersey Health System, West Jersey Health System Board of Trustees, and Dr. Weimann, alleging that his application for reappointment had been wrongfully denied and his employment contract breached. After granting motions to dismiss and summary judgment for the defendants, the Superior Court consolidated the remaining wrongful termination claim with the previously remanded defamation claim against Weimann. The Superior Court subsequently granted Weimann’s motion for summary judgment and, after a six day jury trial, dismissed Untracht’s wrongful termination claim. On November 27, 2002, the Appellate Division affirmed.

Untracht then filed the underlying 42 U.S.C. § 1983 action in the District Court against West Jersey and Weimann (collectively, “defendants”). In his complaint, Untracht alleged that the defendants violated his due process and equal protection rights by denying his reappointment application in 1992, and by “using the [New Jersey state] courts to deny [him] redress ... on the basis of absurd circular reasoning.” By order entered November 23, 2004, the District Court dismissed Untracht’s complaint *sua sponte*pursuant to Federal Rule of Civil Procedure 12(h)(3),2 concluding that Untracht’s claims were barred by the *Rooker-Feldman*doctrine.3*See*Fed.R.Civ.P. 12(h)(3) (noting that a court shall dismiss an action “[w]henever it appears by suggestion of the parties or otherwise” that subject matter jurisdiction is lacking). This timely appeal followed.

Under the *Rooker-Feldman*doctrine, lower federal courts cannot entertain constitutional claims that are inextricably intertwined with a state adjudication. *See FOCUS v. Allegheny County Court of Common Pleas,*75 F.3d 834, 840 (3d Cir.1996). A federal claim is inextricably intertwined with a prior state adjudication if:

> the federal claim succeeds only to the extent that the state court wrongly decided the issues before it. In other words, *Rooker-Feldman*precludes a federal action if the relief requested in the federal action would effectively re*49verse the state decision or void its ruling .... If the relief requested in the federal action requires determining that the state court’s decision is wrong or would void the state court’s ruling, then the issues are inextricably intertwined and the District Court has no subject matter jurisdiction to hear the suit.

*FOCUS,*75 F.3d at 840 (quoting *Charchenko v. City of Stillwater,*47 F.3d 981, 983 (8th Cir.1995)). Moreover, a District Court does not have jurisdiction over “challenges to state court decisions in particular cases arising out of judicial proceedings even if those challenges allege that the state court’s action was unconstitutional.” *Feldman,*460 U.S. at 486, 103 S.Ct. 1303.

Upon careful review of the record, we agree with the District Court that it lacked jurisdiction to review Untracht’s complaint. Granting Untracht the requested relief would be the equivalent of allowing him to use the federal courts as a forum to appeal state court judgments. Thus, Untracht’s complaint falls squarely within the *Rooker-Feldman*doctrine, which applies to “cases brought by state-court losers complaining of injuries caused by state-court judgments rendered before the District Court proceedings commenced and inviting District Court review and rejection of those judgments.” *Exxon Mobil Corp. v. Saudi Basic Indus. Corp.,*— U.S. -, 125 S.Ct. 1517, 1521-22, 161 L.Ed.2d 454 (2005).

Untracht’s arguments to the contrary are unavailing. For all that Untracht claims that he is not using the present action as a vehicle to appeal state court orders entered between 1991 and 2002, such an appeal is at the heart of this action.4 Not only does Untracht effectively seek to undo state court orders, but almost all of the actions of the defendants about which he complains are directly related to the state court proceedings. Thus, the District Court did not err in dismissing Untracht’s complaint for lack of subject matter jurisdiction.

Accordingly, for the foregoing reasons we will affirm the District Court’s November 23, 2004 order.

1

. Untracht had previously filed a similar complaint in the District Court which he voluntarily withdrew.

2

. In the alternative, the District Court concluded that the defendants were not state actors for purposes of § 1983. However, because we agree with the District Court's determination that it lacked subject matter jurisdiction to consider Untracht's claims, we need not address whether the defendants could be considered state actors in, this case.

3

. *See District of Columbia Court of Appeals v. Feldman,*460 U.S. 462, 103 S.Ct. 1303, 75 L.Ed.2d 206 (1983); *Younger v. Harris,*401 U.S. 37, 91 S.Ct. 746, 27 L.Ed.2d 669 (1971); *Rooker v. Fidelity Trust Co.,*263 U.S. 413, 44 S.Ct. 149, 68 L.Ed. 362 (1923).

4

. We believe that the District Court succinctly summarized Untracht's complaint as "read[ing] like an appellate brief to the New Jersey Supreme Court, arguing that the Appellate Division’s 2002 decision is inconsistent with the both the law and the facts.”