Opinion ID: 602
Heading Depth: 3
Heading Rank: 4

Heading: remis

Text: Cossaboon points to MMC's participation in REMIS to support her claim of general jurisdiction. REMIS is a twenty-four-hour communication center that facilitates transfers to MMC once other hospitals and caregivers have contacted MMC with a transfer request. For example, when a caregiver calls MMC to request a transfer, REMIS facilitates determination of the appropriate services to contact and then monitors the call to collect transfer information. Transfer requests are initiated by the patient's own caregiver, not by MMC, and patients still must travel to Maine to receive MMC's medical services. MMC has no agreement with New Hampshire physicians whereby patients are directed to MMC for medical services, and there is no indication that MMC participates in REMIS in order to attract more referrals from New Hampshire in particular. MMC's participation in REMIS does not reflect any act by which MMC purposefully directs its activities toward New Hampshire residents. Cossaboon relies on Kenerson v. Stevenson, 604 F.Supp. 792 (D.Me.1985), to argue that MMC's participation in REMIS supports a finding of general jurisdiction. In Kenerson, the district court held that a New Hampshire hospital was subject to general jurisdiction in Maine. Id. at 795. The court based its exercise of jurisdiction on the hospital's treatment of Maine patients (approximately 8% of total patient admissions), receipt of reimbursement from the Maine Department of Human Services, and participation in REMIS, a system that contemplates emergency transfer of patients. Id. The district court's opinion in Kenerson, although not expressly overruled by Harlow, is clearly in tension with that decision. See Harlow, 432 F.3d at 65 n. 9 (neither approving of or distinguishing Kenerson, but instead stating that [w]hether Kenerson is correct or not, the evidence here does not establish general jurisdiction). In light of our subsequent holding in Harlow, we find Kenerson unpersuasive here. [6]