Turpin v. Valley Obstetrics and Gynecology , 2021 UT App 12 ( 2021 )


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    2021 UT App 12
    THE UTAH COURT OF APPEALS
    BRITTNEY TURPIN,
    Appellee,
    v.
    VALLEY OBSTETRICS AND GYNECOLOGY, BRIAN L. WOLSEY,
    JENNIFER BOOTH, AND SCOTT S. REES,
    Appellants.
    Opinion
    No. 20200015-CA
    Filed February 11, 2021
    Fourth District Court, Spanish Fork Department
    The Honorable Jared Eldridge
    No. 180300203
    Jaryl L. Rencher and Benjamin Lusty, Attorneys
    for Appellants
    John M. Macfarlane, Richard Eric Shelton, and
    P. McKay Corbett, Attorneys for Appellee
    JUDGE JILL M. POHLMAN authored this Opinion, in which
    JUDGE DIANA HAGEN and SENIOR JUDGE KATE APPLEBY
    concurred. 1
    POHLMAN, Judge:
    ¶1    Brittney Turpin discovered she had ovarian cancer after
    undergoing surgery for what her doctors diagnosed as an
    ovarian cyst. Turpin filed a medical malpractice action against
    Valley Obstetrics and Gynecology; Brian L. Wolsey, M.D.;
    1. Senior Judge Kate Appleby began work on this case as an
    active member of the Utah Court of Appeals. She completed her
    work as a senior judge sitting by special assignment as
    authorized by law. See generally Utah R. Jud. Admin. 11-201(6).
    Turpin v. Valley Obstetrics and Gynecology
    Jennifer Booth, ACNP; and Scott S. Rees, D.O. (collectively,
    Defendants) for their alleged negligence in failing to properly
    diagnose and treat her. Nearly six months after filing suit,
    Turpin moved to compel arbitration pursuant to the parties’
    agreement. Defendants opposed Turpin’s motion, contending
    that she had waived her right to arbitrate by substantially
    participating in litigation and that they were prejudiced by her
    filing. Without reaching the question of prejudice, the district
    court granted Turpin’s motion, concluding that she had not
    substantially participated in litigation and thus had not waived
    her right to arbitrate.
    ¶2    We affirm the district court’s decision, albeit on alternate
    grounds. Applying this court’s precedent, we conclude that
    Turpin substantially participated in litigation by filing her
    malpractice claims in district court. And having been invited by
    Defendants to reach the question of prejudice on the record
    before us, we conclude that Defendants have not shown that
    they were prejudiced as a result of Turpin’s filing.
    BACKGROUND 2
    ¶3     Turpin visited Valley Obstetrics and Gynecology for an
    annual check-up in March 2014. Several days after her visit, she
    returned because she was experiencing severe pelvic pain. An
    ultrasound revealed free fluid in Turpin’s pelvis and a large
    ovarian mass. Dr. Rees diagnosed Turpin with polycystic
    ovarian syndrome and recommended surgery to remove the
    mass.
    2. In ruling on Turpin’s motion to compel arbitration, the district
    court made few factual findings, and most of the relevant facts
    are undisputed procedural facts. For the limited purpose of
    providing context for this appeal, we recite some additional facts
    as they are alleged in Turpin’s complaint. See infra ¶¶ 3–5.
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    Turpin v. Valley Obstetrics and Gynecology
    ¶4     Two weeks later, Drs. Wolsey and Rees tried to surgically
    remove Turpin’s ovarian mass using a technique called
    morcellation, which involves fragmenting the mass into smaller
    pieces to aid removal. The doctors removed what they could but
    left several pieces of the mass inside Turpin’s abdomen.
    Subsequent tests performed on the extracted pieces revealed that
    the mass was actually a cancerous tumor. Turpin has since
    undergone additional surgeries and aggressive chemotherapy
    under the care of other doctors.
    ¶5    Turpin believes that Defendants were negligent in not
    making the correct diagnosis before operating and that the
    surgery itself was negligently performed. Accordingly, in 2018,
    she served notices of intent to commence legal action against
    Defendants pursuant to the Utah Health Care Malpractice Act
    (the Act), Utah Code Ann. §§ 78B-3-401 to -426 (LexisNexis 2018
    & Supp. 2020). 3 Pursuant to statute, the Division of Occupational
    and Professional Licensing (DOPL) provided a prelitigation
    hearing panel, at which the parties appeared with counsel to
    address Turpin’s claims. 4 See id. § 78B-3-416 (Supp. 2020).
    3. Because recent statutory amendments are not material in this
    case, we cite the current version of the Utah Code for
    convenience.
    4. Under the Act, a plaintiff must submit a malpractice claim to a
    prelitigation panel as a prerequisite to filing a lawsuit. Utah
    Code Ann. § 78B-3-416(1)(c), (2)(a) (LexisNexis Supp. 2020). The
    proceedings are “informal and nonbinding but also compulsory
    as a condition precedent to commencing litigation.” Jensen v.
    Intermountain Healthcare, Inc., 
    2018 UT 27
    , ¶ 8, 
    424 P.3d 885
    (cleaned up). “After it completes its review, the hearing panel
    issues an opinion and a certificate acknowledging that the
    plaintiff has complied with [the Act’s] prelitigation
    requirements.” 
    Id.
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    Turpin v. Valley Obstetrics and Gynecology
    ¶6     After resolution of the DOPL proceedings, Turpin
    filed claims for medical malpractice against Defendants
    in district court. Defendants moved to dismiss the
    complaint, arguing that the claims were barred by the
    Act’s statute of repose. Turpin opposed Defendants’ motion,
    and the court ruled in her favor. Defendants then
    answered Turpin’s complaint and the parties exchanged initial
    disclosures.
    ¶7     Just a few weeks later, and nearly six months after filing
    her complaint, Turpin moved to compel arbitration based on an
    agreement she had signed during her third visit with
    Defendants. The agreement provided that Turpin would resolve
    any medical malpractice claims she may have against
    Defendants through informal negotiation, non-binding
    mediation, or binding arbitration. Turpin could choose her
    preferred method of resolution, but she waived her right to have
    any malpractice claim against Defendants “decided by a judge or
    jury.”
    ¶8     Defendants opposed Turpin’s motion and argued that
    she had waived her right to arbitrate by filing her claims
    in district court. Citing the two-part test first articulated by
    the Utah Supreme Court in Chandler v. Blue Cross Blue Shield
    of Utah, 
    833 P.2d 356
     (Utah 1992), Defendants argued that
    (1) Turpin had substantially participated in litigation to
    a point inconsistent with the right to arbitrate and (2) her
    participation had prejudiced Defendants. The court
    disagreed and ordered the case to arbitration. It concluded
    that Defendants had not shown that the substantial
    participation prong of the Chandler test was met,
    noting that Turpin “did not participate in written discovery
    or conduct depositions, file motions with the Court, or
    engage in any significant discovery of months of time.”
    Having reached that conclusion, the court found it
    unnecessary to address Defendants’ claim of prejudice.
    Defendants appeal.
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    Turpin v. Valley Obstetrics and Gynecology
    ISSUES AND STANDARD OF REVIEW
    ¶9     Defendants contend that the district court erred in
    granting Turpin’s motion to compel arbitration. For the reasons
    described below, see infra ¶¶ 12–17, the court’s determination is a
    legal conclusion that we review for correctness. ASC Utah, Inc. v.
    Wolf Mountain Resorts, LC, 
    2010 UT 65
    , ¶ 11, 
    245 P.3d 184
    .
    ¶10 Defendants also invite us to decide, in the first instance,
    whether they were prejudiced by Turpin’s participation in
    litigation. Because Defendants’ claims of prejudice are based
    solely on the assertions made in their legal memoranda, we
    accept their invitation and make the determination as a matter of
    law. See 
    id.
    ANALYSIS
    ¶11 The Utah Supreme Court first articulated the test for
    whether a party has waived its right to arbitrate in Chandler v.
    Blue Cross Blue Shield of Utah, 
    833 P.2d 356
     (Utah 1992). There, the
    court stated, “Waiver of a right of arbitration must be based on
    both a finding of participation in litigation to a point inconsistent
    with the intent to arbitrate and a finding of prejudice.” Id. at 360
    (cleaned up). Because policy favors arbitration, “there is also a
    strong presumption against waiver of the right to arbitrate.”
    Central Fla. Invs. Inc. v. Parkwest Assocs., 
    2002 UT 3
    , ¶ 24, 
    40 P.3d 599
    . “The party claiming waiver has the burden of establishing
    substantial participation and prejudice.” 
    Id.
    ¶12 Before we address the two prongs of the Chandler test, we
    must first resolve the parties’ dispute over the proper standard
    of review.
    I. Standard of Review
    ¶13 Citing Chandler, Turpin argues that the district court’s
    determination that she did not substantially participate in
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    Turpin v. Valley Obstetrics and Gynecology
    litigation is a factual one to which we owe deference. In
    contrast, Defendants cite ASC Utah, Inc. v. Wolf Mountain Resorts,
    LC, 
    2010 UT 65
    , 
    245 P.3d 184
    , and argue that “[b]ecause this
    case involved no disputed determinations of fact . . . and
    was resolved solely on documentary evidence alone,” the
    applicable standard of review is correctness. We agree with
    Defendants.
    ¶14 Turpin is correct that, for nearly two decades, Utah
    appellate courts treated a district court’s decision about a party’s
    waiver of its right to arbitrate as a fact-intensive decision.
    Beginning with Chandler, our supreme court explained that the
    existence of both substantial participation and prejudice “should
    be reviewed as factual determinations,” with the “dispositive
    issue” being “whether there [was] sufficient support in the
    record to uphold the trial court’s findings.” Chandler v. Blue Cross
    Blue Shield of Utah, 
    833 P.2d 356
    , 360 (Utah 1992). And the court
    applied this standard, even though the relevant facts in Chandler
    were “not in dispute.” 5 
    Id.
    ¶15 Until 2010, Utah appellate courts applied this standard of
    review in every case that followed. See Pledger v. Gillespie, 
    1999 UT 54
    , ¶ 16, 
    982 P.2d 572
     (“[T]he actions or events allegedly
    supporting waiver are factual in nature and should be reviewed
    as factual determinations, to which we give a district court
    5. In dissent, Justice Zimmerman expressed puzzlement over the
    majority’s articulation of the standard of review, observing that
    “[t]he trial court made no factual findings on disputed evidence
    in determining that the standard for waiver was met, and there
    was no dispute as to the relevant facts.” Chandler v. Blue Cross
    Blue Shield of Utah, 
    833 P.2d 356
    , 361–62 (Utah 1992)
    (Zimmerman, J., concurring and dissenting). In his view, “[t]he
    trial [court] was either correct in concluding that the
    uncontroverted facts satisfied the legal standard or [it] was not.
    There is no room here for the exercise of trial court discretion on
    this question.” Id. at 362.
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    Turpin v. Valley Obstetrics and Gynecology
    deference.”); Central Fla. Invs. Inc. v. Parkwest Assocs., 
    2002 UT 3
    ,
    ¶ 20, 
    40 P.3d 599
     (same); Cedar Surgery Center, LLC v. Bonelli, 
    2004 UT 58
    , ¶ 6, 
    96 P.3d 911
     (same); Smile Inc. Asia Pte. Ltd. v.
    BriteSmile Mgmt., Inc., 
    2005 UT App 381
    , ¶ 20, 
    122 P.3d 654
    (same); see also Baker v. Stevens, 
    2005 UT 32
    , ¶ 14, 
    114 P.3d 580
    (“We have noted that the finding of the existence of substantial
    participation and the finding of the existence of prejudice
    are factual in nature and therefore should be reviewed as
    factual determinations.” (cleaned up)). But in ASC Utah,
    our supreme court articulated a different standard. There,
    the court stated, for the first time in the Chandler context,
    that “when a district court denies a motion to compel
    arbitration based on documentary evidence alone, it is a legal
    conclusion that is reviewed for correctness.” ASC Utah, 
    2010 UT 65
    , ¶ 11.
    ¶16 Turpin invites us to overlook this statement, arguing that
    “the standard of review in ASC Utah does not apply here”
    because the ASC Utah court decided only whether the Chandler
    test applied in that case and did not evaluate whether the
    evidence supported the district court’s waiver determination.
    But we read ASC Utah differently. The supreme court referred to
    the district court’s determinations under the Chandler test as
    “legal conclusions,” ASC Utah, 
    2010 UT 65
    , ¶ 25, and it examined
    the undisputed evidence to independently evaluate whether
    the defendant had substantially participated in litigation to
    a point inconsistent with arbitration, 
    id.
     ¶¶ 30–34, and
    whether the plaintiff had been prejudiced as a result, id. ¶ 36.
    Further, the supreme court ultimately determined that the
    district court’s conclusions were “correct,” and it never once
    suggested that it was deferring to the district court’s judgment.
    Id. ¶¶ 1, 29–40.
    ¶17 We acknowledge that the standard of review applied in
    ASC Utah is different from the standard applied in Chandler,
    even though in each case the waiver question was evaluated
    based on undisputed, documentary evidence. But we are bound
    to strictly follow the decisions rendered by our supreme court,
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    Turpin v. Valley Obstetrics and Gynecology
    and that includes following its most recent pronouncement on
    the applicable standard of review. See Ortega v. Ridgewood Estates
    LLC, 
    2016 UT App 131
    , ¶ 30, 
    379 P.3d 18
     (“We are bound by
    vertical stare decisis to follow strictly the decisions rendered by
    the Utah Supreme Court.” (cleaned up)); Gary Porter Constr. v.
    Fox Constr., Inc., 
    2004 UT App 354
    , ¶ 15 n.2, 
    101 P.3d 371
    (recognizing that this court must follow the Utah Supreme
    Court’s “most recent” pronouncement on an issue). 6 Thus,
    because the district court’s substantial participation
    determination was made based on documents alone, we review
    its decision for correctness.
    II. The Chandler Test
    ¶18 Having identified the applicable standard of review, we
    turn our attention to the merits of Defendants’ appeal, which
    requires our application of the Chandler two-part test. As
    mentioned above, waiver of a right to arbitrate occurs when both
    parts are met. See supra ¶ 11. First, the party seeking arbitration
    must substantially participate in litigation to a point inconsistent
    with the right to arbitrate. Second, the party’s participation must
    cause prejudice to the opposing side. Chandler v. Blue Cross Blue
    Shield of Utah, 
    833 P.2d 356
    , 360 (Utah 1992).
    ¶19 We consider first whether the district court erred in
    concluding that Turpin did not substantially participate in
    litigation. Next, at Defendants’ invitation, we decide in the first
    instance whether Turpin’s participation prejudiced Defendants.
    6. We note that this court, in Educators Mutual Insurance Ass’n v.
    Evans, cited the standard of review from Chandler and its
    progeny as the applicable standard, even though that decision
    post-dated ASC Utah. See Educators Mutual Ins. Ass’n v. Evans,
    
    2011 UT App 171
    , ¶ 21, 
    258 P.3d 598
    . But unlike this case, it does
    not appear that there was a dispute in Educators Mutual about
    the appropriate standard of review.
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    Turpin v. Valley Obstetrics and Gynecology
    A.    Substantial Participation in Litigation
    ¶20 “This first part of the Chandler test looks at the actions of
    the party seeking arbitration, and whether those actions
    evidence an intent to submit to the jurisdiction of the court and
    pursue redress through litigation.” Central Fla. Invs. Inc. v.
    Parkwest Assocs., 
    2002 UT 3
    , ¶ 26, 
    40 P.3d 599
    . The district court
    determined that Turpin did not substantially participate in
    litigation because, it reasoned, she did not engage in significant
    discovery or file motions with the court. Defendants argue that
    the district court’s focus on the extent of Turpin’s post-filing
    activities was misguided and that Turpin filing the complaint,
    “by itself,” evidenced a clear intent to litigate her dispute and
    waive her right to arbitrate. We agree.
    ¶21 Our case law applying the Chandler test ordinarily
    arises in the context of a defendant seeking to arbitrate after
    having answered a plaintiff’s complaint. See, e.g., Chandler, 833
    P.2d at 360; Central Fla. Invs. 
    2002 UT 3
    , ¶ 28; Baker v. Stevens,
    
    2005 UT 32
    , ¶¶ 13–15, 
    114 P.3d 580
    ; Smile Inc. Asia Pte. Ltd. v.
    BriteSmile Mgmt., 
    2005 UT App 381
    , ¶¶ 22–27, 
    122 P.3d 654
    .
    Under those circumstances, courts are called upon to
    evaluate the defendant’s various litigation activities to
    assess whether the extent of its participation evidences an
    intent to litigate the dispute. But in Educators Mutual Insurance
    Ass’n v. Evans, this court addressed a different scenario—one in
    which a plaintiff sought to arbitrate its dispute after having
    filed a complaint. 
    2011 UT App 171
    , ¶ 66, 
    258 P.3d 598
    . And
    in that case, the court had no trouble concluding that the
    first prong of the Chandler test was satisfied by the plaintiff’s
    filing of the complaint. 
    Id.
     The court explained, “By filing the
    complaint, [the plaintiff] plainly evidenced an intent to submit
    to the jurisdiction of the court and pursue redress through
    litigation.” 
    Id.
     Applying that principle here, Turpin’s filing of
    her complaint likewise evidenced her intent to pursue
    redress through litigation, thus satisfying the first prong of the
    Chandler test.
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    Turpin v. Valley Obstetrics and Gynecology
    ¶22 Turpin urges us to reach a different conclusion than that
    reached in Educators, arguing that the court’s substantial
    participation determination “is cursory dictum” and does not set
    a precedent we must follow. We disagree. Dicta is nonbinding
    language in a court’s opinion that is made “casually and without
    analysis, where the statement is uttered in passing without due
    consideration of the alternatives, or where it is merely a prelude
    to another legal issue that commands the court’s full attention.”
    State v. Robertson, 
    2017 UT 27
    , ¶ 27, 
    438 P.3d 491
     (cleaned up).
    The statement in Educators was not uttered in passing or casually
    without analysis. The court was called on to specifically address
    whether the first prong of Chandler was met, and the court
    concluded, without equivocation, that filing the complaint,
    without more, evidenced an intent to litigate. Educators, 
    2011 UT App 171
    , ¶ 66. This determination was a key component of the
    court’s analysis on the waiver issue, and we are in no position to
    disregard it.
    ¶23 Turpin also suggests that Educators is at odds with
    Chandler and its progeny, but we view them as consistent. For
    example, in Central Florida Investments, our supreme court
    affirmed the district court’s determination that the defendant did
    not substantially participate in litigation, but the supreme court
    considered it to be a “close call.” 
    2002 UT 3
    , ¶ 27. The court saw
    it that way because the defendant had not just answered the
    complaint, but it had filed a counterclaim and a motion to
    dismiss before moving to compel arbitration. Id. ¶ 28. Thus, the
    defendant “invoked the authority of the court . . . before filing
    the motion to compel.” Id. Still, the court ultimately held that the
    defendant did not waive its right to arbitrate, deeming it
    significant that the defendant did not “invoke[]” “the litigation
    machinery” and that “when it did participate in the litigation
    process,” “it did so reluctantly” and “while communicating an
    intent to arbitrate.” Id. ¶ 34. Given the significance attributed to
    the defendant’s reluctance in Central Florida Investments—a
    reluctance that was missing from Educators—we do not view
    Educators as antithetical to other precedent.
    20200015-CA                     10                
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    Turpin v. Valley Obstetrics and Gynecology
    ¶24 Finally, Turpin alternatively asks us to distinguish her
    case from Educators, explaining that she “is not a large insurance
    company,” as was the plaintiff in that case, and that she filed her
    lawsuit shortly before the statute of limitations expired while
    changing law firms and fighting cancer. We are sympathetic to
    Turpin’s situation, but we fail to see how these differences are
    material to the substantial participation prong of the Chandler
    test. 7 The question posed is whether a party’s actions evidence
    an intent to submit to the jurisdiction of the court and pursue
    one’s claims through litigation. Absent some outward indication
    by Turpin that she was pursuing litigation reluctantly or did not
    want to waive her right to arbitrate, we see no relevant
    difference between this case and Educators, 8 and we are bound
    by its precedent. See State v. Legg, 
    2018 UT 12
    , ¶ 9, 
    417 P.3d 592
    (“Under the doctrine of horizontal stare decisis, the first decision
    by a court on a particular question of law governs later decisions
    by the same court.” (cleaned up)).
    7. That Turpin may have been an unsophisticated litigant and
    may not have recalled signing the arbitration agreement seems
    relevant to whether she relinquished a “known” right. See ASC
    Utah, Inc. v. Wolf Mountain Resorts, LC, 
    2010 UT 65
    , ¶ 26, 
    245 P.3d 184
     (cleaned up) (“A waiver is the intentional relinquishment of
    a known right. To constitute a waiver, there must be an existing
    right, benefit or advantage, a knowledge of its existence, and an
    intention to relinquish it.” (cleaned up)). But Turpin conceded
    knowledge for purposes of this appeal, and she has not
    otherwise shown how these facts are relevant to the substantial
    participation question.
    8. We note that unlike Turpin, the plaintiff in Educators had
    participated in other litigation activities, including a year of
    “pleadings and discovery.” 
    2011 UT App 171
    , ¶ 13. But the court
    did not view the other activities as material to its analysis. It
    concluded that filing the complaint was sufficient to satisfy the
    first prong of Chandler. Id. ¶ 66.
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    Turpin v. Valley Obstetrics and Gynecology
    ¶25 In sum, we conclude that the district court erred in
    deciding that Turpin had not substantially participated in
    litigation. 9 By invoking the litigation machinery, Turpin
    evidenced her intent to pursue her medical malpractice claims
    against Defendants through litigation, thus satisfying the first
    prong of the Chandler two-part test.
    B.    Prejudice
    ¶26 Having determined that Defendants did not satisfy the
    first prong of the Chandler test, the district court declined to
    reach the second prong, which required Defendants to show that
    they were prejudiced by Turpin initiating litigation. Aware that
    they ultimately must prevail on both prongs of the test,
    Defendants invite us to decide the question of prejudice rather
    than remand the issue for resolution in the first instance by the
    district court.
    ¶27 We accept Defendants’ invitation for two reasons. First,
    Defendants offered no evidence in support of their claims of
    prejudice, but instead they asked the district court to decide the
    question based on the docket and counsel’s representations.
    Because this posture presents us with a question of law, we are
    well suited to decide it. See ASC Utah, Inc. v. Wolf Mountain
    Resorts, LC, 
    2010 UT 65
    , ¶ 11, 
    245 P.3d 184
     (holding that “when a
    district court denies a motion to compel arbitration based on
    documentary evidence alone, it is a legal conclusion that is
    reviewed for correctness”). Second, “when reviewing a decision
    made on one ground, we have the discretion to affirm the
    judgment on an alternative ground if it is apparent in the
    record.” Madsen v. Washington Mutual Bank fsb, 
    2008 UT 69
    , ¶ 26,
    
    199 P.3d 898
     (cleaned up); see also Bodell Constr. Co. v. Robbins,
    
    2009 UT 52
    , ¶ 26 n.17, 
    215 P.3d 933
     (“To serve judicial economy,
    we may affirm a district court’s decision whenever the decision
    9. In fairness to the district court, neither party cited the
    Educators case in briefing Turpin’s motion to compel arbitration.
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    Turpin v. Valley Obstetrics and Gynecology
    appealed from is sustainable on any legal ground or theory
    apparent on the record.” (cleaned up)). In the interest of judicial
    economy, we exercise that discretion here.
    ¶28 Because Turpin participated in litigation to a point
    inconsistent with the intent to arbitrate, “whether waiver has
    occurred rests solely on a finding of prejudice.” 10 See Chandler,
    833 P.2d at 358–59. “[T]he prejudice must relate to the delay in
    the assertion of the right to arbitrate,” and “the prejudice [must]
    be of such a nature that the party opposing arbitration suffers
    some real harm.” Id. at 360. “[A]ctual prejudice or real harm”
    may be shown by the party opposing arbitration if it has
    incurred “significant expenses in the district court litigation that
    would not have been incurred in arbitration,” Pledger v. Gillespie,
    
    1999 UT 54
    , ¶¶ 19, 23, 
    982 P.2d 572
    , or if it has participated in
    discovery “that would not have been available in arbitration,”
    ASC Utah, 
    2010 UT 65
    , ¶ 35. Finally, “prejudice can occur if a
    party gains an advantage in arbitration through participation in
    pretrial procedures.” Chandler, 833 P.2d at 359. The party
    opposing arbitration has the burden of proving prejudice.
    Central Fla. Invs., 
    2002 UT 3
    , ¶ 24.
    10. During oral argument, we asked counsel whether the
    Chandler prejudice prong had been abrogated by Mounteer
    Enterprises, Inc. v. Homeowners Ass’n, 
    2018 UT 23
    , 
    422 P.3d 809
    . In
    Mounteer, the Utah Supreme Court stated generally that “[t]he
    prejudice requirement is a doctrinal misfit in the law of waiver,”
    and it thus “repudiate[d] [its] prior decisions that speak of
    prejudice as an element of waiver.” 
    Id.
     ¶¶ 33–34. Mounteer,
    however, was not an arbitration case, and the court did not
    specifically address whether prejudice remains an element of the
    Chandler test. 
    Id.
     ¶¶ 9–10, 31–34. Because the parties did not raise
    this issue in the district court or on appeal, we consider it waived
    and assume for purposes of our review that the prejudice prong
    still applies in the Chandler context. Still, without expressing any
    opinion on it, we flag the issue for possible exploration in a
    future case.
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    Turpin v. Valley Obstetrics and Gynecology
    ¶29 Defendants first contend that they were prejudiced by
    Turpin’s delay in pursuing arbitration because they participated
    in the DOPL hearing. Defendants claim that they “were required
    to incur attorney fees preparing for the hearing” and that they
    lost revenue from having to “take time away from their clinical
    practices” to attend. Additionally, Defendants claim that Turpin
    “gained an informational advantage” because there was a
    “candid discussion” of Defendants’ “defenses and medical
    assessments” during the DOPL hearing.
    ¶30 We do not share Defendants’ view that they have shown
    actual prejudice arising from their participation in the DOPL
    hearing. For one thing, Defendants have not shown that the time
    spent preparing for and attending the DOPL hearing is not time
    that would have been spent preparing for arbitration. Even if
    Turpin had immediately asserted her right to arbitrate,
    Defendants still would have invested time examining the facts of
    the case and considering their potential defenses. Only generally
    alleging that they incurred costs preparing for and attending the
    hearing does not establish that the time was wasted and that
    they suffered “real harm.” See Chandler, 833 P.2d at 360.
    ¶31 Further, even if Defendants incurred some expense to
    participate in the DOPL hearing that they would not have
    incurred preparing for arbitration, Defendants have not shown
    that those expenses were “significant.” See Pledger, 
    1999 UT 54
    ,
    ¶ 23. Defendants bear the burden of proof, and by producing no
    evidence to substantiate their claims of lost revenue or attorney
    fees, their generalized representations make it impossible for us
    to conclude that the expenses incurred were significant. 11
    11. There may be instances where the extent of the litigation
    could suggest, even without detailed proof, that the expenses
    incurred were significant. For example, in Smile Inc. Asia Pte. Ltd.
    v. BriteSmile Management, Inc., 
    2005 UT App 381
    , 
    122 P.3d 654
    ,
    this court affirmed a determination of prejudice based on a
    (continued…)
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    Turpin v. Valley Obstetrics and Gynecology
    ¶32 Similarly, Defendants have not identified any particular
    information that Turpin gleaned from the DOPL hearing that she
    would not have learned otherwise or that would give her an
    unfair advantage in arbitration. Defendants’ mere assertion that
    the discussion was “candid” does not reveal whether Turpin left
    the hearing with any kind of advantage. And even if we assume
    that Turpin did learn something unique in the DOPL hearing,
    any alleged harm is mitigated by the Act because the
    proceedings are confidential and the evidence of the proceedings
    and the panel’s findings and determinations “are not admissible
    as evidence in any civil action or arbitration proceeding.” See
    Utah Code Ann. § 78B-3-419(1) (LexisNexis 2018); id. § 78B-3-
    417(5)(a). Given those limitations, Defendants must do more to
    demonstrate actual harm. See Chandler, 833 P.2d at 360.
    ¶33 Next, Defendants argue that their lost “right to conduct
    discovery under the Utah Rules of Civil Procedure” in
    arbitration is prejudicial. But that alleged loss 12 is not a harm
    cognizable under Chandler. The Chandler court stated that the
    “prejudice must relate to the delay in the assertion of the right to
    (…continued)
    review of the record that demonstrated that the parties had
    engaged in “two years of active litigation,” including exchanging
    “significant and extensive discovery” and filing and arguing
    “numerous motions.” Id. ¶¶ 35–36. In contrast, the record in this
    case does not, without more, show that Defendants incurred
    significant expense.
    12. We describe this as an alleged loss because, as Defendants
    note, Turpin “explicitly stated that she will stipulate [in
    arbitration] to full discovery under the Utah Rules of Civil
    Procedure.” Defendants concede that they “have no reason to
    believe that Ms. Turpin or her counsel would renege on this
    stipulation,” and thus Defendants’ claim that they will not be
    able to conduct the same amount of discovery in arbitration is
    speculative at best.
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    Turpin v. Valley Obstetrics and Gynecology
    arbitrate.” 
    Id.
     This alleged harm is not related to Turpin’s delay;
    the alleged harm would exist regardless of when Turpin
    demanded arbitration. Thus, alleged prejudice of this kind does
    not support a determination of waiver.
    ¶34 Lastly, Defendants argue that they have been prejudiced
    by Turpin’s delay in compelling arbitration because they “have
    already devoted extensive briefing to the question of whether
    Ms. Turpin filed her complaint outside of the statute of
    repose.” 13 Defendants assert that they “likely” would not have
    briefed this issue if the claim had proceeded directly to
    arbitration, but they acknowledge that they would have raised it
    as a legal defense in arbitration. Once again, Defendants have
    not shown actual harm. Where they admit that they would have
    raised this issue in arbitration, and may have even briefed it, any
    claims of prejudice are speculative and inadequate to meet their
    burden of showing actual harm. And even if the costs
    Defendants incurred to brief their district court motion would
    exceed the costs they would have expended in arbitration,
    Defendants have not demonstrated that the difference is in any
    way “significant.” See Pledger, 
    1999 UT 54
    , ¶ 23.
    ¶35 In sum, Defendants bear the burden of proving that they
    suffered “real” and “actual” prejudice resulting from Turpin’s
    six-month delay in asserting her right to arbitrate. See Chandler,
    833 P.2d at 360; Pledger, 
    1999 UT 54
    , ¶ 19. Defendants have
    generally identified one or two activities in which they may or
    may not have participated had Turpin immediately proceeded to
    arbitration. Without more, Defendants have not established that
    13. Defendants also argue that they will be prejudiced because
    arbitration limits certain options, such as the ability to appeal.
    But like their discovery argument, this argument is unavailing.
    A limitation on the ability to appeal an arbitration award is not a
    cognizable prejudice under Chandler because it does not relate to
    Turpin’s delay in initiating arbitration. Chandler, 833 P.2d at 360.
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    Turpin v. Valley Obstetrics and Gynecology
    they have suffered actual harm as a result of the delay, and thus
    the Chandler prejudice prong has not been met.
    CONCLUSION
    ¶36 Turpin showed her intent to submit to the jurisdiction of
    the court and pursue redress through litigation by filing a
    complaint against Defendants in district court. But Defendants
    have not shown that they were prejudiced as a result. Thus,
    Defendants have not satisfied both prongs of the Chandler test
    and we therefore affirm on this alternative ground the district
    court’s order compelling arbitration.
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