Rahul K. Nath, M.D. v. Texas Children's Hospital ( 2012 )


Menu:
  • Opinion of May 3, 2012 Withdrawn, Motion for Rehearing Overruled, Affirmed
    and Substitute Opinion filed June 26, 2012.
    In The
    Fourteenth Court of Appeals
    NO. 14-11-00034-CV
    RAHUL K. NATH, M.D., Appellant
    V.
    TEXAS CHILDREN’S HOSPITAL, Appellee
    On Appeal from the 215th District Court
    Harris County, Texas
    Trial Court Cause No. 2006-10826
    NO. 14-11-00127-CV
    RAHUL K. NATH, M.D., Appellant
    V.
    BAYLOR COLLEGE OF MEDICINE, Appellee
    On Appeal from the 215th District Court
    Harris County, Texas
    Trial Court Cause No. 2006-10826A
    SUBSTITUTE OPINION
    We overrule the motion for rehearing filed by Rahul K. Nath, M.D. in these cases.
    We withdraw our opinion issued May 13, 2012, and we issue the following substitute
    opinion in its place.
    These are consolidated appeals of two judgments awarding appellees Texas
    Children‘s Hospital (―TCH‖) and Baylor College of Medicine (―Baylor‖) attorney‘s fees
    as sanctions. Appellant Rahul K. Nath, M.D. challenges the sanctions awards on several
    grounds. In both cases, Nath asserts that the trial court abused its discretion in granting
    the sanctions because (a) the sanctionable conduct was that of Nath‘s attorneys, rather
    than Nath; (b) the motions for sanctions were filed after the trial of the case; (c) the
    procedural safeguards of Chapter 41 of the Texas Civil Practice and Remedies Code were
    not provided; and (d) the sanctions were excessive under the circumstances. In the Baylor
    appeal only, Nath brings two additional issues: (1) the trial court abused its discretion in
    awarding Baylor its attorney‘s fees as sanctions because Texas Rule of Civil Procedure
    13 and Texas Civil Practice and Remedies Code Chapter 10 are unconstitutionally vague;
    and (2) the award of $644,500.16 in sanctions to Baylor violates the Excessive Fines
    clauses of the federal and state constitutions. We affirm.
    BACKGROUND
    Nath is a board-certified plastic surgeon specializing in surgical treatment of
    brachial plexus injuries, which are injuries to the nerves of children occurring during
    birth. In February 2006, Nath sued Baylor and TCH (under vicarious liability theories),
    and Dr. Saleh Shenaq for tortious interference with prospective business relations and
    defamation based on statements allegedly made by Shenaq. These allegedly defamatory
    statements asserted that Nath (a) was fired from Baylor, (b) performed unnecessary
    surgeries, (c) was unqualified, (d) was under criminal investigation, and (e) lacked
    professional ethics and integrity. Nath amended his petition in April 2006, adding two
    out-of-state defendants, reasserting the same allegations.
    2
    He again amended his petition in August 2006 after the out-of-state defendants
    filed special exceptions, providing more details regarding their acts, but keeping the same
    claims against all the defendants: defamation and tortious interference. The out-of-state
    defendants also filed special appearances, which the trial court denied. However, these
    special appearances were reversed on appeal. Nath‘s dispute with Shenaq was resolved
    by an agreed order of dismissal with prejudice.
    Nath amended his petition again in September 20081 to include claims for tortious
    interference, defamation, negligent supervision, and negligent training against Baylor and
    TCH only. In this petition, Nath reurged his previous defamation complaints and added
    that Shenaq and various other Baylor and TCH employees made false and misleading
    statements to the effect that Nath had left TCH without notice and had disappeared from
    TCH without leaving a forwarding address.
    Nath filed a fourth amended petition in November 2008, alleging the same claims
    against the same defendants. In this petition, he made the allegations detailed above, as
    well as alleging that further defamatory statements had been made by specific individuals
    employed by Baylor or TCH. Nath also detailed several specific examples of alleged
    tortious interference. He contended that the basis for the ―defamation campaign‖ pursued
    by TCH and Baylor was dissatisfaction of doctors in the Baylor Obstetrics/Gynecology
    department concerning Nath‘s testimony in lawsuits filed against them. He additionally
    alleged that TCH and Baylor were further motivated to discredit him, damage his
    reputation, and remove him from their facilities because Nath had discovered that even
    though Shenaq had become partially or completely blind in one eye after suffering a
    detached retina in 2003, Shenaq continued to perform surgeries.
    In July 2009, Nath filed his fifth amended petition against Baylor and TCH,
    adding claims for a declaratory judgment and seeking injunctive relief. His claims for a
    declaratory judgment and injunctive relief were based on his allegations that he had
    1
    The two-year time lag between these petitions is likely due to the appeal of the special
    appearances.
    3
    ―become increasingly concerned with the question of whether he ha[d] a duty, as a
    fiduciary to his current patients, to make any disclosures to them if, in fact, he confirmed
    that Dr. Shenaq‘s eyesight [had been] impaired during these surgeries.‖ He further
    alleged that Shenaq had some type of hepatitis, which would have been ―an absolute
    contraindication to his performing surgery.‖ He stated that when he had sought discovery
    of information to reveal when Shenaq contracted hepatitis, what form of hepatitis Shenaq
    had, and whether the disease was active, Baylor and TCH had blocked him from
    obtaining this information. He sought the following declarations:
    Plaintiff seeks this Court‘s declaration of his rights, interests, and duties
    with respect to Dr. Nath‘s Current Affected Patients and any other of the
    Eyesight Affected Patients and Possible Hepatitis Affected Patients
    [operated on by Dr. Shenaq] that are identified to be his current patients.
    Plaintiff further seeks this Court‘s declaration of the duties of Baylor and
    TCH with respect to the Eyesight Affected Patients and Possible Hepatitis
    Affected Patients. Specifically, Plaintiff seeks this Court‘s declaration that
    the information sought by Plaintiff in discovery in this lawsuit is
    information to which he is entitled and that is necessary for him to
    understand and fulfill his duties to his current patients as well as a ruling
    from the Court, after the information is fully disclosed, conforming the
    extent of disclosure that should be made to his current patients. Plaintiff
    further seeks this Court‘s declarations as to Baylor‘s and TCH‘s specific
    duties of disclosure to the Eyesight Affected Patients and Possible Hepatitis
    Affected Patients as revealed by the discovery and determined by this
    Court.
    His requested injunctive relief was based on his declaratory judgment claim.
    In December 2009, TCH a filed a traditional and no-evidence summary-judgment
    motion addressing all of Nath‘s claims. Baylor filed a similar motion on January 4, 2010.
    Nath responded to TCH‘s summary-judgment motion in March 2010. An affidavit signed
    by Nath was attached as an exhibit to this response. In this affidavit, Nath repeats and
    expands upon the factual allegations underlying his fifth amended petition, as well as
    identifying several of the legal claims asserted in his petition. On April 1, 2010, when the
    4
    motions for summary judgment were set to be argued, Nath sought recusal of the trial
    court judge.2
    On April 14, 2010, Nath filed an amended petition in which he abandoned all his
    previous claims and substituted a claim for intentional infliction of emotional distress
    (―IIED‖). In May 2004, TCH and Baylor supplemented their summary-judgment motions
    to address this claim. TCH‘s summary-judgment motion was granted on June 18, 2010,
    but its counterclaims remained pending against Nath. Baylor‘s summary-judgment
    motion was likewise granted. TCH nonsuited its counterclaims against Nath on August
    12, 2010. The trial court signed an order on August 17, 2010, stating that the previously
    granted summary judgments became final and appealable on August 12, 2010, the date of
    TCH‘s non-suit.
    On August 26, 2010, TCH filed a motion to modify the judgment to assess its
    attorney‘s fees as sanctions against Nath pursuant to Texas Rule of Civil Procedure 13
    (―Rule 13‖) and Chapter 10 of the Texas Civil Practice and Remedies Code (―Chapter
    10‖):
    [TCH] prays that the Court grant its Motion to Modify the Judgment to
    Assess Fees as Sanctions Against Plaintiff Rahul K. Nath and impose
    monetary sanctions against Nath under Chapter 10 and/or Rule 13 based on
    the filing of the intentional infliction of emotional distress claim; the
    defamation, tortious interference, and negligence claims, and the
    declaratory judgment claim.
    (emphasis added). The trial court heard the motion for sanctions on September 17, 2010.
    Without objection by Nath‘s attorney, the trial court took judicial notice of the court‘s
    file, including the motions for summary judgment, the attachments to the motions, and
    the motion for sanctions with attachments. Nath did not appear or present any evidence at
    this hearing, although he was not subpoenaed to attend. That same day, the trial court
    granted TCH‘s motion to modify the judgment and assess fees as sanctions against Nath.
    The trial court specifically found that Nath‘s claims were groundless, that a reasonable
    2
    This motion was denied on April 29, 2010.
    5
    inquiry would have revealed that these claims were without factual basis and barred by
    well-settled, existing Texas law, and that they were filed in bad faith and for an improper
    purpose. The trial court ordered Nath to pay TCH‘s attorney‘s fees in the amount of
    $726,000, concluding that this amount adequately punished Nath and fairly compensated
    TCH for defending against the claims. On November 8, 2010, the trial court additionally
    entered lengthy findings of fact and conclusions of law in support of the sanctions. These
    findings and conclusions are attached to this opinion in Appendix A.
    On September 10, 2010, the trial court severed Nath‘s proceedings against Baylor
    from the main case, in which TCH‘s motion to modify the judgment was still pending.
    On September 15, 2010, Nath filed a motion for new trial in the severed Baylor case. On
    September 21, 2010, Nath filed a notice of withdrawal of his motion for new trial in the
    Baylor case. On October 10, 2010, Baylor filed its own motion to modify the judgment
    and to assess fees as sanctions against Nath:
    [Baylor] prays that, after hearing, the Court grant its Motion for Sanctions
    and Motion to Modify the Judgment to Assess Fees as Sanctions Against
    Plaintiff Rahul K. Nath and impose monetary sanctions against Nath under
    Chapter 10 and/or Rule 13 based on the filing of the intentional infliction of
    emotional distress claim; the defamation, tortious interference, and
    negligence claims; and the declaratory judgment claim.
    (emphasis added). On November 12, 2010, Nath filed a response to Baylor‘s motion to
    modify the judgment, alleging that Baylor‘s motion was untimely, that it was improperly
    addressed at Nath rather than his attorneys, and that the evidence supporting the motion
    was legally incompetent.
    The trial court heard the sanctions motion on November 12, 2010. Over Nath‘s
    objection, the trial court took judicial notice of its file. Nath neither appeared nor offered
    any evidence at the hearing. On November 19, 2010, the trial court signed its order and
    modified judgment in the Baylor case, making the same findings as it did in the TCH
    case, discussed above. The trial court ordered Nath to pay Baylor‘s attorney‘s fees in the
    amount of $644,500.16, concluding that this amount adequately punished Nath and fairly
    6
    compensated Baylor for defending against the claims. On January 11, 2011, the trial court
    signed findings of fact and conclusions of law supporting the sanctions, which are
    included in Appendix A to this opinion.
    Nath filed motions for new trial in both cases, which were overruled by operation
    of law. These appeals timely ensued thereafter.
    ANALYSIS
    A.     Standard of Review and Applicable Law
    We review the imposition of sanctions under Chapter 10 of the Texas Civil
    Practice and Remedies Code under the same standard we review sanctions under Rule
    13—abuse of discretion. See Am. Flood Research, Inc. v. Jones, 
    192 S.W.3d 581
    , 583
    (Tex. 2006) (per curiam); Cire v. Cummings, 
    134 S.W.3d 835
    , 838 (Tex. 2004). When a
    trial court imposes Chapter 10 or Rule 13 sanctions, the ruling should be overturned only
    when it is arbitrary or unreasonable. Low v. Henry, 
    221 S.W.3d 609
    , 614 (Tex. 2007).
    ―The degree of discretion afforded by the trial court is . . . greater when sanctions are
    imposed for groundless pleadings than when imposed for discovery abuse.‖ Falk &
    Mayfield L.L.P. v. Molzan, 
    974 S.W.2d 821
    , 827 (Tex. App.—Houston [14th Dist.] 1998,
    pet. denied).
    Chapter 10 provides in pertinent part: ―A court that determines that a person has
    signed a pleading or motion in violation of Section 10.001 may impose a sanction on the
    person, a party represented by the person, or both.‖ Tex. Civ. Prac. & Rem. Code §
    10.004(a). Sanctions under Chapter 10 are authorized if the evidence establishes that a
    pleading or motion was brought for an improper purpose. 
    Id. § 10.001(1).
    Reasonable
    inquiry should be made by the party and attorney to ensure that the pleading is not filed
    to harass, delay, or increase the cost of the litigation. 
    Id. Similarly, Rule
    13 provides that, if a pleading, motion, or other paper is filed in
    violation of the rule, the trial court shall impose an appropriate sanction ―upon the person
    who signed it, a represented party, or both.‖ Tex. R. Civ. P. 13. Rule 13 authorizes
    7
    sanctions if the evidence establishes that a pleading is either (1) groundless or brought in
    bad faith or (2) groundless and brought to harass. Tex. R. Civ. P. 13. Groundless ―means
    no basis in law or fact and not warranted by good faith argument for the extension,
    modification, or reversal of existing law.‖ Tex. R. Civ. P. 13.
    B.     Propriety of Sanctions Against Nath Individually
    In his first issue in each appeal, Nath asserts that the sanctions were improper
    because they were imposed against him, rather than his attorneys who were responsible
    for the pleadings. First, as discussed above, under either Chapter 10 or Rule 13 the trial
    court may sanction the person who signed the pleading, a party represented by the person,
    or both. Here, the trial court made specific findings and conclusions supporting both
    sanctions awards against Nath individually. The trial court concluded as follows
    regarding the sanctions awarded to TCH:
    In light of Nath‘s bad faith and improper purposes, as set forth herein;
    Nath‘s knowledge of the law as a former legal student; Nath‘s prior conduct
    as a litigant in numerous cases; the expenses occurred by [TCH] as a result
    of the litigation and their reasonable proportion to the amount Nath sought
    in damages; the relative culpability of Nath, as set forth above; the minimal
    risk of chilling legitimate activity posed by sanctions here; Nath‘s ability to
    pay for the damages he has caused [TCH]; the need for compensation to
    [TCH] as a result of the damages inflicted upon it in defending against this
    lawsuit; the necessity of imposing a substantial sanction to curtail Nath‘s
    abuse of the judicial process and punish his bad faith and improper conduct;
    the burdens on the court system attributable to Nath‘s misconduct,
    including his consumption of extensive judicial time and resources in
    prosecuting this case; and the degree to which Nath‘s own behavior caused
    the expenses for which [TCH] seeks reimbursement, the Court concludes
    that [TCH] should be awarded a substantial portion of its attorney‘s fees to
    sanction Nath for his conduct.
    A similar legal conclusion was entered in the Baylor case.3
    Second, the record contains a lengthy affidavit signed by Nath, in which he repeats
    and expands upon the facts and claims asserted in his fifth and sixth amended petitions.
    3
    As noted above, the trial court‘s findings of fact and conclusions of law in each case are
    included in their entirety in Appendix A to this opinion.
    8
    He specifically references his defamation claims and suggests that he may have a duty to
    his patients to disclose information regarding Shenaq‘s health, which is what he
    attempted to use the Declaratory Judgment Act to discover. The trial court considered this
    affidavit in determining that Nath took a personal and participatory role in the litigation.
    Nath changed lead attorneys during the pendency of the litigation, another indicator that
    he was actively involved in the litigation. Finally, Nath‘s counsel stated that because
    Nath was very interested in the depositions of two doctors, his attendance at the
    depositions was ―vital‖ to help direct questioning of the deponents, indicating his active
    involvement in the litigation.
    All of these factors support the trial court‘s conclusion that Nath himself engaged
    in the offensive conduct. We are aware that we are not bound by the trial court‘s findings
    of fact and conclusions of law. See Am. Flood Research, 
    Inc., 192 S.W.3d at 583
    (so
    holding in a discovery sanctions case). However, we have reviewed the entire record—
    twenty-nine volumes of clerk‘s records in the TCH appeal and three volumes of clerk‘s
    records in the Baylor appeal, as well as numerous volumes of reporter‘s records from
    various hearings, including the hearings on the motions for sanctions.4 We conclude that
    the trial court did not abuse its discretion in finding sufficient evidence that Nath was
    personally involved in the litigation and assisted in orchestrating the claims and tactics of
    these lawsuits. Cf. Softech Int’l, Inc v. Diversys Learning, Inc., No. 03-07-00687-CV,
    
    2009 WL 638203
    , at *6–7 (Tex. App.—Austin Mar. 13, 2009, pet. denied) (mem. op.)
    (concluding that trial court did not abuse its discretion in assessing sanctions against
    party where there was evidence that party engaged in offensive conduct). We overrule his
    first issue in each case.
    4
    Nath, however, asserts that, at best, the evidence that TCH and Baylor set out in their motions
    for sanctions equally supports the inference that Nath did, and did not, authorize or ratify the acts or
    omissions about which they complain in their motions. But a ―trial court does not abuse its discretion if it
    bases its decision on conflicting evidence and some evidence supports its decision.‖ Unifund CCR
    Partners v. Villa, 
    299 S.W.3d 92
    , 97 (Tex. 2009).
    9
    C.     Timing of TCH’s and Baylor’s Motions for Sanctions
    In his second issue in each appeal, Nath complains that the sanctions motions were
    filed ―too late,‖ i.e., after trial of the case. In support of this assertion, Nath relies on
    cases regarding sanctions for discovery abuse. See Remington Arms Co., Inc. v. Caldwell,
    
    850 S.W.2d 167
    , 170 (Tex. 1993) (orig. proceeding); Finlay v. Olive, 
    77 S.W.3d 520
    ,
    525–26 (Tex. App.—Houston [1st Dist.] 2002, no pet.). However, the Texas Supreme
    Court has upheld an award of sanctions under Chapter 10 and Rule 13 based on a motion
    for such sanctions filed after entry of a final judgment. Lane Bank Equip. Co. v. Smith S.
    Equip., Inc., 
    10 S.W.3d 308
    , 312 (Tex. 2008) (―[A] motion made after judgment to
    incorporate a sanction as a part of the final judgment does propose a change to that
    judgment. Such a motion is, on its face, a motion to modify, correct or reform the existing
    judgment within the meaning of Rule 329b(g).‖) Accordingly, Nath‘s second issue in
    each case is meritless and is overruled.
    D.     Applicability of Texas Civil Practice and Remedies Code Chapter 41
    In his third issue in each appeal, Nath contends that trial court abused its discretion
    in ordering him to pay sanctions because Nath was entitled to the procedural safeguards
    found in Chapter 41 of the Texas Civil Practice and Remedies Code. Nath asserts that
    these procedural safeguards are applicable and were not afforded by the trial court in this
    case. We note first that Nath waived this argument regarding TCH by failing to present it
    to the trial court. See Tex. R. App. P. 33.1(a)(1)(A); Sterling v. Alexander, 
    99 S.W.3d 793
    , 797 (Tex. App.—Houston [14th Dist.] 2003, pet. denied). Thus, we consider this
    issue in only Nath‘s appeal from the judgment and sanctions order in the Baylor case and
    overrule issue three in the TCH appeal.
    In addressing this issue, we must first determine whether the safeguards of
    Chapter 41 are applicable in this case. Nath asserts that they are:
    Texas Civil Practice & Remedies Code Annotated section 41.001(5)
    defines ―exemplary damages‖ as ―any damages awarded as a penalty or by
    way of punishment but not for compensatory purposes.‖ On page 2 of its
    10
    Order and Modified Final Judgment, the trial court expressly states that the
    award of $644,500.16 was intended both to ―punish Nath‖ and to
    compensate Baylor College of Medicine. As such, the trial court‘s award of
    $644,500.16, in part, constitutes ―exemplary damages‖ under Chapter 41 of
    the Texas Civil Practice & Remedies Code. Therefore, Dr. Nath was
    entitled to all of the procedural and substantive protections and safeguards
    afforded to him by the Texas Legislature in that statute.
    (record citations omitted).
    By its express terms, Chapter 41 applies to ―any action in which a claimant seeks
    damages relating to a cause of action.‖ Tex. Civ. Prac. & Rem. Code § 41.002(a)
    (emphasis added). In turn, ―‗[c]laimant‘ means a party, including a plaintiff,
    counterclaimant, cross-claimant, or third-party plaintiff, seeking recovery of damages.‖
    
    Id. § 41.001(1)
    (emphasis added). Here, Baylor was never a plaintiff, counterclaimant,
    cross-claimant, or third party plaintiff seeking damages. See 
    id. Accordingly, Baylor
    is
    not a ―claimant‖ under Chapter 41. Nath has provided no argument or authority to
    contradict the plain language of the statute, which expressly excludes Baylor from its
    application. Because Nath has failed to establish that Chapter 41 applies to this case, we
    overrule his third issue in the Baylor appeal.
    E.     “Excessiveness” of Sanctions
    In his fourth issue in each appeal, Nath contends that the trial court abused its
    discretion by ordering Nath to pay monetary sanctions to TCH and Baylor that were
    excessive under the circumstances presented. Because Nath failed to present this issue to
    the trial court in his case against TCH, he has not preserved this issue for our review. We
    therefore overrule Nath‘s fourth issue in the TCH appeal.
    Considering this issue regarding sanctions awarded to Baylor, the Texas Supreme
    Court in Low set out a ―nonexclusive list‖ of factors courts should consider in
    determining the amount of sanctions, including:
    the good faith or bad faith of the offender;
    the degree of willfulness, vindictiveness, negligence, or frivolousness involved
    in the offense;
    11
    the knowledge, experience, and expertise of the offender;
    any prior history of sanctionable conduct on the part of the offender;
    the reasonableness and necessity of the out-of-pocket expenses incurred by the
    offended person as a result of the misconduct;
    the nature and extend of prejudice, apart from out-of-pocket expenses, suffered
    by the offended person as a result of the misconduct;
    the relative culpability of client and counsel, and the impact on their privileged
    relationship of an inquiry into that area;
    the risk of chilling the specific type of litigation involved;
    the impact of the sanction on the offender, including the offender‘s ability to
    pay a monetary sanction;
    the impact of the sanction on the offended party, including the offended
    person‘s need for compensation;
    the relative magnitude of sanction necessary to achieve the goal or goals of the
    sanction;
    the burdens on the court system attributable to the misconduct, including
    consumption of judicial time and incurrence of juror fees and other court costs;
    and
    the degree to which the offended person‘s own behavior caused the expenses
    for which recovery is sought.
    
    Low, 221 S.W.3d at 620
    & n.5.
    These factors were considered by the trial court in awarding sanctions to Baylor:
    Nath‘s bad faith and improper purposes for filing the lawsuit; Nath‘s knowledge of the
    law as a former law student; Nath‘s prior conduct as a litigant in numerous cases; the
    expenses incurred by Baylor as a result of the litigation and the reasonable proportion to
    the amount in controversy; Nath‘s relative culpability; the minimal risk of chilling
    legitimate litigation activity posed by sanctions award; Nath‘s ability to pay for the
    damages caused by his conduct; Baylor‘s need for compensation as a result of the
    damages inflicted upon it in defending against Nath‘s lawsuit; the necessity of imposing a
    substantial sanction to curtail Nath‘s abuse of the judicial process and to punish his bad
    faith and improper conduct; the burdens on the court system attributable to Nath‘s
    misconduct, including his consumption of extensive judicial time and resources in
    12
    prosecuting this case; and the degree to which Nath‘s own behavior caused the expenses
    for which Baylor sought reimbursement. Additionally, as discussed above, these findings
    are supported by the record. A trial court may assess sanctions based on cumulative
    conduct throughout litigation. See Falk & Mayfield 
    L.L.P., 974 S.W.2d at 826
    .
    Finally, the trial court reviewed evidence regarding the amount of attorney‘s fees
    attributable to Nath‘s sanctionable behavior. Both Rule 13 and Chapter 10 allow for costs
    and attorney‘s fees as a measure of sanctions. Tex. Civ. Prac. & Rem. Code §
    10.004(c)(3); Tex. R. Civ. P. 13. Baylor established by affidavit evidence that it spent in
    excess of $674,000 in defending against Nath‘s lawsuit and sought $644,500.16 as
    attributable to Nath‘s conduct.5 The trial court assessed sanctions against Nath of
    $644,500.16, which was supported by the evidence. Accordingly, the trial court did not
    abuse its discretion in determining the award of sanctions to Baylor, and we overrule
    Nath‘s fourth issue.
    F.      Constitutionality of Rule 13 and Chapter 10
    In his fifth issue in the Baylor appeal only, Nath asserts that Rule 13 and Chapter
    10 are unconstitutionally vague under the Due Process clause of the federal constitution
    and Due Course of Law clause of the state constitution. See U.S. Const. amend. XIV § 1;
    Tex. Const. art. I, §§ 13, 19. Nath relies on BMW of North America v. Gore for the
    proposition that ―[e]lementary notions of fairness enshrined in our constitutional
    jurisprudence dictate that a person receive fair notice not only of the conduct that will
    subject him to punishment, but also of the severity of the penalty that a State may
    impose.‖ 
    517 U.S. 559
    , 574 (1996). He contends that neither Rule 13 nor Chapter 10
    specifically details the severity of the penalty that the trial court might impose.
    Rule 13 identifies (a) the conduct punishable—filing any fictitious pleading or
    making statements that are groundless, false, or for purposes of delay; (b) who may be
    5
    Baylor‘s affidavit explicitly linked attorney‘s fees to the claims the trial court determined were
    groundless and brought in bad faith: defense of Nath‘s declaratory judgment action and defense of Nath‘s
    defamation, negligence, tortious interference, and IIED claims.
    13
    sanctioned—the person who signed the pleading, a represented party, or both; and (c) the
    amount of possible sanctions—any sanctions available under Texas Rule of Civil
    Procedure 215. Tex. R. Civ. P. 13. In turn, Rule 215.2(b) provides that a court may order
    as sanctions ―reasonable expenses, including attorney fees.‖ Tex. R. Civ. P. 215.2(b)(8).
    Similarly, Chapter 10 identifies (a) the punishable conduct—signing pleading or motion
    for improper purpose or without evidentiary support; (b) who may be sanctioned—the
    person signing the pleading, a represented party, or both; and (c) the amount—the
    amount of reasonable expenses and attorney‘s fees. Tex. Civ. Prac. & Rem. Code §§
    10.001, 10.002(c).
    Nath provides no authority holding either Rule 13 or Chapter 10 unconstitutionally
    vague. Both Rule 13 and Chapter 10 require notice and a hearing before sanctions may be
    imposed. See, e.g., Worldwide Anesthesia Assocs. Inc. v. Bryan Anesthesia, Inc., 
    765 S.W.2d 445
    , 448 (Tex. App.—Houston [14th Dist.] 1988, no pet.) (stating that all due
    process required was notice to the appellant and an opportunity to be heard regarding
    sanctions); West v. Northstar Fin’l Corp., No. 02-08-00447-CV, 
    2010 WL 851415
    , at
    *12–13 (Tex. App.—Fort Worth Mar. 11, 2010, pet. denied) (mem. op.) (concluding that
    trial court need only provide notice of a sanctions hearing to comport with due process).
    Here, Nath had notice that Baylor was seeking sanctions in a specific amount. Before
    awarding Baylor its attorney‘s fees as sanctions, the trial court conducted a hearing on
    Baylor‘s motion. Under these circumstances, we conclude that Nath‘s constitutional
    rights to due process and due course of law were not violated. We overrule his fifth issue.
    G.     Excessive Fines Clauses
    In issue six in the Baylor appeal only, Nath complains that the sanctions granted to
    Baylor violate the Excessive Fines clauses of the federal and state constitutions. See U.S.
    Const. amend. VIII; Tex. Const. art. I, § 13. After citing U.S. Supreme Court authority to
    support the contention that the Eighth Amendment may apply to sanctions, Nath‘s entire
    argument regarding this issue is as follows:
    14
    The trial court‘s $600,000+ sanction against Dr. Nath, particularly when
    considered in conjunction with the same trial court‘s $700,000+ sanction
    against Dr. Nath on behalf of TCH, constitutes an excessive fine. It is vastly
    disproportional to any criminal fine available for comparable conduct,
    particularly when measured by the yardstick that the conduct in question
    was committed by Dr. Nath‘s attorneys, and not Dr. Nath himself.
    Nath has provided no authority that the particular sanction at issue here, i.e., the
    $644,500.16 in attorney‘s fees awarded to Baylor as a sanction against Nath, is excessive.
    Although it is undoubtedly a large amount of money, it represents a portion of the
    attorney‘s fees actually incurred by Baylor, which were, at the time Baylor filed its
    motion for sanctions, almost $675,000. Attorney‘s fees are the ―monetary guidepost of
    the impact of the conduct on the party seeking sanctions and the burdens on the court
    system.‖ 
    Low, 221 S.W.3d at 620
    . Indeed, this court has upheld sanctions awards in the
    amount of three times attorney‘s fees. See Falk & Mayfield, L.L.P., 
    974 S.W.2d 821
    ,
    823–24 (―We hold, therefore, that a trial court may, under appropriate circumstances,
    impose sanctions under Rule 13 in excess of the costs or expenses incurred by the
    defendant. Accordingly the trial court‘s imposition of sanctions for three times the
    amount of attorney fees was not impermissible per se.‖). Accordingly, we conclude that
    the sanctions imposed in this case do not violate the Excessive Fines clauses of the
    federal and state constitutions. We overrule Nath‘s sixth issue.
    CONCLUSION
    In Nath‘s appeal of the monetary sanctions awarded to TCH, our cause number
    14-11-00034-CV,6 we have overruled Nath‘s four issues. Similarly, in Nath‘s appeal of
    the monetary sanctions awarded to Baylor in our cause number 14-11-00127-CV,7 we
    6
    Trial court cause number 2006-10826.
    7
    Trial court cause number 2006-10826A.
    15
    have overruled Nath‘s six issues. Having overruled all of Nath‘s issues in both appeals,
    we affirm the trial court‘s judgments.
    /s/         Adele Hedges
    Chief Justice
    Panel consists of Chief Justice Hedges and Justices Jamison and McCally.
    16
    Appendix: Trial Court’s Findings & Conclusions
    17
    18
    19
    20
    21
    22
    23
    24
    25
    26
    27
    28
    29
    30
    31
    32
    33
    34
    35
    36
    37
    38
    39
    40
    41
    42
    43
    44
    45
    46
    47
    48
    49
    50
    51
    52
    53
    54
    55
    56
    57
    58
    59
    60
    61
    62
    63
    64
    65
    66
    67
    68
    69
    70
    71
    72
    73
    74
    75
    76
    77
    78
    79
    80
    81
    82
    83
    84
    85
    86
    87
    88
    89
    90
    91
    92
    93
    94
    95
    96
    97
    98
    99
    100