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Jackson Hospital Chapter 11 Motion Denied

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Summary

The United States Bankruptcy Court for the Middle District of Alabama denied the debtors' emergency motion to amend employment applications for Burr & Forman LLP, Eisner Advisory Group LLC, Gilpin Givhan PC, and Memory Memory & Causby LLP, rejecting the request to expand their scope of employment to include representation of the Medical Clinic Board of the City of Montgomery. The court found that while the debtors' operations are intertwined with Medical Clinic Board assets, the Medical Clinic Board has independent corporate authority and the proposed representation created an impermissible conflict of interest. UMB Bank N.A. had filed an objection to the motion, which the court granted.

“Burr & Forman LLP, Eisner Advisory Group, LLC, Gilpin Givhan, PC, and Memory Memory & Causby, LLP (collectively, the "Professionals") seek to amend their employment applications, such that the scope of their employment is expanded to include the potential representation of The Medical Clinic Board of the City of Montgomery, Alabama (the "Medical Clinic Board") in any necessary restructuring efforts.”

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The court denied the debtors' motion to amend employment applications for four professional firms, finding that the proposed expansion of their scope to include representation of the Medical Clinic Board of the City of Montgomery created an impermissible conflict of interest. The Medical Clinic Board, formed under Alabama Code § 11-58-2(a), owns real property and equipment leased to Jackson Hospital pursuant to a 2015 Series Supplemental and Restated Lease Agreement tied to Health Care Facility Revenue Bonds. Although the Medical Clinic Board operates primarily as a pass-through entity for the debtors' benefit and its assets are integral to the debtors' going-concern value, the court found that the Medical Clinic Board maintains an independent board of directors and the proposed dual representation was not permissible under bankruptcy employment standards.\n\nCreditors and debtors' professionals in Chapter 11 cases should note that courts will closely scrutinize proposed expansions of professional employment where the expanded scope would include representing entities that, despite operational entanglement with the debtor, maintain separate corporate governance structures and independent legal interests. The court's analysis of the Medical Clinic Board's corporate documents and the scope of its corporate authority under Alabama law provides guidance on how courts assess the independence of special-purpose entities in municipal bond structures.

Scheduled event

Date
2025-05-13

Archived snapshot

Apr 24, 2026

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May 15, 2025 Get Citation Alerts Download PDF Add Note

Jackson Hospital & Clinic, Inc.

United States Bankruptcy Court, M.D. Alabama

Trial Court Document

IN THE UNITED STATES BANKRUPTCY COURT
FOR THE MIDDLE DISTRICT OF ALABAMA

In re Case No. 25-30256-CLH
Chapter 11
JACKSON HOSPITAL & CLINIC, INC., et al., Jointly Administered
Debtors.1

MEMORANDUM OPINION AND ORDER DENYING DEBTORS’ EMERGENCY
MOTION TO AMEND EMPLOYMENT APPLICATIONS OF BURR & FORMAN,
EISNER ADVISORY GROUP, LLC, GILPIN GIVHAN, PC, AND MEMORY
MEMORY & CAUSBY, LLP

On May 13, 2025, this matter came before the Court for hearing on the Debtors’ Emergency
Motion to Amend Employment Applications of Burr & Forman LLP, Eisner Advisory Group,
LLC, Gilpin Givhan, PC, and Memory Memory & Causby, LLP Doc. No. 448
and the Objection of UMB Bank, N.A. to the Debtors’ Emergency Motion to Amend Employment
Applications Doc. No. 471. Appearances were as noted in the record.
At the invitation of the Court, UMB Bank, N.A. (“UMB”) filed its Notice of Supplemental
Authority in Support of Objection of UMB Bank, N.A. to the Debtors’ Emergency Motion to
Amend Employment Applications Doc. No. 485 and the Debtors filed
the Debtors’ Supplemental Response in Support of Debtors’ Emergency Motion to Amend
Employment Applications of Burr & Forman LLP, Eisner Advisory Group, LLC, Gilpin Givhan,
PC, and Memory Memory & Causby, LLP [Doc. 489].
Based on the pleadings of record, the evidence presented, the arguments and
representations of counsel, and for the reasons below, the Motion is DENIED.

1 An Order entered in accordance with Rule 1015(b) of the Federal Rules of Bankruptcy Procedure directing the joint
JURISDICTION
The Court has jurisdiction to hear this matter pursuant to 28 U.S.C. § 1334 (b) and the
General Order of Reference entered by United States District Court for the Middle District of
Alabama on April 25, 1985. Venue is proper pursuant to 28 U.S.C. §§ 1408 and 1409. This is a
core proceeding under 28 U.S.C. § 157 (b)(2).

BACKGROUND
Burr & Forman LLP, Eisner Advisory Group, LLC, Gilpin Givhan, PC, and Memory
Memory & Causby, LLP (collectively, the “Professionals”) seek to amend their employment
applications, such that the scope of their employment is expanded to include the potential
representation of The Medical Clinic Board of the City of Montgomery, Alabama (the “Medical
Clinic Board”) in any necessary restructuring efforts. The Medical Clinic Board was formed on
July 29, 1965, pursuant to Alabama Code § 11-58-2(a), which:
provide[s] for the incorporation of medical clinic boards as public
agencies and instrumentalities of the State of Alabama to promote
the acquisition of health facilities in order to promote the public
health of the people of Alabama and also to promote the acquisition
of certain other facilities for the housing and care of elderly persons.

ALA. CODE § 11-58-2(a). The Medical Clinic Board’s Certificate of Incorporation states that its
purpose is to “finance, acquire, own, lease, equip, furnish, maintain, operate, enlarge, improve or
dispose of one or more medical clinics and clinical facilities in the City of Montgomery, Alabama.”
UMB Supplement, p. 26. An amendment to the Certificate of Incorporation clarifies, among other
things, that the Medical Clinic Board may engage with any medical clinics and clinical facilities
within the corporate limits of Montgomery or within 15 miles of the City of Montgomery, provided
that the medical clinics or clinical facilities are not within another municipality. UMB
Supplement, p. 21.
The Debtors operate their businesses on real property and with the use of certain essential
equipment and other personal property owned by the Medical Clinic Board pursuant to, without
limitation, that certain Series 2015 Supplemental and Restated Lease Agreement between The
Medical Clinic Board of the City of Montgomery, Alabama and Jackson Hospital & Clinic, Inc.
dated as of December 1, 2015 (the “Lease Agreement”). UMB Supplement, pp. 37-91. Under the

Lease Agreement, the Debtors pay rent that equals the debt service obligations under the Health
Care Facility Revenue Bonds, Jackson Hospital & Clinic Series 2015. Id. The bonds were issued
by the Medical Clinic Board under the Series 2015 Bond Trust Indenture between the Medical
Clinic Board and Regions Bank, as trustee, dated December 1, 2015. Id. Under this debt and lease
structure and through other transactions with the Medical Clinic Board, the Debtors have been able
to purchase, finance, and utilize real and personal property owned by the Medical Clinic Board in
a manner that provides favorable tax attributes to the Debtors. Motion, pp. 19-20.
The Medical Clinic Board does not have a bank account and does not engage in day-to-day
business operations. Id. In most respects, the Medical Clinic Board serves primarily as a pass-

through entity for the benefit of the Debtors. Id. However, contrary to the Debtors’ assertions,
the Medical Clinic Board does have its own independent board of directors and officers. UMB
Supplement, pp. 7-8, 30-33. It was through the Medical Clinic Board’s board of directors, for
example, that bonds were authorized and the Lease Agreement was executed. Id. at pp. 37-91.
The Debtors’ operations are inextricably intertwined with assets owned by the Medical
Clinic Board. Motion, pp. 19-20. The Debtors’ value as a going concern depends on access to
those assets. Id. Moreover, the record contains no evidence that the Medical Clinic Board has
acquired, financed, leased or otherwise provided property to medical clinics or clinical facilities
other than the Debtors. That said, nothing in the Medical Clinic Board’s corporate documents
limits its ability to do business with entities other than the Debtors. UMB Supplement, pp. 14-28.
Put another way, the scope of the Medical Clinic Board’s corporate authority is limited to
geography, not to the Debtors. Id. The Medical Clinic Board is free to acquire, finance, lease or
otherwise provide property to any medical clinic or clinical facility within the city limits of
Montgomery or in unincorporated areas within 15 miles of Montgomery. Id. While it may not be
in the best interest of any party to the Debtors’ cases – including UMB – to decouple Medical

Clinic Board assets from the Debtors’ operations, the Medical Clinic Board’s corporate documents
do not prohibit it from doing so, subject to other applicable bankruptcy and nonbankruptcy law.
ANALYSIS
A. Section 327 Generally
Section 327(a) of the Bankruptcy Code2 provides that “the trustee, with the court’s
approval, may employ one or more attorneys . . . or other professional persons, that do not hold or
represent an interest adverse to the estate, and that are disinterested persons, to represent or assist
the trustee in carrying out the trustee’s duties under this title.” A professional has an interest
adverse to the estate when that professional:

possess[es], or serv[es] as an attorney for a person possessing either
an economic interest that would tend to lessen the value of the
bankruptcy estate or that would create either an actual or potential
dispute in which the estate is a rival claimant . . . or . . . a
predisposition under the circumstances that render such a bias
against the estate.

Denison v. Marina Mile Shipyard, Inc. (In re New River Dry Dock, Inc.), 497 Fed. Appx. 882, 887 (11th Cir. 2012) (quoting Electro-Wire Prods., Inc. v. Sirote & Permutt, P.C., 40 F.3d 356, 361 (11th Cir. 1994). A “disinterested person” is a person who, without limitation:
does not have an interest materially adverse to the interest of the
estate or of any class of creditors or equity security holders, by
reason of any direct or indirect relationship to, or interest in, the
debtor, or for any other reason.

2 All references to the “Code” or the “Bankruptcy Code” are to 11 U.S.C. §§ 101-1532. 11 U.S.C. § 101 (14)(C). “For any other reason” is “broad enough to exclude an attorney with
some interest or relationship that ‘would even faintly color the independence and impartial attitude
required by the Code and Bankruptcy Rules.’” In re 7677 East Berry Ave. Assocs., L.P., 419 B.R.
833, 843
(Bankr. D. Colo. 2009) (quoting In re Cook, 223 B.R. 782, 789 (10th Cir. B.A.P. 1998)).
“Together, the statutory requirements of disinterestedness and no interest adverse to the estate
‘serve the important policy of ensuring that all professionals appointed pursuant to section 327(a)
tender undivided loyalty and provide untainted advice and assistance in furtherance of their
fiduciary responsibilities.’” Kravit, Gass & Weber, S.C. v. Michel (In re Crivello), 134 F.3d 831,
836
(7th Cir. 1998) (quoting Rome v. Braunstein, 19 F.3d 54, 58 (1st Cir. 1994)).

B. Lack of Authority to Approve Employment of Professionals for Non-Debtors
The Motion puts the Court in an awkward position, in that the Debtors seek an order from
the Court authorizing the Professionals to represent the Medical Clinic Board when the Medical
Clinic Board currently is not a debtor. Section 327(a) states that the court may approve
employment of professionals to represent or assist the trustee in carrying out the trustee’s duties
under the Bankruptcy Code. See 11 U.S.C. § 327 (a). By virtue of Section 1107(a), the term
“trustee” equates to the debtor in possession. See 11 U.S.C. § 1107 (a). The Medical Clinic Board
is not a debtor in possession. As such, the Medical Clinic Board is not a party that the Professionals
can be employed to represent. The Medical Clinic Board has no duties under the Bankruptcy Code
for which the Professionals can offer assistance. The Court lacks authority to approve or

disapprove the selection of attorneys for non-debtor parties. See In re Diocese of Buffalo, N.Y., 625 B.R. 567, 572 (Bankr. W.D.N.Y. 2021); In re East Cameron Partners, L.P., Case No. 08-
51207, 2008 WL 5233055, at *1 (Bankr. W.D. La. Dec. 12, 2008). Accordingly, it is appropriate
for the Court to refrain from granting the Motion.
C. Potential Adverse Interest and Lack of Disinterestedness
The Court acknowledges the unique circumstances of the Debtors’ cases, in which the
Debtors anticipate that the Medical Clinic Board may need to file a petition under Chapter 9 of the
Bankruptcy Code to facilitate a sale of the Debtors’ assets. As it currently stands, that sale must
close by July 22, 2025, for the Debtors to remain in compliance with milestones established

pursuant the Final Order (I) Authorizing Debtors to (A) Obtain Postpetition Secured Financing
Pursuant to Section 364 of the Bankruptcy Code, (B) Use Cash Collateral, (II) Granting Liens and
Superpriority Administrative Expense Status, (III) Granting Adequate Protection, (IV) Modifying
the Automatic Stay, (V) Granting Related Relief. [Doc. No. 180]. The Debtors argue that the
exigencies of the case require a determination by the Court that the Professionals do not hold an
adverse interest and are disinterested for purposes of representing the Medical Clinic Board. Given
the inapplicability of Section 327(a) in Chapter 9 cases and the need to promptly execute a
coordinated sale strategy involving Medical Clinic Board assets, the Court understands why the
Debtors filed the Motion. See 11 U.S.C. § 901 (a).

However, even if the Court could work around the inability to authorize the employment
of professionals for non-debtor parties, the scope of the Medical Clinic Board’s corporate authority
raises potential adverse interests and a lack of disinterestedness. The Medical Clinic Board
possesses “an economic interest that would tend to lessen the value of the bankruptcy estate or that
would create either an actual or potential dispute in which the estate is a rival claimant.” See In re
New River Dry Dock, Inc., 497 Fed. Appx. at 887. The relationship between the Medical Clinic
Board and the Debtors is not wholly reciprocal because the Medical Clinic Board is not required
to conduct business solely with the Debtors. Without complete alignment, the Medical Clinic
Board has an economic interest in assets that could lessen the value of the Debtors’ estates.
Similarly, because mutuality is lacking, there is risk that the Professionals could find
themselves recommending a strategy that compromises the Medical Clinic Board’s legal rights.
This raises concerns over disinterestedness, because “for any other reason” under Section
101(14)(C) can serve to exclude a professional with an existing client relationship that could “even
faintly color the independence and impartial attitude required by the Code and Bankruptcy Rules.”

In re 7677 East Berry Ave. Assocs., L.P., 419 B.R. at 843.
The Court has no reason to doubt the Debtors’ representations that the Medical Clinic
Board and the Debtors share a common mission and common goals, and that their current business
arrangements are mutually beneficial. The Court also recognizes that the Debtors’ operations are,
as a practical matter, intertwined with the use of the Medical Clinic Board’s assets and that a sale
of the combined operations and assets will maximize the value of the Debtors’ estates. The Court
cannot, however, find that there is no risk of adverse interests or a lack of disinterestedness if the
Professionals are the sole advisors to the Medical Clinic Board.
The Court believes the more prudent approach would be for the Medical Clinic Board to

utilize separate counsel to negotiate the terms of any restructuring and sale involving the Debtors.
This avoids the risk that the Professionals could be found to have not exercised independence in
counseling the Medical Clinic Board on its options. This also would allow the Professionals to
zealously advocate – without fear of conflicts – to independent counsel for the Medical Clinic
Board on the most mutually advantageous strategy.
CONCLUSION
The Court concludes that Section 327(a) does not permit an order authorizing the retention
of professionals to represent non-debtor parties. Even if such authority existed, under Section
105(a) or otherwise, the Court concludes that the Medical Clinic Board has legal rights that do not
completely align with the legal rights and goals of the Debtors. Thus, a risk exists that the
Professionals could represent an interest adverse to the Medical Clinic Board and that their
impartiality toward the Medical Clinic Board could be compromised. Accordingly, it is hereby
ORDERED that the Motion is DENIED.
Done this 15" day of May, 2025.
Opal.
Christopher L. Hawkins
United States Bankruptcy Judge
Cc: Debtors
Derek F. Meek, Attorney for Debtors
Marc P. Solomon, Attorney for Debtors
Catherine Via, Attorney for Debtors
James H. Haithcock, III, Attorney for Debtors
Edward Wilson, Jr., Attorney for Debtors
Stuart H. Memory, Attorney for Debtors
Justin G. Williams, Attorney for UMB
Ralph C. Mayrell, Attorney for UMB
Douglas Buckley, Attorney for UMB
Jeremy Retherford, Attorney for ServisFirst
R. Scott Williams, Attorney for the Committee
Andrew H. Sherman, Attorney for the Committee
Paul M. Rosenblatt, Attorney for the DIP Lender
Clark R. Hammond, Attorney for the DIP Lender

Named provisions

Employment Applications Medical Clinic Board Representation

Citations

28 U.S.C. § 1334(b) jurisdiction basis for bankruptcy court
28 U.S.C. § 157(b)(2) core proceeding classification

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Last updated

Classification

Agency
US Bankruptcy Court M.D. Ala.
Filed
May 15th, 2025
Instrument
Enforcement
Branch
Judicial
Legal weight
Binding
Stage
Final
Change scope
Substantive
Docket
25-30256-CLH

Who this affects

Applies to
Courts Healthcare providers Legal professionals
Industry sector
6221 Hospitals & Health Systems
Activity scope
Bankruptcy proceedings Professional employment Municipal bond financing
Geographic scope
US-AL US-AL

Taxonomy

Primary area
Bankruptcy
Operational domain
Legal
Topics
Healthcare Securities

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