TCPA Case Review: Physicians Healthsource, Inc. v. Stryker Sales Corp. (W.D. Mich. 2015)

The Telephone Consumer Protection Act (TCPA) continues to generate significant litigation as businesses rely on faxes, texts, and automated systems to reach customers. One frequently litigated question is whether certain communications—especially free seminar invitations—qualify as “advertisements” under the TCPA. A case on this issue is Physicians Healthsource, Inc. v. Stryker Sales Corporation, a 2015 federal decision that closely examines when a fax crosses the line from informational to promotional.

Below is a breakdown of the case, what the court decided, and why it matters for companies and consumers.


Background of the Case

Physicians Healthsource, Inc. (PHI) sued Stryker and its related entities after receiving a fax inviting medical providers to a free dinner seminar. The seminar was marketed to Primary Care Physicians and was promoted through fax advertisements sent using lists purchased from a third-party vendor.

PHI alleged that:

  • The faxes were unsolicited,
  • They lacked the required TCPA opt-out notice, and
  • The invitation was a disguised advertisement for Stryker’s medical products.

Stryker argued that the fax was purely educational, not promotional.


What the Fax Said — and Why It Mattered

The fax invitation promoted a free seminar on medical topics. It did not explicitly list or promote Stryker products. However, the seminar itself:

  • Used a Stryker-branded PowerPoint,
  • Referenced specific Stryker orthopedic products, and
  • Was organized and funded by Stryker subsidiaries.

This created a genuine dispute as to whether the fax’s true purpose was educational or promotional.


Key Legal Issues

1. Was the Fax an “Advertisement”?

The court held that a reasonable jury could conclude:

  • The fax was an advertisement if the seminar was a pretext to promote Stryker products, or
  • It was not an advertisement if the content was purely educational.

Because both interpretations were possible, the issue required a trial.

Critical point:
Courts can look beyond the face of the fax—including the seminar content—to determine whether a fax is in fact promotional.


2. Was the Fax “Unsolicited”?

The court ruled as a matter of law that the fax was unsolicited because it lacked any TCPA-compliant opt-out notice.

This meant Stryker could not rely on consent or publicly available fax numbers to escape liability.


3. Can a Parent Company Be Held Liable?

Yes.
The evidence created a factual dispute over whether Stryker (the parent company) could be held liable as a “sender” or through agency principles—even if a subsidiary sent the fax or used a third-party vendor.


4. First Amendment Challenge

Stryker argued that the FCC’s opt-out requirements violated the First Amendment.
The court rejected that argument, ruling that the opt-out rule was a reasonable, content-neutral regulation governing how fax communications may be sent.


Outcome

  • Stryker’s Motion for Summary Judgment: Denied
  • Howmedica’s Motion: Denied
  • PHI’s Motion:
    • Granted on whether the fax was unsolicited
    • Denied on whether it was an advertisement

The case moved forward because the core dispute—whether the fax was a disguised sales pitch—had to be decided by a jury.


Why This Case Matters

1. Free Seminars Can Still Be Advertisements

If seminar content showcases or references a company’s products, the invitation may be considered promotional.

2. Opt-Out Notices

Failing to include a proper opt-out notice makes a fax “unsolicited” as a matter of law.

3. Companies Are Responsible for Their Vendors

Using third-party fax broadcasters may not shield a company from TCPA liability.

4. Courts Examine the Whole Marketing Ecosystem

Not just the fax—but the seminar, materials, branding, and overall strategy.


Need Help With a TCPA Case? Contact Attorney David Head

Consumers harmed by illegal telemarketing need experienced representation. Attorney David Head has extensive experience with the TCPA, consumer protection, robocalls, junk faxes, and telemarketing violations.

Contact Information:
📞 801-691-7511