The plaintiff-appellant operated an abortion clinic in Dayton, Ohio. Ohio law required it to be licensed, which in part required it to enter into a written transfer agreement with a Dayton-area hospital. When no hospital would enter into such an agreement with the plaintiff, it sought a waiver of the transfer agreement requirement. Even though the plaintiff had both a back-up group of physicians ready to provide emergency care and a letter from Miami Valley Hospital confirming that it would admit patients in the event of an emergency, the Director of the Ohio Department of Health denied the plaintiff’s request for a waiver and ordered that it immediately close. The plaintiff sought a temporary restraining order and an injunction against the Department of Health’s order. The District Court granted both requests and awarded attorney’s fees and expenses to the plaintiff. The Sixth Circuit affirmed, holding that the plaintiff’s procedural due process rights were violated, but vacated the permanent injunction and remanded the case for a hearing on the denial of the plaintiff’s application.