Kaiser Found. Health Plan Of mid-atl. States Inc v. Rose

Decision Date13 November 1990
Docket NumberNo. 89-1240.,89-1240.
PartiesKAISER FOUNDATION HEALTH PLAN OF MID-ATLANTIC STATES, INC., and Capital Area Permanente Medical Group, P.C., Appellants, v. Margaret M. ROSE, Appellee.
CourtD.C. Court of Appeals

William O. Bittman, with whom John F. Dienelt, Alexander P. Starr, and Sheryl H Lipman, Washington, D.C., were on the brief, for appellants.

Kenneth W. Curtis, Washington, D.C., for appellee.

Before BELSON, SCHWELB, and WAGNER, Associate Judges.

SCHWELB Associate Judge:

Kaiser Foundation Health Plan of the Mid-Atlantic States (Kaiser) and Capital Area Permanente Medical Group (CAPMG) appeal from an order of the trial court Honorable Richard S. Salzman presiding, denying their motion to dismiss a medical malpractice complaint filed by Margaret M. Rose in connection with the death of her late husband, Joseph Rose, allegedly as a result of appellants' negligence. Rose v. Kaiser Found., et al., 117 Daily Wash.L. Rptr. 2101 (Super.Ct.D.C.1989). The motion was based on the doctrine of forum non conveniens, and appellants contended below, and now maintain in this court that there was no significant nexus between this case and the District of Columbia. Because we agree that this action has substantial and virtually exclusive connections with Virginia but almost none with the District, we vacate the trial court's order and remand with directions to dismiss the action. The order of dismissal shall, however, be conditioned on a waiver in any action Mrs. Rose may bring in Virginia of any defense based on the Virginia statute of limitations, so long as Mrs. Rose proceeds with reasonable expedition to institute such an action in that jurisdiction.

I

The essential facts relevant to this appeal are undisputed. Kaiser is a District of Columbia corporation engaged solely in the business of operating a health maintenance organization (HMO). Kaiser offers health care services to its members in Virginia, Maryland and the District of Columbia, and does a majority of its business outside the District. CAPMG is a medical professional corporation with which Kaiser contracts to provide physician services to persons enrolled in Kaiser.

On April 1, 1982, Joseph Rose, who lived in Alexandria, Virginia, enrolled in the Kaiser health plan through his employer, the National Lime Association. That company was based in Arlington, Virginia. Mr. Rose originally designated Kaiser's facility in Reston, Virginia as his primary medical center. He later transferred his designation to Falls Church, Virginia, when Kaiser opened a center in that community in 1985.

The complaint alleges that between February 22, 1988 and March 1, 1988, Mr. Rose visited Kaiser's Falls Church medical center on three occasions, complaining of severe back pain. Three CAPMG-affiliated physicians, all licensed by and practicing in Virginia, treated him on an outpatient basis. On March 1, 1988, Mr. Rose collapsed and died in Virginia from a ruptured abdominal aortic aneurysm. Mrs. Rose claims that her husband's death was caused by the failure of three Virginia physicians to examine, diagnose, treat and advise him properly.

Mrs. Rose continues to live in Alexandria, Virginia. The sole connection between the District and the events which precipitated this lawsuit is that Kaiser and CAPMG are incorporated in the District of Columbia.

On May 17, 1989, Mrs. Rose filed her complaint in the Superior Court, alleging medical malpractice by Kaiser and CAPMG. She grounded her action on the District's wrongful death and survival statutes. D.C.Code §§ 16-2701, et seq., 12-101, et seq. (1989). Kaiser and CAPMG filed a Motion to Dismiss on Forum Non Conveniens Grounds or Partially Dismiss for Failure to State a Claim. Judge Salzman dismissed the wrongful death claim, but declined to invoke the doctrine of forum non conveniens to dismiss the entire complaint. The judge recognized that this litigation has a far greater connection with Virginia than with the District, 1 but reluctantly2 denied appellants the relief they sought because he believed he was required to do so by this court's decision in Kaiser-Georgetown Community Health Plan, Inc. v. Stutsman, 491 A.2d 502 (D.C. 1985) ("Stutsman I"). In that case, this court affirmed the denial of a motion to dismiss, on forum non conveniens grounds, a medical malpractice action brought by a Virginia resident who worked in the District of Columbia and who had obtained Kaiser coverage through her District of Columbia employer, primarily on the ground that District of Columbia law would apply. Kaiser and CAPMG now appeal, contending that the motion to dismiss ought to have been granted.3

II

The doctrine of forum non conveniens is a part of the statutory law of the District of Columbia.

When any District of Columbia court finds that in the interest of substantial justice the action should be heard in another forum, the court may stay or dismiss such civil action in whole or in part on any conditions that may be just.

D.C.Code § 13-425 (1989). The word "may" is permissive rather than mandatory and

[d]ecisions on questions of forum non conveniens are committed to the sound discretion of the trial court and will be upset on appeal only upon a clear showing of an abuse of that discretion.... This broad discretion is not unlimited, however, and this court must examine the trial court's action in light of the well-established criteria for applying the doctrine of forum non conveniens.

Carr v. Bio-Medical Applications of Washington, Inc., 366 A.2d 1089, 1091-92 (D.C.1976) (citations omitted). These criteria include the various "private" and "public" factors enumerated in Gulf Oil Corp. v. Gilbert, 330 U.S. 501, 508-09, 67 S.Ct. 839, 843, 91 L.Ed. 1055 (1947) and Jenkins v. Smith, 535 A.2d 1367, 1369-70 (D.C. 1987) (en banc).

In the present case, the pertinent private interest factors include (1) plaintiff's choice of forum; (2) the convenience of parties and witnesses; (3) the ease of access to sources of proof; (4) the availability and cost of compulsory process; and (5) the enforceability of any judgment obtained. The public interest factors include: (1) the clearance of foreign controversies from congested dockets; (2) the adjudication of disputes in the forum most closely linked thereto, and (3) the avoidance of saddling courts with the burden of construing a foreign jurisdiction's law. Jenkins, supra, 535 A.2d at 1369-70.

In Dunkwu, supra, 575 A.2d at 293, this court recently had occasion to apply these factors to a situation which closely parallels the present one. In that case, a Virginia resident brought suit in our Superior Court for medical malpractice allegedly committed in Virginia against her infant daughter by a physician licensed both in Virginia and in the District. The plaintiffs were never seen, examined or treated in the District of Columbia. The trial court denied the defendant's motion to dismiss, but this court reversed, holding that the doctrine of forum non conveniens should have been invoked because otherwise "a motion of this kind [could] be defeated by a showing of very little more than that the plaintiff chose the courts of the District of Columbia as her forum." Id. at 294. Following a discussion of the traditional "private" and "public" factors, id. we held that

[w]here it is shown that neither party resides in the District and the plaintiff's claim has arisen in another jurisdiction which has more substantial contacts with the cause of action,... the trial court will have abused its discretion in denying a motion to dismiss on grounds of forum non conveniens unless that choice rests upon the sure factual foundation of an affirmative showing by the plaintiff of some reasonable justification for his institution of the action in the forum state.

Id. at 295 (citations and internal quotation marks omitted). We further held that substantially less deference is accorded to the plaintiff's choice of forum when the plaintiff resides in another jurisdiction, for it is much less reasonable to assume under such circumstances that the District of Columbia was selected because it is a convenient forum. Id. at 294-95. We distinguished Stutsman I, on which the plaintiff in Dunkwu, like Mrs. Rose here, placed her principal reliance, on the ground that the plaintiff in Stutsman I was employed in the District and the relationship between the parties

[could] be described as centering around the District of Columbia, since the agreement to provide health care was a benefit of the plaintiff's District employment.

Id. at 296 (quoting Stutsman I, supra, 491 A.2d at 508).4

Mrs Rose seeks to distinguish Dunkwu on the ground that appellants in this case are District of Columbia corporations, and that the District's interest in assuring that health care providers based in the District pay for all the damage caused by their malpractice, without the imposition by Virginia of a "cap" on the plaintiffs' recovery, 5 outweighs Virginia's interest in the case. We do not agree. If the alleged malpractice had been committed by a Virginia corporation which also does business in the District, (rather than by a District Corporation which does most of its business outside the District), then there would be no doubt whatever that Virginia would be the appropriate forum, that Virginia law would apply, and that Mrs. Rose's recovery would be limited by Virginia's $1,000, 000 statutory ceiling. We do not think the District has a substantial interest in assuring that a District of Columbia corporation pay more damages than a similarly situated Virginia corporation for the same conduct in Virginia vis-a-vis a resident of that State. See generally Hercules & Co. v. Shama Restaurant Corp., 566 A.2d 31, 41-42 (D.C. 1989); RESTATEMENT (SECOND) OF CONFLICT OF LAWS § 145 (1971). Indeed, if the District has a stake in the matter at all, it is to assure that its citizens and corporations are not...

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