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Elbasir v. Kingdom of Saudi Arabia

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA


January 4, 2007

TAHA ELBASIR, ET AL., PLAINTIFFS,
v.
KINGDOM OF SAUDI ARABIA, DEFENDANT.

The opinion of the court was delivered by: Paul L. Friedman United States District Judge

OPINION

This matter is before the Court on defendant's motion to dismiss for lack of subject matter and personal jurisdiction under Rule 12(b)(1) and (2) of the Federal Rules of Civil Procedure. Plaintiffs have brought suit seeking damages for defendant Kingdom of Saudi Arabia's alleged breach of two agreements to provide plaintiffs with financial assistance for medical treatment and other expenses. The Kingdom of Saudi Arabia asserts that it is a sovereign nation immune from suit in the courts of this country under the Foreign Sovereign Immunities Act ("FSIA"), 28 U.S.C. §§ 1602 et seq. It further asserts that this Court does not have personal jurisdiction over it. Upon consideration of the motion, the opposition, the reply, and the entire record in this case, the Court will deny defendant's motion without prejudice.

I. BACKGROUND

Plaintiffs are Taha Elbasir, his wife Saadia Mohamed Ibrahim, and their minor children. See Complaint ("Compl.") at 1. Mr. Elbasir and his family are Sudanese citizens who formerly lived in Saudi Arabia. See id. ¶¶ 13, 14; see also Plaintiff's Opposition to Defendant's Motion to Dismiss ("Opp.") at 1. While living and working in Saudi Arabia, Mr. Elbasir was injured in an automobile accident on October 7, 1999. See Compl. ¶¶ 3, 4; Opp. at 1. Plaintiffs allege that the teenage driver of the car that injured Mr. Elbasir is a "member of the Royal Family." Compl. ¶ 5. Mr. Elbasir suffered traumatic brain injury and was apparently comatose for a period of time. Compare id. ¶ 4 (Mr. Elbasir was "unconscious for 2 months") with Opp. at 1 (Mr. Elbasir was "in a coma for over six months").

Following his injury, Mr. Elbasir received medical treatment in Saudi Arabia. See Motion to Dismiss for Lack of Subject Matter and Personal Jurisdiction ("Mot.") Ex. 2, Declaration of Dr. Mohammed A. Al-Sekait ("Al-Sekait Decl.") ¶ 6 (describing Mr. Elbasir's treatment history based on Elbasir's medical records). Plaintiffs allege that the government of Saudi Arabia promised to "pay all [Mr. Elbasir's] medical expenses and take care of the family until [he] is able to return to work" in exchange for the family not prosecuting the driver of the car. See Compl. ¶ 5. They further claim that this agreement was made in writing by Prince Abdulaziz bin Fahad bin Abdulaziz Al-Saud, but that the document reflecting the agreement was taken away from defendant's wife, Ms. Ibrahim, before the family left Saudi Arabia. See Opp. Ex. 3, Declaration of Sadia [sic] Ibrahim ("Ibrahim Decl.") ¶¶ 3, 4. Defendant counters that Mr. Elbasir's treatment was provided as part of Saudi Arabia's national health care system, and not pursuant to any agreement between plaintiffs and the Kingdom of Saudi Arabia. See Mot. at 12-16; Al-Sekait Decl. ¶ 3 (stating that, at the time of Mr. Elbasir's accident, Saudi Arabia's health care plan provided care for resident workers and their families). Defendant does not address or refute assertions respecting the alleged agreement between plaintiffs and Prince Abdulaziz bin Fahad bin Abdulaziz Al-Saud beyond the bare statement by Dr. Mohammed Al- Sekait, Director of the Saudi Embassy's Medical Supervision Division, in a sworn declaration that he does not have personal knowledge of such a promise. See Al-Sekait Decl. ¶ 18. From Dr. Al-Sekait's declaration it is clear, however, that he was not personally involved with Mr. Elbasir's treatment in Saudi Arabia; the declaration does not purport to represent that such an agreement was not reached.

After Mr. Elbasir was discharged from the hospital in Riyadh, Saudi Arabia where he was initially treated for his injuries, he was given further treatment at a rehabilitation hospital in Jeddah, Saudi Arabia. See Al-Sekait Decl. ¶ 6. On October 5, 2000, plaintiffs applied to the Saudi Patient Division of the Center for Research and Study ("the Center") for monetary assistance to pursue additional medical rehabilitation treatment beyond the care he received in the Saudi hospitals. See id. ¶ 7. The Center is run by Prince Abdulaziz bin Fahd bin Abdulaziz Al-Saud and provides assistance to those who require care not available in the Saudi Arabian health care system who cannot afford to pay for it themselves. See id. ¶ 3. The Center granted Mr. Elbasir's request for additional treatment, and he, his wife, and their three young children came to Washington D.C., where Mr. Elbasir was admitted for inpatient treatment to the National Rehabilitation Hospital ("NRH") on April 4, 2002. See id. ¶¶ 7, 9; see also Compl. ¶¶ 7, 8. While in the United States, Mr. Elbasir's treatment was overseen by Dr. Al-Sekait as the Director of the Saudi Arabian Embassy's Medical Supervision Division. See Al-Sekait Decl. ¶¶ 4, 5; see also Compl. ¶ 12.

As a result of his treatment at the NRH, Mr. Elbasir's condition improved. See Compl. ¶ 8; see also Mot. Ex. 1E, Sept. 17, 2002 Examiner's Report on Taha Ali Al-Baseer [sic] ("Examiner's Report"). As a result of Mr. Elbasir's improved condition, on July 9, 2002 NRH doctors recommended to Dr. Al-Sekait that Mr. Elbasir be discharged to out-patient care. See Mot. Ex.1B, July 18, 2002 Letter from Wendy Baynard, Director, NRH International, Telehealth and Volunteer Programs to Dr. Mohammed Al-Sekait ("Baynard Letter"); Al-Sekait Decl. ¶ 10. On July 10, 2002, the NRH unsuccessfully attempted to discharge Mr. Elbasir. See Examiner's Letter; Al-Sekait Decl. ¶¶ 11, 12. Mr. Elbasir's wife, Ms. Ibrahim, apparently refused to allow him to leave in-patient care and was uncooperative with NRH staff. See Examiner's Report; see also Al-Sekait Decl. ¶ 11. Because of these problems with Mr. Elbasir's wife and the undesirable impact it had on Mr. Elbasir's behavior, the NRH suggested to Dr. Al-Sekait that Mr. Elbasir's wife and their children return to Sudan, and that Mr. Elbasir remain at the NRH only through the end of July for a scheduled ear surgery. See Baynard Letter at 2; Al-Sekait Decl. ¶ 11.

At some point between July 18, 2002 and August 13, 2002, the NRH again attempted to move Mr. Elbasir and his family from in-patient accommodations to a temporary room in the hospital, as part of a plan to eventually move plaintiffs to the NRH's guest accommodation facilities. See Mot. Ex. 1C, August 14, 2002 letter from Todd Bernstein, Medical Director, NRH International Program to Dr. Mohammed Al-Sekait ("Bernstein Letter"). Again plaintiffs refused to cooperate. As the NRH prepared to move plaintiffs to a different floor within the hospital, Mr. Elbasir's wife left the hospital and refused to disclose her whereabouts to NRH staff, forcing the hospital to keep Mr. Elbasir in in-patient treatment for safety reasons. See Al-Sekait Decl. ¶ 12; Examiner's Report; Bernstein Letter. Ms. Ibrahim stated that the attempt to move her husband from outpatient treatment violated her agreement with Prince Abdulaziz bin Fahad bin Abdulaziz Al-Saud. Ibrahim Decl. ¶¶ 8-9. She further stated that defendant was already in violation of its agreement with her because it did not provide her or her children with accommodations, as it does for most Saudi citizens. Id. ¶¶ 10-12.

The hospital terminated Mr. Elbasir's therapy on August 13, 2002 and provided Mr. Elbasir with "medical care only." See Examiner's Report; Mot. Ex. 1D, August 20, 2002 letter from Dr. Andrew McCarthy to Dr. Al-Sekait.*fn1 On August 14, 2002, the hospital requested Dr. Al-Sekait's assistance in dealing with the Mr. Elbasir and Ms. Ibrahim. See Bernstein Letter. On August 15, 2002, Dr. Al-Sekait notified plaintiffs that the Center was terminating its sponsorship of Mr. Elbasir's treatment in the United States. See Al-Sekait Decl. ¶ 13.

Ms. Ibrahim continued to refuse to cooperate in the NRH's plan to discharge her husband. See Examiner's Report. Pursuant to the NRH's request, Maher H. Hanania (who is also plaintiff's counsel in this matter) was appointed Mr. Elbasir's guardian by the Superior Court of the District of Columbia on October 1, 2002. See Compl. ¶ 11. On October 25, 2002, the NRH was granted a temporary restraining order by the Superior Court, enjoining Mr. Elbasir from occupying NRH premises after October 28, 2002. See Mot. Ex. 1A, District of Columbia Superior Court Temporary Restraining Order.

After the issuance of the temporary restraining order, Mr. Elbasir's guardian Mr. Hanania "looked to the government of Saudi Arabia to provide [the Elbasir family with] the means" to continue to pay for outpatient treatment and living expenses. See Opp. at 3. Plaintiffs allege that Mr. Hanania contacted the Saudi Arabian embassy and spoke with Dr. Al-Sekait. See id. Plaintiffs claim that Dr. Al-Sekait "informed the guardian that if [the guardian] took [p]laintiffs out of the hospital[, Dr. Al-Sekait] would continue financial assistance for the family's expenses and out-patient treatment." Compl. ¶ 16. Plaintiffs maintain that they have incurred various non-medical expenses in reliance on Dr. Al-Sekait's assurances that defendant would continue financial assistance to the family, including leasing an apartment at a cost of over $15,000, buying furniture costing $4,700, and $15,000 in personal expenditures. Id. ¶¶ 17-19; see also Ibrahim Decl. ¶ 28 (stating that as of June 27, 2005, plaintiffs had borrowed approximately $50,000 based on Dr. Al-Sekait's alleged assurances).

II. DISCUSSION

A. Personal Jurisdiction

Defendant has moved to dismiss on two bases: lack of personal jurisdiction and lack of subject matter jurisdiction. The arguments the defendant advances in its motion relate solely to the assertion of sovereign immunity without explicit reference to whether such immunity presents a challenge to personal or subject matter jurisdiction. Defendant's argument for dismissal under the FSIA on grounds that the defendant is immune from suit is properly the subject of a motion to dismiss for lack of subject matter jurisdiction. See Republic of Austria v. Altmann, 541 U.S. 677, 691 (2004) (subject matter jurisdiction exists in the federal courts of the United States under the FSIA only if one of the exceptions to sovereign immunity applies); Kirkham v. Societe Air France, 429 F.3d 288, 291 (D.C. Cir. 2005) ("[P]arties seeking FSIA immunity do so through Rule 12(b)(1) motions to dismiss for lack of subject matter jurisdiction."). The Court therefore will deny defendant's motion to dismiss for lack of personal jurisdiction and address defendant's arguments relating to sovereign immunity as an issue of subject matter jurisdiction.

B. Subject Matter Jurisdiction

1. FSIA Legal Standards

The Foreign Sovereign Immunities Act is "the sole basis for obtaining jurisdiction over a foreign state in our courts." Republic of Austria v. Altmann, 541 U.S. at 699 (quoting Argentine Republic v. Amerada Hess Shipping Corp., 488 U.S. 428, 434 (1989)). Federal district courts have exclusive jurisdiction over civil actions against a foreign state, regardless of the amount in controversy, provided that the foreign state is not entitled to immunity under the FSIA. See 28 U.S.C. §§ 1330, 1604; Argentine Republic v. Amerada Hess Shipping Corp., 488 U.S. at 434-35. A foreign state is presumed to be immune from suit, 28 U.S.C. § 1604, and is in fact immune, unless one or more of the exceptions to immunity enumerated in the FSIA apply. See 28 U.S.C. §§ 1605-1607; Saudi Arabia v. Nelson, 507 U.S. 349, 355 (1993); Acree v. Republic of Iraq, 370 F.3d 41, 44 (D.C. Cir. 2004). "'At the threshold of every action in a district court against a foreign state, . . . the court must satisfy itself that one of the exceptions applies,' as 'subject-matter jurisdiction in any such action depends' on that application." Republic of Austria v. Altmann, 541 U.S. at 691 (quoting Verlinden v. B.V. v. Central Bank of Nigeria, 461 U.S. 480, 493-94 (1983)).

Once a defendant presents a prima facie case that it is a foreign sovereign, plaintiffs "bear[] the burden of producing evidence to show that immunity should not be granted." FG Hemisphere Assocs. v. Democratic Republic of Congo, 447 F.3d 835, 842 (D.C. Cir. 2006). "[T]he defendant [then] bears the burden of proving that the plaintiff's allegations do not bring the case within a statutory exception to immunity." See Phoenix Consulting v. Republic of Angola, 216 F.3d 36, 40 (D.C. Cir. 2000). In attempting to meet this burden, "the defendant may challenge either the legal sufficiency or the factual underpinning of an exception." Id. "If the defendant challenges the legal sufficiency of the plaintiff's jurisdictional allegations, the court should accept the plaintiff's factual allegations as true and determine whether such facts bring the case within any of the exceptions to foreign-state immunity invoked by the plaintiff." Peterson v. Royal Kingdom of Saudi Arabia, 332 F. Supp.2d 189, 195 (D.D.C. 2004) (citing Foremost-McKesson, Inc. v. Islamic Republic of Iran, 905 F.2d at 449); see Kilburn v. Socialist People's Libyan Arab Jamahiriya, 376 F.3d 1123, 1127 (D.C. Cir. 2004). "Where the defendant has [] challenged the factual basis of the court's jurisdiction, the court may not deny the motion to dismiss merely by assuming the truth of the facts alleged by the plaintiff and disputed by the defendant." Phoenix Consulting v. Republic of Angola, 216 F.3d at 40. Rather, the Court "must go beyond the pleadings and resolve any disputed issues of fact the resolution of which is necessary to a ruling upon the motion to dismiss." Id. (citations omitted). In going beyond the pleadings to resolve such a dispute, courts "retain[] 'considerable latitude in devising the procedures . . . to ferret out the facts pertinent to jurisdiction.'" Id. (citing Prakash v. American Univ., 727 F.2d 1174, 1179-80 (D.C. Cir. 1984)).

2. Commercial Activity Exception

Defendant argues that because none of the FSIA exceptions applies to the claims brought by plaintiffs, it is immune from suit as a foreign sovereign and this case therefore must be dismissed. The only FSIA exception that arguably applies in this case is the "commercial activity" exception. See 28 U.S.C. § 1605(a)(2); see also Mot. at 10; Opp. at 4. The FSIA's "commercial activity" exception waives sovereign immunity where

the action is based upon a commercial activity carried on in the United States by the foreign state; or upon an act performed in the United States in connection with a commercial activity of the foreign state elsewhere; or upon an act outside the territory of the foreign state elsewhere and that act causes a direct effect in the United States.

28 U.S.C. § 1605(a)(2). The term "commercial activity" is defined under the Act as a "regular course of commercial conduct or a particular commercial transaction or act." 28 U.S.C. § 1603(d); see Daliberti v. Republic of Iraq, 97 F. Supp.2d 38, 46 (D.D.C. 2000). "The commercial character of an activity shall be determined by reference to the nature of the course of conduct or particular transaction or act, rather than by reference to its purpose." 28 U.S.C. § 1603(d). "The key inquiry in determining whether particular conduct constitutes commercial activity is not to ask whether its purpose is to obtain money, but rather whether it is 'the sort of action by which private parties can engage in commerce.'" Mwani v. Bin Laden, 417 F.3d 1, 17 (D.C. Cir. 2005) (quoting Saudi Arabia v. Nelson, 507 U.S. at 362). See also Republic of Argentina v. Weltover, Inc., 504 U.S. 607, 614 (1992); Daliberti v. Republic of Iraq, 97 F. Supp.2d at 47.

The "commercial activity" exception of the FSIA does not encompass the "administrat[ion] of a government program to provide for the health and welfare of [a sovereign's] citizens and residents." Jungquist v. Sheikh Sultan Bin Khalifa Al Nayhan, 115 F. 3d 1020, 1030 (D.C. Cir. 1997). Provision of such health care benefits - including the provision of medical treatment - are "uniquely sovereign in nature . . . ." Id. Thus, any agreement between the defendant and plaintiffs relating to Mr. Elbasir's medical treatment under the Saudi health care system does not fall within the "commercial activity" exception of the FSIA. Defendant has provided uncontradicted evidence to support its contention that the Saudi government's provision for Mr. Elbasir's medical care and related expenses for him personally were administered pursuant to the government's health care program. See Al-Sekait Decl. ¶¶ 6-8, 13, 15, 17, 18. Insofar as the cost of Mr. Elbasir's medical care and any attendant expenses were provided as part of a government health care program, the Court agrees with defendant that plaintiffs' claim therefore must fail.

Independent of Mr. Elbasir's expenses related to his medical care, however, is the issue of financial assistance for housing and other expenses to Mr. Elbasir's family, which plaintiffs allege they were promised by the defendant. Altogether, plaintiffs allege that there were three separate agreements between themselves and the defendant, all three of which involve promises to assist not only Mr. Elbasir, but also his family. With respect to the first agreement, plaintiffs assert that the defendant agreed to provide not only for Mr. Elbasir's medical treatment, but also his family's expenses until he was well enough to work in exchange for his family not prosecuting the driver of the car that injured him. See Compl. ¶ 5; Ibrahim Decl. ¶ 3. With respect to the second agreement, plaintiffs allege that defendant agreed to provide for the entire family's travel to the United States for Mr. Elbasir's treatment. See Compl. ¶ 6. With respect to the third agreement, plaintiffs allege that in exchange for their cooperation with the removal of Mr. Elbasir from the National Rehabilitation Hospital, Dr. Al-Sekait agreed not only to continue financial assistance for Mr. Elbasir's medical treatment, but also to continue to assist his family with its living expenses. See Compl. ¶ 16; see also Ibrahim Decl. ¶¶ 3, 18; Opp. Ex. 2, Declaration of Ishaq Bashir ("Bashir Decl.") ¶ 7. Relying on this third agreement, plaintiffs further allege that they have incurred certain non-medical expenses totaling approximately $50,000. Compl. ¶¶ 17-19; Ibrahim Decl. ¶ 28. Plaintiffs allege that the first and third of these agreements were breached.*fn2 Defendant has failed to address this component of the alleged agreements in its motion or in the declarations or other evidence provided in support of its motion. The Court therefore is unable to grant the motion to dismiss with respect to any of the financial assistance allegedly promised to Mr. Elbasir's family.

3. Questions Remaining

Given this legal framework, the Court is faced with several questions of fact and of mixed law and fact. First, the Court must determine whether any of the alleged promises to plaintiffs regarding financial assistance to Mr. Elbasir's family were made at all. Second, if such promises were made, the Court must determine whether any of them was done in the promisor's personal capacity or in his capacity as a sovereign representative.*fn3 If the Court determines that any of the alleged agreements were in fact entered into, it must then determine whether such an agreement between the Kingdom of Saudi Arabia and the plaintiffs falls under the FSIA's "commercial activity" exception. See 28 U.S.C. § 1605(a)(2). As previously stated, if the assistance promised was within the aegis of a government health or welfare benefit program, then the agreements do not fall within that exception. Jungquist v. Sheikh Sultan Bin Khalifa Al Nayhan, 115 F. 3d at 1030.

Defendant disputes whether it or its agents ever entered into any of these alleged agreements, but it does not provide any evidence (declarations or other documentary evidence) that would permit the Court to make such a determination on the record before it. In his sworn declaration, Dr. Al-Sekait denies that the third agreement was reached -- that is, that Dr. AlSekait made a promise on behalf of the Kingdom of Saudi Arabia to the plaintiffs to provide continued assistance in return for plaintiffs' agreement to remove Mr. Elbasir from the NRH. Al-Sekait Decl. ¶ 17. As to the first agreement, the only evidence defendant presents to dispute its existence is Dr. Al-Sekait's statement that he is not personally aware of it. Id. ¶ 18. In light of the sworn declaration from Mr. Elbasir's wife attesting to all three alleged agreements, and the sworn declaration from a translator attesting to the third alleged agreement, the Court is presented with a "disputed issue[] of fact the resolution of which is necessary to a ruling upon the motion to dismiss." See Phoenix Consulting v. Republic of Angola, 216 F.3d at 40 (citations omitted).

The Court would not need to reach the question of whether the parties entered into these agreements and whether such agreements were commercial in nature if defendant had demonstrated that any of the alleged financial assistance that was or could have been provided to Mr. Elbasir's family, such as hotel accommodations, the cost of an aprtment and funiture, and other expenses, was or would have been provided pursuant to the medical benefits program or any other government benefit program administered by the defendant. Compare Jungquist v. Sheikh Sultan Bin Khalifa Al Nayhan, 115 F. 3d at 1027 (government of Abu Dhabi explicitly contended that "all of the [medical] treatment and related assistance" provided, which included a housing and subsistence allowance for plaintiff and her mother, was "within the scope of the Abu Dhabi government's official medical treatment program") (emphasis added). It is not clear whether the assistance allegedly promised or provided to Mr. Elbasir's family was within the scope of the program that provided Mr. Elbasir personally with financial assistance for medical and related expenses.

Dr. Al-Sekait's declaration does not help in clarifying this matter. In his declaration, Dr. Al-Sekait is explicit in only one instance that the financial assistance provided to Mr. Elbasir's family and not to Mr. Elbasir himself was provided pursuant to the government health care program administered by the Center, and that is with respect to the second alleged agreement to provide plaintiffs with support to travel to the United States. See Al-Sekait Decl. ¶ 7. Since plaintiffs do not allege a breach of this agreement, it is not at issue. All other references to the provision of or possible provision of financial assistance to Mr. Elbasir's family in Dr. Al-Sekait's declaration are at best oblique. See Al-Sekait Decl. ¶¶ 3 ("For certain patients whose applications for assistance are approved, the Center will fund the costs associated with travel to the United States for treatment, and expenses incurred in the United States related to such care."); 8 ("Saudi Arabia sponsored Mr. Elbasir and his family for tourist visas to the United States so that he could receive medical treatment"); 13 ("On August 15, 2002, I notified Mr. Elbasir and his family that the Center had decided to terminate his sponsorship for further treatment in the United States.") (emphasis added); 15 ("On August 30, 2002, I informed Mr. Elbasir that the Center had terminated his sponsorship for additional treatment in the United States, and offered to arrange for his transportation, along with an appropriate medical escort, to his home in Sudan.") (emphasis added).

Ms. Ibrahim's declaration seems to suggest that accommodations may be provided on a routine basis to the family's of medical patients, perhaps pursuant to a government program: "Most Saudi citizens when they arrive for medical treatment, they are provided with hotels such as Holiday Inn for the family." Ibrahim Decl. ¶ 10. Nowhere, however, does the record contain any competent evidence upon which the Court could make a determination on the mixed question of law and fact of whether the assistance provided or allegedly promised to Mr. Elbasir's family would have been provided pursuant to a Saudi government benefits program. If the defendant can provide such evidence, the Court would not have to deal with the purely factual issue -- more dependant on resolving matters of witness credibility -- of whether the alleged agreements or promises were ever made at all.

III. CONCLUSION

For the foregoing reasons, the Court concludes that defendant's argument that it is immune from suit as a sovereign nation is properly a challenge to the Court's subject matter, not its personal, jurisdiction. The Court further concludes that while it lacks subject matter jurisdiction over the Kingdom of Saudi Arabia for acts undertaken by defendant in Saudi Arabia and the United States in connection with its government-run health care system, and the attendant benefits provided to plaintiffs under that system, it must deny the motion to dismiss without prejudice at this time.

In view of the possibility that the parties may be able to address and clarify some of the questions raised in this Opinion, the Court will permit the defendant to file, if appropriate, a renewed motion to dismiss containing declarations or other evidence addressing the questions discussed above concerning the nature of the financial assistance provided to Mr. Elbasir's family, and whether such assistance was provided pursuant to a government benefits program. If such a renewed motion is not, in defendant's view, capable of resolving such questions, or if the further evidence provided in conjunction with briefing of the new motion is not sufficient to resolve this issue, the Court will permit limited jurisdictional discovery on (a) whether such promises were made or such agreements were entered, and (b) the nature of the alleged agreements in order to determine whether any part of them fall within the FSIA's commercial activity exception. The Court therefore denies defendant's motion to dismiss without prejudice.

An Order consistent with this Opinion shall be issued this same day.

SO ORDERED.


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