delivered the opinion of the court:
Defendants, Pinkus Dermatopathology Laboratory, EC. (Pinkus), David A. Mehregan, M.D., and Darius R. Mehregan, M.D. (collectively, defendants), appeal from an order of the circuit court of Cook County denying their motion to quash service of summons and to dismiss plaintiff Dawn G. KostaPs fourth amended complaint for lack of personal jurisdiction. We affirm and remand.
BACKGROUND
In December 2001, plaintiff, an Illinois resident, visited her physician in Illinois. During that visit, her physician obtained tissue samples and sent them to Pinkus for analysis. Pinkus, a Michigan corporation, is a pathology laboratory that is operated on a national basis. Defendants provide expert diagnostic analysis by mail. Defendants processed and analyzed plaintiffs tissue samples in Michigan, drafted reports in Michigan and sent allegedly inaccurate reports to plaintiffs physician in Illinois.
Plaintiff filed a medical negligence action alleging that, as a result of defendants’ negligence, her care and treatment were delayed, requiring extensive medical procedures, and causing her severe and permanent physical injury, pain and suffering, disability, disfigurement and the loss of a normal life. 1 Defendants filed a special appearance to quash service of summons and to dismiss plaintiffs fourth amended complaint for lack of personal jurisdiction. 2 The trial court denied defendants’ motion. Defendants now appeal pursuant to Supreme Court Rule 306(a)(3) (155 Ill. 2d R. 306(a)(3)).
ANALYSIS
The sole issue on appeal is whether the State of Illinois can assert jurisdiction over the nonresident defendants. Plaintiff bears the burden of establishing a valid basis for asserting jurisdiction over defendants. Morecambe Maritime, Inc. v. National Bank of Greece, S.A.,
The standard of review is de novo when a trial court determines jurisdiction solely on the basis of documentary evidence. Morecambe Maritime, Inc. v. National Bank of Greece, S.A.,
As in other de novo reviews, it is the trial court’s judgment that is before us on review, not the trial court’s reasoning. See, e.g., City of Chicago v. Holland,
Illinois’ Long-Arm Statute
The parties agree that whether Illinois can exercise jurisdiction over defendants rests on the applicability of Illinois’ long-arm statute. 735 ILCS 5/2 — 209 (West 2002). Illinois’ long-arm statute provides several bases for jurisdiction over a nonresident defendant and provides, in relevant part, as follows:
“(a) Any person, whether or not a citizen or resident of this State, who in person or through an agent does any of the acts hereinafter enumerated, thereby submits such person, and, if an individual, his or her personal representative, to the jurisdiction of the courts of this State as to any cause of action arising from the doing of any of such acts:
(1) The transaction of any business within this State;
(2) The commission of a tortious act within this State;
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(7) The making or performance of any contract or promise substantially connected with this State;
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(b) A court may exercise jurisdiction in any action arising within or without this State against any person who:
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(4) Is a natural person or corporation doing business within this State.
(c) A court may also exercise jurisdiction on any other basis now or hereafter permitted by the Illinois Constitution and the Constitution of the United States.” 735 ILCS 5/2 — 209 (West 2002).
Before the trial court, plaintiff’s counsel conceded that plaintiff’s bases for the court’s asserting personal jurisdiction over defendants were subsections (a)(1) and (a)(2). The trial court expressly based its decision on these two subsections. In addition, the trial court relied on Weiden v. Benveniste,
We shall first briefly address plaintiffs new argument that jurisdiction over defendants is permissible pursuant to section 2 — 209(b)(4) of the long-arm statute. 735 ILCS 5/2 — 209(b)(4) (West 2002). Section 2 — 209(b)(4) of Illinois’ long-arm statute allows Illinois to exercise jurisdiction over a nonresident defendant who is “doing business within” Illinois. Jurisdiction based upon a party’s “doing business” in Illinois was recognized by Illinois courts before it was codified as section 2 — 209(b)(4). Hendry v. Ornda Health Corp.,
There is a distinction between the “doing business” theory now codified in subsection (b)(4) of Illinois’ long-arm statute and the “transaction of business” theory under section (a)(1) of the statute. Under the “doing business” theory, a corporation becomes subject to the state’s jurisdiction if the corporation “engages in a continuous and systematic course of business in the State,” even if the subject lawsuit has no relationship to that business. Kadala v. Cunard Lines, Ltd.,
As noted, plaintiffs counsel conceded below that plaintiff was not contending that Illinois could assert general jurisdiction over defendants and that this case involved specific jurisdiction. Thus, the trial court decided that Illinois could exercise specific jurisdiction over defendants. Because we agree with the trial court that there are minimum contacts in this case sufficient to support jurisdiction, we see no need to further discuss plaintiffs newly raised argument that defendants’ affidavits and admissions demonstrate that they are “doing business” in Illinois. Likewise, we need not address defendants’ contentions that the facts set forth in their affidavits overcome plaintiffs prima facie basis for asserting jurisdiction. The statements in defendants’ affidavits relate to their lack of physical presence and are relevant only to the issue of whether defendants are “doing business” in Illinois, which would subject them to general jurisdiction. In any event, the instant cause of action is for medical negligence which allegedly arose from, and is specifically related to, defendants’ contacts with Illinois. Thus, a specific jurisdiction analysis applies.
Defendants, citing the 1996 case of International Business Machines Corp. v. Martin Property & Casualty Insurance Agency, Inc.,
Illinois courts now treat subsection (c) as an independent basis for exercising personal jurisdiction over a defendant. See, e.g., Adams,
Although the former two-step inquiry is no longer necessary under Illinois’ long-arm statute, it has been noted that a new two-step inquiry may be required pursuant to the Illinois Supreme Court case of Rollins v. Ellwood,
We note that several recent federal court decisions have commented upon the pronounced concerns of the Rollins court. While acknowledging the Rollins court’s concern that the due process standard of the Illinois Constitution and that of the United States Constitution hypothetically might diverge in some cases, these courts have suggested that no operative difference exists between the federal limitations on personal jurisdiction and the limits imposed by the Illinois Constitution. See Hyatt International Corp. v. Coco,
Federal Due Process Standards for Personal Jurisdiction
Under federal due process standards, a court may exercise personal jurisdiction over a nonresident defendant if the defendant has had sufficient “minimum contacts” with the forum state such that maintenance of the suit in the forum does not offend “ ‘traditional notions of fair play and substantial justice.’ [Citation.]” International Shoe Co. v. Washington,
In determining whether a defendant has had “fair warning” or should “reasonably anticipate” being haled into an out-of-state court, federal courts have relied upon the following reasoning:
“ ‘The unilateral activity of those who claim some relationship with a nonresident defendant cannot satisfy the requirement of contact with the forum State. The application of that rule will vary with the quality and nature of the defendant’s activity, but it is essential in each case that there be some act by which the defendant purposefully avails itself of the privilege of conducting activities within the forum State, thus invoking the benefits and protections of its laws.’ ” Burger King Corp. v. Rudzewicz,471 U.S. 462 , 474-75,85 L. Ed. 2d 528 , 542,105 S. Ct. 2174 , 2183 (1985), quoting Hanson v. Denckla,357 U.S. 235 , 253,2 L. Ed. 2d 1223 , 1239-40,78 S. Ct. 1283 , 1298 (1958).
As the Burger King court explained:
“We have noted several reasons why a forum legitimately may exercise personal jurisdiction over a nonresident who ‘purposefully directs’ his activities toward forum residents. A State generally has a ‘manifest interest’ in providing its residents with a convenient forum for redressing injuries inflicted by out-of-state actors. [Citations.] Moreover, where individuals ‘purposefully derive benefit’ from their interstate activities [citation], it may well be unfair to allow them to escape having to account in other States for consequences that arise proximately from such activities; the Due Process Clause may not readily be wielded as a territorial shield to avoid interstate obligations that have been voluntarily assumed. And because ‘modern transportation and communications have made it much less burdensome for a party sued to defend himself in a State where he engages in economic activity,’ it usually will not be unfair to subject him to the burdens of litigating in another forum for disputes relating to such activity. [Citation.]” Burger King,471 U.S. at 473-74 ,85 L. Ed. 2d at 541 ,105 S. Ct. at 2182-83 .
We keep these principles in mind in deciding whether the exercise of personal jurisdiction over defendants comports with federal due process.
Illinois Due Process Standards for Personal Jurisdiction
Under the Illinois Constitution’s due process guarantee, a court may exercise jurisdiction “only when it is fair, just and reasonable to require a nonresident defendant to defend an action in Illinois, considering the quality and nature of the defendant’s acts which occur in Illinois or which affect interests located in Illinois.” Rollins v. Ellwood,
Out-of-State Doctor Cases
In determining whether to assert personal jurisdiction over an out-of-state doctor, special jurisdictional rules have evolved to ensure that jurisdiction is asserted only when that physician has purposefully availed himself of the privileges of conducting activities in the patient’s state. Kennedy v. Freeman,
The underlying rationale for these special jurisdictional rules is the rejection of the so-called “portable tort” theory as applied to physicians with local practices outside the forum state. This theory had its genesis in Gray v. American Radiator & Standard Sanitary Corp.,
As defendants now correctly note, “[f]or due process purposes, doctors should not be treated like manufacturers of products.” Lemke v. St. Margaret Hospital,
“Having held that no tortious act occurred in Illinois, we need not consider whether the defendant’s rights under the standards of the due process clause have been violated.” Yates,112 Ill. 2d at 210 ,492 N.E.2d at 1269 .
This court has noted, however, that Yates was decided before the 1989 amendment to the long-arm statute that extended jurisdiction to the full extent allowed hy state and federal due process. See Zazove,
“We would, however, observe that the conclusion we reach in favor of the defendant is consistent with decisions under the due process clause that residents of one State who travel to another jurisdiction for medical treatment cannot prosecute a malpractice action in their State of residence for injuries arising out of that treatment. [Citations.]” Yates,112 Ill. 2d at 210 ,492 N.E.2d at 1269 .
In this appeal, defendants now rely on some of these same decisions cited by Yates, specifically, Veeninga v. Alt,
We first note that, in some of these cases, it is not always clear whether the decisions were based upon the “tortious act” analysis, a due process analysis or both. See, e.g., Lemke,
The seminal case for the proposition that the tortious rendition of medical services outside the forum state is not a portable tort that would subject an out-of-state doctor to jurisdiction in the forum is Wright v. Yackley,
As the Wright v. Yackley court explained:
“In the case of personal services focus must be on the place where the services are rendered, since this is the place of the receiver’s (here the patient’s) need. The need is personal and the services rendered are in response to the dimensions of that personal need. They are directed to no place but to the needy person herself. It is in the very nature of such services that their consequences will be felt wherever the person may choose to go. However, the idea that tortious rendition of such services is a portable tort which can be deemed to have been committed wherever the consequences foreseeably were felt is wholly inconsistent with the public interest in having services of this sort generally available. Medical services in particular should not be proscribed by the doctor’s concerns as to where the patient may carry the consequences of his treatment and in what distant lands he may be called upon to defend it. The traveling public would be ill served were the treatment of local doctors confined to so much aspirin as would get the patient into the next state. The scope of medical treatment should be defined by the patient’s needs, as diagnosed by the doctor, rather than by geography.” Wright v. Yackley,459 F.2d 287 , 289-90 (9th Cir. 1972).
See also Mosier v. Kinley,
As one court further explained:
“ ‘When one seeks out services which are personal in nature, such as those rendered by attorneys, physicians, dentists, hospitals or accountants, and travels to the locality where he knows the services will actually be rendered, he must realize that the services are not directed to impact on any particular place, but are directed to the needy person himself. While it is true that the nature of such services is that if they are negligently done, their consequences will thereafter be felt wherever the client or patient may go, it would be fundamentally unfair to permit a suit in whatever distant jurisdiction the patient may carry the consequences of his treatment, or the client the consequences of the advice received.’ ” (Emphasis added.) Hogan v. Johnson,39 Wash. App. 96 , 101,692 P.2d 198 , 201 (1984), quoting Gelineau v. New York University Hospital,375 F. Supp. 661 , 667 (D.N.J. 1974).
We note that the Gelineau court went on to state as follows:
“Unlike a case involving voluntary interstate or international economic activity, *** which is directed at the forum state’s markets, the residence of a recipient of personal services rendered elsewhere is irrelevant and totally incidental to the benefits provided by the defendant at his own location. It is clear that when a client or a patient travels to receive professional services without having been solicited (which is prohibited by most professional codes of ethics), then the client, who originally traveled to seek services apparently not available at home, ought to expect that he will have to travel again if he thereafter complains that the services sought by him in the foreign jurisdiction were therein rendered improperly.
Any other rule would seem to be not only fundamentally unfair, but would inflict upon the professions the obligation of traveling to defend suits brought in foreign jurisdictions, sometimes very distant jurisdictions, there brought solely because the patient or client upon his return to his own home decided to sue at home for services sought by himself abroad.” (Emphasis added.) Gelineau,375 F. Supp. at 667 (cited with approval in Yates v. Muir,112 Ill. 2d 205 ,492 N.E.2d 1267 (1986)).
The instant case is distinguishable from the line of cases following Wright v. Yackley, including those cited by defendants. The main difference is that plaintiff here did not travel out of state, visit a doctor with a local practice, receive treatment and carry the consequences of treatment back to the forum. Here, instead, defendants purposefully directed their activities here. The distinction between defendants’ activities and that of the local doctors in the cases cited by defendant is substantial. “From the very nature of the average doctor’s localized practice, there is no systematic or continuing effort on the part of the doctor to provide services which are to be felt in the forum state.” Wright v. Yackley,
We therefore conclude that defendants’ contention that the cases of Veeninga v. Alt,
As the Wright v. Yackley court explained:
“The mailing of the prescriptions to Idaho did not constitute new prescription. It was not diagnosis and treatment by mail. It was simply confirmation of the old diagnosis and prescription and was recognized by the druggist as such.” (Emphasis added.) Wright v. Yackley,459 F.2d at 288-89 .
But as the court additionally explained:
“The balance of factors involved in a due process determination might be different if a doctor could be said to have treated an out-of-state patient by mail or to have provided a new prescription or diagnosis in such fashion. In that event, the forum state’s interest in deterring such interstate medical service would surely be great. Here, however, the mailing of the copies was simply reflective of, and indeed a part of, the earlier treatment and prescription.” Wright v. Yackley,459 F.2d at 289 n.4.
Thus, it was long ago recognized that even “[t]he bellwether case of Wright v. Yackley [citation] established a distinction between a situation where one ventures into a foreign state, receives medical treatment, returns to his home state and suffers injurious consequences, and a case where the nonresident physician diagnoses and treats a patient by mail.” Hume v. Durwood Medical Clinic, Inc.,
Plaintiff cites the case of Kennedy v. Freeman,
We agree that the facts of the instant case are more analogous to those in Kennedy. Defendants offer no argument regarding the analysis in that case, but merely note that no Illinois appellate court case has relied on Kennedy in the 14 years since it was decided. This court finds Kennedy to be entirely well reasoned, persuasive and valuable to our analysis.
Kennedy involved an Oklahoma resident who sought treatment from her doctor in Oklahoma. The Oklahoma physician removed a skin lesion and sent it to the defendant, Dr. Freeman in Texas. Dr. Freeman willingly accepted the sample and sent a report back to the plaintiff’s physician in Oklahoma. Dr. Freeman knew of the significance of his diagnosis and that it would be used in treating the plaintiff. The report was inaccurate, and, due to Dr. Freeman’s error, the plaintiff was given no treatment or follow-up care. The plaintiff learned, four years later, that malignant melanoma had spread over her entire body.
The plaintiff sued in federal court for negligence. The district court granted the defendant’s motion to dismiss for lack of personal jurisdiction, but the Tenth Circuit Court of Appeals reversed. Kennedy v. Freeman,
The Kennedy court applied Oklahoma’s long-arm statute, which, similar to Illinois’ long-arm statute, is coextensive with the due process requirements of the state and federal constitutions.
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The Kennedy court discussed the general principles of specific jurisdiction, including the purposeful availment requirement. Kennedy,
The Kennedy court held that Dr. Freeman’s actions were sufficient to establish personal jurisdiction. In so doing, the court stated as follows:
“While Freeman did not solicit Kennedy’s business in Oklahoma, he did purposefully direct his actions there. He willingly accepted the sample from Oklahoma; he signed a report establishing the thickness of [the] lesion; and he evidently sent his bill there. Freeman rendered his diagnosis to Kennedy in Oklahoma, through the mail, knowing its extreme significance and that it would be the basis of Kennedy’s further treatment there.” Kennedy,919 F.2d at 129 .
The same analysis applies here. Defendants purposefully directed their activities at Illinois. It is undisputed that defendants willingly received plaintiffs tissue specimens from Illinois in containers supplied by them free of charge, generated three diagnostic reports that were faxed or mailed to Illinois knowing they would be relied upon by plaintiff s physician and rendered a diagnosis knowing that it would form the basis of plaintiffs further treatment in Illinois. As plaintiff further notes, however, her case here is even stronger and bolstered by defendants’ admission of a prior, ongoing relationship with plaintiffs doctor, sending him blank requisition slips and other biopsy supplies to his Illinois office, combined with the fact that defendants held themselves out via the Internet as “nationwide” service providers.
In Kennedy, the plaintiff was being treated in another state, the forum state, at the time that the defendant essentially injected himself into the patient’s treatment and provided the service, and that service directly affected the decisions regarding the patient’s ongoing treatment in the forum state. Likewise, defendants here injected themselves into plaintiff’s treatment in Illinois and, similar to the defendant in Kennedy, in effect rendered a diagnosis by mail and actually provided medical treatment in the forum state.
We agree with the court that described Kennedy as a case in which “the doctor’s services [were] fundamentally interstate in nature from the inception of the relationship.” (Emphasis omitted.) Prince v. Urban,
As noted earlier, the trial court relied upon Weiden v. Benveniste,
The instant case is factually similar to Kennedy v. Freeman,
Pursuant to Rollins, we must now turn to the question of whether the exercise of personal jurisdiction over defendants comports with the Illinois due process guaranty. Specifically, we must determine whether it is “fair, just, and reasonable to require a nonresident defendant to defend an action in Illinois, considering the quality and nature of the defendant’s acts which occur in Illinois or which affect interests located in Illinois.” Rollins v. Ellwood,
CONCLUSION
In accordance with the foregoing, we affirm the decision of the circuit court of Cook County denying defendants’ motion to quash service of summons and denying defendants’ motion to dismiss this action for lack of personal jurisdiction. We remand this matter to the trial court for further proceedings consistent with this opinion.
O’BRIEN and NEVILLE, JJ., concur.
Notes
Plaintiff filed suit against other defendants, all of whom have filed answers to plaintiffs complaint.
Defendants had also opposed plaintiffs previously filed complaints.
The International Business Machines Corp. court and other cases cited by defendants, including Alpert v. Bertsch,
Plaintiff has also contended that Gray v. American Radiator & Standard Sanitary Corp.,
The relevant statute provided as follows: “A court of this state may exercise jurisdiction on any basis consistent with the Constitution of this state and the Constitution of the United States.” Okla. Stat. Tit. 12, § 2004(F) (Supp. 1989); Kennedy,
