DR. JUAN M. RODRIGUEZ-RIVERA, d/b/a “Centro Reumatologico Dr. Juan Rodriguez“, Plaintiff, Appellant, v. ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.; ALLSCRIPTS HEALTHCARE, LLC, Defendants, Appellees, HEALTHCARE DATA SOLUTIONS, LLC, a/k/a HDSOSF, LLC; INSURANCE COMPANIES A, B, and C; JOHN DOE; RICHARD ROE, Defendants.
No. 20-1936
United States Court of Appeals For the First Circuit
July 19, 2022
APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF PUERTO RICO [Hon. Daniel R. Dominguez, U.S. District Judge]
Before Thompson, Lipez, and Gelpi, Circuit Judges.
Jose Luis Ubarri-Garcia, with whom Francisco L. Charles-Gomez, Charles Gomez Law Office, LLC, Jorge Luis Guerrero-Calderon, Ubarri & Roman Law Office, and Melvin Rosario-Rodriguez, were on brief, for appellant.
Salvador J. Antonetti-Stutts, with whom Mark L. Durbin, Scott T. Peloza, Barnes & Thornburg LLP, Alfredo Ramirez-Macdonald, Aura A. Montes-Rodriguez, Ricardo J. Casellas, and O‘Neill & Borges LLC, were on brief, for appellees.
I. The Backdrop
We begin by setting the stage. Rodriguez is a licensed physician in Puerto Rico specializing in rheumatology.1 As a physician, he has to keep medical records. Around 2009, in order to comply with patient data security rules out of the
Enter stage the defendants Allscripts and AHS. Allscripts is a North Carolina limited liability company with its principal place of business in Chicago. Allscripts is indirectly owned by AHS, a holding company which itself is a Delaware corporation also with its principal offices in Chicago (though AHS itself does not manufacture, market, or sell any goods or services). Allscripts provides, among other things, practice management and EHR technology to healthcare providers. Allscripts’ MyWay product is an EHR- and practice-management software designed to help physicians’ practices. Allscripts’ MyWay EHRs are stored on a server owned by Allscripts.
Rodriguez was introduced to Allscripts’ MyWay software through NovatekPR, an authorized third-party reseller. After setting things up in 2009, Rodriguez‘s patients’ EHRs were stored with Allscripts’ MyWay service uneventfully for several years.
That began to change in 2016. In September of that year, Allscripts informed Rodriguez by email that it was discontinuing support for MyWay and would soon be providing support exclusively for its new system, Professional EHR, effective at the end of October 2017. Not wishing to join Allscripts’ new product, Rodriguez decided to migrate his patients’ EHRs to Aprima, a competitor of Allscripts. In early February 2017, in response to an inquiry from Aprima regarding the necessary steps to accomplish Rodriguez‘s EHR data migration, Allscripts informed Aprima that it was unable to provide Rodriguez‘s EHR data. Days later, Allscripts emailed Rodriguez informing him that “Allscripts no longer has your patient data. It was destroyed because we no longer had an existing [Business Associates Agreement] with your practice. Your practice was a subaccount of Novatek, a MyWay partner. . . . The Novatek account was sent to collections in 2014 and for whom maintenance was terminated.”
Distraught over his now-missing EHRs, Rodriguez filed the instant suit against AHS and Healthcare Data Solutions, LLC (as well as unnamed insurance
Allscripts and AHS initially moved to dismiss for lack of personal jurisdiction and failure to state a claim, but the district court denied that motion without prejudice pending the outcome of jurisdictional discovery that it ordered. The court ordered Rodriguez to produce his contract with Novatek for the purchase and use of MyWay, as counsel for Rodriguez had previously indicated that the document was in counsel‘s possession. In response, Rodriguez submitted an unsworn statement by Novatek‘s former president, Luis Carmoega, who declared that the contract was lost or destroyed during Hurricane Maria. The court found that the proper remedy for the discovery-production controversy was for AHS and Allscripts to depose Carmoega. And at deposition, Carmoega repeated his earlier statement: He did not have any copy of the contract.
In response, AHS and Allscripts produced an End User License Agreement (“EULA“)3 that provided the terms and conditions of the use of the MyWay software. The EULA contained an arbitration clause requiring any claim arising out of the contract to be settled by binding arbitration held in Raleigh, North Carolina and applying North Carolina law. Carmoega confirmed that his initials appear on each page of the EULA, which is dated December 2008. He testified that it was standard practice to make sure his clients agreed to the EULA and thus Rodriguez “must have” signed the EULA. But, Carmoega said, he did not have a copy of Rodriguez‘s signed EULA from the sale in 2009.
After that revelation, AHS and Allscripts filed renewed motions to dismiss Rodriguez‘s complaint for: (1) lack of personal jurisdiction; (2) improper venue (citing the arbitration agreement); and (3) failure to state a claim upon which relief can be granted. The district court granted the motion, finding the disputes should be arbitrated, that it lacked personal jurisdiction over both Allscripts and AHS, and that Rodriguez‘s complaint failed as a matter of law. Rodriguez‘s timely appeal followed, and that‘s where our work comes in.
II. Personal Jurisdiction
We begin with the district court‘s conclusion that it lacked personal jurisdiction over both Allscripts and AHS.
“In determining whether a non-resident defendant is subject to its jurisdiction, a federal court exercising diversity jurisdiction,” like we do here, “‘is the functional equivalent of a state court sitting in the forum state.‘” Sawtelle v. Farrell, 70 F.3d 1381, 1387 (1st Cir. 1995) (quoting Ticketmaster-N.Y., Inc. v. Alioto, 26 F.3d 201, 204 (1st Cir. 1994)). Therefore, to establish personal jurisdiction over AHS and Allscripts, Rodriguez must meet the requirements of both the Puerto Rico long-arm statute and the Due Process clause of the
Under the Due Process clause, a nonresident defendant may be subjected to jurisdiction within a forum only if she has “certain minimum contacts with it such that the maintenance of the suit does not offend ‘traditional notions of fair play and substantial justice.‘” Int‘l Shoe Co. v. Wash. Off. Unemployment Comp. & Placement, 326 U.S. 310, 316 (1945) (quoting Milliken v. Meyer, 311 U.S. 457, 463 (1940)). For specific personal jurisdiction, the constitutional analysis has three distinct prongs: (1) relatedness; (2) purposeful availment; and (3) reasonableness. Daynard v. Ness, Motley, Loadholt, Richardson & Poole, P.A., 290 F.3d 42, 60 (1st Cir. 2002).4 We take each in turn, keeping in mind that Rodriguez bears the burden of demonstrating that all three prongs are satisfied here. A Corp. v. All Am. Plumbing, Inc., 812 F.3d 54, 59 (1st Cir. 2016).
1. Relatedness
To satisfy the relatedness prong, Rodriguez must show a nexus between his claim and the defendants’ forum-based activities. Id. That means that “[t]he plaintiff‘s claims . . . ‘must arise out of or relate to the defendant‘s contacts’ with the forum.” Ford Motor Co. v. Mont. Eighth Jud. Dist. Ct., 141 S. Ct. 1017, 1025 (2021) (quoting Bristol-Myers Squibb Co. v. Superior Ct., 137 S. Ct. 1773, 1780 (2017)).
AHS. First in line is the relatedness of this suit to AHS‘s Puerto Rico contacts. As we flagged earlier, AHS is a holding company and an indirect parent of Allscripts. But AHS itself does not manufacture, market, or sell any goods or services. Nor, we add, does AHS apparently have any contacts with Puerto Rico. Below, one of AHS‘s employees declared that AHS has never had any offices, real property, employees, officers, or bank accounts in Puerto Rico, nor has it ever been licensed to do business there.
Although Rodriguez does not dispute any of these facts, he nonetheless fails to acknowledge any distinction between AHS and Allscripts in his jurisdictional arguments.5 Yet, generally, the jurisdictional contacts of a subsidiary corporation are not imputed to its parent. De Castro v. Sanifill, Inc., 198 F.3d 282, 283-84 (1st Cir. 1999). “The mere fact that a subsidiary company does business within a state does not confer jurisdiction over its nonresident parent, even if the parent is the sole owner of the subsidiary.” Escude Cruz v. Ortho Pharm. Corp., 619 F.2d 902, 905 (1st Cir. 1980). To establish jurisdiction over a parent company, under Puerto Rico law, a plaintiff “must produce ‘strong and robust’ evidence of control by the parent company over the subsidiary, rendering the latter a ‘mere shell.‘” De Castro, 198 F.3d at 283-84 (quoting Escude Cruz, 619 F.2d at 905); see also Speedway Motorsports Int‘l Ltd. v. Bronwen Energy Trading, Ltd., 707 S.E.2d 385, 396 (N.C. Ct. App. 2011) (holding under North Carolina law (the law of the state where Allscripts is organized) that the activities of corporate relatives cannot be imputed to each other “for purposes of personal jurisdiction without proof that [they] are part of the same whole and were not acting independently“).6 And AHS‘s declarant says that AHS does not control or direct the activities of Allscripts -- and, again, Rodriguez does not dispute that fact.7
In the end, it was Rodriguez‘s burden to present evidence demonstrating that the district court could exercise personal jurisdiction over AHS. His bundled arguments and evidence are insufficient to show a sufficient nexus in this case between his claims and AHS‘s forum contacts (or lack thereof). See United States v. Swiss Am. Bank, Ltd., 274 F.3d 610, 621 (1st Cir. 2001) (noting that “there can be no requisite nexus between the contacts and the cause of action if no contacts exist“). Rodriguez having failed to satisfy this first prong of the due-process inquiry, and without any evidence of control of Allscripts by AHS, the district court properly granted the motion to dismiss for lack of personal jurisdiction with respect to AHS. See id. at 625 (failure to show relatedness ends the inquiry). Although the district court dismissed the complaint with prejudice, we will modify the judgment to state that dismissal of AHS is without prejudice. See
Allscripts. Next up, we ask whether Rodriguez‘s claim is related to Allscripts’ Puerto Rico contacts. And the answer is an easy yes. The relatedness test is a relatively “flexible, relaxed standard.” Pritzker v. Yari, 42 F.3d 53, 61 (1st Cir. 1994). It is simply meant to “ensure[] fundamental fairness by protecting a defendant from being hauled into an out-of-state forum based on a single contact with that forum that is wholly unrelated to the suit at issue.” Swiss Am. Bank, 274 F.3d at 623.
Here, Allscripts contracted with a Puerto Rico company to sell its product and sent its employee Chad Novitski to Puerto Rico several times to facilitate the business relationship between Allscripts and Novatek. And with that relationship with Novatek, Allscripts clearly intended to tap into the Puerto Rico market to sell its product. Through its relationship, Allscripts was fully aware that Puerto Rico residents, including Rodriguez, were using its MyWay product to store and manage EHRs -- in fact, it approved Rodriguez‘s contract and set up training for Rodriguez directly. See Knox v. MetalForming, Inc., 914 F.3d 685, 690-91 (1st Cir. 2019) (concluding the relatedness prong was “easily met” where the non-U.S. defendant sold its products in Massachusetts only through a third-party distributor and the plaintiff was injured there). And all that shows a demonstrable nexus between Allscripts’ contacts with Puerto Rico and the destruction of Rodriguez‘s EHRs.9
2. Purposeful Availment
Next, Rodriguez must show that Allscripts purposefully availed itself of the privilege of conducting activities within Puerto Rico, thus invoking the benefits and protections of Puerto Rico‘s laws. See Bluetarp Fin., Inc. v. Matrix Constr. Co., 709 F.3d 72, 82 (1st Cir. 2013). Purposeful availment reflects a “rough quid pro quo,” id. (quoting Carreras v. PMG Collins, LLC, 660 F.3d 549, 555 (1st Cir. 2011)) -- “[w]hen (but only when) a company exercises the privilege of conducting activities within a state -- thus enjoying the benefits and protection of its laws -- the State may hold the company to account for related misconduct,” Ford Motor, 141 S. Ct. at 1025 (cleaned up) (quoting Int‘l Shoe, 326 U.S. at 319). The purposeful-availment inquiry is intended “to assure that personal jurisdiction is not premised solely upon a defendant‘s ‘random, isolated, or fortuitous’ contacts with the forum state.” Sawtelle, 70 F.3d at 1391 (quoting Keeton v. Hustler Mag., Inc., 465 U.S. 770, 774 (1984)). So, we focus “on the defendant‘s intentions, and the cornerstones are voluntariness and foreseeability.” Bluetarp Fin., 709 F.3d at 82 (citation omitted). Voluntariness asks whether the defendant‘s contacts with the forum state are of its own making and “not based on the unilateral actions of another party or a third person.” Nowak v. Tak How Invs., Ltd., 94 F.3d 708, 716 (1st Cir. 1996). And foreseeability asks whether the defendant‘s voluntary conduct and connection with the forum state are “such that [the defendant] should reasonably anticipate being haled into court there.” Id. In all, the contacts “must show that the defendant deliberately reached out beyond its home -- by, for example, exploiting a market in the forum State or entering a contractual relationship centered there.” Ford Motor, 141 S. Ct. at 1025 (cleaned up) (quoting Walden v. Fiore, 571 U.S. 277, 285 (2014)).
In addition to a defendant‘s specific attempts to target the forum state, see Plixer Int‘l, Inc. v. Scrutinizer GmbH, 905 F.3d 1, 9 (1st Cir. 2018), a defendant‘s “‘regular flow or regular course of sales’ in the [forum]” can demonstrate purposeful availment, too, id. at 10. Although the mere placement of a product into the stream of commerce with the awareness that it could end up in a forum state, without more, is not enough to show purposeful availment, “[a]dditional conduct of the defendant may indicate an intent or purpose to serve the market in the forum State.” Asahi Metal Indus. Co. v. Superior Ct., 480 U.S. 102, 112 (1987) (opinion of O‘Connor, J.); see Daimler AG v. Bauman, 571 U.S. 117, 135 n.13 (2014) (citing favorably the Asahi plurality‘s conclusion that a “defendant‘s act of marketing a product through a distributor who has agreed to serve as the sales agent in the forum State may amount to purposeful availment” (cleaned up) (quoting Asahi, 480 U.S. at 112 (opinion of O‘Connor, J.))); Knox, 914 F.3d at 691-92.
Rodriguez argues that Allscripts purposefully availed itself of the privilege of doing business in Puerto Rico by contracting with Novatek, which Allscripts knew was going to sell MyWay to Puerto Rico residents, and its resulting sales to Puerto Rico residents. Rejoining, Allscripts contends that it did not directly target Puerto
Of course, the exercise of specific jurisdiction must rest on Allscripts’ voluntary contact with Puerto Rico and not on “the ‘unilateral activity of another party or a third person.‘” Burger King Corp. v. Rudzewicz, 471 U.S. 462, 475 (1985) (quoting Helicopteros Nacionales de Colombia, S.A. v. Hall, 466 U.S. 408, 417 (1984)). But contrary to Allscripts’ view, Rodriguez‘s argument for jurisdiction does not rest on Novatek‘s Puerto Rico activities. Rather, jurisdiction rests on the totality of Allscripts’ voluntary activities that connect it to Puerto Rico.
Take for starters the revenue Allscripts generated from customers in Puerto Rico, which Allscripts plays down as “minimal.” Allscripts entered into an agreement with a “Contract Value” of $478,800 with a Puerto Rico company to resell its MyWay product to physicians in Puerto Rico. From 2014 through 2017, Allscripts received $125,544 in revenue from Puerto Rico. Novatek alone had sold about five accounts in Puerto Rico, and we know that Allscripts had other users based in Puerto Rico aside from those five customers. And the payments made by physicians such as Rodriguez for the use of MyWay (which, at least for Rodriguez, were monthly) were sent by Novatek to Allscripts in the United States.10 That revenue is not far off from Plixer‘s $200,000 forum-originated revenue that we called “not insubstantial” and led us to conclude that the defendant there could have reasonably anticipated being hauled into court in the forum.11 See 905 F.3d at 4-5, 10. And it is far more than “a single isolated sale” into the forum, which is insufficient to support an assertion of jurisdiction. J. McIntyre Mach., Ltd. v. Nicastro, 564 U.S. 873, 888 (2011) (Breyer, J., concurring).12 But we don‘t have just that (and thus need not decide whether those sales alone would be enough) -- there‘s more.
We also know that Allscripts, in engaging Novatek as a third-party reseller of its MyWay product, did much more than merely throw its product into the stream of commerce -- it deliberately and specifically targeted Puerto Rico. See Daimler, 571 U.S. at 136 n.13 (“[A] corporation can purposefully avail itself of a forum by directing its agents or distributors to take action there.“); Benitez-Allende v. Alcan Aluminio Do Brasil, S.A., 857 F.2d 26, 30 (1st Cir. 1988) (Breyer, J.) (deliberate efforts to market in Puerto Rico can constitute purposeful availment). Indeed, Novatek was no national distributor, compare Nicastro, 564 U.S. at 892
Then we have Allscripts’ efforts to continue its relationship with Puerto Rico purchasers once they were in the door. It wasn‘t just lining up distributors to land new customers for Allscripts -- Allscripts also established and maintained relationships with purchasers, deliberately opening channels of communication to its Puerto Rico customers. See Knox, 914 F.3d at 693 (considering the fact that the defendant opened channels of communication with customers in the forum); see also Asahi, 480 U.S. at 112 (opinion of O‘Connor, J.) (suggesting such channels can support finding purposeful availment). Allscripts provided customer-service support to Rodriguez, a Puerto Rico customer, directly. See Asahi, 480 U.S. at 112 (opinion of O‘Connor, J.).
Indeed, Allscripts communicated to Novatek that Rodríguez specifically (identifying him by his client-account number) needed to take some initial training courses prior to beginning use of its MyWay product, and followed up with Rodríguez directly on the same training. And Allscripts sent a letter directly to Rodríguez (in Puerto Rico) soliciting him to upgrade to its new software after they discontinued MyWay, imploring Rodríguez to contact Allscripts directly. Moreover, even if we toss aside the fact that Allscripts picked a specific distributor to target Puerto Rico and tried to directly build relationships with purchasers in Puerto Rico once its independent distributors got Puerto Rico customers in the door, this is still not a typical stream-of-commerce case. Yet again, we have more. As we‘ve explained, “[c]ases including a standard stream-of-commerce analysis usually involve entities who cannot necessarily predict or control where downstream their products will land; intervening actors like distributors may take the products to unforeseeable markets.” Plixer, 905 F.3d at 8. Unlike that typical mold, Allscripts’ product here went “only to the customers that [Allscripts] accepted.” Id.; see Knox, 914 F.3d at 693 (considering that the defendant “individually approved” forum-based purchasers). All sales contracts executed between Novatek and its Puerto Rico physician-clients for the use of MyWay had to be authorized by Allscripts’ officers in the United States. Infact, after authorization, Allscripts would send the client their signed copy of the contract. This gives us “an objectively clearer picture” of Allscripts’ intent to serve Puerto Rico, “the crux of the purposeful availment inquiry.” Plixer, 905 F.3d at 8.