Fairview Health Services v. Armed Forces Office of the Royal Embassy of Saudi Arabia

CourtDistrict Court, D. Minnesota
DecidedOctober 10, 2024
Docket0:21-cv-02666
StatusUnknown

This text of Fairview Health Services v. Armed Forces Office of the Royal Embassy of Saudi Arabia (Fairview Health Services v. Armed Forces Office of the Royal Embassy of Saudi Arabia) is published on Counsel Stack Legal Research, covering District Court, D. Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fairview Health Services v. Armed Forces Office of the Royal Embassy of Saudi Arabia, (mnd 2024).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF MINNESOTA

Fairview Health Services, doing business as University of Minnesota Medical Center, File No. 21-cv-2666 (ECT/TNL)

Plaintiff and Counter- Defendant,

v. OPINION AND ORDER

Armed Forces Office of the Royal Embassy of Saudi Arabia,

Defendant, Counter-Plaintiff, and Third-Party Plaintiff,

v.

Medical Cost Advocate, Inc.; Global Medical Services, LLC; International Medical Center of Minnesota, LLC, formerly doing business as Minnesota International Medicine; Khemwattie Singh; and Sherif Saad,

Third-Party Defendants. ________________________________________________________________________

William Thomas Wheeler, Geoffrey Koslig, David P. Bunde, and Pari McGarraugh, Frederickson & Byron, Minneapolis, MN; and Jacob Patsch Harris, Office of the Minnesota Attorney General, St. Paul, MN, for Plaintiff Fairview Health Services. Cormac Connor, George Edward Stewart, III, and Julia Anne Bonestroo Banegas, Husch Blackwell LLP, Washington, D.C.; and Aaron B. Chapin, Husch Blackwell LLP, Chicago, IL, for Defendant Armed Forces Office of the Royal Embassy of Saudi Arabia.

Charles E. Jones, Kelly C. Engebretson, Sara Filo, and Megan Renslow, Moss & Barnett, Minneapolis, MN, for Third-Party Defendant Medical Cost Advocate, Inc.

Karl J. Yeager, Meagher & Geer, PLLP, Minneapolis, MN, for Third-Party Defendant Sherif Saad. ________________________________________________________________________ Fairview Health Services provided treatment to two Saudi citizens in 2018 and 2019. The Armed Forces Office of the Royal Embassy of Saudi Arabia, the entity responsible for payment of those services, mailed over $1.3 million to Fairview but named

the wrong payee on the checks. Fairview forwarded the checks to that payee, who took the funds. Fairview initiated this breach-of-contract suit against the Armed Forces Office in 2021 to recover payment. The case is now in its third round of Rule 12 motions. The Armed Forces Office moved to dismiss Fairview’s Complaint in March 2023, and its motion was denied. In

August 2023, the Armed Forces Office asserted counterclaims against Fairview and claims against third parties. Those claims were dismissed without prejudice. In February 2024, the Armed Forces Office amended its answer and reasserted counterclaims and third-party claims. Now, Fairview and two third-party defendants, Medical Cost Advocate, Inc. and Sherif Saad, move to dismiss the claims against them. Fairview also moves to strike one

of the Armed Forces Office’s affirmative defenses. Fairview’s motions will be granted because the Armed Forces Office does not plausibly allege a breach, and its affirmative defense is not cognizable. Saad’s motion will be denied because the Armed Forces Office sufficiently pleads his personal participation in the disappearance of the funds intended for Fairview. And MCA’s motion will be

granted in part and denied in part; the Armed Forces Office does not assert a plausible claim for breach of fiduciary duty, but its breach of contract and contribution claims survive. I1 The facts underlying this iteration of the case are largely the same as the facts described in the December 7, 2023 Opinion and Order. See Fairview Health Servs. v.

Armed Forces Off. of Royal Embassy of Saudi Arabia, 705 F. Supp. 3d 898, 905–07 (D. Minn. 2023). Still, an overview of the events leading to these motions is helpful. The Armed Forces Office is part of the Kingdom of Saudi Arabia’s embassy and diplomatic mission in the United States. Am. Countercl. [ECF No. 131] ¶ 2. It arranges healthcare for Saudi citizens who are otherwise unable to obtain particular care in Saudi

Arabia. Id. ¶ 3. Fairview is a nonprofit healthcare corporation providing services in Minnesota, including to at least two Saudi citizens. Id. ¶ 4; see id. ¶¶ 28–29. The Armed Forces Office and Fairview did not interact directly, but through intermediaries—first through Minnesota International Medicine (“MIM”), then Medical Cost Advocate (“MCA”).

Beginning in 2014, Fairview engaged MIM as an agent to “invoice and collect fees” for Fairview’s services. Id. ¶ 21 (quoting Ex. Y [ECF No. 133-1] § 3(c)). The Armed Forces Office would contact MIM to coordinate healthcare services. Id. ¶ 22. MIM would

1 In reviewing a Rule 12(b)(6) motion, a court must accept as true all the factual allegations in the challenged pleading and draw all reasonable inferences in the plaintiffs’ favor. Gorog v. Best Buy Co., 760 F.3d 787, 792 (8th Cir. 2014) (citation omitted). In accordance with these rules, the background facts are taken from the Amended Counterclaims and Third-Party Claims [ECF No. 131] filed by the Armed Forces Office, and documents necessarily embraced by that pleading. See Zean v. Fairview Health Servs., 858 F.3d 520, 526 (8th Cir. 2017). send invoices to the Armed Forces Office, and the Armed Forces Office paid MIM. Id. ¶¶ 22–23. Beginning in March 2018, the Armed Forces Office retained MCA as an agent to

provide medical bill review services and to assist with prospective and retrospective price negotiations. Id. ¶ 39. Under their agreement, if MCA negotiated a rate reduction, it would present the Armed Forces Office with a “Preferred Rate Agreement” to memorialize the negotiated terms. Id. ¶ 39(e). The Armed Forces Office and MCA agreed to hold each other’s confidential information in “strict confidence.” Id. ¶ 39(f)–(g).

The remaining third-party defendants are Global Medical Services (“GMS”), Khemwattie Singh, and Dr. Sherif Saad. GMS acquired MIM around June 2018. Id. ¶ 6; Ex. X [ECF No. 132-3] ¶ 1(c). Singh was the chief executive officer of MIM and GMS. Am. Countercl. ¶ 8; Ex. T [ECF No. 132-3]. Saad was the chief business development officer of MIM and GMS, and the former chief executive officer of MIM. Am. Countercl.

¶ 9; Ex. T. Through MIM, the Armed Forces Office arranged healthcare services for two Saudi children, R.A. and L.A., in 2017. Am. Countercl. ¶¶ 28–29. Fairview provided medical care for the children. Id. ¶ 30. The treatment ultimately generated $1,301,272.95 in negotiated charges. Id. ¶ 92. Those charges were presented to the Armed Forces Office in

fourteen invoices from MIM. Id. ¶ 24; see Exs. A–P [ECF Nos. 132-1 to -2]. MCA, on behalf of the Armed Forces Office, began negotiating with Fairview regarding these invoices in mid-2019. Id. ¶ 49. On June 20, 2019, MCA and the Armed Forces Office entered into sixteen Preferred Rate Agreements for the fourteen invoices. Id. ¶ 61; Exs. A–P.2 The Preferred Rate Agreements identified Fairview as the party that “agrees to accept” payment. See, e.g., Ex. A.3 Before the Armed Forces Office paid for R.A. and L.A.’s care, MCA provided the Armed Forces Office with these instructions:

When making payment agreements for Minnesota Medicine please send checks to the following address AND iNCLUDE [sic] Attention Maureen Ring:

Fairview Health Services Attention: Maureen Ring 400 Stinson Boulevard Minneapolis MN 55413 Am. Countercl. ¶ 88. The Armed Forces Office made the checks payable to MIM, as it had done before. Id. ¶ 87. An Armed Forces Office representative spoke with an MCA employee by phone on September 4, 2019. Id. ¶ 91. During the call, the Armed Forces Office told MCA that it had made the checks payable to MIM and “asked if this was correct or if the Checks should be reissued.” Id. The MCA employee “advised the [Armed Forces Office] to proceed and to send the Checks to Fairview, without altering the payee information.” Id. That same day, the Armed Forces Office sent sixteen checks—made payable to MIM and totaling more than $1.3 million—via overnight mail to Fairview’s Stinson

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