PUBLISHED

UNITED STATES COURT OF APPEALS

FOR THE FOURTH CIRCUIT

No. 19-1751

BECKLEY ONCOLOGY ASSOCIATES, INC.,

Plaintiff − Appellant,

v.

RAMI ABUMASMAH, M.D.,

Defendant – Appellee.

Appeal from the United States District Court for the Southern District of West Virginia, at 

Beckley. Irene C. Berger, District Judge. (5:18−cv−01549)

Argued: December 11, 2020 Decided: April 8, 2021

Before GREGORY, Chief Judge, and KING and DIAZ, Circuit Judges.

Appeal dismissed by published opinion. Judge Diaz wrote the opinion, in which Chief 

Judge Gregory and Judge King joined.

ARGUED: Justin M. Harrison, JACKSON KELLY, PLLC, Charleston, West Virginia, 

for Appellant. Omar Dirar Ahmad, EVES LAW FIRM, PLLC, Huntington, West Virginia, 

for Appellee. ON BRIEF: Grace E. Hurney, JACKSON KELLY, PLLC, Charleston, 

West Virginia, for Appellant. 
2

DIAZ, Circuit Judge:

Beckley Oncology Associates (“BOA”) appeals from the district court’s dismissal 

of its complaint seeking to vacate an arbitration award in favor of Dr. Rami Abumasmah, 

an oncologist and former BOA employee. The arbitrator awarded relief to Dr. Abumasmah 

in a compensation dispute following BOA’s termination of his employment. The 

employment agreement between BOA and Abumasmah purported to waive both judicial 

and appellate review of the arbitrator’s decision. Because the waiver of appellate review 

is enforceable, we dismiss BOA’s appeal.

I.

A.

BOA provides cancer treatment from its office in Beckley, West Virginia. Early in 

2012, BOA recruited Dr. Abumasmah to join the practice as a medical oncologist. After 

several months of negotiations, Abumasmah signed an employment agreement with BOA. 

Among other things, the agreement provided that the parties would arbitrate

All disputes, controversies and disagreements between the Employer and 

Physician connected with, related to or arising out of (i) the employment 

relationship between the parties, including its commencement and 

termination and all activities throughout; (ii) the execution, delivery, 

interpretation or enforcement of this Employment Agreement; (iii)[ ]any 

other written or oral agreements between the parties, and (iv) any business 

or professional activities between the parties or any other rights, duties, or 

responsibilities between the parties arising out of their business or 

professional affairs[.]
3

J.A. 30–31. The parties further agreed that the arbitrator’s decision “shall be final and 

conclusive and enforceable in any court of competent jurisdiction without any right of 

judicial review or appeal.” J.A. 31 (emphasis added).

The two-year employment agreement (which BOA drafted) would automatically 

renew for successive one-year terms, unless either party gave 90-days’ notice of 

termination, which could be without cause. Abumasmah would be eligible to join the 

partnership at the end of the initial two-year employment term, if the current shareholders 

approved. 

The agreement included the following incentive bonus provision:

Employer may, in its sole and absolute discretion, declare and pay bonuses 

to Physician from time to time. This, notwithstanding, Employer agrees to 

pay Physician an incentive bonus during the initial two year term of this 

agreement as follows: In addition to a base salary of $275,000.00 per year, 

the physician shall be entitled to incentive bonus compensation based on 

gross collections (receipts) as follows in each year of the initial term of this 

agreement: . . . The incentive bonus payment shall be made to Physician 

following the completion of the first 12 months of this agreement, and 

subsequently following the completion of the second 12 months of the initial 

term. The specific terms of this incentive bonus are provided only for the 

initial term of this agreement, and are subject to renegotiation in subsequent 

renewals of this agreement.

J.A. 24. 

Finally, the agreement provided that “[t]he invalidity or unenforceability of any 

provision in the Agreement shall not in any way affect the validity or enforceability of any 

other provision[,] and this Agreement shall be construed in all respects as if such invalid 

or unenforceable provision had never been in the Agreement.” J.A. 31–32. 
4

B.

Dr. Abumasmah began working at BOA in July of 2012. During his first six months 

at BOA, Abumasmah explored the possibility of joining the partnership but was uncertain 

whether he could afford the requisite capital contribution. In 2014, Abumasmah was 

invited to join the partnership, but he declined.

Early the following year, Abumasmah told BOA that he planned to leave the country 

for at least six months so that he could travel to Amman, Jordan to care for his mother. 

Abumasmah’s last day at BOA was June 25, 2015. He arrived in Jordan shortly thereafter, 

where he has remained. Before he left, Abumasmah told BOA that he didn’t expect to 

receive compensation during his indefinite leave and offered to resign.

BOA terminated Abumasmah’s employment on his last day and sent him a 

separation agreement. Abumasmah disagreed with several of the agreement’s terms. 

Relevant here is the provision stating that the incentive bonus payment of $72,994, which 

he received in June of 2015, was the entire bonus due for 2014–2015. 

Abumasmah received annual incentive bonuses of $141,000 and $242,000 in 2012–

13 and 2013–14 respectively. He didn’t receive an accounting of his gross collections for 

2014–15, whereas he received such reports for his first two years of employment. 

According to BOA, Abumasmah did not receive a report for 2014–15, because he wasn’t 

entitled to an incentive bonus for that year.1

1 It’s unclear then why BOA paid Abumasmah any incentive bonus for 2014–15.
5

Abumasmah generated more revenue during each successive year of his 

employment, bringing in $7.1 million in 2014–15. Based on the formula for calculating 

his incentive bonus in effect for the first two years of his employment, Abumasmah claimed 

that he should have received a $328,070.57 bonus for his 2014–15 collections.

Abumasmah sought arbitration of his claims against BOA. The arbitrator 

determined that Abumasmah was entitled to an incentive bonus for his third year of 

employment, though not on the same terms as before. Instead, the arbitrator concluded 

that Abumasmah’s incentive bonus “shall be determined by the incentive bonus 

methodology utilized by [BOA] for its employee physicians.” J.A. 48. If BOA had no 

such methodology, or if the result would be “unjust in these circumstances,” then the bonus 

would be determined based on the methods “commonly found” for calculating incentive 

bonuses for physicians. Id. The arbitrator noted that section 16 of the employment 

agreement gave him “the right and duty to give appropriate equitable and legal relief.” Id.

And, said the arbitrator, the parties agreed that West Virginia law—which recognizes the 

concept of unjust enrichment—governed the terms of the Employment Agreement. Id.

After additional briefing from the parties on the method for calculating the incentive 

bonus, the arbitrator awarded Abumasmah $167,030,2 2.5% of the gross revenue he 

generated. The arbitrator awarded this amount “[t]o prevent the unjust enrichment of 

2 This amount appears to include the $72,994 incentive bonus BOA paid Dr. 

Abumasmah for 2015, as the arbitrator stated that Abumasmah’s total compensation for 

2014–15 would be “$442,030 ($275,000 in base salary plus the $167,030 incentive 

bonus).” J.A. 19.
6

[BOA] and to compensate [Dr. Abumasmah] for the extraordinary revenue which he 

generated during his third year of employment.” J.A. 18. 

BOA filed a complaint in federal district court to vacate the arbitration award. The 

district court granted Abumasmah’s motion to dismiss the complaint and confirmed the 

award. Beckley Oncology Assocs., Inc. v. Abumasmah, No. 5:18-CV-01549, 2019 WL 

2721146, at *1 (S.D. W. Va. June 28, 2019). The court held that the clause prohibiting 

judicial review of the arbitration award was unenforceable under the Federal Arbitration 

Act (“FAA”) because enforcing such clauses would upset the balance between the FAA’s 

mechanisms for enforcing arbitration awards and permitting courts to substantively review 

the arbitral process and associated awards. Id. at *4. But the court ultimately upheld the 

arbitrator’s award because “[n]othing in the Arbitrator’s rulings suggest[ed] that he refused 

to heed a clearly defined legal principle or deliberately disregarded the contract language.” 

Id. at *5.

This appeal followed.

II.

While BOA raises several challenges to the arbitrator’s award, the threshold issue 

is whether it validly waived “any right of . . . appeal” following the district court’s 

confirmation of the award. J.A. 31. The validity of an appellate waiver in an arbitration 

agreement under the FAA is a matter of first impression in this circuit. But the Tenth 

Circuit has evaluated such a waiver and deemed it enforceable. See MACTEC, Inc. v. 

Gorelick, 427 F.3d 821, 830 (10th Cir. 2005). We agree with our sister circuit.
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The clause at issue in Gorelick provided that “[j]udgment upon the award rendered 

by the arbitrator shall be final and nonappealable.” Id. at 827. The agreement did not, 

however, purport to foreclose judicial review altogether. Id. at 829–30. The Tenth Circuit 

reasoned that a provision prohibiting appellate, but not district court, review is “a 

compromise whereby the litigants trade the risk of protracted appellate review for a oneshot opportunity before the district court.” Id. at 830. Such provisions are consistent with 

“the fundamental policy behind the FAA . . . to reduce litigation costs by providing a more 

efficient forum.” Id. at 829. 

The court also noted that, outside of the arbitration context, the courts of appeals 

enforce agreements that waive appellate review of district court decisions. Id. at 830. 

Indeed, we routinely enforce appellate waivers in plea agreements, where the stakes, 

namely years of lost liberty, are far higher than the monetary award at issue here. See, e.g., 

United States v. Blick, 408 F.3d 162, 168–69 (4th Cir. 2005) (enforcing waiver and 

explaining that “a defendant who waives his right to appeal for the purpose of obtaining 

concessions from the government may not ignore his part of the bargain” (cleaned up)); 

United States v. Cohen, 459 F.3d 490, 494–95 (4th Cir. 2006) (same). “If defendants can 

waive fundamental constitutional rights such as the right to counsel, or the right to a jury 

trial, surely they are not precluded from waiving procedural rights granted by statute.”

United States v. Clark, 865 F.2d 1433, 1437 (4th Cir. 1989). 

A party’s right to seek appellate review of a district court’s confirmation of an 

arbitration award is wholly a creature of statute. See 9 U.S.C. § 16(a)(1)(D) (“An appeal 

may be taken from . . . an order . . . confirming or denying confirmation of an award.” 
8

(emphasis added)). Thus, nothing precludes a party from waiving appellate review of that

decision, as BOA expressly did here.

The Ninth Circuit’s decision in In re Wal-Mart Wage & Hour Employment

Practices Litigation, 737 F.3d 1262 (9th Cir. 2013), upon which BOA relies, is not to the 

contrary. There, the court held that “[p]ermitting parties to contractually eliminate all 

judicial review of arbitration awards would not only run counter to the text of the FAA, but 

would also frustrate Congress’s attempt to ensure a minimum level of due process for 

parties to an arbitration.” Id. at 1268 (emphases added). “Just as the text of the FAA 

compels the conclusion that the grounds for vacatur of an arbitration award may not be 

supplemented, it also compels the conclusion that these grounds are not waivable, or 

subject to elimination by contract.” Id. at 1267.

Assuming arguendo that the Ninth Circuit’s holding is correct, it doesn’t support 

invalidating the appeal waiver in this case. BOA received a “minimum level of due 

process” before the district court. Thus, even if the parties couldn’t waive all judicial 

review of the arbitration award, they were certainly free to waive appellate review of the 

district court’s decision confirming or vacating the award. See Gorelick, 427 F.3d at 829–

30.

BOA’s attempt to distinguish Gorelick is unavailing. BOA argues that, in contrast 

to the provision at issue in Gorelick, which waived the right to appeal the district court’s 

judgment confirming or vacating an arbitration award, the clause here forecloses only 

direct appeal of the arbitrator’s decision to the district court or this court on the merits. But 
9

that reading would effectively render the provision a nullity,

3 as the FAA effectively bars 

merits review of arbitration decisions.

It’s black letter law that judicial review of an arbitration award in federal court is 

“substantially circumscribed.” Patten v. Signator Ins. Agency, Inc., 441 F.3d 230, 234 (4th 

Cir. 2006). We have said that the scope of judicial review of an arbitrator’s decision “is 

among the narrowest known at law because to allow full scrutiny of such awards would 

frustrate the purpose of having arbitration at all—the quick resolution of disputes and the 

avoidance of the expense and delay associated with litigation.” Apex Plumbing Supply, 

Inc. v. U.S. Supply Co., Inc., 142 F.3d 188, 193 (4th Cir. 1998). “[O]ur province is not to 

determine the merits of the dispute between the parties but rather to determine only whether 

the arbitrator did his job—not whether he did it well, correctly, or reasonably, but simply 

whether he did it.” Interactive Brokers LLC v. Saroop, 969 F.3d 438, 445 (4th Cir. 2020)

(cleaned up). Thus, a contract provision purporting to bar a district or circuit court from 

reviewing an arbitrator’s decision on the merits is essentially meaningless, since the FAA 

forecloses all but the most limited review.

3 See, e.g., Equinor USA Onshore Props. Inc. v. Pine Res., LLC, 917 F.3d 807, 813 

(4th Cir. 2019) (“Reading the contract as a whole, we must be mindful that ‘specific words 

or clauses . . . are not to be treated as meaningless, or to be discarded, if any reasonable 

meaning can be given them consistent with the whole contract.’”) (quoting Dunbar 

Fraternal Order of Police, Lodge No. 119 v. City of Dunbar, 624 S.E.2d 586, 591 (W. Va. 

2005) (per curiam)).
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BOA’s last redoubt is to characterize the provision as “stale” and thus unclear. Stale 

or not, the provision purports to waive two things: the right to judicial review and the right 

to appellate review of the arbitrator’s decision. It may well be that parties can’t waive all 

judicial review of an arbitrator’s decision.

4

 But because the employment agreement 

contains a severability clause, and because unenforceable provisions in arbitration clauses 

are severable if they don’t go to the essence of the contract, we need not invalidate the 

appeal waiver. See, e.g., In re Cotton Yarn Antitrust Litig., 505 F.3d 274, 292–93 (4th Cir. 

2007) (collecting cases finding unenforceable provisions of arbitration agreements 

severable and holding that, when some provisions of an arbitration agreement are not 

enforceable, “then the court must determine whether the unenforceable provisions are 

severable.” (quoting Terminix Int’l Co. v. Palmer Ranch Ltd. P’ship, 432 F.3d 1327, 1331 

(11th Cir. 2005)); Barach v. Sinclair Media III, Inc., 392 F. Supp. 3d 645, 655 (S.D. W. 

Va. 2019) (relying on our holdings in Cotton Yarn and Hayes v. Delbert Servs. Corp., 811 

F.3d 666, 675–76 (4th Cir. 2016) to hold that an unenforceable provision in an arbitration 

agreement was severable, because it didn’t go to the essence of the contract).

4 As the district court recognized in rejecting a challenge to its own jurisdiction, 

“arbitration awards are not self-enforcing.” Hoeft v. MVL Grp., Inc., 343 F.3d 57, 63 (2d 

Cir. 2003), abrogated by Hall St. Assocs., L.L.C. v. Mattel, Inc., 552 U.S. 576 (2008). In 

Hoeft, the relevant agreement provided that the arbitrator’s decision “shall be binding and 

conclusive upon each of the parties hereto and shall not be subject to any type of review or 

appeal whatsoever.” Id. The Second Circuit rejected the notion that the clause prevented 

the district court from discharging its duty under the FAA to confirm or vacate the award. 

But, without any further analysis, the Court went on to consider the merits of the appeal, 

and reversed the district court’s decision to vacate the award. With great respect for our 

sister circuit, we take a different tack here and choose to hold the parties to their agreement 

to waive appellate review. 
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Indeed, we think enforcing the waiver in this context furthers the FAA’s policy 

objectives. As another panel of this court recently lamented, “[t]his genre of almostreflexive appeal of arbitration awards seems to be an increasingly common course, leading 

to arbitration no longer being treated as an alternative to litigation, but as its precursor.” 

Tecnocap, LLC v. United Steel, Paper & Forestry, Rubber, Mfg., Energy, Allied Indus. & 

Serv. Workers Int'l Union AFL-CIO/CLC, Loc. Union No. 152M, No. 19-1263, 2021 WL 

164677, at *4 (4th Cir. Jan. 19, 2021) (unpublished) (per curiam). The reflexive appeal of 

an arbitration award is all the more lamentable when the parties have expressly waived that 

right.

Finding no cause here to reject the parties’ agreement, we dismiss the appeal. 

APPEAL DISMISSED