FILED May 14 2020, 8:37 am
CLERK Indiana Supreme Court Court of Appeals and Tax Court
ATTORNEY FOR APPELLANT ATTORNEY FOR APPELLEE Gabriel A. Hawkins Stacy F. Thompson Indianapolis, Indiana Indianapolis, Indiana
IN THE COURT OF APPEALS OF INDIANA
Frances L. Batchelder, Special May 14, 2020 Administrator of the Estate of Court of Appeals Case No. John E. Batchelder, M.D., 19A-CT-2569 Deceased, Appeal from the Marion Superior Appellant-Plaintiff, Court The Honorable Timothy Oakes, v. Judge Trial Court Cause No. Indiana University Health Care 49D02-1808-CT-31406 Associates, INC, d/b/a IUHP, Appellee-Defendant.
Tavitas, Judge.
Case Summary [1] Frances L. Batchelder, special administrator of the estate (“the Estate”) of John
E. Batchelder, M.D. (the “Decedent”), appeals from the trial court’s entry of
Court of Appeals of Indiana | Opinion 19A-CT-2569 | May 14, 2020 Page 1 of 15 summary judgment in favor of Indiana University Health Care Associates, Inc.
d/b/a IUHP (“IUHP”) regarding the Estate’s medical malpractice action. We
reverse and remand.
Issue [2] The sole issue on appeal is whether the trial court erred in granting IUHP’s
motion for summary judgment and finding that IUHP was entitled to judgment
as a matter of law.
Facts [3] The Decedent, who was a practicing cardiologist, was also a paraplegic. On
September 25, 2015, a vehicle driven by Emma Mourouzis collided with the
Decedent’s vehicle on a Hamilton County roadway. The Decedent was
transported to Indiana University Health North Hospital. An IUHP radiologist
misread the Decedent’s x-rays, failed to diagnose the Decedent’s cervical spine
fracture, and released the Decedent. On September 27, 2015, the Decedent
sought a second opinion from another medical provider, who diagnosed the
spine fracture and performed neurosurgery.
[4] On April 19, 2016, the Decedent filed a complaint for damages against
Mourouzis. The Decedent died on April 21, 2016. On June 17, 2016, the
Estate filed an amended complaint for damages against Mourouzis. In the
course of discovery, the Estate alleged total damages of “between six and ten
million [dollars].” Tr. Vol. II p. 11. On March 13, 2017, Mourouzis settled all
claims arising from the collision for $1.25 million.
Court of Appeals of Indiana | Opinion 19A-CT-2569 | May 14, 2020 Page 2 of 15 [5] On June 14, 2017, the Estate filed a proposed complaint for damages with the
Indiana Department of Insurance. A medical review panel “found that the
[IUHP] radiologist . . . violated the standard of care” when he misread the
Decedent’s x-rays, regarded “an unstable cervical spinal fracture . . . . as a
chronic injury that had been there for a long time[,]” and released the
Decedent, when the Decedent’s injury warranted immediate surgery. Id.
[6] On August 8, 2018, the Estate filed a wrongful death complaint against Indiana
University Health, Inc., and IUHP, alleging that their provision of negligent
medical care resulted in the Decedent’s death. 1 On June 13, 2019, IUHP
moved for summary judgment and argued that the Estate was not entitled to
additional damages because: (1) the Indiana Medical Malpractice Act
(“MMA”) “cap[s]” the Estate’s damages at $1.25 million; and (2) the Estate
already obtained $1.25 million. IUHP’s Br. p. 6.
[7] On July 9, 2019, the Estate filed a stipulation of dismissal as to Indiana
University Health, Inc., which the trial court approved the same day. The trial
court conducted a hearing on IUHP’s motion for summary judgment on
September 4, 2019. The Estate argued that the setoff for the $1.25 million
Mourouzis settlement should be deducted from the total damages or the value
of the case; whereas, IUHP argued that the $1.25 million setoff should be
applied to the $1.25 million statutory limit, which would render the Estate’s
1 The jury trial was scheduled for April 2020.
Court of Appeals of Indiana | Opinion 19A-CT-2569 | May 14, 2020 Page 3 of 15 claim moot. On October 18, 2019, the trial court granted IUHP’s motion for
summary judgment. The Estate now appeals.
Analysis [8] The Estate argues that the trial court erred in entering summary judgment in
favor of IUHP. Specifically, the Estate argues that: (1) setoff should be applied
to the verdict; and (2) the trial court’s decision to apply the Mourouzis
settlement setoff to a possible judgment against IUHP “conflicts with
controlling precedent as well as the policy considerations that gave rise to such
precedent[.]” Estate’s Br. p. 7. IUHP counters that a jury verdict in excess of
the $1.25 million statutory cap must be reduced to the statutory cap prior to
becoming a judgment; and “[o]nce reduced, the judgment should then be
reduced by the amount of any payments received in settlement from another
joint tortfeasor.” Estate’s App. Vol. II p. 26. IUHP maintains that, doing so,
renders the Estate’s claim against IUHP moot because the Estate has already
recovered $1.25 million.
[9] In reviewing a grant or denial of a motion for summary judgment, we “stand in
the shoes of the trial court.” Murray v. Indianapolis Public Schools, 128 N.E.3d
450, 452 (Ind. 2019) (quoting Campbell Hausfeld/Scott Fetzer Company v. Johnson,
109 N.E.3d 953, 955-56 (Ind. 2018)). We consider “whether there is a genuine
issue of material fact, and whether the moving party is entitled to judgment as a
matter of law.” Goodwin v. Yeakle’s Sports Bar and Grill, Inc., 62 N.E.3d 384, 386
(Ind. 2016) (citation omitted); Ind. Trial Rule 56(C) (Summary judgment is
appropriate if the designated evidence “shows that there is no genuine issue as Court of Appeals of Indiana | Opinion 19A-CT-2569 | May 14, 2020 Page 4 of 15 to any material fact and that the moving party is entitled to a judgment as a
matter of law.”).
[10] The party moving for summary judgment bears the burden of making a prima
facie showing that there is no genuine issue of material fact and that the moving
party is entitled to judgment as a matter of law. Goodwin, 62 N.E.3d at 386; Tr.
R. 56(C). The burden then shifts to the non-moving party to show the existence
of a genuine issue of material fact. Id. On appellate review, we resolve “[a]ny
doubt as to any facts or inferences to be drawn therefrom . . . in favor of the
non-moving party.” Id.
[11] This matter is a medical malpractice action for wrongful death and is subject to
the MMA.
The [MMA] allows a “patient or the representative of a patient” to bring a malpractice claim “for bodily injury or death.” Goleski v. Fritz, 768 N.E.2d 889, 891 (Ind. 2002) (citing Ind. Code § 34- 18-8-1). The [MMA] was designed to curtail liability for medical malpractice. It does not create substantive rights or new causes of action and, instead, “merely requires that claims for medical malpractice that are otherwise recognized under tort law and applicable statutes be pursued through the procedures of the [MMA].” The [MMA] provides that for an act of malpractice occurring after June 30, 1999[, and before July 1, 2017,] the total amount recoverable for an injury or death of a patient may not exceed $1,250,000. I.C. § 34-18-14-3. A qualified healthcare provider[ ] is liable for the initial $250,000 of damages, and the remainder of the judgment or settlement amount shall be paid from the [Patient Compensation] Fund. Id.
Court of Appeals of Indiana | Opinion 19A-CT-2569 | May 14, 2020 Page 5 of 15 Wallen v. Hossler, 130 N.E.3d 138, 144 (Ind. Ct. App. 2019), trans. denied,
(quoting Atterholt v. Robinson, 872 N.E.2d 633, 639-40 (Ind. Ct. App. 2007))
(footnote omitted).
[12] The Estate alleges that Mourouzis and IUHP are joint tortfeasors whose acts or
omissions caused the Estate to suffer injury—namely, the Decedent’s death.
The Indiana Comparative Fault Act, which replaced the common law defense
of contributory negligence with a system for providing for the reduction of a
plaintiff’s recovery in proportion to the plaintiff’s fault, “expressly exempted
medical malpractice claims from its ambit[.]” Indiana Dept. of Ins. v. Everhart,
960 N.E.2d 129, 138 (Ind. 2012); see Palmer v. Comprehensive Neurologic Services,
P.C., 864 N.E.2d 1093, 1099-1100 (Ind. Ct. App. 2007), trans. denied. Thus, the
historic common law rule of joint and several liability 2 “remains available to
defendants in cases alleging medical malpractice.” Palmer, 864 N.E.2d at 1099.
[13] When the actions of multiple defendants cause a single injury to a plaintiff, a defendant against whom judgment is rendered at trial is entitled to a setoff against the assessed damages in the amount of any funds the plaintiff received from any settling joint tortfeasor. [ ] This credit is allowed in order to prevent a plaintiff from recovering twice for the same injury. As our Supreme Court outlined in [Mendenhall v. Skinner & Broadbent Co., 728 N.E.2d 140, 141 (Ind. 2000)], Indiana courts have traditionally followed the “one satisfaction” principle, meaning that courts should take account of settlement agreements and credit the
2 Under a theory of joint and several liability, “each defendant whose negligence contributed to the plaintiff’s loss was liable for the entire amount of damages.” Shelton v. Kroger Ltd. Partnership I, 58 N.E.2d 229, 233 (Ind. Ct. App. 2016).
Court of Appeals of Indiana | Opinion 19A-CT-2569 | May 14, 2020 Page 6 of 15 funds received by the plaintiff through such agreements, pro tanto[ 3], toward the judgment against the co-defendants.
Id. at 1100-01 (emphasis in original) (citations omitted).
[14] Stated differently, “[u]nder the one satisfaction rule, where a plaintiff asserts
that the wrongful acts of two or more joint tortfeasors caused a single injury,
satisfaction of the loss by one tortfeasor releases all other joint tortfeasors.”
Minix v. Canarecci, 956 N.E.2d 62, 74 (Ind. Ct. App. 2011). The Restatement
(Third) of Torts: Apportionment of Liability § 25(a) (2000) summarizes the one
satisfaction rule as follows:
When a judgment includes a determination of the entirety of recoverable damages suffered by the plaintiff for an indivisible injury and provides for their recovery by the plaintiff against one or more of the defendants, payment of the full amount of recoverable damages constitutes a satisfaction of the plaintiff’s rights against all tortfeasors legally responsible for the plaintiff’s indivisible injury.
(emphasis added). Comment c to that section further provides that “[w]hen a plaintiff obtains a judgment for all recoverable damages, discharge of the judgment bars any further action against other potential tortfeasors. . . . By obtaining the full amount of recoverable damages, the plaintiff’s legal rights are satisfied, and the plaintiff may not pursue any others for further recovery.” (emphases added). See also Restatement (Second) of Judgments § 50 cmt. d (1982) (“[W]hen a judgment is based on actual litigation of the measure
3 “Pro tanto” means “[t]o that extent; for so much; as far as it goes[.]” See BLACK’S LAW DICTIONARY (11th ed. 2019).
Court of Appeals of Indiana | Opinion 19A-CT-2569 | May 14, 2020 Page 7 of 15 of a loss, and the judgment is thereafter paid in full, the injured party has no enforcible [sic] claim against any other obligor who is responsible for the same loss.” (emphasis added)).
Id. at 74 (emphasis in original).
[15] Palmer and Everhart are the seminal cases pertinent to our review of the Estate’s
argument. In Palmer, medical providers—CNS and Dr. Muckway—diagnosed
the decedent with multiple sclerosis, breached the standard of care regarding
treatment of the decedent’s seizures, and failed to diagnose the decedent’s viral
encephalopathy. After the decedent died, his widow, Palmer, sued the medical
providers, as well as certain non-health care providers, on a theory of joint and
several liability for medical malpractice resulting in the decedent’s wrongful
death. Palmer settled with the non-health care providers before the matter
proceeded to trial against the two medical providers; the combined settlements
from the non-health care providers exceeded $375,000.00. 4 The jury awarded
Palmer $375,000.00 in damages. The two medical providers subsequently
sought setoffs in the amounts that Palmer received in settlement from the non-
health care providers, which the trial court granted. The trial court stated: “The
jury having found for [Palmer] and against the [medical providers] in the
amount of $375,000 and the settlement contributions having exceed[ed] that amount,
the Court must deny [Palmer]’s Motions and enter a judgment [for] Plaintiff
4 “The appeal was filed under seal, so the settling parties and the terms of their settlements [were] omitted from [our] opinion.” Palmer, 864 N.E.2d at 1104 n.2.
Court of Appeals of Indiana | Opinion 19A-CT-2569 | May 14, 2020 Page 8 of 15 and award damages of $0.” Palmer, 864 N.E.2d at 1101 (emphasis added). On
appeal, this Court affirmed, reasoning:
. . . [T]he common law permitting setoffs remains, and the trial court [ ] in permitting setoff, determined that the settlement payments served as the same compensation of damages as the jury’s verdict. It is the trial court’s duty to reduce jury verdicts by amounts received in settlement to ensure that a plaintiff not receive more than a full recovery. As the record in this case supports the trial court’s conclusion that both the settlements and the verdict covered the injury of Mr. Palmer’s death, we cannot say that the trial court erred in determining that [the medical providers] met their burden . . . .
Id. at 1102 (emphasis added). The holding in Palmer, thus, reflected this Court’s
determination that Palmer received payment of the full amount of recoverable
damages, which constituted satisfaction of Palmer’s legal rights against the
various joint tortfeasors.
[16] In the same vein, in Everhart, the decedent was injured in a motor vehicle
collision with a semi-truck owned by Standard Forwarding Company (“SFC”).
A medical provider failed to administer a vital blood transfusion, and the
decedent died. The decedent’s survivors, Robin and Troy Everhart, sued the
truck driver, SFC, and the medical provider for the decedent’s wrongful death.
The Everharts settled with SFC for $1.9 million and with the medical provider
“for a lump-sum payment and future payment with a total present value of
$187,001.” Everhart, 960 N.E.2d at 132. The Everharts then sought excess
damages from the Patient Compensation Fund (“PCF”). As noted above,
Indiana Code Section 34-18-14-3 provides that a qualified healthcare provider is
Court of Appeals of Indiana | Opinion 19A-CT-2569 | May 14, 2020 Page 9 of 15 liable for the initial $250,000.00 of damages, with the remainder of the
judgment or settlement amount to be paid from the PCF. After a bench trial,
the trial court found that the Everharts suffered damages of at least $3.15
million and awarded the PCF statutory maximum of $1 million to the
Everharts. The PCF filed a motion for setoff, arguing that the $1.9 million
settlement from SFC satisfied the Everharts’ legal claims. The trial court denied
the PCF’s request to reduce the award.
[17] In affirming the trial court, our Supreme Court observed: “The [trial] court
found that [the Everharts’] total injuries exceeded the sum of all distinct, legally
allowable awards of damages. A double recovery would therefore have been
impossible under a correct application of the setoff rules.” Everhart, 960 N.E.2d
at 137. Further, our Supreme Court held:
. . . [A] trial court has the power and duty to reduce a jury verdict by an amount already received in an earlier settlement to ensure that a plaintiff does not receive more than one recovery. Indeed, we had already held that when a jury returned a verdict against a jointly and severally liable defendant after another jointly and severally liable defendant had already settled in exchange for a covenant not to sue, a court should adjust pro tanto the amount of any damages determined by the jury verdict by subtracting any consideration received from the amount of any damages determined by the jury verdict.
*****
Here, the PCF belatedly concedes that [the truck driver and medical provider] constitute joint tortfeasors. [The truck driver’s] negligent driving and [the medical provider]’s negligent medical
Court of Appeals of Indiana | Opinion 19A-CT-2569 | May 14, 2020 Page 10 of 15 care both caused a single indivisible harm: Everhart’s death. Under the pure common law rule of joint and several liability, Robin could have sued either [the truck driver] or [the medical provider] and recovered from the defendant of her choice damages in the entire amount of the injuries she and Troy suffered. The second defendant, however, would have been entitled to a set-off from the total judgment against him in the amount of any settlement Robin reached with the first. Because the PCF assumes [the medical provider]’s liability over and above the statutory cap in the [MMA], the PCF is entitled to the same set-off and no more.
The trial court found that Robin and Troy suffered injuries of at least $3.15 million. . . . [T]he court should have reduced its finding on total injuries by $1.9 million on account of the settlement with [SFC]. The court should have further reduced that amount by another $250,000 on account of the settlement with [the medical provider]’s insurance company. The convenient result: $1 million in uncompensated damages, which is precisely equal to the statutory limit of the PCF’s liability for excess damages.
The PCF concedes that [the medical provider] caused eighty percent of the plaintiffs’ injuries. Because the only possible causes of Everhart’s death are two known joint tortfeasors, however, this concession is tantamount to conceding that [SFC] caused the remaining twenty percent. Initially, the PCF would be responsible for $2,520,000 [or 80% of $3.15 million] in damages, whereas [SFC] would be responsible for $630,000 [or 20% of $3.15 million]. At most, the PCF would therefore only be entitled to a set-off on account of the settlement with [SFC] to the extent that it exceeded [SFC]’s liability. Giving the PCF the
Court of Appeals of Indiana | Opinion 19A-CT-2569 | May 14, 2020 Page 11 of 15 benefit of this set-off in the amount of $1,270,000[ 5] and a further $250,000 set-off on account of the settlement with [the medical provider]’s insurance company would still leave a remaining $1 million [$2,520,000 - $1,270,000 - $250,000] in uncompensated damages for the PCF to cover in excess damages payable to Robin and Troy.
Reducing the finding on injuries by twenty percent and then subtracting the full $1.9 million from the remainder, and then another $250,000, as the PCF asks, effectively ignores that [SFC], not Robin and Troy, should bear the remaining loss. Indeed, doing so would magically wipe out $630,000 of Robin and Troy’s total recovery and leave the PCF with a windfall in the same amount. In essence, the PCF would succeed in turning the one- satisfaction doctrine from a shield into a sword. The purpose of the one-satisfaction doctrine is to prevent a plaintiff from realizing more than one recovery. It is plainly not to reduce a plaintiff to realizing less than one full recovery.
Id. at 138, 139-40 (citations and footnotes omitted) (emphasis in original). The
Everhart Court, thus, upheld the Everharts’ $1 million excess damages award
because the Everharts did not receive the full amount of recoverable damages
from SFC and, therefore, were entitled to seek excess damages from the PCF in
pursuit of the “one satisfaction” to which they were entitled.
[18] Here, in its order granting summary judgment for IUHP, the trial court found:
“[T]here are no genuine issues as to any material fact, and [IUHP] is entitled to
5 SFC caused twenty percent of the Everharts’ damages or $630,000.00; however, SFC settled with the Everharts for $1,900,000. Thus, the Everhart court applied a setoff of $1,270,000.00, or the difference between the amount of SFC’s settlement and SFC’s liability.
Court of Appeals of Indiana | Opinion 19A-CT-2569 | May 14, 2020 Page 12 of 15 judgment as a matter of law[.]” Estate’s App. Vol. II p. 11. The record reveals
that, at the hearing on IUHP’s motion for summary judgment, the Estate
asserted that “the value of this case is between six and ten million [dollars].”
Tr. Vol. II p. 11. Counsel for the Estate further argued:
[M]y first argument, Your Honor, is that the overall value of this case needs to be established first, that the issue is not ripe for decision-making because we don’t know what the value is. We know what the facts are and the allegations are. [Mourouzis] and [IUHP] are joint tortfeasors in this case. And the court in Everhart [ ] talks about the one satisfaction rule, and that is you can have joint tortfeasors but you can’t collect more than the case is worth. That’s the issue and that has been the law in Indiana forever, that you can’t collect more than the value of the case. My point is we don’t know the value of this case till we try it. This is way premature to try to establish the value of the case now before it’s even been tried.
Id. at 12-13.
[19] The Palmer and Everhart decisions highlight a crucial omission in the instant
case. In those cases, the jury or trial court determined the value of the case or
the entirety of the recoverable damages incurred by the plaintiffs before the trial
court applied any setoffs. See Palmer, 864 N.E.2d at 1101 (“The jury having
found for [Palmer] and against the [medical providers] in the amount of
$375,000 . . . .”); see Everhart, 960 N.E.2d at 139 (“The trial court found that
Robin and Troy suffered injuries of at least $3.15 million.”).
[20] In the instant case, however, the trial court applied the setoff without first
determining: (1) the value of the case or the extent of the Estate’s injury; and (2)
Court of Appeals of Indiana | Opinion 19A-CT-2569 | May 14, 2020 Page 13 of 15 whether the Mourouzis settlement satisfied the Estate’s injury and made the
Estate whole. Forgoing this threshold determination, the trial court found that
the Mourouzis settlement satisfied the Estate’s losses such that the Estate was
not entitled to pursue additional damages from IUHP. We have found no
support for this conclusion.
[21] Assuming arguendo that the Estate correctly valued its injury at between six
and ten million dollars: (1) the $1.25 million Mourouzis settlement left
remaining several million dollars in uncompensated damages and did not make
the Estate whole; (2) the Estate would be entitled to seek the remaining balance
of the uncompensated damages, up to an additional $1.25 million, from IUHP
and the PCF; and (3) there would be no danger of the Estate receiving a double
recovery because, as the Everhart Court found, even if the Estate received an
additional $1.25 million from IUHP, the combined Mourouzis and IUHP
settlements would still fall short of the Estate’s “one satisfaction.”
[22] By prematurely applying the Mourouzis setoff to the statutory limit and
offsetting the IUHP judgment to zero, without first determining the value of
Estate’s case, the trial court denied the Estate the potential full recovery to
which it is legally entitled. See Everhart, 960 N.E.2d at 140 (“The purpose of the
one-satisfaction doctrine is to prevent a plaintiff from realizing more than one
recovery. It is [ ] not to reduce a plaintiff to realizing less than one full
recovery.”). Accordingly, we find that genuine issues of material fact exist;
and, thus, as to the amount of damages, IUHP was not entitled to judgment as
a matter of law.
Court of Appeals of Indiana | Opinion 19A-CT-2569 | May 14, 2020 Page 14 of 15 [23] For these reasons, the trial court erred in granting IUHP’s motion for summary
judgment and finding that IUHP was entitled to judgment as a matter of law;
we must, therefore, reverse the entry of summary judgment in favor of IUHP
and remand for further proceedings.
Conclusion [24] The trial court erred in granting IUHP’s motion for summary judgment. We
[25] Reversed and remanded.
Najam, J., and Vaidik, J., concur.
Court of Appeals of Indiana | Opinion 19A-CT-2569 | May 14, 2020 Page 15 of 15