Insight Surgery v. WSi Healthcare

Colorado Court of Appeals·Decided November 26, 2025·No. 24CA0199·Unpublished

Opinion

24CA0199 Insight Surgery v WSi Healthcare 11-26-2025 COLORADO COURT OF APPEALS

Court of Appeals No. 24CA0199 Douglas County District Court No. 19CV98 Honorable Andrew C. Baum, Judge

Insight Surgery Center, LLC, Plaintiff-Appellant and Cross-Appellee, v. WSi Healthcare Personnel, Inc., Defendant-Appellee and Cross-Appellant.

JUDGMENT AFFIRMED IN PART AND REVERSED IN PART, AND CASE REMANDED WITH DIRECTIONS

Division II

Opinion by JUDGE FOX

Brown and Meirink, JJ., concur

NOT PUBLISHED PURSUANT TO C.A.R. 35(e)

Announced November 26, 2025

McConnell Van Pelt, LLC, Michael T. McConnell, Jonathan J. Corrigan, Kellsey A. Hansen, Denver, Colorado, for Plaintiff-Appellant and Cross-Appellee

Hershey Decker Drake, C. Todd Drake, Kari M. Hershey, Brenna Shannon, Lone Tree, Colorado, for Defendant-Appellee and Cross-Appellant

¶1 Insight Surgery Center, LLC (Insight) appeals the district court’s order dismissing its third-party complaint against WSi Healthcare Personnel, Inc. (WSi). We reverse and remand for further proceedings. WSi cross-appeals the court’s order denying its motion for a directed verdict, which we affirm.

I. Background

A. The Underlying Action and Third-Party Complaint ¶2 This appeal arises from a third-party complaint in an underlying wrongful death suit. In October 2017, the decedent underwent a liposuction procedure at Insight’s facility and died the following day. WSi, a healthcare personnel staffing agency, provided medical staff to Insight. Lorez Hinson, a WSi nurse, was one of the nurses who treated the decedent at Insight’s post anesthesia care unit (PACU). ¶3 In 2019, the decedent’s estate (the Estate) brought a wrongful death action against several individuals and entities. The Estate later dismissed all parties except Insight and amended its complaint to allege that Insight was liable for the negligence of several nurses, including Hinson. Because Hinson was a WSi employee, Insight asked WSi to defend and indemnify it pursuant to an agreement

between WSi and Insight’s predecessor, Renewal Surgery Center, LLC (Renewal). WSi refused, asserting that Insight was not a party to the agreement. Insight later filed a third-party complaint against WSi alleging breach of contract and seeking contribution, defense, and indemnification in the wrongful death action.

B. The Relevant Agreements ¶4 Insight’s third-party claims implicated three contracts. First, under a 2014 “Client Agreement” (2014 Agreement), WSi provided healthcare personnel to Renewal via three possible staffing arrangements: a “Temp to Hire Option,” a “Direct Hire Option,” and a “PRN Option.”1 The 2014 Agreement also listed hourly rates for “OR nurses,” “PACU nurses,” “scrub techs,” and “sterile processors.” And the 2014 Agreement automatically renewed each year, allowed written modifications, bound the parties’ successors, and provided that it “constitute[d] the entire understanding and agreement between the parties . . . and supersede[d] all prior agreements, arrangements and understanding . . . with respect to

1 Although not defined in the 2014 Agreement, a PRN is a “per

request needed” or “as needed” employee. An “OR” nurse is an operating room nurse.

its subject matter” (merger clause). As discussed further in Part III, the 2014 Agreement also included an indemnification clause (the basis for Insight’s third-party complaint) and a description of the parties’ respective responsibilities. ¶5 In 2016, WSi and Renewal executed a second “Client Agreement” (2016 Agreement). It was significantly shorter and lacked many of the 2014 Agreement’s general terms, such as clauses addressing merger, successor liability, indemnification, venue, modification, and insurance. Like the 2014 Agreement, it outlined the temp to hire, direct hire, and PRN options, but the 2016 Agreement listed the hourly rate only for “Surg Techs” (or surgical technicians). ¶6 Finally, Renewal and Insight executed a July 2017 Asset Purchase Agreement (APA) in which Renewal sold Insight “all of its core assets and assign[ed] all of its core contracts used in the operation of its surgery center.” Renewal agreed “to sell, assign, transfer, convey and deliver to Insight” Renewal’s rights and obligations under “the Assumed Contracts,” which were listed in an

attachment to the APA and included a “WSi Healthcare Personnel Agreement Dated August 29, 2016.”2 C. WSi’s Summary Judgment Motion and the Jury Verdict ¶7 Because Insight’s third-party claims relied on the 2014 Agreement’s indemnity clause, Insight moved for a determination of law that Renewal assigned the 2014 Agreement to Insight under the APA. The district court denied the motion, concluding that whether the 2014 Agreement applied to Insight was an issue of fact for a jury to determine. ¶8 Because Insight was not a party to the 2014 Agreement — and the APA explicitly assigned only the 2016 Agreement (which lacked an indemnity provision) — WSi moved for summary judgment, arguing that Insight lacked privity of contract to invoke the indemnity clause. It argued that the APA assigned only the 2016 Agreement, not the 2014 Agreement, and Insight could not use extrinsic evidence (the 2014 Agreement) “to create ambiguities in

2 Although the 2016 Agreement was to “be observed beginning”

August 26, it was executed on August 29 and August 31. The parties appear to agree that the WSi contract referenced in the APA is the 2016 Agreement.

otherwise unambiguous contracts” (the 2016 Agreement and the APA). ¶9 The district court denied WSi’s motion. It agreed that the APA “unambiguously assign[ed] only the 2016 Agreement . . . to Insight,” but it concluded that this did not resolve “whether the 2016 Agreement was a separate contract that replaced the 2014 Agreement [i.e., a novation3] or . . . simply amended the 2014 Agreement.” The court noted that the 2016 Agreement lacked a merger clause (the inclusion of which could support a novation) but also lacked other language suggesting it modified an earlier agreement. The court also compared the 2014 and 2016 Agreements, noting, for example, that the 2014 Agreement allowed amendments and automatically renewed unless terminated by written notice, but nothing in the 2016 Agreement suggested that it amended or terminated the 2014 Agreement. Accordingly, the court found the 2016 Agreement facially “ambiguous as to whether it is a standalone contract or an amendment/codicil.”

3 A novation occurs when one contract is extinguished and

substituted with a new contract. Oldham v. Pedrie, 2015 COA 95, ¶ 32.

¶ 10 After concluding that the 2016 Agreement was ambiguous, the court accepted extrinsic evidence to determine WSi and Renewal’s intent in 2016. But because this inquiry was factual, it concluded that a jury would determine whether the 2016 Agreement, which the APA assigned to Insight, was a novation “that entirely superseded the 2014 Agreement” or whether it “amended or supplemented the 2014 Agreement.” If the jury found that the 2016 Agreement amended the 2014 Agreement, the 2014 Agreement remained effective and applied to Insight, and Insight could pursue its third-party claims. But if there was a novation, the 2014 Agreement would not apply to Insight. ¶ 11 On the second day of a bifurcated jury trial, the Estate moved for a directed verdict, which WSi joined. The court declined to enter a directed verdict, incorporating its order denying WSi’s summary judgment motion. At the trial’s conclusion, the jury found that the 2016 Agreement was not a novation that superseded the 2014 Agreement; rather, it was an amendment.

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