Mahan v. Avera St. Luke's

2001 SD 9, 621 N.W.2d 150, 2001 S.D. LEXIS 9, 2000 WL 1946707
CourtSouth Dakota Supreme Court
DecidedJanuary 10, 2001
Docket21118, 21135
StatusPublished
Cited by37 cases

This text of 2001 SD 9 (Mahan v. Avera St. Luke's) is published on Counsel Stack Legal Research, covering South Dakota Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mahan v. Avera St. Luke's, 2001 SD 9, 621 N.W.2d 150, 2001 S.D. LEXIS 9, 2000 WL 1946707 (S.D. 2001).

Opinions

GILBERTSON, Justice

(on reassignment).

[¶ 1.] Orthopedic Surgery Specialists (OSS), a South Dakota corporation, and its individual physicians, commenced this action against Avera St. Lukes (ASL) alleging breach of contract. The trial court granted OSS’ motion for summary judgment and entered a mandatory permanent injunction against ASL. ASL then filed this appeal. We reverse.

FACTS AND PROCEDURE

[¶ 2.] ASL is a private, nonprofit, general acute care hospital located in Aberdeen, South Dakota, organized under the nonprofit corporation laws of South Dakota. ASL is part of Avera Health, a regional health care system sponsored by the Sisters of the Presentation of the Blessed Virgin Mary of Aberdeen, South Dakota. Since 1901, the Presentation Sisters have been fulfilling their mission statement “to respond to God’s calling for a healing ministry ... by providing quality health services” to the Aberdeen community. ASL has expanded its mission beyond the Aberdeen community to become the only full-service hospital within a 90-mile radius of Aberdeen.

[¶ 3.] As required by SDCL 47-23-13, ASL is governed by a Board of Trustees (Board), which manages its affairs. The Board consists of 15 members from Aberdeen and surrounding communities, including five physicians and four Presentation Sisters. It is the duty of the Board “[t]o implement the purpose and objectives of [ASL] as determined by the Members of [ASL] and in accordance with the Statement of Philosophy of the Presentation Sisters.” By Laws of St. Luke’s Midland Regional Medical Center (Corporate Bylaws), art V, § 14(b). Membership in ASL is limited to “religious Members of the Congregation of the Sisters of the Presentation of the Blessed Virgin Mary of Aberdeen, South Dakota.” Corporate Bylaws, art I, § 3.

[¶ 4.] In mid-1996, ASL’s neurosurgeon left Aberdeen. After his departure, the Board passed a resolution to recruit two neurosurgeons or two spine-trained orthopedic surgeons to fill the void. During the recruitment process, ASL learned that most neurosurgeon applicants would not be interested in coming to Aberdeen if there was already an orthopedic spine surgeon practicing in the area. This was due to the small size of the community and the probable need for the neurosurgeon to supplement his or her practice by performing back and spine surgeries. Back and spine surgeries are also performed by orthopedic spine surgeons and the applicants were doubtful whether Aberdeen could support the practice of both a neurosurgeon and an orthopedic spine surgeon.

[153]*153[¶ 5.] ASL was successful in recruiting a neurosurgeon who arrived in December, 1996. Around this time, ASL learned that OSS, a group of Aberdeen orthopedic surgeons, had decided to build a day surgery center that would directly compete with ASL. During the first seven months that OSS’ surgery center was open, ASL suffered a 1000 hour loss of operating room usage.

[¶ 6.] In response to the loss of operating room income, ASL’s Board passed two motions on June 26, 1997. The first motion closed ASL’s medical staff with respect to physicians requesting privileges for three spinal procedures: (1) spinal fusions, (2) closed fractures of the spine and (3) laminectomies. The second motion closed ASL’s medical staff to applicants for orthopedic surgery privileges except for two general orthopedic surgeons being recruited by ASL. The effect of “closing” the staff was to preclude any new physicians from applying for privileges to use hospital facilities for the named procedures. The Board’s decision did not affect those physicians that had already been granted hospital privileges, including the physician-members of OSS. In making its decision, the Board specifically determined that the staff closures were in the best interests of the Aberdeen community and the surrounding area.

[¶ 7.] In the summer of 1998, OSS recruited Dr. Mahan (Mahan), a spine-fellowship trained orthopedic surgeon engaged in the practice of orthopedic surgery. While OSS was recruiting Mahan, one of the OSS physicians advised Mahan that the staff at ASL had been closed to orthopedic surgery privileges. Despite this warning, Mahan began practicing with OSS. On at least two occasions, Mahan officially requested an application for staff privileges with ASL. These requests were denied due to the Board’s decision on July 26,1997.

[¶ 8.] In September of 1998, Mahan and OSS (Plaintiffs) commenced this action against ASL, challenging the Board’s decision to close the staff. Plaintiffs claimed that the action was a breach of the medical/dental staff bylaws (Staff Bylaws) and sought a writ of mandamus and permanent injunction ordering ASL to consider Ma-han’s application for hospital privileges. Both parties submitted cross motions for summary judgment. After a hearing, the circuit court determined that ASL had breached the Staff Bylaws by closing the staff. In making its decision, the circuit court relied exclusively on the Staff Bylaws. The circuit court determined that the Board had delegated a significant amount of its power and authority concerning staff privileges to the medical staff. The circuit court reasoned that because of this delegation, the Board no longer had the power to initiate actions that affected the privileges of the medical staff. The circuit court concluded the Board had breached its contract with the medical staff when it closed the staff to the named procedures without first consulting the staff. Plaintiffs’ request for a permanent injunction was granted, requiring ASL to consider Mahan’s application for privileges. ASL appeals raising the following issues:

1. Whether the individual OSS physicians have standing to challenge the Board’s decision.

2. Whether the Board’s decision breached its contract with the Staff.

ANALYSIS

[¶ 9.] 1. Whether the individual OSS physicians have standing to challenge the Board’s decision.

[¶ 10.] It is well settled in South Dakota that “a hospital’s bylaws constitute a binding contract between the hospital and the hospital staff members.” Read v. McKennan Hospital, 2000 SD 66, ¶ 14, 610 N.W.2d 782, 785 (citing St. John’s Hospital Medical Staff v. St. John Regional Medical Center, Inc., 90 S.D. 674, 679, 245 N.W.2d 472, 474 (1976)). It is also well settled that when such bylaws are ap[154]*154proved and accepted by the governing board they become an enforceable contract between the hospital and its physicians. See Northeast Georgia Radiological Assoc. v. Tidwell, 670 F.2d 507, 511 (5th Cir.1982); Janda v. Madera Community Hosp., 16 F.Supp.2d 1181, 1188 (E.D.Cal.1998); Terre Haute Regional Hosp., Inc. v. El-Issa, 470 N.E.2d 1371, 1377 (Ind.Ct.App.1984).

[¶ 11.] Only parties to a contract have rights in the contract. As such, the parties to the contract are the only ones who can seek enforcement of the contract. See Leonard v. Leonard, 529 N.W.2d 208, 211 (S.D.1995). The OSS staff doctors are currently members of the medical staff at ASL; they are a party to the contract between ASL and the medical staff. However, merely being party to a contract is not enough to have standing.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Nelson v. Estate of Campbell
2023 S.D. 14 (South Dakota Supreme Court, 2023)
Miller v. Huron Regional Medical Center, Inc.
145 F. Supp. 3d 873 (D. South Dakota, 2015)
Medical Staff of Avera Marshall Regional Medical Center v. Marshall
857 N.W.2d 695 (Supreme Court of Minnesota, 2014)
Medical Staff of Avera Marshall Regional Medical Center v. Avera Marshall
836 N.W.2d 549 (Court of Appeals of Minnesota, 2013)
Avera St. Luke's Hospital v. Karamali
848 F. Supp. 2d 1017 (D. South Dakota, 2012)
Arnoldy v. Mahoney & Finneman
2010 S.D. 89 (South Dakota Supreme Court, 2010)
Egan v. ST. ANTHONY'S MEDICAL CENTER
244 S.W.3d 169 (Supreme Court of Missouri, 2008)
Fuller v. Croston
2006 SD 110 (South Dakota Supreme Court, 2006)
A-G-E Corp. v. State Ex Rel. State Department of Transportation
2006 SD 66 (South Dakota Supreme Court, 2006)
Weitzel v. Sioux Valley Heart Partners
2006 SD 45 (South Dakota Supreme Court, 2006)
Schwaiger v. Avera Queen of Peace Health Services
2006 SD 44 (South Dakota Supreme Court, 2006)
Farm Credit Services of America v. Dougan
2005 SD 94 (South Dakota Supreme Court, 2005)
Radiation Therapy Oncology, P.C. v. Providence Hospital
906 So. 2d 904 (Supreme Court of Alabama, 2005)

Cite This Page — Counsel Stack

Bluebook (online)
2001 SD 9, 621 N.W.2d 150, 2001 S.D. LEXIS 9, 2000 WL 1946707, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mahan-v-avera-st-lukes-sd-2001.