Menard v. Univ. Radiation Oncology Assoc.

976 So. 2d 69, 2008 WL 373221
CourtDistrict Court of Appeal of Florida
DecidedFebruary 13, 2008
Docket4D06-4901, 4D07-576
StatusPublished
Cited by9 cases

This text of 976 So. 2d 69 (Menard v. Univ. Radiation Oncology Assoc.) is published on Counsel Stack Legal Research, covering District Court of Appeal of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Menard v. Univ. Radiation Oncology Assoc., 976 So. 2d 69, 2008 WL 373221 (Fla. Ct. App. 2008).

Opinion

976 So.2d 69 (2008)

Jean MENARD, Appellant,
v.
UNIVERSITY RADIATION ONCOLOGY ASSOCIATES, LLP, Appellee.

Nos. 4D06-4901, 4D07-576.

District Court of Appeal of Florida, Fourth District.

February 13, 2008.
Rehearing Denied April 2, 2008.

*70 Edward R. Holodak, Hollywood, for appellant.

Geoffrey D. Ittleman of the Law Offices of Geoffrey D. Ittleman, P.A., Hollywood, for appellee.

FARMER, J.

In this action to recover unpaid charges for health care services, both sides took the position that the amount owed was fixed by an agreement. The trial judge sided with the health care provider's view and entered judgment accordingly. Because of a significant error in the process we reverse.

Before litigation began, the clinic's attorney wrote the patient demanding payment of an unpaid balance of $27,000. When payment was not forthcoming, the clinic filed suit claiming that $77,000 was due, instead of the $27,000 previously demanded. Answering the suit, the patient conceded liability for $27,000.

Later both sides filed motions for summary judgment. In response to the clinic's motion, the patient sought a deposition of the person at the clinic with the "most knowledge" as to the clinic's claim. The clinic designated Molina as the person with the most knowledge. At the deposition Molina testified that it was among her duties to make payment plans with patients and that she had done so with this patient.

She explained that the amount billed to an insurance payor for the planned services would have been $90,000, but the patient's health insurance did not cover the services. They agreed that the amount that patient would pay from his own funds for the same services was $40,000 "no matter what." They also agreed on a schedule for payments as treatment progressed. As the services progressed the patient paid $13,000 but failed to pay the balance.

In its summary judgment papers, the clinic identified its witness Molina as the person who made the agreement with patient on behalf of the clinic. The clinic argued, however, that the clinic notified the patient's on his final visit that, because of his failure to pay the balance, he now owed $77,000 instead of $27,000 as agreed. The clinic argued that the patient's motion for summary judgment should be denied because the patient had been informed that he owed the larger sum.

At the summary judgment hearing, both sides relied on Molina's deposition testimony, the clinic filing no affidavits. Patient filed an affidavit to support his motion. Patient swore that on three occasions before suit was filed the clinic had demanded the sum of $27,000 and had never mentioned him owing the larger sum. He swore the first time he had ever been told by the clinic that they were claiming $77,000 was with the filing of the suit. He also relied on the presuit letter demanding payment of $27,000 made by clinic's attorney. He argued that the deposition testimony of Molina — the clinic's person with the most knowledge — was that he owed only $27,000 as agreed.

He also cited the clinic's response to his motion for summary judgment. That response openly acknowledges that the clinic did not even create its "policy" demanding the full insurance amount when a patient fails to pay the agreed charge until after *71 this patient had already failed to made payment, thereby tacitly admitting that the larger sum was never actually agreed by the parties at the beginning.[1] He conceded that the clinic was entitled to a final judgment for $27,000.

The trial court denied summary judgment, and the case proceeded to trial. At trial the clinic produced — for the first time — one of its doctors to testify as to the making of the agreement. Patient immediately objected that the clinic should not be permitted to disavow either its designation of Molina as the witness having the most knowledge, or to now adduce changed testimony from that given by Molina. The clinic argued that the doctor was listed in the pretrial list of witnesses. The trial judge overruled the objection and permitted the testimony.

The doctor testified that he had direct knowledge of the agreement and that the parties had agreed at the very beginning before services were begun. He asserted that the patient had agreed to pay the full insurance amount if he failed to pay the lower charge. Ultimately the trial judge entered a final judgment holding the patient liable for the full $77,000 claimed with interest. Patient appeals.

The patient argues that this surprise change in testimony was contrary to the position that clinic had taken since the case was filed. At no time before trial, patient argues, did the clinic ever suggest the parties had actually agreed before services began that he would owe the full amount charged to an insurance payor if he failed to pay. He pointed out that Molina's testimony at the deposition was clear that the agreement was for a maximum of $40,000. Only after he had defaulted did the clinic increase its demand to the larger sum. Because the larger sum was first raised only then, it is manifest that it was not part of the original understanding and agreement.

The patient contends that the surprise change in testimony by the clinic should be treated no differently than courts treat surprise changes in expert witness testimony. He rests his case on our decisions in Department of Health and Rehabilitative Services v. J.B., 675 So.2d 241 (Fla. 4th DCA 1996), Grau v. Branham, 626 So.2d 1059 (Fla. 4th DCA 1993), and Office Depot, Inc. v. Miller, 584 So.2d 587 (Fla. 4th DCA 1991). J.B., Grau and Office Depot all stand for the proposition that it is an abuse of discretion to allow a party at trial to change, in this manner, the substance of testimony given in pretrial discovery.

In J.B. the plaintiff offered Dr. Burke as a witness on economic issues. Defendant took a pretrial deposition in which he specifically asked the witness if he was going to testify at trial about "life care plans." He responded that he had "received no instruction on that." A few days before trial, defendant moved to exclude any testimony by Dr. Burke as to life care plans, *72 but the trial court allowed him to do so if plaintiff furnished defense counsel with "the information" by the end of that day. Plaintiff did not furnish the information until just before trial began, but the court permitted the witness to testify anyway, allowing defendant to take an "updated" deposition one evening during trial. In holding that the court had abused its discretion, we relied on Binger v. King Pest Control, 401 So.2d 1310 (Fla.1981), in which the supreme court had recognized the authority of trial judges to exclude testimony on account of violations of pretrial orders. We explained:

"Although Binger dealt with the failure to disclose a witness, its principles have been applied where the presentation of a changed opinion is tantamount to permitting an undisclosed adverse witness to testify. Applying Binger's logic to the facts in this appeal, we find that the `playing field was not level' and there was, in fact, surprise resulting in prejudice to HRS. Although the court afforded HRS the opportunity to depose one of the witnesses after the first day of the trial, HRS had no opportunity to obtain information or expert opinion to rebut the testimony of the witness and thereby cure the prejudice. The permitting of such testimony caused a disruption of the orderly and efficient trial of the case." [e.s., c.o.]

675 So.2d at 244.

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Cite This Page — Counsel Stack

Bluebook (online)
976 So. 2d 69, 2008 WL 373221, Counsel Stack Legal Research, https://law.counselstack.com/opinion/menard-v-univ-radiation-oncology-assoc-fladistctapp-2008.