Sisters of St. Joseph of Peace, Health, & Hospital Services v. Russell

867 P.2d 1377, 318 Or. 370, 1994 Ore. LEXIS 14
CourtOregon Supreme Court
DecidedFebruary 25, 1994
DocketCC 16-90-04757; CA A74348; SC S40584
StatusPublished
Cited by20 cases

This text of 867 P.2d 1377 (Sisters of St. Joseph of Peace, Health, & Hospital Services v. Russell) is published on Counsel Stack Legal Research, covering Oregon Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sisters of St. Joseph of Peace, Health, & Hospital Services v. Russell, 867 P.2d 1377, 318 Or. 370, 1994 Ore. LEXIS 14 (Or. 1994).

Opinion

*372 GRABER, J.

This case involves principles relating to third-party-beneficiary contracts.

FACTS AND PROCEDURAL BACKGROUND

On September 13, 1984, Russell was injured when the log scaler that he was operating rolled down a hill. As a result of that accident, Russell’s back and arm were broken. Sacred Heart General Hospital (hospital) provided medical treatment for his injuries from September 13, 1984, through August 30, 1985.

Russell was uncertain who his employer was at the time of the injury. For that reason, he filed four separate workers’ compensation claims against four purported employers. After a hearing concerning all four claims, a referee held that an employer insured by The Aetna Casualty & Surety Company (Aetna) was Russell’s employer for workers’ compensation purposes. The Workers’ Compensation Board (Board) affirmed. Aetna and Russell sought judicial review in the Court of Appeals.

While those petitions for judicial review were pending, the four purported employers and their insurers, including Aetna, entered into a Disputed Claim Settlement (DCS) agreement with Russell. The Board approved the DCS agreement pursuant to ORS 656.289(4), 1 and Aetna and Russell dismissed their petitions for judicial review of the Board’s order.

Plaintiff hospital then brought this action against Russell and Aetna to recover for the medical care that plaintiff had provided to Russell. Plaintiff pleaded two theories of recovery against Russell: contract implied in fact (Claim 1) and account stated (Claim 2). Plaintiff also pleaded a claim against Aetna (Claim 3). That claim was based on the theory that plaintiff was a third-party beneficiary of the DCS agreement, to which Russell and Aetna were parties. The case was tried to a jury.

*373 At trial, plaintiff called Russell as a witness. Russell testified that he never agreed to “personally pay” plaintiff s bills, although he did not refuse the hospital’s treatment and agreed that the treatment saved his life. Plaintiffs only other witness was its director of patient accounts, who testified as to the charges billed and gave the opinion that the charges were reasonable. Plaintiff also introduced the DCS agreement and the hospital bills into evidence.

At the close of all the evidence, Aetna moved for a directed verdict, pursuant to ORCP 60, 2 on Claim 3. Aetna argued two separate points: (a) that “there is no evidence of a third-party beneficiary contract,” and (b) that “Plaintiff has * * * not presented any expert testimony sufficient to show that the [hospital] services that were allegedly provided to Defendant Russell were services which were reasonable * * * and necessary” to treat Russell’s injuries. The trial court denied Aetna’s motion. Thereafter, the jury returned a verdict for Russell on Claims 1 and 2 and for plaintiff against Aetna on Claim 3, the claim based on the DCS agreement. 3

The trial court entered judgment on the verdict. Aetna appealed, assigning as error the denial of its motion for a directed verdict on Claim 3. 4

The Court of Appeals reversed. Sisters of St. Joseph v. Russell, 122 Or App 188, 857 P2d 192 (1993). That court rejected plaintiffs characterization of Claim 3 as one based entirely on its rights as a third-party beneficiary of an express contract, the DCS agreement. 122 Or App at 191. The court concluded that, instead, plaintiffs express contract claim against Aetna “incorporates an implied agreement between plaintiff and Russell,” so that plaintiffs right to recover depended on Russell’s actual liability to plaintiff; plaintiff, therefore, could not recover unless it proved all the elements *374 of Claim 1, its implied contract claim against Russell. Id. at 191-92. The court then held that, because “there was no admissible evidence that what was supplied was necessary for the care of Russell,” the trial court erred in not granting Aetna’s motion for directed verdict. Id. at 192. One judge concurred, stating that “[p]laintiff was, at best, an incidental beneficiary of the [DCS] agreement and not entitled to bring an action as a third-party beneficiary of Russell’s contract.” Ibid. (Warren, P. J., concurring). One judge dissented, on the ground that the DCS agreement was ambiguous, that the jury was entitled to decide whether plaintiff was an intended third-party beneficiary of the DCS agreement, and that, “because the jury decided this case on the basis of an express contract, testimony concerning the reasonableness or necessity of the [medical] services [provided to Russell by plaintiff] is irrelevant.” Id. at 193-95 (Landau, J., dissenting). We allowed plaintiffs petition for review and now reverse the decision of the Court of Appeals.

PLAINTIFF AS THIRD-PARTY BENEFICIARY

Plaintiffs claim against Aetna was based on a single theory: “[t]hat Sacred Heart General Hospital became a third-party beneficiary of’ the DCS agreement between Aetna and Russell, “pursuant to said agreement.” We begin by examining that assertion. In the procedural posture of this case, we apply the following standard of review:

“We * * * come to the issue of whether the trial court erred in denying defendant’s motion for a directed verdict. Because plaintiff had the verdict, we cannot set it aside unless we can affirmatively say that there is no evidence from which the jury could have found the facts necessary to establish the elements of plaintiffs cause of action. Or Const Art VII (Amend), § 3. We do not weigh the evidence; we consider the evidence, including inferences, in the light most favorable to plaintiff.”

Brown v. J. C. Penney Co., 297 Or 695, 705, 688 P2d 811 (1984).

As a general proposition, a third party’s right to enforce a contractual promise in its favor depends on the intention of the parties to the contract. Oregon case law recognizes three categories of third-party beneficiaries: donee *375 beneficiaries, creditor beneficiaries, and incidental beneficiaries. See Johnston v. The Oregon Bank, 285 Or 423, 429-30, 591 P2d 746 (1979) (considering whether the plaintiff was a donee, creditor, or incidental beneficiary). For a plaintiff to be a donee beneficiary, “it must appear that the [promisee’s] intent in obtaining [the promisor’s] promise to [perform] was to make a gift to [the] plaintiff or to confer a right to [performance] upon [the] plaintiff, which [performance] was not due or claimed to be due by the [promisee] to [the] plaintiff.” Northwest Airlines v. Crosetti Bros., 258 Or 340, 346, 483 P2d 70 (1971) (emphasis added). For a plaintiff to be a creditor beneficiary, “the performance * * * by [the promisor] must be to ‘satisfy an actual or supposed or asserted duty of the promisee * * * to the [plaintiff].’ ”

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Cite This Page — Counsel Stack

Bluebook (online)
867 P.2d 1377, 318 Or. 370, 1994 Ore. LEXIS 14, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sisters-of-st-joseph-of-peace-health-hospital-services-v-russell-or-1994.