Thompson v. Centegra Management Services, Inc.

2026 IL App (2d) 240667
CourtAppellate Court of Illinois
DecidedJanuary 22, 2026
Docket2-24-0667
StatusPublished

This text of 2026 IL App (2d) 240667 (Thompson v. Centegra Management Services, Inc.) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Thompson v. Centegra Management Services, Inc., 2026 IL App (2d) 240667 (Ill. Ct. App. 2026).

Opinion

2026 IL App (2d) 240667 No. 2-24-0667 Opinion filed January 22, 2026 ______________________________________________________________________________

IN THE

APPELLATE COURT OF ILLINOIS

SECOND DISTRICT ______________________________________________________________________________

MARGARET THOMPSON, Individually ) Appeal from the Circuit Court and as Administrator of the Estate of ) of McHenry County. Michael B. Thompson, Deceased, ) ) Plaintiff-Appellee, ) ) v. ) No. 17-LA-184 ) CENTEGRA MANAGEMENT SERVICES, ) INC.; NIRAV C. SHAH, M.D.; and ) MCHENRY RADIOLOGISTS AND ) IMAGING ASSOCIATES, S.C., ) ) Defendants ) ) Honorable (Centegra Management Services, Inc., ) Kevin G. Costello, Defendant-Appellant). ) Judge, Presiding. ______________________________________________________________________________

PRESIDING JUSTICE KENNEDY delivered the judgment of the court, with opinion. Justices Jorgensen and Mullen concurred in the judgment and opinion.

OPINION

¶1 Defendant Centegra Management Services, Inc. (Centegra), appeals from the judgment

against it in favor of plaintiff, Margaret Thompson, and the trial court’s denial of its motion for a

setoff.

¶2 At issue on this appeal is whether, under the Joint Tortfeasor Contribution Act (Act) (740

ILCS 100/0.01 et seq. (West 2022)), Centegra was entitled to a setoff of the judgment against it in 2026 IL App (2d) 240667

the amount of $950,000. The $950,000 sum was the low payment of a high-low agreement between

plaintiff and defendants Nirav C. Shah, M.D. (Dr. Shah), and McHenry Radiologist and Imaging

Associates, S.C. (collectively, the Shah defendants). The Shah defendants had agreed to pay

plaintiff $950,000 if the jury found that the Shah defendants were not liable for the wrongful death

of Michael B. Thompson, whose estate plaintiff administered. If the Shah defendants had been

found liable, they had agreed to pay plaintiff $1,950,000. 1

¶3 The jury found Centegra liable to plaintiff, but it found the Shah defendants not liable,

triggering the $950,000 payment by the Shah defendants. Posttrial, Centegra moved for a setoff of

the judgment against it in the amount of $950,000, and the trial court denied its motion. For the

following reasons, we reverse.

¶4 I. BACKGROUND

¶5 Whether Centegra was entitled to a setoff arises in the context of a medical malpractice

suit, which we briefly recount. On September 8, 2015, Michael B. Thompson went to a Centegra

urgent care facility with complaints of pain in his back and lower abdomen, where he was given a

differential diagnosis that included appendicitis. Michael underwent examination and imaging,

including an abdominal CT scan. Dr. Shah reviewed the CT scan and found Michael’s appendix

normal. Regarding Michael’s aorta, Shah noted “mild to moderate atherosclerotic changes” but

“without definite aneurysm.”

1 There was a discrepancy in the record regarding the high payment. In plaintiff’s attorney’s July

25, 2024, affidavit, the high payment was stated as $1.9 million, but when asked by the trial court to confirm

the range at the August 26, 2024, posttrial hearing, plaintiff’s attorney confirmed the high payment was

$1.95 million.

-2- 2026 IL App (2d) 240667

¶6 Michael was discharged from urgent care with a diagnosis of hypertension and abdominal

and back pain, and he was given medications for high blood pressure and his pain. The next day,

Michael died of a ruptured aortic dissection. He was 50 years old.

¶7 Plaintiff filed her initial complaint against defendants on May 31, 2017, alleging that

medical negligence caused Michael’s wrongful death, and the amended complaints continued to

allege medical negligence causing wrongful death. Plaintiff alleged, in pertinent part, that all

defendants were negligent in failing to diagnose Michael’s aortic dissection, which caused his

death and resulted in damages to his surviving family members. A jury trial commenced on April

23, 2024.

¶8 Closing arguments were given on May 2, 2024, and jury deliberations began immediately

thereafter. During closing argument, plaintiff’s attorney requested damages of at least $10 million.

¶9 A. High-Low Agreement

¶ 10 During jury deliberations on May 2, 2024, plaintiff and the Shah defendants began talks of

a high-low agreement. On May 3, 2024, while the jury continued to deliberate, plaintiff and the

Shah defendants reached a high-low agreement, with a low payment of $950,000 if the Shah

defendants were found not liable, and a high payment of $1.95 million if they were found liable.

The agreement further provided that neither side would be allowed to appeal. The jury returned its

verdict within 30 minutes of the parties entering into the high-low settlement agreement.

¶ 11 B. Jury Verdict

¶ 12 On May 3, 2024, the jury returned a verdict using verdict form A, 2 finding Centegra liable

to plaintiff but finding the Shah defendants not liable to plaintiff. The jury found the total damages

2 The other verdict form, verdict form B, was to be used only if the jury found for all defendants

-3- 2026 IL App (2d) 240667

suffered by Michael’s estate were $2,920,575, itemized as follows: $325,000 for grief, sorrow, and

mental suffering; $325,000 for loss of society; $325,000 for the loss of instruction, moral training,

and superintendence of education that Michael reasonably would have provided had he lived;

$20,000 for the loss of money, benefits, goods, and services that Michael was likely to have

contributed; $1,600,575 for the loss of money, benefits, goods, and services that Michael was

likely to have contributed in the future; and $325,000 for the loss of normal life experienced by

Michael.

¶ 13 Two special interrogatories were submitted to the jury. One asked the jury whether the

nurse practitioner who examined Michael at Centegra’s urgent care facility was a proximate cause

of Michael’s injuries; the jury answered yes. The other asked the jury whether it found that Dr.

Shah was a proximate cause of Michael’s death; it answered no.

¶ 14 That same day, the trial court entered judgment in favor of plaintiff and against Centegra

in the amount of $2,920,575 plus costs, and it continued the case to determine prejudgment interest.

The trial court further entered judgment in favor of the Shah defendants and against plaintiff.

¶ 15 C. Centegra’s Posttrial Motion

¶ 16 On June 28, 2024, Centegra moved posttrial for, among other things, a setoff of the

judgment against it. In its motion, Centegra stated that it understood that plaintiff had received a

settlement of $950,000 from the Shah defendants, and it argued that the court should set off the

judgment against Centegra by that amount. Its rationale was that a plaintiff is entitled to only one

recovery for claimed injuries in one cause of action, and plaintiff would receive a windfall if the

trial court did not set off the judgment against Centegra by the $950,000 paid by the Shah

and against plaintiff.

-4- 2026 IL App (2d) 240667

defendants. It argued that such a double recovery was prohibited by the Act (740 ILCS 100/2(c)

(West 2022)).

¶ 17 Plaintiff responded to Centegra’s posttrial motion, arguing, in relevant part, that Centegra

was not entitled to a setoff for several reasons: (1) Centegra had forfeited its right to a setoff by

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2026 IL App (2d) 240667, Counsel Stack Legal Research, https://law.counselstack.com/opinion/thompson-v-centegra-management-services-inc-illappct-2026.