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813 S.E.2d 292
S.C. Ct. App.
2018
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Background

  • Mable Hodge, a competent patient, was admitted to UniHealth Post-Acute Care of Bamberg; her husband signed an Admission Agreement and a separate Arbitration Agreement the day before her admission while she remained in the hospital.
  • The Arbitration Agreement: separately paginated, had its own signature page, stated arbitration was not a precondition to admission, could be revoked within 30 days, and declared it was governed by the Federal Arbitration Act.
  • Mable signed other admission-related documents at the facility on arrival but did not sign the Arbitration Agreement; she had no health-care or general power of attorney.
  • After complications at the facility left Mable paralyzed and later deceased, her husband (loss of consortium) and son (personal representative of the estate) sued the facility and parents; the facility moved to compel arbitration and to depose the husband on arbitration-related issues.
  • The circuit court denied the motions (to compel arbitration and to compel husband’s deposition); the court of appeals affirmed, rejecting arguments based on unpublished precedent reliance, equitable estoppel, agency, third‑party beneficiary status, and abuse-of-discretion in denying the deposition.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether the Arbitration Agreement binds the estate/personal representative Estate/Hodge argue the arbitration agreement was not signed by Mable and thus unenforceable against the estate Appellants argue the husband’s signature binds the estate (intertwined claims) and that prior cases support enforcement Court: Agreement unenforceable against estate; arbitrability is a judicial issue and facts supported denial to compel arbitration
Equitable estoppel to force arbitration Appellants: estate is estopped from denying arbitration because admission and arbitration agreements merged and parties benefited Respondents: agreements are separate; arbitration was voluntary and not a condition to admission; no benefit from arbitration was accepted by Mable/estate Court: No merger; equitable estoppel does not apply (following Coleman and Thompson)
Common-law or apparent agency (husband binding Mable) Appellants: Husband acted as Mable’s agent (signed previous healthcare documents) and thus could sign arbitration agreement Respondents: No express authority, no power of attorney, Mable competent and signed other forms; apparent authority requires principal’s manifestations Court: No actual or apparent agency to sign arbitration (signing healthcare or billing forms does not authorize waiving jury/court rights)
Whether trial court abused discretion by denying deposition of husband Appellants: Husband’s testimony could show agency and authority to bind Mable Respondents: Facts were undisputed and documents in record; deposition would not add material facts Court: Denial affirmed — deposition would not produce additional material facts and denial was not an abuse of discretion

Key Cases Cited

  • Zabinski v. Bright Acres Assocs., [citation="346 S.C. 580, 553 S.E.2d 110"] (S.C. 2001) (arbitrability is a judicial question)
  • Aiken v. World Fin. Corp. of S.C., [citation="373 S.C. 144, 644 S.E.2d 705"] (S.C. 2007) (appellate review standards for arbitrability and deference to factual findings)
  • Coleman v. Mariner Health Care, Inc., [citation="407 S.C. 346, 755 S.E.2d 450"] (S.C. 2014) (separate arbitration agreement language, revocability, and choice-of-law support non-merger)
  • Dean v. Heritage Healthcare of Ridgeway, LLC, [citation="408 S.C. 371, 759 S.E.2d 727"] (S.C. 2014) (remand required to inquire into whether patient or signatory had authority to sign)
  • Thompson v. Pruitt Corp., [citation="416 S.C. 43, 784 S.E.2d 679"] (S.C. 2016) (equitable estoppel and agency analyses: authority to sign healthcare forms does not necessarily permit waiver of jury/court rights)
  • Dickerson v. Longoria, [citation="414 Md. 419, 995 A.2d 721"] (Md. 2010) (signing free‑standing arbitration agreement is not a health‑care decision where agreement is optional; limited agency for healthcare decisions does not include waiver of legal rights)
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Case Details

Case Name: Hodge v. Unihealth Post-Acute Care of Bamberg, LLC
Court Name: Court of Appeals of South Carolina
Date Published: Mar 7, 2018
Citations: 813 S.E.2d 292; 422 S.C. 544; Appellate Case No. 2015-001183; Opinion No. 5541
Docket Number: Appellate Case No. 2015-001183; Opinion No. 5541
Court Abbreviation: S.C. Ct. App.
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    Hodge v. Unihealth Post-Acute Care of Bamberg, LLC, 813 S.E.2d 292