COVENANT HEALTH & REHABILITATION OF PICAYUNE, LP and Covenant Dove, Inc.
v.
ESTATE OF Mittie M. MOULDS, By and Through James BRADDOCK, Administrator for the Use and Benefit of the Estate and Wrongful Death Beneficiaries of Mittie M. Moulds.
Supreme Court of Mississippi.
*697 John L. Maxey, II, Heather Marie Aby, Paul Hobart Kimble, Jackson, attorneys for appellant.
F.M. Turner, Hattiesburg, attorney for appellee.
EN BANC.
ON WRIT OF CERTIORARI
RANDOLPH, Justice, for the Court.
¶ 1. The issue presented is the enforcement vel non of an arbitration clause made part of a contract. James Braddock asserts that the contract is one of adhesion and contains multiple unconscionable provisions. Alternatively, Braddock urges that if the arbitration clause is enforceable, the forum putatively agreed to is unavailable. We have considered more than one case involving this same arbitration agreement, and in other cases, very similar clauses. Almost unanimously, we have declared several of these contested provisions to be unconscionable. Previously, a majority of this Court determined that the contract, as amended by the Court, including the arbitration provision, should be enforced,[1] but not without dissent.[2]
¶ 2. Despite this Court's admonitions to the drafters of such contracts to eliminate unconscionable clauses and the reluctance of courts to reform and rewrite contracts, a veritable deluge of contests over arbitration issues continues in the courts of our state.
¶ 3. Based on the issues considered and the application of basic contract-law principles, we conclude that this contract is unconscionable, as it contains numerous unconscionable provisions. The contract weaves unconscionable nonforum terms into the arbitration provision. Arbitration is limited to choice of forum. See Mitsubishi Motors Corp. v. Soler Chrysler-Plymouth,
¶ 4. Braddock (the administrator of the plaintiff estate) filed a wrongful-death action against Covenant Health and Rehabilitation of Picayune, LP ("Covenant Health"), and its general partner, Covenant Dove, Inc., in the Circuit Court of Pearl River County. The circuit court denied Covenant Health's motion to compel arbitration, finding inter alia that the admissions agreement, as a whole, was unconscionable. The Court of Appeals reversed and remanded. Covenant Health and Rehab. of Picayune, LP v. Moulds,
THE COURT OF APPEALS OPINION
¶ 5. The Court of Appeals has expressed its "serious misgivings about the language included in the admissions agreement," but that court concluded that it was "compelled to confirm the substantive conscionability of the admissions agreement and the arbitration clause." Moulds, ___ So.3d at ___,
¶ 6. Separately, on the issue of the nonavailability of the arbitral forum, the Court of Appeals found that the arbitration agreement would allow the circuit court to choose an arbitrator if the forum chosen by the parties was unavailable. Moulds, ___ So.3d at ___ _ ___,
BACKGROUND ON APPLICABLE LAW
¶ 7. We recognize that the use of arbitration to resolve disputes finds favor under federal and state law. In IP Timberlands Operating Co. v. Denmiss Corp.,
This Court hereby overturns the former line of case law that jealously guarded the court's jurisdiction. Again, we expressly state that this Court will respect the right of an individual or an entity to agree in advance of a dispute to arbitration or other alternative dispute resolution.
Id. at 104. The IP Timberlands Court also recognized that Congress, by enacting section two of the Federal Arbitration Act ("FAA"), "`declared a national policy favoring arbitration and withdrew the power of the states to require a judicial forum for the resolution of claims which the contracting parties agreed to resolve by arbitration.'" Id. at 107 (quoting Southland Corp. v. Keating,
¶ 8. Arbitration agreements and other contract terms should be on equal footing, in that state courts may not invalidate arbitration agreements under laws that affect only arbitration agreements. Doctor's Assocs. v. Casarotto,
¶ 9. Applying FAA language and U.S. Supreme Court decisions, we have held that "applicable contract defenses available under state contract law such as fraud, duress, and unconscionability may be asserted to invalidate the arbitration agreement without offending the Federal Arbitration Act." East Ford, Inc. v. Taylor,
¶ 10. "[E]quity has a long history of concern with the substantive conscionability of the exercise of rights given by agreement." 7-29 Corbin on Contracts § 29.2 (2009). One court explained its rationale for denying specific performance of an unconscionable contract as follows:
a party who has offered and succeeded in getting an agreement as tough as this one is, should not come to a chancellor and ask court help in the enforcement of its terms. That equity does not enforce unconscionable bargains is too well established to require elaborate citation.
Campbell Soup Co. v. Wentz,
¶ 11. Corbin expounds on the meaning of "unconscionable" as follows:
"Unconscionable" is a word that defies lawyer-like definition. It is a term borrowed from moral philosophy and ethics. As close to a definition as we are likely to get is "that which `affronts the sense of decency.'" A much-quoted judicial definition is "an absence of meaningful choice on the part of one of the parties together with contract terms which are unreasonably favorable to the other party."
7-29 Corbin on Contracts § 29.4 (2009) (quoting Gimbel Bros. Inc. v. Swift,
¶ 12. Our precedent follows the Williams ("absence of meaningful choice") language as quoted above from Corbin. See Entergy Miss., Inc. v. Burdette Gin Co.,
¶ 13. Our courts may remedy unconscionable agreements as follows:
"The law of Mississippi imposes an obligation of good faith and fundamental fairness in the performance of every contract ... this requirement is so pronounced that courts have the power to refuse to enforce any contract ... in order to avoid an unconscionable result." Section 75-2-302 of the Mississippi Code provides: "If the court as a matter of law finds the contract to have been unconscionable... [it] may refuse to enforce the contract, or it may enforce the remainder of the contract without the unconscionable clause, or it may so limit the application of any unconscionable clause as to avoid any unconscionable result."
Jeffrey Jackson and Mary Miller, Encyclopedia of Mississippi Law, Vol. 3, § 21.54 (Mississippi Practice Series, 2001) (quoting Holyfield,
¶ 14. Mississippi Code Section 75-2-302, a Uniform Commercial Code provision, has been applied by this Court to contracts other than for sales of goods. Miss.Code Ann. § 75-2-302 (Rev.2002). See Brown,
FACTS
¶ 15. Mittie Moulds, a seventy-six-year-old female, suffering from a host of medical problems, was admitted to the Picayune Convalescent Center ("nursing home") on November 16, 2000. Moulds resided at the nursing home continuously from November 16, 2000, until September 20, 2004. The nursing home is a skilled nursing facility operated by the defendant, Covenant Health. Moulds was neither involved nor present when the 2000 admissions paperwork was signed. Her son, James Braddock, acted as a "responsible party" and signed the admissions agreement, which included an arbitration clause.
¶ 16. In April 2002, a new admissions agreement was presented to Braddock for his signature. In addition to Braddock's signature on the "Responsible Party" line, Moulds's name also was written on the "Resident" lines. Whether Moulds signed the 2002 document is contested. The 2002 agreement contains clause E4, which states that it "constitutes the entire agreement... and supersedes all prior agreements, representations and all understandings of the Parties." The agreement also is signed by a "Facility Representative" and two witnesses. On September 20, 2004, Moulds was transferred from the nursing home to a local hospital, where she died on October 2, 2004. Braddock alleges that Moulds was injured at the nursing home and that these injuries led to her hospitalization and death.
*701 ISSUES
¶ 17. "The Supreme Court's review on the grant of certiorari shall be conducted on the record and briefs previously filed in the Court of Appeals and on any supplemental briefs filed. The Supreme Court may limit the question on review." Miss. R.App. P. 17(h) (emphasis in original). We limit our review in this case to the following issues:[3]
(1) Whether the trial court erred in denying the Motion to Compel Arbitration because the 2002 admissions agreement as a whole is substantively unconscionable.
(2) Whether the 2002 arbitration agreement is unenforceable because the designated arbitration forum is unavailable.
(3) Whether an arbitration agreement ever came into effect because no one with legal capacity to bind Moulds executed the admissions agreement.
DISCUSSION
¶ 18. We apply "a de novo standard of review to denials of motions to compel." Brown,
I. Whether the trial court erred in denying the Motion to Compel Arbitration because the 2002 admissions agreement as a whole is substantively unconscionable.
¶ 19. This Court twice before has found the admissions agreement at issue in this case to be a contract of adhesion.[4]See Brown,
¶ 20. Further, each time this contract has come before this Court, the litigants have urged additional terms to be declared unconscionable and unenforceable. In Stephens, clauses E7 and E8[5]*702 were invalidated by this Court. Id. at 523-24. In Brown, in addition to E7 and E8, this Court reformed the contract to invalidate clauses C5, C8, E5, E6, E12, E16, and the last sentence of the arbitration agreement.[6]Brown,
¶ 21. In addition to the plethora of provisions previously adjudicated unconscionable and/or violative of statute, the admissions agreement contains several other questionable provisions. Clause A5[9] is similar to clause C5 in that it would allow Covenant Health to go to court to litigate a dispute. Clause E9 requires the patient to submit any damage recovery to any third-party payor (including Medicare and Medicaid) to reimburse the payor's expenses. Clause E15 requires that any dispute resolution or legal proceedings be brought in the county where the facility is located.
¶ 22. This Court in Pitts v. Watkins,
*703 We have considered our recent decision in [Pitts] and find that this case is clearly distinguishable. In Pitts we were confronted with a contract which, inter alia, (1) allowed one party to the contract to go to court to recover damages, while the other party was limited to arbitration, (2) attempted to shorten the statute of limitations, and (3) limited the amount of damages one of the parties could otherwise recover as a matter of law. The language in the arbitration clause in today's case pales in comparison to the oppressive language contained in the arbitration clause in Pitts.
Id. at 525 (internal citation omitted).
¶ 23. In Brown, this Court found nine provisions of the same contract used in Stephens to be unconscionable, and cited Pitts multiple times in its analysis of the unconscionable terms. Brown,
¶ 24. The contract at issue contains unconscionable provisions that mirror those found in Pitts, and several more. The application of basic contract principles leads this Court to the same conclusion as that of the learned trial judge, consistent with the "serious misgivings" of the Court of Appeals. We reach the inescapable conclusion that the contract is unconscionable, thus unenforceable.
¶ 25. The arbitration clause, which leads to court examination of the contract of adhesion, is not the only unconscionable provision. The arbitration clause itself includes, by its own terms and by reference to other provisions, several unconscionable, nonforum terms. "Arbitration is about choice of forum period." Stephens,
Neither is it wise to allow companies to draft arbitration clauses with unconscionable provisions and then let them try them out in the marketplace, secure in the knowledge that the courts will at worst sever the offending [provisions] after plaintiffs have been forced "to jump through hoops in order to invalidate those agreements."
Sanderson Farms,
¶ 26. Courts of other states have refused to enforce similar contracts which were found to be substantively unconscionable. A Florida district court of appeals, in Romano v. Manor Care, Inc.,
*704 ¶ 27. The Romano analysis has found favor in other cases. See Woebse v. Health Care & Ret. Corp. of Am.,
¶ 28. Tennessee also has found similar agreements unconscionable. Hill v. NHC Healthcare/Nashville, LLC,
With regard to substantive unconscionability, our Supreme Court has determined that an agreement to arbitrate, including one made in the context of the provision of medical services, is not generally unconscionable when its provisions do not alter legal duties or limit liabilities and simply provide an alternative forum for the resolution of disputes. However, inequality in the provisions of such an agreement, where the agreement is an adhesion contract, may result in a finding of unconscionability.
Hill,
¶ 29. Other state courts have invalidated arbitration agreements in various types of contracts. The Supreme Court of Alabama found an arbitration agreement included in a loan contract to be unconscionable in American General Finance, Incorporated v. Branch,
(1) whether there was an absence of meaningful choice on one party's part, (2) whether the contractual terms are unreasonably favorable to one party, (3) whether there was unequal bargaining power among the parties, and (4) whether *705 there were oppressive, one-sided, or patently unfair terms in the contract.
Id. at 408. The court held that the contract was unconscionable for one of the plaintiffs, Branch, but not the other, Reaves. Branch,
¶ 30. A California court found an arbitration agreement and other provisions of an employment contract to be unconscionable. Stirlen v. Supercuts,
¶ 31. Other state courts have held arbitration agreements to be unconscionable. See Bolter v. Superior Court,
¶ 32. Like the courts listed above, this Court also has refused to enforce unconscionable arbitration agreements outside the nursing home arena. See Pitts,
¶ 33. Our law "imposes an obligation of good faith and fundamental fairness in the performance of every contract governed thereby...." Holyfield,
¶ 34. This decision does not prevent nursing homes, or for that matter, any legal entity or person from entering contracts that include arbitration agreements. Our courts will enforce arbitration agreements when they do not seek to impose terms deemed unconscionable by this Court. See Bedford Health Props., LLC v. Estate of Davis, ___ So.3d ___, ___,
¶ 35. As Brown and Stephens dealt with nearly identical contracts, to the extent that those rulings are inconsistent with today's opinion, they are overruled.
II. Whether the 2002 arbitration agreement is unenforceable because the designated arbitration forum is unavailable.
¶ 36. In Stephens, this Court stated, "Arbitration is about choice of forum period." Stephens,
The Resident and Responsible Party agree that any and all claims, disputes and/or controversies between them and the Facility or its Owners, officers, directors or employees shall be resolved by binding arbitration administered by the American Arbitration Association and its rules and procedures.
The AAA announced nearly seven years ago that it "no longer accept[s] the administration of cases involving individual patients without a post-dispute agreement to arbitrate."[11] The AAA continues to administer health-care arbitrations in which "businesses, providers, health care companies, or other entities are involved on both sides of the dispute." Id. The AAA stated that the policy was a part of its "ongoing efforts ... to establish and enforce standards of fairness for alternative dispute resolution...."[12] The Senior Vice President of the AAA was quoted as follows:
Although we support and administer pre-dispute arbitration in other case areas, we thought it appropriate to change our policy in these cases since medical problems can be life or death situations and require special consideration.
Id.
¶ 37. Another alternate-dispute-resolution organization, the American Healthcare Lawyers Association ("AHLA"), has made a similar announcement about healthcare arbitrations. Owens v. Nexion Health at *707 Gilmer, Inc.,
¶ 38. The Court of Appeals correctly found that it should not speculate whether the AAA might agree to administer the dispute. Moulds, ___ So.3d at ___,
¶ 39. U.S. Supreme Court and Mississippi precedent supports this conclusion, as follows:
The U.S. Supreme Court has stated that, `arbitration is a matter of contract and a party cannot be required to submit to arbitration any dispute which he has not agreed to submit.' ... The Supreme Court has also said that, "section 4 of the FAA does not confer a right to compel arbitration of any dispute at any time; it confers only the right to obtain an order directing that `arbitration proceed in the manner provided for in [the parties'] agreement.'
B.C. Rogers Poultry, Inc. v. Wedgeworth,
¶ 40. In Magnolia Healthcare, Inc. v. Barnes,
¶ 41. In National Iranian Oil Co. v. Ashland Oil,
¶ 42. Covenant Health urges that, even if the clause requiring AAA administration is stricken from the contract, arbitration still should be compelled here. Covenant Health cites clause E6, claiming that it offers proof that the parties agreed generally to arbitrate without regard to which organization should administer it. This argument fails for two reasons. It ignores the fact that Covenant Health has conceded, and this Court has agreed, that E6 is unenforceable. It also misreads the language of E6, in which the parties agree that if mediation fails, they will "arbitrate the dispute, claim and/or controversy as set forth below [in the arbitration agreement.]"
¶ 43. The courts of several other states have dealt with the AAA/AHLA policy-change issue. We find no other state court that has held that an arbitration may go forward if the arbitration agreement requires AAA administration. See Mathews v. Life Care Ctrs. of Am., Inc.,
¶ 44. Here, the Court of Appeals held that the arbitration agreement allows the circuit court to pick an arbitrator if the forum is unavailable. Moulds, ___ So.3d at ___,
¶ 45. We find that Covenant Health sought to have its disputes administered by the AAA. That forum refuses to arbitrate without a post-dispute agreement. There is no post-dispute agreement. This court declines to order the contract rewritten and declines to order the lower court to pick a forum.
III. Whether an arbitration agreement ever came into effect because no one with legal capacity to bind Moulds executed the admissions agreement.
¶ 46. We choose not to address Braddock's authority to bind his mother to arbitration, for issues of material fact exist whether Moulds signed the 2002 contract, thus preventing a Hinyub analysis at this stage of the proceeding. See Miss. Care Ctr. of Greenville, LLC v. Hinyub,
¶ 47. The two cases are distinguishable in other relevant ways. In Hinyub, the arbitration agreement was a separate document, which stated explicitly that arbitration was not a precondition for admission. Id. at 218. Here, the nursing-home administrator asserted post-suit that arbitration was not a pre-condition for admission, but such a policy is not found within the contract we are analyzing. Further, the Hinyub arbitration agreement was rescindable within thirty days. Id. The admissions agreement here, at paragraph D, allowed for termination within one day of signing, but required an immediate discharge from the facility. However, the arbitration clause was one of eleven listed contract provisions[14] that were to survive the admissions agreement, regardless of the reason it was terminated. In Hinyub, the admissions documents at issue were signed upon admission. Id. at 213. Here, *710 the "admissions agreement" in dispute was signed seventeen months after admission.
CONCLUSION
¶ 48. For the reasons stated, we reverse the judgment of the Court of Appeals and reinstate and affirm the judgment of the Circuit Court of Pearl River County. The case is remanded to that court for further proceedings consistent with this opinion.
¶ 49. THE JUDGMENT OF THE COURT OF APPEALS IS REVERSED. THE JUDGMENT OF THE CIRCUIT COURT OF PEARL RIVER COUNTY IS REINSTATED AND AFFIRMED.
WALLER, C.J., CARLSON, P.J., DICKINSON, LAMAR, KITCHENS, AND PIERCE, JJ., CONCUR. GRAVES, P.J., CONCURS IN RESULT ONLY WITH SEPARATE WRITTEN OPINION. CHANDLER, J., NOT PARTICIPATING.
GRAVES, Presiding Justice, Concurring in Result Only.
¶ 50. I agree with the majority that the arbitration provision here is unconscionable. I write separately because the majority addresses issues raised in the principal briefs but not in the petition for writ of certiorari. I would address only the issues which were put before us in the petition for writ of certiorari.
¶ 51. In the petition, the plaintiffs allege that the Court of Appeals incorrectly found that James Braddock possessed the authority to bind his mother to arbitration. At Mittie Moulds' admission to the nursing home, Braddock signed the admission agreement as her "Responsible Party." The admission agreement contained an arbitration clause.
¶ 52. In Covenant Health Rehabilitation of Picayune, L.P. v. Brown,
(1) A surrogate may make a health-care decision for a patient who is an adult or emancipated minor if the patient has been determined by the primary physician to lack capacity and no agent or guardian has been appointed or the agent or guardian is not reasonably available.
Miss.Code Ann. § 41-41-21 (Rev.2005). A "health-care decision" is defined as:
(h) "Health-care decision" means a decision made by an individual or the individual's agent, guardian, or surrogate, regarding the individual's health care, including:
(i) Selection and discharge of health-care providers and institutions;
(ii) Approval or disapproval of diagnostic tests, surgical procedures, programs of medication, and orders not to resuscitate; and
(iii) Directions to provide, withhold or withdraw artificial nutrition and hydration and all other forms of health care.
Miss.Code Ann. § 41-41-203 (Rev.2005).
¶ 53. I disagree with the majority of this Court inasmuch as I am of the opinion that a decision to arbitrate is not a healthcare decision. I previously expressed my opinion that entering an arbitration agreement is not authorized by the healthcare surrogate statutes and that an arbitration agreement entered by a surrogate is therefore not binding. See Magnolia *711 Healthcare, Inc. v. Barnes,
¶ 54. The Court of Appeals in the instant case relied on Covenant Health Rehabilitation of Picayune, L.P. v. Brown,
¶ 55. Here, the arbitration clause was not a required provision of the contract. The plaintiffs submitted an affidavit from an administrator at the Covenant Nursing Home who stated that the patient would have been admitted to the facility even if the arbitration agreement had been refused. The administrator stated that Covenant never refused patients based on a refusal to consent to the arbitration provision. The affiant stated that the surrogate could have opted out of the arbitration clause without consequence. This case should simply be decided based on Hinyub. Hence, I concur in result only.
NOTES
Notes
[1] Covenant Health Rehab. of Picayune, L.P. v. Brown,
[2] Brown,
[3] Other issues briefed include: consideration, fraud in the inducement, third-party beneficiary, equitable estoppel, apparent authority, agency, the definition of "health care decision," and the required showing of incapacity.
[4] The admissions agreements in Stephens and Brown are nearly identical to the one here. The arbitration clauses in those cases are exactly the same as the one here. In Stephens, as in this case, one agreement was signed upon admission, and another was signed later. Brown,
[5] E7 sought to limit the liability of the nursing home to the lesser of $50,000 or the number of days the patient resided at the facility multiplied by the daily room rate. (Note nothing we do here means that contracting parties cannot agree on liquidated damages. However, contracts intended to exculpate a party of liability for its own negligence draw rigid judicial scrutiny. See Turnbough v. Ladner,
[6] C5 requires the patient and responsible party to hold the facility harmless when an injury could have been avoided with private-duty care. C5 also requires the patient and responsible party to indemnify and hold the facility harmless "from and against claims, loss, costs and expenses incurred as a result of claims against the facility ... unless such claim, loss, cost and expense is the result of the Facility's willful misconduct." C8 requires the patient and responsible party to hold the facility harmless for criminal acts, whether committed by employees or others. E5 sets preconditions for arbitration, requiring the patient and responsible party to submit to a grievance procedure, while the facility could go to court with its disputes. E6 requires mediation, with the parties to share costs equally. E12 awards all costs to the other party if a party fails to comply with the arbitration procedures. E16 attempts to institute a one-year statute of limitations. The last sentence of the arbitration agreement refers to other unconscionable provisions, E7 and E8.
[7] D4 is a survival clause, allowing eleven listed clauses to survive the termination of the agreement and the death of any party. E13 is a bilateral waiver of a right to a "jural" trial.
[8] E14 sets a $3.00/page charge for copies requested by parties.
[9] A5 awards Covenant Health all costs (including attorney fees and other costs of litigation) if an account becomes delinquent.
[10] The court also found that the agreement was in violation of a Florida statute, the Nursing Home Resident's Rights Act, a remedial statute enacted after an investigation showed substantial abuse of nursing home residents. Id. at 62-63. The court also found the agreement procedurally unconscionable, as Florida, unlike Mississippi, will not hold an agreement unenforceable unless both types of unconscionability are proven. Id. at 62.
[11] AAA Healthcare Policy Statement, http:// www.adr.org/sp.asp?id=32192 (last visited July 31, 2009).
[12] Archive of AAA Healthcare Policy Statement, http://web.archive.org/web/ XXXXXXXXXXXXXX/http://www.adr.org/sp.asp? id=21975 (last visited July 31, 2009).
[13] The nursing-home administrator submitted an affidavit in which she acknowledged the signatures on the Admissions Agreement as those of Mittie Moulds as resident and James Braddock as responsible party. However, Braddock's affidavit states that Moulds was not present, and that she would have been unable to read or understand the contract, if it had been presented to her. In Hinyub, it was undisputed that the patient did not sign the arbitration agreement, and that his daughter had signed it for him, along with his other admissions documents. Id. at 213.
[14] The clauses that survive contract termination are C5, E5, E6, E7, E8, E9, E12, E13, E14, E15, and F. Each of these is described above in one or more of the following sections: already declared unconscionable, violative of statute, acknowledged unenforceable, or questionable.
