History
  • No items yet
midpage
Gillum v. Republic Health Corp.
778 S.W.2d 558
Tex. App.
1989
Check Treatment

*4 WHITHAM, Bеfore LAGARDE and amation, and tortious interference with KINKEADE, JJ. contracts of Gillum. Gillum also set forth Roy 3.Republic purchased The record reflects that Le A. Pesch is asserts that MPH was "Leroy” “LeRoy.” sometimes referred to as approval City consent and of the Mesquite. DeBakey 2. The record reflects that Michael E. "Debakey" sometimes referred to as or “De Ba- key.” all ing judgment, thereby he waives errors against allegations liability of individual judgment, McAtee, Buncher, Devender, Pesch, contained in the DeBa- committed or Vandewater, nothing properly could having mem- which key, and as officers and thus court, except Republic. appellate an of the of directors of considered bers board v. Allied Fi jurisdiction. want of DeLee 20, 1987, Republic filed On October (Tex.Civ. Co., 408 S.W.2d nance summary judgment. motion for The trial 1966, writ), citing Posey App. — Dallas held causes of action set court Pipe Line Plains mat forth Gillum were insufficient as a (Tex.Civ.App. 1100-01 — Amarillo of law to the basis of an action ter form writ). against Republic entered a take-noth 6,1988 (the summary ing judgment May on is correct when states judgment). Because Gillum believed liabili judgment is contractual. that a consent depend ty remaining appellees imposes When consent duties underlying raised ent the same issues parties, obligations on the and where a of, support by the evidence submitted party fully comply with the obli fails to to, opposition judg *5 in the and judgment, party gations the the other of Republic, par entered in of all ment favor may enforce the contractual obli seek to judg agreed that a final ties suit Wagner, gations. generally 295 See litigation in order ment “be entered that However, the contrac at 891-893. S.W.2d purposes ap can become final for the seeks to enforce obligation tual Gillum now Judgment Septem rendered on peal.” was attack, appeal, to or the agreement is an 22, (the judgment). final 1988 ber precluding party the rule a judgment, and agreed judgment from appealing from an Appellees that because Gillum contend language applies regardless of whether the only judgment, final but not drafted the purports agreed judgment in the “approved judgment] form contained as to also [the appeal. preserve any right errors to substance,” or a is now foreclosed and 1100; 39 S.W.2d at see also Posey, of See contesting judgment from the as to all (Tex. 314, State, 316 response, argues Braden v. appellees. the writ); 1937, Pair v. agreement regarding Civ.App. final no that — Waco Buckholt, (Tex.Civ.App. fact, contract, ap- S.W.2d 464 was, and 60 judgment in a 1933, writ). by the —Amarillo pellees required should abide in the final expressed judgment as contract was en- judgment In Posey, a consent appeal the judgment Gillum to and allow Although defendant. tered in favor appellees. rendered favor of the See clearly that the con- recited judgment Warnasch, Tex. 156 generally Wagner right of “subject to the judgment sent (Tex.1956). Thus, Gil 295 S.W.2d 890 question except and plaintiff to thereto appellees should be lum maintains that held appellate court that validity,” its by if the con they fail abide sanctioned errors. That plaintiff had waived all tract. party general that a court, citing the rule rendered judgment from a appeal a cannot principle of that It is a well settled law that agreement, concluded by or judg- or consent appeal cannot from attack party agreed, and parties that the the mere fact agreed to which he has consented ment decreed, appellate fraud, that an court proof the trial allegation and an absent alleged errors was review court could collusion, Hosey misrepresentation. See appellate binding” degree “in on Bank, 630 Nat’l 595 v. First Thus, conclude we court. Id. at (Tex.Civ.App. Corpus Christi — judgment agreement enter Hartwell, parties’ dism’d), 9 the citing Dunman order that appellees “in such favor of The rationale of Tex. purposes of litigation final for can become not will be allowed party rule is that a Court, and binding appeal” on this ruling is not action or complain appeal on of an cannot we hold that Gillum Having consequently, induced. con he invited or which in favor rendered appeal judgment final of the court enter- sented to this action against conclusively Disagreeing established appellees. of the individual has been Sakowitz, Steck, plaintiff. Inc. v. appellees agreed judgment that the See (Tex.1984). With this prohibits appealing Gillum from the final mind, issues and judgment appellees, as to all of the includ- we turn to the standard pre- in the ing Republic, summary judgment proof we hold that Gillum is attacking judgment cluded from the final present case. appellees,

as to the not as to individual but AOF TORTIOUS INTERFERENCE Republic. Republic’s liability We hold that RELATIONSHIP summary judgment, determined BUSINESS Thus, agreed judgment. the final con- In his first grant appellees’ we motion to dismiss the erred, as a matter tends that the trial court individuals, McAtee, appeal as to the that no issue of material Buncher, Devender, Pesch, DeBakey, Van regarding tortious interference fact existed Yandewater, deny their motion to existing prospective contracts. Gil- appeal Republic. dismiss the as to protects lum maintains that Texas law relationships from types three of business We return to the merits of now (1) tortious interference: contractual rela- appeal. reviewing The standards for contracts; pro- tionships; at-will summary judgment are: ar- spective relationships. Gillum business 1. The movant for gues ongoing had an showing has the there burden performed all relationship whereby Gillum genuine is no issue of material fact surgeries hospital, thereby of his and that it is entitled to *6 generating Republic; revenue for the hos- a matter of law. would, turn, pital provide adequate medi- deciding 2. whether there is a dis- community cal care of at least the stan- puted precluding material fact issue dard. summary judgment, evidence favor- able to the non-movant will be taken asserts that after ac- as true. dropped quired MPH the level of care al- Every immediately. He that he lost reasonable inference must most asserts be referrals, indulged fifty-six patient whom he favor of the non-movant any and performed surgery, Republic doubts resolved in its favor. if would have health had maintained the level of care Hartsough Steinberg, 737 S.W.2d equal greater hospital to or than that (Tex.App. denied), — Dallas community. hospitals of other in the Gil- quoting Property Manage Nixon v. Mr. examples evidencing the decline lum cites ment, (Tex.1985). 548-49 hospital: in health care at the The function of a is not (1) nursing hospital staff had been deprive litigant right of his to a full undertrained; frequently overworked and hearing any on merits of real issue of fact, (2) patently hiring firing policies to eliminate of the but unmeritori and hospital discriminatory ous claims and defenses. and arbi- untenable Hart were sough, citing trary 737 S.W.2d at Gulbenki and were calculated to reduce over- Penn, 412, 416, provide adequate an v. 151 Tex. head rather than care (1952). services, competent personnel and wrongfully discharged and re- had been Defendants who move placed by inexperienced improperly showing have burden of personnel; trained trial court as a matter of law that no (3) hospitаl provided not had been plain- material issue of fact exists as to the adequate budget to assure ade- with an Rowden, tiff’s cause of action. Griffin care; quate may 654 S.W.2d 435-36 This (4) nursing fre- accomplished by summary judgment evi- critical stations were showing quently dence that at least one of the understaffed and unstaffed for plaintiff's periods; elements of the cause of action extended (20) pa- left on (5) heating pads had been frequently to follow nurses failed circulat- orders; tients’ abdomens without water doctors’ ing through pads; (6) hospital provide failed to services nursing (21) instructed the director of normally provided patients and staff hours; call after nurses not to metropolitan communi- doctors Dallas ty hospitals; (22) complained many patients having hospital being dirty poor (7) hospital officials con- administration food; tinuously ignored requests of staff doc- concerning improvemеnt of

tors (23) records maintained hospital; health care and services at the surgery personnel were inaccurate operation surgical ‍‌​​​​​​​‌‌​‌​​​​‌‌‌‌‌‌‌‌‌​‌​​‌‌​‌‌‌​‌‌‌​‌​​​​​‌​‍concerning the doctors, Gillum, (8) including were staff log; they per- if threatened with retribution complaints

sisted in their about (24) surgery with the communications provided patients health care poor so that it charge nurse were often hospital; unnecessary trips to the caused doctors; by staff (9) competent emergency room staff doc- « discharged arbitrarily tors from the nurses, were (25) consistent lack of inade- replaced with doctors un- care, quate nursing and the lack of a regarding proper trained or unoriented many unneces- surgery desk clerk caused hospital procedures; trips hospital by doctors to sary had to am- patients, care for and doctors (10) surgical desk had no clerk the main patients; own bulate their assigned to continu- or nurse who was orders, ously phone and take answer (26) speak poor numerous nurses who provide continu- patient lights, answer frequently to com- English were unable required surgical nurses’ station ity at a during emergency doctors municate with post-surgical patients to handle care for situations; urgent emergencies; and/or emergency room doctors were per patients were not ambulated as and/or indoctrinated adequately oriented *7 orders; doctors’ consulting spe- concerning facility, doctors, cialists, proper proce- and (12) given not staff frequently medicine dures; orders; per as doctors’

(13) (28) responsible of inadequate, frequently, an number nurses were there was not patients carry they out were procedures nurses to care for and for orders; do, i.e., caesarean sections trained to doctors’ did not timе scrub nurses where first (14) changed per bandages not were instruments; the names of know orders; doctors’ (29) not hospital administrator was (15) properly oriented nurses were not to doctors or p.m. after 5:00 available hospital’s procedures and concerning the staff; nursing personnel; in- (30) frequently patients were (16) nursing surgery were not crews themselves to care for structed on how concerning materi- trained oriented and postoperatively; instruments, als, personnel, procedures, techniques; original and sterile medical (31) frequently, it doctors was lost and tape of records (17) properly iv’s were not monitored redictated; had to be running plugged in while not were left periods empty for excessive and/or were desk clerk (32) promises to have a many time; fulfilled; adequate of were not nurses of (18) timely notified meetings doctors were not hospital’s (33) minutes complications; problems and/or patient hospi- altered inaccurate or were is- important to delete up- tal administrator (19) put on binders were abdominal discussed; backwards; sues that were side down 565 Moreover, a to sustain order provided nurses false information patient interference patient status and for tortious doctors about cause of action valid, of a notify contract, failed to doctors care and there must be awith might patient’s symptoms that serious interference. subject to existing contract patient; cause harm to the Crow, Assocs., 700 Inc. v. & See Steinmetz (35) nurses made false entries on the (Tex.Civ.App. 276, n. 1 — San patient in order to reflect nurses’ notes n.r.e.); ref’d O’Connor Antonio not, fact, provided; care that was Corp., 589 S.W.2d Eng’g & Sales Glitsh had, knowledge writ). of nurses with (Tex.App. — Dallas nurses, altered the director he had an Although contends that attempt up negli- records in an to cover Republic, employment contract with at-will patient gent and deficient care. revealed the trial court the evidence before arguably relations only contractual performed he had Gillum maintains that patient refer 8,000 surgeries subject to interference were over surgeries perform prospective would have continued to nature. There was rals of a of health care not there had the level be- with appellees had interfered evidence that Further, asserts that come so low. in except any existing contracts of Gillum hospital’s level based substandard privilege granted the sofar as Gillum was care, previously made doctors who had hospital, practicing at the and Gillum patients refused to referrals of to Gillum privileges that his staff does not contend Therefore, any longer. con- do so Consequently, because the revoked. were hospital’s tends that but for the substand- conclusively summary evidence care, ard level of have received would any contracts sub negated the existence patient future contracts. interference, conclude that at ject to we recovery any It is axiomatic that under cause of the elements of Gillum’s least one tort, theory including interfer- tortious of a con action for tortious interference relations, ence contractual must be relationship an at-will con tractual or with predicated upon positive the breach of him was estab Republic and tract between duty imposed by Rodriguez Dipp, law. against him.4 conclusively See Sa lished (Tex.Civ.App. Consequently, kowitz, at 108. — El Thus, n.r.e.). Paso writ ref’d judg further conclude we prevail Gillum to on his cause of action for claim in favor of ment on that rela tortious interference with business proper. tionship, separate must owe a *8 legal duty requiring hospital to Gillum the regard claim for to Gillum’s With adequate hospi provide to medical care to prospective con interference with tortious patients. tal relations, conclude we further tractual properly granted the trial court Texas, although duty In exists a In order to assert a claim judgment. pro hospital patients a and its between con prospective tortious interference with them with a certain level of medical vide relations, upon rests the burden tractual care, duty the of which results breach (1) there was plaintiff to establish that: the liability hospital, on the Harris v. Har see entering into probability” of a “reasonable 353, Dist., County Hosp. ris 557 S.W.2d (2) relationship; the defen a contractual (Tex.Civ.App. 355 Dist.] [1st — Houston intentionally pre maliciously by dant acted 1977, writ), Republic and concede oсcurring relationship venting from the recognized that a yet Texas has not harming plaintiff; the purpose with physicians separate duty a owes or (3) privileged defendant was pa provide adequate medical care damage (4) or actual harm justified; and tients, recognize such a decline to and we Duck a result. Leonard occurred as cause of action. contractual with a as for tortious interference relationship. elements for tortious 4. Gillum concedes that the contract are the same interference of an at-will 566 duty

worth, parties are under a Inc. ‍‌​​​​​​​‌‌​‌​​​​‌‌‌‌‌‌‌‌‌​‌​​‌‌​‌‌‌​‌‌‌​‌​​​​​‌​‍v. Michael L. 516 to act for Field & [T]he give or for the benefit of 952, (5th Cir.1975) advice another Texas (applying F.2d 956 scope matters within Bank, law); Levine v. see also First Nat’l special It exists where a relation. confi- 749, 706 (Tex.App.—San 751 ton S.W.2d An reposed in another who equity dence is 1986), io on other 721 grounds, rev’d gоod and conscience bound to act in (1986). S.W.2d 287 regard good due faith and with hospital’s conclude that the ac We reposing interests of the one confidence. Texas, privileged. party tion can was 78, (Tex. Roper, Fisher v. 727 S.W.2d 81 not recover for tortious interference if the n.r.e.), App. Antonio ref’d — San privileged. interference was Texas courts Moore, citing Trust Co. Texas Bank & v. consistently held that: have (Tex.1980). 595 S.W.2d privileged to con one is interfere with a definition further asserts that the of a fidu others when he so in tract between does ciary relationship includes also informal re- rights fide exercise his own bona moral, social, lationships domestic, such possesses equal superi- an or when purely relationships personal which are plaintiff or interest to that of the in the party placing implicit created one trust subject matter. another. v. and reliance on Seе Tuttlebee Tuttlebee, (Tex.App.— 702 S.W.2d Sakowitz, at 1985, writ). Corpus Christi The evidence before trial court was fiduciary rela Gillum maintains that Republic hospi- undisputed that owned the Republic tionship and him existed between right operate tal and had the developed relationship because the over policies, practices, to control its long period they worked to of time and procedures. hospital, As the owner of the goal. gether See a mutual O’Shea toward Republic superior clearly had a financial Co., 656 Transmission Coronado the manner in interest which (Tex.App. Corpus S.W.2d Christi — ultimately operated n.r.e.), citing Consolidated writ ref’d hospital performed manner in which the its Thompson, 405 Equipment & Gas Co. obligations patients. contractual with its 333, 336-37 Any may which occurred interference have longstanding relationship states that exer- was thus the result of bona fide him is evidenced between MPH and Rеpublic’s rights. Accordingly, cise of we (for- of MPH fact that he a cofounder that, as a matter of if in fact conclude Hospital merly General Rutherford Republic’s resulted inter- action tortious Mesquite Hospital) early General prospective contrac- ference with Gillum’s not cease 1960’s he did the busi- and that relations, privileged. tual it was This is Republic relationship ness until No- with also claim of inter- true of Gillum’s tortious 1986; Republic pur- that when vember existing an ference an contract and MPH, thereby accepted chased employment contract. Sakow at-will See previously MPH responsibility which 107; itz, Pipe Lake Black Gillum, i.e., adequate providing had toward Co., 538 S.W.2d Line v. Union Constr. Co. Repub- patients; *9 care for Gillum’s Gillum’s first of lic, representatives, acknowl- through its error is overruled. to Gillum even edged responsibilities its resigned the through from the time Gillum hospital RELATIONSHIP FIDUCIARY staff. point of con-

In his second Gillum hе also met the that Gillum contends erred, court as a matter determining tends that the trial whether an second in criterion exists; of fact law, relationship no issue material fiduciary “informal” goal rela- regarding fiduciary is, of a a mutual the existence there was that whether argues Gillum Republic. and Gil- and him. tionship Republic between between a doctor and fiduciary relationship relationship that the between lum that a asserts together as a hospital team a is to work exists when:

SfiT relations, fiduciary improve patients by because the health of in that each manded party relies on the its re- itself something apart other to fulfill from the transaction sponsibilities Chen, and each must have confi- necessary. 759 S.W.2d Chien v. dence the other’s fulfillment of its obli- 484, (Tex.App. 494 n. 6 — Austin gations; obligation the doctor has the Gas, writ), 405 S.W.2d citing Consolidated perform surgery prescribe treatment Although fiduciary duty may be аt 336. patient medication for the which will best traditional imposed on relations outside the patient regain enable the his or her ones, requirements neces the exact same health; hospital accepts responsibil- the the fiduciary re sary to a traditional establish ity providing patient proper the lation must met to an informal establish accepts duty care and to exercise that Moore, fiduciary generally relation. See care, skill, degree diligence and used 507; Chien, at 595 S.W.2d at hospitals generally community; in the a 494; Airways, Inc. v. Associated Ra Page surgeon hospital personnel works with (Tex. 192-93 dio Serv. prior performance from the time to the Civ.App. ref’d n.r. Antonio — San operation patient the on the until the time e.). patient the hospital facility; leaves the the hospital responsibility preparing has the bar, case at the the patient oрeration ensuring the for the judgment evidence refuted Gillum’sconten operating that the room and instruments Republic tion that he and were fiduciaries. prevent are sterile as to so infection of the Gillum, merely The evidence showed patient following operation; hospi- hospital, like all doctors at the had staff surgeon throughout tal op- assists the privileges hospital; as a matter of by providing eration the instruments for privileges, the existence of staff surgeon requested monitoring as accompanying has “trust” doctor patient throughout operation; fol- out, that his orders will be carried is insuf lowing operation, hospital monitors Indeed, fiduciary duty. ficient to create a patient’s recovery and treatment as only evidence before the trial court was prescribed by doctor; hospital and the self-serving he “re statement that provides patient medicаtion and care to the per explicitly [hospital] lied on staff and per Referring doctor’s orders. us to the complete order and sonnel to enable [his] thirty-six examples point, listed his first patients to recover their health.”5 [his] Republic Gillum asserts that breached its allege, Gillum did not nor was there evi fiduciary duty to him. Gillum also main- suggest, reposed had dence to fiduciary tains that breached its special hospital in the confidence duty by failing keep promises it guided judg thereafter the advice and regarding making made to him additions key ment of the staff—a element updates facilities and establishing any fiduciary relation. improvements services and overall in the though the existence of a confiden- Even general patients care of admitted to the fact, relationship question tial is a see hospital. 192, most, Page Airways, 545 S.W.2dat Although agree we with Gil- merely alleged subjective trust rеgarding lum’s recitation of law the defini which, itself, was, in the and of fiduciary duty, tion of a conclude that we law, insufficient to create a as a matter of fiduciary duty existed in this instance. Gas, legal duty. See Consolidated fiduciary duty extraordinary A is an one 336; Chien, at 494. S.W.2d at lightly and will not be created. The mere if Additionally, even there were evidence subjectively fact that one trusted the other *10 not, alone, reposed special confi- reposed that had a does indicate that he Gillum to hospital, in in in Gillum still failed confidence the other the sense de- dence the relationship Although petition principal-agent between Gillum ‍‌​​​​​​​‌‌​‌​​​​‌‌‌‌‌‌‌‌‌​‌​​‌‌​‌‌‌​‌‌‌​‌​​​​​‌​‍Gillum’s third amended al- a imposition agent, hospital leged hospital as a basis for the of that the was his the sum- and the finding fiduciary duty. mary judgment evidence eliminated a of a 568 ing patient imposition quality

assert a basis for the fiduci- of of a the care continu- First, ing ary duty. practice hospital the basic at the and under definition to continu- fiduciary, ing patients spe- place of a the one with whom to in the care of the the hospital’s reposed obligated personnel. staff and cial confidence is to act Gillum fur- good very faith ther that even if reposing toward the one asserts his contract with Fisher, Republic will, Republic confidence. the S.W.2d at 81. was terminable at case, required In the instant that was to terminate his Gillum admitted contract. hospital However, obligated good Republic was to because act continued to Thus, faith toward not staff patients, privileges him. renew Gillum’s hos- imposition pital, no tenable contends Republic basis for the of a Gillum that did not Thus, fiduciary duty his existed. terminate contract. Gillum as- Republic serts that cannot be released from Second, ev contract; liability its for breach of the and negated finding idencе a that Gillum and he reasonably further maintains that he Republic longstanding had a relation that promises relied on the and assurances of justify imposition fiduciary could of a Republic right and that has a now to corresponding duty. relation and The evi theory relief promissory based undisputed prior dence that to Novem estoppel. relationship ber Gillum had no with that properly We conclude the trial court Republic. “bootstrap” Gillum cannot his against judgment entered Gillum previous separate two enti association with on his of contract claim because breach Hospital ties—Rutherford General and established, law, matter of evidence as a Mesquite Hospital General basis —as that contract The summary existed. asserting relationship” a “26 year Re with by Republic evidence submitted Thus, public. fiduciary that we conclude affirmatively they had stated that never relationship did not exist between Gillum contracts, oral, any entered into written Republic. point Gillum’s second of er response, with Gillum asserted Gillum. ror is overruled. express that contract with Re- he had an public would pursuant to which Gillum ad- BREACH OF EXPRESS CONTRACT mit and the patients hospital, into the hos- In his third Gillum equal pital provide care to or would medical erred, that court contends the trial as a greater community than the standards. law, matter of did Republic contract, express its contract him. breach The law is well settled that enforceable, express sufficiently there must Gillum maintains that was an be certain Republic contract and him that so to determine the between as to enable court admitting respective legal obligations parties. patients consisted Gillum performing surgeries Delgado, to the in See Bendalin (Tex.1966); providing Steinberg, consideration of the Weitzman (Tex.App. patients health care for level 638 at a —Dallas case, 1982, writ). equal greater present In the to or than that other hos alleges pitals community. within ar that the oral contract consisted of gues initially Republic’s “commitment to contract was entered terms such as upgrade [hospital’s] facilities into and MPH between Gillum when Mes care”; Corporation “Republic had a commitment quite pur Medical Facilities health rise”; patient care chased MPH 1978 and leased it to Ruth make the level Republic a new Hospital. He main had a “commitment build erford General further [hospital] facility.” Republic purchased Those tains that when addition indefinite, as a matter of as “terms” are too November obligation. any implied create contractual sumed all actual and contracts that no en undisputed and The previously had existed between Gillum evidence that he contract еxisted between MPH. Gillum asserts continued forceable Bendalin, 406 S.W.2d regard- Republic. rely upon repeated assurances See *11 of revenue for a source thereby providing Moreover, the at 899. in turn con- the any hospital, and negated the contention that evidence pa- care to his provide medical Gillum to entered into between tracted contract was or at greater than upgrade hospital and level of care Republic to tients at a community standard. equal a new patient care and to build least level addition, majori- although for a hospital. In while addition to the contends that Gillum honored, in alleged he a contract with was years that had the contract ty of the 1984, Republic pur- that previous owners of the when November Republic it merely things began when to hospital, assumed chased hospital, although there was no sum- purchasеd the maintains that change. Gillum alleged of that mary judgment evidence that representations Republic orally made assumption. the contract between going to honor it was improve in fact Republic and Gillum and reasons, hold that foregoing For the we Repub- hospital, provided care properly court held that Gillum’s the trial representa- refuted these oral lic’s actions express contract was claim for breach of tions. as a matter of law. Gillum’s insufficient of error is overruled. point third prior Republic asserts response, In trial moving summary judgment, the to OF IMPLIED CONTRACT BREACH exceptions to special its court sustained error, point his fourth him to and ordered contract claim erred, contends that the trial court allege all elements petition amend his law, finding matter of that there was However, the order a claim. because such issue of material fact as to the existence exceptions is sustaining Republic’s special Republic and implied an contract between us, not address Gil- we need not before from acts implied him. An contract “arises replead cause of ac- his lum’s failure parties, being implied it and conduct of tion.6 circumstances that there from facts and specified in our discussion of reasons For to contract.” Haws was a mutual intention concerning an point of error Gillum’sthird Contractors, Inc. v. Gor & Garrett Gen’l contract, overrule Gillum’s express we Welding 480 S.W.2d bett Bros. implied as to an con- fourth of error Therefore, Gillum main tract. dealing that a course of between tains minds, meeting parties imply can Kirkland, 410, 412 Gray v. 550 S.W.2d ESTOPPEL PROMISSORY

(Tex.Civ.App. Corpus Christi — point of Gil- In his fifth Haws, n.r.e.), quoting ref’d erred, as a the trial court lum contends that agreement mutual and the element of there was no matter of Haws, the circumstances. is inferred from regarding the dоc fact issue of material at 609. as estoppel. Gillum promissory trine of acquisition of prior Republic’s he and serts that Specifically, Gillum asserts that representa Republic’s implied which was Republic had an contract with of conversations dealing had a series by the course of and tives evidenced conversations, that, in those parties. states Gillum conduct between promises made Republic’s representatives twenty-six year approximate his that with hospi future of the regarding the had con- to Gillum relationship hospital, he with owner. Gil- Republic became the tal after hospital that he would with the tracted hospi told that hospital, lum states surgeries perform all February twenty-one days 11, 1989, transcript appellees within January filed a motion 6. On therefore, so; Appellees do failed to transcript doc- 6th. supplement with several exceptions sustаining appellees’ special uments, including sus- order order the June the same makes this Court. exceptions not before taining special to Gillum’s appellees’ and sixth 6, 1989, regard Gillum’sfifth argument February appel- original petition. On points supplemental of error. granted leave to file a were lees *12 principal objective provide tal’s fraud. misrepre- Gillum asserts that the outstanding patient service of care to the by Republic sentations consisted of contin- Mesquite community. Gillum contends promises hospital, uous to build a new up- representations that Van Devender made equipment, improve quali- date the the Republic to Gillum that would suffi have ty patient care. Gillum contends that funding upgrade cient hospital’s Republic’s misrepresentations, turn, in- equipment care; hospital would duced him to continue his association with primarily hospital;7 remain a “D.O.” hospital; thаt this “played association changes Gillum could continue to make the reputation, havoc” with his diminished the upgrade the level of health care at the received, number of referrals he hospital; hospital and that facility a new contracts; patient caused a loss of was to be constructed. Gillum contends continuing those representations were false reasonably that he relied on those state two-year period because that Gillum Devender, by ments made Van as well as hospital, remained hospital with a new by similar statements made Buncher and built, equipment up- was not was not various administrators and staff dated, quality patient nor care members, and that based on those assur increased. ances, perform surger Gillum continued to Republic Gillum maintains that commit- Further, hospital. ies at the Gillum asserts misrepre- ted actual fraud because where a that his reliance was foreseeable based continuing sentation is in nature and the upon twenty-six year his association with recurring, injured influence of a fraud Repub that his reliance on party may damages recover for occasioned promises detrimentally lic’s his affected by continuing his inaction in reliance reputation and career. representation, if even at the outset the promissory estoppel The doctrine of re- injured party taking had no intention of quires: promise; (2) promisor’s Although action. change Gillum did not foreseeability promisee’s reliance position any his or course of conduct in thereon; substantial reliance the way misrepresentations, after the Gillum promisee to English his detriment. Republic if states that he had known that Fischer, (Tex.1983). representations, was not serious in its The doctrine does not create a contract chаnged his course of conduct. would have before, only pre- where none existed but Republic’s Gillum further maintains that party insisting upon vents a from his strict promises intention at the time the were legal rights unjust when it would be Republic’s made can inferred from con- allow him to enforce them. Wheeler duct. White, Be- Asserting that a claim of constructive previously cause we have concluded that no resulted, argues fraud Gillum that a fiduci- express implied existed, contract in that ary relationship hospi- existed between promises vague made were too tal and him and that breached its indefinite, we hold that the trial court did equitable duty by repeatedly misrepresent- granting Republic’s err ing the standard of care and the status of regard to Gillum’s cause of hospital. construction of the new promissory estoppel. action for advantage Republic took reiterates that point fifth оf error is overruled. fiduciary relationship him in where Gil- relied, detriment, justifiably on lum ACTUAL AND Republic, resulting the statements made CONSTRUCTIVEFRAUD damage. suffering in Gillum considerable In his sixth erred, properly trial court maintains that the trial court as a We conclude that the against matter of of mate entered issues regarding of actual fraud because that rial fact actual or constructive on his claim osteopathy. A doctors

571 law, matter of Republic, as a that of law. hold insufficient as a matter claim was certain provide to duty to Gillum fraud, owed no Gillum must To establish actionable Ac- hospital. care at the (1) of medical representation level that: a material establish duty, such a false; cordingly, in the absence made; (2) representation was prop- summary judgment was repre we hold that speaker the time the made the at sixth erly against Gillum. made entered he knew it was false when sentatiоn is overruled. point of error truth of the or was reckless about the asserted; (4) the statement was matter DEFAMATION it should acted

made with the intent that upon by party; the other the other error, Gil- point of In his seventh thereby it and party acted reliance erred, as a that the trial court lum contends Ratcliff, 646 injury. suffered Trenholm v. no issue of that matter of 927, (Tex.1983); Dallas S.W.2d 930 First regarding the defam existed material fact Hawkins, Petroleum, 727 Inc. v. S.W.2d by Republic or its atory made statements 1987, 640, (Tex.App. no 649-50 that the de representatives. Gillum states — Dallas writ). made Steven famatory statements were administra capacity in his as the D. Porter plead plaintiff The is on the to burden during peri the relevant tor of the fraud claim. prove all elements of his in a trans asserts that od of time. Gillum Gilley, Ins. Standard Co. Citizens Life letter, informed both mittal Porter 354, (Tex.Civ.App. 356 521 S.W.2d — Dallas Mes Mesquite and the Hospital of Charter here, 1975, writ). Where, alleged no inquiry by Community Hospital, upon quite upon promise perform is fraud based qualified hospitals, those that Gillum future, in the in addition to the above ele only family practice. Gillum believes ments, necessary prove that it is ‍‌​​​​​​​‌‌​‌​​​​‌‌‌‌‌‌‌‌‌​‌​​‌‌​‌‌‌​‌‌‌​‌​​​​​‌​‍facts statement, Gil- that as a result of Porter’s promise present was made with a intent obtaining surgical precluded from lum was perform. Corp., not to New Process Steel hospitals. privileges at those Texas, Inc., Corp. Inc. v. 703 Steel 209, (Tex App. 214 S.W.2d [1st argument, re- support of his — Houston 1985, n.r.e.). ref’d Mere breach Dist.] testimony in deposition fers to Porter’s agreement enough in itself to of an is not that he could Porter admitted which speaker prom that the made the establish performance as a “evaluate [Gillum’s] fulfilling ise no intention of it. New not trained.” Port- surgeon. I’m [Porter] 214; Steel, 703 see Process S.W.2d Wil testimony during deposition er also stated Roberts, McDrilling liam B. Inc. v. ability “the to evaluate he did not hаve Inc., (Tex.Civ.App. 339-40 refers ability.” Gillum also his [Gillum’s] 1979, writ). Moreover, —Corpus Christi no May “To It letters addressed Whom to two presumed. fraud will never be Garcia stated that Gil- Porter Concern” which (Tex.App.— 312 Rutledge, 649 S.W.2d capable, conscientious member lum “is a 1982, writ); B. Rob Amarillo William that Gillum was our Medical Staff” erts, Inc., 579 S.W.2d at 339. privileges” at MPH surgical afforded “full nothing is “there and concluded with fraud Constructive recommending [Republic] from prevent us duty legal equitable or of some breach your institu- privileges at him for staff which, guilt, the law regardless of moral tion.” tendency of its declares fraudulent because that Porter’s statements others, confidence, concedes to violate to deceive privi- qualified can, arguably, constitute a interests. Archer v. injure public Grif However, that a maintains lege. Con 390 740 fith, only when is sustained qualified privilege only upon the fraud can occur structive making good faith is utilized utmost duty. legal equitable Jack of a breach sort, argues and Gillum (Tex. of this statements Julian, son v. make did not instance Porter writ). that in this previously As App. — Dallas good since Porter faith statements we first stated in Gillum’s admits ability ing particular did not have the a common in a interest sub ability surgeon. evaluate Gillum’s as a ject may reasonably matter believe that Thus, that, least, very Gillum asserts another, sharing facts exist which a material issue interest, of fact exists as to wheth- common is entitled to know. Seid er the statements made Porter consti- Enters., Inc., enstein v. Nat’l Medical *14 tute actionable defamation. 1100, (5th Cir.1985) (applying F.2d 1103 law). Texas In Dixon v. Southwestern summary judgment The uncontradicted Co., 240, (Tex. 607 242 Bell Tel. S.W.2d evidence established that and its 1980), qualified privilege similarly a was staff, agents, representatives made no defined as one which: defamatory Repub- remarks about Gillum. [comprehends bona fide presented communica- competent summary judg- lic tions, written, upon any subject oral or ment evidence that it had made de- never public which the author or the famatory derogatory has an remarks about Gil- respect lum. interest or with to Gillum did not contradict that which has a evi- Rather, duty perform owing dence. to to another a Gillum asserted his affi- cor- responding duty. privilege davit that “Steven D. Porter has made de- Such is famatory regarding my qualified remarks about me termed conditional or because a ability practice surgery.” person availing to fur- himself of it must use it ther “damaged by stated that he was Steve in a lawful manner and for a lawful Porter’s statements that I purpose. privilege was The is effect to [Gillum] qualified only family practice.”8 for Port- justify the communication when it is party er was never a to the lawsuit. No made without actual malice. made, allegation any was nor was evidence Id. at 242. submitted, attributing vague statement Thus, a statement where allegedly by Republic. made Porter to privileged, requires showing Texas law However, assuming Porter’s statement privilege. actual malice to overcome that was, fact, we, Republic, to attributable 242; Seidenstein, Dixon, 607 S.W.2d at nevertheless, conclude that the trial court 769 F.2d at 1104. Actual malice has been properly entered “knowledge falsity defined or reck as against Gillum to because Gillum failed Seidenstein, disregard.” less 769 F.2d at cognizable assert defamation claim 1104; Upchurch, see also Foster v. 624 against Republic. 564, (Tex.1981); S.W.2d 566 Dun and based, part, Gillum’s claim was Bradstreet, O’Neil, 896, Inc. v. allegedly on statements made “other about disregard 900 Reckless re However, osteopaths.” may one not main quires proof defamatory state that a false tain an action based the harm suf degree high ment was made with a by fered another. Texas Indust. Traffic Foster, falsity. probable awareness of [its] Comm., League 628 v. Railroad S.W.2d Therefore, the burden 624 S.W.2d at 566. 187, 1982) (T ex.App.—Austinrev’d and 191 plaintiff speaker, to that the is on the show grounds, 633 remanded on other S.W.2d privilege, qualified in the exercise of a (1982). Thus, standing 821 Gillum lacked Dixon, malice. by motivated actual any un to maintain action on behalf of fact, must at 242. there osteopathic allegedly named doctors de speaker sufficient evidence to find that persons Republic. by famed unnamed as to the entertained “serious doubts” Amant v.

Moreover, allegedly truth of his statements. See St. the statement 727, 731, 88 privileged Thompson, as a matter 390 U.S. S.Ct. made Porter was (1968). Signifi privilege granted A 20 L.Ed.2d 262 law. will be from the cantly, malice cannot be inferred statements which occur under circumstanc defamatory allegedly any persons es one of several hav- character of wherein ever, alleged is before this no evidence of the letter 8. Gillum states in his brief that the state- regarding ability practice family ment Court. letter; how- medicine was made in a transmittal my disagree- prove opinion, specify I must jority statement without other evidence majority’s disposition of the Fitzjarrald v. it. See Panhandle Publish ment with from ing 149 Tex. Gillum is foreclosed issue of whether (1950). all of the contesting judgment as to majori- To the extent that appellees. case, only defamatory In this remark mean that ty’s opinion can be read to referenced Porter’s state- and sub- judgment “approved to form “family ment that was qualified for a consent renders stance” practice.” That made statement was unwill- disagree. I I am agreed judgment, response request by to a a local and sub- “approved as to form ing to read Porter’s evaluation Gillum’s credentials equivalent “agreed stance” as qualifications. judg- The Instead, mind, “ap- my approved.” *15 ment еvidence showed that Porter made his proved to form and is virtu- substance” knowledge upon recommendation based “approved form” or ally the same as as to inquiring hospitals required that: Thus, my only.” form in “approved as to formal, surgeons completed their to have view, “approved as to means substance” residency surgery; certified Gil- approved nothing more than that Gillum performed residency. lum had never such a language as ex- used the document We conclude Porter’s statement re- pressing recapitulation the correct qualifications ‍‌​​​​​​​‌‌​‌​​​​‌‌‌‌‌‌‌‌‌​‌​​‌‌​‌‌‌​‌‌‌​‌​​​​​‌​‍garding clearly Gillum’s disposed trial being matter privileged. Both inquiring Porter and the judgment. final must be care- court’s We hospitals shared a common interest Gil- judgments notations on such as ful that qualifications, reasonably lum’s and Porter ease, placed courtesy present there as a hospitals that the believed entitled to were bar, stipulate not be read to bench a recommendation based the facts away any losing party’s appeal. position on Seidenstein, very known to him. In a case Guaranty Loan Savings See Federal & bar, similar case at the court held Operating Ass’n v. Horseshoe that statements made group physi- to a (Tex.App. —Dallas regarding physi- cians the suspension of a pending). privileges cian’s staff protected were qualified privilege under Tex- accorded Seidenstein, as law. 1103. 769 F.2d at

Furthermore, Gillum’s contention that

Porter’s statement that not he could evalu- ability

ate Gillum’s as a surgeon was some-

how an admission of his malicious intent is

without merit. Porter’s honest admission ability could evaluate Gillum’s McKELLAR, (Buddy) Edwin I. surgeon certainly as a did not affect Port- III, Appellant, ability background er’s to state Gillum’s Accordingly,

and credentials. because alleged only defamatory made statement Mary MARSAC, Appellee. Esther privileged about Gillum as a matter No. 01-88-01077-CV. court properly the trial entered sum- against mary judgment def- Gillum on his Texas, Appeals Court amation claim. We overrule sev- (1st Dist.). Houston judg- enth of error and affirm the Sept. ment of the trial court. WHITHAM, J., concurs.

WHITHAM, Justice, concurring.

I concur I do not result. While my each of ma-

address concerns with the

Case Details

Case Name: Gillum v. Republic Health Corp.
Court Name: Court of Appeals of Texas
Date Published: Sep 11, 1989
Citation: 778 S.W.2d 558
Docket Number: 05-88-01267-CV
Court Abbreviation: Tex. App.
AI-generated responses must be verified and are not legal advice.