Opinion
The nature of medical liens and attorney liens, and their priority with respect to a monetary recovery obtained in a lawsuit by an injured plaintiff against a tortfeasor, are subjects that consume much of a personal injury plaintiff lawyer’s time; and they have been the subjects of numerous appellate decisions. (See, e.g.,
Fletcher
v.
Davis
(2004)
However, the parties in this proceeding have not pointed to, and we have not found, any decision that has directly decided which of a contractual medical lien and an attorney lien for fees and costs of litigation has priority over the other. We address the question now, without repeating all that has already been said about medical liens and attorney liens.
Plaintiff, Kevan Harry Gilman, is in the business of paying, at a discount, the cost of medical services provided to an injured person, and obtaining from the medical provider and the injured person an assignment of the
Defendants, Lena L. Dalby, Roger Dreyer, Joseph Babich, Robert Buceóla, William Callaham, and the law firm of Dreyer, Babich, Buceóla & Callaham, were retained by an injured person who had entered into such an arrangement with Gilman while the person was represented by another attorney.
Things did not come out as Gilman, defendants, and the injured person hoped. The lawsuit was settled for slightly less than what was spent in litigation costs, and defendants waived their right to attorney fees under their contingency fee agreement, “due to the fact that the settlement amount was less than the total of office costs that had been incurred.”
Claiming he is entitled to payment on his lien from the amount of the settlement, Gilman sued defendants for, among other things, breach of fiduciary duty and conversion. Defendants’ answer asserted, among other things, that Gilman’s complaint failed to state facts sufficient to constitute causes of action and that “there were other liens superior and prior to [Gilman’s] lien”; thus, defendants “were legally bound to pay said superior and prior liens, before any payment could be made to [Gilman].”
Gilman appeals from the judgment entered in favor of defendants after the trial court sustained their demurrer to the cause of action for breach of fiduciary duty and granted their motion for summary judgment on the other causes of action. He contests only the rulings on his claims of breach of fiduciary duty and conversion, as well as the order granting defendants’ request for attorney fees and costs.
As we shall explain, Gilman was not defendants’ client and, because defendants had not signed the lien, they did not have any contractual duty to him. His complaint is devoid of any allegations showing a traditionally recognized fiduciary relationship. The fact that defendants were “aware of’ Gilman’s lien is not enough to create a fiduciary duty. Thus, the trial court correctly sustained, without leave to amend, the demurrer to the breach of fiduciary duty cause of action. As to the claim of conversion, we conclude that, as a matter of equity and public policy, defendants’ purported attorney lien for costs had priority over Gilman’s medical lien, regardless of which
FACTS
Gilman is in the practice of “factoring medical accounts” and operates under the fictitious business name of Lien Medical. He pays, at a discount, the medical bills of injured persons who are pursuing litigation to recover damages for their injuries, and then obtains an assignment of the medical providers’ accounts receivable. He also obtains contractual liens from the injured persons and their counsel, which give Gilman liens against any recoveries obtained in the lawsuits.
In April 2001, James DaPrato was in an automobile accident. Sacramento MRI Center provided medical services to DaPrato on May 4, 2001, and then sold and assigned to Lien Medical all of the center’s right, title, and interest in DaPrato’s account. On the same day, DaPrato signed a contractual lien, which gave Lien Medical a lien against any recovery that DaPrato might receive in litigation to recover damages for his injuries. The lien states: “With respect to any and all monies received as a result of this INCIDENT, you are not to disburse any such monies prior to paying LIEN MEDICAL in full for the lien that LIEN MEDICAL holds as a result of this INCIDENT. YOU must pay LIEN MEDICAL in full within 30 days of receipt of any monies received as a result of this INCIDENT.” DaPrato agreed that he remained personally liable for the money owed to Lien Medical.
DaPrato’s attorney, Paige Hibbert, also signed the lien and agreed to notify Lien Medical of any substitution of attorney and to provide the successor attorney with a copy of the lien.
In July 2001, DaPrato changed attorneys, retaining Dalby, an attorney with defendants’ law firm. According to Gilman, Dalby was aware of the lien, but Dalby and the other defendants did not sign the lien.
DaPrato settled his lawsuit in June 2003 for $6,500, which was less than the litigation costs of $6,882.47, including filing fees; the cost of process
Gilman sued Dalby, her law firm, and the individual members of the firm for breach of contract, account stated, open book account, conversion, unjust enrichment, breach of fiduciary duty, and an accounting.
Defendants demurred to the entire complaint. The trial court sustained the demurrer as to the causes of action for breach of fiduciary duty and unjust enrichment.
Defendants then moved for summary judgment on the remaining causes of action. Gilman opposed the motion, but only as to the cause of action for conversion. Defendants alleged that Gilman could not pursue an action for conversion because he did not have an ownership interest in the settlement proceeds at the time of the alleged conversion and, in any event, there were no settlement proceeds for defendants to convert because the litigation costs exceeded the settlement amount. The court granted the motion and entered judgment for defendants.
On appeal, Gilman challenges only the rulings on the causes of action for breach of fiduciary duty and conversion.
DISCUSSION
I
Gilman contends the trial court erred in concluding there is no factual or legal basis for his claim of breach of fiduciary duty, and in thus sustaining, without leave to amend, defendants’ demurrer to that cause of action.
On appeal from a judgment of dismissal following the sustaining of a demurrer without leave to amend, we examine the complaint de novo to determine whether it alleges facts sufficient to state a cause of action under any legal theory.
(McCall
v.
PacifiCare of Cal., Inc.
(2001)
If the plaintiff shows there is a reasonable possibility any defect identified by the defendant can be cured by amendment, then it is an abuse of discretion to sustain a demurrer without leave to amend.
(Aubry v. Tri-City Hospital Dist., supra, 2
Cal.4th at p. 967.) The burden of proving that such a reasonable possibility exists is squarely on the plaintiff, who must demonstrate that he could amend the complaint and how the amendment would change the legal effect of his pleading.
(Blank v. Kirwan
(1985)
Gilman’s complaint alleges that DaPrato retained defendants to represent DaPrato in a personal injury lawsuit, and that DaPrato received medical care for his injuries, the payment for which was secured by a written lien owned by Gilman. According to the complaint, defendants either signed the lien or had knowledge of its existence. However, the copy of the lien attached to the complaint shows that defendants did not sign the lien and were not parties to the lien contract. The facts in the lien document take precedence over the allegations of the complaint. (Mead v. Sanwa Bank California, supra, 61 Cal.App.4th at pp. 567-568.)
The complaint further alleges that defendants received funds applicable to Gilman’s lien and that, upon receipt of those funds, they “owed [him] a fiduciary duty and obligation not to act in any manner that would compromise [his] claim of lien.” According to the complaint, defendants had knowledge of the lien and knew that there was a dispute regarding entitlement to the funds, yet disbursed the monies rather than interpleading the funds to determine who had the superior right to them. Therefore, the complaint alleges, defendants failed to exercise reasonable care, causing detriment to Gilman in the amount of his lien for $1,250.
As we will explain, the allegations are insufficient to state a cause of action for breach of fiduciary duty.
A fiduciary relationship is “ ‘any relation existing between parties to a transaction wherein one of the parties is . . . duty bound to act with the utmost good faith for the benefit of the other party. Such a relation ordinarily arises where a confidence is reposed by one person in the integrity of another, and in such a relation the party in whom the confidence is reposed, if he
In the commercial context, traditional examples of fiduciary relationships include those of trustee/beneficiary, corporate directors and majority shareholders, business partners, joint adventurers, and agent/principal.
(Wolf supra,
In this case, the lien created nothing more than a contractual duty to withhold money for Gilman in the event the litigation was successful. “[T]he contractual right to contingent compensation in the control of another has never, by itself, been sufficient to create a fiduciary relationship where one would not otherwise exist.”
(Wolf supra,
107 Cal.App.4th at pp. 30-31, citing
Downey v. Humphreys
(1951)
Gilman was not defendants’ client, and because defendants had not signed the lien, they did not have any contractual duty to him. His complaint is devoid of any allegations showing an agency, trust, joint venture, partnership, or other traditionally recognized fiduciary relationship. The complaint merely alleges defendants owed him a fiduciary duty because they were “aware of’ his lien. However, such awareness is not enough to create a fiduciary duty.
In Crooks, an attorney who had agreed to be an escrow holder was disciplined by the State Bar of California due to the attorney’s knowing disregard of his responsibilities as a fiduciary in handling escrow funds in a manner that violated explicit escrow instructions. (Crooks, supra, 3 Cal.3d at pp. 348-349, 356.) Johnstone involved an attorney who represented an injured worker and agreed with the workers’ compensation insurer to hold and disburse settlement funds in exchange for the insurer’s agreement to accept less money, but later reneged on the agreement. The attorney was disciplined for breaching his fiduciary duty after agreeing to act as a trustee. (Johnstone, supra, 64 Cal.2d at pp. 155-156.)
Here, defendants did not have any agreement with Gilman to act as his fiduciary. As shown by the copy of the lien attached to the complaint, defendants did not sign the lien. Defendants’ mere awareness of the lien, as alleged by Gilman, is not the equivalent of their agreeing to act as trustees for Gilman; and it does not make them escrow agents with respect to the litigation proceeds.
Because the allegations of the complaint do not establish that defendants had a fiduciary duty to Gilman, the trial court correctly sustained, without leave to amend, the demurrer to Gilman’s cause of action for breach of fiduciary duty.
II
Gilman next asserts that the trial court erred in granting defendants’ motion for summary judgment on the conversion cause of action, ruling that (1) Gilman did not have a sufficient interest in the settlement proceeds to support an action for conversion, and (2) the settlement proceeds were all expended on litigation costs so there was no property for defendants to convert. 1
We agree with Gilman that the first ground upon which the trial court relied is flawed.
The medical lien assigned to Gilman states in pertinent part: “With respect to any and all monies received as a result of this INCIDENT, you are not to disburse any such monies prior to paying LIEN MEDICAL in full for the lien that LIEN MEDICAL holds as a result of this INCIDENT.” It is not an agreement to forgo payment if the litigation is unsuccessful; it is an agreement to wait for payment and to seek recovery from the litigation proceeds first before seeking payment from DaPrato, who remains liable for the entire amount of the bill. Thus, Gilman’s lien was a sufficient property interest in the settlement to support an action for conversion. (See
Messerall v. Fulwider
(1988)
The second ground upon which the trial court relied—there was nothing for defendants to convert because the entire settlement was expended on litigation costs—raises a mixed question of law and fact.
We turn first to the question of law, namely, whether an attorney lien for the costs of litigation, 2 like one claimed by defendants, takes priority over a medical lien, 3 like Gilman has, against the proceeds of the settlement, regardless of which was first in time.
This raises the question whether a medical lien and an attorney lien for fees and costs of litigation are equal with respect to the proceeds of a lawsuit brought on behalf of an injured person to recover damages from one who caused the injury.
“Interests are equal in equity when each is entitled to the same recognition and protection by reason of possessing to an equal degree those elements of right and justice which are recognized and aided by courts of equity.”
(Nicoletti v. Lizzoli, supra,
In general, equity and public policy favor giving medical liens and contractual attorney liens priority against a recovery obtained by the plaintiff.
(Pangbom Plumbing Corp.
v.
Carruthers & Skiffington, supra,
97 Cal.App.4th at pp. 1049-1052 (hereafter
Pangbom); Wujcik v. Wujcik, supra,
Medical liens generally have priority for two reasons. First, “the medical lienors’ labor, skills and materials [are] inextricably tied to the creation of the personal injury settlement proceeds; the final value of that settlement reflect[s] the value added by the medical providers’ labor, goods and services.”
(Pangborn, supra,
Similar considerations favor the priority of an attorney lien against a judgment recovered by the attorney’s client.
(Waltrip v. Kimberlin, supra,
Despite the similarity of equities favoring the priority of medical liens and attorney liens, we conclude that, as a matter of public policy, a medical lien against the recovery in a personal injury lawsuit is not equal in equity to an attorney lien for fees and costs created by a retainer agreement to litigate the lawsuit.
As a practical matter, medical liens have value only if the treated patient obtains a judgment from which the liens can be paid. Although the patient is personally liable for the cost of services, a collection action against a patient with limited resources is economically unfeasible. Thus, unless the patient gets a monetary recovery in a lawsuit, the medical liens will usually remain unpaid, and the provider will never obtain payment for the services rendered.
And, as a practical matter, it is a rare personal injury plaintiff who has the assets to pay for legal representation on an hourly basis plus costs, and also has the willingness to assume the financial risk of not prevailing in the lawsuit. For this reason, almost all plaintiff retainer agreements in personal injury actions are on a contingency fee basis, with the lawyer’s fees and costs to be paid from a judgment in favor of the client, and the lawyer receiving nothing if the client loses the lawsuit.
An attorney lien that includes fees and the costs of suit is a necessary incentive for personal injury plaintiffs’ lawyers to represent such clients. In many cases today, the costs of litigation can reach tens of thousands of dollars, far beyond the out-of-pocket resources of most plaintiffs in our society. Therefore, few, if any, personal injury plaintiffs’ lawyers would be willing to represent a client on a contingency fee basis if an attorney lien for fees and costs does not have priority over medical liens.
By adding to the incentive for a lawyer to represent an injured patient in a lawsuit against an alleged tortfeasor, an attorney lien for fees and costs works to the benefit of other creditors, such as medical lienholders, because, without the lawyer’s services, there may be no judgment from which the lienholders can recover on their claims, and the injured party may otherwise have no funds to cover the liens.
In sum, an attorney lien for fees and costs is essential (1) to ensure that injured persons can obtain legal representation in lawsuits to obtain adequate compensation for the injuries they have suffered, (2) to hold tortfeasors accountable for the harm they have caused, and (3) to provide medical lienholders with a source for compensation that they otherwise might not have. Thus, public policy and equity favor giving an attorney lien for fees and costs priority over a medical lien, regardless of which lien was first in time.
This brings us to the question of fact in this case—whether defendants had an attorney lien for the costs of litigation.
In moving for summary judgment, it was defendants’ burden to establish “by declarations and evidence” this dispositive fact necessary for a complete defense to a cause of action for conversion. (See
Rosenblum v. Safeco Ins. Co.
(2005)
Because defendants presented no evidence that they had an attorney lien entitling them to deduct their litigation costs from the settlement recovery, we must reverse the summary judgment entered in their favor on the conversion cause of action.
IH
The trial court awarded to defendants the sum of $17,229.27 in attorney fees and costs pursuant to Civil Code section 1717, predicated on its finding that defendants were the prevailing parties in Gilman’s action based upon the lien agreement that contains an attorney fee provision.
In light of our conclusion that the judgment must be reversed as to the conversion cause of action, it no longer can be said that defendants are the prevailing parties. Accordingly, we must reverse the award of fees and costs, and thus need not address Gilman’s contention that the award was erroneous because defendants were represented by a member of their law firm, the equivalent of self-representation. (See
Trope
v.
Katz
(1995)
The judgment and the award of attorney fees and costs are reversed, and the matter is remanded to the trial court for further proceedings, consistent with this decision, on the conversion cause of action. The parties shall bear their own costs on appeal. (Cal. Rules of Court, rule 8.278(a)(5).)
Raye, J., and Robie, J., concurred.
Notes
Conversion is the wrongful exercise of dominion over another’s property. The plaintiff must establish (1) ownership of, or a right to possess, the property at the time of the conversion, and (2) the defendant’s conversion “by a wrongful act or disposition of [the plaintiff’s] property rights.”
(Oakdale Village Group
v.
Fong
(1996)
“In California, a lien in favor of an attorney upon the proceeds of a prospective judgment may either be created by express contract or implied from a retainer agreement that indicates the attorney is to look to the judgment for payment of his [or her] fee” and costs of the lawsuit.
(Waltrip v. Kimberlin, supra,
A contractual lien for the payment of medical services, like an attorney lien for fees and costs, does not need to be perfected by filing notice in the case in the same manner required of a judgment creditor.
(Nicoletti v. Lizzoli, supra,
