Certiorari to review a decision of the industrial commission awarding employee compensation against relators, Hamline University of Minnesota and its insurer.
The facts in this case are generally undisputed, and extensive review of the evidence is unnecessary. Janet Krause, hereinafter referred to as the employee, after making inquiries at Hamline University concerning their school of nursing, registered at the school in June 1949. For a period of 12 weeks she lived on the campus, attending lecture classes and doing laboratory work. She paid for her.tuition, board, and room. In order to give practical training to its nursing students, the university entered into agree *418 ments of affiliation with Ancker Hospital, Minneapolis General Hospital, Mounds Park Hospital, Midway Hospital, and Asbury Methodist Hospital. In accordance with this arrangement the employee, in September 1949, was directed to report to Asbury Hospital for clinical experience. While there she performed certain nursing services for hospital patients and was furnished board, room, and laundry. In February 1951 she rendered services to a patient suffering from advanced tuberculosis. Because the patient’s condition was not immediately recognized, the employee was not advised to take the customary precautions, such as wearing a mask or gloves. Shortly after this contact, employee went on vacation, and upon her return in March 1951, she entered the Minneapolis General Hospital for training in pediatrics. Subsequently she was assigned to the Mounds Park Hospital and Ancker Hospital for other types of training. While at Ancker she was hospitalized as a patient for tuberculosis.
The dean of the Hamline School of Nursing was responsible for the curriculum and supervised Hamline faculty members at the various hospitals. The details of the services performed by the employee were generally supervised by nurses and supervisors of the particular hospital. General control over the student nurses, such as reassignment to the various hospitals and satisfying itself that compliance with the curriculum was attained, was maintained by the university.
On July 8, 1952, employee filed a claim for compensation benefits with the industrial commission. The case was heard before a referee who made findings of fact and determined that Hamline University, Asbury Hospital, and their insurers were jointly liable to the employee for compensation and medical and hospital expenses. He dismissed the claim petition against the other hospitals. The employee appealed from the decision of the referee on the issue of the basic wage she was receiving at the time of her injury. Asbury Hospital, Hamline University, and their insurers cross-appealed from the liability imposed upon them. By a divided decision the industrial commission, approving certain findings of the referee and vacating others, determined that the employee was in the sole employ of *419 Hamline University at a wage of $30 per week at the time she contracted tuberculosis and dismissed the claim petition as to all other parties. Hamline University and its insurer then petitioned for and obtained a writ of certiorari for the purpose of reviewing the decision of the industrial commission.
The relationship of employer and employee is, of course, the essential basis of recovery under our workmen’s compensation law.
2
It is well settled that student nurses who perform services and are furnished board and room are employees within the meaning of the act.
3
Here the parties concede that the employee is entitled to compensation benefits. The question with which we are concerned is: who is the employer and, if there is more than one, to what extent, if any, the compensation should be apportioned among them?
4
In reaching its determination that the relator Hamline University was the sole employer, the commission relied in the main on our decisions in Otten v. University Hospitals,
As we pointed out in the Otten case, the statutory definition of employer 6 is of such a general nature that it is necessary to consider the various factors customarily deemed characteristic of the employer-employee relationship. Although these factors are numerous, 7 we are here concerned with but two of the primary ones; namely, who exercises control over the employee, including the right to discharge and replace, and who is paying the employee’s compensation.
Undoubtedly the most important single factor in determining whether an employer-employee relationship exists is that of the right to control.
8
In the Otten case we unequivocally announced the principle that, as far as liability under the workmen’s compensation law is concerned, the relationship is not terminated unless complete control is surrendered.
9
It was on this basis that we dis
*421
tinguished the Otten case from Judd v. Sanatorium Comm.
Unlike the Otten and Anderson cases, the enrolling institution here at no time directly paid the employee any compensation. In this regard the facts in the present case more closely resemble those in the Judd case, where we noted that the employee received her *422 compensation from the Sanatorium Commission rather than the enrolling institution, the University of Minnesota. 11 By whom the employee’s wages are paid has been considered an important factor in determining who is the employer. 12 Prior to 1953 our statute provided:
“The term ‘employer5 means every person who employs another to perform a service for hire and to whom the ‘employer1 directly pays wages, * * (Italics supplied.) 13
But that who paid the compensation was not the controlling factor even under this statutory provision is illustrated by the Anderson case in which this court said:
“The fact that during a portion of such training employe was paid by Bethesda Hospital, while of importance, would not be the sole controlling factor. Notwithstanding such compensation, it is clear that while at Bethesda she still remained subject to the control of Northwestern Hospital, which was still supervising her training, which might at any time withdraw her from Bethesda and reassign her to other institutions, and which in many other ways still controlled her employment.” 14
In light of this language it is clear that who directly pays the wages no longer has the significance that once was attributed to it as a factor in determining who is the employer.
In 1953 the legislature, in repealing M. S. A. 1949, § 176.01, and enacting what is now M. S. A. 176.011, omitted the phrase “and to whom the employer directly pays wages” from the workmen’s compensation law. 15 The interim commission which recommended the change stated as one of its reasons for omitting the phrase that the *423 clause was “unnecessarily restrictive.” 16 This statutory change in the definition of “employer,” although made subsequent to the date the disease was contracted in the instant case, is further indication of the trend reducing the importance of this factor.
We have repeatedly held that the relationship of employer and employee, even for the purposes of the workmen’s compensation act, rests on contract, either express or implied. 17 When the employee here applied for enrollment at Hamline University, it was understood between the employee and the university that a portion of the employee’s studies would involve practical training, during which period she would receive compensation in the form of board and room and she, in turn, would render services. The negotiations for this contractual relationship were carried on between the employee and the university and not with the hospitals. The agreement was consummated when the employee paid her fees and was enrolled by the university. Under the terms of this agreement she began her employment when she had completed a prescribed period of academic study, at which time she was assigned to the various hospitals selected by the university for practical training. While the direct benefits of the employee’s services were received by the hospital affiliates, it is obvious that the benefits, at least indirectly, ran to the enrolling institution, since the arrangement was an integral and necessary part of the training program without which the school of nursing could not profitably exist. As we have already pointed out, the evidence supports the finding that the university retained control over the employee from the time the employment relationship *424 began. Moreover, there is no evidence indicating that the employee treated, or that any reasonable person would treat, each different assignment as creating a new employment relationship and terminating the prior one. 18 Notwithstanding the fact that payment of compensation was directly made by the hospital affiliate, the commission, under these circumstances, was entirely justified in concluding that Hamline University was the employer and that the relationship was not terminated by assignment of the employee to the various hospital affiliates.
The other arguments urged by the relator have been resolved against them by our decisions in the Otten and Anderson cases. In view of our conclusion that the hospital affiliates were not the claimant’s employers, it becomes unnecessary for us to determine the applicability of the apportionment statute to the disease of tuberculosis.
It is unfortunate and disturbing to note that here, and in similar cases coming before us, payment of compensation to the employee has been delayed for long periods of time because of extensive litigation. One of the primary motivating reasons for the enactment of the workmen’s compensation law was to provide adequate and prompt relief to the injured employee. 19 While each case depends upon its own facts, the conclusion we have reached here, as well as in our previous decisions involving similar factual situations, should leave no doubt that in this type of case liability may properly be imposed upon the enrolling institution and its insurance carrier unless all the significant factors of the employer-employee relationship, including that of complete control, are transferred to the affiliate hospital. Not only is this conclusion compelled by our previous decisions but, we feel, it reflects the spirit, intent, and underlying policy considerations of our workmen’s compensation law.
Affirmed.
Notes
Jackson v. Cathcart & Maxfield, Inc.
Judd v. Sanatorium Comm.
M. S. A. 176.66, subd. 5, provides in part that where there are several employers total compensation for an occupational disease is recoverable from the last employer with the right of apportionment in certain cases against the prior employers.
The act authorizing grants for this purpose, 50 USCA Appendix, §§ 1451 to 1462, terminated upon cessation of. hostilities of World War II, December 31, 1946.
M. S. A. 176.011, subd. 10, provides: “‘Employer’ means any person who employs another to perform a service for hire; and includes corporation, partnership, association, group of persons, state, county, village, borough, town, city, school district, or governmental subdivision.”
For an enumeration of the various factors that may be considered, see Otten v. University Hospitals,
229
Minn. 488, 493,
See, Nesseth v. Skelly Oil Co.
See, O’Rourke v. Percy Vittum Co.
Chillstrom v. Trojan Seed Co.
Judd v. Sanatorium Comm.
E.g., see State ex rel. D. M. Gilmore Co. v. District Court,
M. S. A. 1949, § 176.01, subd. 5, repealed by L. 1953, c. 755, § 83.
Anderson v. Northwestern Hospital,
L. 1953, c. 755, § 1, subd. 10.
Report of the Interim Commission on Workmen’s Compensation, 1953, p. 61: “It is proposed to strike the words ‘and to whom the employer directly pays wages’. It is believed that this clause is redundant, unnecessarily restrictive and in conflict with a proposed amendment of the term wages.”
E.g.,
Yoselowitz v. Peoples Bakery, Inc.
See, Pocrnich v. Snyder Min. Co.
See, Riesenfeld and Maxwell, Modem Social Legislation, pp. 137 to 138.
