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  "name": "BARTON E. MUNO et al., Independent Co-Adm'rs of the Estate of Andrew Muno, Deceased, Plaintiffs-Appellees, v. CONDELL MEDICAL CENTER et al., Defendants (Dale S. Gordon et al., Defendants-Appellants)",
  "name_abbreviation": "Muno v. Condell Medical Center",
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    "judges": [],
    "parties": [
      "BARTON E. MUNO et al., Independent Co-Adm\u2019rs of the Estate of Andrew Muno, Deceased, Plaintiffs-Appellees, v. CONDELL MEDICAL CENTER et al., Defendants (Dale S. Gordon et al., Defendants-Appellants)."
    ],
    "opinions": [
      {
        "text": "JUSTICE O\u2019MALLEY\ndelivered the opinion of the Court:\nDefendants Dale S. Gordon, M.D., and Lake County Anesthesiologists (LCA) appeal the judgment, after a jury trial, awarding $6,300,000 (after setoffs based on settlements of other codefendants not parties to this appeal) to plaintiffs, Barton E. Mu\u00f1o and Darlene E. Mu\u00f1o (as co-administrators of the estate of their deceased minor son, Andrew Muno), in connection with defendants\u2019 alleged negligence leading to Andrew\u2019s death.\nDefendants argue that the trial court should have entered judgment notwithstanding the verdict on their defense under section 25 of the Good Samaritan Act (Act) (745 ILCS 49/25 (West 2000)), which defense was based on Gordon\u2019s decision not to bill Andrew\u2019s family for his treatment. Judgment notwithstanding the verdict may be entered only where \u201c \u2018all of the evidence, when viewed in its aspect most favorable to the opponent, so overwhelmingly favors movant that no contrary verdict based on that evidence could ever stand.\u2019 \u201d Maple v. Gustafson, 151 Ill. 2d 445, 453 (1992), quoting Pedrick v. Peoria & Eastern R.R. Co., 37 Ill. 2d 494, 510 (1967). \u201cIn ruling on a motion for a [judgment notwithstanding the verdict], a court does not weigh the evidence, nor is it concerned with the credibility of the witnesses; rather it may only consider the evidence, and any inferences therefrom, in the light most favorable to the party resisting the motion.\u201d Maple, 151 Ill. 2d at 453.\nThe Act, which was enacted to codify \u201cnumerous protections for the generous and compassionate acts of *** citizens who volunteer their time and talents to help others\u201d (745 ILCS 49/2 (West 2000)), provides that any licensed physician \u201cwho, in good faith, provides emergency care without fee to a person, shall not, as a result of his or her acts or omissions, except willful or wanton misconduct on the part of the person, in providing the care, be liable for civil damages\u201d (745 ILCS 49/25 (West 2000)).\nAs we considered this issue, our research uncovered some authority challenging our previous interpretations of the Act and instead interpreting it in a way that would render it inapplicable here, even if Gordon\u2019s decision not to bill was in good faith. We granted the parties leave to address the conflicting interpretations of the Act, and both parties submitted supplemental briefing on the issue, which we now summarize.\nIn Estate of Heanue v. Edgcomb, 355 Ill. App. 3d 645 (2005), we held that a doctor performs emergency care \u201cwithout a fee\u201d so as to receive immunity under the Act whenever he or she does not \u201ccharge[ ] a fee specifically for the services at issue,\u201d even if the doctor derived indirect economic benefits (such as compensation) from the care. Heanue, 355 Ill. App. 3d at 648-50. This holding followed previous case law, which held that \u201ca physician need not prove the absence of a preexisting duty to render aid to the patient in order to be immunized under *** the Act.\u201d Neal v. Yang, 352 Ill. App. 3d 820, 829 (2004) (examining cases and holding that the Act could apply to a doctor with a preexisting duty). Heanue then added the caveat that, under the language of the statute, the decision not to bill must be made in good faith. Heanue, 355 Ill. App. 3d at 650.\nThe approach taken in Heanue, Neal, and the cases that precede them was criticized in Henslee v. Provena Hospitals, 373 F. Supp. 2d 802 (N.D. Ill. 2005). The court in Henslee noted that, though the Act was created to protect volunteer doctors \u201c \u2018on the streets of Illinois\u2019 \u201d (Henslee, 373 F. Supp. 2d at 808, quoting 89th Ill. Gen. Assem., House Proceedings, March 25, 1996, at 100 (statements of Representative Lang)), \u201cIllinois courts have primarily used the [Act] to immunize doctors in the context of an emergency situation arising within a hospital\u201d (Henslee, 373 F. Supp. 2d at 808). Thus, \u201cthe manner in which Illinois courts have been applying the [Act] appears to expand coverage beyond the stated purpose of the Act.\u201d Henslee, 373 F. Supp. 2d at 809.\nThe basis for this court\u2019s holdings that the Act may immunize a doctor with a preexisting duty was the plain language of section 25 of the Act, which contains no explicit requirement \u201cthat a physician prove the absence of a preexisting duty to the patient for the Act to apply.\u201d Neal, 352 Ill. App. 3d at 826. Instead, the only explicit limitations on immunity from negligence under section 25 are the requirements that the physician, in good faith, provide emergency care \u201cwithout fee.\u201d Cf. Neal, 352 Ill. App. 3d at 826 (under a previous version of the Act that included a now-removed requirement that the physician not have notice of the emergency, \u201c[t]he legislature required only that the doctor have no notice, provide emergency care, and not charge a fee\u201d). Without any further limitations expressed in the language of the Act, we have adhered to the familiar maxim of statutory construction that forbids reading exceptions, limitations, or conditions into a statute where the legislature did not express any. See Heanue, 355 Ill. App. 3d at 650, quoting County of Lake v. Board of Education of Lake Bluff School District No. 65, 325 Ill. App. 3d 694, 701 (2001).\nHenslee suggested a new approach. It noted that the Illinois decisions on the issue all assumed the language of section 25 of the Act to be unambiguous on its face. Henslee, 373 F. Supp. 2d at 812. However, Henslee argued that, as used in section 25, the phrase \u201cwithout a fee\u201d allows more interpretations than we have previously acknowledged. \u201c[T]he typical fee transaction implicitly includes two steps: first, a party is billed; second, a professional is paid.\u201d Henslee, 373 F. Supp. 2d at 812. (Our decisions have considered only the first step.) The Act does not provide a definition for the word \u201cfee\u201d to clarify this ambiguity, nor does it expressly restrict the meaning of the word to \u201conly one side of the typical fee transaction.\u201d Henslee, 373 F. Supp. 2d at 812. Thus, \u201ca reasonable definition of \u2018fee\u2019 would be a situation in which either a doctor is paid for his services or the client pays a bill for those services.\u201d (Emphasis in original.) Henslee, 373 F. Supp. 2d at 812. If the Henslee court had adopted this second definition of the word \u201cfee,\u201d it would have created a situation in which immunity under the Act would depend on whether a doctor is an employee who is paid for his or her services or an independent contractor or partner who would not be paid for his or her services if a bill were not sent. We think this result unlikely to have been envisioned by the legislature when it enacted the Act. However, the Henslee court avoided this problem by eschewing the second definition of the word \u201cfee\u201d just as it had the first. Instead, the court used the competing definitions of the word \u201cfee\u201d to conclude that section 25 was ambiguous, so that it could invoke yet a third definition.\nAfter finding section 25 ambiguous based on the competing definitions above, the court in Henslee turned to the purpose of the Act to determine the scope of immunity intended under section 25. The purpose of the Act, to protect and encourage citizens who \u201cvolunteer their time and talents\u201d (emphasis added) (745 ILCS 49/2 (West 2000)), indicated to the Henslee court an intent to exclude those citizens who are paid to perform emergency services and those citizens who are duty-bound to perform emergency services. Henslee, 373 F. Supp. 2d at 812-13. Accordingly, Henslee concluded, a doctor who performs emergency care as part of his employment, or otherwise not as a volunteer, cannot be said to have performed those services \u201cwithout fee\u201d and thus cannot win immunity under the Act.\nIn their supplemental briefing, plaintiffs urge that we follow Henslee and hold that, since Gordon was not acting as a volunteer, he was ineligible for protection under the Act. Plaintiffs therefore argue that based on the Act we must affirm the trial court\u2019s decision not to award defendants judgment notwithstanding the verdict. For their part, defendants dispute the interpretation proffered in Henslee. Armed with the interpretive maxim that a court must evaluate a statute as a whole, with each provision construed in connection with every other section (Paris v. Feder, 179 Ill. 2d 173, 177 (1997)), defendants direct us to other sections of the Act, which require that emergency care be provided \u201cwithout fee or compensation.\u201d See 745 ILCS 49/12 (West 2006) (person who renders emergency care with a defribulator \u201cin good faith, not for compensation\u201d is immune); 745 ILCS 49/20 (West 2006) (person providing care at a free dental clinic \u201cwho receives no fee or compensation\u201d is immune); 745 ILCS 49/30(a) (West 2006) (same for person providing care at a free medical clinic). Thus, defendants argue, the legislature did in fact distinguish between what Henslee called the \u201ctwo steps\u201d of a typical fee transaction \u2014 in other sections of the Act, it considered the term \u201cfee\u201d to be separate from the term \u201ccompensation.\u201d Defendants continue that, since the legislature in section 25 extended immunity to emergency care providers who work \u201cwithout fee\u201d instead of \u201cwithout fee or compensation,\u201d the legislature must have intended to extend immunity under that section to providers who work for compensation. Plaintiffs, on the other hand, urge that, if we are to consider the Act as a whole in order to interpret section 25, we should consult section 2 (as the court in Henslee did) and interpret the Act as applying to volunteers only.\nBoth sides of this dispute have raised persuasive points that Illinois courts apparently have yet to consider. However, we leave the resolution of this dispute for another day, as, under the facts of this particular case, we would reject defendants\u2019 argument under either interpretation of the Act: even if the only relevant limitation to be placed on the immunity afforded under section 25 of the Act is the \u201cgood faith\u201d limitation articulated in Heanue, we agree with the trial court\u2019s decision to deny defendants\u2019 motion for judgment notwithstanding the verdict.\nDefendants argue that the evidence on the issue of whether Gordon\u2019s decision not to bill was in good faith \u201cis entirely one-sided,\u201d because the only evidence adduced on the issue was Gordon\u2019s testimony that he was not aware of the Act at the time he made his decision and that he decided to forgo the fee because he felt that doing so was the appropriate action under the circumstances. Though defendants are correct that Gordon testified that his decision not to bill was in good faith, the jury was free to discredit his testimony, as it apparently did. There was also testimony that Gordon met with Con-dell\u2019s anesthesiology department head, Dr. Marquardt, for an extended period of time after Andrew\u2019s operation. Though Gordon denied it, plaintiffs\u2019 counsel raised the inference that the two then decided for legal reasons that they should not send plaintiffs a bill. The jury was free to accept this inference. There was also starkly conflicting evidence as to whether Gordon actually met with plaintiffs before Andrew\u2019s surgery. If the jury credited plaintiffs\u2019 testimony over Gordon\u2019s, it may have reached the further inference that Gordon had improperly molded his testimony in an effort to avoid liability. A decision to discredit his testimony regarding his motivations would have been consistent with this further inference. Thus, construing the evidence in the light most favorable to plaintiffs, we conclude that judgment notwithstanding the jury\u2019s verdict would have been inappropriate here.\nFor the foregoing reasons, we affirm the judgment of the circuit court of Lake County.\nAffirmed.\nBOWMAN and HUTCHINSON, JJ., concur.",
        "type": "majority",
        "author": "JUSTICE O\u2019MALLEY"
      }
    ],
    "attorneys": [
      "James K. Horstman, Rodney E. VanAusdal, and Christopher D. Wehrman, all of Cray, Huber, Horstman, Heil & VanAusdal, LLC, of Chicago, for appellants.",
      "Michael E Schostok and David G. Pribyl, both of Salvi, Schostok & Prit-chard, PC., of Waukegan, and Robert G. Black, of Law Offices of Robert G. Black, of Naperville, for appellees."
    ],
    "corrections": "",
    "head_matter": "BARTON E. MUNO et al., Independent Co-Adm\u2019rs of the Estate of Andrew Muno, Deceased, Plaintiffs-Appellees, v. CONDELL MEDICAL CENTER et al., Defendants (Dale S. Gordon et al., Defendants-Appellants).\nSecond District\nNo. 2\u201406\u20140587\nOpinion filed June 20, 2008.\nJames K. Horstman, Rodney E. VanAusdal, and Christopher D. Wehrman, all of Cray, Huber, Horstman, Heil & VanAusdal, LLC, of Chicago, for appellants.\nMichael E Schostok and David G. Pribyl, both of Salvi, Schostok & Prit-chard, PC., of Waukegan, and Robert G. Black, of Law Offices of Robert G. Black, of Naperville, for appellees."
  },
  "file_name": "0688-01",
  "first_page_order": 704,
  "last_page_order": 708
}
