Hass v. RhodyCo Productions ( 2018 )


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  • Filed 8/13/18
    CERTIFIED FOR PUBLICATION
    IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA
    FIRST APPELLATE DISTRICT
    DIVISION FOUR
    EDEN GONZALEZ HASS et al.,
    Plaintiffs and Appellants,
    A142418
    v.
    RHODYCO PRODUCTIONS,                               (City & County of San Francisco
    Super. Ct. No. CGC-12-520492)
    Defendant and Appellant.
    After crossing the finish line at the 2011 Kaiser Permanente San Francisco Half
    Marathon, Peter Hass (Hass) tragically suffered a cardiac arrest, collapsed, and died.
    Hass’s wife, Eden Hass, and his two minor children (collectively, the Hass Family)
    consequently filed this wrongful death action, alleging that numerous race-affiliated
    individuals and entities—including event organizer David Rhody, individually and dba
    RhodyCo Productions (RhodyCo)—were negligent in the organization and management
    of the race, particularly with respect to the provision of emergency medical services. 1
    The trial court initially granted RhodyCo’s summary judgment motion in this matter,
    concluding that the instant action was barred under theories of primary assumption of the
    risk and express waiver. However, after the Hass Family filed a motion for new trial, the
    trial court reversed itself. Specifically, the court found that primary assumption of the
    risk was inapplicable on these facts and further determined that the Hass Family should
    have been allowed to amend their complaint to plead gross negligence, conduct falling
    1
    RhodyCo is the appellant herein and the only remaining defendant, as a number of
    settlements have occurred and all of the other named defendants have been dismissed
    from the action.
    1
    outside of the scope of the written waiver and release. On appeal, RhodyCo argues that
    the trial court’s initial grant of summary judgment was correct, even if the issue of gross
    negligence is considered on its merits. The Hass Family, in contrast, generally
    champions the court’s new trial order, but argues that the express release in this case was
    invalid on additional grounds rejected by the trial court and that the court should have
    concluded on the evidence before it that a triable issue of material fact exists as to
    RhodyCo’s gross negligence. We agree with the trial court that summary judgment was
    not warranted in this case based on primary assumption of the risk. However, we believe
    the trial court erred in requiring amendment of the complaint to plead gross negligence
    and determine, based on our independent review of the record before us, that a triable
    issue of material fact exists on this issue. We therefore affirm in part and reverse in part,
    with instructions to enter a denial of RhodyCo’s summary judgment motion.
    I. FACTUAL AND PROCEDURAL BACKGROUND
    The annual Kaiser Permanente San Francisco Half Marathon & 5K Run in Golden
    Gate Park (Half Marathon) consists of two different events—a 13.1 mile half marathon
    and a 5 kilometer run. In 2011, the anticipated attendance for the two races was
    estimated to include 10,000 participants and 600 volunteers. RhodyCo provided event
    management and production services for the Half Marathon from 2006 through 2011. In
    order to obtain the necessary temporary street closure permit for the event, RhodyCo was
    required to submit an emergency medical services plan (EMS Plan) to the City and
    County of San Francisco (City) for review and approval by the City’s Emergency
    Medical Services Agency (Agency).
    The approved EMS Plan for 2011 stated, as it had in previous years, that the
    medical personnel at the Half Marathon would be provided by Palmer College of
    Chiropractic-West (PCCW) and American Medical Response (AMR). More specifically,
    it asserted that PCCW would “ ‘provide event trained Medical Personnel for the event,
    (students are all CPR certified and have taken emergency response class). Med Teams
    will be located at key areas (Start Line, Finish Lines, Postrace Medical Tent, and mobile
    units on the course). The head clinician event day, Dr. Hal Rosenberg [phone number],
    2
    will be onsite at the Postrace Medical Tent. AMR will provide an [emergency medical
    technician (EMT)] who will be posted with PCCW Med Team in the postrace Medical
    Tent at the Finish of the race—AMR is also providing an ALS ambulance to respond [to]
    medical emergencies—the standby will be posted on Lincoln at the Great Hwy . . . . The
    Standby and Medical Team will be equipped with cellphone active Nextel radios with
    direct communication to the Event Coordinator and each other.’ ” Other portions of the
    approved EMS Plan, however, indicated that one M.D., 6+ EMTs, and one automatic
    external defibrillator (AED) would be located at the finish line.
    Having signed a release (Release) in which he agreed, among other things, to
    “accept the inherent dangers and risks” arising from his participation in the race and to
    release RhodyCo from “any and all claims” based on injuries he might suffer “at or
    enroute to and from this event,” Hass participated in the Half Marathon on February 6,
    2011. Almost immediately after crossing the finish line at 10:05:34 a.m., Hass suffered a
    sudden cardiac arrest and collapsed. Another runner, Dr. Charles Whitehill, crossed the
    finish line 13 seconds after Hass and heard him fall. Dr. Whitehill—who had significant
    experience in providing and overseeing resuscitation efforts for patients—began to
    perform cardiopulmonary resuscitation (CPR) on Hass within 30-60 seconds of arriving
    at Hass’s side. Dr. Whitehall was involved in CPR efforts for five to eight minutes, after
    which CPR was continued by another bystander who identified himself as an off-duty
    paramedic. Approximately 11 minutes after Hass collapsed a third bystander brought the
    AED from the post-race tent, which was located somewhere between 100 and 200 yards
    beyond the finish line. When the AED was applied, it showed that Hass had no
    shockable heart rhythm. CPR efforts were then continued until paramedics from the
    City’s Fire Department arrived at approximately 10:31 a.m. and took over treatment.
    Unfortunately, Hass was pronounced dead shortly thereafter at 10:49 a.m. RhodyCo has
    provided event management and production services for over 25 years, including at least
    400 running, walking, and other events involving over 1.5 million participants. Hass’s
    tragic death was the only fatality ever experienced at a RhodyCo-managed event.
    3
    On May 3, 2012, the Hass Family filed this wrongful death action (Complaint),
    alleging, among other things, that RhodyCo had negligently organized and planned the
    Half-Marathon; negligently “hired, retained, . . . supervised, [and] controlled” the
    medical team; and negligently “managed, trained, supervised and controlled emergency
    and medical resources.” In particular, the Hass Family highlighted the use of
    chiropractors rather than medical doctors, the use of chiropractic students rather than
    EMTs, the lack of ambulance personnel at the finish line, inadequate communication and
    communication devices, and inadequate AEDs and ambulances. RhodyCo answered,
    generally denying the Complaint allegations and asserting several affirmative defenses,
    including primary assumption of the risk and express contractual assumption of the risk
    and release of liability.
    RhodyCo then filed a motion for summary judgment, arguing that the Hass
    Family’s wrongful death action was completely barred based on the two aforementioned
    affirmative defenses. Specifically, RhodyCo claimed that Hass had agreed to be bound
    by the Release when he registered for the Half Marathon, which included a waiver of
    liability and assumption of the risk agreement that was binding on his heirs. In addition,
    RhodyCo asserted that sudden cardiac arrest is an inherent risk of long-distance running
    and that it had done nothing to increase this risk. Under these circumstances, RhodyCo
    opined, the Hass Family’s action was barred under the primary assumption of the risk
    doctrine.
    In opposition to the summary judgment motion, the Hass Family argued with
    respect to the Release that it was void to the extent it purported to cover emergency
    medical services, as such services implicate the public interest; that it was not a clear and
    unambiguous waiver of future liability for a wrongful death claim; and that it was
    ineffective to exempt RhodyCo from liability for gross negligence. With respect to the
    doctrine of primary assumption of the risk, the Hass Family agreed that cardiac arrest is
    an inherent risk of long-distance running, but argued that a sponsoring entity is
    nevertheless obligated to take reasonable steps to minimize inherent risks to the extent it
    is able to do so without altering the nature of the sport. They further maintained that
    4
    RhodyCo had increased the risk of death beyond that inherent in the sport by failing to
    comply with the EMS Plan.
    On the issue of negligence, the Hass Family presented evidence indicating that
    medical emergencies (including cardiac arrests) are more likely to occur near the finish
    line of a race because runners tend to push themselves to improve their times, causing an
    adrenaline rush and an arrhythmia. Moreover, as the City, itself, has recognized:
    “ ‘[C]losing off several major streets at the same time to accommodate a race often
    causes . . . potential interference with emergency services.’ ” (San Francisco
    Transportation Code, § 6.11, subd. (a).) The Hass Family argued that, although
    RhodyCo’s EMS Plan for the Half Marathon properly identified the finish line as a “ ‘key
    area’ ” and indicated numerous resources would be stationed there—including a medical
    doctor, AED, and “6+” EMTs—the only medical personnel assigned to the finish line
    were Dr. Rosenberg (a chiropractor) and the Event Coordinator (a chiropractic student),
    neither of whom were actually at the finish line when Hass collapsed. They further
    claimed that the AED was in the medical tent located approximately 200 yards away, in
    the post-race expo area; that no event medical personnel arrived at the scene until ten
    minutes after Hass collapsed; and that, when a bystander arrived with the AED at the 11-
    minute mark, it was too late to help Hass. The Hass Family also found fault with the
    communications equipment provided by RhodyCo for the Half Marathon. Although the
    EMS Plan represented that “all event safety personnel” would have “cell phone active
    radios,” the Hass Family averred that only six or seven radios were provided to the
    medical team; that no radio was provided to the ambulance or to either chiropractic
    doctor on site; and that there was no radio in the medical tent. Finally, the Hass Family
    presented declarations from several experts indicating that the standard of care for an
    event like the Half Marathon is to have a competent medical director who is a medical
    doctor and to follow the medical plan. Moreover, according to one of the Hass Family’s
    experts, because races like the Half Marathon can disrupt the local 911 system, the
    standard of care additionally requires enough on-site ambulances (and/or backfilling of
    5
    ambulances) to provide for rapid medical care for runners who collapse due to sudden
    cardiac arrest, particularly near the finish line. 2
    As stated above, the trial court initially granted RhodyCo’s summary judgment
    motion, concluding that the Hass Family’s wrongful death action was barred under
    theories of primary assumption of the risk and express waiver. The Hass Family then
    filed a motion for new trial, arguing that the trial court had erred in its legal analysis of
    the primary assumption of the risk doctrine. In addition, they asserted that all of the trial
    court’s conclusions with respect to the Release were erroneous. In particular, they argued
    that they were not required to plead gross negligence in the Complaint and that, in any
    event, it was an abuse of discretion to deny their request to amend the Complaint to cure
    any such perceived defect. The Hass Family also provided new evidence that they
    alleged supported finding a triable issue with respect to gross negligence—the deposition
    testimony of Dr. Brown, the head of the Agency, stating that nothing in the EMS Plan
    2
    RhodyCo objected to these expert declarations on a number of grounds in the trial court,
    but, given its resolution of the summary judgment and new trial motions before it, the
    court never needed to rule on their admissibility. RhodyCo now argues that we should
    not consider them on appeal for similar reasons. We are cognizant of the fact that “[i]t
    will always be possible for a plaintiff who suffers a sports injury to obtain expert
    testimony that the injury would not have occurred if the recreation provider had done
    something differently.” (American Golf Corp. v. Superior Court (2000) 
    79 Cal.App.4th 30
    , 39.) Moreover, generally speaking, courts do not consider an expert’s testimony to
    the extent it constitutes a conclusion of law. (Summers v. A.L. Gilbert Co. (1999) 
    69 Cal.App.4th 1155
    , 1180-1181.) However, we do not believe that the expert declarations
    in the present case were limited to offering legal conclusions. Rather, they present useful
    information regarding the standard of care for races such as the Half Marathon from
    individuals who appear eminently qualified to provide it. (See Kahn v. East Side Union
    High School Dist. (2003) 
    31 Cal.4th 990
    , 1003-1017 (Kahn) [“ ‘we perceive no reason to
    preclude a trial court from receiving expert testimony on the customary practices in an
    arena of esoteric activity for purposes of weighing whether the inherent risks of the
    activity were increased by the defendant's conduct’ ”]; see also Evid. Code, § 805 [an
    expert’s testimony may embrace an ultimate factual issue].) We therefore consider them
    for that purpose. (Cf. Rosencrans v. Dover Images, Ltd. (2011) 
    192 Cal.App.4th 1072
    ,
    1086-1087 (Rosencrans) [relying on an expert declaration on the issue of extreme
    departure from the ordinary standard of care when finding a triable issue with respect to
    gross negligence].)
    6
    indicated that chiropractic students would be substituted for EMTs at the finish line and
    that his discussions with RhodyCo regarding the use of chiropractic students was limited
    to their use on the mobile teams. Dr. Brown also testified that he had never discussed
    with RhodyCo the propriety of substituting a chiropractic doctor for a medical doctor as
    race supervisor. RhodyCo opposed the motion for new trial, arguing that the trial court’s
    initial decision was correct under the law; that Dr. Brown’s deposition testimony should
    not be considered as the Hass Family had not acted with diligence in producing it; and
    that, regardless, the statements from the deposition highlighted by the Hass Family were
    undercut by other deposition testimony.
    After hearing, the trial court granted the Hass Family’s new trial motion.
    Specifically, the court agreed with the Hass Family that primary assumption of the risk
    was inapplicable on these facts and further determined that the Hass Family should have
    been allowed to amend the Complaint to plead gross negligence. Although it refused to
    rule on the existence of a triable issue with respect to gross negligence pending the filing
    of the amended Complaint, it did reject RhodyCo’s argument that the Hass Family had
    not moved with diligence in taking the deposition of Dr. Brown.
    RhodyCo’s notice of appeal and the Hass Family’s notice of cross-appeal now
    bring the matter before this court.
    II. DISCUSSION
    A.     Standard of Review
    As described above, the procedural posture of this case is somewhat convoluted.
    Although the trial court initially granted RhodyCo’s summary judgment motion, it
    subsequently reversed itself on one ground (primary assumption of the risk) and then
    deferred ruling on another ground it had previously rejected (gross negligence) pending
    amendment of the Complaint, effectively granting a new trial on both issues. Such an
    order is appealable. (Aguilar v. Atlantic Richfield Co. (2001) 
    25 Cal.4th 826
    , 858
    (Aguilar) [noting, in finding appealability under similar circumstances, that it “makes no
    difference” that an order granting a new trial following an order granting summary
    judgment “may operate like an order denying summary judgment, which is
    7
    nonappealable”].) Further, although orders granting a new trial are generally examined
    for abuse of discretion, any determination underlying the new trial order is scrutinized
    using “the test appropriate for that determination.” (Douglas v. Fidelity National Ins. Co.
    (2014) 
    229 Cal.App.4th 392
    , 407; see also Aguilar, 
    supra,
     25 Cal.4th at pp. 859-860.)
    Here, then, the trial court’s conclusions with respect to the appropriateness of
    summary judgment are subject to our de novo review. (Aguilar, 
    supra,
     25 Cal.4th at
    p. 860; In re Automobile Antitrust Cases I & II (2016) 
    1 Cal.App.5th 127
    , 150
    (Automobile Antitrust Cases).) In this regard, we review the trial court’s ruling; not its
    rationale. (Automobile Antitrust Cases, supra, 1 Cal.App.5th at p. 150.) “Thus, ‘[t]he
    sole question properly before us on review of the summary judgment [order] is whether
    the judge reached the right result . . . whatever path he [or she] might have taken to get
    there.’ ” (Id. at pp. 150-151.)
    Moreover, the underlying issues implicated by RhodyCo’s summary judgment
    motion are also subject to our independent review. For instance, “ ‘[c]ontract principles
    apply when interpreting a release, and “normally the meaning of contract language,
    including a release, is a legal question.” [Citation.] “Where, as here, no conflicting parol
    evidence is introduced concerning the interpretation of the document, ‘construction of the
    instrument is a question of law, and the appellate court will independently construe the
    writing.’ ” ’ ” (Cohen v. Five Brooks Stable (2008) 
    159 Cal.App.4th 1476
    , 1483
    (Cohen); see also Paralift, Inc. v. Superior Court (1993) 
    23 Cal.App.4th 748
    , 754-755
    (Paralift).) Similarly, it has long been recognized that application of the primary
    assumption of the risk doctrine is a legal question, to be determined by the courts as a
    matter of law. (See Kahn, 
    supra,
     31 Cal.4th at pp. 1003-1004; see also Honeycutt v.
    Meridian Sports Club, LLC (2014) 
    231 Cal.App.4th 251
    , 257 [“ ‘[T]he legal question of
    duty, and specifically the question of whether a particular risk is an inherent part of a
    sport, “is necessarily reached from the common knowledge of judges, and not the
    opinions of experts” ’ ”].) In our resolution of this matter, then, we are writing on what is
    essentially a clean slate, bearing in mind that we should resolve any evidentiary doubts in
    the Hass Family’s favor, given that they are the party opposing summary judgment.
    8
    (Automobile Antitrust Cases, supra, 1 Cal.App.5th at p. 151 [“In undertaking our
    analysis, we ‘ “accept as true the facts . . . in the evidence of the party opposing summary
    judgment and the reasonable inferences that can be drawn from them.” ’ ”].)
    B.     Express Waiver
    During the online registration process for the Half Marathon, Hass was presented
    with the following warning regarding his need to execute the Release: “Please read any
    waiver carefully. It includes a release of liability and waiver of legal rights and deprives
    you of the ability to sue certain parties. Do not agree to this document unless you have
    read and understood it in its entirety. By agreeing electronically, you acknowledge that
    you have both read and understood all text presented to you as part of the registration
    process. You also understand and agree that events carry certain inherent dangers and
    risks which may not be readily foreseeable, including without limitation personal injury,
    property damage, or death. Your ability to participate in the event(s) is/are subject to
    your agreement to the waiver and by agreeing herein, you accept and agree to the terms
    of the waiver and release agreement.” (Italics added.) The document referenced in this
    warning—which could either be printed out or read in its entirety online—is entitled
    “Waivers” and reads in pertinent part as follows: “I understand that by registering I have
    accepted and agreed to the waiver and release agreement(s) presented to me during
    registration and that these documents include a release of liability and waiver of legal
    rights and deprive me of the right to sue certain parties. By agreeing electronically, I
    have acknowledged that I have both read and understood any waiver and release
    agreement(s) presented to me as part of the registration process and accept the inherent
    dangers and risks which may or may not be readily foreseeable, including without
    limitation personal injury, property damage or death that arise from participation in the
    event. [¶] In consideration of your accepting this entry . . . , I, intending to be legally
    bound, do hereby for myself, my heirs, executors, and/or administrators, waive and
    release any and all claims for damages I may accrue against . . . RhodyCo . . . any and all
    contractors, their employees, representatives, agents and heirs from any and all injuries
    that may be suffered by me at or enroute to or from this event. I attest that I am
    9
    physically fit and sufficiently trained for this strenuous competition. I will assume my
    own medical and emergency expenses in the event of an accident or other incapacity or
    injury resulting from or occurring in my participation. . . .” (Italics added.) 3
    As stated above, RhodyCo argued in its summary judgment motion that the
    Release signed by Hass (Release) acted as a complete bar to the instant action. The trial
    court initially agreed, rejecting the Hass Family’s arguments that the wording of the
    Release was insufficient to exempt RhodyCo from wrongful death claims and that the
    Release was void on public policy grounds. In addition, because gross negligence was
    not specifically alleged in the Complaint, the court refused to consider the Hass Family’s
    third argument—that RhodyCo had engaged in gross negligence falling outside of the
    scope of the Release. However, the trial court later granted a new trial on this issue,
    stating it would allow the Hass Family to amend its Complaint to cure this defect. The
    court declined to determine whether a triable issue as to RhodyCo’s alleged gross
    negligence existed, pending the filing of the amendment. In this appeal and cross appeal,
    the parties raise all three of these issues involving the impact of the executed Release as
    potential grounds either supporting or undermining the trial court’s summary judgment
    decision. We therefore address each contention in turn.
    1. Waiver of Wrongful Death Claim
    Our high court has explained that wrongful death claims “are not derivative claims
    but are independent actions accruing to a decedent’s heirs.” (Ruiz v. Podolsky (2010) 
    50 Cal.4th 838
    , 841 (Ruiz); see also Madison v. Superior Court (1988) 
    203 Cal.App.3d 589
    ,
    596 (Madison) [“ ‘The longstanding rule is that a wrongful death action is a separate and
    distinct right belonging to the heirs, and it does not arise until the death of the
    decedent.’ ”].) “Because a wrongful death claim is not derivative of the decedent’s
    3
    The Release was immediately followed by another, extensive waiver and release
    agreement entitled “Active Registration Agreement and Liability Waiver,” designed to
    absolve The Active Network, Inc. (Active) from certain liabilities in connection with its
    role as the registration portal for the event. We agree with the Hass Family that the
    contents of this separate waiver and release agreement—directed solely to Active—has
    no relevance to our construction of the RhodyCo Release.
    10
    claims, an agreement by the decedent to release or waive liability for [his or] her death
    does not necessarily bar a subsequent wrongful death cause of action.” (Eriksson v.
    Nunnink (2015) 
    233 Cal.App.4th 708
    , 725.) Rather, a distinction is made in these
    circumstances “between the legal ineffectiveness of a decedent’s preinjury release of his
    [or her] heirs’[] subsequent wrongful death action and the legal effectiveness of an
    express release of negligence by a decedent which provides a defendant with ‘a complete
    defense.’ ” (Madison, supra, 203 Cal.App.3d at p. 597.) In other words, although a
    decedent cannot release or waive a subsequent wrongful death claim by the decedent’s
    heirs, that decedent’s “express agreement to waive the defendant’s negligence and
    assume all risks” acts as a complete defense to such a wrongful death action. (Saenz v.
    Whitewater Voyages, Inc. (1990) 
    226 Cal.App.3d 758
    , 763-764 (Saenz); see also Ruiz,
    
    supra,
     50 Cal.4th at pp. 851-852 [“although an individual involved in a dangerous
    activity cannot by signing a release extinguish his [or her] heirs’ wrongful death claim,
    the heirs will be bound by the decedent’s agreement to waive a defendant’s negligence
    and assume all risk”].) Under such circumstances, the releasor is essentially agreeing not
    to expect the other party to act carefully, thus eliminating that person’s duty of care.
    (Coates v. Newhall Land & Farming, Inc. (1987) 
    191 Cal.App.3d 1
    , 7 (Coates).)
    As an example, in Coates, supra, 
    191 Cal.App.3d 1
    , the decedent, a dirtbike rider,
    signed a release before using the defendant’s motorcycle park. (Id. at pp. 3-4.) After the
    decedent was fatally injured, his heirs sued, arguing that the defendant had been negligent
    in the design and maintenance of the trail on which the decedent was hurt. (Ibid.) The
    appellate court agreed with the trial court that the decedent’s release barred the
    subsequent wrongful death action. Specifically, the court noted that, in the first half of
    the release, the decedent “expressly waived liability for injuries or death which might
    result from respondents’ ordinary negligence in the future. In the second half, he
    expressly assumed all risk of injury from dangers inherent in dirtbike riding on
    respondents’ premises.” (Id. at p. 7; see also 
    id.
     at p. 4 & fn. 2.) The court concluded
    that this express assumption of the risk also bound the decedent’s heirs. (Id. at p. 8.) The
    court additionally opined that whether or not the decedent had “sufficient knowledge of
    11
    the particular risk which resulted in his death” was irrelevant under the circumstances of
    the case because “knowledge of a particular risk is unnecessary when there is an express
    agreement to assume all risk.” (Id. at pp. 8-9.)
    Our own decision in Saenz, supra, 
    226 Cal.App.3d 758
    , is in accord. There, the
    decedent fell out of a raft on a whitewater rafting trip hosted by Whitewater, a
    commercial rafting company, and drowned. (Id. at pp. 759, 762.) Prior to this fatal
    incident, the decedent had signed a release, stating: “ ‘I am aware that certain risks and
    dangers may occur on any river trip with Whitewater . . . . These risks include, but are not
    limited to, hazards of and injury to person and property while traveling in rafts on the
    river, accident or illness in remote places without medical facilities, the forces of nature
    . . . . [¶] . . . I hereby assume all of the above risks and, except in the case of gross
    negligence, will hold Whitewater . . . harmless from any and all liability, actions, causes
    of action, debts, claims, and demands of every kind and nature whatsoever which I now
    have or which may arise out of or in connection with my trip or participation in any
    activities with Whitewater . . . .’ The agreement further stated it operated as a release and
    assumption of risk for his heirs.” (Id. at p. 763, fn. 7, italics added.) Noting that
    “drafting a legally valid release is no easy task,” we opined that “ ‘[t]o be effective, a
    release need not achieve perfection . . . . It suffices that a release be clear, unambiguous,
    and explicit, and that it express an agreement not to hold the released party liable for
    negligence.’ ” (Id. at p. 765.) Given that the plain language of the Saenz release
    indicated that the decedent consented to assume the risks associated with whitewater
    rafting and release Whitewater from any and all liability arising out of the trip, the fact
    that the exculpatory sentence did not explicitly state that it covered Whitewater’s
    negligence and did not specifically mention death or drowning was insufficient to
    invalidate the otherwise clear release. (Id. at pp. 765-766; see also Cohen, supra, 159
    Cal.App.4th at p. 1485 [“ ‘If a release of all liability is given, the release applies to any
    negligence of the defendant.’ ” (Italics added.)].)
    Indeed, generally speaking, “ ‘[w]hether a release bars recovery against a
    negligent party “turns primarily on contractual interpretation, and it is the intent of the
    12
    parties as expressed in the agreement that should control.” ’ ” (Sanchez v. Bally’s Total
    Fitness Corp. (1998) 
    68 Cal.App.4th 62
    , 66-67.) Moreover, in this regard, “ ‘[o]ur
    analysis is not based on the mechanical application of some formula. The presence or
    absence of the words “negligence” or “bodily injury” is not dispositive. We look instead
    to the intention of the parties as it appears in the release forms before the court.’ ” (Id. at
    p. 67; see also Cohen, supra, 159 Cal.App.4th at p. 1488 [noting that release should be
    understood as speaking to an ordinary person untrained in the law].) By signing the
    Release in the instant case, we conclude that Hass intended both to assume all risks
    associated with his participation in the race, up to and including the risk of death, and to
    release RhodyCo (on behalf of himself and his heirs) from any and all liability with
    respect to any injuries he might suffer as a result of his participation. This was sufficient
    to block the Hass Family’s wrongful death claim for ordinary negligence.
    The Hass Family, however, argues that the Release executed by Hass in this case
    is ineffective as a defense to their wrongful death claim because the express assumption
    of the risk language is limited solely to risks “inherent” in race participation—I “accept
    the inherent dangers and risks . . . that arise from participation in the event”—which does
    not include any potentially negligent conduct by RhodyCo that may have increased those
    inherent risks. They further contend that the release language contained in the next
    sentence of the Release is similarly ineffectual in the wrongful death context because it is
    limited to “any and all claims for damages I [i.e., Hass] may accrue,” thus excluding
    claims accrued by his heirs. We are not persuaded.
    “With respect to the question of express waiver, the legal issue is not whether the
    particular risk of injury appellant suffered is inherent in the recreational activity to which
    the Release applies [citations], but simply the scope of the Release.” (Cohen, supra, 159
    Cal.App.4th at p. 1484.) Here, reading the Release as a whole—as would an ordinary
    person untrained in the law—we are convinced it expresses Hass’s intent to assume all
    risks arising from his participation in the Half Marathon, including any risks related to
    RhodyCo’s negligence. In particular, and as we remarked in Saenz (also a wrongful
    death action), we believe that the juxtaposition of the assumption of risk language and the
    13
    blanket release language conveys the message that Hass assumed all risks related to
    participation in the Half Marathon while excusing RhodyCo from any liability arising
    from the race. (See Paralift, supra, 23 Cal.App.4th at pp. 756-757 [considering broad
    release language as well as assumption language in upholding release in wrongful death
    action]; Saenz, supra, 226 Cal.App.3d at p. 765 [same]; Coates, supra, 191 Cal.App.3d at
    p. 7, 9 & fn. 2 [release valid where decedent waived all liability for injury or death and
    assumed risk of injury from dangers inherent in riding dirt bike on premises]; see also
    National & Internat. Brotherhood of Street Racers, Inc. v. Superior Court (1989) 
    215 Cal.App.3d 934
    , 937-938, 940 (Street Racers) [in case claiming lack of competent
    medical attention/rescue equipment, release is valid even though it included an
    assumption of “ ‘all risk inherent in racing’ ” because it also released “in unqualified
    terms . . . all claims arising from plaintiff’s participation in the race”].) 4
    We similarly reject the Hass Family’s assertion that the assumption of risk
    language used in the Release—I “accept the inherent dangers and risks . . . that arise from
    participation in the event”—is ambiguous as “accept” in this context could reasonably
    mean “understand” as well as “assume.” (See Cohen, supra, 159 Cal.App.4th at p. 1485
    [an ambiguity in a release exists when a party can identify an alternative, semantically
    reasonable, candidate of meaning; an ambiguity “ ‘should normally be construed against
    the drafter’ ” of the release].) The complete sentence at issue reads: “By agreeing
    electronically, I have acknowledged that I have both read and understand any waiver and
    release agreement(s) presented to me as part of the registration process and accept the
    inherent dangers and risks which may or may not be readily foreseeable, including
    4
    Cohen, 
    159 Cal.App.4th 1476
    , relied upon by the Hass Family, is not to the contrary. In
    that case, the injured plaintiff agreed “ ‘to assume responsibility for the risks identified
    herein and those risks not specifically identified.” (Id. at p. 1486.) All of the identified
    risks involved the unpredictability of horses. (Id. at pp. 1485-1486.) The court found the
    language in the release ambiguous as to whether the “ ‘risks not specifically identified’ ”
    involved all possible risks (including negligent conduct on the part of the trail guide) or
    only non-specified risks involving the horses. (Ibid.) In doing so, the appellate court
    expressly distinguished those cases, like this one, involving broad releases covering any
    and all injuries arising out of the recreational activity at issue. (Id. at pp. 1489-1490.)
    14
    without limitation personal injury, property damage or death that arise from participation
    in the event.” (Italics added.) Since the signator, in the first part of the sentence, has
    already acknowledged understanding the contents of the waiver—which includes the
    statement that there are risks inherent in participating—it seems unlikely that he or she
    would be asked to acknowledge such an understanding a second time in the latter part of
    the sentence. Rather, the much more reasonable interpretation of this second clause is
    that the signator is agreeing to shoulder—i.e., take on or otherwise assume—the dangers
    and risks inherent in the activity.
    Finally, in construing the instant Release, we are cognizant of the fact that “[i]n
    cases arising from hazardous recreational pursuits, to permit released claims to be
    brought to trial defeats the purpose for which releases are requested and given, regardless
    of which party ultimately wins the verdict. Defense costs are devastating. Unless courts
    are willing to dismiss such actions without trial, many popular and lawful recreational
    activities are destined for extinction.” (Street Racers, supra, 215 Cal.App.3d at p. 938.)
    While certainly imperfect, we believe that the instant Release was intended to be, and
    was accepted as, a comprehensive assumption of all risks associated with race
    participation. We therefore agree with the trial court that the Release constitutes a
    complete defense to a wrongful death action based on ordinary negligence.
    2. Public Policy
    The Hass Family, however, argues that, even if the Release might otherwise be
    deemed a valid bar to their negligence claim, it is void as against public policy to the
    extent it purports to apply to the provision of emergency medical services, as such
    services implicate the public interest. Civil Code section 1668 provides that “[a]ll
    contracts which have for their object, directly or indirectly, to exempt any one from
    responsibility for his own fraud, or willful injury to the person or property of another, or
    violation of law, whether willful or negligent, are against the policy of the law.” A
    contractual provision exculpating a party from liability is invalid under this statute if it
    “affects the public interest.” (Tunkl v. Regents of University of California (1963) 
    60 Cal.2d 92
    , 96, 98 (Tunkl).)
    15
    In Tunkl, supra, 
    60 Cal.2d 92
    , our high court identified six characteristics typical
    of contracts affecting the public interest: “ ‘[1] It concerns a business of a type generally
    thought suitable for public regulation. [2] The party seeking exculpation is engaged in
    performing a service of great importance to the public, which is often a matter of
    practical necessity for some members of the public. [3] The party holds himself out as
    willing to perform this service for any member of the public who seeks it, or at least any
    member coming within certain established standards. [4] As a result of the essential
    nature of the service, in the economic setting of the transaction, the party invoking
    exculpation possesses a decisive advantage of bargaining strength against any member of
    the public who seeks his services. [5] In exercising a superior bargaining power the party
    confronts the public with a standardized adhesion contract of exculpation, and makes no
    provision whereby a purchaser may pay additional reasonable fees and obtain protection
    against negligence. [6] Finally, as a result of the transaction, the person or property of
    the purchaser is placed under the control of the seller, subject to the risk of carelessness
    by the seller or his agents.’ ” (Id. at pp. 98-101, fns. omitted.) Not all of these factors
    need to be present for an exculpatory contract to be voided as affecting the public
    interest. (Id. at p. 98.) However, in Tunkl, the Supreme Court found all six factors were
    implicated and, on that basis, concluded that a release from liability for future negligence
    imposed as a condition for admission to a charitable research hospital affected the public
    interest and was thus invalid. (Id. at pp. 94, 101-102.) In making this determination, our
    high court found “hardly open to question” the fact that “the services of the hospital to
    those members of the public who are in special need of the particular skill of its staff and
    facilities constitute a practical and crucial necessity.” (Id. at p. 101.)
    In contrast, California courts have consistently declined to apply the Tunkl factors
    to invalidate exculpatory agreements in the recreational sports context. (See Street
    Racers, supra, 
    215 Cal.App.3d 934
     [upholding release in case claiming lack of competent
    medical attention/rescue equipment]; see also Platzer v. Mammoth Mountain Ski Area
    (2002) 
    104 Cal.App.4th 1253
    , 1259 [fall from chairlift during ski lesson]; Randas v.
    YMCA of Metropolitan Los Angeles (1993) 
    17 Cal.App.4th 158
    , 161-162 [swim class];
    16
    Paralift, supra, 23 Cal.App.4th at p. 756 [skydiving]; Saenz, supra, 226 Cal.App.3d at
    p. 764 [commercial river rafting]; Madison, supra, 203 Cal.App.3d at pp. 593, 597-599
    [scuba diving]; Okura v. United States Cycling Federation (1986) 
    186 Cal.App.3d 1462
    ,
    1464, 1466-1468 [bicycle race].) Although they acknowledge the current state of
    California law, the Hass Family invites us to revisit the issue based on an analysis of the
    Tunkl factors by the Washington Supreme Court in Vodopest v. MacGregor (Wash. Sup.
    Ct. 1996) 
    128 Wn.2d 840
     (Vodopest). In that case, the plaintiff agreed to join a mountain
    trek that was designed as a research trip to test the efficacy of a breathing technique used
    to eliminate high altitude sickness. (Id. at pp. 843-844.) Portions of the research
    proposal were submitted to the University of Washington Human Subjects Review
    Committee (University) for approval. (Id. at p. 845.) Prior to the trek, the plaintiff
    executed a broad release in researcher MacGregor’s favor. (Ibid.) A similar release
    which included the University was rejected by the University as invalid because “releases
    from liability for negligence are not allowed as a part of any approved study, as the
    federal government does not allow exculpatory language in human subject
    experimentation.” (Id. at p. 846.) Ultimately, the plaintiff suffered a cerebral edema
    from altitude sickness on the trek and sued MacGregor for negligence and gross
    negligence. (Id. at p. 847.)
    The sole issue on appeal in Vodopest was whether the release signed by the
    plaintiff violated public policy and was thus unenforceable. (Vodopest, supra, 128
    Wn.2d at p. 848.) The court noted that medical research was a significant component of
    the trek and that the “critical question” in the case was “whether the alleged conduct
    giving rise to the cause of action for negligence occurred in the context of the mountain
    trekking or within the scope of the research project.” (Id. at pp. 850, 852-853.) It
    concluded—after consideration of the six Tunkl factors—that to the extent McGregor
    attempted to use the release “to release herself as a researcher from negligent acts
    performed in the furtherance of medical research,” it was unenforceable as violative of
    public policy. (Id. at pp. 853-862.) In particular, the court opined that “there are critical
    17
    public policy reasons to maintain the usual standard of care in settings where one person
    is using another as a medical research subject.” (Id. at p. 856.)
    Vodopest is obviously distinguishable on its facts and we reject the Hass Family’s
    invitation to depart from long existing California precedent based on this Washington
    decision. Many recreational activities may require the ancillary provision of first aid or
    emergency medical services by event organizers, but that fact alone does not change such
    pursuits into anything other than the voluntary leisure pastimes that they are. In
    particular, with reference to the Tunkl factors, we note that half marathons are not an
    activity of great importance to the general public and are certainly not a matter of
    necessity. No racer is required to enter a particular event or to run it in any particular
    way. (Cf. Okura, supra, 186 Cal.App.3d at p. 1468 [bicycle race participant retains
    complete control and can drop out of the race or adjust his pace at any time; organizers
    have no control over how the participant approaches the race].) The Tunkl court, itself,
    made clear that such private, voluntary exculpatory contracts are permissible: “While
    obviously no public policy opposes private, voluntary transactions in which one party, for
    a consideration, agrees to shoulder a risk which the law would otherwise have placed
    upon the other party, the above circumstances [admission to research hospital] pose a
    different situation. In this situation the releasing party does not really acquiesce
    voluntarily in the contractual shifting of the risk, nor can we be reasonably certain that he
    receives an adequate consideration for the transfer.” (Tunkl, supra, 60 Cal.2d at p. 101.)
    Here, Hass was permitted to make the voluntary decision, in return for being allowed to
    participate in the race, to shoulder the risk of RhodyCo’s potential negligence. “ ‘ “ ‘The
    power of the courts to declare a contract void for being in contravention of sound public
    policy is a very delicate and undefined power, and . . . should be exercised only in cases
    free from doubt.’ ” ’ ” (City of Santa Barbara v. Superior Court (2007) 
    41 Cal.4th 747
    ,
    777, fn. 53 (Santa Barbara).) We decline to exercise it here.
    3. Gross Negligence
    The final issue with respect to the impact of the Release in this matter is whether
    the Hass Family has raised a triable issue of material fact as to whether RhodyCo acted
    18
    with gross negligence in its management of the Half Marathon. Even if the Release was
    sufficient to block a claim for ordinary negligence—as we have held—it is insufficient,
    as a matter of public policy, to preclude liability for gross negligence. (Santa Barbara,
    
    supra,
     41 Cal.4th at p. 751 [“an agreement made in the context of sports or recreational
    programs or services, purporting to release liability for future gross negligence, generally
    is unenforceable as a matter of public policy”].) For purposes of this distinction, ordinary
    negligence “consists of a failure to exercise the degree of care in a given situation that a
    reasonable person under similar circumstances would employ to protect others from
    harm.” (Id. at pp. 753-754.) “ ‘[M]ere nonfeasance, such as the failure to discover a
    dangerous condition or to perform a duty,’ ” amounts to ordinary negligence. (Fritelli,
    Inc. v. 350 North Canon Drive, LP (2011) 
    202 Cal.App.4th 35
    , 48.) In contrast,
    “ ‘[g]ross negligence’ long has been defined in California and other jurisdictions as either
    a “want of even scant care” or “an extreme departure from the ordinary standard of
    conduct.” ’ ” (Santa Barbara, 
    supra,
     41 Cal.4th at p. 754.) “ ‘ “[G]ross negligence” falls
    short of a reckless disregard of consequences and differs from ordinary negligence only
    in degree, and not in kind.’ ” (Gore v. Board of Medical Quality Assurance (1980) 
    110 Cal.App.3d 184
    , 197 (Gore); see also Anderson v. Fitness Internat., LLC (2017) 
    4 Cal.App.5th 867
    , 881.) In assessing where on the spectrum a particular negligent act
    falls, “ ‘[t]he amount of care demanded by the standard of reasonable conduct must be in
    proportion to the apparent risk. As the danger becomes greater, the actor is required to
    exercise caution commensurate with it.’ ” (Gore, supra, 110 Cal.App.3d at p. 198.)
    In the present case, we agree with both parties that the trial court erred by refusing
    to consider the Hass Family’s claim of gross negligence because they had not pled gross
    negligence in their Complaint. Several appellate courts have opined that California does
    not recognize a separate cause of action for gross negligence. (Saenz, supra, 226
    Cal.App.3d at p. 766, fn. 9; Ordway v. Superior Court (1988) 
    198 Cal.App.3d 98
    , 108,
    fn. 5, disapproved on other grounds in Knight v. Jewett (1992) 
    3 Cal.4th 296
    , 306-309
    (Knight).) In Santa Barbara, the Supreme Court did not definitively resolve this issue,
    commenting only that it did not view its holding invalidating releases for future gross
    19
    negligence “as recognizing a cause of action for gross negligence.” (Santa Barbara,
    
    supra,
     41 Cal.4th at pp. 779-780.) Instead, as is more relevant here, the high court went
    on to declare: “Our holding simply imposes a limitation on the defense that is provided
    by a release. A plaintiff is not required to anticipate such a defense [citation]; instead, the
    defendant bears the burden of raising the defense and establishing the validity of a release
    as applied to the case at hand.” (Id. at 780, fn. 58.) Thus, regardless of whether gross
    negligence can be a separate cause of action, and/or the Hass Family could have alleged
    gross negligence in the Complaint in anticipation of RhodyCo’s likely defense, they were
    not required to do so. The consequences of this pleading decision in the context of a
    summary judgment motion were summarized in Westlye v. Look Sports, Inc. (1993) 
    17 Cal.App.4th 1715
    —which involved alleged negligence by a ski rental company in the
    adjustment of ski bindings—as follows: “Had plaintiff anticipated the defense of the
    release agreement in his complaint and alleged facts suggesting [its invalidity], the matter
    would have been a material issue which defendants would have had to refute in order to
    obtain summary adjudication.” (Id. at pp. 1723-1724, 1739-1740; see also id. at p. 1740
    [“ ‘If . . . the plaintiff pleads several theories or anticipates affirmative defenses by a
    show of excusing events or conditions, the challenge to the opponent is made by the
    complaint, requiring the moving defendant to affirmatively react to each
    theory and excusing or justifying event, or condition which supports a theory, if the
    motion is to be successful’ ”].) In contrast, “[s]ince plaintiff’s complaint said nothing
    about the agreement, the matter of [its validity] was not a material issue for purposes of
    defendants’ initial showing on its motion for summary adjudication. [The defendant] met
    its initial burden by adducing evidence of the . . . agreement and plaintiff’s execution.
    The burden thereafter shifted to plaintiff to raise a triable issue of material fact.” (Id. at p.
    1740.)
    Similarly, here, although the Hass Family set forth certain facts in the Complaint
    which could be viewed as supporting a claim of gross negligence, it cannot be said that
    the Complaint—which does not even mention the Release—anticipated the Release
    defense or raised gross negligence as a material issue which RhodyCo was required to
    20
    refute in order to succeed on summary judgment. Instead, RhodyCo met its initial burden
    by producing evidence of the existence of the Release and its execution by Hass. The
    burden then shifted to the Hass Family to raise a triable issue of material fact as to gross
    negligence.
    Viewing the evidence in the light most favorable to the Hass Family, we believe
    they have met their burden in this case, making summary judgment inappropriate. 5 It is
    true that summary judgment on the issue of gross negligence may be warranted where the
    facts fail to establish an extreme departure from the ordinary standard of care as a matter
    of law. However, “[g]enerally it is a triable issue of fact whether there has been such a
    lack of care as to constitute gross negligence.” (Decker v. City of Imperial Beach (1989)
    
    209 Cal.App.3d 349
    , 358.) In this case, there are clearly factual and credibility questions
    that need to be answered regarding exactly what was required under the terms of the
    EMS Plan. For example, there is conflicting evidence as to whether the “finish line”
    included the crowded post-race expo area for purposes of compliance with the EMS Plan,
    and it must also be established exactly what medical personnel and equipment were
    required to be stationed at the finish line. We will not here catalogue every conceivable
    argument that the Hass Family could present in an attempt to prove grossly negligent
    conduct by RhodyCo in this context. We conclude only that, viewing the evidence in the
    light most favorable to them, it is possible that the Hass Family could establish that,
    despite the potential for grave risk of harm in the sport of long-distance running,
    RhodyCo failed to implement the EMS Plan in several material ways and that its
    management of the Half Marathon—in particular with respect to the allocation of medical
    resources to the finish line and communication among race personnel—constituted an
    5
    Both parties agree that the issue of gross negligence was adequately briefed before the
    trial court and urge us to reach the merits here. We are in accord and thus have
    independently reviewed the matter to determine whether a triable issue has been
    adequately presented. (See Automobile Antitrust Cases, supra, 1 Cal.App.5th at pp. 150-
    151 [“ ‘[t]he sole question properly before us on review of the summary judgment [order]
    is whether the judge reached the right result . . . whatever path he [or she] might have
    taken to get there’ ”].)
    21
    extreme departure from the standard of care for events of its type. This is sufficient to
    raise a triable issue of fact with respect to gross negligence. 6
    In sum, we have concluded that the Release is not void on public policy grounds
    and that it is adequate to bar the Hass Family’s action for ordinary negligence. However,
    since we have additionally determined that a triable issue of material fact exists as to
    whether RhodyCo’s provision of emergency medical services was grossly negligent, the
    trial court’s new trial order reversing its initial grant of summary judgment was
    appropriate, unless the Hass Family’s negligence action is completely barred by the
    doctrine of primary assumption of the risk. We therefore turn finally to that question.
    C.     Primary Assumption of the Risk
    In Knight, 
    supra,
     
    3 Cal.4th 296
    , the Supreme Court considered the continued
    applicability of the assumption of the risk doctrine in light of the court’s prior adoption of
    comparative fault principles. (Id. at pp. 299-300.) Specifically, our high court
    distinguished between two different types of assumption of the risk: primary assumption
    of the risk—“those instances in which the assumption of risk doctrine embodies a legal
    conclusion that there is ‘no duty’ on the part of the defendant to protect the plaintiff from
    a particular risk”—and secondary assumption of risk—“those instances in which the
    defendant does owe a duty of care to the plaintiff but the plaintiff knowingly encounters a
    risk of injury caused by the defendant’s breach of that duty.” (Id. at p. 308.) When
    6
    We note in this regard that RhodyCo’s track record prior to Hass’s death, while
    exemplary, may be attributable to luck rather than expertise. Further, whether the 11-
    minute delay in applying the AED in this case was grossly negligent is a complex inquiry
    that cannot be established merely by reference to other cases in which various time delays
    were found not to raise a triable issue as to gross negligence. (See, e.g., Grebing v. 24
    Hour Fitness USA, Inc. (2015) 
    234 Cal.App.4th 631
    , 639; City of Santa Cruz v. Superior
    Court (1988) 
    198 Cal.App.3d 999
    , 1002, 1007.) Finally, the fortuitous presence of Dr.
    Whitehill on the scene of Hass’s collapse does not necessarily make any potential
    RhodyCo negligence immaterial. As the Hass Family convincingly states: “[P]laintiffs
    have never faulted RhodyCo for failing to provide a medical doctor to personally deliver
    CPR. They fault RhodyCo for failing to hire a medical doctor to act as the medical
    director to oversee the provision of emergency medical services—to ensure that the right
    medical personnel and equipment are provided and correctly deployed.” Dr. Whitehill
    patently did not fulfill this role.
    22
    applicable, primary assumption of the risk “operate[s] as a complete bar to the plaintiff’s
    recovery.” (Id. at p. 315.) In contrast, secondary assumption of the risk “is merged into
    the comparative fault scheme, and the trier of fact, in apportioning the loss resulting from
    the injury, may consider the relative responsibility of the parties.” (Ibid.; id. at p. 314 [“a
    jury in a ‘secondary assumption of risk’ case would be entitled to take into consideration
    a plaintiff’s voluntary action in choosing to engage in an unusually risky sport . . . in
    determining whether or not the plaintiff should properly bear some share of responsibility
    for the injuries he or she suffered”]; see also Kahn, 
    supra,
     31 Cal.4th at p. 1003 [in a
    secondary assumption of the risk case, “the plaintiff’s knowing and voluntary acceptance
    of the risk functions as a form of contributory negligence”].)
    The Supreme Court further concluded in Knight that “the question whether the
    defendant owed a legal duty to protect the plaintiff from a particular risk of harm . . .
    [turns] on the nature of the activity or sport in which the defendant is engaged and the
    relationship of the defendant and the plaintiff to that activity or sport.” (Knight, supra, 3
    Cal.4th at p. 309.) Although Knight dealt with the duty owed by a coparticipant in
    recreational activity (an informal touch football game on Super Bowl Sunday), it also
    discussed the potential liability here at issue, that of operators and organizers of
    recreational events. (Id. at pp. 300-301, 315-317.) For instance, the Knight court opined:
    “In the sports setting . . . conditions or conduct that otherwise might be viewed as
    dangerous often are an integral part of the sport itself. Thus, although moguls on a ski
    run pose a risk of harm to skiers that might not exist were these configurations removed,
    the challenge and risks posed by the moguls are part of the sport of skiing, and a ski
    resort has no duty to eliminate them. [Citation.] . . . [¶] Although defendants generally
    have no legal duty to eliminate (or protect a plaintiff against) risks inherent in the sport
    itself, it is well established that defendants generally do have a duty to use due care not to
    increase the risks to a participant over and above those inherent in the sport. Thus,
    although a ski resort has no duty to remove moguls from a ski run, it clearly does have a
    duty to use due care to maintain its towropes in a safe, working condition so as not to
    expose skiers to an increased risk of harm. The cases establish that the latter type of risk,
    23
    posed by a ski resort’s negligence, clearly is not a risk (inherent in the sport) that is
    assumed by a participant.” (Id. at pp. 315-316, italics added.) The high court also cited
    with approval a case involving an injury from a thrown baseball bat in which the jury
    returned a verdict in favor of the baseball player (since throwing bats is inherent in the
    game), but implicitly recognized “the duty of the stadium owner to provide a reasonably
    safe stadium with regard to the relatively common (but particularly dangerous) hazard of
    a thrown bat.” (Id. at p. 317.) Finally, Knight acknowledged a line of cases in which the
    duty of an operator is defined “by reference to the steps the sponsoring business entity
    reasonably should be obligated to take in order to minimize the risks without altering the
    nature of the sport.” (Id. at p. 317.)
    Twenty years later, in Nalwa v. Cedar Fair, L.P. (2012) 
    55 Cal.4th 1148
     (Nalwa),
    the Supreme Court revisited the scope of the primary assumption of the risk doctrine in
    the specific context of the duty owed by an operator/organizer. The Nalwa court
    summarized the doctrine as follows: “ ‘Although persons generally owe a duty of due
    care not to cause an unreasonable risk of harm to others (Civ. Code, § 1714, subd. (a)),
    some activities—and, specifically, many sports—are inherently dangerous. Imposing a
    duty to mitigate those inherent dangers could alter the nature of the activity or inhibit
    vigorous participation.’ [Citation.] The primary assumption of risk doctrine, a rule of
    limited duty, developed to avoid such a chilling effect. [Citations.] Where the doctrine
    applies to a recreational activity, operators, instructors and participants in the activity owe
    other participants only the duty not to act so as to increase the risk of injury over that
    inherent in the activity.” (Id. at p. 1154.) Applying this analytical framework to the case
    at hand, the high court concluded that the operator of a bumper car ride at an amusement
    park had no duty to protect the plaintiff from the collision which fractured her wrist. (Id.
    at pp. 1152, 1157-1158, 1162-1163.) Rather, “[l]ow-speed collisions between the
    padded, independently operated cars are inherent in—are the whole point of—a bumper
    car ride.” (Id. at p. 1157.) Thus, “ ‘[i]mposing liability would have the likely effect of
    the amusement park either eliminating the ride altogether or altering its character to such
    a degree—by, for example, significantly decreasing the speed at which the minicars could
    24
    operate—that the fun of bumping would be eliminated, thereby discouraging patrons
    from riding.’ ” (Id. at pp. 1157-1158.)
    Here, RhodyCo asserts that the primary assumption of the risk doctrine serves as a
    complete bar to the Hass Family’s negligence claim, and thus the trial court erred in
    concluding otherwise. Specifically, RhodyCo argues that the risk of cardiac arrest is
    inherent to the sport of long-distance running and that, since it did nothing to increase
    Hass’s risk of suffering cardiac arrest in the way it conducted the Half Marathon, it owed
    no further duty to the Hass Family. In particular, according to RhodyCo—under the test
    articulated in Nalwa—it had no duty minimize Hass’ risk of death from cardiac arrest.
    Or, put another way, it had no duty to reduce the natural consequences of Hass’s cardiac
    arrest or increase his chances of recovery.
    In taking this position, RhodyCo acknowledges that the appellate court in Saffro v.
    Elite Racing, Inc. (2002) 
    98 Cal.App.4th 173
     (Saffro) held that a race producer has a duty
    to conduct a “reasonably safe event,” which “requires it to take reasonable steps to
    ‘minimize the risks without altering the nature of the sport.’ ” (Id. at p. 175.) In Saffro, a
    marathon runner suffered a grand mal seizure after a race and was diagnosed with severe
    hyponatremia, likely caused by his inability to consume adequate amounts of water and
    fluids containing electrolytes (such as Gatorade) during the race. (Id. at p. 176.)
    Although the race organizer sent written materials to participants prior to the event
    indicating that such liquids would be provided in sufficient quantities, the evidence
    suggested that they were not. (Id. at pp. 176-177.) The trial court granted summary
    judgment in favor of the race organizer, concluding that hyponatremia is an inherent risk
    of running a marathon. (Id. at pp. 177-178.) The appellate court reversed, stating that a
    race organizer’s duty to conduct a reasonably safe event includes “the obligation to
    minimize the risks of dehydration and hyponatremia by providing adequate water and
    electrolyte fluids,” especially where the race organizer had made representations to the
    participants that such fluids would be available. (Id. at p. 179.) Since Saffro had
    presented sufficient evidence to create a triable issue of fact as to whether the race
    organizer had breached this duty, summary judgment was improper. (Id. at pp. 179-181;
    25
    see also Rosencrans, supra, 
    192 Cal.App.4th 1072
    , 1079, 1082-1083 [although collisions
    with coparticipants are an inherent risk of motocross, operator of a motocross track has a
    duty to minimize this risk without altering the nature of the sport by providing a warning
    system, such as caution flaggers; triable issue of fact existed as to whether failure to
    provide a caution flagger constituted gross negligence].) RhodyCo claims that Saffro is
    inapplicable both because it is a secondary assumption of the risk case and because the
    “duty to minimize risk” language from Knight that Saffro and other cases have “latched
    onto” is dicta which has been abrogated by the Supreme Court’s subsequent decision in
    Nalwa.
    We disagree with RhodyCo that the Nalwa court’s formulation of the primary
    assumption of the risk doctrine somehow supplanted the high court’s earlier discussion of
    the matter in Knight, particularly with respect to the Supreme Court’s statements
    regarding an organizer/operator’s duty “to minimize the risks without altering the nature
    of the sport.” (See Knight, 
    supra,
     3 Cal.4th at p. 317.) Rather, Nalwa—far from
    disagreeing with Knight— referenced it as the “seminal decision explicating and applying
    primary assumption of risk in the recreational context.” (Nalwa, supra, 55 Cal.4th at p.
    1155.) Moreover, Nalwa’s formulation of the limited duty existing in a primary
    assumption of the risk case— “the duty not to act so as to increase the risk of injury over
    that inherent in the activity”—comes directly from Knight. (Nalwa, supra, 55 Cal.4th at
    pp. 1154-1155, 1162-1163.) Finally, and most importantly for our purposes, Nalwa did
    not reject cases such as Saffro and Rosencrans which concluded, based on language
    found in Knight, that operators/organizers have a duty to minimize risks without altering
    the nature of the sport. (Nalwa, supra, 55 Cal.4th at p. 1163 & fn. 7.) Instead, it
    characterized them as “decisions addressing the duty to reduce extrinsic risks of an
    activity” and found them distinguishable in that particular case because it concluded that
    the risk of injury from bumping—at any angle—was not an extrinsic risk, but was instead
    a risk inherent to riding bumper cars. (Id. at pp. 1157-1158, 1163.)
    Indeed, Nalwa expressly states that “[t]he operator of a bumper car ride might
    violate its ‘duty to use due care not to increase the risks to a participant over and above
    26
    those inherent’ in the activity (Knight, 
    supra,
     3 Cal.4th at p. 316) by failing to provide
    routine safety measures such as seat belts, functioning bumpers and appropriate speed
    control.” (Nalwa, supra, 55 Cal.4th at p. 1163.) Thus, Nalwa actually reaffirms Knight’s
    conclusions regarding the duties owed to participants by operators/organizers of
    recreational activities. In short, such operators and organizers have two distinct duties:
    the limited duty not to increase the inherent risks of an activity under the primary
    assumption of the risk doctrine and the ordinary duty of due care with respect to the
    extrinsic risks of the activity, which should reasonably be minimized to the extent
    possible without altering the nature of the activity. Nalwa explains the interplay between
    these two types of duties by confirming that an operator or organizer’s negligence with
    respect to extrinsic risks “might violate its ‘duty to use due care not to increase the risks
    to a participant over and above those inherent’ in the activity.” (Nalwa, supra, 55 Cal.4th
    at p. 1163.)
    In the present case, both parties acknowledge that cardiac arrest is an inherent risk
    of the sport of long-distance running. Further, it is not suggested on these facts that
    RhodyCo did anything that increased the risk that Hass would have a heart attack. 7
    Moreover, requiring runners to slow down or take breaks in order to decrease this
    inherent risk would alter the character of racing to such a degree that it would likely
    discourage runners from participating. However, as both Knight and Nalwa teach us, this
    is not the end of the inquiry. While the operator or organizer of a recreational activity has
    no duty to decrease risks inherent to the sport, it does have a duty to reasonably minimize
    extrinsic risks so as not to unreasonably expose participants to an increased risk of harm.
    (Nalwa, supra, 55 Cal.4th at p. 1163 [while risk of injury from bumping bumper cars is
    generally low, an operator could violate its duty not to increase this inherent risk by
    7
    In this regard, we do not find persuasive the Hass Family’s related argument that,
    merely by putting on a large race event on public lands, RhodyCo increased the risk of
    harm inherent in long-distance running because the crowds and street closures disrupted
    the local 911 system. This risk appears typical of events of this type and would be
    understood as a risk inherent in participation. Indeed, the Hass Family’s own expert
    opined that the applicable standard of care already takes such factors into account.
    27
    failing to provide routine safety measures]; Knight, 
    supra,
     3 Cal.4th at pp. 315-316
    [negligent maintenance of towropes by ski resort could violate duty not to expose skiers
    to increased risk of harm]; Grotheer v. Escape Adventures, Inc. (2017) 
    14 Cal.App.5th 1283
    , 1297-1302 [crash landings caused by failure to safely pilot a hot air balloon are an
    inherent risk of hot air ballooning, but an operator has a duty not to increase that risk by
    failing to instruct participants on safe landing procedures, a customary practice in the
    ballooning industry]; Jimenez v. Roseville City School Dist. (2016) 
    247 Cal.App.4th 594
    ,
    610-611 [although contact with the floor is an inherent risk in dancing, school may have
    increased student’s risk of harm through failure to properly disseminate its no-flip
    policy]; Rosencrans, supra, 192 Cal.App.4th at pp. 1083-1086 [negligent failure to
    provide collision warning system in motocross]; Saffro, supra, 98 Cal.App.4th at pp. 175,
    179-181 [duty not to increase risk of dehydration and hyponatremia by unreasonably
    failing to provide adequate fluids]; Solis v. Kirkwood Resort Co. (2001) 
    94 Cal.App.4th 354
    , 364-367 [although falling is an inherent risk of skiing, failure to mark off race area
    containing jumps which an ordinary skier would not expect to encounter may breach duty
    not to increase inherent risk]; Morgan v. Fuji Country USA, Inc. (1995) 
    34 Cal.App.4th 127
    , [although being hit by a golf ball is an inherent risk of golfing, golf course owner
    had a duty to design course to minimize the risk of being hit where possible without
    altering the nature of golf].) As the Fourth District recently opined in Grotheer, “[w]hat
    the primary assumption of risk doctrine does not do . . . is absolve operators of any
    obligation to protect the safety of their customers. (Knight, supra, 3 Cal.4th at pp. 317-
    318.) As a general rule, where an operator can take a measure that would increase safety
    and minimize the risks of the activity without also altering the nature of the activity, the
    operator is required to do so.” (Grotheer, supra, 14 Cal.App.5th at p. 1300.) And, in
    Solis, the appellate court succinctly illustrated the issue raised by these cases as follows:
    “[F]alling off a horse is an inherent risk of horseback riding. But if a person put a barrel
    in the middle of the Churchill Downs racetrack, causing a collision and fall, we would
    not say that person owed no duty to the injured riders, because falling is an inherent risk
    of horseback riding.” (Solis, supra, 94 Cal.App.4th at p. 365.)
    28
    When viewed under this analytical framework, Rotolo v. San Jose Sports &
    Entertainment, LLC (2007) 
    151 Cal.App.4th 307
     (Rotolo), disapproved on another
    ground as stated in Verdugo v. Target Corp. (2014) 
    59 Cal.4th 312
    , 327, and Connelly v.
    Mammoth Mountain Ski Area (1995) 
    39 Cal.App.4th 8
     (Connelly)—two cases relied
    upon by RhodyCo—are not inconsistent. In Rotolo, parents of a teenager who died as a
    result of sudden cardiac arrest while playing ice hockey sued the ice hockey facility for
    wrongful death, claiming that the facility had a duty to notify facility users of the
    existence and location of the facility’s AED. (Rotolo, supra, 151 Cal.App.4th at p. 313.)
    The appellate court disagreed, noting that sudden cardiac arrest is a risk inherent in
    playing strenuous sports and that the facility had done nothing to increase this risk. (Id.
    at p. 334.) During the course of its analysis, the Rotolo court stated: “We have found no
    authority for the proposition that a sports facility operator has a duty to reduce the effects
    of an injury that is an inherent risk in the sport, or to increase the chances of full recovery
    of a participant who has suffered such a sports-related injury, or to give notice regarding
    any first aid equipment that may be available for such a purpose.” (Id. at pp. 334-335.)
    In making this determination, however, the Rotolo court searched exhaustively for a duty
    that the facility could have breached in this context and could not find one. (Id. at pp.
    319-339.) In particular, it noted that the facility had not breached its duties to keep the
    property in a reasonably safe condition or to summon emergency medical aid. 8 (Id. at pp.
    316-317, 332-334.) Since the sports facility had not acted negligently with respect to any
    risks extrinsic to the sport of hockey, thereby increasing its inherent risks, the primary
    assumption of the risk doctrine barred recovery. (Id. at 334-335.) Similarly, in Connelly,
    the plaintiff argued that the ski resort had insufficiently padded a ski lift tower, thereby
    causing him serious injury when he collided with it. (Connelly, supra, 39 Cal.App.4th at
    8
    Indeed, the Rotolo court expressly distinguished secondary assumption of the risk
    cases—in which “the owner or operator of a sports facility has contributed to the harm by
    designing or maintaining a facility in such a way as to unreasonably increase the risks
    inherent in the sport”—on this basis. (Id. at p. 334.) Here, as discussed above—and in
    obvious contrast to Rotolo—RhodyCo was required to create and implement an approved
    EMS Plan as a condition of its permit authorizing the race and attendant street closures.
    29
    pp. 10-11.) The appellate court concluded that colliding with a ski lift tower is an
    inherent risk of skiing and that the ski resort had done nothing to increase this risk by
    padding the towers, which the resort had no duty to do in the first place. (Id. at p. 12-13.)
    In essence, the court concluded that the ski resort had not breached its underlying duty to
    provide a reasonably safe ski resort and thus the primary assumption of the risk doctrine
    barred the plaintiff’s negligence action. (See id. at pp. 11-14.)
    It is undisputed in this case that RhodyCo has provided event management and
    production services for “high profile” running and walking events for over 25 years and
    that, while these events involved over 1.5 million participants, Hass was the first fatality.
    Thus, while death from cardiac arrest is undeniably a risk associated with long-distance
    running, it appears from RhodyCo’s own facts to be a slight one. The question therefore
    remains whether RhodyCo, as the organizer of the Half Marathon, acted negligently in its
    provision of emergency medical services—a risk extrinsic to the sport of long-distance
    running—in such a way that it exposed Hass to an increased risk of harm over and above
    that generally inherent in the activity itself. Since we have previously concluded that the
    Hass Family has raised a triable issue of fact as to whether RhodyCo was grossly
    negligent in this regard, the primary assumption of the risk doctrine does not act as a
    complete bar to the present negligence action. 9 The trial court’s decision to reverse itself
    on this ground and allow the case to continue was therefore not error.
    As a final matter, we note that imposing a duty of due care with respect to
    “extrinsic” risks for operators and organizers of recreational activities makes sense based
    on the policies underlying the primary assumption of the risk doctrine. As stated above
    and as articulated in Nalwa, supra, 55 Cal.4th at pages 1156-1157: “The primary
    9
    Although, under a secondary assumption of the risk analysis, Hass might ultimately be
    found to have contributed to his risk of injury by voluntarily engaging in the sport of
    long-distance running. (See Knight, 
    supra,
     3 Cal.4th at p. 314.) Thus, RhodyCo’s
    attempt to distinguish secondary assumption of the risk cases as irrelevant to a primary
    assumption of the risk analysis is not well taken. Such cases are highly relevant because
    they involve potential breach of an underlying duty which increased the inherent risk of
    the activity in question, making primary assumption of the risk inapplicable.
    30
    assumption of risk doctrine rests on a straightforward policy foundation: the need to
    avoid chilling vigorous participation in or sponsorship of recreational activities by
    imposing a tort duty to eliminate or reduce the risks of harm inherent in those activities.
    It operates on the premise that imposing such a legal duty ‘would work a basic
    alteration—or cause abandonment’ of the activity. . . . [¶] . . . Allowing voluntary
    participants in an active recreational pursuit to sue other participants or sponsors for
    failing to eliminate or mitigate the activity’s inherent risks would threaten the activity’s
    very existence and nature.” (Id. at pp. 1156-1157.) Moreover, “active recreation,
    because it involves physical activity and is not essential to daily life, is particularly
    vulnerable to the chilling effects of potential tort liability for ordinary negligence.” (Id. at
    p. 1157.) The Nalwa court counseled that the doctrine’s parameters should be drawn
    according to this underlying policy goal. (Ibid.) Obviously, requiring an operator or
    organizer of recreational activities to provide a reasonably safe event, reasonably
    maintained attractions, and/or customary safety warnings—far from chilling vigorous
    participation in such activities—would almost certainly increase their attractiveness to
    potential participants. Moreover, an owner or event organizer is still protected from
    liability with respect to the inherent risks of these activities. And, given that participation
    in these recreational pursuits is almost always contingent on the signing of a release, such
    owners and organizers are generally also relieved of the consequences of their ordinary
    negligence. Allowing owners and organizers to avoid accountability for their gross
    negligence in this context, based on the primary assumption of the risk doctrine, would
    contravene public policy, not support it. (Santa Barbara, supra, 41 Cal.4th at pp. 750-
    751; see also id. at pp. 767-776 [rejecting as unsupported by empirical evidence the
    assertion that refusing to uphold agreements releasing liability for future gross negligence
    will lead to the extinction of many popular and lawful recreational activities].)
    III.    DISPOSITION
    The judgment is affirmed in part and reversed in part, and the matter remanded for
    further proceedings consistent with this opinion. In particular, the trial court is instructed
    31
    to enter an order denying RhodyCo’s motion for summary judgment. The Hass Family is
    entitled to its costs on appeal.
    32
    _________________________
    REARDON, J.
    We concur:
    _________________________
    STREETER, ACTING P. J.
    _________________________
    SMITH, J.*
    *Judge of the Superior Court of California, County of Alameda, assigned by the Chief
    Justice pursuant to article VI, section 6 of the California Constitution.
    A142418 Hass v. RhodyCo
    33
    Trial Court:                 City and County of San Francisco Superior Court
    Trial Judge:                 Hon. A. James Robertson II
    Counsel for Plaintiffs and   Lewis Brisbois Bisgaard & Smith LLP
    Appellants:                  Jeffry A. Miller
    Lann G. McIntyre
    Shawn A. Toliver
    Helen L. Greenberg
    Counsel for Defendant and    Law Office of Gerald Clausen
    Respondent:                  Gerald Clausen
    Abramson Smith Waldsmith LLP
    Robert J. Waldsmith
    Jeffrey R. Smith
    A142418 Hass v. RhodyCo
    34