Gadeco, LLC v. Grynberg , 415 P.3d 323 ( 2018 )


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    5
    6                                                          ADVANCE SHEET HEADNOTE
    7                                                                        April 9, 2018
    8
    9                                          
    2018 CO 22
    0
    1   No. 17SA247, Gadeco, LLC v. Grynberg—Physician–Patient Privilege—Implied
    2   Waiver.
    3
    4         In this original proceeding, the supreme court considers whether the trial court
    5   abused its discretion when it found that the defendant impliedly waived the physician–
    6   patient privilege as to his mental health records by asserting counterclaims for breach of
    7   contract, requesting specific performance, and denying the opposing parties’
    8   allegations. The supreme court affirms its rule that only privilege holders—patients—
    9   can impliedly waive the physician–patient privilege, and they do so by injecting their
    0   physical or mental condition into the case as the basis of a claim or an affirmative
    1   defense. Correspondingly, an adverse party cannot place a patient’s mental condition
    2   at issue through its defenses, nor can a privilege holder do so by denying an adverse
    3   party’s allegations. Applying those rules, the supreme court holds that the defendant
    4   did not waive the physician–patient privilege through his counterclaims or answer.
    5   The supreme court concludes that the trial court abused its discretion by ordering the
    6   defendant to produce his medical records for in-camera review and makes the rule to
    7   show cause absolute.
    The Supreme Court of the State of Colorado
    2 East 14th Avenue • Denver, Colorado 80203
    
    2018 CO 22
    Supreme Court Case No. 17SA247
    Original Proceeding Pursuant to C.A.R. 21
    Arapahoe County District Court Case No. 16CV30959
    Honorable Charles M. Pratt, Judge
    In Re
    Plaintiffs/Counterclaim Defendants:
    Gadeco, LLC; Celeste C. Grynberg, individually and as Co-Trustee for the Rachel Susan
    Grynberg 1982 Trust, the Stephen Mark Grynberg 1983 Trust, and the Miriam Zela
    Grynberg 1986 Trust; The Rachel Susan Grynberg 1982 Trust; The Stephen Mark Grynberg
    1983 Trust; The Miriam Zela Grynberg 1986 Trust; Pricaspian Development Corporation;
    Rachel S. Grynberg; Miriam Z. Grynberg; Stephen M. Grynberg, individually and as
    Trustee for Stephen Mark Grynberg Separate Property Trust; The Stephen Mark Grynberg
    Separate Property Trust; and RSM Production Corporation,
    v.
    Defendant/Counterclaim Plaintiff:
    Jack J. Grynberg,
    and
    Defendant:
    The Grynberg Petroleum Corporation.
    Rule Made Absolute
    en banc
    April 9, 2018
    Attorneys for Plaintiffs/Counterclaim Defendants Celeste C. Grynberg, individually
    and as Co-Trustee for the Rachel Susan Grynberg 1982 Trust, the Stephen Mark
    Grynberg 1983 Trust, and the Miriam Zela Grynberg 1986 Trust; The Rachel Susan
    Grynberg 1982 Trust; The Stephen Mark Grynberg 1983 Trust; The Miriam Zela
    Grynberg 1986 Trust; Rachel S. Grynberg; Miriam Z. Grynberg; Stephen M.
    Grynberg, individually and as Trustee for Stephen Mark Grynberg Separate Property
    Trust; and The Stephen Mark Grynberg Separate Property Trust:
    Bartlit Beck Herman Palenchar & Scott LLP
    Fred H. Bartlit, Jr.
    Glen E. Summers
    Daniel C. Taylor
    Katherine L.I. Hacker
    Denver, Colorado
    Attorneys for Defendant/Counterclaim Plaintiff Jack J. Grynberg:
    Dorsey & Whitney LLP
    Gregory S. Tamkin
    Case Collard
    Andrea Ahn Wechter
    Denver, Colorado
    No appearance by or on behalf of Gadeco, LLC; Pricaspian Development Corporation;
    RSM Production Corporation; The Grynberg Petroleum Corporation.
    CHIEF JUSTICE RICE delivered the Opinion of the Court.
    2
    ¶1     In this original proceeding, we consider whether the defendant Jack Grynberg
    impliedly waived the physician–patient privilege by either (1) requesting specific
    performance of a contract, or (2) denying the plaintiffs’ allegations that he made
    irrational decisions. Grynberg asserted counterclaims for breach of contract against the
    plaintiffs, his children and former wife (“the Family”).      Grynberg’s counterclaims
    requested the specific performance of an oral or implied-in-fact contract in which the
    Family allegedly agreed to allow Grynberg to control several family companies for his
    lifetime. The trial court found that Grynberg impliedly waived the physician–patient
    privilege by asserting those counterclaims, and it ordered him to produce three years’
    worth of mental health records for in-camera inspection. Grynberg petitioned this court
    to review that ruling pursuant to C.A.R. 21, and we issued a rule to show cause why the
    trial court’s order should not be vacated.
    ¶2     We have previously determined that only privilege holders—patients—can
    impliedly waive the physician–patient privilege, and that they do so by injecting their
    physical or mental condition into the case as the basis of a claim or an affirmative
    defense. Weil v. Dillon Cos., 
    109 P.3d 127
    , 129 (Colo. 2005). Relevant here, privilege
    holders inject their physical or mental condition into a case as the basis of a claim when
    they utilize the condition as “the predicate for some form of judicial relief.” Clark v.
    Dist. Court, 
    668 P.2d 3
    , 10 (Colo. 1983). As a corollary to that rule, an adverse party
    cannot inject the patient’s physical or mental condition into a case through its defenses.
    See Hoffman v. Brookfield Republic, Inc., 
    87 P.3d 858
    , 864 (Colo. 2004). Finally, patients
    do not inject their mental condition into the case by denying the opposing party’s
    3
    allegations. 
    Clark, 668 P.2d at 10
    . In keeping with our previous interpretations of the
    implied waiver doctrine, we hold that Grynberg did not inject his mental condition into
    the case as the basis of a claim by alleging that the Family breached a contract that does
    not reference his mental health. Likewise, he did not inject his mental condition into the
    case as the basis of a claim or an affirmative defense by denying the Family’s allegations
    that he made irrational decisions. Accordingly, we conclude that Grynberg did not
    impliedly waive the physician–patient privilege and that the trial court abused its
    discretion by ordering Grynberg to produce his mental health records for in-camera
    inspection.
    ¶3    We make the rule to show cause absolute, and we remand this case to the trial
    court for further proceedings.
    I. Facts and Proceedings Below
    ¶4    This original proceeding arises out of a dispute between Grynberg, who founded
    a number of businesses, and his family, the owners and directors1 of those businesses.
    According to Grynberg, he transferred his ownership interests in the businesses to the
    Family on the condition that he would remain in control of the businesses until his
    death. Grynberg alleges that the Family members expressed agreement to these terms
    either orally, in writing, or implicitly through their conduct. In 2016, however, the
    Family voted to remove Grynberg as president of each business, citing his declining
    mental health. Grynberg refused to comply.
    1 Grynberg’s family members are the owners and directors of two of the family
    businesses and members of the third, which is a limited liability company.
    4
    ¶5     The Family then filed this lawsuit, seeking a declaration that Grynberg no longer
    controlled the businesses and an injunction preventing him from representing the
    businesses. In its complaint, the Family asserted that Grynberg was exhibiting erratic
    behavior, making irrational decisions, and committing significant company funds to
    obviously fraudulent scam operations. In his amended answer, Grynberg denied the
    Family’s allegations and asserted counterclaims, including claims for breach of the
    lifetime-control agreement. Grynberg alleged that the Family’s breach of the oral or
    implied contract caused substantial monetary harm, and he sought “damages and/or
    specific performance” as relief.
    ¶6     Because the case was complex, the trial court appointed a special master to
    handle discovery issues. The Family filed a motion requesting that the special master
    order Grynberg to produce all medical records related to his mental health. Grynberg
    objected, arguing that his medical records were protected by the physician–patient
    privilege. The special master concluded:
    By arguing that he is capable of running the companies via his specific
    performance claim, [Grynberg] has inserted his physical and mental
    condition into the case (albeit, in response to the allegations noted above
    that he is incapable of running the companies). By inserting his mental
    condition into the case, [Grynberg] has waived his rights to privacy and
    his physician–patient privilege.
    In accordance with that finding, the special master ordered Grynberg to locate “all
    medical records from any doctor for the past three years that have to do with
    [Grynberg’s] mental condition, including results of any testing that has been done,” and
    deliver the records to the special master for in-camera inspection. Over Grynberg’s
    5
    objection, the trial court adopted the special master’s order and, additionally, required
    Grynberg to deliver the same records to the trial court for in-camera review.
    ¶7     Grynberg petitioned this court to review the trial court’s order pursuant to
    C.A.R. 21, and we issued a rule to show cause why we should not vacate that order. We
    now make the rule absolute.
    II. Original Jurisdiction
    ¶8     We may choose to exercise our original jurisdiction when an ordinary appellate
    remedy would be inadequate. C.A.R. 21(a)(1). “When a trial court’s order involves
    records which a party claims are protected by a statutory privilege, as here, an
    immediate review is appropriate because the damage that could result from disclosure
    would occur regardless of the ultimate outcome on appeal from a final judgment.”
    Bailey v. Hermacinski, 
    2018 CO 14
    , ¶ 8, 
    413 P.3d 157
    , 160 (quoting Ortega v. Colorado
    Permanente Group, P.C., 
    265 P.3d 444
    , 447 (Colo. 2011)).          Therefore, we find it
    appropriate to address the validity of the trial court’s order that found that Grynberg
    waived the physician–patient privilege as to his mental health records. In reviewing a
    discovery ruling under C.A.R. 21, we review a trial court’s decision for an abuse of
    discretion. Cardenas v. Jerath, 
    180 P.3d 415
    , 420 (Colo. 2008).
    III. Analysis
    ¶9     In its order adopting the special master’s conclusions, the trial court determined
    that Grynberg injected his mental condition into the case and thereby waived the
    physician–patient privilege in two ways: (1) by asserting counterclaims for breach of the
    lifetime-control agreement and seeking specific performance as a remedy; and (2) by
    6
    denying the allegations in the Family’s complaint that he is incapable of running the
    companies. After reviewing the law governing the physician–patient privilege, we
    address each of these potential waivers in turn. We conclude that Grynberg did not
    waive the physician–patient privilege either by alleging that the Family breached the
    lifetime-control agreement and requesting specific performance or by denying the
    allegations in the Family’s complaint.
    A. Applicable Law
    ¶10   C.R.C.P. 26(b)(1) authorizes discovery of information relevant to the subject
    matter in the pending action as long as the information is “not privileged.”         The
    physician–patient privilege provides that “[a] physician . . . shall not be examined
    without the consent of his or her patient as to any information acquired in attending the
    patient that was necessary to enable him or her to prescribe or act for the patient.”
    § 13-90-107(1)(d), C.R.S. (2017). “The purpose of the physician–patient privilege is to
    enhance the effective diagnosis and treatment of illness by protecting the patient from
    the embarrassment and humiliation that might be caused by the physician’s disclosure
    of information imparted to him by the patient during the course of a consultation for
    purposes of medical treatment.” 
    Clark, 668 P.2d at 8
    . The privilege applies to both
    in-court testimony and the pretrial discovery of information. 
    Weil, 109 P.3d at 129
    .
    However, the privilege does not protect against the disclosure of medical records when
    the patient has made an express or implied waiver, both of which constitute “consent”
    to disclosure for purposes of section 13-90-107(1)(d). 
    Clark, 668 P.2d at 10
    . Because the
    statutory privilege belongs to the patient, only the patient may waive it. 
    Id. at 8.
    7
    The claimant of the physician–patient privilege bears the burden of establishing that the
    privilege applies. Alcon v. Spicer, 
    113 P.3d 735
    , 739 (Colo. 2005), as modified on denial
    of reh’g, June 27, 2005. But once the privilege has been established, the party seeking to
    overcome the privilege must demonstrate waiver. 
    Id. ¶11 Important
    here, one way a party can demonstrate waiver is by showing that the
    privilege holder “injected his physical or mental condition into the case as the basis of a
    claim or an affirmative defense.” 
    Clark, 668 P.2d at 10
    . We discussed the rationale for
    this type of implied waiver in Clark, a wrongful death case. There, we held that, when
    the holder of the physician–patient privilege pleads a physical or mental condition as
    the basis of a claim or an affirmative defense, “the only reasonable conclusion is that he
    thereby impliedly waives any claim of confidentiality respecting that same condition.”
    
    Id. Under those
    circumstances, the privilege holder has “utilized his physical or mental
    condition as the predicate for some form of judicial relief, and his legal position as to
    that condition is irreconcilable with a claim of confidentiality.” 
    Id. Practically speaking,
    a litigant who uses a physical or mental condition as the predicate for relief “must
    eventually waive the privilege to prove his case or his defense.” 
    Id. (quoting Koump
    v.
    Smith, 
    250 N.E.2d 857
    , 861 (N.Y. 1969)). Preventing the opposing party from accessing
    the same information in such a case would allow the privilege holder to use the
    physician–patient privilege as “a sword rather than a shield.” 
    Id. (quoting Koump
    , 250
    N.E.2d at 861).
    ¶12    Since Clark, we have applied this standard in personal injury and medical
    malpractice cases only. See, e.g., 
    Alcon, 113 P.3d at 736
    (considering scope of implied
    8
    waiver in personal injury lawsuit); 
    Hoffman, 87 P.3d at 863
    –64 (holding that slip-and-
    fall plaintiff did not waive the psychotherapist–patient privilege by alleging generic
    claims for mental suffering); Samms v. Dist. Court, 
    908 P.2d 520
    , 524 (Colo. 1995)
    (determining as a threshold matter in scope-of-waiver case that the patient waived the
    physician–patient privilege through her medical malpractice claim). In each case where
    we found that the privilege holder inserted his physical or mental condition into the
    case as the “basis of a claim or an affirmative defense,” 
    Clark, 668 P.2d at 10
    , the
    privilege holder sought damages for a physical or psychological injury that the
    opposing party allegedly caused. See, e.g., 
    Alcon, 113 P.3d at 741
    (holding that the
    patient waived the physician–patient privilege for records related to the cause and
    extent of the injuries and damages she claimed); Bond v. Dist. Court, 
    682 P.2d 33
    , 38
    (Colo. 1984) (holding that the plaintiff waived the physician–patient privilege as to
    mental health records by seeking compensation for the cost of psychiatric counseling,
    which she claimed was necessary after the accident that the defendant allegedly
    caused).
    ¶13    Two corollaries to the implied waiver rule are also relevant in this case. First,
    while a privilege holder waives the physician–patient privilege by injecting his
    “physical or mental condition into the case as the basis of a claim or an affirmative
    defense,” a privilege holder does not waive the privilege by denying the opposing
    party’s allegations. See 
    Clark 668 P.2d at 10
    –11. Similarly, an adverse party cannot
    place a patient’s mental condition at issue through its defenses. 
    Hoffman, 87 P.3d at 864
    .
    9
    B. Application
    1. Grynberg did not waive the physician–patient privilege by
    alleging that the Family breached the lifetime-control agreement
    and requesting the remedy of specific performance.
    ¶14     The Family asserts that Grynberg injected his mental condition into the case by
    asserting his breach of contract claim and accompanying that claim with a request for
    specific performance. The Family raises two arguments to support this position. We
    find neither persuasive.
    ¶15     First, the Family argues that by asking the trial court to enforce a contract—the
    terms of which allowed Grynberg to control the family companies for his entire life—
    Grynberg “necessarily alleg[ed] that he is mentally capable of running the companies”
    and thereby injected his mental condition into the case as the basis of his breach of
    contract claim. Unlike in the personal injury and medical malpractice cases where we
    have traditionally found waiver under the rule from Clark, Grynberg does not seek
    compensation for a physical or psychological injury that the Family caused him. Under
    Clark, Grynberg would have injected his mental condition into the case as the basis of a
    claim only if he “utilized his physical or mental condition as the predicate for some
    form of judicial 
    relief.” 668 P.2d at 10
    . Claimants utilize their condition as the predicate
    for relief when they must “waive the privilege to prove [their] case.” 
    Id. (quoting Koump
    , 250 N.E.2d at 861). To prove his breach of contract claim, Grynberg will not
    need to waive the privilege, meaning he has not injected his mental condition into the
    case.
    10
    ¶16    Indeed, according to Grynberg, the lifetime-control agreement excluded any
    mention of his mental health.      Grynberg’s counterclaim for breach of an express
    agreement against the Family states the following: “Since the inception of [the family
    businesses], the [Family members] have conducted themselves and operated under an
    express agreement whereby Mr. Grynberg would continue to maintain sole operational
    control of [the businesses] and the assets of those entities during his lifetime.”
    Similarly, Grynberg’s alternative counterclaim for breach of an implied-in-fact contract
    states that the parties’ conduct demonstrates that they agreed that Grynberg would
    provide the Family ownership interests in the businesses “on the condition that [he]
    would be allowed to control those entities during his lifetime.” In these counterclaims,
    Grynberg alleges that the Family agreed that he would maintain control of the
    businesses and their assets during his lifetime in exchange for transferring ownership of
    the businesses to the Family without regard to his mental fitness. Accordingly, in order
    to prove that the Family breached the agreement by ousting him as president, Grynberg
    need only prove that (1) the Family agreed to a valid contract that included his terms,
    (2) Grynberg transferred ownership of the companies, and (3) the Family subsequently
    removed him as president.      Because Grynberg’s breach of contract claim does not
    require him to demonstrate anything about his mental or physical health, he did not
    inject his mental condition into the case by bringing that claim.
    ¶17    The Family nevertheless asserts that, because Grynberg sought specific
    performance, the trial court will have to consider his mental condition.        Ordering
    specific performance of a contract is appropriate only if the contract is “fair, equal and
    11
    just in its terms, consideration not grossly inadequate, and the remedy not inequitable,
    unconscionable or oppressive.” Greeley & Loveland Irrigation Co. v. McCloughan, 
    342 P.2d 1045
    , 1050 (Colo. 1959) (quoting De Feo v. Smith, 
    203 P.2d 485
    , 487 (Colo. 1949)).
    Thus, in the event Grynberg proves a breach, the trial court may need to consider
    Grynberg’s capacity to run the companies when deciding whether to award specific
    performance. But that potential decision regarding the appropriate remedy does not
    affect whether Grynberg waived the physician–patient privilege (i.e., utilized his mental
    condition as the basis for judicial relief).     Just as a plaintiff is the master of his
    complaint, a privilege holder is the master of his waiver.
    ¶18   Second, the Family argues that Grynberg injected his mental condition into the
    case by alleging that the Family breached an implied-in-fact contract. The Family
    asserts that, in order to determine the terms of an implied contract, the trial court must
    look to the parties’ conduct, and the Family’s conduct of ousting Grynberg as president
    as soon as his mental health declined suggests that the parties agreed that Grynberg’s
    right to control the companies was conditioned on his being mentally capable of
    running them. With this argument, the Family squarely disagrees with Grynberg’s
    characterization of the terms of the lifetime-control agreement, assuming the agreement
    exists. Grynberg alleges that the parties’ conduct gives rise to an agreement that is void
    of any mental fitness requirement; the Family urges that any implied agreement
    includes such a term. By disputing the terms of the alleged agreement, the Family is
    asserting an excuse defense. Essentially, the Family argues that it was excused from
    performing under the agreement because the implied condition that Grynberg maintain
    12
    a certain level of mental fitness was not met. It is well-established that an opposing
    party cannot overcome the physician–patient privilege by raising defenses. 
    Hoffman, 87 P.3d at 864
    (holding that “the district court erred when it considered [the
    defendant’s] need for the information [to establish its defense] as a pertinent factor in
    determining whether the privilege had been waived”); Johnson v. Trujillo, 
    977 P.2d 152
    ,
    157 (Colo. 1999) (declining to find an implied waiver even though the plaintiff’s mental
    health records were relevant to the defendant’s causation defense).          In order to
    determine whether a litigant waived the physician–patient privilege by injecting his
    mental condition in the case as the basis of a claim or an affirmative defense, we
    consider only the claims and affirmative defenses alleged by the privilege-holder, not
    the defenses that the opposing party may raise at trial. 
    Hoffman, 87 P.3d at 864
    .
    ¶19   Accordingly, we conclude that Grynberg did not waive the physician–patient
    privilege by asserting that the Family breached the lifetime-control agreement or by
    requesting specific performance of that contract.
    2. Grynberg did not waive the physician–patient privilege by
    denying the allegations in the Family’s complaint that he
    made irrational decisions.
    ¶20   The Family also asserts that Grynberg waived the physician–patient privilege by
    denying the allegations in the Family’s complaint that he made irrational decisions. But
    holders of the physician–patient privilege do not inject their mental condition into a
    case by denying the opposing party’s allegations that the privilege holder has mental
    health problems. See 
    Clark, 668 P.2d at 10
    –11.
    13
    ¶21   In Clark, we rejected the argument that the holder of the physician–patient
    privilege impliedly waives the privilege by “filing a pleading in a case in which his
    physical or mental condition may be an issue.” 
    Id. at 10.
    In that case, a bouncer shot a
    patron during his shift at a bar. 
    Id. at 6.
    The plaintiff sued the bouncer and the bar for
    wrongfully causing the victim’s death.           
    Id. The complaint
    included claims of
    negligence, assault, and battery, and it alleged that the bar hired the bouncer and
    equipped him with a gun despite knowing about his history of mental illness and
    substance abuse. 
    Id. In his
    answer, the bouncer denied any liability for the victim’s
    death and asserted several affirmative defenses, none of which raised his past physical
    or mental conditions as a defense to the claims. 
    Id. During his
    deposition, the bouncer
    admitted to seeking treatment for mental health and substance abuse issues several
    years prior to the incident. 
    Id. Over the
    bouncer’s objection that his medical records
    were privileged, the trial court ordered that he produce all treatment records related to
    his mental health. 
    Id. at 6–7.
    We reversed, rejecting the plaintiff’s argument that the
    bouncer injected his mental condition into the case by denying the liability allegations.
    
    Id. at 9–11.
    Instead, we reaffirmed our rule that the appropriate inquiry is “whether the
    privilege holder has injected his physical or mental condition into the case as the basis
    of a claim or an affirmative defense.” 
    Id. at 10.
    We held that, even though the plaintiff’s
    claims against the bar hinged on allegations concerning the bouncer’s prior mental
    condition, this had no bearing on whether the bouncer waived the physician–patient
    privilege. 
    Id. at 10–11.
    Likewise, the bouncer’s denial of the plaintiff’s claims against
    him did not waive the physician–patient privilege. 
    Id. 14 ¶22
      Here, just as in Clark, Grynberg’s answer to the Family’s allegations cannot be
    fairly construed “as a manifestation of his intent to forego the confidentiality attaching
    to his communications to a treating [physician].” 
    Id. Privilege holders
    do not inject
    their mental or physical condition into a case by simply denying the opposing party’s
    allegations, even when those allegations relate to the privilege holder’s mental health.
    Therefore, the trial court erred in concluding that Grynberg waived the physician–
    patient privilege by denying the Family’s allegations “that he is incapable of running
    the companies.”
    ¶23   As a subsequent matter, we decline to address whether Grynberg voluntarily
    waived the physician–patient privilege by allowing family members to attend various
    medical appointments. The trial court did not address this issue, nor do we in this
    original proceeding reviewing the trial court’s order for an abuse of discretion.
    IV. Conclusion
    ¶24   We hold that Grynberg did not impliedly waive the physician–patient privilege
    either by alleging that the Family breached the lifetime-control agreement and
    requesting specific performance or by denying the allegations in the Family’s
    complaint. Therefore, the trial court abused its discretion when it ordered Grynberg to
    produce his medical records for in-camera review. Accordingly, we make our rule to
    show cause absolute, and we return this case to the trial court for further proceedings
    consistent with this opinion.
    15