Opinion

E.S v. University of Utah Medical Center

  • 2024 UT App 57
Court
Court of Appeals of Utah
Filed
Apr 18, 2024
Status
Published
Cited by
0 cases
Authority
More cited than 16.2%

The opinion

2024 UT App 57

THE UTAH COURT OF APPEALS

E.S., AND M.S., ON BEHALF OF MINORS G.S. AND M.S.,

Appellants,

v.

UNIVERSITY OF UTAH MEDICAL CENTER,

Appellee.

Opinion

No. 20230197-CA

Filed April 18, 2024

Third District Court, Salt Lake Department

The Honorable Todd M. Shaughnessy

No. 220904853

Alan S. Mouritsen and Whitney E. McKiddy,

Attorneys for Appellants

Sean D. Reyes and Peggy E. Stone,

Attorneys for Appellee

JUDGE RYAN D. TENNEY authored this Opinion, in which

JUDGES DAVID N. MORTENSEN and JOHN D. LUTHY concurred.

TENNEY, Judge:

¶1 Plaintiffs sued the University of Utah Medical Center (the

University), alleging that the University was negligent in hiring

and failing to supervise a sex offender who was working as a

nurse (Nurse) in the University’s Neonatal Intensive Care Unit

(NICU). 1 The district court dismissed the suit, ruling that

1. As explained below, Plaintiffs are three sisters, each of whom

alleges that Nurse sexually abused her many years after the two

older sisters were patients in the University’s NICU. Two of the

sisters are still minors and are represented by their father in this

suit, while the oldest sister is now an adult. For ease of reference,

(continued…)

E.S. v. University of Utah

Plaintiffs could not establish proximate cause for any of their

claims. Plaintiffs appealed that ruling. While briefing was

underway, the University filed a motion for summary disposition,

arguing that Plaintiffs had failed to properly deliver a notice of

claim to the University before filing suit as required by the Utah

Governmental Immunity Act (the Immunity Act). Though we

denied the motion for summary disposition, we deferred an

ultimate ruling on this issue until full briefing had concluded.

With the benefit of that briefing and subsequent argument, we

now hold that Plaintiffs failed to deliver a notice of claim to the

University and that this failure deprives the courts of jurisdiction

to consider their lawsuit. We accordingly affirm the district

court’s dismissal of the suit for that reason.

BACKGROUND 2

¶2 Around 2001, the University hired Nurse to work in its

NICU. Nurse had been previously convicted for sodomy on a

child, but the University failed to conduct a “reasonable”

background check and did not discover Nurse’s conviction. From

late December 2002 through early 2003, Nurse assisted in the care

of E.S. after she was born prematurely. In 2004, Nurse assisted in

the care of M.S. (E.S.’s sister) after she was admitted for health

problems of her own.

¶3 Less than a year after M.S.’s hospital stay, Nurse contacted

the girls’ parents under the guise of checking up on M.S. Nurse

we’ll refer to them collectively as “Plaintiffs” throughout this

opinion.

2. “On appeal from a motion to dismiss, we review the facts only

as they are alleged in the complaint. We accept the factual

allegations as true and draw all reasonable inferences from those

facts in a light most favorable to the plaintiff.” Koerber v. Mismash,

2013 UT App 266, ¶ 3, 315 P.3d 1053 (quotation simplified).

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E.S. v. University of Utah

invited the parents to dinner, after which Nurse and the family

developed a decade-long friendship. Sometime between 2014 and

2015, Nurse convinced the girls’ father to allow Nurse to spend

unsupervised time with the two girls and their sister (G.S.).

During subsequent unsupervised time with the girls, Nurse

sexually assaulted each of them and “took lewd and explicit

images of them.”

¶4 After the abuse came to light, Plaintiffs filed a “Notice of

Intent to Commence Action” (the notice of intent). They served it

by certified mail on a Senior Vice President of the University of

Utah, an “Administrator” at the Medical Center (which, again,

we’re referring to as the University), and with the Division of

Occupational and Professional Licensing (DOPL) of the Utah

Department of Commerce. The notice of intent was largely

comprised of what later became Plaintiffs’ civil complaint, with a

preface noting that it was being filed in compliance with the Utah

Medical Malpractice Act (the Malpractice Act). See Utah Code

§ 78B-3-412(1)(a) (requiring plaintiffs suing for medical

malpractice to give “the prospective defendant” 90 days’ notice of

a lawsuit).

¶5 A couple of weeks later, the attorney general’s office

appeared as counsel for the University. Several months after that,

Plaintiffs filed a civil complaint against the University, alleging

that the University had negligently hired and supervised Nurse,

thereby enabling him to gain access to Plaintiffs and then groom

them for sexual abuse.

¶6 The University moved to dismiss the suit under rule

12(b)(6) of the Utah Rules of Civil Procedure. The University

pointed to the large time gap between Nurse’s interactions with

Plaintiffs at the University and the later abuse, as well as the many

intervening circumstances that occurred in the interim (such as

the family befriending Nurse over the course of a decade). In the

University’s view, Plaintiffs could not establish proximate cause

20230197-CA 3 2024 UT App 57

E.S. v. University of Utah

because it was “entirely unforeseeable” that the University’s

alleged misconduct would lead to this abuse. 3 Plaintiffs opposed

the motion, arguing that the time gap was not enough to prevent

them from establishing proximate cause and that their pleadings

had at least raised a factual question as to whether it was

reasonably foreseeable that a person convicted of a child sex

offense would attempt to “groom” future victims through a job

that brought him into close contact with children. The district

court granted the University’s motion, however, agreeing with

the University that Plaintiffs could not establish proximate cause

in these circumstances as a matter of law.

¶7 Plaintiffs appealed. While briefing was underway, the

University filed a motion for summary disposition. There, the

University argued for the first time that Plaintiffs had failed to

comply with the notice of claim requirements of the Immunity

Act. According to the University, this failure deprived the courts

of subject matter jurisdiction over Plaintiffs’ suit. After receiving

an opposition from Plaintiffs and a reply from the University on

the jurisdictional question, we denied the University’s motion for

summary disposition, but we deferred an ultimate ruling on the

issue “pending full briefing and plenary consideration” by the

panel. The parties addressed the jurisdictional issue in their merits

briefs and again at oral argument.

ISSUES AND STANDARDS OF REVIEW

¶8 Plaintiffs challenge the district court’s decision granting

the University’s motion to dismiss on several grounds. We

generally “review a decision granting a motion to dismiss for

correctness, granting no deference to the decision of the district

3. In its motion to dismiss, the University also argued that it

enjoyed immunity to claims relating to “mental anguish” under

the Immunity Act. The district court did not rule on this basis,

however, and we have no occasion to address it.

20230197-CA 4 2024 UT App 57

E.S. v. University of Utah

court.” Amundsen v. University of Utah, 2019 UT 49, ¶ 20, 448 P.3d

1224 (quotation simplified). But because we conclude that the

courts lack subject matter jurisdiction, we do not reach the

arguments raised by Plaintiffs. The question of whether we have

jurisdiction “presents a question of law, which this court reviews

under a correction of error standard.” In re adoption of Baby E.Z.,

2011 UT 38, ¶ 10, 266 P.3d 702 (quotation simplified).

ANALYSIS

¶9 “Our law has long embraced a general principle of

governmental immunity.” Craig v. Provo City, 2016 UT 40, ¶ 14,

389 P.3d 423. But the government retains the ability to waive its

immunity when it so chooses. In Utah, it does so through the

Immunity Act, which is a “comprehensive” statute that

“expressly identifies the actions or claims for which immunity is

waived” and “prescribes the proper timing and means by which

a claim must be asserted.” Id. ¶ 15 (quotation simplified); see also

Utah Code § 63G-7-101(2)(b) (stating that the Immunity Act is a

“comprehensive” statute that “governs all claims against

governmental entities or against their employees or agents arising

out of the performance of the employee’s duties, within the scope

of employment, or under color of authority”). Because the waivers

set forth in the Immunity Act relinquish immunity that the

government would otherwise enjoy, plaintiffs who seek to rely on

those waivers must strictly comply with the Immunity Act’s

requirements. See Hall v. Utah State Dep’t of Corr., 2001 UT 34, ¶ 23,

24 P.3d 958 (holding that “where the government grants statutory

rights of action against itself, any conditions placed on those

rights must be followed precisely” and the statute’s requirements

must be “strictly followed”).

¶10 It’s well settled that the Immunity Act’s requirements

implicate subject matter jurisdiction. Amundsen v. University of

Utah, 2019 UT 49, ¶ 19, 448 P.3d 1224 (“Compliance with the

[Immunity Act] is a prerequisite to vesting a district court with

20230197-CA 5 2024 UT App 57

E.S. v. University of Utah

subject matter jurisdiction over claims against governmental

entities.” (quotation simplified)); Greene v. Utah Transit Auth., 2001

UT 109, ¶ 16, 37 P.3d 1156 (“Compliance with the Immunity Act

is necessary to confer subject matter jurisdiction upon a trial court

to hear claims against governmental entities.”); Hall, 2001 UT 34,

¶ 23 (“We have consistently and uniformly held that suit may not

be brought against the state or its subdivisions unless the

requirements of the . . . Immunity Act are strictly followed.”).

Subject matter jurisdiction may “be raised at any time,” including,

as here, for the first time on appeal. Thomas v. Lewis, 2001 UT 49,

¶ 13, 26 P.3d 217. And courts cannot reach the merits of cases over

which they lack subject matter jurisdiction. See, e.g., Johnson v.

Johnson, 2010 UT 28, ¶ 8, 234 P.3d 1100 (“Subject matter

jurisdiction is the authority of the court to decide [a] case.”

(quotation simplified)). As a result, our supreme court has

“repeatedly denied recourse to parties that have even slightly

diverged from the exactness required by the Immunity Act.”

Wheeler v. McPherson, 2002 UT 16, ¶ 12, 40 P.3d 632. If a plaintiff

fails to comply with the requirements set forth in the Immunity

Act, the court must dismiss the complaint. See Greene, 2001 UT

109, ¶ 16.

¶11 One of those requirements is that “[a]ny person having a

claim against a governmental entity . . . shall file a written notice

of claim with the entity before maintaining an action.” Utah Code

§ 63G-7-401(2). The notice of claim must include “a brief statement

of the facts,” the “nature of the claim,” and a statement of any

“known” damages. Id. § 63G-7-401(3)(a)(i)–(iii). The notice must

be “signed by the person making the claim or that person’s agent,

attorney, parent, or legal guardian.” Id. § 63G-7-401(3)(b)(i). And

of note for this appeal, the notice of claim must be “delivered,

transmitted, or sent” to the proper governmental entity. 4

4. We have no need to determine whether there’s any conceptual

distinction between the terms “delivered, transmitted, and sent”

(continued…)

20230197-CA 6 2024 UT App 57

E.S. v. University of Utah

Id § 63G-7-401(3)(b)(ii) (identifying in detail who the recipient

must be for a range of governmental entities). As relevant here,

the notice of claim must be delivered to “the attorney general,

when the claim is against the state.” Id. § 63G-7-401(3)(b)(ii)(E).

The Immunity Act then defines “State” to include “each office,

department, . . . hospital, college, university, . . . or other

instrumentality of the state.” Id. § 63G-7-1-102(10) (emphases

added). Finally, the statute provides something of a catch-all

provision, also allowing delivery upon “the agent authorized by

a governmental entity to receive the notice of claim” under section

63G-7-401(5)(e). Id. § 63G-7-401(3)(b)(ii)(G).

¶12 The notice of claim serves two important purposes: first, it

alerts the governmental entity to the alleged facts at issue; and

second, it provides the governmental entity with “an opportunity

to correct the condition that caused the injury, evaluate the claim,

and perhaps settle the matter without the expense of litigation.”

Rushton v. Salt Lake County, 1999 UT 36, ¶ 20, 977 P.2d 1201

(quotation simplified). To aid in these purposes, the statute

imposes a 60-day waiting period after the party files the notice of

claim, thereby giving the governmental entity a chance to respond

before the case proceeds to litigation. See Utah Code § 63G-7-

403(2)(a)(ii); see also McGraw v. University of Utah, 2019 UT App

144, ¶ 12, 449 P.3d 943.

¶13 The Immunity Act “demands strict compliance,” and this

demand extends to the requirements relating to the notice of

claim. Wheeler, 2002 UT 16, ¶ 13. In Canfield v. Layton City, for

example, our supreme court held that it “is well established that

failure to comply precisely with the notice requirement, where it

applies, deprives the court of subject matter jurisdiction.” 2005 UT

60, ¶ 12, 122 P.3d 622. And in Thomas v. Lewis, the court similarly

held that the “notice of claim provisions” of the Immunity Act are

within this provision. For ease of reference, we’ll refer to it as a

“delivery” requirement through the remainder of this opinion.

20230197-CA 7 2024 UT App 57

E.S. v. University of Utah

“jurisdictional” and “determine[]” a court’s “authority to address

the merits of the case.” 2001 UT 49, ¶ 13; accord Rushton, 1999 UT

36, ¶ 18 (holding that the “[f]ailure to file such notice deprives the

court of subject matter jurisdiction”).

¶14 Given the level of specificity in this scheme, it is not enough

for a party to deliver notice somewhere within the subdivision

responsible for the alleged misconduct. See Greene, 2001 UT 109,

¶ 14 (explaining that the amendment to the statute that identified

who a notice must be delivered to “reinforce[d] the rule of strict

compliance”). In this sense, “[a]ctual notice” to the governmental

entity in question “does not cure a party’s failure to meet these

requirements.” Rushton, 1999 UT 36, ¶ 19. Instead, Utah courts

have frequently dismissed suits for failure to deliver the notice of

claim to the proper governmental entity. See, e.g., Wheeler, 2002 UT

16, ¶¶ 15–16 (holding that a claim was barred where notice was

filed with the county commissioners and an insurance carrier

rather than with the county clerk); Greene, 2001 UT 109, ¶¶ 5, 17

(holding that a claim was barred where notice was delivered to

Utah Transit Authority’s claims adjustor rather than the president

or secretary of its board); McGraw, 2019 UT App 144, ¶¶ 17–18

(holding that a claim was barred where a document that might

otherwise have qualified as a valid notice was delivered “to the

University’s General Counsel and not” the attorney general or the

attorney general’s “authorized agent”).

¶15 In an apparent attempt to facilitate compliance with this

requirement, the Immunity Act also requires governmental

entities to “file a statement with the Division of Corporations and

Commercial Code with the Department of Commerce” (the

Division) listing the “office or agent designated to receive a notice

of claim,” along with certain contact information set forth in Utah

Code section 63G-7-401(5)(a). The Division, in turn, is charged

with “maintain[ing] an index of the statements,” id. § 63G-7-

401(6)(a)—which we’ve sometimes referred to as a “database,” see

Suazo v. Salt Lake City Corp., 2007 UT App 282, ¶ 2, 168 P.3d 340;

20230197-CA 8 2024 UT App 57

E.S. v. University of Utah

McTee v. Weber Center Condo. Ass’n, 2016 UT App 134, ¶ 8 n.11, 379

P.3d 41—and the Division is tasked with making that index or

database accessible to the public. Utah Code § 63G-7-401(6)(b). 5

¶16 The Immunity Act also sets forth a few exceptions under

which a court may still have jurisdiction even when a party fails

to strictly comply with the delivery requirement. One of them

relates to the database requirement and is properly described as a

governmental fault exception. Under the terms of this exception,

a “governmental entity may not challenge the validity of a notice

of claim on the grounds that it was not directed and delivered to

the proper office or agent if the error is caused by the

governmental entity’s failure to file or update” its statement with

the Division. Id. § 63G-7-401(7). 6

¶17 In Suazo v. Salt Lake City Corporation, we discussed and

applied the governmental fault exception. 2007 UT App 282, 168

P.3d 340. In that case, Salt Lake City had changed its designated

recipient in the Division’s database three days before a potential

plaintiff filed his notice of claim. Id. ¶¶ 2–3. In an affidavit, the

plaintiff’s counsel subsequently averred that he had obtained the

older, now-incorrect information from the database, although he

did not specify when exactly he had done so. Id. ¶¶ 2, 11. But even

accounting for that, we still held that the governmental fault

exception did not apply because nothing in the record

“suggest[ed] that the City’s failure to update the database” until

three days before the incorrect delivery “caused” the plaintiff “to

improperly serve his notice of claim” on the outdated recipient.

Id. ¶ 10 (emphasis in original); see Utah Code § 63G-7-401(7)

5. For simplicity, we’ll refer to it as “the database” moving

forward.

6. Utah Code sections 63G-7-401(8)(a) and (b) set forth additional

exceptions, but we need not address them because Plaintiffs have

not argued that either applies in this case.

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E.S. v. University of Utah

(stating that the failure to properly deliver the notice of claim

must be “caused by” the failure in the database). We thus stressed

that when a plaintiff seeks to rely on the governmental fault

exception, “the burden would certainly be on the [plaintiff] to

establish when he or she consulted the database in relation to the

amendment of the database and the improper service. This

information would be necessary to evaluate the reasonableness of

the [plaintiff’s] reliance and determine causation.” Suazo, 2007 UT

App 282, ¶ 12.

¶18 Against this backdrop, we turn to the questions of whether

(i) Plaintiffs delivered a statute-compliant notice of claim to the

proper governmental entity here, and, if not, (ii) whether the

noted statutory exception applies. We agree with the University

that the answer to both questions is no. 7

¶19 First, Plaintiffs failed to deliver a statute-compliant

notice of claim to the proper governmental entity. In arguing

that they did, Plaintiffs assert that although their notice of intent

only invoked the Malpractice Act (as opposed to the Immunity

Act), it satisfied both the Malpractice Act and the Immunity Act

because it set forth the relevant facts, the nature of the claim

asserted, and the known damages. See Utah Code § 63G-7-

401(3)(a).

7. In their brief, the Plaintiffs initially argued that compliance with

the delivery rule for a notice of claim shouldn’t be regarded as a

prerequisite to subject matter jurisdiction, but that it should more

correctly be viewed as a non-jurisdictional claims-processing rule.

But Plaintiffs also recognized that precedent from our supreme

court holds otherwise, and they correctly acknowledged this

again at oral argument. Plaintiffs’ assertion of this argument

seems to have been intended to preserve it for potential review on

certiorari. We thus note that Plaintiffs made this argument and

that, under controlling authority, we reject it.

20230197-CA 10 2024 UT App 57

E.S. v. University of Utah

¶20 But these relate to the required content of the notice. As

discussed above, the Immunity Act also requires a plaintiff to

deliver a notice of claim to the proper governmental entity or its

designated agent. See id. § 63G-7-401(3)(b)(ii). And as also

discussed, a party who seeks to sue the University and its hospital

must deliver the notice of claim to the attorney general. See id.

§ 63G-7-401(3)(b)(ii)(E). Plaintiffs did not. Instead, their notice of

intent was only delivered to a Senior Vice President of the

University of Utah, an Administrator of its Medical Center, and

DOPL. Because Plaintiffs’ notice of intent was not delivered to the

proper party under the Immunity Act, it could not qualify as a

strictly compliant notice of claim under the Immunity Act.

¶21 Second, Plaintiffs have not persuaded us that the noted

exception applies. Plaintiffs invoke only the governmental fault

exception described above, and in their arguments and through a

supporting affidavit from their trial counsel, they point to several

problems with the Division’s database. In that affidavit, trial

counsel claimed that when she visited the Division’s website on

June 27, 2023, the database was accessible only through a search

bar. Trial counsel also claimed that she tried multiple search

terms—including “University,” “University of Utah,” “Medical

Center,” and “Hospital”—and received no results pertaining to

the University generally or to its Medical Center. She claimed that

she also searched “Attorney General” and received no results.

Finally, she said that when she searched for “State,” the database

returned a result that named an “Administrative Assistant” with

an “agutah.gov” email address as the recipient, but that it did not

expressly connect the entry to the attorney general or an attorney

within the attorney general’s office.

¶22 Trial counsel’s uncontested assertions about the apparent

gaps in this database for plaintiffs who intend to sue the

University provide us with some cause for concern. But this

concern is not enough to allow us to apply the governmental fault

exception in Plaintiffs’ favor in this case. This is so because

20230197-CA 11 2024 UT App 57

E.S. v. University of Utah

Plaintiffs have not carried their burden of showing that any

defects in the database “caused” them “to improperly serve [their]

notice of claim” on the incorrect party. Suazo, 2007 UT App 282,

¶ 10 (emphasis in original). As noted, we held in Suazo that to

satisfy this burden, a plaintiff must establish when he or she

“consulted the database in relation to . . . the improper service,”

explaining that this “information would be necessary to evaluate

the reasonableness of the claimant’s reliance and determine

causation.” 8 Id. ¶ 12.

¶23 We have no such evidence here. Plaintiffs’ notice of intent

was delivered to the wrong governmental entities on December

16, 2021. But the affidavit from counsel describes the results of a

search that was conducted on June 27, 2023, which was 18 months

after that improper delivery. We have no information before us

8. The delivery failure in Suazo was caused by an amendment to

the database that occurred shortly before the delivery of the

notice. And it’s in that context that we required the claimant to

establish when he or she consulted the database. But we have no

difficulty concluding here that the same requirement applies

when a claimant claims that some other database defect (such as

a lack of information about the governmental entity’s agent or

address) caused the failure to properly deliver the notice of claim.

This is so because the statute at issue turns on whether the

improper delivery was “caused by the governmental entity’s

failure to file or update” its statement with the Division. Utah

Code § 63G-7-401(7). The government itself would be in no

position to produce proof about whether the plaintiff’s failure was

“caused by” any such defect. Because of this, as in the Suazo

scenario, it would be incumbent on the plaintiff to provide

information about when the plaintiff searched the database in

relation to the improper delivery, thereby allowing the court to

“evaluate the reasonableness of the [plaintiff’s] reliance and

determine causation.” Suazo v. Salt Lake City Corporation, 2007 UT

App 282, ¶ 12, 168 P.3d 340.

20230197-CA 12 2024 UT App 57

E.S. v. University of Utah

demonstrating that Plaintiffs searched the database before filing

their notice of intent in December 2021, much less information

showing that any particular defects that existed at that time

affirmatively caused them to deliver their notice to the wrong

governmental entities. Without such information, we have no

basis for applying the governmental fault exception in Plaintiffs’

favor.

¶24 We’re sensitive to Plaintiffs’ suggestion that a dismissal on

this basis may seem to be the product of a technicality. As

Plaintiffs point out, their notice of intent did make it into the

hands of an assistant attorney general, and the attorney general’s

office then capably represented the University’s interests at both

the district court and on appeal. But we’re not free to disregard

the plain terms of the controlling statute or the settled cases

interpreting it. And “where a right is purely statutory and is

granted upon conditions, one who seeks to enforce the right must

by allegation and proof bring himself within the conditions.”

Hamilton v. Salt Lake City, 106 P.2d 1028, 1030 (Utah 1940)

(quotation simplified). Here, the statute stated that to sue the

University, Plaintiffs were required to first deliver a notice of

claim to the attorney general or its designated agent. Because

Plaintiffs did not, the courts lack jurisdiction to consider their suit.

For this reason, the suit must be dismissed.

CONCLUSION

¶25 The district court dismissed Plaintiffs’ suit based on the

court’s conclusion that Plaintiffs could not establish proximate

cause. Because we conclude that Plaintiffs failed to strictly comply

with the notice of claim provision of the Immunity Act, however,

we conclude that the courts lack jurisdiction to consider the suit.

We therefore affirm the dismissal on this basis.

20230197-CA 13 2024 UT App 57

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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