Anesthetist Was Hospital's Employee, Not An Independent Contractor

ANESTHETIST WAS HOSPITAL’S EMPLOYEE, NOT AN INDEPENDENT CONTRACTOR

Workers Compensation

Provider Agreement

Writ of Certiorari

Staffing Agreement

 

Mildred H. Shatto was a certified nurse anesthetist and had been one for many years, including employment at a Pennsylvania hospital for 21 years. She moved to South Carolina to care for a family member and, after having held a few short-term nursing positions, entered into an employment arrangement with Staff Care, Inc. (Staff Care). Through this arrangement, Shatto became a nurse anesthetist for McLeod Regional Medical Center (McLeod) in Florence, South Carolina. However, McLeod did not directly employ her. Shatto had a Provider Agreement with Staff Care and Staff Care had a Staffing Agreement with McLeod.

 

Shatto fell and sustained injuries on December 21, 2007 while helping anesthetize a patient in an operating room. McLeod treated her and released her shortly afterwards. Shatto brought claims for her injuries against both Staff Care and McLeod under workers compensation coverage. Staff Care denied coverage. McLeod initially treated Shatto as an employee but later changed its position and denied that there was an employment relationship.

 

A single Workers Compensation Commissioner determined that there was an employment relationship between Shatto and McLeod and the Commission’s Appellate Panel affirmed that decision. McLeod appealed and the Appellate Court reversed the Commission’s decision. It determined that Shatto was an independent contractor, not an employee, and remanded the case back to the Commission to handle her claim against Staff Care. The Supreme Court of South Carolina granted Shatto’s petition for a writ of certiorari to review the appellate court’s decision.

 

Note: A writ of certiorari is an appellate court order used when a higher court has the authority to decide to hear or not to hear an appeal. If it denies the writ, the court refuses to hear the appeal and the judgment essentially stands unchanged. Granting the writ essentially orders the lower court to certify the record and send the case up to the higher court that agrees to hear the appeal.

 

The Supreme Court of South Carolina noted that determining whether Shatto was an independent contractor or an employee hinged on the single issue of control and whether the employer had the right to control Shatto in the way she performed her work. Common law prescribed the following four factors to examine the work relationship:

 

The court examined each of these factors in detail. It determined that the method of payment favored a finding of an independent contractor relationship. Through Shatto’s Provider Agreement with Staff Care, it paid Shatto by direct deposit into her account, provided per-diem, malpractice insurance coverage, a rental car, and housing while she worked at McLeod. On the other hand, under Staff Care’s Staffing agreement with McLeod, McLeod did not provide Shatto any of the benefits it typically made available to its directly employed workers.

 

However, after carefully examining the details of each of the other three factors, the court determined that they overwhelmingly favored a finding that Shatto was an employee of McLeod. This was because the preponderance of evidence favored an employer-employee relationship between them. Shatto had to execute certain documents immediately after she was assigned to McLeod that acknowledged that she was a temporary employee. She also received a “new employee packet” that acknowledged her as an employee at-will. In addition, she reported to a hospital supervisor at the start of her shift and that supervisor directed her work throughout the shift. McLeod provided all the equipment Shatto needed to do her job and had the right to terminate her employment if her work was not satisfactory or acceptable. All of this led the Supreme Court to rule that the appellate court erred in reversing the Workers Compensation Commission’s decision. It reversed the appellate court’s decision, ruled that Shatto was McLeod’s employee, and remanded the case back to the appellate court to handle and to address other issues.

 

Supreme Court of South Carolina. Mildred H. Shatto, Petitioner, v. McLeod Regional Medical Center and Key Risk Management Services, Inc., Respondents, and Staff Care, Inc. and Travelers Insurance, Defendants. Appellate Case No. 2011–201186. No. 27341. Heard Oct. 2, 2013. Decided Dec. 18, 2013. 406 S.C. 470, 753 S.E.2d 416