Paula Kingman v. Dillards, Inc. ( 2013 )


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  •  United States Court of Appeals
    For the Eighth Circuit
    ___________________________
    No. 12-1075
    ___________________________
    Paula Kingman; Calvin Kingman
    lllllllllllllllllllll Plaintiffs - Appellees
    v.
    Dillard's, Inc.
    lllllllllllllllllllll Defendant - Appellant
    ___________________________
    No. 12-1091
    ___________________________
    Paula Kingman; Calvin Kingman
    lllllllllllllllllllll Plaintiffs - Appellants
    v.
    Dillard's, Inc.
    lllllllllllllllllllll Defendant - Appellee
    ____________
    Appeal from United States District Court
    for the Western District of Missouri – Kansas City
    ____________
    Submitted: January 16, 2013
    Filed: July 25, 2013
    ____________
    Before BYE, MELLOY, and SMITH, Circuit Judges.
    ____________
    MELLOY, Circuit Judge.
    This matter is before the Court after we remanded the case for reconsideration
    of a damages award. On remand, the district court1 reduced the award amount by
    seventy-five percent, and the parties cross-appealed. For the reasons set forth below,
    we affirm the district court's reduced damages award.
    I.
    A.
    Paula Kingman was injured in November 2004 when a clothing rack broke free
    from a wall at a Dillard's, Inc. ("Dillard's") department store in Kansas City, Missouri,
    and struck her right shoulder. The full extent of Paula's injuries are set forth in our
    prior opinion pertaining to this case. Kingman v. Dillard's, Inc., 
    643 F.3d 607
    , 610–11
    (8th Cir. 2011) ("Kingman II"). As is relevant for this appeal, Paula's injuries restrict
    the amount of weight that she can lift with her right shoulder to five to ten pounds.
    Paula sued Dillard's for her injuries and, after a bench trial, the district court awarded
    her $186,388 in damages.
    Paula's husband, Calvin Kingman (together with Paula, "the Kingmans"), also
    sued Dillard's for loss of consortium. Calvin weighs 250–300 pounds and suffers
    from quadriplegia as a result of a car accident in 1982. Calvin relies primarily on
    Paula to assist him with bathing, dressing, feeding, and relieving himself. Paula is
    1
    The Honorable Howard F. Sachs, United States District Judge for the Western
    District of Missouri.
    -2-
    also responsible for moving Calvin by hoisting, pushing, or pulling him to help him
    avoid developing pressure sores. The district court awarded Calvin $1 million in
    consortium damages to cover the cost of professional healthcare services for fifteen
    years until Paula reaches age sixty-two. The court reasoned that after that time, Paula
    could no longer be expected to move Calvin, even absent her shoulder injuries.
    Dillard's appealed the district court's damages awards to the Kingmans. We
    affirmed Paula's award, 
    id. at 614, but
    vacated Calvin's award and remanded the case
    for reconsideration, 
    id. at 618. The
    crux of our decision to vacate and remand was
    two-fold. First, we expressed reservations regarding whether the services and care
    that Paula provided to Calvin are compensable as consortium under Missouri law. See
    
    id. at 615 ("No
    Missouri court has ever allowed a spouse to recover on a consortium
    claim for life-long professional nursing care."); 
    id. at 616 ("[P]rofessional
    nursing care
    is not included in the ordinary services that Missouri expects a wife to provide to her
    husband."). Second, we were concerned that the amount of the consortium award to
    Calvin greatly exceeded the amount of the award to Paula, who was the principal
    injured party. See 
    id. at 617 ("[W]e
    do not believe that [Missouri] precedent
    foreshadows a disproportionately large consortium claim of the sort awarded to Calvin
    by the district court."); 
    id. ("[W]e think it
    unlikely that, absent legislative action, the
    Supreme Court of Missouri would expand the concept of consortium to include a
    claim for lifetime professional nursing services that vastly exceeds the underlying
    award to the injured spouse.").
    On remand, the district court reduced Calvin's award to $250,000. Kingman v.
    Dillard's, Inc., 
    835 F. Supp. 2d 732
    , 736 (W.D. Mo. 2011) ("Kingman III"). The
    district court reasoned that our "repeated reference to professional nursing services as
    an inappropriate source of compensation was the limitation that must be followed."
    
    Id. at 735 (emphasis
    added). The district court further acknowledged that Paula
    should not be relieved of performing those tasks of which she remains capable and
    that she performed prior to her shoulder injuries (e.g., bathing, feeding, and changing
    -3-
    bedpans). Rather, the consortium award should cover only the "heavy lifting and
    adjustment" of Calvin that Paula can no longer perform due to the weight restriction
    on her shoulder. 
    Id. at 736. Dillard's
    and the Kingmans now cross-appeal Calvin's $250,000 award. The
    parties argue over two main points. First, the parties dispute whether the district court
    erred by including Paula's "heavy lifting and adjustment" as services encompassed by
    the notion of consortium. Dillard's contends that "medical/nursing healthcare services
    ordinarily performed by professionals do not constitute the type of spousal duties and
    obligations that are normally expected in the maintenance of a household, and
    therefore . . . [are] not compensable as a loss of consortium." (Internal quotation
    marks omitted.) The Kingmans, on the other hand, argue that "in the context of a loss
    of services claim, the word 'services' implies any and all assistance the wife is
    expected to provide [to] her husband under the particular circumstances in which they
    are placed." (Internal quotation marks added.)
    Second, assuming that Paula's "heavy lifting and adjustment" are properly
    within the scope of consortium, the parties argue over the award amount and whether
    and to what extent Missouri law requires proportionality between the damages awards
    to a principal injured spouse and a consortium spouse. Dillard's contends that "even
    if Calvin had established his right to some relief," the award of $250,000 is "grossly
    excessive." The Kingmans offer three alternative damages theories. First, the
    Kingmans assert that the original award of $1 million, "while substantial," was in no
    way a "windfall" and serves only "to make [Calvin] whole," and thus should be
    reinstated. Next, the Kingmans urge this Court to treble Paula's damages amount and
    award $559,164 to Calvin for his loss of consortium. Finally, the Kingmans argue for
    affirmance of the district court's $250,000 award, claiming that the amount "is fully
    within the parameters" of our prior opinion.
    -4-
    B.
    "This court reviews the district court's compensatory damage award for clear
    error, giving due regard to credibility determinations of the district court."2 Ledbetter
    v. Alltel Corporate Servs., Inc., 
    437 F.3d 717
    , 725 (8th Cir. 2006); see Hall v. Gus
    Constr. Co., 
    842 F.2d 1010
    , 1017 (8th Cir. 1988) ("In a bench trial, ascertaining the
    plaintiff's damages is a form of factfinding that can be set aside only if clearly
    erroneous."). "Under the clearly erroneous standard, we will overturn a factual
    finding only if it is not supported by substantial evidence in the record, if it is based
    on an erroneous view of the law, or if we are left with the definite and firm conviction
    that an error was made." Roemmich v. Eagle Eye Dev., LLC, 
    526 F.3d 343
    , 353 (8th
    Cir. 2008) (citation and internal quotation marks omitted).
    Because this case is before us based on diversity of citizenship, "we apply the
    substantive law that would be applied by a Missouri state court." BancorpSouth Bank
    v. Hazelwood Logistics Ctr., LLC, 
    706 F.3d 888
    , 893 (8th Cir. 2013).
    2
    Dillard's argues for de novo review. Dillard's asserts that the question before
    this Court is not strictly a review of the amount of Calvin's new damages award, but
    rather whether the district court complied with this Court's mandate that Calvin's
    award not exceed Paula's award. See United States v. Castellanos, 
    608 F.3d 1010
    ,
    1016–17 (8th Cir. 2010) (explaining the law-of-the-case doctrine). Kingman II,
    however, left open the question of the proper amount of Calvin's damages award,
    including whether and to what extent his award could exceed Paula's award. 
    See 643 F.3d at 618
    ("[A]n invalid spouse might be entitled to a greater recovery than a healthy
    spouse if his injured wife had previously been undertaking a greater share of
    household services that are encompassed by the notion of consortium." (emphases
    added)); 
    id. ("[W]e predict that
    the Supreme Court of Missouri would permit a higher
    consortium award [than an injured spouse's award] when, as here, the uninjured
    spouse is an invalid."). Thus, any "mandate" handed down previously was
    open-ended in view of the particular facts of the case, and the district court's decision
    to award Calvin greater damages than Paula on remand is not per se disobedient to
    this Court's prior instruction.
    -5-
    II.
    Our analysis proceeds in three phases. We first consider the question of
    whether the "heavy lifting and adjustment" that Paula performed before her shoulder
    injury are encompassed by the notion of consortium under Missouri law. Answering
    this question in the affirmative, we turn next to the question of whether Calvin's
    damages award on remand "vastly exceeds" Paula's damages award and is therefore
    inconsistent with our prior opinion and prediction of how the Supreme Court of
    Missouri would rule. See Kingman 
    II, 643 F.3d at 617
    . Determining that a $250,000
    consortium award to Calvin does not, in our view, violate Missouri law, we then turn
    to the issue of whether the award amount is supported by the record and the specific
    facts of this case.
    A.
    As Missouri courts have recognized,
    [w]hen a married person is injured, two causes of action
    arise: one accrues to the injured person for the injuries
    suffered directly by him or her, and the other accrues to the
    injured person's spouse for damages suffered as a result of
    the loss of the injured person's services, society,
    companionship, and sexual relations (loss of consortium).
    Thompson v. Brown & Williamson Tobacco Corp., 
    207 S.W.3d 76
    , 112–13 (Mo. Ct.
    App. 2006) (citation and internal quotation marks omitted). Loss of consortium
    encompasses services that the injured spouse once previously performed for the
    consortium spouse but is no longer able to perform after the injury, see, e.g., Gooch
    v. Avsco, Inc., 
    340 S.W.2d 665
    , 669–70 (Mo. 1960) (affirming consortium award to
    husband because injured wife no longer able to perform housework and "wifely duties
    and obligations"), as well as new services that the consortium spouse must take on for
    -6-
    the injured spouse that, prior to the injury, the consortium spouse was not required to
    perform, see, e.g., Helming v. Dulle, 
    441 S.W.2d 350
    , 354–55 (Mo. 1969) (husband's
    injuries required wife to take on "varied and sundry duties" not previously performed,
    including a second job). We note that this case is akin to the set of circumstances in
    Gooch in that prior to her injury Paula was able to move and adjust Calvin, but she is
    now no longer able due to the limited weight that she can lift with her right shoulder.
    However, because the dispute in this case centers around the nature and character of
    the duties enveloped in the notion of consortium, we are not concerned with the
    context in which the concept arises.
    With this framework in mind, we turn first to the language of our prior opinion
    and then to the case law regarding loss of consortium.
    1.
    In our prior opinion, we stated that "[n]o Missouri court has ever allowed a
    spouse to recover on a consortium claim for life-long professional nursing care."
    Kingman 
    II, 643 F.3d at 615
    . Dillard's argues that "professional nursing care" refers
    to services that "are customarily performed by career medical personnel who are paid
    for their services—and not traditionally by one's spouse," and that "'lifting and
    adjusting' . . . are the precise types of professionally-administered healthcare activities
    that . . . are not traditional household or domestic services encompassed by
    consortium." Assuming, arguendo, that Dillard's is correct in its characterization of
    "heavy lifting and adjustment," its argument that such services should be per se
    excluded from Calvin's consortium claim still fails for two reasons.
    First, while "heavy lifting and adjustment" may be performed by home health
    aids, it is also the type of assistance that a spouse or child or layperson can provide.
    And in fact, the parties do not dispute that prior to the November 2004 incident at
    Dillard's, Paula—not a third-party aid or in-home caretaker—had been responsible for
    -7-
    lifting and adjusting Calvin. The district court's first order makes this point clear. See
    Kingman v. Dillard's, Inc., No. 06-0907-CV-W-HFS, 
    2010 WL 2710716
    , at *3 (W.D.
    Mo. July 7, 2010) ("Kingman I") (stating that prior to her shoulder injury, "Paula was
    doing the work of two [caregivers] (with a hoist)"). These tasks thus had been part
    of Paula's "wifely duties and obligations" for more than twenty years following the
    1982 accident that rendered Calvin a quadriplegic. See 
    Gooch, 340 S.W.2d at 669
    .
    Second, although we noted previously that "professional nursing care is not included
    in the ordinary services that Missouri expects a wife to provide to her husband,"
    Kingman 
    II, 643 F.3d at 616
    (emphasis added), we recognized that "[t]o be sure, this
    is not the usual case," 
    id. at 617, and
    that "Calvin's invalid status and Paula's former
    role as his primary care-giver are not entirely irrelevant to Calvin's loss-of-consortium
    claim," 
    id. at 618. Thus,
    our prior opinion did not categorically exclude "heavy lifting
    and adjustment" from the scope of consortium simply because similar tasks might be
    performed by paid healthcare professionals.
    Whether those services are embodied in the concept of consortium, however,
    is determined by Missouri case law, which is where we turn our attention now.
    2.
    In Helming, an injured husband's wife sued for loss of consortium after her
    husband was hospitalized because he "severely injured" his hands on the defendant's
    
    machinery. 441 S.W.2d at 351–52
    . The Helming court noted that "[a]fter [the
    husband's] first discharge from the hospital, his both [sic] hands were bandaged and
    his wife was required to assist him when he ate meals, she shaved him and she
    buttoned his clothing. [The husband's] handicap still necessitates some services of this
    character by [his] wife . . . ." 
    Id. at 354–55. The
    court affirmed a $10,000 award to
    the wife for loss of consortium, stating that "these varied and sundry duties now fall
    upon the wife and constitute a disruptive influence in the sphere of family and social
    life between the parties." 
    Id. at 355. -8-
             Later, in Pretre v. United States, 
    531 F. Supp. 931
    (E.D. Mo. 1981), a federal
    district court applying Missouri law reached a similar conclusion. In Pretre, a husband
    was infected with swine flu and hospitalized for five months. During this time, his
    wife "visited the hospital every day, for about 10 hours daily. She helped care for [her
    husband], doing such tasks as helping to feed him, emptying bed pans, and helping
    with his physical therapy." 
    Id. at 932. As
    a result of the flu, the husband contracted
    a syndrome that caused him to suffer from several permanent negative side effects,
    including a condition that affected blood circulation in his legs and "render[ed] him
    more susceptible to leg ulcers." 
    Id. at 933. The
    wife sued for loss of consortium. The
    district court did not award consortium damages to the wife for her in-hospital care
    of her husband because the many tasks that she performed were merely duplicative of
    the services that normal hospital nursing care would cover. See 
    id. at 936 ("To
    award
    [the wife] the wages of a nurse's aid for the period she spent in the hospital would
    amount to a finding that the nursing care provided by [the hospital] was inadequate
    . . . ."). The court did, however, award consortium damages to the wife for the care
    of her husband after he was released from the hospital. In doing so, the court noted
    the "physical burdens placed upon [the wife] by [her husband's] weakness following
    his discharge from the hospital," 
    id. at 936–37, including
    that her husband needed
    assistance when showering upon his return home, 
    id. at 932–33. Both
    Helming and Pretre are cases in which the consortium spouse was forced
    to take on additional duties, whereas here the consortium spouse (Calvin) lost a
    service (lifting and adjusting) that the injured spouse (Paula) previously provided. As
    we noted earlier, however, this distinction does not diminish the nature and character
    of the services at issue. Health and hygiene services such as assisting a spouse when
    showering or shaving are analogous to the lifting and adjusting that Calvin requires
    to avoid developing pressure sores. Accordingly, in our view, Missouri law includes
    Paula's "heavy lifting and adjustment" in the notion of consortium. See Riggs v.
    Metcalf, 
    315 S.W.2d 791
    , 795 (Mo. 1958) ("[T]he word services 'implies whatever of
    aid, assistance, comfort, and society the wife would be expected to render to or bestow
    -9-
    upon her husband, under the circumstances and in the condition in which they may be
    placed, whatever those may be.'" (emphasis added) (quoting Womach v. City of St.
    Joseph, 
    100 S.W. 443
    , 448 (Mo. 1907))); see also Stahlheber v. Am. Cyanamid Co.,
    
    451 S.W.2d 48
    , 63–64 (Mo. 1970) (suggesting that "future care" of an invalid wife
    "who would require constant attention around the clock" be taken into account when
    calculating her husband's consortium damages).
    Dillard's argues that Wright v. Standard Oil Co., 
    470 F.2d 1280
    (5th Cir. 1972),
    compels a different result. In Wright, the Fifth Circuit allowed a wife–mother to
    recover damages for the care that she provided to her son after her son was rendered
    a paraplegic because of an accident. 
    Id. at 1282, 1293.
    Notably, this recovery was not
    based on loss of consortium, but rather was grounded on a separate legal interest. 
    Id. The wife's husband
    and boy's father, however, tried to claim his wife's care services
    to their son as his own loss of consortium. 
    Id. at 1286. The
    Wright court rejected this
    claim: "[T]he argument that [the wife's] services [to their child] belong to her husband
    falls of its own weight. . . . Her activities cannot be characterized as normal household
    and domestic duties which by entering into the marriage she impliedly agreed to
    perform without compensation." 
    Id. at 1292–93. Dillard's
    contends that Wright's holding regarding the husband's loss-of-
    consortium claim is based on the type of services at issue, rather than the recipient of
    the services. We disagree. The husband in Wright was not the direct beneficiary of
    his wife's services to their child and thus was forced to rely on a conduit theory of
    consortium. By contrast, Calvin is the direct beneficiary of Paula's lifting and
    adjusting. The Wright court recognized this critical distinction when it stated that "the
    general principle that a husband is entitled to his wife's services . . . [is based on] the
    reciprocity of the marital relationship . . . . [and] should not be extended to govern
    situations involving the husband–wife vis-a-vis third parties." 
    Id. at 1293 n.20.
    Regardless of Wright's holding, we note that the Fifth Circuit was applying
    -10-
    Mississippi law, not Missouri law. See 
    id. at 1285. Dillard's
    reliance on Wright is
    thus misplaced.
    For the reasons set forth above, we determine that Paula's "heavy lifting and
    adjustment" of Calvin is within the realm of services encompassed by the notion of
    consortium under Missouri law.
    B.
    The parties make much of the so-called "proportionality" requirement as
    extracted from our prior opinion. See Kingman 
    II, 643 F.3d at 617
    ("[T]he Kingmans
    have not cited any Missouri authority for the proposition that a consortium award may
    exceed by a factor of five the damages awarded to the injured spouse. . . . [and] we do
    not believe that state precedent foreshadows a disproportionately large consortium
    claim of the sort awarded to Calvin by the district court."). Dillard's argues that "the
    decision on remand was . . . unfaithful to this Court's 'proportionality' requirement,"
    and "[e]ven if Calvin had established his right to some relief, the award of $250,000
    did not comply with this Court's mandate." The Kingmans, on the other hand, argue
    that the "creation of a 'proportionality' requirement flatly contravenes well-established
    case law as reflected in Missouri" and, alternatively, if there is such a requirement, an
    award of $250,000 was well within—and in fact, below—the proper amount owed.
    As it relates to an action to recover for personal injury, "[a] consortium claim
    is a separate, distinct, and personal legal claim, and is derivative only in the sense that
    it must be occasioned by a spouse's injury." 
    Thompson, 207 S.W.3d at 112
    (citation
    and internal quotation marks omitted). "Settlement of the underlying personal injury
    claim by the injured spouse does not preclude the other spouse from maintaining an
    action for loss of consortium against the tortfeasors in a separate suit," 
    id. at 113, and
    "the failure of one spouse to sue for injuries within the statute of limitations does not
    bar a suit for loss of consortium that was timely filed," 
    id. at 114 (citation
    and internal
    -11-
    quotation marks omitted)); see also Bridges v. Van Enters., 
    992 S.W.2d 322
    , 325 (Mo.
    Ct. App. 1999) ("[T]he loss of consortium claim continues to exist even if the injured
    spouse settles his or her claim for personal injuries. The consortium claim survives
    independently of the injured spouse's claim." (citing Shepherd v. Consumers Coop.
    Assoc., 
    384 S.W.2d 635
    , 640 (Mo. 1964))).
    Despite this separateness, we stated previously that where the injured spouse
    does maintain a claim for damages, "there 'should be some reasonable relationship
    between the size of a verdict awarded in a consortium action and that given [to] the
    injured spouse,' and it would be a highly unusual case in which the consortium award
    exceeded the damages award to the principal plaintiff." Kingman 
    II, 643 F.3d at 618
    (quoting Hodges v. Johnson, 
    417 S.W.2d 685
    , 693 (Mo. Ct. App. 1967)). As the
    Kingmans point out, however, a more complete reading of Hodges tells us that
    "[t]here should be some reasonable relationship between the size of a verdict awarded
    in a consortium action and that given the injured spouse so that each will be congruent
    with the particular facts and circumstances 
    involved." 417 S.W.2d at 693
    (emphasis
    added). Without expressly saying so, our prior opinion recognized the fact-specific
    nature of a consortium award by noting that "an invalid spouse might be entitled to a
    greater recovery than a healthy spouse if his injured wife had previously been
    undertaking a greater share of household services that are encompassed by the notion
    of consortium." Kingman 
    II, 643 F.3d at 618
    (emphases added). Indeed, "we
    predict[ed] that the Supreme Court of Missouri would permit a higher consortium
    award when, as here, the uninjured spouse is an invalid." 
    Id. In fact, the
    Supreme Court of Missouri has affirmed a damages award to a
    consortium spouse that was larger than the award to the principal injured spouse.
    
    Gooch, 340 S.W.2d at 670
    . We note that in Gooch, however, the damages awards
    were handed down by different juries in different trials. Still, the Supreme Court of
    Missouri stated that "[t]he fact that one jury awarded a[n] [injured] wife less for her
    injuries than another jury awarded the [consortium] husband in his separate action for
    -12-
    expenses and for loss of services and society of his wife, does not, standing alone,
    tend to substantiate the contention that the husband's verdict and judgment are
    excessive." 
    Id. (rejecting the defendants'
    argument to apply a "rule of reasonable
    uniformity").
    Other state courts have permitted awards for loss of consortium that were larger
    than the awards to the principal injured spouse in certain circumstances as well. In
    Clark v. Shoaf, a Tennessee appellate court affirmed a jury verdict awarding a
    consortium spouse an amount one-and-a-half times greater than the injured party's
    award. 
    209 S.W.3d 59
    , 60 (Tenn. Ct. App. 2006). Notably, Clark was decided under
    the same legal framework that exists in Missouri regarding the relationship between
    a claim for the principal injury and a corresponding claim for loss of consortium. See
    
    id. at 61 ("[An]
    action for loss of consortium [in Tennessee] is derivative in that it
    originates from or owes its existence to [the injured party's] claim for personal
    injuries. However, a loss of consortium claim is separate from the original claim for
    personal injuries. . . . It is a distinct cause of action." (citations omitted)). The
    defendant in Clark argued that "the plaintiff seeking damages for loss of consortium
    must demonstrate some especially great reliance on the plaintiff in the underlying
    action in order to justify damages in excess of those awarded for the underlying
    injury." 
    Id. at 62. That
    is precisely the situation here, where Calvin, a quadriplegic,
    is entirely dependent upon Paula for care. The Clark court found that there was not
    material evidence to refute the jury's award to the consortium spouse, and affirmed the
    consortium verdict of $30,000 (compared to $20,000 to the injured spouse).
    
    Id. at 61–62. In
    sum, our prior opinion did not foreclose awarding a consortium spouse a
    higher damages award. We observed only that "state precedent [would not]
    foreshadow[] a disproportionately large consortium claim," such as the $1 million
    originally awarded to Calvin. Kingman 
    II, 643 F.3d at 617
    (emphasis added); see 
    id. ("[W]e think it
    unlikely that, absent legislative action, the Supreme Court of Missouri
    -13-
    would expand the concept of consortium to include a claim for lifetime professional
    nursing services that vastly exceeds the underlying award to the injured spouse."
    (emphasis added)); 
    id. at 615 ("[W]e
    agree with Dillard's that current Missouri law
    does not contemplate an unlimited consortium claim of the sort awarded to Calvin by
    the district court." (emphasis added)). The district court properly understood this
    limitation on remand. See Kingman 
    III, 835 F. Supp. 2d at 735
    ("I will avoid an
    amount greatly out of line with the personal injury recovery of Mrs. Kingman."
    (emphasis added)); 
    id. at 735–36 (characterizing
    Kingman II as prohibiting "a
    recovery [for loss of consortium] greatly in excess of the recovery by the injured
    party" (emphasis added)). Considering the unique circumstances of this case and the
    impact that Paula's injury has upon Calvin, we hold that the district court's award of
    $250,000 is not inconsistent with our prior opinion or, in our view, in conflict with
    Missouri law. See Kingman 
    II, 643 F.3d at 617
    (noting that "the extent of the
    uninjured spouse's recovery for loss of consortium 'depends, in large measure,' upon
    the extent of the injured spouses injuries"—not the injured spouse's award (emphasis
    added) (quoting State ex rel. St. Louis Pub. Serv. Co. v. McMullan, 
    297 S.W.2d 431
    ,
    436 (Mo. 1956) (en banc))).
    We turn now to whether there is sufficient evidence in the record to support the
    specific award amount.
    C.
    The district court's $250,000 award on remand was premised on the rationale
    that "[p]aying for professional nursing for two four-hour segments [per day] . . . would
    relieve Mrs. Kingman of some nursing activities that she is quite capable of
    performing," and that "[s]upplementary nursing is only needed for heavy lifting and
    adjustment, with available lifts." Kingman 
    III, 835 F. Supp. 2d at 736
    . The district
    court recognized that "[t]he compensation for that limited service, if obtainable
    separately, would be very much less than the full charges for nursing." 
    Id. -14- The Kingmans
    continue to assert, however, that "all of [Calvin's] personal
    care/hygiene tasks require replacement care or the assistance of a replacement
    caregiver." This claim is refuted by the Kingmans' own Life Care Plan and Cost
    Analysis for Paula Kingman ("Life Care Plan"), on which the Kingmans based their
    damages amounts. The Life Care Plan states plainly that "Mrs. Kingman is . . . able
    to perform [Calvin's] bowel program" and she "can certainly continue to help [Calvin]
    with tasks such as medication administration, food preparation and set-up assistance
    for feeding, and other similar assistance that is less strenuous [on her shoulder]." The
    only tasks that the record shows that Paula can no longer perform are "assistance with
    repositioning, transfers, and pressure relief maneuvers that are required multiple times
    throughout each day."
    The Life Care Plan nevertheless calls for an average of ten hours per day of care
    for Calvin because "[i]t is not feasible or cost effective for certified nurse aides or
    other attendants to make multiple visits throughout the day to attend to those aspects
    of care that Mrs. Kingman should avoid doing due to lifting restrictions, pain and
    shoulder impairment." While we recognize that such a practice may not be ideal, it
    would, in our view, be a windfall to the Kingmans were Dillard's forced to pay
    multiple aids to sit idle for long periods of time throughout the day, save for the
    occasional lifting or adjustment of Calvin. We reiterate that loss of consortium is
    meant to compensate a spouse only for services actually lost or required to be taken
    up as the result of an injury, and should not in this case relieve Paula of those tasks
    that she is still capable of performing for Calvin. See 
    Hodges, 417 S.W.2d at 691–93
    (reducing consortium spouse's damages in part based on a lack of evidence that certain
    services or affection were actually diminished as a result of the injury).
    Although the district court did not employ any mathematical analysis to arrive
    at its new consortium award amount, we do not believe that a seventy-five percent
    reduction in Calvin's award based on the limited services that Paula can no longer
    perform was clearly erroneous.
    -15-
    III. Conclusion
    For the reasons set forth above, we affirm the district court's $250,000 award
    to Calvin Kingman for loss of consortium.3
    ______________________________
    3
    Prior to oral argument, Dillard's moved to strike Part I of the Kingmans' Reply
    Brief on the ground that it violates Federal Rule of Appellate Procedure 28.1(c)(4);
    that motion is granted. Subsequent to oral argument, the Kingmans moved for leave
    to file a supplemental letter brief; that motion is denied.
    -16-