Frederick Copeland v. Healthcare/Methodist Rehabilitation Hospital LP ( 2017 )


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  •                                                                                       08/10/2017
    IN THE COURT OF APPEALS OF TENNESSEE
    AT JACKSON
    June 29, 2017 Session
    FREDERICK COPELAND v. HEALTHSOUTH/METHODIST
    REHABILITATION HOSPITAL, LP, ET AL.
    Appeal from the Circuit Court for Shelby County
    No. CT-000196-16 Rhynette N. Hurd, Judge
    ___________________________________
    No. W2016-02499-COA-R3-CV
    ___________________________________
    This is an appeal from the grant of summary judgment in favor of Appellee. Following
    Appellant’s knee surgery, Appellee provided Appellant transportation, by wheelchair
    van, from the rehabilitation hospital to a follow-up appointment with his surgeon. Prior
    to transport, Appellant signed an exculpatory agreement, releasing Appellee from all
    claims of ordinary negligence. Appellant was injured when he fell while trying to enter
    the van and filed suit against Appellee for negligence. The trial court granted summary
    judgment in favor of Appellee, finding that the exculpatory agreement was enforceable.
    Discerning no error, we affirm.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Circuit Court
    Affirmed and Remanded
    KENNY ARMSTRONG, J., delivered the opinion of the court, in which J. STEVEN
    STAFFORD, P.J., W.S., and BRANDON O. GIBSON, J., joined.
    Donald K. Vowell, Knoxville, Tennessee, David E. Gordon and Erin L. Hillyard,
    Memphis, Tennessee, for the appellant, Frederick Copeland.
    Diana M. Comes, Memphis, Tennessee, for the appellee, MedicOne Medical Response
    Delta Region, Inc.
    OPINION
    I. Background
    On December 2, 2014, Appellant Frederick Copeland, who was 77 years old at the
    time, was an inpatient at HealthSouth/Methodist Rehabilitation Hospital, LP
    (“HealthSouth”), in Memphis, where he was recuperating from total knee replacement.
    Mr. Copeland had a follow-up appointment scheduled with his orthopedic surgeon that
    day, and HealthSouth arranged for MedicOne Medical Response Delta Region, Inc.
    (“MedicOne,” or “Appellee”) to transport Mr. Copeland to the appointment and back to
    the rehabilitation facility. After the appointment, Mr. Copeland was injured when he fell
    while getting back into the MedicOne transport van. Prior to transport, Mr. Copeland
    signed a Wheelchair Van/Transportation Run Report (“Run Report”), in which he
    acknowledged that “MedicOne . . . is NOT covered by Medicare or Medicaid. MedicOne
    wheelchair vans are not an ambulance and no care will be given by the MedicOne
    Technician.” Prior to transport, Mr. Copeland also signed a Wheelchair Van
    Transportation Agreement (“Agreement”). The Agreement, which was between
    MedicOne and Mr. Copeland, stated that it was for “transportation” services. In addition,
    the Agreement acknowledged that “there are inherent risks associated with such
    transportation which pose a risk of harm or injury.” Furthermore, the Agreement stated
    that Client, i.e., Mr. Copeland “SPECIFICALLY RELEASES AND FOREVER
    DISCHARGES MEDICONE RELATED PARTIES FROM ANY AND ALL CLAIMS
    ARISING DIRECTLY OR INDIRECTLY FROM OR AS A RESULT OF THE
    NEGLIGENCE (BUT NOT GROSS NEGLIGENCE OR WILLFUL MISCONDUCT)
    OF MEDIC ONE RELATED PARTIES.”
    On January 19, 2016, Mr. Copeland filed a complaint against HealthSouth and
    MedicOne, alleging that MedicOne was negligent in failing to: (1) “exercise reasonable
    and ordinary care in the transportation of [Appellant] to and from his medical
    appointment;” (2) “assist [Appellant] in his entry and exit of the medical transportation
    vehicle;” (3) “meet the standard of care required of medical transportation drivers in the
    transfer of patients to and from a medical transportation vehicle;” and (4) “train the
    particular driver in the proper transfer of patients to and from a medical transportation
    vehicle.” Concerning HealthSouth’s alleged liability, Mr. Copeland averred that
    “MedicOne was contracted by HealthSouth to provide transportation to [Appellant]. All
    of the allegations of negligence against MedicOne are, therefore, made against
    HealthSouth on the basis of agency and the doctrine of respondeat superior.”
    On February 26, 2016, MedicOne filed a motion to dismiss or, alternatively, for
    summary judgment, arguing, inter alia, that Mr. Copeland had signed the Agreement,
    which contained a release and waiver of all claims of ordinary negligence against
    MedicOne. Based on this Agreement, and the doctrine of express assumption of the risk,
    MedicOne argued that Mr. Copeland could not recover. On April 7, 2016, Mr. Copeland
    filed a response, arguing that the release and waiver provision in the Agreement was an
    unconscionable adhesion agreement; alternatively, Mr. Copeland argued that the
    Agreement was one for professional services and should be invalidated.
    -2-
    At the hearing on MedicOne’s motion, Mr. Copeland argued that the services
    provided were medical services, not merely transportation services, and that the Olson v.
    Molzen formula for determining whether exculpatory clauses were invalid as against
    public policy applied, see discussion infra.         Mr. Copeland also reiterated his
    unconscionable adhesion argument. The trial court was unpersuaded by Mr. Copeland’s
    argument and granted MedicOne’s motion for summary judgment by order of November
    7, 2016. Thereafter, HealthSouth filed a Tennessee Rule of Civil Procedure 12.02(6)
    motion to dismiss the complaint, arguing that it could not be held liable for Mr.
    Copeland’s injuries in view of the fact that MedicOne had been dismissed from the
    lawsuit. The record does not contain an adjudicatory order on HealthSouth’s motion;
    however, the November 7, 2016 order granting summary judgment contains Tennessee
    Rule of Civil Procedure 54.02 language. Thus, it appears that the order appealed is final
    so as to confer jurisdiction on this Court. HealthSouth is not a party to this appeal.
    II. Issues
    Mr. Copeland’s brief lists 14 issues; however, it appears that Appellee’s statement
    of the issue is a more accurate reflection of the appeal. Restated slightly, Appellee’s
    statement of the issue is:
    Whether the trial court erred in granting summary judgment in favor of
    Appellee on its finding that the Wheelchair Van Transportation Agreement
    between MedicOne and Mr. Copeland contained an enforceable
    exculpatory clause barring Appellant’s claim for ordinary negligence.
    III. Standard of Review
    A trial court’s decision to grant a motion for summary judgment presents a
    question of law. Therefore, our review is de novo with no presumption of correctness
    afforded to the trial court’s determination. Bain v. Wells, 
    936 S.W.2d 816
    , 622 (Tenn.
    1997). This Court must make a fresh determination that all requirements of Tennessee
    Rule of Civil Procedure 56 have been satisfied. Abshure v. Methodist Healthcare–
    Memphis Hosps., 
    325 S.W.3d 98
    , 103 (Tenn. 2010). When a motion for summary
    judgment is made, the moving party has the burden of showing that “there is no genuine
    issue of material fact and the moving party is entitled to judgment as a matter of law.”
    Tenn. R. Civ. P. 56.04. According to the Tennessee General Assembly:
    In motions for summary judgment in any civil action in Tennessee, the
    moving party who does not bear the burden of proof at trial shall prevail on
    its motion for summary judgment if it:
    1) Submits affirmative evidence that negates an essential element of the
    nonmoving party's claim; or
    -3-
    2) Demonstrates to the court that the nonmoving party's evidence is
    insufficient to establish an essential element of the nonmoving party's
    claim.
    Tenn. Code Ann. § 20-16-101. Furthermore,
    “[w]hen a motion for summary judgment is made [and] ... supported as
    provided in [Tennessee Rule 56],” to survive summary judgment, the
    nonmoving party “may not rest upon the mere allegations or denials of [its]
    pleading,” but must respond, and by affidavits or one of the other means
    provided in Tennessee Rule 56, “set forth specific facts” at the summary
    judgment stage “showing that there is a genuine issue for trial.” Tenn. R.
    Civ. P. 56.06. The nonmoving party “must do more than simply show that
    there is some metaphysical doubt as to the material facts.” Matsushita
    Elec. Indus. Co., [Ltd. v. Zenith Radio Corp.], 475 U.S. [574,] 586, 106 S.
    Ct. 1348 [(1986)]. The nonmoving party must demonstrate the existence of
    specific facts in the record which could lead a rational trier of fact to find in
    favor of the nonmoving party.
    Rye v. Women's Care Ctr. of Memphis, MPLLC, 
    477 S.W.3d 235
    , 265 (Tenn. 2015).
    IV. Analysis
    The gravamen of Appellant’s appeal lies in the resolution of the question of
    whether the exculpatory clause, in the Agreement, can be enforced so as to bar
    Appellant’s recovery for the alleged negligence of MedicOne and/or its employee. There
    is no dispute that Mr. Copeland signed the Run Report and the Agreement. As set out
    above, the language used in these documents is not ambiguous. The Run Report clearly
    states that “no care will be given by the MedicOne Technician.” The Agreement
    definitively states that Mr. Copeland releases “MedicOne related parties from any and all
    claims arising directly or indirectly from or as a result of the negligence . . . of MedicOne
    related parties.” As the Tennessee Supreme Court has explained:
    It is well settled in this State that parties may contract that one shall not be
    liable for his negligence to another but that such other shall assume the risk
    incident to such negligence.... Further, it is not necessary that the word
    ‘negligence’ appear in the exculpatory clause and the public policy of
    Tennessee favors freedom to contract against liability for negligence.
    Empress Health and Beauty Spa, Inc. v. Turner, 
    503 S.W.2d 188
    (Tenn. 1973). In
    arguing that the exculpatory clause is not enforceable, Mr. Copeland relies on the
    Tennessee Supreme Court case of Olson v. Molzen, 
    558 S.W.2d 429
    (Tenn. 1977),
    -4-
    wherein the Court held that certain relationships required greater responsibility which
    would render such a release “obnoxious.” 
    Id. at 430.
    The Olson Court adopted the
    opinion of the California Supreme Court in Tunkl v. Regents of University of California,
    
    60 Cal. 2d 92
    , 
    32 Cal. Rptr. 33
    , 
    383 P.2d 441
    (Ca. 1963), which held that where the public
    interest would be affected by an exculpatory provision, such provision could be held
    invalid. 
    Id. at 431.
    In Olson, the Court adopted the six criteria set forth in Tunkl as
    useful in determining when an exculpatory provision should be held invalid as contrary to
    public policy. These criteria are:
    (a.) It concerns a business of a type generally thought suitable for public
    regulation.
    (b.) The party seeking exculpation is engaged in performing a service of
    great importance to the public, which is often a matter of practical necessity
    for some members of the public.
    (c.) The party holds himself out as willing to perform this service for any
    member of the public who seeks it, or at least for any member coming
    within certain established standards.
    (d.) As a result of the essential nature of the service, in the economic setting
    of the transaction, the party invoking exculpation possesses a decisive
    advantage of bargaining strength against any member of the public who
    seeks his services.
    (e.) In exercising a superior bargaining power the party confronts the public
    with a standardized adhesion contract of exculpation, and makes no
    provision whereby a purchaser may pay additional reasonable fees and
    obtain protection against negligence.
    (f.) Finally, as a result of the transaction, the person or property of the
    purchaser is placed under the control of the seller, subject to the risk of
    carelessness by the seller or his agents.
    
    Olson, 558 S.W.2d at 431
    . Applying the foregoing factors, the Olson Court invalidated a
    contract between a doctor and patient that attempted to release the doctor from liability
    for his negligence in the performance of medical services. 
    Id. Importantly, the
    Olson
    Court clearly stated that the exceptions to the general rule of express assumption of the
    risk were adopted because the general rule does
    not afford a satisfactory solution in a case involving a professional person
    operating in an area of public interest and pursuing a profession subject to
    licensure by the state. The rules that govern tradesmen in the market place
    are of little relevancy in dealing with professional persons who hold
    themselves out as experts and whose practice is regulated by the state.
    -5-
    
    Id. at 430.
    Indeed, a review of relevant Tennessee cases indicates that the exceptions
    adopted in Olson have generally been restricted to those situations involving professional
    services, such as legal services, medical treatment, and home-inspections. See, e.g.,
    Thrasher v. Riverbend Stables, LLC, No. M2008-02698-COA-RM-CV, 
    2009 WL 275767
    , at *3 (Tenn. Ct. App. Feb. 5, 2009) (“The application of the [Olson] criteria,
    however, is to be limited to situations involving a contract with a professional person,
    rather than a tradesman.” (internal quotation marks omitted)); Henderson v. Quest
    Expeditions, Inc., 
    174 S.W.3d 730
    , 733 (Tenn. Ct. App. 2005), perm. app. denied (Tenn.
    Oct. 24, 2005) (“This case is factually different from Olson . . . because the white-water
    rafting service offered by defendant is not a ‘professional’ trade, which affects the public
    interest.”); Carey v. Merrit, 
    148 S.W.3d 912
    , 916 (Tenn. Ct. App. 2004), perm. app.
    denied (Tenn. Oct. 11, 2004) (“In general, application of factors used to determine if
    exculpatory clause violates public policy is limited to circumstances involving a contract
    with a professional, as opposed to a ‘tradesmen in the marketplace.’”); Russell v. Bray,
    
    116 S.W.3d 1
    , 6 (Tenn. Ct. App. 2003), perm. app. denied (Tenn. Sept. 2, 2003)
    (“Application of the Olson criteria should be limited to situations involving a contract
    with a professional person, rather than a tradesman.”); Lane-Detman, LLC v. Miller &
    Martin, 
    82 S.W.3d 284
    , 292 (Tenn. Ct. App. 2002) (“Tennessee courts have found that
    contracting parties may not agree to release one party from liability for professional
    medical negligence through an exculpatory clause.”); Floyd v. Club Sys. of Tennessee,
    No. 01-A-01-9807-CV-00399 , 
    1999 WL 820610
    , at *2 (Tenn. Ct. App. 1999), perm.
    app. denied (Tenn. Feb. 14, 2000) (“One of the exceptions to this general rule favoring
    the freedom to contract involves the situation where a professional person operating in an
    area of public interest and pursuing a profession subject to licensure by the state attempts
    to contract against his own negligence.”); Hancock v. U-Haul Co. of Tenn., No. 01-A-
    01-9801-CC-00001, 
    1998 WL 850518
    , *3 (Tenn. Ct. App. Dec. 10, 1998) (“A doctor or
    other licensed practitioner cannot contract for immunity from the consequences of
    professional negligence.”); Petty v. Privette, 818 S.W.2d, 743, 745 (Tenn. Ct. App. 1989)
    (“Because the will at issue purports to protect a professional, i.e., an attorney, we must
    first consider the criteria set out by Olson.”); Parton v. Mark Pirtle Oldsmobile-
    Cadillac-Isuzu, Inc., 
    730 S.W.2d 634
    , 636 (Tenn. Ct. App. 1987), perm. app. denied
    (Tenn. May 4, 1987) (“[O]ur Supreme Court has recognized an exception where the party
    seeking the protection of the exculpatory provision is a professional person rendering a
    service of great importance to the public.”); Teles v. Big Rock Stables, LP, 
    419 F. Supp. 2d 1003
    , 1008 (E.D. Tenn. 2006) (holding that horse stables and equine services
    are governed by the general rule of assumption of the risk and do not fall under the Olson
    exceptions.”). In Russell v. Bray, this Court distinguished “professionals,” who sell their
    “expert analysis and opinion,” and tradespersons, who “perform hands-on tasks.”
    Russell, 
    116 S.W.3d 1
    .
    Mr. Copeland first contends that the trial court erred because its order, granting
    Appellee’s motion for summary judgment, does not apply (or even mention) the Olson
    factors. While we concede that the trial court does not specifically reference Olson, a
    -6-
    close reading of its ruling, including the oral ruling that was incorporated, by reference,
    into the final order, clearly indicates that the trial court declined to apply Olson based on
    its initial finding that the transportation services provided by MedicOne were not
    professional services, i.e., medical services. Specifically, the trial court found that the
    Agreement “wasn’t [for] professional service. This was a transportation service.” James
    Holmes, the driver of the MedicOne wheelchair van used to transport Mr. Copeland to his
    doctor’s appointment, stated, in his deposition, that he was not trained as a medical
    professional, that he was not authorized to offer any medical assistance, and that he was
    simply the driver with no qualification other than a valid driver’s license. In his brief,
    Mr. Copeland states that “the driver or ‘Technician’ is operating the van, picking up
    medical patients and transporting them to medical appointments, as his way of making a
    living. He very much seems to be a professional driver or attendant.” While we concede
    that Mr. Holmes made his living driving the MedicOne wheelchair van, this fact
    (pursuant to the foregoing case authority) does not, ipso facto, mean that he is a
    professional so as to trigger application of the Olson criteria. From the language
    employed by the Olson Court, a professional is one who “operat[es] in an area of public
    interest,” “pursu[es] a profession subject to licensure by the state,” “holds [himself or
    herself] out as [an] expert[],” and engages in a “practice [that] is regulated by the state.”
    This is a very narrow definition of “professional,” and the foregoing cases demonstrate
    that the definition set out in Olson has not been significantly expanded since the Olson
    case was decided. The services provided by MedicOne and Mr. Holmes simply do not
    fall within the narrow definition of professional services set out in Olson and its progeny.
    The documents that Mr. Copeland 
    signed, supra
    , clearly state that the services provided
    were limited to transportation and that no medical care would be provided by the driver.1
    In fact, Mr. Copeland has alleged no medical necessity requiring transportation by
    wheelchair van. Mr. Holmes had no professional training other than that required to
    operate the wheelchair lift, locate and secure the seatbelts, and drive the van.
    Nonetheless, Mr. Copeland argues that the Tennessee Supreme Court, in
    Crawford v. Buckner, 
    839 S.W.2d 754
    (Tenn. 1992), “expressly overruled” the rule that
    “the Olson standard was limited to professional service contracts.” In Crawford, a
    resident of a Tennessee county that is not covered by the Uniform Residential Landlord
    and Tenant Act (“URLTA”) sued her landlord for damages caused by an apartment fire.
    Because the URLTA contained a provision barring exculpatory clauses in rental
    agreements covered by its scope, the plaintiff argued that the URLTA’s limited
    1
    Mr. Copeland also argues that MedicOne’s wheelchair van services are regulated under the
    Tennessee Emergency Medical Services Act, Tenn. Code Ann. §§ 68-140-301, et seq. (“TEMSA”). Mr.
    Copeland’s argument is misplaced as the TEMSA clearly states that it “applies to each person providing
    emergency medical services within the state.” Tenn. Code Ann. § 68-140-316. It is undisputed that the
    van used to transfer Mr. Copeland was not an ambulance. Also, there is no dispute that Appellant was
    being transferred for a non-emergent follow-up appointment. Both the Agreement and the Run Report
    make it clear that no medical services will be provided to Mr. Copeland. Based on these undisputed facts,
    we conclude that the TEMSA is not applicable in this case.
    -7-
    applicability denied her equal protection of the laws. The landlord defended that the
    plaintiff had signed an exculpatory agreement. In analyzing whether the exculpatory
    agreement was enforceable, the Crawford Court discussed this Court’s opinion in
    Schratter v. Development Enterprises, Inc., 
    584 S.W.2d 459
    (Tenn. Ct. App. 1979),
    stating:
    In the most recent case to consider an exculpatory clause, the Court of
    Appeals, in Schratter v. Development Enterprises, Inc., 
    584 S.W.2d 459
           (Tenn. App.1979), upheld the enforceability of an exculpatory clause in a
    residential lease under very similar facts to this case. There, a landlord was
    released by the clause from his agent’s negligence which caused a fire in an
    apartment building, resulting in damage to a tenant. The intermediate court
    observed, however, that in Olson we had adopted a test to determine
    whether an exculpatory provision affects the public interest, and that
    several of the enumerated characteristics in the test were present in that
    case. The court also recognized that many states have, by legislative
    enactment or judicial decision, limited or prohibited broad exculpatory
    clauses in residential leases. 
    Id., 584 S.W.2d
    at 461. Despite the finding
    that some of the public interest criteria were present, the intermediate court
    in Schratter felt constrained to hold that the exculpatory provision in the
    tenant’s lease barred his recovery, because of their belief that this Court
    had limited the Olson standard to professional service contracts.
    
    Schratter, 584 S.W.2d at 461
    .
    
    Crawford, 584 S.W.2d at 757
    (emphasis added). Relying on the emphasized language,
    Appellant contends that the Tennessee Supreme Court “expressly overturned” the
    “professional service” requirement for applicability of Olson. We disagree. We do not
    read the Crawford opinion to overturn or negate the professional service criterion
    discussed in Olson; rather, the Crawford Court merely recognized that, even in the
    absence of professional services, if the exculpatory agreement contemplates matters of
    great necessity or public policy, a reviewing court may apply the Olson factors. In other
    words, the absence of a professional service contract will not, ipso facto, negate
    application of Olson. The Crawford Court ultimately declined to enforce the exculpatory
    agreement, finding that: (1) “a residential lease concerns a business of a type that is
    generally thought suitable for public regulation;” (2) “a residential landlord is engaged in
    performing a service of great importance to the public . . . which is often a matter of
    practical necessity for some members of the public;” (3) “as a result of the essential
    nature of the service and the economic setting of the transaction, a residential landlord
    has a decisive advantage in bargaining strength against any member of the public who
    seeks its services;” (4) “due to its superior bargaining position, a residential landlord
    confronts the public with a standardized adhesion contract of exculpation;” (5) “by
    definition a residential lease places the person and the property of the tenant under the
    control of the landlord, subject to the risk of carelessness by the landlord and his agents.”
    -8-
    
    Crawford, 584 S.W.2d at 757
    -58. The same is not true in the instant case.
    Here, the trial court specifically held that “the Wheelchair Van Agreement at issue
    in this cause is not an adhesion contract,2 especially in light of the fact that the
    exculpatory language . . . excludes gross negligence and misconduct on the part of the
    defendant . . . .” In its oral ruling, the trial court explained that “[n]othing in the record . .
    . supports [a finding] that Mr. Copeland believed he had no option other than to sign the
    contract or take this particular method of transportation.” Regardless, Mr. Copeland cites
    this Court’s opinion in Wofford v. M.J. Edwards & Sons Funeral Home, Inc., 
    490 S.W.3d 800
    (Tenn. Ct. App. 2015), perm. app. denied (Tenn. May 6, 2016), for the
    proposition that, had he refused to sign the Agreement and been denied transportation
    services, choosing another provider would have caused delay resulting in a “difficult
    choice.” 
    Id. at 814
    (citing 
    Buraczynski, 919 S.W.2d at 320
    ). The Wofford plaintiff was
    asked to sign an arbitration contract in the middle of planning her father’s funeral. At the
    time she was asked to sign the agreement, the funeral home had taken possession of her
    father’s body and was preparing for the funeral. In concluding that the arbitration
    agreement was one of adhesion, this Court reasoned that, “[t]o ask Ms. Wofford to refuse
    to go forward with the funeral services with Edwards at this point [was] akin to asking
    her to ‘swap horses in midstream.’” 
    Id. at 816
    (footnote omitted). Relying on
    Buracynski, the Wofford Court reasoned:
    Edwards asserts that Ms. Wofford has failed to show that she could
    not have obtained the desired services from another funeral home. To
    support this argument, Edwards points out the multiple funeral homes
    named as defendants in this case, none of which required their customers to
    sign arbitration agreements. Additionally, the record shows that Ms.
    Wofford was aware of other funeral homes where she could have obtained
    the desired services.
    From our reading, however, the analysis in Buraczynski rests on one
    critical finding—that the relationship between doctor and patient is unique
    2
    As explained by the Tennessee Supreme Court in Buraczynski v. Eyring, 
    919 S.W.2d 314
    , 320
    (Tenn. 1996):
    An adhesion contract has been defined as “a standardized contract form offered to
    consumers of goods and services on essentially a “take it or leave it” basis, without
    affording the consumer a realistic opportunity to bargain and under such conditions that
    the consumer cannot obtain the desired product or service except by acquiescing to the
    form of the contract.” Black's Law Dictionary 40 (6th ed. 1990); Broemmer [v. Abortion
    Services of Phoenix, Ltd.,] 840 P.2d [1013,] at 1015 [(Ariz. 1992)]. Professor Henderson
    has observed that “the essence of an adhesion contract is that bargaining positions and
    leverage enable one party ‘to select and control risks assumed under the contract.’” 58
    Va.L.Rev. at 988. Courts generally agree that “[t]he distinctive feature of a contract of
    adhesion is that the weaker party has no realistic choice as to its terms.” 
    Broemmer, 840 P.2d at 1016
    . . .
    -9-
    and built on trust. See 
    Buraczynski, 919 S.W.2d at 319-320
    . Indeed, other
    Courts have come to similar conclusions. See Skelton v. Freese Const. Co.,
    No. M2012-01935-COA-R3-CV, 
    2013 WL 6506937
    , at *8 (Tenn. Ct. App.
    Dec. 9, 2013) (noting that Buraczynski involved “the physician-patient
    trust relationship”); Pyburn v. Bill Heard Chevrolet, 
    63 S.W.3d 351
    , 360
    (Tenn. Ct. App. 2001) (noting that deciding factor in Buraczynski was the
    “peculiar relationship between the parties”). Because of this unique
    relationship and the exigency in which the services may be needed, the
    Buraczynski Court found that it would be problematic for the patient to
    terminate the relationship and seek another medical professional to perform
    the desired services.
    Based upon our reading of Buraczynski, we also conclude that Ms.
    Wofford, like the patient in Buraczynski, would have been faced with a
    difficult decision had she decided to terminate the relationship with
    Edwards. . . . [T]he procurement of funeral services is an emotional
    decision that is unfamiliar to most people. Indeed, the legislative history
    behind the federal regulations governing funeral services recognizes that
    “[a]rranging a funeral plainly involves emotional, religious, and other
    important social considerations” and, like in Buraczynski, is a “unique”
    situation. Trade Regulation Rule; Funeral Industry Practices, 47 FR 42260-
    01.
    
    Wofford, 490 S.W.3d at 815-816
    . No such “trust relationship,” “emotional decision,” or
    “important social consideration” exist in the instant case. Again, the Agreement Mr.
    Copeland signed was strictly for non-emergent transportation services. There was no
    preexisting relationship of trust between Mr. Copeland and Appellee; Mr. Holmes was
    simply the driver who was available at the time Mr. Copeland needed transportation.
    Furthermore, there is no evidence that, had Mr. Copeland refused to sign the Agreement,
    his decision would have caused any crisis. He could simply have called for other
    transportation (e.g., taxi or Uber), or he could have rescheduled his appointment. The
    scenario Mr. Copeland faced is simply not akin to the “difficult decision” contemplated
    by the plaintiff in Wofford.
    Mr. Copeland raises several other issues, including an argument that the
    Agreement was a “three-party contract” between Appellant, MedicOne, and HealthSouth.
    As pointed out in Appellee’s brief, in urging this “three-party contract” argument, Mr.
    Copeland attempts to “blur the lines between MedicOne and HealthSouth so as to make
    MedicOne an arm of the hospital and a provider of medical care” and asserts that “he had
    no choice in his transportation to his doctor’s appointment because HealthSouth ‘set up
    and arranged’ MedicOne’s wheelchair van.” As discussed in detail above, there is no
    proof that Mr. Copeland was receiving medical services, and there is no proof that the
    MedicOne vehicle was the only means of transportation available to Mr. Copeland.
    Regardless, from our review of the record, Mr. Copeland did not raise the “three-party
    - 10 -
    contract” argument in the trial court. It is well settled that issues not raised in the trial
    court cannot be raised for the first time on appeal. Simpson v. Frontier Cnty. Credit
    Union, 
    810 S.W.2d 147
    , 153 (Tenn. 1991). Arguments not asserted at trial are deemed
    waived on appeal. Devorak v. Patterson, 
    907 S.W.2d 815
    , 818 (Tenn. Ct. App. 1995).
    Mr. Copeland also raises several other arguments for the first time on appeal. These
    arguments include the alleged regulation of Appellee by: (1) Medicare/Medicaid; (2)
    Patient Referral Act (a/k/a Stark Law); (3) Health Insurance Portability and
    Accountability Act of 1996; (4) Federal health Information Technology for Economic
    and Clinical Health Act; (5) Federal Social Security Act; and (6) Tennessee motor
    vehicle statutes. Because none of these arguments were raised in the trial court, we
    consider them waived on appeal. Any remaining issues are expressly pretermitted in view
    of our holdings herein.
    V. Conclusion
    For the foregoing reasons, we affirm the order of the trial court. The case is
    remanded for such further proceedings as may be necessary and are consistent with this
    opinion. Costs of the appeal are assessed to the Appellant, Frederick Copeland and his
    surety, for all of which execution may enter if necessary.
    _________________________________
    KENNY ARMSTRONG, JUDGE
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