                                                                                         01/31/2019
               IN THE COURT OF APPEALS OF TENNESSEE
                           AT NASHVILLE
                              November 7, 2018 Session

             MCKAYLA TAYLOR v. MIRIAM’S PROMISE ET AL.

                  Appeal from the Circuit Court for Putnam County
                     No. 2017-CV-123 Amy V. Hollars, Judge
                      ___________________________________

                           No. M2017-01908-COA-R3-CV
                       ___________________________________

This action arises from an agreed-upon adoption that the birth mother revoked within 30
days of the child’s birth. The defendants include three adoption agencies, three social
workers, two attorneys, a hospital, and the prospective adoptive parents. Generally stated,
the complaint alleges that the defendants acted in concert to abduct the mother’s child by
inducing the mother to surrender her parental rights, consent to the adoption, and waive
her right of revocation. The articulated claims include conspiracy to commit fraud and
tortious civil kidnapping, negligence, professional negligence, healthcare liability, and
conversion of her child. All defendants filed motions to dismiss the complaint under
Tennessee Rule of Civil Procedure 12.02 for some or all of the following reasons: (1) the
adoption documents were valid under Tennessee law and not fraudulent; (2) Tennessee
does not recognize the torts of civil kidnapping and conversion of a child; (3) the claims
are time-barred; (4) the mother’s first certificate of good faith was non-compliant because
it did not disclose a prior violation of Tennessee Code Annotated § 29-26-122; (5) the
Tennessee Governmental Tort Liability Act barred the mother’s intentional tort claims
against the hospital; and (6) the mother released some of the defendants from liability by
signing a release agreement. Additionally, the healthcare providers contended the
complaint should be dismissed because the mother failed to comply with the pre-suit
notice requirement of the Tennessee Health Care Liability Act. The trial court granted the
motions on various grounds and dismissed the complaint with prejudice for all
defendants. Having determined that Tennessee does not recognize a tort of conversion of
a child or tortious civil kidnapping and that conspiracy to commit fraud is not a stand-
alone claim, we affirm the dismissal of these claims. We also affirm the dismissal of all
remaining claims as time-barred. Therefore, the judgment of the trial court is affirmed.

  Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Circuit Court Affirmed

FRANK G. CLEMENT JR., P.J., M.S., delivered the opinion of the Court, in which ANDY D.
BENNETT and W. NEAL MCBRAYER, JJ., joined.

Connie Reguli, Brentwood, Tennessee, for the appellant, McKayla Alexis Taylor.
Michael Gregory Derrick, Memphis, Tennessee, for the appellees, AdoptHelp, Inc.,
Adoption Planners, Inc., Mark Goldman, Gabby Rivette, and Steve Wang.

Samantha Erin Bennett, Raleigh Kent Francis, Peter Benjamin Winterburn, Memphis,
Tennessee, for the appellees, Allison Balthrop, Sarah Groth, and Miriam’s Promise.

Cynthia A. Wilson, Cookeville, Tennessee, for the appellees Cookeville Regional
Medical Center Authority and Kellye Ann Reid.

Rachel Thomas, Nashville, Tennessee, for the appellees Paul and Roberta Paetzke.

                                           OPINION

                           FACTUAL AND PROCEDURAL HISTORY

       Because this case was dismissed by the trial court upon the defendants’ motions
under Tennessee Rule of Civil Procedure 12.02(6), our only source of the relevant facts is
the Complaint. Therefore, the factual history stated below is taken from the allegations in
the Complaint. The procedural history is taken from the record provided by the trial
court.

                                 I. PLAINTIFF’S PREGNANCY

       McKayla Taylor (“Plaintiff”) has been a Tennessee resident at all times material to
this action. In the spring of 2015, Plaintiff learned that she was pregnant. Plaintiff was
willing to complete the pregnancy and raise the child, but the biological father
discouraged this path. Over the next few months, and after numerous conferences with
the biological father and his mother, Plaintiff agreed to consider adoption.1

       Following a Google search for adoption options, Plaintiff sent an email to Gabby
Rivette, the director and caseworker at Adoption Planners, Inc., an adoption agency in
California. After some communications with Ms. Rivette, Plaintiff approved California
residents Paul and Roberta Paetzke to be the adoptive parents. The Complaint alleges that




       1
          Plaintiff was not residing with the father when she became pregnant; however, she moved in
with the father during the last few months before the birth of the child.



                                               -2-
the Paetzkes were represented by California attorney Mark Goldman, who was the
principal of Adoption Planners and an affiliated entity, AdoptHelp, Inc.2

        On October 26, 2015, Ms. Rivette sent Plaintiff an email stating that she would be
contacting a “TN attorney and social worker” to set up an “advisement” meeting for
Plaintiff. Ms. Rivette then contacted a Tennessee adoption agency, Miriam’s Promise, to
set up the advisement meeting.

       On October 31, 2015, the child’s father executed a Waiver of Right of Further
Notice of Adoption Planning that stated, “[T]he court may enter an order terminating my
parental rights without further notice to me.” The Complaint alleges that the Paetzkes’
California attorney, either personally or through Ms. Rivette, provided Miriam’s Promise
with this and other legal documents published by the State of California to obtain the
surrender of parental rights and consent to the adoption.

      On November 2, 2015, Ms. Rivette sent Plaintiff an email stating, “I am working
with the TN agency Miriam’s Promise to set up your [advisement] meeting.” On
November 11, 2015, Ms. Rivette sent Plaintiff another email asking her to meet with
Sarah Groth, a Miriam’s Promise employee and licensed social worker in Tennessee:

       I wanted to check in to see if you are able to meet with Sarah tomorrow or
       Friday during the day (maybe in between classes or on a lunch break)? The
       advisement (your meeting with her) is the next step in the adoption process
       and it is a very crucial one. This is where you’ll learn your rights as a birth
       mother, learn the specific information about [the adoptive parents] that you
       legally need to know and receive a copy of the documents that you’ll be
       signing after the baby is born.

Ms. Rivette informed Plaintiff that this meeting had to occur ten days before Plaintiff’s
discharge from the hospital.

        At the advisement meeting, Sarah Groth with Miriam’s Promise asked Plaintiff to
sign a Statement of Understanding. The Statement of Understanding provided, inter alia,
that Plaintiff had a right to revoke her consent to the adoption for 30 days after signing
the final surrender and consent agreement. Plaintiff signed the Statement of
Understanding, but Ms. Groth did not provide Plaintiff with a copy of the document or



       2
         The record indicates that Mr. Goldman practiced law with co-defendant Steven Wang under the
firm name of Adoption Law Center. The Complaint incorrectly spells Mr. Wang’s last name as “Want.”



                                               -3-
the final surrender and consent agreements that Plaintiff would be signing after giving
birth.

       On November 27, 2015, Plaintiff was admitted to Cookeville Regional Medical
Center (“Cookeville Regional”) to give birth. After Plaintiff was administered
medication, Cookeville Regional employee and licensed social worker, Kellye Reid
asked Plaintiff to execute a Maternal Preference Check Sheet. The Check Sheet gave
Plaintiff options for the care of the child after birth, such as whether she wanted to see the
child or receive information about the child’s condition. After Plaintiff gave birth, but
while still medicated, Ms. Reid asked Plaintiff to execute two more agreements. The first
agreement permitted the Paetzkes to “feed, bathe and bond with” the child. The second
agreement authorized Cookeville Regional to discharge the child into the Paetzkes’
custody and agreed to hold Cookeville Regional harmless from any claims for doing so.

       The next day, November 28, 2015, Cookeville Regional discharged the child into
the Paetzkes’ custody.

       On November 29, 2015, Plaintiff was discharged from the hospital. On
December 1, 2015, while Plaintiff remained under the influence of pain medication,
another Miriam’s Promise employee and licensed social worker, Allison Balthrop, asked
Plaintiff to execute a second Statement of Understanding, a Waiver of Right to Revoke
Consent, and an Adoption Placement Agreement. The Placement Agreement provided
that Plaintiff was surrendering her parental rights and consenting to the adoption. The
Waiver provided that Plaintiff was waiving her 30-day right to revoke the Placement
Agreement. Ms. Balthrop did not explain the documents to Plaintiff or ask if Plaintiff was
under the influence of medication. Miriam’s Promise did not provide or offer any post-
partum counseling or provide Plaintiff with copies of the signed documents.

       On December 4, 2015, Plaintiff decided that she wanted the child returned to her.
When she informed Ms. Rivette of her decision to keep the child, Ms. Rivette advised
Plaintiff there was nothing she could do because Plaintiff waived the 30-day revocation
period. Undeterred, Plaintiff contacted Miriam’s Promise and was told that the original
documents were sent to Adoption Planners in California and that copies of the documents
had been mailed to Plaintiff.

       On December 8, 2015, Plaintiff sent a Revocation of Consent to Miriam’s
Promise, the Tennessee Department of Children’s Services, Mr. Goldman, Ms. Rivette,
the Paetzkes, and the California Department of Children and Family Services.

       On December 9, 2015, Ms. Rivette called Plaintiff and told her the child would be
returned that day. Before it returned the child, Miriam’s Promise required Plaintiff to sign
an agreement releasing the Paetzkes, Adoption Planners, Miriam’s Promise, AdoptHelp,
Inc., AdoptHelp Law Center, and AdoptHelp’s employees and officers from liability.
                                            -4-
Plaintiff signed the release, and the child was returned to her. The child has been in
Plaintiff’s custody ever since.

                          II. PRE-SUIT NOTICE AND COMPLAINT

       Some eleven months later, on or about November 15, 2016, Plaintiff sent two pre-
suit notices to Miriam’s Promise and two pre-suit notices to Cookeville Regional.
Included with each notice were a draft complaint and a form authorizing Miriam’s
Promise, Cookeville Regional, and any person from Miriam’s Promise or Cookeville
Regional, to use and disclose Plaintiff’s protected health information to investigate
Plaintiff’s claims.

       On March 14, 2017, Plaintiff commenced this action by filing a complaint against
AdoptHelp, Adoption Planners, Mr. Goldman, Mr. Wang, Ms. Rivette, Miriam’s
Promise, Ms. Balthrop, Ms. Groth, Cookeville Regional, Ms. Reid, and the Paetzkes
(collectively, “Defendants”). The Complaint asserted claims for conversion and
conspiracy to commit fraud and civil kidnapping against all defendants; claims for
negligence against Miriam’s Promise, Ms. Balthrop, Ms. Groth, Adoption Planners, and
Ms. Rivette; and claims for professional negligence against Ms. Groth and Ms. Balthrop.

       The Complaint alleged that the Paetzkes paid Mr. Goldman and Mr. Wang through
Adoption Planners and AdoptHelp to abduct Plaintiff’s child by using invalid documents,
and that Adoption Planners and AdoptHelp provided the “illegal” documents to Ms.
Rivette, who contracted with Miriam’s Promise for the execution of the documents
through Ms. Groth and Ms. Balthrop, who failed to advise Plaintiff about the illegal
nature of the documents and induced her into signing them. The Complaint asserted the
documents were void under Tennessee law because they purported to terminate
Plaintiff’s parental rights and waive Plaintiff’s right of revocation when Tennessee’s
adoption statute requires termination of parental rights through adjudication in strict
accordance with statutory procedures. The Complaint also asserts that Miriam’s Promise,
Ms. Groth, Ms. Balthrop, Adoption Planners, Mr. Goldman, and Ms. Rivette owed
Plaintiff “a special duty of care,” including the “duty to inform [Plaintiff] that the
documents she executed were not valid in the State of Tennessee,” because they
represented themselves as having a “confidential relationship” with Plaintiff and
possessed “greater knowledge of the legalities of her parental rights.”

      Along with the Complaint, Plaintiff filed a certificate of good faith and an affidavit
of compliance purportedly in compliance with Tennessee Code Annotated §§ 29-26-121
and 122 of the Tennessee Health Care Liability Act (“THCLA”).




                                           -5-
        On March 24 and 31, 2017, Plaintiff filed a second certificate of good faith and a
motion to adopt the second certificate. The second certificate included the disclosure, as
required by § 122, that Plaintiff’s attorney had one prior violation of that section.3
Plaintiff also requested the court to grant an extension of time and accept the amended
certificate.

                                 III.   MOTIONS TO DISMISS

        On or about June 15, 2017, Defendants filed motions to dismiss under Tennessee
Rule of Civil Procedure 12.02(6). All defendants asserted, in one fashion or another, that
Plaintiff’s Complaint should be dismissed because (1) the adoption documents were valid
under Tennessee law and not fraudulent; (2) Tennessee does not recognize the torts of
civil kidnapping and conversion of a child; (3) Plaintiff filed her Complaint after the
expiration of the applicable statutes of limitations; and (4) Plaintiff released Defendants
from liability by signing the December 9, 2015 release agreement. Additionally, the
defendants who asserted that the THCLA applied contended that Plaintiff’s first
certificate of good faith was non-compliant because it did not disclose the prior violation
of § 122. Cookeville Regional also asserted that the Tennessee Governmental Tort
Liability Act (“GTLA”) barred Plaintiff’s intentional tort claims.

       After hearing arguments on Plaintiff’s Motion to Adopt and Defendants’ motions
to dismiss, the court entered an order denying Plaintiff’s Motion to Adopt and granting
all of Defendants’ motions to dismiss. In pertinent part, the trial court ruled that
Tennessee law permits parents to surrender their parental rights under the rules of another
state:

       9)      In terms of Tennessee surrender, it appears that the procedures
               employed here are contemplated under the [Interstate Compact for
               the Placement of Children] and that Tennessee law allows for the
               election to be governed by the laws of another state with regard to
               this process of relinquishing rights, as well as to the process of
               adoption.

       10)     As a predicate of all the claims against all the Defendants, the
               Plaintiff has asserted that, in this adoption, this process of surrender
               or “consent” (as it is termed under California law) was illegal under


       3
           Tennessee Code Annotated § 29-26-122(d)(4) provides, “A certificate of good faith shall
disclose the number of prior violations of this section by the executing party.”



                                              -6-
                Tennessee law. The Court finds that that is not the case. The Court
                finds that Plaintiff’s Complaint is incorrect and that this is a basis for
                dismissal of [Plaintiff’s] entire suit, including all claims therein.

       The court also made findings on the other grounds for dismissing the various
claims, including (1) Tennessee does not recognize claims for “conversion of a child” or
“tortious civil kidnapping”; (2) Plaintiff failed to plead her fraud claims with specificity;
(3) Plaintiff’s first certificate of good faith failed to comply with § 122 of the THCLA;
(4) the GTLA and the statute of limitations barred Plaintiff’s intentional tort claims
against Cookeville Regional; and (5) the statute of limitations barred Plaintiff’s claims
against the remaining defendants. The court also found that Plaintiff’s claims did not
qualify for a 120-day extension of the statute of limitations under the THCLA because
(a) she failed to provide Ms. Reid, Ms. Balthrop, and Ms. Groth with pre-suit notice
under § 121, and (b) AdoptHelp, Adoption Planners, Mr. Goldman, Mr. Wang, Ms.
Rivette, and the Paetzkes (collectively, “the AdoptHelp Defendants”) were not “health
care providers.” Accordingly, the trial court dismissed the Complaint with prejudice. This
appeal followed.

       Plaintiff raises five issues on appeal that we restate as follows: (1) whether the trial
court erred by finding that Plaintiff’s surrender of her parental rights was valid under
Tennessee law; (2) whether the trial court erred by finding that Plaintiff’s claims were
barred by the applicable statutes of limitations; (3) whether the trial court erred by failing
to recognize claims for civil kidnapping and conversion of a child; (4) whether the trial
court erred by finding that Plaintiff failed to state a claim for fraud and conspiracy; and
(5) whether the trial court erred by dismissing the Complaint based on its finding that
Plaintiff’s certificate of good faith was deficient.4

                                      STANDARD OF REVIEW

       A Tenn. R. Civ. P. 12.02(6) motion to dismiss challenges only the legal
sufficiency of the complaint, not the strength of the plaintiff’s proof or evidence. Webb v.
Nashville Area Habitat for Humanity, Inc., 346 S.W.3d 422, 426 (Tenn. 2011) (citations
omitted). The resolution of a Rule 12.02(6) motion to dismiss is determined by an
examination of the pleadings alone. Id. A defendant who files a motion to dismiss
“admits the truth of all of the relevant and material allegations contained in the
complaint, but . . . asserts that the allegations fail to establish a cause of action.” Webb,


        4
         Plaintiff did not appeal the trial court’s determination that the GTLA bars her intentional tort
claims against Cookeville Regional.



                                                  -7-
346 S.W.3d at 426. (quoting Brown v. Tenn. Title Loans, Inc., 328 S.W.3d 850, 854
(Tenn. 2010)).

        When considering a motion to dismiss, courts “must construe the complaint
liberally, presuming all factual allegations to be true and giving the plaintiff the benefit of
all reasonable inferences.” Webb, 346 S.W.3d at 426 (quoting Tigg v. Pirelli Tire Corp.,
232 S.W.3d 28, 31–32 (Tenn. 2007)). A trial court should grant a motion to dismiss “only
when it appears that the plaintiff can prove no set of facts in support of the claim that
would entitle the plaintiff to relief.” Webb, 346 S.W.3d at 426 (quoting Crews v.
Buckman Labs. Int’l, Inc., 78 S.W.3d 852, 857 (Tenn. 2002)). We review the trial court’s
legal conclusions regarding the adequacy of the complaint de novo. Webb, 346 S.W.3d
at 427 (citing Brown, 328 S.W.3d at 855; Stein v. Davidson Hotel Co., 945 S.W.2d 714,
716 (Tenn. 1997)).

                                              ANALYSIS

       We find the dispositive issues to be (1) whether Tennessee recognizes a claim for
conversion of a child, tortious civil kidnapping, or a stand-alone claim of conspiracy to
commit fraud, and (2) whether the actionable claims are time barred. We will address
each issue in turn.

            I.     CONVERSION, KIDNAPPING & CONSPIRACY TO COMMIT FRAUD

                                       A. Conversion of a Child

       The Complaint alleges that Defendants “collectively engaged in a conspiracy to
convert the person of the child to the adoptive parents, illegally and for profit.”5 Plaintiff
argues that her child became “property” when Defendants made the child the subject of a


        5
          The elements of a conversion claim include: “(1) an appropriation of another’s tangible property
to one’s use and benefit; (2) an intentional exercise of dominion over the chattel alleged to have been
converted; and (3) defiance of the true owner’s rights to the chattel.” White v. Empire Exp., Inc., 395
S.W.3d 696, 720 (Tenn. Ct. App. 2012) (citing River Park Hosp., Inc. v. BlueCross BlueShield of Tenn.,
Inc., 173 S.W.3d 43, 60 (Tenn. Ct. App. 2002). “A wrongful intent on the part of the defendant is not an
element of conversion and, therefore, need not be proved.” Id. (citation omitted). A conversion claim
focuses on “the interference with a property owner’s right.” Id. (quoting Gen. Elec. Credit Corp. of Tenn.
v. Kelly & Dearing Aviation, 765 S.W.2d 750, 754 (Tenn. Ct. App. 1988)). Normally, the appropriate
measure of damages for the conversion of property is “the value of the property converted at the time and
place of conversion, with interest.” Scott v. Houston, No. E2009-01118-COA-R3-CV, 2010 WL 680984,
at *7 (Tenn. Ct. App. Feb. 26, 2010) (quoting Lance Prods., Inc. v. Commerce Union Bank, 764 S.W.2d
207, 213 (Tenn. Ct. App. 1988)).



                                                  -8-
commercial transaction. She cites Tennessee Code Annotated § 36-2-303 for the
proposition that a mother is the natural custodian of a child born out of wedlock, and
§ 34-1-102(a) for the proposition that parents are the natural guardians of children during
minority, and argues that she had a constitutional right to the care and custody of her
child. Thus, Plaintiff asserts that Defendants’ intentional exercise of control over her
child for Defendants’ own benefit, and in defiance of Plaintiff’s constitutional rights,
constituted conversion of her property. Defendants counter that the tort of conversion
applies only to the appropriation of tangible, personal property or chattel. They argue that
a parent or guardian’s custody of a child does not vest the child with the legal status of
chattel or property.

       Analogizing adoption to the sale of goods is not novel in academic settings. See
Richard A. Posner, The Regulation of the Mkt. in Adoptions, 67 B.U.L. Rev. 59, 64
(1987) (analogizing the “sale of babies to the sale of an ordinary good”). But Tennessee
law is irreconcilable with a notion that children are the “property” of their parents. We
have described the concept of property as a bundle of rights or legally protected interests,
including “(1) the right of possession, enjoyment and use; (2) the unrestricted right of
disposition; and (3) the power of testimonial disposition.” State ex rel. Elvis Presley Int’l
Mem’l Found. v. Crowell, 733 S.W.2d 89, 96 (Tenn. Ct. App. 1987) (citations omitted).
Although parents have a constitutional right to the care and custody of their children, In
re Audrey S., 182 S.W.3d 838, 860 (Tenn. Ct. App. 2005) (citations omitted), they do not
have a right to the disposition of their children.

        In Davis v. Davis, the Tennessee Supreme Court considered whether to categorize
preembryos as “persons” or “property” under Tennessee law. 842 S.W.2d 588, 594
(Tenn. 1992). The Court recognized that defining preembryos as “persons” would vest
them “with legally cognizable interests separate from those of their [parents],” but
defining preembryos as “property” would give those with decision-making authority
unlimited discretion in the actions taken with preembryos. Id. at 595–96 (citing Rep. of
the Ethics Comm., 53 J. Am. Fertility Soc’y 34S (June 1990)). The Court ultimately
found that the parties did not have a “true property interest” in the preembryos but did
“have an interest in the nature of ownership, to the extent that they have decision-making
authority concerning disposition of the preembryos.” Davis, 842 S.W.2d at 597. Based on
this finding, the Court recognized that a private agreement about the disposition of the
preembryos would bind the parties. Id. The Court also noted that, if preembryos were
given the legal status of persons, an agreement on their disposition “would be
unenforceable in the event of a later disagreement, because the trial court would have to
make an ad hoc ‘best interest of the child’ determination in every case.” Id.

       Inherent in the Court’s reasoning in Davis is the principle that parties cannot
contract for the disposition of a child. See also Welch v. Welch, 195 S.W.3d 72, 76 (Tenn.
Ct. App. 2005) (stating that a parent’s “duty to support arises out of the parent-child
                                            -9-
relationship and, unlike a property right, ‘cannot be “bargained away” by contract’”
(quoting C.J.H. v. A.K.G., No. M2001-01234-COA-R3-JV, 2002 WL 1827660, at *4
(Tenn. Ct. App. Aug. 9, 2002))). Similarly, a parent’s constitutional right to care for his
or her child is not a “property right” subject to conversion by another.

       For the foregoing reasons, we hold that conversion of a child is not a recognized
cause of action; therefore, Plaintiff cannot maintain a cause of action for conversion of a
child.

                                   B. Tortious Civil Kidnapping

        As for the claim of tortious civil kidnapping, Tennessee does not recognize this as
a civil cause of action. See Monroe v. McNairy County, 850 F. Supp. 2d 848, 876 (W.D.
Tenn. 2012). Therefore, Plaintiff cannot maintain a cause of action for tortious civil
kidnapping of a child.

                                  C. Conspiracy to Commit Fraud

        As for the claims of conspiracy to commit fraud, Tennessee does not recognize
this as a stand-alone claim. See Pusser v. Gordon, 684 S.W.2d 639, 642 (Tenn. Ct. App.
1984). As the court explained:

       A mere conspiracy to commit a fraud is never of itself a cause of action; it
       must be proved that there was a conspiracy to defraud and a participation in
       the fraudulent purpose, either in the scheme or in its execution, which
       worked injury as a proximate consequence. It is the civil wrong resulting in
       damage and not the conspiracy which constitutes the cause of action for
       conspiracy to defraud.

Id. (quoting 15A C.J.S. Conspiracy, § 9).

       Moreover, Plaintiff failed to specifically plead the underlying fraud claim as Tenn.
R. Civ. P. 9 requires. “In all averments of fraud or mistake, the circumstances
constituting fraud or mistake shall be stated with particularity.” Tenn. R. Civ. P. 9.02.
Therefore, the trial court acted appropriately by dismissing the claim of conspiracy to
commit fraud.

                            II.      STATUTES OF LIMITATIONS

       It is undisputed that the claims at issue accrued, at the latest, on December 9,
2015, when the child was returned to Plaintiff and Plaintiff signed the agreement
releasing Defendants from liability and that this action was commenced more than one


                                            - 10 -
year later when Plaintiff filed her Complaint. Thus, the question is which statute of
limitations applies to the various claims asserted against the defendants.

        “[I]n choosing the applicable statute of limitations, courts must ascertain the
gravamen of each claim, not the gravamen of the complaint in its entirety.” Benz-Elliott
v. Barrett Enterprises, LP, 456 S.W.3d 140, 149 (Tenn. 2015). Likewise, “application of
the THCLA . . . should be considered with respect to each separate claim rather than with
respect to the complaint as a whole.” Lacy v. Mitchell, 541 S.W.3d 55, 62 (Tenn. Ct.
App. 2016). “[G]ravamen is not dependent upon the ‘designation’ or ‘form’ litigants
ascribe to an action.” Benz-Elliott, 456 S.W.3d at 148 (quoting Redwing v. Catholic
Bishop for Diocese of Memphis, 363 S.W.3d 436, 457 (Tenn. 2012)). To ascertain the
gravamen of a claim, “a court must first consider the legal basis of the claim and then
consider the type of injuries for which damages are sought.” Benz-Elliott, 456 S.W.3d
at 151.

        Tort claims for “injuries to the person” are subject to a one-year statute of
limitations. Tenn. Code Ann. § 28-3-104(a)(1)(A). Tort claims for injuries to property or
conversion of personal property are subject to a three-year statute of limitations. Id.
§§ 105(1)–(2). Health care liability actions are subject to a one-year statute of limitations,
id. § 29-26-116(a)(1), but the limitations period is extended by 120 days if the plaintiff
provides the defendants with pre-suit notice of her claim in compliance with Tennessee
Code Annotated section 29–26–121(a) before the statute of limitations expires. Woodruff
by & through Cockrell v. Walker, 542 S.W.3d 486, 494 (Tenn. Ct. App. 2017) (citing
Tenn. Code Ann. § 29-26-121(c)).

       As for Plaintiff’s claims against the AdoptHelp Defendants,6 Plaintiff contends
these claims are subject to a three-year statute of limitation because her injury arose from
the conversion of her property and conspiracy to commit fraud. Because we have
determined that conversion of property is not applicable, and conspiracy to commit fraud
is not actionable in Tennessee, we affirm the dismissal of these claims without further
discussion.




        6
          Although Plaintiff additionally asserts that the trial court erred by failing to apply the 120-day
extension to the AdoptHelp Defendants, she concedes that the AdoptHelp Defendants are not health care
providers and does not develop an argument on this issue “[W]here a party fails to develop an argument
in support of his or her contention or merely constructs a skeletal argument, the issue is waived.” Sneed v.
Bd. of Prof’l Responsibility of Supreme Court, 301 S.W.3d 603, 615 (Tenn. 2010).



                                                  - 11 -
       As for Plaintiff’s claims against Miriam’s Promise, Ms. Groth, Ms. Balthrop,
Cookeville Regional, and Ms. Reid, she contends these are health care liability actions
that qualify for the 120-day extension under § 121(c). We begin with the THCLA claims.

                            A. Tennessee Health Care Liability Act

       “A claim will be subject to the THCLA if the facts of the case show that it
qualifies as a ‘health care liability action’ as that term is statutorily defined.” Osunde v.
Delta Med. Ctr., 505 S.W.3d 875, 884 (Tenn. Ct. App. 2016). The THCLA defines a
“health care liability action” as “any civil action . . . alleging that a health care provider or
providers have caused an injury related to the provision of, or failure to provide, health
care services to a person, regardless of the theory of liability on which the action is
based.” Tenn. Code Ann. § 29-26-101(a). We have interpreted this definition as
composing three requirements: “(1) it is a civil action; (2) the claim is against a health
care provider; and (3) the harm complained of arises from ‘the provision of, or failure to
provide, health care services.’” Igou v. Vanderbilt Univ., No. M2013-02837-COA-R3-
CV, 2015 WL 1517794, at *4 (Tenn. Ct. App. Mar. 27, 2015) (footnotes omitted)
(quoting Tenn. Code Ann. § 29-26-101(a)(1)).

       As is relevant here, the THCLA defines “health care provider” as,

       (A)    a health care practitioner licensed . . . under any chapter of title 63 or title
              68 . . . ;

                                        .       .      .

       (E)    A professional corporation or professional limited liability company
              established pursuant to title 48, a registered limited liability partnership
              rendering professional services under title 61 and which consists of one (1)
              or more health care practitioners licensed, authorized, certified, registered,
              or regulated under any chapter of title 63 or title 68, or any legal entity that
              is not itself required to be licensed but which employs one or more health
              care practitioners licensed, authorized, certified, registered, or regulated
              under any chapter of title 63 or title 68[.]

Tenn. Code Ann. § 29-26-101(a)(2). The THCLA defines “health care services” as care
by health care providers, persons under the supervision of health care providers, and
“includes staffing, custodial or basic care, positioning, hydration and similar patient
services.” Id. § 101(b).

        To determine whether a defendant “caused an injury related to the provision, or
failure to provide, health care services,” we have looked at whether the alleged conduct
that caused the injury involved the provision, or failure to provide, health care services.
                                             - 12 -
See C.D. v. Keystone Continuum, LLC, No. E2016-02528-COA-R3-CV, 2018 WL
503536, at *5 (Tenn. Ct. App. Jan. 22, 2018). “Given the breadth of the statute, it should
not be surprising if most claims now arising within a medical setting constitute health
care liability actions.” Osunde, 505 S.W.3d at 884–85. Nonetheless, “whether a health
care liability action is implicated is entirely dependent on whether the factual allegations
meet the definition outlined in the statute.” Id. at 885 n.6.

       The Complaint alleges that Ms. Balthrop, Ms. Groth, and Ms. Reid are social
workers licensed and regulated under title 63 of the Tennessee Code and that Miriam’s
Promise and Cookeville Regional engage “in providing services by licensed social
workers.” As licensed social workers, Ms. Groth, Ms. Balthrop, and Ms. Reid qualify as
health care providers as defined in Tennessee Code Annotated § 29-26-101(a)(2)(A). See
Ellithorpe v. Weismark, 479 S.W.3d 818, 827 (Tenn. 2015) (finding defendant-social
worker was a health care provider because she was licensed under title 63 of the
Tennessee Code). Giving Plaintiff the benefit of all reasonable inferences, Miriam’s
Promise and Cookeville Regional qualify as health care providers under the definitions
contained in § 101(a)(2)(E). Thus, the only question remaining is whether the alleged
conduct of these defendants equates to an allegation of injury caused by the provision of
health care services or lack thereof.

       Because the factual allegations against Miriam’s Promise, Ms. Groth, and
Ms. Balthrop (“the Miriam’s Promise Defendants”) do not completely overlap with the
factual allegations against Cookeville Regional and Ms. Reid, we will consider separately
whether the THCLA and its 120-day extension apply to each group of defendants. See
Lacy, 541 S.W.3d at 60 (concluding that a complaint asserted two claims because it
alleged injuries caused by two separate, wrongful acts, and examining each claim
separately).

               1.   THCLA Claims against Cookeville Regional and Ms. Reid

       The Complaint alleges that Ms. Reid owed Plaintiff a special duty of care because
she held herself out as a social worker for Plaintiff; that Ms. Reid presented Plaintiff with
forms published by Cookeville Regional related to the care and release of the child while
Plaintiff was under the influence of medication; that Ms. Reid misrepresented that
Plaintiff could change her mind regarding her choices; that Ms. Reid failed to give
Plaintiff a copy of the forms that Plaintiff signed; and that Ms. Reid participated in a
conspiracy to induce Plaintiff into executing “illegal” documents to kidnap Plaintiff’s




                                           - 13 -
child. Plaintiff concludes that Ms. Reid’s actions constituted negligence. Plaintiff also
alleges that Cookeville Regional is vicariously liable for Ms. Reid’s acts.7

       Tennessee Code Annotated § 29-26-101(b) defines a health care liability action as
including care by “agents, employees and representatives of the provider, and also
includes staffing, custodial or basic care, positioning, hydration and similar patient
services.” Therefore, the allegations in the Complaint relate to the provision of health
care services because the forms that Ms. Reid presented to Plaintiff were related to the
child’s care and release from the hospital. See Mullin v. Rolling Hills Hosp., No. 3:16-
CV-02609, 2017 WL 6523482, at *5 (M.D. Tenn. Apr. 17, 2017) (holding that claims
were governed by the THCLA because the alleged injuries arose from actions taken as
part of plaintiff’s treatment and the application or misapplication of the rules governing
involuntary admission). Thus, Plaintiff’s claims against Cookeville Regional and
Ms. Reid were subject to the one-year statute of limitations under Tennessee Code
Annotated § 29-26-116(a)(1).

      Because Plaintiff filed her Complaint more than a year after her claims arose, the
claim is barred unless Plaintiff complied with the pre-suit notice requirements of
Tennessee Code Annotated § 29-26-121(a).

       The requirements of Tennessee Code Annotated § 29-26-121(a) serve “related yet
ultimately distinct goals”:

        First, Tenn. Code Ann. § 29-26-121(a)(1) contains an express notice
        requirement that requires plaintiffs to give defendants written notice that a
        potential healthcare liability claim may be forthcoming. In contrast, Tenn.
        Code Ann. §§ 29-26-121(a)(2)(A)–(C) facilitate early resolution of
        healthcare liability claims by requiring plaintiffs to advise defendants who
        the plaintiff is, how to reach him or her, and how to contact his or her
        attorney. Lastly, the requirements of Tenn. Code Ann. § 29-26-
        121(a)(2)(D) and Tenn. Code Ann. § 29-26-121(a)(2)(E) serve an
        investigatory function, equipping defendants with the actual means to
        evaluate the substantive merits of a plaintiff’s claim by enabling early
        discovery of potential co-defendants and early access to a plaintiff’s
        medical records.


        7
          As already stated, Plaintiff did not appeal the trial court’s determination that the GTLA bars her
intentional tort claims against Cookeville Regional; thus, her claims against Cookeville Regional are
limited to vicarious liability for the alleged negligence of Ms. Reid.



                                                  - 14 -
Stevens ex rel. Stevens v. Hickman Cmty. Health Care Servs., Inc., 418 S.W.3d 547, 554
(Tenn. 2013). Sections 121(a)(3) and (a)(4) contain requirements for “how pre-suit notice
is to be delivered and service of notice proven.” Arden v. Kozawa, 466 S.W.3d 758, 763
(Tenn. 2015).

       The trial court found that Plaintiff did not comply with § 121(a) because she did
not provide Ms. Reid “with pre-suit notice addressed to [Ms. Reid].” Plaintiff contends
that she substantially complied with § 121(a)(3)’s requirements because she sent two pre-
suit notices to the address of Ms. Reid’s employer, Cookeville Regional, and Ms. Reid
had notice of the claims.

        Section 121(a)(1) requires a plaintiff to “give written notice of the potential claim
to each health care provider that will be named defendant at least sixty (60) days before
the filing of a complaint based upon health care liability in any court of this state.” Tenn.
Code Ann. § 29-26-121(a)(1). Section 121(a)(3)(B) provides that the plaintiff may satisfy
this requirement by showing that written notice was mailed “[t]o the individual health
care provider at both the address listed for the provider on the Tennessee department of
health web site and the provider’s current business address, if different.” Id. §§ 121(a)(3),
(3)(B). Strict compliance with § 121(a)(1) is required. Runions v. Jackson-Madison Cty.
Gen. Hosp. Dist., 549 S.W.3d 77, 86 (Tenn. 2018) (citations omitted). Substantial
compliance, however, is permitted for § 121(a)(3)(B). Arden, 466 S.W.3d at 764.

        What is important is that § 121(a)(1) requires a plaintiff to direct the pre-suit
notice to each potential defendant while § 121(a)(3) permits delivery of the notice in a
manner not specified by the statute, so long as the defendant is not prejudiced by the
deviation. Compare Runions, 549 S.W.3d at 87 (holding plaintiff did not comply with
§ 121(a) when he sent pre-suit notice to the correct address but did not direct notice to
defendant) with Hinkle v. Kindred Hosp., No. M2010-02499-COA-R3CV, 2012 WL
3799215, at *7–8 (Tenn. Ct. App. Aug. 31, 2012) (holding plaintiff complied with
§ 121(a) when he directed notice to defendant but addressed notice to defendant’s Chief
Administrator rather than its agent for service of process). That a potential defendant
received indirect notice is irrelevant under § 121(a)(1). “[T]he proper inquiry is whether
the plaintiff gave pre-suit notice to the health care provider to be named a defendant, not
whether the health care provider knew about the claim based on pre-suit notice of the
claim directed to another potential defendant.” Runions, 549 S.W.3d at 87. Thus, a
plaintiff must “communicate in writing directed to the potential defendant about the
claim.” Id. (emphasis added).

        Here, Plaintiff did not direct written notice to Ms. Reid. Accordingly, we affirm
the trial court’s determination that Plaintiff failed to comply with the requirements of
§ 121(a).


                                           - 15 -
       Because Plaintiff did not strictly comply with § 121(a), her health care liability
claims against Ms. Reid were barred by the applicable statute of limitations, Tennessee
Code Annotated § 29-26-116(a)(1). Therefore, we affirm the dismissal of the claims
against Ms. Reid.

        Although Plaintiff directed written notice to Cookeville Regional, a plaintiff’s
right to pursue a vicarious liability claim against a principal is precluded “when the
plaintiff’s claim against the agent is procedurally barred by operation of law before the
plaintiff asserts a vicarious liability claim against the principal.” Abshure v. Methodist
Healthcare-Memphis Hosps., 325 S.W.3d 98, 106 (Tenn. 2010). Because Plaintiff filed
her complaint against Cookeville Regional after her claims against Ms. Reid were barred,
her claims of vicarious liability against Cookeville Regional are also barred. Therefore,
we affirm the dismissal of the claims against Cookeville Regional.

          2. Purported THCLA Claims against the Miriam’s Promise Defendants

       The allegations as to the Miriam Promise Defendants are substantively different
from those against Ms. Reid and Cookeville Regional discussed immediately above. The
Complaint alleges that the Miriam’s Promise Defendants induced Plaintiff “to engage in
an illegal child trafficking scheme for profit to the detriment of the [Plaintiff],” and
“knew or should have known that the documents they were asking [Plaintiff] to execute
were illegal.” The Complaint also alleges that Ms. Balthrop and Ms. Groth breached their
“duty to disclose to [Plaintiff] the illegality of the documents which [they] required
[Plaintiff] to execute” and prevented Plaintiff “from seeking competent counsel.” Like
her allegations against the other defendants, Plaintiff alleges that the Miriam’s Promise
Defendants engaged in a conspiracy to perpetrate “a fraud and illegal act against
[P]laintiff by inducing her into executing documents upon which they knew or should
have known were illegal in the State of Tennessee for the profiteering of child trafficking
and civil child kidnapping.” We find these allegations fail to allege an injury related to
the provision of health care services.

       Although some licensed clinical social workers are qualified to provide mental
health services, the practice of a licensed social worker may also involve non-health-
related services. See Tenn. Code Ann. § 63-23-105(a) (stating that the practice of a
licensed clinical social worker may include counseling, psychotherapy, providing
information and referrals, and “the development, implementation, and administration of
policies, programs and activities”). Indeed, title 63 of the Tennessee Code expressly
prohibits some types of licensed social workers from providing counseling services. See
id. § 102(a) (stating that a licensed baccalaureate social worker is “not qualified to
diagnose or treat mental illness nor provide psychotherapy services”). Further,
Tennessee’s adoption statute identifies adoption placement services as a special type of
social work that requires an additional license. See id. § 36-1-102(32) (defining “licensed

                                          - 16 -
clinical social worker” as an individual holding a license under title 63, chapter 23 of the
Tennessee Code and a license from the Department of Children’s Services to provide
adoption placement services).

       In Ellithorpe v. Weismark, the Tennessee Supreme Court held that the plaintiffs’
negligence claims fell under the THCLA when the complaint alleged the plaintiffs
suffered emotional distress after a licensed, clinical social worker provided counseling to
their child without the plaintiffs’ consent or involvement. 479 S.W.3d at 820–22. The
Court reasoned that the complaint alleged an injury related to the provision of health care
services because it alleged specifically that the defendant was “negligent in providing
health services.” Id. at 828 (emphasis omitted).

        Unlike the complaint in Ellithorpe, which alleged the defendant-social worker
offered and provided counseling, Plaintiff’s Complaint expressly alleges that Miriam’s
Promise did not provide or offer counseling. In addition, the Complaint does not allege
that Plaintiff engaged the Miriam’s Promise Defendants to provide counseling or that the
Miriam’s Promise Defendants otherwise assumed a duty to provide counseling. The
allegations against the Miriam’s Promise Defendants pertain solely to the provision or
failure to provide information about Plaintiff’s legal rights during the adoption placement
process. See Horak v. Biris, 474 N.E.2d 13, 19 (Ill. App. Ct. 1985) (distinguishing social-
worker malpractice actions based on psychological counseling from social-worker
malpractice actions based on community organization, research, or welfare
administration); Engstrom v. State, 461 N.W.2d 309, 317 n.3 (Iowa 1990) (distinguishing
a social worker’s function in adoption proceedings from a social worker’s function in
providing counseling or therapy, because, in the latter, “there is a clear therapist-patient
relationship analogous to a physician-patient relationship”); cf Goebel v. Arnett,
259 S.W.3d 489, 494 (Ky. Ct. App. 2007) (reversing summary dismissal of biological
mother’s claims for intentional infliction of emotional distress based on adoption
agency’s alleged coercion).

       That the adoption would not have been initiated but-for Plaintiff giving birth is too
tenuous a connection to categorize the alleged injury caused by the Miriam’s Promise
Defendants as “related to” health care services. See Lacy v. Vanderbilt Univ. Med. Ctr.,
No. M2016-02014-COA-R3-CV, 2017 WL 6273316, at *6 (Tenn. Ct. App. May 4,
2017), (conjecturing that allegations of “an injury caused by a doctor running over a
person in a hospital parking lot as he or she leaves work” could be described as literally
“related to” the provision of health care services but such an interpretation of the THCLA
“would be absurd”). Similarly, that Plaintiff alleges the Miriam’s Promise Defendants
engaged in a conspiracy with Cookeville Regional and Ms. Reid does not “relate” the
injury to the provision of health care services. The alleged actions of the Miriam’s
Promise Defendants took place before and after Plaintiff’s hospital stay, and the
documents Plaintiff signed were unrelated to the care she received.
                                           - 17 -
        Based on the foregoing, we find Plaintiff’s claims against the Miriam’s Promise
Defendants sound in ordinary negligence rather than health care liability. Consequently,
the 120-day extension under Tennessee Code Annotated § 29-26-121(c) does not apply to
the claims against the Miriam’s Promise Defendants.

                                 B. The Remaining Claims

       In addition to the THCLA claims addressed above, Plaintiff asserted a plethora of
claims, all of which sound in tort for personal injury. Because the remaining claims sound
in tort for personal injuries, they are subject to the one-year statute of limitations in
Tennessee Code Annotated § 28-3-104(a)(1). It is undisputed that Plaintiff filed her
Complaint more than a year after her claims accrued. Therefore, these claims are time-
barred as the trial court correctly ruled.

      Having found that Plaintiff’s claims were time-barred, we decline to address the
remaining issues raised.

                                    IN CONCLUSION

       The judgment of the trial court is affirmed, and this matter is remanded with costs
of appeal assessed against McKayla Taylor.


                                                   ________________________________
                                                   FRANK G. CLEMENT JR., P.J., M.S.




                                          - 18 -
