Doctors Hospital at Renaissance, Ltd. and RGV MED, LLC v. Jesus Jaime Andrade and Jessica Andrade , 2015 Tex. App. LEXIS 6131 ( 2015 )

NUMBER 13-15-00046-CV
COURT OF APPEALS
THIRTEENTH DISTRICT OF TEXAS
CORPUS CHRISTI – EDINBURG
DOCTORS HOSPITAL AT Appellants,
RENAISSANCE, LTD. AND RGV MED, LLC,
v.
JESUS JAIME ANDRADE AND
JESSICA ANDRADE, Appellees.
On appeal from the 275th District Court
of Hidalgo County, Texas.
OPINION
Before Justices Rodriguez, Garza and Longoria
Opinion by Justice Garza
In this permissive interlocutory appeal, see TEX. R. APP. P. 28.3, we are asked
whether a limited partnership that owns a hospital, or its general partner, may be held
vicariously liable for the negligence of a doctor who is a limited partner in the partnership.
Appellants, Doctors Hospital at Renaissance, Ltd. (“DHR”) and RGV Med, LLC (“RGV”),
filed a motion for summary judgment asserting that they cannot be held vicariously liable.
We affirm the trial court’s order denying the motion.
I. BACKGROUND
Appellees Jesus Jaime Andrade and Jessica Andrade sued Rodolfo Lozano, M.D.,
alleging that Lozano was negligent in delivering their daughter Julianna on August 1,
2012, causing permanent injury to the child.1 The Andrades later added DHR and RGV
as defendants, arguing that they are vicariously liable for Lozano’s negligence. DHR, a
limited partnership, owns and operates Women’s Hospital at Renaissance, which is
where the delivery took place. RGV is DHR’s general partner, and Lozano is a limited
partner of DHR. Except where noted, we will refer to both appellants collectively as
“DHR.”2
DHR moved for traditional summary judgment, contending that it is entitled to
judgment as a matter of law because Lozano “was not acting within the scope of [the]
partnership” or “with the authority of the partnership” at the time of the alleged negligence.
See TEX. BUS. ORGS. CODE ANN. § 152.303(a) (West, Westlaw through ch. 46, 2015 R.S.).
The trial court denied summary judgment but granted DHR’s petition to file an immediate
interlocutory appeal. See TEX. CIV. PRAC. & REM. CODE ANN. § 51.014(d) (West, Westlaw
through ch. 46, 2015 R.S.) (“On a party’s motion or on its own initiative, a trial court in a
1 The Andrades also sued Hugo Zapata, M.D., P.A. (“Zapata”), contending that Zapata is vicariously
liable for Lozano’s negligence. Neither Lozano nor Zapata are parties to this appeal.
2 As DHR’s general partner, RGV “has the liabilities of a partner in a partnership without limited
partners to a person other than the partnership and the other partners,” except as provided elsewhere by
statute or by the limited partnership provisions. TEX. BUS. ORGS. CODE ANN. § 153.152(b) (West, Westlaw
through ch. 46, 2015 R.S.); see Peterson Grp., Inc. v. PLTQ Lotus Grp., 417 S.W.3d 46, 56 (Tex. App.—
Houston [1st Dist.] 2013, pet. denied) (“Unlike a person doing business with a corporation, a person doing
business with a limited partnership always has recourse against any general partner in the same manner
as partners are liable for the liabilities of a partnership without limited partners.”). Therefore, whether RGV
may be held vicariously liable for Lozano’s actions depends solely on whether DHR may be held liable.
2
civil action may, by written order, permit an appeal from an order that is not otherwise
appealable if: (1) the order to be appealed involves a controlling question of law as to
which there is a substantial ground for difference of opinion; and (2) an immediate appeal
from the order may materially advance the ultimate termination of the litigation.”). We
granted permission to appeal on March 2, 2015. See TEX. R. APP. P. 28.3.
II. DISCUSSION
A. Standard of Review
Summary judgment rulings are reviewed de novo. Merriman v. XTO Energy, Inc.,
407 S.W.3d 244, 248 (Tex. 2013); Nalle Plastics Family L.P. v. Porter, Rogers, Dahlman
& Gordon, P.C., 406 S.W.3d 186, 199 (Tex. App.—Corpus Christi 2013, pet. denied). In
advancing a traditional motion for summary judgment, the movant has the burden of
showing there is no genuine issue of material fact and it is entitled to judgment as a matter
of law. TEX. R. CIV. P. 166a(c); Joe v. Two Thirty Nine Joint Venture, 145 S.W.3d 150,
157 (Tex. 2004). An issue of fact is raised if more than a mere scintilla of evidence is
produced. See, e.g., City of Keller v. Wilson, 168 S.W.3d 802, 810 (Tex. 2005). We take
as true all evidence favorable to the non-movant and indulge every reasonable inference
and resolve any doubts in the non-movant’s favor. Joe, 145 S.W.3d at 157.
B. Applicable Law
The parties agree that the governing statute is section 152.303 of the Texas
Business Organizations Code, which is entitled “Liability of Partnership for Conduct of
Partner.” The statute provides:
A partnership is liable for loss or injury to a person, including a partner, or
for a penalty caused by or incurred as a result of a wrongful act or omission
or other actionable conduct of a partner acting:
(1) in the ordinary course of business of the partnership; or
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(2) with the authority of the partnership.
TEX. BUS. ORGS. CODE ANN. § 152.303(a).3
In Jones v. Foundation Surgery Affiliates of Brazoria County, the Houston First
District Court of Appeals applied section 152.303 in the medical malpractice context. 403
S.W.3d 306, 312–18 (Tex. App.—Houston [1st Dist.] 2012, pet. denied). There, the court
of appeals rejected the defendant partnership’s argument that it was “impossible” for one
of its partners, a doctor, to have been “acting in the ordinary course of the Partnership’s
business” when he operated on the plaintiff merely “because the Partnership was
forbidden by law from practicing medicine.” Id. at 312; see TEX. BUS. ORGS. CODE ANN.
§ 152.303(a)(1). The partnership argued that “its business was merely to provide a facility
with a nursing staff, technical staff, scrub techs, supplies, equipment, and a business staff
where its partner-surgeons could perform their cases.” Jones, 403 S.W.3d at 314. But
the court of appeals noted that the partnership’s filings with the Texas Secretary of State,
as well as its own Subscription Agreement, stated that “the Partnership’s business is
outpatient ambulatory surgery.” Id. at 315. The court found this to be more than a scintilla
of evidence that the doctor was, in fact, acting in the ordinary course of the partnership’s
business when he operated on the plaintiff. Id. at 314. The court found that the
partnership’s argument “contradicts the express language of the Subscription Agreement
3 Chapter 152 of the business organizations code governs “General Partnerships” and chapter 153
governs “Limited Partnerships.” However, the provisions of chapter 152 are applicable to limited
partnerships to the extent that chapter 153 and other limited partnership provisions are silent. TEX. BUS.
ORGS. CODE ANN. § 153.051(d) (West, Westlaw through ch. 46, 2015 R.S.); id. § 153.003 (West, through
ch. 46, 2015 R.S.) (“(a) Except as provided by Subsection (b), in a case not provided for by this chapter
and the other limited partnership provisions, the provisions of Chapter 152 governing partnerships that are
not limited partnerships and the rules of law and equity govern. (b) The powers and duties of a limited
partner shall not be governed by a provision of Chapter 152 that would be inconsistent with the nature and
role of a limited partner as contemplated by this chapter.”). We assume for purposes of this opinion, in
accordance with the parties’ arguments, that section 152.303 applies to a limited partnership such as DHR.
4
and of the Partnership’s registration documents and the plain language of the controlling
law.” Id. at 315.
The Jones court also rejected the partnership’s argument that summary judgment
was proper because the doctor’s actions were not “authorized by the Partnership.” Id.;
see TEX. BUS. ORGS. CODE ANN. § 152.303(b). The partnership contended that the
doctor’s actions were not authorized because: (1) “the Partnership was prevented by law
from controlling the treatment decisions made by [the doctor], as statutorily required for
authorization of his acts,” see TEX. BUS. ORGS. CODE ANN. § 152.055(a) (West, Westlaw
through ch. 46, 2015 R.S.); and (2) “the summary judgment evidence showed that the
Partnership authorized only medical treatment within the scope of reasonable care and
[the doctor]’s acts were outside the scope of authorized care.” Jones, 403 S.W.3d at 315.
The court held that, while section 152.055(b) of the business organizations code prohibits
physician-partners from “exercising control over [another physician-partner]’s clinical
authority granted by their respective licenses,” that prohibition is limited to “treatment
decisions made by the practitioner.” Id. at 316 (citing TEX. BUS. ORGS. CODE ANN.
§ 152.055(b)). Further, the court noted that subsection (a) of the statute provides that
“[p]ersons licensed as doctors of medicine . . . may create a partnership that is jointly
owned by those practitioners to perform a professional service that falls within the scope
of practice of those practitioners.” Id. at 316 (citing TEX. BUS. ORGS. CODE ANN.
§ 152.055(a)). The court held:
By omitting the limitation set out in (b) and omitting reference to (a)
altogether, the Partnership makes it appear, falsely, that physicians may not
form a partnership to perform a professional service within the scope of the
practices of each of the partners because to do [so] would be to “exercise
control over the other’s clinical authority granted by their respective
licenses.” [TEX. BUS. ORGS. CODE ANN.] § 152.055(b). This construction of
5
section 152.055 contradicts the plain language of section 152.055(a), which
specifically permits the formation of a partnership of medical practitioners
“to perform a professional service that falls within the scope of practice of
those practitioners.” Id. § 152.005(a).
Jones, 403 S.W.3d at 316–17. The court additionally noted that the plaintiff had produced
evidence that, pursuant to the partnership’s Subscription Agreement, the partnership had
expressly authorized the doctor to perform surgery on the plaintiff. Id. at 317.
Finally, the Jones court rejected the argument that the doctor’s authorization was
only limited to surgeries “within a reasonable standard of care,” finding that the
partnership had authorized the doctor to perform outpatient surgery and that, “[h]aving
granted the permission, the Partnership was potentially liable for the manner in which that
surgery was performed . . . .” Id. at 318. The court held:
The notion that partnerships can be held liable for the acts of their partners
within the ordinary course of the business of the partnership only when
those acts cannot, as a matter of law, result in liability because they satisfy
a standard of reasonable professional care is a contradiction in terms. On
this theory, no partnership can ever be held liable for the wrongful acts of
any of its partners in providing the professional services the partnership was
organized to perform since it is only organized to perform non-wrongful acts.
Id.
C. Evidence
DHR’s motion for summary judgment argued that Lozano was “acting as an
independent contractor and not a limited partner” at the time of the alleged negligence. It
further argued that, even if Lozano was acting as a limited partner at the time of the
alleged negligence, he could not have been acting within the scope of the partnership
because (1) DHR is prohibited by law from practicing medicine, and (2) DHR’s partnership
agreement provides that all medical decisions must be made by doctors who are
members of the medical staff. The only evidence attached to the motion and contained
6
in the record before this Court is the Andrades’ first amended petition and requests for
disclosure.4
The Andrades filed a response that included, among other evidence, the following
response by DHR to an interrogatory propounded by the Andrades:
INTERROGATORY NO.2: Please state the date on which [DHR] [f]irst
began offering labor and delivery services to the public through The
Women’s Hospital at Renaissance. Was [DHR] offering labor and delivery
services to the public at the time of Julianna’s delivery?
ANSWER: [DHR] first began offering labor and delivery services in
2007 when the Women’s Hospital at Renaissance opened. [DHR]
was offering labor and delivery services to the public at the time of
Julianna Andrade’s delivery.
The Andrades also provided deposition testimony by Lozano in which he stated that he
was a limited partner of DHR at the time of the alleged negligence, and that DHR owned
the hospital at which the alleged negligence occurred.
Finally, the Andrades’ response included a copy of DHR’s active partnership
agreement, which specifically references the establishment of a hospital and the provision
of medical services. In particular, the agreement states in relevant part as follows:
1.7 Purposes of the Partnership. The objects and purposes of the
Partnership are (i) to develop, construct and operate such Health Care
Facilities as the General Partner may deem appropriate from time to
time; . . . (iii) to own, develop, operate and engage in such other business
activities as the General Partner may deem appropriate from time to time;
and (iv) to enter into, make and perform all such agreements and
undertakings, and to engage in all such activities and transactions, as the
General Partner may deem necessary or appropriate for or incidental to the
carrying out of the foregoing objects and purposes.
....
4 DHR’s “Third Amended and Restated Agreement of Limited Partnership” was initially submitted
under seal for the trial court’s in camera inspection. However, as noted herein, the entire agreement was
later submitted, not under seal, as part of the Andrades’ response to the motion for summary judgment.
7
2.4 Limited Partner Status. The Limited Partners shall not perform any act
on behalf of the Partnership; incur any expense, obligation or indebtedness
of any nature on behalf of the Partnership; or in any manner participate in
the management of the Partnership or receive or be credited with any
amounts, except as specifically contemplated hereunder. A Limited Partner
shall not be personally liable for any amounts other than the amounts
contributed by such Limited Partner to the capital of the Partnership, and
shall not be liable for any of the debts or losses of the Partnership or of the
General Partner, except only to the extent that a liability of the Partnership
is founded on or results from an unauthorized act or activity of such Limited
Partner.
Additionally, in a section entitled “Recitals,” the partnership agreement states:
A. [DHR], a Texas limited partnership formerly known as Day
Surgery at Renaissance, Ltd. (the “Partnership”), was formed and
organized in accordance with the provisions of the Texas Revised Limited
Partnership Act, as amended (the “Act”) . . .
B. The Partnership was formed and organized for the purpose of
owning and operating an ambulatory surgery center located in Edinburg,
Texas.
C. The Partnership has previously expanded the former
ambulatory surgery center and developed and constructed, and now owns
and operates, a general acute care hospital located on real property owned
by the Partnership and also developed and constructed, and now owns and
operates, medical office buildings and other commercial buildings located
on adjacent real property owned by the Partnership.
D. It is intended that the Hospital be an efficient, quality provider
of medical services within Hidalgo County.
E. [RGV] and the Initial Limited Partner (as hereinafter defined)
now desire to amend and restate the Original Agreement.
Moreover, in a section entitled “Definitions,” the agreement states:
“Ambulatory Surgery Center” shall mean the Ambulatory Surgery
Center owned by the Partnership located in Edinburg, Texas.
....
“Health Care Facilities” shall mean the Hospital, the Ambulatory
Surgery Center and such other healthcare facilities operated by the
Partnership from time to time.
....
8
“Hospital” shall mean a general acute care hospital to be operated
by the Partnership and located in Edinburg, Texas.
(Emphasis in original.)
In reply, DHR provided several additional pieces of evidence, including: (1)
additional deposition testimony by Lozano; (2) RGV’s articles of incorporation; (3)
partnership registration documents for Foundation Surgery Affiliates of Brazoria County,
LLP; and (4) DHR and RGV’s “Subscription Agreement.” Lozano stated in his deposition
that one of the purposes of the partnership was to provide obstetrical services; however,
he admitted that he never actually read the partnership agreement. RGV’s articles of
incorporation do not explicitly state that the practice of medicine is one of its corporate
purposes.5 The “Subscription Agreement” between DHR and RGV does not, as did the
corresponding agreement in Jones, explicitly reference the practice of medicine.
5 Article III, entitled “Purposes,” states in its entirety as follows:
3.01 The Limited Liability Company shall have the powers provided for a
corporation under the Texas Business Corporation Act and a limited partnership under the
Texas Revised Limited Partnership Act.
3.02 The purpose for which this limited liability company is organized is to
transact any and all lawful business for which limited liability companies may be organized
under the laws of Texas, including, but not limited to, the following:
a. To carry on any business or any other legal or lawful activity
allowed by law;
b. To acquire, own, use, convey, and otherwise dispose of and deal
in real or personal property or any interest therein;
c. To manufacture, buy, sell, and generally deal in goods, wares and
merchandise of every class and description;
d. To buy, rent, sell, manufacture, produce, assemble, distribute,
repair, and service any and all products or services in which the
company desires to engage;
e. To do such other acts as are incidental to the foregoing or
desirable in order to accomplish the purpose for which the
company was formed; and
f. To have and exercise all rights and powers that are now or may
hereafter be granted to a limited liability company by law.
3.03 The foregoing shall be construed as objects, purposes and powers, and
enumeration thereof shall not be held to limit or restrict in any manner the powers hereafter
9
D. Analysis
We find that there is at least an issue of fact as to whether Lozano, at the time of
the alleged negligence, was either acting in the ordinary course of DHR’s business or with
DHR’s authority. See TEX. BUS. ORGS. CODE ANN. § 152.303(a).
DHR argues that, as a limited partnership, it is statutorily prohibited by law from
practicing medicine. See TEX. OCC. CODE ANN. § 155.001 (West, Westlaw through ch.
46, 2015 R.S.).6 It further alleges that it is prohibited by statute from “exercising any
control over Dr. Lozano’s actions.” See TEX. BUS. ORGS. CODE ANN. § 152.0551(e) (West,
Westlaw through ch. 46, 2015 R.S.) (“Nothing in this section may be construed to allow
the practice of medicine by someone not licensed as a physician . . . or to allow a person
not licensed as a physician to direct the activities of a physician in the practice of
medicine.”).7 Even assuming that these assertions are true, that does not mean that a
partner must necessarily be acting outside the scope of the partnership’s business and
without the authority of the partnership when the partner practices medicine. See Jones,
403 S.W.3d at 316–17. As the Jones court recognized, section 152.055 of the business
organizations code, which states that physician-partners may not “exercise control” over
conferred on this limited liability company by the laws of the State of Texas.
3.04 The company may, in its Regulations, confer powers, not in conflict with
law, on its Managers and Members in addition to the foregoing and in addition to the powers
and authorities expressly conferred on them by statute.
6 DHR notes that, under the Texas Medical Practice Act, only a “person” may be issued a license
to practice medicine. See TEX. OCC. CODE ANN. § 155.001 (West, Westlaw through ch. 46, 2015 R.S.). It
further emphasizes that persons who attempt to practice medicine without a license are subject to criminal
penalties. See id. § 165.153 (West, Westlaw through ch. 46, 2015 R.S.).
7 We note that the provision cited by DHR applies only to section 152.0551 of the business
organizations code, which deals with partnerships formed by physicians and physician assistants—not
section 152.055, which deals with the authority of licensed doctors to create a partnership to perform
professional services. See TEX. BUS. ORGS. CODE ANN. §§ 152.055, 152.0551(e) (West, Westlaw through
ch. 46, 2015 R.S.).
10
the authority of other physician-partners, nevertheless specifically authorizes the
formation of a partnership “to perform a professional service that falls within the scope of
practice of” the physicians. TEX. BUS. ORGS. CODE ANN. § 152.055(a). Moreover, section
152.303, governing liability of the partnership for actions of partners, does not require that
a partnership have the legal or contractual authority to “exercise control” over a partner’s
actions in order for the partnership to be held liable for those actions; instead, it only
requires that the partner be acting in the ordinary course of business of the partnership
or with the authority of the partnership. See id. § 152.303(a). Here, DHR’s active
partnership agreement explicitly stated that DHR “owns and operates” the hospital at
which the alleged negligence occurred; Lozano testified that he is a partner of DHR and
that one of the purposes of DHR was to provide obstetrical services; and DHR’s sworn
interrogatory response stated that DHR “was offering labor and delivery services to the
public at the time of Julianna Andrade’s delivery.” This is at least some evidence that
DHR’s “ordinary course of business” includes the practice of medicine by its physician-
partners.
DHR argues that Jones is distinguishable because Lozano, unlike the doctor in
Jones, was not required to perform a certain percentage of his surgeries at DHR. See
Jones, 403 S.W.3d at 310 (noting that “partner-surgeons were obliged via the Partnership
to perform one-third of their outpatient cases and to derive one-third of their income at the
Surgery Center; and their failure to do so would warrant revocation of their Partnership
interest”). It further notes that, unlike in Jones, there is no evidence that DHR’s “sole
business” was surgeries performed by partners. See id. (noting that the hospital’s vice
president “testified that the sole business conducted at the Surgery Center was surgical
11
procedures performed by the partner-surgeons”). We believe these are distinctions
without a difference. They do not have any bearing on the issue of whether Lozano was
acting in the ordinary course of DHR’s business, or with its authority, at the time he
delivered Julianna. See TEX. BUS. ORGS. CODE ANN. § 152.303(a).
DHR further argued in its motion and on appeal that, under paragraph 2.4 of the
partnership agreement, Lozano “was not allowed to perform any act on behalf of the
partnership.” This argument ignores the explicit caveat contained within paragraph 2.4
of the partnership agreement—“except as specifically contemplated hereunder.”
Paragraph 2.4 therefore does not establish as a matter of law that Lozano was not acting
on behalf of DHR or with the authority of DHR at the time of the alleged negligence. 8
Similarly, DHR argues that “[c]learly, the practice of medicine is not one of the purposes
for which the Partnership was organized” under paragraph 1.7 of the partnership
agreement. But the agreement provides that one of the partnership’s purposes is “to own,
develop, operate and engage in such other business activities as the General Partner
may deem appropriate from time to time.” Paragraph 1.7 therefore does not establish as
a matter of law that “the practice of medicine is not one of the purposes for which the
Partnership was organized.” The same rationale applies to DHR’s argument regarding
the purposes stated in RGV’s articles of incorporation—though the articles list several
corporate purposes, the list is extremely broad and does not purport to be exclusive.
8 This Court is disturbed by the fact that DHR omits the caveat contained in the very sentence of
the agreement that it cites to support its position. DHR asserts that “[u]nder the terms of the partnership
agreement, limited partners are not permitted to ‘perform any act’ on behalf of the partnership,” and it quotes
paragraph 2.4 of the agreement as follows: “The Limited Partners shall not perform any act on behalf of
the Partnership; incur any expense, obligation or indebtedness of any nature on behalf of the Partnership;
or in any manner participate in the management of the Partnership.” The quotation in the brief ends with a
period—it does not contain an ellipsis or otherwise indicate that the sentence has been truncated by
omission of the caveat. This is grossly misleading, and DHR’s position is plainly incorrect, in view of the
entirety of the sentence.
12
Taking as true all evidence favorable to the Andrades, we conclude that DHR did
not meet its burden to establish its entitlement to judgment as a matter of law. See TEX.
R. CIV. P. 166a(c); Joe, 145 S.W.3d at 157. Accordingly, the trial court did not err by
denying DHR’s motion for summary judgment.9
III. CONCLUSION
The trial court’s order is affirmed.
DORI CONTRERAS GARZA,
Justice
Delivered and filed the
18th day of June, 2015.
9 DHR argues that “[h]ospitals owned by doctors will be faced with an untenable situation if they
can be vicariously liable for the negligence of a doctor solely because the doctor has a limited ownership
interest in the hospital” and that “[a] finding of vicarious liability under this theory would create novel financial
exposure for hospitals owned in whole or in part by medical professionals and threaten their ability to
provide medical services to patients needing them.” These statements may or may not be true, but in any
event, they do not constitute legally cognizable reasons to ignore the plain language of the governing
statute, the applicable case law, and the evidence before the court.
13