Carl J. Battaglia, M.D., P.A. v. Alexander

177 S.W.3d 893, 48 Tex. Sup. Ct. J. 720, 2005 Tex. LEXIS 419, 2005 WL 1252326
CourtTexas Supreme Court
DecidedMay 27, 2005
Docket02-0701
StatusPublished
Cited by151 cases

This text of 177 S.W.3d 893 (Carl J. Battaglia, M.D., P.A. v. Alexander) is published on Counsel Stack Legal Research, covering Texas Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Carl J. Battaglia, M.D., P.A. v. Alexander, 177 S.W.3d 893, 48 Tex. Sup. Ct. J. 720, 2005 Tex. LEXIS 419, 2005 WL 1252326 (Tex. 2005).

Opinions

Justice OWEN

delivered the opinion of the Court,

in which Justice HECHT, Justice WAINWRIGHT, Justice MEDINA, Justice GREEN, and Justice JOHNSON joined.

The central issues presented by these health care liability claims are whether, based on the facts and procedural posture of this case, two physicians’ professional associations can be held liable for their own direct negligence (as distinguished from vicariously liable for the actions of their employee), whether the professional associations are jointly and severally liable, and how to calculate prejudgment interest when other parties have settled. We hold that 1) liability against the professional associations was not foreclosed by a directed verdict in favor of one physician in his individual capacity and the jury’s failure to find the other physician negligent in his individual capacity, 2) there is legally sufficient evidence that the professional associations were negligent, 3) there is legally sufficient evidence that the professional associations engaged in a joint venture [896]*896separate from the joint venture to which the trial court granted a directed verdict, and 4) the trial court did not properly calculate prejudgment interest under section 16.02 of former article 4590L1 The court of appeals affirmed the trial court’s judgment in all respects.2 Accordingly, we reverse the court of appeals’ judgment in part and remand this case to the trial court to calculate prejudgment interest consistent with this opinion.

I

Forty-year-old Mark Alexander was to undergo outpatient arthroscopic surgery on his shoulder at TOPS Surgical Specialty Hospital. About an hour and a half into the procedure, the nurse anesthetist attending him, Constance Cernosek, alerted the surgeon that she thought Mr. Alexander was not getting any oxygen into his right lung. The surgeon immediately withdrew his surgical instrument and turned Mr. Alexander over, discovering that his upper body and thighs had turned blue from oxygen deprivation. Mr. Alexander had no pulse and was in cardiac arrest. It was later determined that his brain had been deprived of an adequate supply of oxygen for at least ten and perhaps as many as fourteen minutes before his distress was recognized. Another ten minutes passed without adequate blood flow to his brain while resuscitation efforts were underway. At some point, Mr. Alexander’s heart was restarted, but he remained comatose and died fourteen days later. An autopsy revealed that his death was due to brain damage caused by a lack of oxygen. One expert opined that Mark Alexander’s brain was completely deprived of oxygen for nine to ten minutes.

The hospital had contracted with two professional associations to jointly operate and staff its anesthesia service. These professional associations were Carl J. Bat-taglia, M.D., P.A. and Tommy A. Polk, M.D., P.A., which we will refer to as Bat-taglia P.A. and Polk P.A. for brevity. The contract between the hospital and the professional associations provided that Bat-taglia and Polk, individually, would serve as anesthesiologists, although the contract contemplated that Battaglia P.A. and Polk P.A. would also furnish other physicians to serve as anesthesiologists. The professional associations retained LaVerta Jane Crowder, an anesthesiologist, on a part-time basis to work in the hospital’s surgical arenas when either Battaglia or Polk was unavailable. Polk was not at the hospital the day of Mark Alexander’s surgery, and Dr. Crowder was his attending anesthesiologist. Battaglia was on duty, but did not have any contact with Mr. Alexander until resuscitation efforts had begun.

The contract between the hospital and the professional associations provided that the hospital was to employ registered nurse anesthetists to assist the anesthesiologists. But there was evidence that the professional associations directed the details of the nurse anesthetists’ work, made decisions about their continuing education, and decided how much they would be compensated.

Mark Alexander’s widow and his parents brought this wrongful death suit against Battaglia and Polk in their individual capacities and against their respective professional associations. The Alexanders [897]*897also sued Dr. Crowder, the nurse anesthetist Cernosek, the hospital, and a joint venture between Battaglia and Polk, or between their professional associations, known as Red Oak Anesthesia Associates. The hospital and Cernosek settled before trial for $1,875,000 plus $38,266.21 designated as costs.

The case proceeded to a jury trial. Before submission, the trial court directed a verdict for Polk in his individual capacity and for Red Oak Anesthesia Associates. The jury failed to find either “Battaglia, M.D.” or the hospital negligent but found others had been negligent and apportioned responsibility as follows:

Cernosek 30%
Crowder 30%
Battaglia P.A. 20%
Polk P.A. 20%

The jury further found that Cernosek was an employee of “Carl Battaglia, M.D., P.A./Tommy A. Polk, M.D., P.A.” in providing anesthesia to Mark Alexander, in her efforts to resuscitate him, or both. The jury failed to find that Dr. Crowder was an employee of either professional association but found there was an agency relationship between Dr. Crowder and the professional associations. It also found that the Battaglia and Polk professional associations were engaged in a joint venture on the date of Mark Alexander’s surgery.

The jury awarded Lisa Alexander (Mark Alexander’s widow) $1,080,000 in past damages and $1,800,000 in future damages, and awarded each of Mark Alexander’s parents $180,000 in past damages and $180,000 in future damages, for a total of $360,000 to each parent. The parties stipulated prior to trial that Mark Alexander’s medical and funeral expenses were $57,113.05, and accordingly, the total amount of damages was $3,657,113.05. The trial court applied $1,875,000 as a dollar-for-dollar settlement credit, resulting in a damage award in the judgment of $1,782,113.05 plus prejudgment interest. The trial court calculated prejudgment interest on the past losses found by the jury and the $57,113.05 stipulated by the parties (totaling $1,497,113.05 in past damages), resulting in $367,498.05 in prejudgment interest (for a total award of $2,149,611.10), without considering any part of the settlement credit in the calculation. Finally, the trial court held the professional associations jointly and severally liable for one another’s share of the judgment as well as jointly and severally liable for the entire amount of the judgment.

Battaglia P.A., Polk P.A., and Crowder appealed, but Crowder paid her share of the judgment and was released by the Alexanders before the court of appeals issued its decision. The court of appeals affirmed the trial court’s judgment.3 We granted the petition for review submitted by the professional associations.

Before we consider the questions raised by the professional associations, it is useful to recount what has not been challenged in this Court. The jury found both Cernosek (the nurse anesthetist) and Crowder (the attending anesthesiologist) negligent. The jury further found that Cernosek was an employee of both professional associations and that Crowder was their agent in providing health care services to Mark Alexander. None of these findings is challenged in this Court.

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Cite This Page — Counsel Stack

Bluebook (online)
177 S.W.3d 893, 48 Tex. Sup. Ct. J. 720, 2005 Tex. LEXIS 419, 2005 WL 1252326, Counsel Stack Legal Research, https://law.counselstack.com/opinion/carl-j-battaglia-md-pa-v-alexander-tex-2005.