Professional Documents
Culture Documents
Corp Cases (Chap3)
Corp Cases (Chap3)
SUPREME COURT
Manila
EN BANC
G.R. No. 126297
February 2, 2010
With prior leave of court,1 petitioner Professional Services, Inc. (PSI) filed a
second motion for reconsideration2urging referral thereof to the Court en
banc and seeking modification of the decision dated January 31, 2007 and
resolution dated February 11, 2008 which affirmed its vicarious and direct
liability for damages to respondents Enrique Agana and the heirs of
Natividad Agana (Aganas).
Manila Medical Services, Inc. (MMSI),3 Asian Hospital, Inc. (AHI),4 and
Private Hospital Association of the Philippines (PHAP)5 all sought to
intervene in these cases invoking the common ground that, unless
modified, the assailed decision and resolution will jeopardize the financial
viability of private hospitals and jack up the cost of health care.
The Special First Division of the Court granted the motions for intervention
of MMSI, AHI and PHAP (hereafter intervenors),6 and referred en
consulta to the Court en banc the motion for prior leave of court and the
second motion for reconsideration of PSI.7
Due to paramount public interest, the Court en banc accepted the
referral8 and heard the parties on oral arguments on one particular issue:
whether a hospital may be held liable for the negligence of physiciansconsultants allowed to practice in its premises.9
To recall the salient facts, PSI, together with Dr. Miguel Ampil (Dr. Ampil)
and Dr. Juan Fuentes (Dr. Fuentes), was impleaded by Enrique Agana and
Natividad Agana (later substituted by her heirs), in a complaint 10 for
damages filed in the Regional Trial Court (RTC) of Quezon City, Branch
96, for the injuries suffered by Natividad when Dr. Ampil and Dr. Fuentes
neglected to remove from her body two gauzes11 which were used in the
surgery they performed on her on April 11, 1984 at the Medical City
General Hospital. PSI was impleaded as owner, operator and manager of
the hospital.
In a decision12 dated March 17, 1993, the RTC held PSI solidarily liable
with Dr. Ampil and Dr. Fuentes for damages.13 On appeal, the Court of
Appeals (CA), absolved Dr. Fuentes but affirmed the liability of Dr. Ampil
and PSI, subject to the right of PSI to claim reimbursement from Dr.
Ampil.141avvphi1
On petition for review, this Court, in its January 31, 2007 decision, affirmed
the CA decision.15 PSI filed a motion for reconsideration16 but the Court
denied it in a resolution dated February 11, 2008. 17
PSI is now asking this Court to reconsider the foregoing rulings for these
reasons:
I
The Court premised the direct liability of PSI to the Aganas on the following
facts and law:
First, there existed between PSI and Dr. Ampil an employer-employee
relationship as contemplated in the December 29, 1999 decision in Ramos
v. Court of Appeals18 that "for purposes of allocating responsibility in
medical negligence cases, an employer-employee relationship exists
between hospitals and their consultants."19Although the Court
in Ramos later issued a Resolution dated April 11, 200220 reversing its
earlier finding on the existence of an employment relationship between
hospital and doctor, a similar reversal was not warranted in the present
case because the defense raised by PSI consisted of a mere general
denial of control or responsibility over the actions of Dr. Ampil. 21
Respondents Aganas engaged Dr. Miguel Ampil as their doctor and did not
primarily and specifically look to the Medical City Hospital (PSI) for medical
care and support; otherwise stated, respondents Aganas did not select
Medical City Hospital (PSI) to provide medical care because of any
apparent authority of Dr. Miguel Ampil as its agent since the latter was
chosen primarily and specifically based on his qualifications and being
friend and neighbor.
III
PSI cannot be liable under doctrine of corporate negligence since the
proximate cause of Mrs. Agana's injury was the negligence of Dr. Ampil,
which is an element of the principle of corporate negligence. 29
This Court still employs the "control test" to determine the existence of an
employer-employee relationship between hospital and doctor. In Calamba
Medical Center, Inc. v. National Labor Relations Commission, et al. 40 it
held:
Under the "control test", an employment relationship exists between a
physician and a hospital if the hospital controls both the means and the
details of the process by which the physician is to accomplish his task.
xxx
xxx
xxx
PSI, Dr. Ampil and Dr. Fuentes appealed44 from the RTC decision but only
on the issues of negligence, agency and corporate liability. In its
September 6, 1996 decision, the CA mistakenly referred to PSI and Dr.
Ampil as employer-employee, but it was clear in its discussion on the
matter that it viewed their relationship as one of mere apparent agency.45
The Aganas appealed from the CA decision, but only to question the
exoneration of Dr. Fuentes.46 PSI also appealed from the CA decision, and
it was then that the issue of employment, though long settled, was
unwittingly resurrected.
In fine, as there was no dispute over the RTC finding that PSI and Dr.
Ampil had no employer-employee relationship, such finding became final
and conclusive even to this Court.47 There was no reason for PSI to have
raised it as an issue in its petition. Thus, whatever discussion on the
matter that may have ensued was purely academic.
Nonetheless, to allay the anxiety of the intervenors, the Court holds that, in
this particular instance, the concurrent finding of the RTC and the CA that
PSI was not the employer of Dr. Ampil is correct. Control as a
determinative factor in testing the employer-employee relationship
between doctor and hospital under which the hospital could be held
vicariously liable to a patient in medical negligence cases is a requisite fact
to be established by preponderance of evidence. Here, there was
insufficient evidence that PSI exercised the power of control or wielded
such power over the means and the details of the specific process by
which Dr. Ampil applied his skills in the treatment of Natividad.
Consequently, PSI cannot be held vicariously liable for the negligence of
Dr. Ampil under the principle of respondeat superior.
There is, however, ample evidence that the hospital (PSI) held out to the
patient (Natividad)48 that the doctor (Dr. Ampil) was its agent. Present are
the two factors that determine apparent authority: first, the hospital's
implied manifestation to the patient which led the latter to conclude that the
doctor was the hospital's agent; and second, the patients reliance upon
the conduct of the hospital and the doctor, consistent with ordinary care
and prudence.49
Enrique testified that on April 2, 1984, he consulted Dr. Ampil regarding the
condition of his wife; that after the meeting and as advised by Dr. Ampil, he
"asked [his] wife to go to Medical City to be examined by [Dr. Ampil]"; and
that the next day, April 3, he told his daughter to take her mother to Dr.
Ampil.50 This timeline indicates that it was Enrique who actually made the
decision on whom Natividad should consult and where, and that the latter
merely acceded to it. It explains the testimony of Natividad that she
consulted Dr. Ampil at the instigation of her daughter.51
Moreover, when asked what impelled him to choose Dr. Ampil, Enrique
testified:
Atty. Agcaoili
On that particular occasion, April 2, 1984, what was your reason for
choosing Dr. Ampil to contact with in connection with your wife's illness?
A. First, before that, I have known him to be a specialist on that part of the
body as a surgeon, second, I have known him to be a staff member of the
Medical City which is a prominent and known hospital. And third,
because he is a neighbor, I expect more than the usual medical service to
be given to us, than his ordinary patients.52 (emphasis supplied)
Clearly, the decision made by Enrique for Natividad to consult Dr. Ampil
was significantly influenced by the impression that Dr. Ampil was a staff
member of Medical City General Hospital, and that said hospital was well
known and prominent. Enrique looked upon Dr. Ampil not as independent
of but as integrally related to Medical City.
PSI's acts tended to confirm and reinforce, rather than negate, Enrique's
view. It is of record that PSI required a "consent for hospital care" 53 to be
signed preparatory to the surgery of Natividad. The form reads:
Permission is hereby given to the medical, nursing and laboratory staff of
the Medical City General Hospital to perform such diagnostic procedures
and to administer such medications and treatments as may be deemed
extended to determining Dr. Ampil's role in it, bringing the matter to his
attention, and correcting his negligence.
And finally, by such admission, PSI barred itself from arguing in its second
motion for reconsideration that the concept of corporate responsibility was
not yet in existence at the time Natividad underwent treatment; 58 and that if
it had any corporate responsibility, the same was limited to reporting the
missing gauzes and did not include "taking an active step in fixing the
negligence committed."59 An admission made in the pleading cannot be
controverted by the party making such admission and is conclusive as to
him, and all proofs submitted by him contrary thereto or inconsistent
therewith should be ignored, whether or not objection is interposed by a
party.60
Given the standard of conduct that PSI defined for itself, the next relevant
inquiry is whether the hospital measured up to it.
PSI excuses itself from fulfilling its corporate duty on the ground that Dr.
Ampil assumed the personal responsibility of informing Natividad about the
two missing gauzes.61 Dr. Ricardo Jocson, who was part of the group of
doctors that attended to Natividad, testified that toward the end of the
surgery, their group talked about the missing gauzes but Dr. Ampil assured
them that he would personally notify the patient about it. 62Furthermore, PSI
claimed that there was no reason for it to act on the report on the two
missing gauzes because Natividad Agana showed no signs of
complications. She did not even inform the hospital about her discomfort. 63
The excuses proffered by PSI are totally unacceptable.
To begin with, PSI could not simply wave off the problem and nonchalantly
delegate to Dr. Ampil the duty to review what transpired during the
operation. The purpose of such review would have been to pinpoint when,
how and by whom two surgical gauzes were mislaid so that necessary
remedial measures could be taken to avert any jeopardy to Natividads
recovery. Certainly, PSI could not have expected that purpose to be
achieved by merely hoping that the person likely to have mislaid the
gauzes might be able to retrace his own steps. By its own standard of
corporate conduct, PSI's duty to initiate the review was non-delegable.
While Dr. Ampil may have had the primary responsibility of notifying
Natividad about the missing gauzes, PSI imposed upon itself the separate
and independent responsibility of initiating the inquiry into the missing
gauzes. The purpose of the first would have been to apprise Natividad of
what transpired during her surgery, while the purpose of the second would
have been to pinpoint any lapse in procedure that led to the gauze count
discrepancy, so as to prevent a recurrence thereof and to determine
corrective measures that would ensure the safety of Natividad. That Dr.
Ampil negligently failed to notify Natividad did not release PSI from its selfimposed separate responsibility.
Corollary to its non-delegable undertaking to review potential incidents of
negligence committed within its premises, PSI had the duty to take notice
of medical records prepared by its own staff and submitted to its custody,
especially when these bear earmarks of a surgery gone awry. Thus, the
record taken during the operation of Natividad which reported a gauze
count discrepancy should have given PSI sufficient reason to initiate a
review. It should not have waited for Natividad to complain.
As it happened, PSI took no heed of the record of operation and
consequently did not initiate a review of what transpired during Natividads
operation. Rather, it shirked its responsibility and passed it on to others
to Dr. Ampil whom it expected to inform Natividad, and to Natividad herself
to complain before it took any meaningful step. By its inaction, therefore,
PSI failed its own standard of hospital care. It committed corporate
negligence.
It should be borne in mind that the corporate negligence ascribed to PSI is
different from the medical negligence attributed to Dr. Ampil. The duties of
the hospital are distinct from those of the doctor-consultant practicing
within its premises in relation to the patient; hence, the failure of PSI to
fulfill its duties as a hospital corporation gave rise to a direct liability to the
Aganas distinct from that of Dr. Ampil.
All this notwithstanding, we make it clear that PSIs hospital liability based
on ostensible agency and corporate negligence applies only to this case,
pro hac vice. It is not intended to set a precedent and should not serve as
a basis to hold hospitals liable for every form of negligence of their
Other circumstances peculiar to this case warrant this ruling, not the least
of which being that the agony wrought upon the Aganas has gone on for
26 long years, with Natividad coming to the end of her days racked in pain
and agony. Such wretchedness could have been avoided had PSI simply
done what was logical: heed the report of a guaze count discrepancy,
initiate a review of what went wrong and take corrective measures to
ensure the safety of Nativad. Rather, for 26 years, PSI hemmed and
hawed at every turn, disowning any such responsibility to its patient.
Meanwhile, the options left to the Aganas have all but dwindled, for the
status of Dr. Ampil can no longer be ascertained.66
Therefore, taking all the equities of this case into consideration, this Court
believes P15 million would be a fair and reasonable liability of PSI, subject
to 12% p.a. interest from the finality of this resolution to full satisfaction.
The respondent averred that the aforequoted provisions of Rep. Act No.
8042 violate Section 1, Article III of the Constitution. 5 According to the
respondent, Section 6(g) and (i) discriminated against unskilled workers
and their families and, as such, violated the equal protection clause, as
well as Article II, Section 12 6 and Article XV, Sections 1 7 and 3(3) of the
Constitution. 8 As the law encouraged the deployment of skilled Filipino
workers, only overseas skilled workers are granted rights. The respondent
stressed that unskilled workers also have the right to seek employment
abroad.
According to the respondent, the right of unskilled workers to due
process is violated because they are prevented from finding employment
and earning a living abroad. It cannot be argued that skilled workers are
immune from abuses by employers, while unskilled workers are merely
prone to such abuses. It was pointed out that both skilled and unskilled
workers are subjected to abuses by foreign employers. Furthermore, the
prohibition of the deployment of unskilled workers abroad would only
encourage fly-by-night illegal recruiters.
According to the respondent, the grant of incentives to service
contractors and manning agencies to the exclusion of all other licensed
and authorized recruiters is an invalid classification. Licensed and
authorized recruiters are thus deprived of their right to property and due
process and to the "equality of the person." It is understandable for the law
to prohibit illegal recruiters, but to discriminate against licensed and
registered recruiters is unconstitutional.
The respondent, likewise, alleged that Section 6, subsections (a) to (m)
is unconstitutional because licensed and authorized recruitment agencies
are placed on equal footing with illegal recruiters. It contended that while
the Labor Code distinguished between recruiters who are holders of
licenses and non-holders thereof in the imposition of penalties, Rep. Act
No. 8042 does not make any distinction. The penalties in Section 7(a) and
(b) being based on an invalid classification are, therefore, repugnant to the
equal protection clause, besides being excessive; hence, such penalties
are violative of Section 19(1), Article III of the Constitution. 9 It was also
pointed out that the penalty for officers/officials/employees of recruitment
agencies who are found guilty of economic sabotage or large-scale illegal
recruitment under Rep. Act No. 8042 is life imprisonment.
The respondent also posited that Section 6(m) and paragraphs (15)
and (16), Sections 8, 9 and 10, paragraph 2 of the law violate Section 22,
Article III of the Constitution 10 prohibiting ex-post facto laws and bills of
attainder. This is because the provisions presume that a licensed and
registered recruitment agency is guilty of illegal recruitment involving
economic sabotage, upon a finding that it committed any of the prohibited
acts under the law. Furthermore, officials, employees and their relatives
SO ORDERED.
Ratio: The matter of whether to issue a writ of preliminary injunction or not
is addressed to the sound discretion of the trial court. However, if the court
commits grave abuse of its discretion in issuing the said writ amounting to
excess or lack of jurisdiction, the same may be nullified via a writ of
certiorari and prohibition.
The possible unconstitutionality of a statute, on its face, does not of
itself justify an injunction against good faith attempts to enforce it, unless
there is a showing of bad faith, harassment, or any other unusual
circumstance that would call for equitable relief. The "on its face"
invalidation of statutes has been described as "manifestly strong
medicine," to be employed "sparingly and only as a last resort," and is
generally disfavored.
To be entitled to a preliminary injunction to enjoin the enforcement of a
law assailed to be unconstitutional, the party must establish that it will
suffer irreparable harm in the absence of injunctive relief and must
demonstrate that it is likely to succeed on the merits, or that there are
sufficiently serious questions going to the merits and the balance of
written and practical exams before they are deemed fit to practice their
trade.
Finally, it is a futile gesture on the part of petitioners to invoke the nonimpairment clause of the Constitution to support their argument that the
government cannot enact the assailed regulatory measures because they
abridge the freedom to contract.
The equal protection clause is directed principally against undue favor
and individual or class privilege. It is not intended to prohibit legislation
which is limited to the object to which it is directed or by the territory in
which it is to operate. It does not require absolute equality, but merely that
all persons be treated alike under like conditions both as to privileges
conferred and liabilities imposed.
In view of the VALIDITY of Sec. 6 of RA 8042
The validity of Section 6 of R.A. No. 8042 which provides that
employees of recruitment agencies may be criminally liable for illegal
recruitment has been upheld in People v. Chowdury: An employee of a
company or corporation engaged in illegal recruitment may be held liable
as principal, together with his employer, if it is shown that he actively and
consciously participated in illegal recruitment.
By its rulings, the Court thereby affirmed the validity of the assailed
penal and procedural provisions of Rep. Act No. 8042, including the
imposable penalties therefor. Until the Court, by final judgment, declares
that the said provisions are unconstitutional, the enforcement of the said
provisions cannot be enjoined.
Penalizing unlicensed and licensed recruitment agencies and their
officers and employees and their relatives employed in government
agencies charged with the enforcement of the law for illegal recruitment
and imposing life imprisonment for those who commit large scale illegal
recruitment is not offensive to the Constitution. The accused may be
convicted of illegal recruitment and large scale illegal recruitment only if,
after trial, the prosecution is able to prove all the elements of the crime
charged.
CARPIO, J.:
I.
THE FACTS
This is a petition to nullify the sale of shares of stock of Philippine
Telecommunications Investment Corporation (PTIC) by the government of
the Republic of the Philippines, acting through the Inter-Agency
Privatization Council (IPC), to Metro Pacific Assets Holdings, Inc. (MPAH),
an affiliate of First Pacific Company Limited (First Pacific), a Hong Kongbased investment management and holding company and a shareholder
of the Philippine Long Distance Telephone Company (PLDT).
The petitioner questioned the sale on the ground that it also
involved an indirect sale of 12 million shares (or about 6.3 percent of the
outstanding common shares) of PLDT owned by PTIC to First Pacific. With
the this sale, First Pacifics common shareholdings in PLDT increased
from 30.7 percent to 37 percent, thereby increasing the total common
shareholdings of foreigners in PLDT to about 81.47%. This, according to
the petitioner, violates Section 11, Article XII of the 1987 Philippine
Constitution which limits foreign ownership of the capital of a public utility
to not more than 40%, thus:
Section 11. No franchise, certificate, or any other form of
authorization for the operation of a public utility shall be granted
except to citizens of the Philippines or to corporations or
associations organized under the laws of the Philippines, at least
sixty per centum of whose capital is owned by such citizens; nor shall
such franchise, certificate, or authorization be exclusive in character or for
a longer period than fifty years. Neither shall any such franchise or right be
granted except under the condition that it shall be subject to amendment,
THE ISSUE
Does the term capital in Section 11, Article XII of the Constitution
refer to the total common shares only, or to the total outstanding capital
stock (combined total of common and non-voting preferred shares) of
PLDT, a public utility?
Article XII of the Constitution refers only to shares of stock that can
vote in the election of directors.
To construe broadly the term capital as the total outstanding
capital stock, including both common and non-voting preferred shares,
grossly contravenes the intent and letter of the Constitution that the State
shall develop a self-reliant and independent national economy effectively
controlled by Filipinos. A broad definition unjustifiably disregards who
owns the all-important voting stock, which necessarily equates to control of
the public utility.
Holders of PLDT preferred shares are explicitly denied of the right
to vote in the election of directors. PLDTs Articles of Incorporation
expressly state that the holders of Serial Preferred Stock shall not be
entitled to vote at any meeting of the stockholders for the election of
directors or for any other purpose or otherwise participate in any action
taken by the corporation or its stockholders, or to receive notice of any
meeting of stockholders. On the other hand, holders of common shares
are granted the exclusive right to vote in the election of directors. PLDTs
Articles of Incorporation state that each holder of Common Capital Stock
shall have one vote in respect of each share of such stock held by him on
all matters voted upon by the stockholders, and the holders of Common
Capital Stock shall have the exclusive right to vote for the election of
directors and for all other purposes.
It must be stressed, and respondents do not dispute, that
foreigners hold a majority of the common shares of PLDT. In fact, based
on PLDTs 2010 General Information Sheet (GIS), which is a document
required to be submitted annually to the Securities and Exchange
Commission, foreigners hold 120,046,690 common shares of PLDT
The term capital does not refer to both preferred and common stocks
treated as the same class of shares regardless of differences in voting
rights and privileges.
Consistent with the constitutional mandate that the State shall develop a
self-reliant and independent national economy effectively controlled by
Filipinos, the term "capital" means the outstanding capital stock entitled to
vote (voting stock), coupled with beneficial ownership, both of which
results to "effective control."
Issue
Whether or not the Compromise Agreement between PNCC and Radstock
is valid in relation to the Constitution, existing laws, and public policy
Held
The Compromise Agreement is contrary to the Constitution, existing laws
and public policy.
PNCCs toll fees are public funds. PNCC cannot use public funds like toll
fees that indisputably form part of the General Fund, to pay a private debt
of CDCP Mining to Radstock. Such payment cannot qualify as expenditure
for a public purpose. The toll fees are merely held in trust by PNCC for the
National Government, which is the owner of the toll fees. Considering that
there is no appropriation law passed by Congress for the compromise
amount, the Compromise Agreement is void for being contrary to law,
specifically Section 29(1), Article VI of the Constitution. And since the
payment pertains to CDCP Minings private debt to Radstock, the
Compromise Agreement is also void for being contrary to the fundamental
public policy that government funds or property shall be spent or used
solely for public purposes.