NUMBER 13-22-00374-CV 

COURT OF APPEALS 

THIRTEENTH DISTRICT OF TEXAS 

CORPUS CHRISTI – EDINBURG 

 

RENAISSANCE MEDICAL FOUNDATION, Appellant, 

v.

REBECCA LUGO, INDIVIDUALLY AND AS 

NEXT FRIEND OF XXXXX XXXXX, A MINOR, Appellee. 

 

On appeal from the 139th District Court

of Hidalgo County, Texas. 

 

MEMORANDUM OPINION 

Before Chief Justice Contreras and Justices Benavides and Tijerina

Memorandum Opinion by Chief Justice Contreras

On September 7, 2022, appellant Renaissance Medical Foundation (RMF) filed a 

petition for permissive interlocutory appeal seeking to challenge the trial court’s denial of 

its motion for summary judgment in a personal injury suit brought by appellee Rebecca 

Lugo, individually and as next friend of her daughter. See TEX. R. APP. P. 28.3. We deny 
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the petition.

To be entitled to a permissive appeal from an interlocutory order that is not 

otherwise appealable, the requesting party must establish to the trial court that (1) the 

order “involves a controlling question of law as to which there is a substantial ground for 

difference of opinion” and (2) allowing an immediate appeal “may advance the ultimate 

termination of the litigation.” TEX. CIV. PRAC. & REM. CODE ANN. § 51.014(d); see TEX. R.

CIV. P. 168; TEX. R. APP. P. 28.3. If the trial court grants permission to appeal, as here, 

we may accept the appeal if the appeal is warranted under the foregoing criteria. TEX.

CIV. PRAC. & REM. CODE ANN. § 51.014(f).

Lugo’s suit alleged in relevant part that her daughter suffered injury as a result of 

negligent medical care provided by Michael Burke, M.D., and that RMF is vicariously 

liable for Burke’s conduct. RMF argued that it is entitled to judgment as a matter of law 

because “RMF cannot control—contractually and statutorily—the manner in which Dr. 

Burke provides medical care.” It noted that Burke was employed by RMF under an 

agreement specifying that he “retain[s] the right to exercise his independent medical 

judgment in providing medical services.” It further noted that RMF, as a non-profit health 

organization corporation, is prohibited by statute from practicing medicine or “attempting 

to control the manner in which a licensed physician practices medicine.” See TEX. BUS.

ORGS. CODE ANN. § 22.056 (governing health organization corporations); TEX. OCC. CODE 

ANN. § 155.003 (setting forth general eligibility requirements for a license to practice 

medicine); Doctors Hosp. at Renaissance, Ltd. v. Andrade, 493 S.W.3d 545, 548 (Tex. 

2016) (noting that “[o]nly a person, not a partnership, may be licensed to practice 

medicine”). RMF argued that “[f]or purposes of providing medical care,” Burke was an 
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independent contractor of RMF, and therefore, RMF cannot be vicariously liable for his 

negligence. See Baptist Mem’l Hosp. Sys. v. Sampson, 969 S.W.2d 945, 947–48 (Tex. 

1998) (“Under the doctrine of respondeat superior, an employer is vicariously liable for 

the negligence of an agent or employee acting within the scope of his or her agency or 

employment . . . . Because an independent contractor has sole control over the means 

and methods of the work to be accomplished, however, the individual or entity that hires 

the independent contractor is generally not vicariously liable for the tort or negligence of 

that person.”).

In her response to the summary judgment motion, Lugo noted that the agreement 

between RMF and Burke explicitly stated that Burke was RMF’s employee, not an 

independent contractor. Lugo also observed that, unlike a partnership, a “nonprofit health 

corporation” is considered a “physician” for purposes of the Texas Medical Liability Act. 

See TEX. CIV. PRAC. & REM. CODE ANN. § 74.001(23)(D); cf. Andrade, 493 S.W.3d at 548

(concluding that a doctor practicing medicine was not acting within the “ordinary course” 

of the partnership’s business or with the partnership’s authority).

In its order denying RMF’s summary judgment motion, the trial court concluded:

Texas law does not preclude a Texas Nonprofit Corporation (defendant 

[RMF]) that is organized and intended to provide healthcare services to the 

public from being vicariously liable for the negligent performance of 

healthcare services on behalf of the Corporation. A nonprofit corporation is 

vicariously liable for negligent medical care performed by a licensed 

physician on behalf of the Corporation, when, as in this case, the Nonprofit 

Corporation has entered into a Physician Employment Agreement 

(“Agreement”) with the physician that specifically obligates the physician to 

perform medical services to patients of the Corporation on behalf of the 

Corporation and that refers to the physician as an employee, even though 

the Agreement between the Corporation and Dr. Burke provides that he 

shall retain the right to exercise Physician’s independent medical judgment 

in providing medical services to patients. The Agreement in this case 

provides that [RMF] had the right to exercise the requisite degree of control 
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over the physician alleged to have committed medical malpractice sufficient 

to trigger vicarious liability. The suggestion that it would violate Texas law—

including Texas Business Organizations Code § 22.056 and Texas 

Occupations Code §§ 155.003 and 164.052(a)—for [RMF] to assert control 

over the alleged negligent acts is not dispositive.

The court granted permission for RMF to file an interlocutory appeal of the order, 

identifying the following “controlling question of law”: “Whether a Texas Nonprofit 

Corporation can be vicariously liable for the medical negligence of a physician employed 

by that Corporation for the purpose of providing medical services to patients.”

Having reviewed appellants’ petition, the record documents attached thereto, and 

the response, this Court is of the opinion that appellant has not shown its entitlement to 

permissive interlocutory appeal because fact issues remain on what the trial court

identified as a controlling question of law. See Diamond Prods. Int’l, Inc. v. Handsel, 142 

S.W.3d 491, 494 (Tex. App.—Houston [14th Dist.] 2004, no pet.) (“The statute does not 

contemplate permissive appeals of summary judgments where the facts are in dispute.”). 

Accordingly, the petition for permissive interlocutory appeal is DENIED.

DORI CONTRERAS

Chief Justice

Delivered and filed on the

22nd day of September, 2022.