delivered tbe opinion of tbe Court.
Tbis аppeal is tbe. second chapter in an unfortunate controversy between Dr. James A. Stevens., a physician and surgeon in good standing practicing bis profession in Talbot County, Maryland, and Tbe Emergency Hospital of Easton, a corporation organized .and maintained to afford the inhabitants of that part of tbe State necessary hospital facilities for surgical operаtions and the treatment of disease.
Tbe proceeding in which it is taken was initiated by the appellee’s filing in the Circuit Cburt for Talbot County a bill of complaint against the appellant in which he charged that it refused to permit him to perform surgical operations inHhe_IiQS.EÍíaL which under its charter, constitution and by-laws he was entitled to nerform^and in that bill he asked that court to restrain the defendant from interfering with or hindering him in the performance of such "surgical iterations in said hospital as he might deem expedient or necessary. In the answer to that bill the defendant admitted that it bad refused permission to the complainant to operate in said hospital but said that he could not complain of that
*161
action because it bad, by a meeting duly warned of members of the corporation, repealed and amended those provisions of the constitution and by-laws upon which he relied, and that under the amended constitution and by-laws he was not entitled to operate in the hospital without the permission of its directors and staff, which he had not obtained. The lower court in that case sustained that position and dismissed the bill and from that decree an appeal was taken to this Court, which was decided in an opinion filed by Judge Thomas (
“That The Emergency Hospital of Easton, its officers, directors, agents, superintendent, nurses, servants, and employees, they and each of them, are hereby enjoined and perpetually restrained from interfering with or failing to aid and assist Dr. James A. Stevens, the plaintiff, in the surgical treatment of his patients in the said hospital as fully as aid and assistance is given to any other physician or surgeon operating upon or engaged in the treatment of patients in said hospital, and from interfering with or discriminating against any patient of said James A. Stevens presenting himself or herself for the medical or surgical treatment of said James A. Stevens at the said hospital.”
On or about Sеptember 6th, 1923, the appellee filed in the cause a petition against the appellant in which he prayed that it be attached and punished for violation of the injunction order referred to above. In support of that prayer the petitioner, after setting out such of the facts; to which we have referred as were material, charged:
*162 “That nevertheless, on or about the 26th day of July, 1923, one Olga Moberly, acting superintendent of the said hospital, alleging that she acted under instructions of the directors of the said hospital, did refuse and deny to * * * the said James A. Stevens the use of the operating room equipment and facilities of the said Emergency Hospital of Easton as he the said James A. Stevens was preparing to operate upon a privatе patient who was then and there ill and requiring his professional services, in defiance and contempt of the said injunction of this Honorable Court. * * * That” he “was thereby prevented from operating upon his said private patient and has not yet been permitted so to operate to his, your orator’s, great' damage and to the great danger of his said private patients now requiring his professional treatment to save them from grievous illness and possibly death. That * * * the said James A. Stevens has other private patients who are urgently in need of his professional treatment in the said hospital, and that he and they will suffer great loss and damage if the said injunction of this Honorable Court be not forthwith enforced.”
Upon that petition .a nisi order was passed and by way of cause the appellant, on Sеptember 13th, 1923, filed an answer, in which it averred that subsequent to the filing of the decree for a perpetual injunction it had validly and regularly amendedHa-eoastitnlion and by-laws and that under’ its constitution and by-laws as thus amended the appellee had no right to. oparataAa — said hospital without the approval and consent of the hospital staff, which he had not obtained. It further allegеd:
“That The Emergency Hospital of Easton admits that on or about the 26th day of July, 1923, one Olga Moberly, acting superintendent of said hospital, by and under instructions of the directors of said hospital, did refuse and deny to the said James A. Stevens the use of the operating room, equipment and facilities of said Emergency Hospital of Easton, in accordance with the notice mailed to Dr. James A. *163 Stеvens and all other physicians practicing in the town of Easton, advising them and him of the amendment of the constitution and by-laws of said hospital, as mentioned in the first paragraph of this answer; that said constitution and by-laws govern the conduct of all physicians and surgeons using said hospital, with the same force and effect, and in no way discriminate against the said Dr. James A. Stevens, and this defendant denies thаt it has disobeyed any order of this court, and denies that it is in contempt of the injunction of this Honorable Court or of any order or ruling thereof, but has acted solely in accordance with the amended constitution and by-laws and in strict accord with its legal rights. * * * That this defendant admits that the said James A. Stevens was prevented from operating at the time aforesaid because he had not comрlied with the said amended constitution and by-laws and the regulations adopted pursuant thereto. * * * And this defendant, further answering, says that the said defendant has never denied the said James A. Stevens the right to treat medically any private patient; and, further answering, says that the said James A. Stevens has made no application to the surgical staff for permission to -operate in said hospital, as provided by the said amended constitution and by-laws and the regulations passed in pursuance thereof, of which the said James A. Stevens had full notice.”
The particular by-law upon which thei appellant’s defense rests, referred to in the answer, was adopted M.ay 29th, 1923, a little over three months after the decree restraining the appellant from interfering with the appellee in the pеrformance of surgical operations in the hospital had been passed and is in the following form:
“Physicians and Surgeons. — Any physician in good standing can practice medicine, exclusive of surgery, in this hospital; and any surgeon in good standing may operate in this hospital with the approval of the staff and the board of directors.”
On October 11th, 1923, the appellee demurred to' that answer and on the same day the appellant asked and was *164 grafted leave to move for .a dissolution of the injunction but-, before any snob motion was tiled, tbe court also on October 11th sustained the demurrer to the respondent’s -answer in the contempt proceeding and continued the injunction, but reserved the question of punishment for the contempt “until the hearing of the motion to dissolve said injunсtion, permission -to file said motion having been granted to the defendant,” and from that order the respondent appealed.
The first question presented for consideration is brought up by the appellee’s motion to dismiss the appeal on the ’ ground that the order appealed from is not final. That contention cannot in our opinion be maintained, because the order is so far final that it definitely and conclusively determines (1) that the defence set up by the respondent to the petition is bad in law and insufficient, and (2) that the respondent is guilty of the contempt charged .against it, reseaw-ing only the question of punishment. But that reservation could not take away from the order the attribute of finality incident to the determination of the respondent’s right to present the facts upon which it relied as a defence, and of the issue as to whether it was guilty of .contempt, because certain results adversely affecting the appellant’s interest immediately flowed from that finding. Ebr instance the question of its guilt or innocence of the alleged contempt was no longer open. Being in contempt it was obliged, in order to maintain its standing in a court of equity, to take suсh further proceedings as might be proper to purge itself of the contempt.
Gilbert
v.
Arnold,
It was elaborately argued for the appellant that the alleged contempt involved here is civil in its nature, affecting only the rights of litigants and that therefore the court’s action in reference to it is reviewable on appeal, and distinguished from criminal contempts, which menace the dignity and authority of the courts themselves, in which the .act of the court in dealing with them is as a general rule summary and discretionary and not reviewable.
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Inasmuch, as that objection was not made in this Court by the appellee wo will disregard it, although in thus dealing with it we are not to be understood as in .any way modifying the rule stated in
Kelly
v.
Montebello Park Co.,
The next and indeed the only other question in the case is wh0ther^ie_factsLsetugj.n the defendant’s answer -presented a sufficient defence i:o_the- charge Ilia! it. bad deliberately and wilfully violated the (•onrr's order and was thereby guilty of contempt of that jcourt. It is admitted that the defendant wilfully and deliberately did the very thing which the court in its decree expressly enjoined and prohibited it from doing, and there can be no question but that such conduct was in flagrant and open contempt of the' injunction of the court from which it issued, unless excused or explained by some act or event which justified such extraordinary conduct. Put the only excuse offered by the appellant was that it, by its own act, had, after the appellеes right to the injunction had been established by this Court, so changed the conditions upon which that decision rested that the' injunction no longer controlled its conduct. That is¡ to say, by way of excuse it submitted the proposition that it was clothed with the power of determining for itself when it should obey and when it should not obey an explicit and peremptory order of a court of competent jurisdiction passed in a cause to which it was a party. In support of that proposition it contends that in no other way could if exercise rights which had accrued to it through changes in the conditions upon which the decree was based occurring after its passage which, if they did not nullify the authority of the injunction as a continuing command, at least made its continued operation inequitable and unjust. And as a corollary of that proposition it contends that if its interpretation of the facts relied upon and the legal consequences flowing therefrom, as nullifying the continuing .authority of the injunction, is correct, that it should be exonerated from *166 tke charge of contempt and that only in the event that suck interpretation is erroneous can it be deemed guilty of the contempt charged.
That contention assumes that the court granting" the injunction had no power to rescind or modify its final decree after it had become enrolled, no matter what changes had occurred in the conditions or the relations of the parties after the decree. There is obviously no force in these contentions.
Certainly, where changes in the relations of the parties or the conditions upon which it is based, occurring after a final decree of the nature of that passed in this case, render its further operation unreasonable, unjust, oppressive or inequitable, the court which passed it necessarily must have the right to dissolve it, and it is wholly unnecessary to resort, to so disorderly a proceeding as the commission of a contempt to secure rеlief.
It is true as a, general principle that a final enrolled decree will not be opened to relitigate any question dealt with in it by the court passing such a decree, but that rule doe® not mean that, where events have occurred since the decree which would necessarily make the continuance of the injunction an absurdity, or unjust or oppressive, that the court which grantеd it could not in a'proper proceeding change its. decree to conform to the changed conditions. By way of illustration, if one were enjoined from obstructing a way appurtenant to. land, and be afterwards acquired the land and its appurtenances, it cannot be supposed that the court which granted the injunction could not under such circumstances open the decree and dissolve it. And such indeed has been the view heretofore expressed by this very Court. In
Whitlock Cordage Co.
v.
Hine,
*169 Erom what has been said it is apparent that in onr opinion the order appealed from must be affirmed. In reaching this conclusion ato have treated the appeal as presenting a purely procedural question and have not attempted to discuss the substantial question which must ultimately control the litigation, i. e., whether the appellant has the power to regulate and control the mañágemgmf~a5d operatioñ„-ail JtsL_own hospital, beciause.as recognized by counsel, that question is not before us, and. the recordMoeajiot contain facts sufficient to enable us to consider it.
"'The decree appealed from will therefore be affirmed and the ease remanded in order that further proceedings may he had therein in conformity with the views, expressed in this opinion, and especially that application may he made to the lower court to open the decree for a perpetual injunction passed therein and to rescind the same.
Decree affirmed, with costs to appellee, “and the case remanded in order that further proceedings may he had therein, in conformity with the views expressed in this opinion, and especially that application may he made to the lower court to open the decree for a perpetual injunction passed therein and to rescind the same.”
