The hospital corporation argued to the Kentucky Supreme Court that it had not "ratified the conduct of the emergency room personnel underlying the punitive damages award," since KRS 411.184(3) prohibits punitive damages against an employer based on an employee's conduct unless the employer (1) authorized the conduct, (2) anticipated the conduct, or (3) ratified the conduct. The Court rejected the corporation's argument but gave an extended analysis of ratification law including the following:
an employer cannot be regarded as having ratified the wrongful conduct of its employees and agents simply by denying that wrongful conduct occurred or by mounting a legal defense against actual or anticipated lawsuits arising from the conduct;
"we reject the Hospital's argument that an employer's ratification ... can only be established by the employer's explicit affirmation or endorsement of the wrongful behavior."
"In order that the ratification may be effective, there must be an intention to ratify, although the intention may be inferred from the facts and circumstances."
ratification of the unauthorized acts of one assuming to act as agent may be either express or implied
An employer's ratification of an employee's offensive conduct requires two elements: 1) an after-the-fact awareness of the conduct; and 2) an intent to ratify it.