Anne Marnocha v. St. Vincent Hospital and Heal

986 F.3d 711
Court of Appeals for the Seventh Circuit·Decided January 22, 2021·No. 20-1374·Published·Cited by 85 cases

Opinion

In the

United States Court of Appeals For the Seventh Circuit

No. 20-1374 ANNE MARNOCHA, Plaintiff-Appellant, v.

ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC. and ST. VINCENT CARMEL HOSPITAL, INC., Defendants-Appellees.

Appeal from the United States District Court for the Southern District of Indiana, Indianapolis Division. No. 18-cv-02714 — James R. Sweeney, II, Judge.

ARGUED DECEMBER 3, 2020 — DECIDED JANUARY 22, 2021

Before SYKES, Chief Judge, FLAUM, and ST. EVE, Circuit Judges.

FLAUM, Circuit Judge. On the heels of her termination, plaintiff-appellant Dr. Anne Marnocha brought this claim against defendants-appellees St. Vincent Hospital and Health Care Center, Inc. and St. Vincent Carmel Hospital, Inc. (collectively “St. Vincent”), asserting age discrimination claims under the Age Discrimination in Employment Act (“ADEA”), 2 No. 20-1374

29 U.S.C. § 621 et seq. On appeal, Marnocha challenges the district court’s grant of St. Vincent’s motion for summary judgment , alleging that genuine issues of material fact precluded summary judgment on both her termination and failure to hire claims. Apart from a minor factual error in the district court’s opinion, we agree that no genuine dispute of material fact exists for either claim. Summary judgment was therefore appropriate, and we affirm.

I. Background A Neonatal Intensive Care Unit (“NICU”) offers specialized care for hospitals’ youngest and smallest patients. Based on services and care offered, NICUs have four levels. Level I NICUs are normal newborn nurseries, Level II NICUs treat mildly sick infants, Level III NICUs provide assisted ventilation while also caring for critically ill babies, and Level IV NI- CUs treat babies in need of the highest level of care, including Extracorporeal Membrane Oxygenation and pediatric surgical interventions.

As a board-certified doctor in pediatrics and neonatal-perinatal medicine, Marnocha focused on the medical care of newborn infants, especially ill or premature infants. Marnocha received her license in 1981 and joined St. Vincent’s Hospital on 86th Street in Indianapolis, Indiana (“86th Street”) in 1987. St. Vincent brought Marnocha in to develop this NICU into a Level III facility, and during her tenure, the NICU advanced to a Level IV facility.

When St. Vincent began building a perinatal service program at its Carmel, Indiana campus (“Carmel”) with the goal of establishing a Level II, and eventually a Level III, NICU, Marnocha was appointed to run the program. Marnocha

No. 20-1374 3

transferred to the Carmel location in April 2003 when it opened. She worked there part-time until 2005, when she transitioned to full-time after the Carmel NICU became a Level III facility. Marnocha worked at the Carmel NICU until her termination in 2018.

In February 2017, Dr. Hossain Marandi began serving as the President of Peyton Manning Children’s Hospital and the Executive Director of the pediatric service line for St. Vincent in Indiana. Marandi’s supervisory authority – including the authority to hire and fire – covered both the NICUs at Carmel and at 86th Street. In June 2017, Marandi concluded there were too many neonatologists on staff, a conclusion supported by self-identified issues concerning the full-time equivalencies (“FTEs”) of 86th Street neonatologists. In formulating his restructuring plan, Marandi reviewed workflows and schedules, before deciding by September 2017 to terminate the Carmel neonatologists and expand the responsibilities of the 86th Street neonatologists to cover the Carmel NICU as well. Although Marandi did share his finalized decision to restructure with several colleagues, he maintains the evaluation and decision were solely his. 1 At the time of the restructuring, Carmel employed five full-time neonatologists: Marnocha (age 62), Dr. Catherine

1 Colleague disagreement had no impact on Marandi’s restructuring deci-

sion. In late summer 2017, Marandi informed several others of his overstaffing concerns and his plan to reduce the number of neonatologists. The group of several doctors and one nurse with whom Marandi spoke told him that St. Vincent was appropriately staffed. At that time, Marandi did not include any Carmel neonatologists in these discussions and did not publicize his intent to eliminate Carmel neonatologists and expand coverage of 86th Street neonatologists.

4 No. 20-1374

Watts (age 58), Dr. Nancy Lemear (age 53), Dr. Kem Templeton (age 59), and Dr. Melissa Landis (age 35). During this same period, 86th Street employed sixteen neonatologists and hospitalists who had been employed there less than five years. Additionally, twenty of the thirty-two physicians in those positions at 86th Street were over forty years old. Although certified as a Level III facility, only two percent of babies treated at Carmel in 2017 and 2018 qualified for Level III care. By contrast , the “extremely ill babies” at the Carmel NICU were transferred to 86th Street, a NICU certified for Level IV care. Given this divide, Marandi assumed the 86th Street neonatologists could cover Carmel’s NICU, but the Carmel neonatologists could not necessarily provide the Level IV care required at 86th Street.

Marandi’s plan to restructure and eliminate the Carmel neonatologists triggered Human Resources (“HR”) involvement . Kellie Harris, an HR employee, proactively set a meeting with Marandi to talk about his plan to restructure — referred to as his “neonatologist request” — as well as discuss his business needs and understand the rationale behind the planned changes. Standard restructure review required Harris to assess the impact on the entire targeted group, including a risk assessment “to make sure that any business decisions [were not] based off of specifics to an individual and that [they are] specific to the organizational needs.” For purposes of the HR review, the “targeted” and “impacted” group included not only the five neonatologist positions at Carmel but also twenty-two neonatologists and ten hospitalists at 86th Street, described by HR as “everyone with the same responsibilities in the departments that we looked at.” This review grouping accorded with St. Vincent’s standard HR practice “to look at

No. 20-1374 5

everyone that is included in targeted group as one whole department .”

Harris and Marandi provided inconsistent testimony regarding whether St. Vincent had a preference for retaining Carmel’s youngest neonatologist, Landis. Harris testified that she and Marandi discussed moving Landis from Carmel to 86th Street and amending her contract rather than terminating and rehiring her. Marandi, however, denied that any discussion about retaining Landis took place or that anyone expressed a preference for retaining her. Harris also testified as to discussions about Carmel neonatologists’ past Level IV NICU experience, but Marandi again denied having any knowledge of “the level of experience that the [neonatologists ] at Carmel had in regards to working at a Level 4 facility .”

Marandi’s plan to restructure and eliminate was carried out as intended: All Carmel neonatologists were fired, while the 86th Street group was tasked with covering the Carmel NICU. On January 5, 2018, Marandi discharged Marnocha. In contrast to his deposition testimony that he had no knowledge of the Carmel neonatologists’ Level IV experience, Marandi purportedly told Marnocha that she and the other Carmel neonatologists were being terminated for lack of recent Level IV training.

Marandi told Marnocha there were twenty-two neonatologists at 86th Street, but St. Vincent needed twenty-three. All five of the newly terminated Carmel neonatologists were eligible to apply for the remaining opening. Sensitive to Marnocha ’s surprise about her termination, Marandi was receptive to input about the makeup of the interview panel for the open neonatologist position. The parties dispute who picked the 6 No. 20-1374

Free access — add to your briefcase to read the full text and ask questions with AI

Anne Marnocha v. St. Vincent Hospital and Heal, 986 F.3d 711 (7th Cir. 2021).

986 F.3d 711 (Anne Marnocha v. St. Vincent Hospital and Heal) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related