Boles v. Greenwood Leflore Hospital

CourtDistrict Court, N.D. Mississippi
DecidedDecember 27, 2022
Docket4:21-cv-00088
StatusUnknown

This text of Boles v. Greenwood Leflore Hospital (Boles v. Greenwood Leflore Hospital) is published on Counsel Stack Legal Research, covering District Court, N.D. Mississippi primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Boles v. Greenwood Leflore Hospital, (N.D. Miss. 2022).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF MISSISSIPPI GREENVILLE DIVISION

DR. PRESTON BOLES PLAINTIFF

V. NO. 4:21-CV-88-DMB-JMV

GREENWOOD LEFLORE HOSPITAL DEFENDANT

OPINION AND ORDER

Dr. Preston Boles sued his employer, Greenwood Leflore Hospital, alleging race discrimination claims regarding his pay and a breach of contract claim. The Hospital has moved for summary judgment on all Boles’ claims and Boles has moved for summary judgment on some of the Hospital’s affirmative defenses. In response to the Hospital’s summary judgment motion, Boles abandoned his breach of contract claim so it will be dismissed. But because Boles, who is black, presented substantial evidence that the Hospital’s proffered reason for the pay discrepancy between him and a white comparator is pretextual, the Hospital’s summary judgment motion will be denied. And because the Hospital failed to provide evidentiary support for the challenged affirmative defenses in response to Boles’ summary judgment motion, Boles’ summary judgment motion will be granted. I Relevant Procedural History On August 2, 2021, Dr. Preston Boles filed a complaint in the United States District Court for the Northern District of Mississippi against his employer, Greenwood Leflore Hospital. Doc. #1. The complaint, which alleges that Boles, who is black, was paid less than a white doctor, asserts race discrimination claims under Title VII, 42 U.S.C. § 1981, and the Equal Protection Clause of the Fourteenth Amendment,1 as well as a state law claim for breach of Boles’ employment contract. Id. Boles seeks back pay; lost employment benefits; consequential, compensatory, and punitive damages; pre- and post-judgment interest; attorney fees and costs; “[a]n injunction curing [the Hospital’s] unlawful conduct and prohibiting it from engaging in any similar misconduct in the future;” “[n]otice [to be] given to all employees regarding the violations

and … their legal rights;” final judgment against the Hospital; and “any other relief available under any applicable principal in law or equity.” Id. at PageID 11. The Hospital’s answer to the complaint includes a number of affirmative defenses. Doc. #7 at 12–13. After the parties engaged in discovery, the Hospital filed a motion for summary judgment on July 8, 2022. Doc. #48. Three days later, Boles filed a motion for partial summary judgment on certain affirmative defenses raised in the Hospital’s answer. Doc. #51.2 Both motions are fully briefed. Docs. #49, #57, #62 (the Hospital’s motion); Docs. #53,3 #64, #65 (Boles’ motion). II Standard Summary judgment is appropriate if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law. A dispute is genuine if the evidence is such that a reasonable jury could return a verdict for the nonmoving party. A fact is material if it might affect the outcome of the suit. [Courts] view the evidence in the light most favorable to the nonmovant and draw all reasonable inferences in that party’s favor.

Watkins v. Tregre, 997 F.3d 275, 281 (5th Cir. 2021) (cleaned up). As here, where “parties file cross-motions for summary judgment, [the court] review[s] each party’s motion independently,

1 The Equal Protection claim is brought under 42 U.S.C. § 1983. Doc. #1 at PageID 9–10. 2 Boles failed to attach his exhibits to his initial motion for summary judgment, Doc. #50, which was terminated by the Clerk of Court after Boles refiled the motion with the exhibits later the same day, Doc. #51. 3 Because Boles originally titled his memorandum as a motion, Doc. #52, the Clerk of Court directed him to refile it with the correct title. viewing the evidence and inferences in the light most favorable to the nonmoving party.” McGlothin v. State Farm Mut. Ins. Co., 925 F.3d 741, 745 (5th Cir. 2019). III Relevant Facts A. Initial Employment and Contract Renewals Dr. Preston Boles, a podiatrist, opened his own practice in Greenwood, Mississippi, in 1992. Doc. #48-1 at PageID 356. He sold his practice to Greenwood Leflore Hospital in 2006 and became a Hospital employee. Id. The Hospital paid Boles $15,000.00 for his office equipment and furnishings. Id. at PageID 358–60. Pursuant to a “Physician Employment Agreement,” Boles accepted a base salary of $65,000 as well as an “incentive” of “90 percent of productivity,”

meaning that if his “billing was more than [his] salary, then [he] would receive a percentage of anything over and beyond that amount.” Id.; Doc. #56-1 at PageID 516–26. A July 9, 2007, “First Amendment to Recruitment and Employment Agreement” increased Boles’ salary to $126,000 to match the “median level.” Doc. #48-1 at PageID 373, 395–98, 410. Boles and the Hospital renewed the agreement multiple times at the same base salary. Doc. #48-1 at PageID 365–66; Doc. #56-1 at PageID 536–44. However, Boles’ productivity did not hit the required levels such that in 2009, the Hospital was “subsidizing [Boles] at $133,000” and “there was an issue with [him] getting behind on [his] charts,” which resulted in problems with the Hospital being paid for his charges. Doc. #48-1 at PageID 361–62. At times, Boles was in excess of 300 charts behind. Id. at PageID 362. Boles’ “patient count ranged from 240 to 300 a month”

in 2009; “the MGMA standard was 80 patients a week, which would be about 360 a month.”4 Id.

4 MGMA stands for “Medical Group Management Association, which “gather[s] information from various practices and specialists in geographic areas of the United States and make[s] an assessment of how much the physician produces, how many patients the physician sees, [and] the average salary.” Doc. #48-1 at PageID 363. at PageID 400.5 B. Conversion to WRVU Structure Because Boles’ productivity resulted in a “negative number,” the Hospital decreased his salary to $113,400 in December 2012, and Boles “agreed to modify and amend [his] payment structure so that [his] future compensation would be based on a [work relative value unit or]

WRVU structure.” Id. at PageID 367–68; Doc. #56-1 at PageID 545–46. According to Boles, a WRVU “is a number that is given to the amount of work that a provider puts into a certain diagnosis code or charge.” Doc. #48-1 at PageID 368–69. Under the WRVU structure and the amended contract, Boles “would be entitled to the full base salary only if the actual WRVUs attributable to [his] professional services exceeded 2,500 WRVUs in the employment year.”6 Id. at PageID 369; see Doc. #56-1 at PageID 546–47. Boles was also eligible for incentive compensation at a “conversion factor” of “$44.05 for WRVUs exceeding 2,600 WRVUs in an Employment Year.” Id. Because Boles “RVUs were set at a low level, [Boles] usually exceeded the RVUs” and

would get a bonus “almost double [his] base salary.” Doc. #48-1 at PageID 393. C. Dr. Assini’s Hire In 2012, because “there were so many patients who were needing podiatry services,” the Hospital began recruiting Dr. Joseph Assini, a white man. Doc. #48-1 at PageID 381, 387. Assini was certified by both the American Board of Podiatric Medicine and the American Board of Foot and Ankle Surgery. Doc. #48-4. According to Boles, Assini told him that “he could not move to Mississippi unless he received a salary of $250,000 because of his expenses.” Doc. #48-1 at

5 This Hospital exhibit reflects that the MGMA standard was “about 360 a month” while the Hospital’s brief states that it was “approximately 320 per month,” see Doc. #49 at 4.

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Bluebook (online)
Boles v. Greenwood Leflore Hospital, Counsel Stack Legal Research, https://law.counselstack.com/opinion/boles-v-greenwood-leflore-hospital-msnd-2022.