Cheri Nabil El-Halawany, M.D. and Lien Pham Russell, M.D. vs. The Children's Mercy Hospital

CourtMissouri Court of Appeals
DecidedJune 17, 2025
DocketWD87135
StatusPublished

This text of Cheri Nabil El-Halawany, M.D. and Lien Pham Russell, M.D. vs. The Children's Mercy Hospital (Cheri Nabil El-Halawany, M.D. and Lien Pham Russell, M.D. vs. The Children's Mercy Hospital) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Cheri Nabil El-Halawany, M.D. and Lien Pham Russell, M.D. vs. The Children's Mercy Hospital, (Mo. Ct. App. 2025).

Opinion

MODIFIED JULY 22, 2025

In the Missouri Court of Appeals Western District

CHERI NABIL EL-HALAWANY, M.D. ) AND LIEN PHAM RUSSELL, M.D., ) ) Appellants, ) ) WD87135 V. ) ) OPINION FILED: THE CHILDREN'S ) JUNE 17, 2025 MERCY HOSPITAL, ) ) Respondent. )

Appeal from the Circuit Court of Jackson County, Missouri The Honorable John M. Torrence, Judge

Before Division Two: Cynthia L. Martin, Presiding Judge, Gary D. Witt, Judge and W. Douglas Thomson, Judge

Cheri Nabil El-Halawany and Lien Pham Russell (collectively "Appellants")

appeal from the grant of summary judgment by the Circuit Court of Jackson County,

Missouri ("trial court"), in favor of The Children's Mercy Hospital ("CMH"), finding

Appellants failed to make a prima facie case of unlawful employment discrimination on

their various discrimination claims against CMH under the Missouri Human Rights Act

("MHRA"), section 213.010, et seq.1 Appellants raise four points on appeal arguing:

1 All statutory references are to the Missouri Revised Statues (2016), as updated by supplement through 2021 unless otherwise noted Point I, the trial court erred in granting summary judgment because CMH failed to

comply with Rule 74.04's electronic copy requirements; Point II, the trial court erred in

granting summary judgment because Appellants did articulate a prima facie case of

discrimination and retaliation against CMH; Point III, the trial court erred in granting

CMH's motions in limine because it failed to adequately consider the potential relevance

of the testimony and documentation Appellants should have been allowed to present at

trial; and Point IV, the trial court erred in denying Appellants' motion to amend the

pleading to include a claim for punitive damages. Finding no error, we affirm.

Rule 74.04(c)(2)

At the outset, we address Appellants' noncompliance with Rule 74.04(c)(2).2 Rule

74.04 governs summary judgment. "Facts come into a summary judgment record only

via Rule 74.04(c)'s numbered-paragraphs-and-responses framework." Green v.

Fotoohighiam, 606 S.W.3d 113, 117 (Mo. banc 2020) (emphasis original) (internal

citation omitted). Moreover, "[c]ourts determine and review summary judgment based

on that Rule 74.04(c) record, not the whole trial court record." Id. Pursuant to Rule

74.04(c)(2), a non-movant is required to file a response to the movant's uncontroverted

statement of material facts, either admitting or denying the movant's material facts.

Specifically, a non-movant's denial of a material fact, "may not rest upon the mere

allegations or denials of the party's pleading. Rather, the response shall support each

denial with specific references to the discovery, exhibits or affidavits that demonstrate

2 All Rule references are to the Missouri Supreme Court Rules (2023), unless otherwise noted. 2 specific facts showing that there is a genuine issue for trial." Id. A non-movant's

response, "that does not comply with this Rule 74.04(c)(2) with respect to any numbered

paragraph in movant's statement is an admission of the truth of that numbered

paragraph." Id.

Appellants' responses to CMH's statement of uncontroverted material facts violate

Rule 74.04(c)(2) as many responses contain lengthy arguments that are devoid of specific

denials with references to specific documents that demonstrate genuine issues of material

fact for trial. As such, each one of Appellants' noncompliant responses is thus an

admission of truth of the facts alleged in that paragraph. Accordingly, we have compiled

the following factual background from the properly supported uncontroverted facts from

the summary judgment pleadings and view the record in the light most favorable to

Appellants. See Montgomery v. Coreslab Structures (Missouri), Inc., 697 S.W.3d 766,

769 n.2 (Mo. App. W.D. 2024).

Factual and Procedural Background

CMH is a nonprofit children's hospital. Dr. Cheri Nabil El-Halawany ("El-

Halawany") is an Egyptian woman, who was employed as a physician at CMH from

November 2012 until August 2021. Dr. Lien Pham Russell ("Russell") is a Vietnamese

woman, who was employed as a physician at CMH from January 2008 until August

2021. Appellants reported to Doctor G.P. from 2015 until April 6, 2021.3

3 Pursuant to section 509.520, RSMo. (2024), this opinion only includes parties' names. 3 CMH entered into a partnership with Vibrant Health, resulting in CMH being

responsible for providing physician staffing at the Vibrant clinic location, a federally

qualified health center that serves children from lower income families. CMH promoted

the importance of having pediatric residents at the Vibrant clinic location.

On November 10, 2020, Doctor G.P. emailed the General Academic Pediatrics

("GAP") Division at CMH with a call for volunteers to work shifts at the Vibrant clinic

location. Subsequently, Doctor G.P. hosted a meeting where he again called for

volunteers to work shifts at the Vibrant clinic location. On December 14, 2020, Doctor

G.P. sent a final call for volunteers and explained that volunteering would entail a one-

year commitment to the Vibrant clinic location with an additional $20,000 per 1.0 FTE

salary supplement. The call for volunteers would close the following day, on December

15, 2020, at 5:00 PM. The GAP physicians were informed that if no one volunteered,

some of them would be assigned to the Vibrant clinic location. No physicians

volunteered by the December 15, 2020 deadline.

To determine which physicians would be assigned to the Vibrant clinic location,

Doctor G.P. used three criteria to assign point values to each member of the GAP

Division. The three criteria were: Clinical FTE, Roles, and Clinical Contributions.

"Clinical FTE" measured the number of clinical shifts per week each physician was

scheduled to work. "Roles" measured the extent to which a physician possessed job

duties that required their presence at a physical location other than the Vibrant clinic

location. "Clinical Contributions" measured the extent to which a physician had

committee or strategic initiative responsibilities. Race, sex, national origin, and age were

4 not criteria for assignment. The criteria were reviewed by CMH's Interim Chair for the

Department of Pediatrics, CMH's Physician-in-chief, CMH's then-Senior Director of

Employee Relations, and CMH's Legal Department.

The criteria were applied to all thirty-seven GAP physicians, including Appellants.

The five physicians with the highest scores identified after utilizing the criteria were

required to take an assignment at the Vibrant clinic location. Appellants were among the

five selected using the criteria.

Appellants initially refused their temporary assignment to the Vibrant clinic

location. Two weeks after selection, Appellants emailed CMH's Interim Chair for the

Department of Pediatrics, expressing their concerns that they had been discriminated

against in the selection process for the Vibrant clinic location. In January of 2021, in

response to Appellants' concerns, CMH's Senior Director of Employee Relations met

with Appellants, Doctor G.P., Interim Chair for the Department of Pediatrics, and

administrative staff members. The criteria employed to determine temporary

assignments were provided and explained to Appellants. The Senior Director of

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Cheri Nabil El-Halawany, M.D. and Lien Pham Russell, M.D. vs. The Children's Mercy Hospital, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cheri-nabil-el-halawany-md-and-lien-pham-russell-md-vs-the-moctapp-2025.