Frank Savel v. MetroHealth System

Court of Appeals for the Sixth Circuit·Decided July 2, 2025·No. 24-4025·Unpublished

Opinion

NOT RECOMMENDED FOR PUBLICATION File Name: 25a0320n.06

No. 24-4025

FILED

UNITED STATES COURT OF APPEALS Jul 02, 2025 FOR THE SIXTH CIRCUIT

KELLY L. STEPHENS, Clerk

)

FRANK SAVEL; DANIELLE CROCKETT, )

Plaintiffs-Appellants, ) ON APPEAL FROM THE ) UNITED STATES DISTRICT v. ) COURT FOR THE ) NORTHERN DISTRICT OF THE METROHEALTH SYSTEM, ) OHIO Defendant-Appellee. )

) OPINION )

Before: SUTTON, Chief Judge; CLAY and BLOOMEKATZ, Circuit Judges.

BLOOMEKATZ, Circuit Judge. The MetroHealth System required its employees to become vaccinated against COVID-19. Frank Savel, a nurse at MetroHealth, applied for a religious exemption from the vaccine mandate. After MetroHealth denied his request, Savel sued for religious discrimination under Title VII and Ohio Revised Code § 4112. The district court granted MetroHealth summary judgment, and Savel appealed. We affirm.

BACKGROUND

MetroHealth is a county-owned hospital in Cleveland, Ohio. In August 2021, it required its entire workforce to get vaccinated against COVID-19. At the same time, MetroHealth allowed employees to request exemptions for medical or religious reasons. MetroHealth received over 400 such exemption requests. But an intervening COVID-19 surge and shifting public health guidance delayed its decisions. In the meantime, MetroHealth treated those awaiting decisions as compliant with its policy. MetroHealth ultimately reached its decisions in early 2022, when it granted only a

small number of both religious and medical requests. It did so after individually assessing the health and safety risks posed by each request, including the risks of exempting applicants in patient-facing positions.

Frank Savel, an intensive-care nurse in MetroHealth’s main campus, requested a religious exemption from the vaccine requirement. In February 2022, MetroHealth denied his request. MetroHealth found that Savel had a sincere religious belief that conflicted with the vaccine mandate, but that exempting him would cause the hospital an undue hardship. MetroHealth told Savel that alternative protocols like masking were “far less effective” and placed “patients, coworkers, and others at significant risk.” Denial Email, R. 12-2, PageID 312. Given that risk, MetroHealth determined that remote work was the only accommodation it could offer. But Savel had a frontline job serving COVID-19 patients and could not work remotely. So MetroHealth gave him 45 days to get vaccinated or apply to switch to a remote position.

A month later, and shortly before the vaccination deadline, MetroHealth announced it would grant previously denied religious exemptions. At the time, positivity rates were at a record low, winter was over, and forecasts looked favorable. MetroHealth thus determined that the “costs and burdens” of granting those exemptions had “changed in a material way.” Announcement, R. 12-2, PageID 434–35. But the change came late for Savel, who had already left MetroHealth for a comparable job elsewhere.

In late 2022, Savel and 45 other employees sued MetroHealth for religious discrimination under Title VII and its Ohio counterpart. 42 U.S.C. §§ 2000e–2(a), 2000e(j); Ohio Rev. Code § 4112. The district court dismissed the entire case for lack of standing and failure to state a claim. We affirmed that ruling except as to Savel’s and Danielle Crockett’s claims. Savel v. MetroHealth Sys., 96 F.4th 932, 937, 942–45 (6th Cir. 2024). On remand, Crockett moved to voluntarily dismiss

her claims without prejudice, but the district court dismissed with prejudice instead. Only Savel’s claims remained.

As for those claims, the district court granted MetroHealth summary judgment. It held that Savel had failed to genuinely dispute MetroHealth’s assertion of undue hardship, so his accommodation claim failed. It also found no evidence that MetroHealth denied Savel an exemption because of his religion, so it granted summary judgment on his disparate treatment claim as well. This appeal followed.

ANALYSIS

On appeal, Savel challenges the district court’s grant of summary judgment for MetroHealth on his discrimination claims, as well several related discovery rulings. And Crockett challenges the district court’s dismissal of her claims with prejudice. We address each in turn. I. Summary Judgment We review the district court’s grant of summary judgment de novo. Odell v. Kalitta Air, LLC, 107 F.4th 523, 529 (6th Cir. 2024). We affirm if there “is no genuine dispute as to any material fact” and MetroHealth “is entitled to judgment as a matter of law.” Id. (quoting Fed. R. Civ. P. 56(a)). Savel contends that MetroHealth violated Title VII and its Ohio analog in two ways: by failing to accommodate his religious beliefs and by treating his request for a religious exemption worse than non-religious requests. Since Ohio law mirrors Title VII, we focus our analysis on Savel’s Title VII claims. Russell v. Univ. of Toledo, 537 F.3d 596, 604 (6th Cir. 2008).

We start with Savel’s accommodation claim. Title VII requires employers to reasonably accommodate employees’ religious beliefs unless doing so would impose an undue hardship. Groff v. DeJoy, 600 U.S. 447, 453–54 (2023). An employer’s failure to do so constitutes religious discrimination. Id. at 457–58; Savel, 96 F.4th at 943 n.4. At summary judgment, Savel must first

present a prima facie case of religious discrimination. Tepper v. Potter, 505 F.3d 508, 514 (6th Cir. 2007). If he does, the burden shifts to MetroHeatlth to show “undue hardship,” id., meaning a “substantial” burden in the overall context of its business, Groff, 600 U.S. at 468. We assume without deciding that Savel has carried his prima facie burden.

Even so, MetroHealth has shown that in the winter of 2022, exempting employees like Savel would have posed an undue hardship to its operations. Consider Savel’s patient-facing role. Savel was a nurse in one of MetroHealth’s intensive care units (ICU). He served patients on the “front lines” of the pandemic. Savel Dep., R. 54-1, PageID 3604–05. And as an ICU nurse, he interfaced with some of the hospital’s sickest COVID-19 patients.

Consider now the context in which MetroHealth denied Savel’s exemption request. In late December 2021, MetroHealth experienced a winter COVID-19 surge, with nearly 1,000 staff testing positive. The surge had passed by February, when MetroHealth denied Savel’s exemption request. But the hospital still feared the possibility of another winter wave. In that context, it determined that exempting patient-facing employees like Savel would pose a “significant risk” to its community. Denial Email, R. 12-2, PageID 312. It reasonably concluded that exposing others to such a preventable risk would substantially burden its core function: “to protect the health and safety” of its staff and patients. Id.

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