Jeffrey v. Columbia Med Ctr

CourtCourt of Appeals for the Fifth Circuit
DecidedAugust 19, 2002
Docket01-10178
StatusUnpublished

This text of Jeffrey v. Columbia Med Ctr (Jeffrey v. Columbia Med Ctr) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jeffrey v. Columbia Med Ctr, (5th Cir. 2002).

Opinion

IN THE UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT

No. 01-10178

PAMELA JEFFREY, MD; PAULA LEWIS, MD,

Plaintiffs-Appellants,

versus

COLUMBIA MEDICAL CENTER AT LANCASTER SUBSIDIARY LP,

Defendant-Appellee.

Appeal from the United States District Court for the Northern District of Texas (3:99-CV-2246-H)

August 15, 2002

Before GARWOOD, DeMOSS and DENNIS, Circuit Judges.

GARWOOD, Circuit Judge:*

Plaintiffs-appellants Pamela Jeffrey (Dr. Jeffrey) and Paula Lewis

(Dr. Lewis) brought this lawsuit against defendant Columbia Medical

Center at Lancaster Subsidiary LP (the hospital), alleging that the

* Pursuant to 5TH CIR. R.47.5 the Court has determined that this opinion should not be published and is not precedent except under the limited circumstances set forth in 5TH CIR. R. 47.5.4. hospital discriminated against them in violation of 42 U.S.C. § 1981.1

The district court, after time for discovery, granted the hospital’s

motion for summary judgment. The plaintiffs appeal the summary judgment

in favor of the hospital. We affirm.

Facts and Proceedings Below

Dr. Jeffrey and Dr. Lewis are both board certified

anesthesiologists. They are both African-American. Dr. Jeffrey

joined the staff at the hospital (which was then called Midway Park

Hospital) in 1990. Dr. Lewis also joined the hospital staff in 1990.

They provided anesthesia services to the hospital until 1997. In

1994, Drs. Jeffrey and Lewis, along with Dr. George Jones, formed

Triad Anesthesia Group, PLLC (Triad), a professional limited

liability company. At all relevant times, Drs. Jeffrey and Lewis

have been owners of Triad. (Dr. Jones is no longer a Triad owner and

is not involved in this suit.)

On January 1, 1997, Ernest Lynch (Lynch) became Chief Executive

Officer of the hospital. His duties included oversight of the

hospital’s day to day operations and he was authorized to negotiate

and enter into exclusive contracts on behalf of the hospital. In

August 1997, Lynch, on behalf of the hospital, entered into a

contract with North Texas Anesthesia Consultants (NTAC), an outside

group, for NTAC to provide the hospital with anesthesia “call

1 The plaintiffs’ complaint also stated a state law claim for intentional infliction of emotional distress. They do not press that claim on appeal.

2 coverage” from August 16, 1997 through September 3, 1997.2 Under the

contract, NTAC was paid $1,500 per twelve hour period for providing

the call coverage. Prior to this time, the hospital did not pay for

call coverage. Coverage was provided by staff anesthesiologists

(including the plaintiffs), who made themselves available for

emergency and obstetric procedures on a rotating basis. The staff

anesthesiologists billed for any services rendered, but were not paid

for merely making themselves available to take emergency calls.

On September 7, 1997, after getting word through informal

channels of the arrangement with NTAC, Dr. Jeffrey wrote to Lynch

inquiring about the possibility of a similar arrangement for Triad.3

Lynch agreed to pay Triad $1,000 per twelve hour period to provide

call coverage during September and October 1997. Dr. Ariba Quansah,

an anesthesiologist on the staff of the hospital, was also paid for

call coverage at a $1,000 rate during September and October 1997.4

Dr. Quansah apparently is an African-American.

On August 1, 1997, Lynch informed Triad that the hospital was

2 Providing “call coverage” meant that NTAC would make anesthesiologists available on short notice to provide anesthesia services for unscheduled procedures such as emergency surgeries or deliveries. In the case of a scheduled surgery, a surgeon would request an anesthesiologist in advance. 3 As we explain below, the content of Dr. Jeffrey’s letter indicates that she did not entirely understand the details of the arrangement with Triad. 4 It appears from the record that Dr. Quansah was actually only paid $1,000 per twenty-four hour period, whereas Triad was paid $1,000 per twelve hour period (or $2,000 per twenty-four hour period).

3 considering entering an exclusive arrangement for anesthesia services

and that Triad could submit a proposal. Lynch also solicited

proposals from anesthesiology groups that did not practice at the

hospital. Lynch received proposals from Triad, DFW Anesthesia (DFW),

and Anesthesia Consultants. Triad proposed to provide call coverage

for a stipend of $20,000 per month. DFW proposed a $35,000 monthly

stipend. And Anesthesia Consultants proposed a $40,000 monthly

stipend. Lynch awarded the exclusive contract to DFW and the

arrangement was effective November 1, 1997. On October 2, 1997,

Lynch sent letters to Drs. Jeffrey and Lewis informing them that, as

of November 1, they would no longer be able to exercise their

clinical privileges in the hospital, except for secondary

consultations, because DFW would become the hospital’s exclusive

provider of anesthesia services as of that date.5

The plaintiffs contend that the hospital’s actions in paying

NTAC for call coverage at a higher rate than Triad was paid for the

same coverage and in awarding the exclusive contract to DFW rather

than to Triad, which had submitted the lowest bid, were motivated by

racially discriminatory animus. In support of its summary judgment

motion, the hospital offered evidence, including copies of

correspondence and Lynch’s affidavit and deposition testimony, of

legitimate reasons for its actions. Lynch testified that he entered

5 The uncontradicted evidence is that the same letter was sent to all of the anesthesiologists who were then on staff at the hospital, including several who were white.

4 into the three week contract with NTAC because, in August 1997, he

became aware of significant deficiencies in the hospital’s existing

call coverage system and perceived an urgent need to enact a

temporary solution until the problems were resolved. Lynch stated

that, when the NTAC arrangement ended, he arranged for Triad and Dr.

Quansah to provide the call coverage and paid them at the $1,000 rate

only because they were willing to provide the coverage at that rate.

Lynch explained that he also felt the lower rate was justified

because the plaintiffs and Dr. Quansah were already on staff at the

hospital and received income when surgeons at the hospital requested

their services for elective surgeries. Regarding the DFW contract,

Lynch testified that a primary factor weighing in DFW’s favor was its

size. Of the three groups submitting proposals, DFW was by far the

largest with a total of seventy-seven physicians. According to his

testimony, Lynch perceived that a group the size of DFW would be

better able to meet the hospital’s needs than a smaller group. On or

about September 10, 1997, Dr. Jeffrey had informed Lynch that Triad

had employed a new physician, Dr. Kevin Thomas, and that Dr. Jeffrey

had a medical condition requiring treatment. Thus, at the time Lynch

was making his decision, he knew that Triad consisted of only three

physicians, one of whom was new and another of whom had a medical

condition.

The district court held that the plaintiffs did not have

standing to assert the section 1981 claims because the contracts at

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