Jessica Guarnaschelli v. Medpace, Inc.

CourtDistrict Court, S.D. Ohio
DecidedJune 22, 2026
Docket1:25-cv-00850
StatusUnknown

This text of Jessica Guarnaschelli v. Medpace, Inc. (Jessica Guarnaschelli v. Medpace, Inc.) is published on Counsel Stack Legal Research, covering District Court, S.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jessica Guarnaschelli v. Medpace, Inc., (S.D. Ohio 2026).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF OHIO WESTERN DIVISION

JESSICA GUARNASCHELLI,

Plaintiff, Case No. 1:25-cv-850 v. JUDGE DOUGLAS R. COLE MEDPACE, INC.,

Defendant.

OPINION AND ORDER Defendant Medpace, Inc., moves for partial judgment on the pleadings in this employment discrimination matter. (Doc. 11). Specifically, Medpace contends that (1) the Court must dismiss Count IV of Plaintiff’s Complaint (Doc. 1), because Ohio law does not recognize associational disability discrimination claims, and (2) that Plaintiff is precluded from recovering the value of certain unvested stock options. (Doc. 11, #65–72). The Court disagrees on both fronts, so it DENIES Medpace’s motion. BACKGROUND Dr. Jessica Guarnaschelli, the plaintiff, is a radiation oncologist “with more than twenty years of experience in clinical practice, research, and academia.” (Doc. 1, #2). Guarnaschelli has cultivated expertise in the design and management of clinical trials. (Id.). In 2018, Medpace, a publicly traded contract research organization, recruited Guarnaschelli to build a radiopharmaceutical research program. (Id. at #3). Before Guarnaschelli’s arrival, Medpace lacked the personnel and know-how necessary to establish such a program, as radiopharmaceuticals were something of a new-fangled approach to cancer treatment at the time. (Id.). Guarnaschelli’s efforts at Medpace

generated substantial revenue for the company. (Id. at #3–4). For example, in fiscal year 2024, Medpace’s radiopharmaceuticals program generated some $48.8 million in revenue. (Id.). And, as of the time of filing, Medpace was allegedly expecting an additional $94.8 million in direct fees. (Id. at #4). Guarnaschelli says that, for a time, Medpace adequately compensated her for her contributions to the company. She received, for example, positive feedback, bonuses, and equity grants. (Id.). And in 2021, Medpace promoted Guarnaschelli to senior medical director. (Id.).

But the parties’ relationship began to sour a few years later. On March 28, 2024, Guarnaschelli, a single mother, began an unpaid medical leave to care for her disabled child, who was struggling with disability-related health issues that threatened long-term consequences. (Id.). Guarnaschelli alleges that Medpace approved the leave under the Family and Medical Leave Act (FMLA). (Id.). Despite that approval, though, Guarnaschelli says that Medpace and its officers were not

pleased with Guarnaschelli’s time away from work. (Id.). The first indication of that came on July 11, 2024, when Guarnaschelli met Dr. Blythe Thomson, Guarnaschelli’s direct supervisor, for coffee. (Id.). At that meeting, Thomson “made a point of suggesting that … Guarnaschelli’s need for medical leave, or at least the duration of it, was not legitimate.” (Id.). Guarnaschelli returned to work about a month later, on August 5, 2024. (Id.). While she retained the same title and salary, Medpace allegedly deprived her of a significant portion of her responsibilities. (Id.). For example, before Guarnaschelli

took leave, she served as the primary monitor on twelve separate radiopharmaceutical studies. (Id. at #4–5). But once she returned, Medpace permitted Guarnaschelli to resume her lead role on only two studies and placed her in a lesser support role on several others. (Id. at #5). Medpace also sidelined Guarnaschelli in other ways. Before her leave, Guarnaschelli was the “clear leader” of the radiopharmaceutical program. (Id.). But by the time she returned, Medpace had assigned various other radiopharmaceutical projects to directors who lacked

relevant experience. (Id.). Indeed, one of those directors even expressed regret that Medpace was removing Guarnaschelli “from her role as the leader of the program she worked so hard to build.” (Id.). Guarnaschelli also endured social slights. For example, Thomson “conspicuously” excluded Guarnaschelli from an invitation to a celebratory dinner for Medpace’s oncology group in early September 2024. (Id.). Later that month, Guarnaschelli had a call with Medpace’s CEO, Dr. August

Troendle, to discuss Medpace’s radiopharmaceutical business and Guarnaschelli’s place within it. (Id.). In Guarnaschelli’s view, she was, by that time, “overdue for a promotion to Vice President, at least by the standards that applied to her male peers.” (Id. at #4). Yet when Guarnaschelli broached the topic of her advancement, Troendle stated unequivocally, “There is no path.” (Id. at #5). When Guarnaschelli pressed him for an explanation, Troendle responded that Dr. Lyon Gleich, a senior vice president at Medpace, had formed a negative opinion of Guarnaschelli. (Id.). Shortly thereafter, Guarnaschelli raised the issue of her advancement with her

direct supervisor, Thomson. (Id.). During that exchange, Thomson said that “Troendle doesn’t believe we [i.e., Medpace executives] should take care of family at the expense of work,” or similar words to that effect. (Id. at #5–6). When Guarnaschelli pointed out that Troendle himself had a family, Thomson replied, “He lives in a 1980s world.” (Id. at #6). Thomson then reassured Guarnaschelli that, if she “kept her head down,” she might be promoted after her November 2024 performance review. (Id.). With that, Guarnaschelli did her best to focus on her work until

November 18, 2024, when she raised the issue with Thomson yet again. (Id.). But Thomson was not receptive and allegedly stated, “I’m not putting you up for promotion because you took a medical leave,” and further said something to the effect that Medpace leadership expects employees at Guarnaschelli’s level “not to have families to care for.” (Id.). Guarnaschelli followed up with Thomson about a week later via email. (Id.). There, she said:

Also, earlier in the year, you said that I could be put up for promotion. Last Monday, you said that I was unable to be put up for promotion due to the fact that I had to take time away to care for a sick child. Is that still the case? (Id.). Thomson did not deny the assertion and responded with, “Happy to chat about this at your annual performance review.” (Id.). Guarnaschelli then reported Thomson’s “retaliation” to Medpace’s human resources team. (Id.). But Adam Busemeyer, Medpace’s human resources director, responded by relaying that Thomson denied that Guarnaschelli’s FMLA leave precluded a promotion. (Id. at #6–7). And in a subsequent meeting that occurred near the end of November 2024, Thomson apologized for giving Guarnaschelli the “wrong

impression.” (Id. at #7). But, according to Guarnaschelli, Thomson in effect doubled down on her earlier position in that very meeting. (Id.). She explained that Guarnaschelli’s leave prevented her from meeting her annual revenue goals, which were necessary for promotion. (Id.). Put another way, “Thomson admitted that Medpace held Dr. Guarnaschelli to a full year revenue goal, even though she had worked meaningfully less than a full year due to her FMLA leave.” (Id.). On December 5, 2024, Guarnaschelli met with Busemeyer and Erin Bricker,

another human resources representative, to further discuss Guarnaschelli’s retaliation concerns. (Id.). And in an email summarizing the meeting, Bricker restated Thomson’s view that Guarnaschelli was ineligible for promotion because her leave prevented her from meeting “several objectives related to revenue.” (Id.). Following Guarnaschelli’s final round of complaints to human resources, Medpace made it clear that Guarnaschelli did not have a future at the company. (Id.).

In January 2025, Medpace initiated three significant radiopharmaceutical studies. (Id.). Ordinarily, Guarnaschelli—Medpace’s only radiation oncologist—would be named the primary medical monitor. (Id. at #7–8). Yet Medpace assigned each trial to other executives. (Id. at #8).

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