Joy v. MetroHealth Sys.

Ohio Court of Appeals·Decided April 30, 2026·No. 115437·Published

Opinion

COURT OF APPEALS OF OHIO

EIGHTH APPELLATE DISTRICT COUNTY OF CUYAHOGA

MATTHEW JOY, :

Plaintiff-Appellant, :

No. 115437

v. :

THE METROHEALTH SYSTEM, :

Defendant-Appellee. :

JOURNAL ENTRY AND OPINION

JUDGMENT: AFFIRMED

RELEASED AND JOURNALIZED: April 30, 2026

Civil Appeal from the Cuyahoga County Court of Common Pleas Case No. CV-25-115532

Appearances:

Walter | Haverfield, LLP, John E. Schiller, and Alexandra V. Dattilo, for appellant.

Zashin & Rich Co., L.P.A., Stephen S. Zashin, and Lauren M. Drabic, for appellee.

EMANUELLA D. GROVES, P.J.:

Plaintiff-appellant Matthew Joy (“Dr. Joy”) appeals the trial court’s granting of defendant-appellee The MetroHealth System dba MetroHealth Medical Center’s (“MetroHealth”) motion for judgment on the pleadings and dismissing his complaint with prejudice. Upon review, we affirm the trial court’s decision.

I. Facts and Procedural History In April 2025, Dr. Joy — an anesthesiologist who formerly worked for MetroHealth for over 23 years — filed a complaint against MetroHealth asserting two causes of action: (1) breach of contract and (2) wrongful termination in violation of public policy.1 Therein, Dr. Joy asserted that his employment was renewed every two years since his initial hiring in 1999, the latest being in March 2022. According to Dr. Joy, his employment was wrongfully terminated in June 2023 “in retaliation for his persistent dedication to patient safety and his refusal to look the other way when MetroHealth staff failed to properly follow protocol and important patient safety guidelines.” Dr. Joy claimed that he made written and oral complaints to appropriate medical staff, but MetroHealth justified his immediate termination by falsely claiming that he lacked professionalism and failed to perform his duties in accordance with its value system.

Dr. Joy asserted that MetroHealth’s employee handbook and system policy titled “EC-04 — Reporting Concerns” (“Reporting Policy”) prohibited

1 In his appellate briefs, Dr. Joy argues — for the first time — that the facts pled in

his two-count complaint are sufficient to support a third claim or legal theory: promissory estoppel. As noted by MetroHealth, this argument was not introduced at the trial-court level and, therefore, was not preserved for appellate review. A party cannot raise new claims or arguments for the first time on appeal, and a failure to present an issue before the trial court results in a waiver of that issue for appellate purposes. Garrett v. Cuyahoga Cty., 2022-Ohio-2770, ¶ 27 (8th Dist.), citing Lycan v. Cleveland, 2019-Ohio-3510, ¶ 32- 33 (8th Dist.) (“It is well-established that arguments raised for the first time on appeal are generally barred and a reviewing court will not consider issues that the appellant failed to raise in the trial court.”), and Cleveland Town Ctr., L.L.C. v. Fin. Exchange Co. of Ohio, Inc., 2017-Ohio-384, ¶ 21 (8th Dist.). Therefore, we limit our review to the two claims contemplated at the trial-court level: breach of contract and wrongful termination in violation of public policy.

retaliation against employees for raising patient safety concerns or reporting suspected wrongdoing in good faith. Dr. Joy alleged that MetroHealth did not enforce its value system uniformly, consistently, or predictably and his immediate dismissal was unreasonable, unjustified, and in violation of MetroHealth’s disciplinary procedures. Dr. Joy further alleged that MetroHealth’s policies against retaliation constitute a clear and important expression of public policy since it is a governmental entity.

Based on these facts, Dr. Joy claimed that MetroHealth breached his employment contract — created by his March 2022 renewal and MetroHealth’s handbook, Reporting Policy, and other relevant policies and procedures — “by terminating [him] improperly in retaliation for reporting issues of patient safety and violations of policies and procedures, and federal regulations, that required MetroHealth employees to follow his instructions in furnishing anesthesia services.” Dr. Joy also claimed that his wrongful termination was motivated by his reporting of patient concerns “stemming from MetroHealth employees’ failure to follow his instructions in furnishing anesthesia services” despite the existence of (1) “[a] clear public policy against retaliation for reporting patient safety concerns . . . manifested in Ohio law,” (2) “its own policies against retaliation,” and (3) “a clear public policy for the orderly and supervised furnishing of anesthesia . . . under state and federal law.”

Dr. Joy attached a copy of the two-page Reporting Policy to the complaint. The Reporting Policy applied to “Workforce Members,” which included

“employees, providers, volunteers, trainees, and other persons whose conduct, in the performance of work for [MetroHealth], [was] under direct control of such entity, whether or not they [were] paid by [MetroHealth].” The Reporting Policy “outline[d] the expectations and procedures for Workforce Members to timely report potential violations of [MetroHealth’s] Code of Conduct, policies, procedures, laws or regulations applicable to [MetroHealth].” Finally, the Reporting Policy established that MetroHealth maintained an “open-door policy”; encouraged Workforce Members, patients, visitors, vendors, and community members to report concerns; and “prohibit[ed] retaliation against Workforce Members who report suspected wrongdoing in good faith.”

In response, MetroHealth filed an answer and asserted several affirmative defenses. In its answer, MetroHealth denied the existence of an employment contract, countering that Dr. Joy was an at-will employee who “was last approved for reappointment based on continuation of clinical privileges” via a letter dated March 15, 2022 (“Reappointment Letter”). MetroHealth also denied Dr. Joy’s characterization of MetroHealth’s policies, asserting that it had “numerous unilaterally-issued system-wide employment policies, including [the Reporting Policy], that [were] made available to employees and posted on MetroHealth’s intranet.” Finally, MetroHealth denied that Dr. Joy was wrongfully terminated for reporting patient safety concerns. MetroHealth attached a copy of the Reappointment Letter, which stated in relevant part: “This reappointment is effective 02/01/2022 with clinical privileges continuing until your next scheduled reappointment date of 01/30/2024 unless circumstances warrant consideration of status change or employment change prior to the expiration date.” The Reappointment did not contain any terms of employment beyond the general requirement that medical staff comply with MetroHealth’s policies, provisions, and emergency plans.

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