MARNOCHA v. ST. VINCENT HEALTH, INC.

CourtDistrict Court, S.D. Indiana
DecidedFebruary 7, 2020
Docket1:18-cv-02714
StatusUnknown

This text of MARNOCHA v. ST. VINCENT HEALTH, INC. (MARNOCHA v. ST. VINCENT HEALTH, INC.) is published on Counsel Stack Legal Research, covering District Court, S.D. Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
MARNOCHA v. ST. VINCENT HEALTH, INC., (S.D. Ind. 2020).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF INDIANA INDIANAPOLIS DIVISION

ANNE MARNOCHA, ) ) Plaintiff, ) ) v. ) No. 1:18-cv-02714-JRS-MPB ) ST. VINCENT HOSPITAL AND HEALTH ) CARE CENTER, INC. AND ST. VINCENT ) CARMEL HOSPITAL, INC., ) ) Defendants. )

Order on Defendants’ Motion for Summary Judgment (ECF No. 45)

Plaintiff Anne Marnocha brings claims against Defendants St. Vincent Hospital and Health Care Center, Inc. and St. Vincent Carmel Hospital, Inc. for discriminatory termination and failure to hire. (Compl., ECF No. 1.) Specifically, Marnocha alleges that Defendants discriminated against her on the basis of her age by terminating her neonatologist position at St. Vincent Carmel Hospital, Inc. and not hiring her for an open neonatologist position at St. Vincent Hospital and Health Care Center, Inc. De- fendants now move for summary judgment. (ECF No. 45.) For the following reasons, Defendants’ Motion for Summary Judgment is granted. Further, Defendants’ Motion to Strike Surreply (ECF No. 59) is denied.1 The Court has considered Marnocha’s Surreply (ECF No. 56) in deciding Defendants’ Mo- tion for Summary Judgment.

1 Defendants moved to strike Marnocha’s Surreply on the grounds that she did not seek leave of Court before filing and she did not identify any new arguments or evidence cited in De- I. Background

Neonatal Intensive Care Units (“NICUs”) have four levels of care based on the services that the units can offer. (Marnocha Dep. 39:3-8, ECF No. 47-6.) Level IV NICUs are the highest units that the State of Indiana certifies, and they treat the sickest babies. (Id.) St. Vincent Hospital and Health Care Center on 86th Street (“86th Street”) currently operates a Level IV NICU and St. Vincent Carmel Hospital (“Carmel”) currently operates a Level III NICU. (Rothenburg Dep. 60:14-16, ECF No. 47-8; Marnocha Dep. 43:2-9, ECF No. 47-6.) The main distinction between levels III and IV is that level IV NICUs can handle babies that are on Extracorporeal Mem-

brane Oxygenation and babies who need cardiovascular surgery. (Marnocha Dep. 42:20-24, ECF No. 47-6.) Dr. Anne Marnocha began working as a neonatologist at 86th Street in 1987 to help develop the NICU into a Level III facility. (Id. at 32:23—33:5; Id. at 29:22— 30:9.) At some point between 1987 and 2003, 86th Street became a Level IV facility. (Id. at 43:15—44:3.) In 2003, Marnocha transferred to Carmel to run the new peri- natal service program. (Id. at 33:9-25.) At the time, Carmel was building a perinatal

service program, with the goal of establishing a Level II NICU and eventually ad- vancing to a Level III NICU. (Id. at 33:15-21.) Marnocha was the Medical Director at Carmel from 2003 to 2018. (Id. at 34:1-6.) Carmel became a Level III facility in 2005. (Id. at 43:2-9.)

fendants’ Reply (ECF No. 52). Neither the local rules nor this Court’s Practices and Proce- dures require parties to seek leave before filing a Surreply, and Marnocha’s Surreply is lim- ited to responding to new evidence cited in Defendants’ Reply. Therefore, Marnocha did not need to seek leave of this Court before filing her Surreply. In June of 2017, Dr. Hossain Marandi, Executive Director of the pediatric service line for all St. Vincent hospitals in Indiana, began analyzing the operations of the 86th Street and Carmel NICUs. (Marandi Dep. 12:15-20; 14:22—15:8, ECF No. 47-

5.) Marandi determined that the neonatologists at 86th Street were not working at full capacity, and that, statewide, St. Vincent had too many neonatologists. (Marandi Dep. 11:14-22, ECF No. 47-5.) Carmel had five full-time neonatologists at the time: Dr. Marnocha (age 62), Dr. Catherine Watts (Age 58), Dr. Nancy Lemear (age 53), Dr. Kem Templeton (age 59), and Dr. Melissa Landis (age 35). (Restructure of Oper- ations Guideline, ECF No. 51-7 at 5.) 86th Street had twenty-two neonatologists and

ten newborn hospitalists. (Id. at 7-8.) Sixteen of those doctors had been at 86th Street for less than five years. (Harris Dep. 95:5-15, ECF No. 51-10). Thirteen of the twenty-two neonatologists were above the age of 40, and three were older than Mar- nocha. (Restructure of Operations Guideline, ECF No. 51-7 at 7; Aldrich Decl. ¶6.) In August 2017, Marandi met with a small group comprising Dr. Melissa Leedy, neonatologist at 86th Street; Dr. Taha Ben Saad, Neonatology Medical Director at 86th Street; Stacey Yeo, nurse practitioner at 86th Street; Dr. Ina Whitman, neona-

tologist at 86th Street; Dr. Kevin Stutey, neonatologist at 86th Street; Dr. Jen Ha- vener, neonatologist at 86th Street; and Dr. John Wareham, neonatologist at 86th Street to discuss the overstaffing issue. (Leedy Dep. 20:15—21:5, ECF No. 51-8.) However, Marandi denied that he consulted with this group and testified that he made the decision on his own, and that as of November 30, 2017, only Ben Saad and Sandy Aldrich, Director of Physician Practice Operations, knew that he was looking into the operations of the NICUs. (Marandi Dep. 29:13-17 20:17-25, ECF No. 47-5.) Whitman testified that he and the others in the small group “felt that they did not

have too many neonatologists.” (Whitman Dep. 55:11-13, ECF No. 47-9.) Yeo, Whit- man, and Leedy also testified that the 86th Street doctors were working at full capac- ity. (Yeo Dep. 19:16-22, ECF No. 51-9; Whitman Dep. 12:25, ECF No. 47-9 Leedy Dep. 13:18—14:5; ECF No. 51-8.) But Leedy also testified that it was “a matter of opinion” whether the 86th Street neonatologists were working at full capacity, be- cause the administration had told them that hours that counted towards their Full

Time Equivalent (FTE) no longer counted. (Leedy Dep. 21:4—22:7, ECF No. 51-8.) On September 12, 2017, Marandi presented his findings to the President’s Council of St. Vincent and recommended a corporate restructure that would consolidate the 86th Street and Carmel NICUs. (Marandi Dep. 15:4-8; 22:4-7, ECF No. 47-5.) The purpose of the restructure was to improve both NICUs by standardizing care between the hospitals, increasing efficiency, and improving cost effectiveness. (Marandi Dep. 12:10-14; 17:3-10; 20:20-22, ECF No. 47-5.) Marandi recommended that all five of the

Carmel neonatologists, including Marnocha, be terminated. (Marandi Dep. 17:17-25, ECF No. 47-5.) 86th Street would hire one new neonatologist and the 86th Street neonatologists would staff the NICUs at both 86th Street and Carmel. (Marandi Dep. 22:20—23:5, ECF No. 47-5.) Marandi recommended terminating the Carmel neonatologists because they worked at a Level III NICU and would not necessarily be able to properly care for the babies at the Level IV NICU at 86th Street. (Marandi Dep. 22:20—24:6, ECF No. 47- 5.) Marandi “reviewed [the] current workflow and [the] schedule” of the 86th Street neonatologists and “assumed that they would be able to provide the coverage . . .

needed at Carmel.” (Marandi Dep. 19:9-11, ECF No. 19.) Marandi was not aware if the Carmel neonatologists had Level IV experience and he did not look into it. (Ma- randi Dep. 24:11-15, ECF No. 24.) On September 25, 2017, Human Resources Director Ross Brodhead sent Human Resources Partner Kellie Harris an e-mail asking her if she could “run point” on a plan that would involve several neonatologists being “reduced.” (HR E-mails, ECF

No. 51-11.) Whenever there is a corporate restructure, Human Resources creates a restructure analysis, called a “Restructure of Operations Selection/De-Selection Pro- cess Guideline,” to analyze whether there is any legal risk. (Harris Dep. 76:25—78:4, ECF No. 51-10.) In October 2017, Harris and Marandi discussed the restructuring plan. (Harris Dep. 41:5—42:7, ECF No. 51-10.) Harris testified that she and Marandi discussed moving Landis to 86th Street. (Id. at 41:7-9.) Marandi does not recall having that conversation. (Marandi Dep. 34:1-11; ECF No. 51-3.) Harris claims that

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