McFalls v. NCH Healthcare System, Inc.

District Court, M.D. Florida·Decided April 19, 2024·No. 2:23-cv-00572·Unknown

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA FORT MYERS DIVISION

LAUREN MCFALLS, individually, and on behalf of all others similarly situated and the Proposed Rule 23 Class,

Plaintiff,

v. Case No.: 2:23-cv-572-SPC-KCD

NCH HEALTHCARE SYSTEM, INC. and NAPLES COMMUNITY HOSPITAL, INC.,

Defendants. / OPINION AND ORDER Before the Court are Defendants’ Motion for Judgment on the Pleadings (Doc. 51), Plaintiff’s Response (Doc. 55), Defendants’ Reply (Doc. 59), and Plaintiff’s related Notice of Supplemental Authority (Doc. 65). For the below reasons, the Court grants the motion. Plaintiff Lauren McFalls is an experienced nurse who applied for a position in the emergency department at Defendants’ hospital. When Defendants offered her the job, they provided her three agreements—an offer of employment, a Specialty Fellowship Program agreement, and a sign-on bonus agreement. Plaintiff accepted the job offer and took the sign-on bonus. And despite her prior ER experience, Plaintiff also opted to participate in Defendants’ Specialty Fellowship Program.

According to Defendants, the fellowship program helps train nurses transitioning to a specialty practice area. The fellowship program agreement provided that Plaintiff would work at Defendants’ hospital full-time for two years in exchange for her training. The catch—if Plaintiff left early, she would

incur a $5,000 program fee. Plaintiff left before her two-year commitment was completed. According to Plaintiff, the fellowship program is worthless. What’s more, she is unhappy with the consequences of leaving before the two-year mark. After being

contacted about the program fee, she decided that the best defense is a good offense. She sued the Defendants, claiming that the fellowship program violates the Fair Labor Standards Act (FLSA), among other state and federal provisions (Doc. 24).

Counts I and II of the Amended Complaint (Doc. 24) concern the FLSA. Plaintiff alleges that the program fee is an illegal kickback of wages and that Defendants did not pay her wages free and clear while the threat of the program fee loomed. Defendants move for judgment on the pleadings on those

counts. Defendants argue in part that Plaintiff fails to state an FLSA claim because she voluntarily entered into the fellowship agreement. The FLSA requires employers to pay their employees at least the minimum wage. 29 U.S.C. §§ 206, 216. And related regulations explain how

those wages must be paid: Whether in cash or in facilities, “wages” cannot be considered to have been paid by the employer and received by the employee unless they are paid finally and unconditionally or “free and clear.” The wage requirements of the Act will not be met where the employee “kicks-back” directly or indirectly to the employer or to another person for the employer's benefit the whole or part of the wage delivered to the employee. This is true whether the “kick- back” is made in cash or in other than cash. 29 C.F.R. § 531.35. So employers cannot get around the FLSA by requiring employees to incur their business expenses as a kickback. Plaintiff argues that Defendant’s fellowship program operates in this way. It does not. To succeed on her FLSA kickback claim Plaintiff “must prove that any payments or expenses were ‘required’ and for the employer’s benefit.” Crittendon v. Int’l Follies, Inc., No. 1:18-CV-02185-ELR, 2021 WL 9274510, at *14 (N.D. Ga. July 7, 2021) (emphasis added). The regulation Plaintiff relies on gives an example of a prohibited kickback. And the regulation repeatedly references the required nature of the kickback: [I]f it is a requirement of the employer that the employee must provide tools of the trade which will be used in or are specifically required for the performance of the employer's particular work, there would be a violation of the Act in any workweek when the cost of such tools purchased by the employee cuts into the minimum or overtime wages required to be paid him under the Act. 29 C.F.R. § 531.35 (emphasis added). Similarly, Courts have held that employers’ training program arrangements concern “repayment of a

voluntarily accepted loan, not a kick-back.” Gordon v. City of Oakland, 627 F.3d 1092, 1096 (9th Cir. 2010). Neither Defendants nor the demands of Plaintiff’s job required her to participate in the fellowship program, so she fails to state a kickback claim.

Reading the amended complaint in the light most favorable to Plaintiff, Defendants did not require her to participate in the fellowship program. In her own allegations, Plaintiff states that in 2019, “49 of the 331 nurses that Defendants hired participated in the purported fellowship.” (Doc. 24 ¶ 51).

That means 282 nurses did not. This does not bode well for Plaintiff’s argument that she was required to participate in the program. Plaintiff also alleges that Defendants require “newer nurses” and “applicants without experience in the relevant specialty practice area” to

participate. (Doc. 24 ¶ 48). But Plaintiff is neither new to nursing nor new to the emergency department. As she puts it, “[w]hile the purported fellowship was typically for nurses transitioning into a new specialty area, Ms. McFalls already had experience working in Emergency Room Departments.” (Doc. 24

¶ 71). Plaintiff is not the type of nurse that Defendants require to participate in the fellowship program. Plaintiff further alleges she received “strong suggestions” and “recommendations” that she participate and that she “did not feel like she

could say no without looking bad to her new potential employer[.]” (Doc. 24 ¶¶ 70, 74). Defendants provided three agreements to Plaintiff when they offered her the job. The first agreement was an offer of employment with no strings attached. (Doc. 24 ¶ 76). The second agreement was the Specialty

Fellowship Program agreement. (Doc. 24 ¶ 77). The third agreement was a sign-on bonus agreement. (Doc. 24 ¶ 78). Defendants gave her twenty-four hours to “decide whether to participate in the fellowship[.]” (Doc. 24 ¶ 73) (emphasis added). Plaintiff decided to participate in the Fellowship Program

“thinking it could make her a better ER nurse.” (Doc. 24 ¶ 74). According to Plaintiff’s amended complaint, Defendants offered her employment without participating in the fellowship program. She accepted the employment offer. Even though she had experience, she also decided to

enter the fellowship program thinking it would make her a better ER nurse. Ultimately, she was disappointed with the fellowship program. And it was Defendants who urged Plaintiff to exit the fellowship program because she was already capable of practicing in the emergency department. When Plaintiff

was unhappy with her job, she decided to leave before the two-year mark. The amended complaint paints a clear picture—Defendants never required Plaintiff to participate in the fellowship program. Given her experience, participation was unnecessary in performing her job. A series of her own decisions, not the requirements of her employment, triggered the program fee.

Plaintiff argues that whether she was required to participate in the fellowship program is irrelevant (despite the language of the kickback regulation). In support, she relies on Mayhue’s Super Liquor Stores, Inc. v. Hodgson for the proposition that the “‘voluntary-involuntary’ dichotomy is

meaningless” where a plaintiff alleges that a debt to an employer violates the FLSA.

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McFalls v. NCH Healthcare System, Inc., (M.D. Fla. 2024).

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