McIntyre v. United States Indian Health Service

CourtCourt of Appeals for the Tenth Circuit
DecidedOctober 21, 2025
Docket24-5148
StatusUnpublished

This text of McIntyre v. United States Indian Health Service (McIntyre v. United States Indian Health Service) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McIntyre v. United States Indian Health Service, (10th Cir. 2025).

Opinion

Appellate Case: 24-5148 Document: 50-1 Date Filed: 10/21/2025 Page: 1 FILED United States Court of Appeals UNITED STATES COURT OF APPEALS Tenth Circuit

FOR THE TENTH CIRCUIT October 21, 2025 _________________________________ Christopher M. Wolpert Clerk of Court ROBERT McINTYRE, M.D.,

Plaintiff - Appellant,

v. No. 24-5148 (D.C. No. 4:23-CV-00421-JDR-CDL) UNITED STATES INDIAN HEALTH (N.D. Okla.) SERVICE; VISTA STAFFING SOLUTIONS, INC.,

Defendants - Appellees. _________________________________

ORDER AND JUDGMENT * _________________________________

Before MATHESON, PHILLIPS, and ROSSMAN, Circuit Judges. _________________________________

Vista Staffing Solutions placed Dr. Robert McIntyre at the Chinle, Arizona clinic

run by the United States Indian Health Service (“IHS”). IHS fired him and then Vista

terminated its contract with him. Dr. McIntyre sued Vista and IHS. The district court

dismissed, holding that Dr. McIntyre failed to state a claim against Vista and that it

lacked subject matter jurisdiction over his claims against IHS. Exercising jurisdiction

under 28 U.S.C. § 1291, we affirm.

* This order and judgment is not binding precedent, except under the doctrines of law of the case, res judicata, and collateral estoppel. It may be cited, however, for its persuasive value consistent with Fed. R. App. P. 32.1 and 10th Cir. R. 32.1. Appellate Case: 24-5148 Document: 50-1 Date Filed: 10/21/2025 Page: 2

I. BACKGROUND

A. Factual History 1

The Placement Agreement

Dr. McIntyre used Vista’s medical staffing placement services for 12 years. In

January 2021, he signed a contract with Vista to provide psychiatric services to Vista’s

clients. Vista placed Dr. McIntyre at the IHS clinic located on the Chinle Reservation in

Arizona. IHS, a Vista client, was not a party to the placement agreement.

The placement agreement’s paragraphs 4 and 23 are most relevant here. Under

paragraph 4:

[IHS] may cancel any scheduled placement without cost by giving [Vista] no less than thirty (30) days’ written notice. If [IHS] reasonably finds the performance of [Dr. McIntyre] to be unacceptable for reasons of professional competence or personal conduct, it shall give notice to [Vista] and may then remove [Dr. McIntyre] from the [Chinle Clinic] immediately. . . .

Aplee. Vista App. at 39 ¶ 4. Paragraph 23 states:

[Vista] may terminate this Agreement, and any or all placements of [Dr. McIntyre], immediately by oral or written notice in the event of Professional’s death, the denial or revocation of any hospital privileges for Professional, the revocation or suspension of Professional’s licensing as a Professional in any state, or the request by a Client that

1 This factual history derives from the allegations in Dr. McIntyre’s complaint and documents referenced in the complaint. See Commonwealth Prop. Advocs., LLC v. Mortg. Elec. Registration Sys., Inc., 680 F.3d 1194, 1201 (10th Cir. 2011) (noting that we “accept[ ] as true all well-pleaded factual allegations in the complaint” on an appeal from a motion to dismiss and “may consider not only the complaint, but also . . . documents incorporated into the complaint by reference”).

2 Appellate Case: 24-5148 Document: 50-1 Date Filed: 10/21/2025 Page: 3

Professional be removed for any reason during the term of a placement.

Id. at 41 ¶ 23. Utah law governs the interpretation of the placement agreement. Id. at 41

¶ 24(f).

Dr. McIntyre and the Chinle Clinic

Dr. McIntyre was assigned to the Chinle Clinic in January 2021.

In August 2021, he requested a Covid-19 vaccine medical exemption from the

Chinle Clinical Medical Director, Dr. Eric Ritchie. In support, Dr. McIntyre provided

documentation from his personal physician. Dr. Ritchie denied the request without

explanation.

Sometime before September 2021, Dr. McIntyre learned of a Chinle Clinic

pharmacist’s alleged sexual misconduct. Dr. McIntyre alleged that Dr. Ritchie and

“leadership at Chinle” failed to take any “remedial” or “curative action.” Id. at 8-9, 17,

20-21.

On September 16, 2021, Dr. McIntyre “formally blew the whistle on Dr. Ritchie”

and the Chinle Clinic. Id. at 9. He emailed an investigator at the Department of Health

and Human Services’ Office of Inspector General (“OIG”) detailing his complaints,

including Dr. Ritchie’s denial of Dr. McIntyre’s Covid-19 vaccine exemption request and

his failure to address the pharmacist’s alleged misconduct.

In early October 2021, Dr. Ritchie denied Dr. McIntyre’s request to take a basic

life support class in Chinle rather than in Albuquerque or Flagstaff.

3 Appellate Case: 24-5148 Document: 50-1 Date Filed: 10/21/2025 Page: 4

Cancellation and Termination

In late October 2021, IHS cancelled Dr. McIntyre’s Chinle Clinic placement. IHS

notified Vista of its decision, citing Dr. McIntyre’s “lack of professionalism” and “failure

to maintain a positive work environment.” Id. at 30, 19 (quotations omitted). Shortly

thereafter, Vista terminated its placement agreement with Dr. McIntyre.

B. Procedural History

The Complaint

Dr. McIntyre sued Vista and IHS for breach of contract and IHS for unlawful

retaliation and creating a hostile work environment. He claimed the district court had

subject matter jurisdiction under “28 U.S.C. § 451, § 1331, § 1337,

§ 1343, 41 U.S.C. § 4712, 5 U.S.C. § 2302, and 10 U.S.C. § 2409.” Id. at 7.

a. Vista

Citing paragraph 4 of the placement agreement, Dr. McIntyre alleged that Vista

owed him a “duty under the [placement agreement] to inquire into any allegations of

professional competence or personal conduct transmitted by any client to see if there was

a bonafide reasonable basis for sudden ending of [his] placement.” Id. at 10-11. He

further alleged that Vista terminated the agreement without conducting any investigation

and thereby breached the placement agreement.

Dr. McIntyre did not explicitly allege that Vista breached the implied covenant of

good faith and fair dealing.

b. IHS

Dr. McIntyre alleged three claims against IHS.

4 Appellate Case: 24-5148 Document: 50-1 Date Filed: 10/21/2025 Page: 5

First, quoting paragraph 4 of the placement agreement, Dr. McIntyre alleged that

“IHS breached its contract with Vista . . . when it failed to contemporaneously

‘reasonably find the performance of [Dr. McIntyre] to be unacceptable for reasons of

professional competence or personal conduct.’” Id. at 12. He did not specify the terms

of the alleged contract between IHS and Vista and did not attach any such agreement to

the complaint. 2 He claimed to be a third-party beneficiary of the contract and sought

recovery for breach.

Second, Dr. McIntyre alleged that IHS unlawfully retaliated against him for his

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