McIntyre v. United States Indian Health Service

Court of Appeals for the Tenth Circuit·Decided October 21, 2025·No. 24-5148·Unpublished

Opinion

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This order and judgment is not binding precedent, except under the doctrines of law of the case, res judicata, and collateral estoppel.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.

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”).

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.

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.

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 email to the OIG. The alleged retaliation included (1) the denial of Dr. McIntyre’s request for a Covid-19 vaccine medical exemption, 3 (2) the denial of his request to take the basic life support class in Chinle, and (3) the cancellation of his placement. 4 Third, Dr. McIntyre alleged Dr. Ritchie’s actions and the Chinle Clinic’s failure to address the pharmacist’s sexual misconduct created a hostile work environment. 5 Dr. McIntyre alleged he suffered more than $75,000 in damages.

2 At oral argument, Dr. McIntyre’s counsel conceded that a contract between IHS and Vista is not in the record. Oral Arg. at 1:00-56.

3 Dr. Ritchie denied this request before the OIG email. The complaint did not explain how the denial could have been in retaliation for the email.

4 Dr. McIntyre based his retaliation claim on 41 U.S.C. § 4712, 5 U.S.C.

§ 2302(b)(8), 10 U.S.C. § 4701, 42 U.S.C. § 1395, 42 U.S.C. § 18116, 18 U.S.C. § 242, and 25 C.F.R. § 11.448. In his complaint, he referred to 10 U.S.C. § 4701 by its former statute number, 10 U.S.C. § 2409.

5 The complaint did not cite a statute on which this claim was based.

Motions to Dismiss a. Vista’s motion

Vista moved to dismiss for failure to state a claim under Federal Rule of Civil Procedure 12(b)(6). It argued that its failure to investigate IHS’s reasons for cancelling Dr. McIntyre’s placement before exercising its termination rights did not breach the placement agreement or the implied covenant of good faith and fair dealing.

In response, Dr. McIntyre argued that Vista violated the implied covenant of good faith and fair dealing. He did not argue that Vista violated the placement agreement’s express terms.

b. IHS’s motion

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