Michelle Siebrecht v. Mercy Health Services - Iowa Corp.

CourtCourt of Appeals for the Eighth Circuit
DecidedJanuary 5, 2026
Docket24-3159
StatusPublished

This text of Michelle Siebrecht v. Mercy Health Services - Iowa Corp. (Michelle Siebrecht v. Mercy Health Services - Iowa Corp.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eighth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Michelle Siebrecht v. Mercy Health Services - Iowa Corp., (8th Cir. 2026).

Opinion

United States Court of Appeals For the Eighth Circuit ___________________________

No. 24-3159 ___________________________

Michelle Siebrecht

Plaintiff - Appellant

v.

Mercy Health Services - Iowa Corp., doing business as MercyOne Siouxland Medical Center

Defendant - Appellee ____________

Appeal from United States District Court for the Northern District of Iowa - Western ____________

Submitted: September 16, 2025 Filed: January 5, 2026 ____________

Before SMITH, ARNOLD, and SHEPHERD, Circuit Judges. ____________

SMITH, Circuit Judge.

Michelle Siebrecht sued her former employer, Mercy Health Services Iowa Corp. d/b/a MercyOne Siouxland Medical Center (Mercy), alleging violations of the Americans with Disabilities Act (ADA), the Iowa Civil Rights Act (ICRA), and the Family and Medical Leave Act (FMLA). She claims that Mercy discriminated against her because of her disability and for taking FMLA leave. Mercy denies these allegations. The district court 1 granted summary judgment for Mercy on all claims. Siebrecht appeals. For the reasons discussed below, we affirm.

I. Background A. Mercy’s Hawarden Facility Siebrecht worked as a physician assistant for Mercy in the emergency room (ER) at Mercy’s facility in Hawarden, Iowa. Because the Hawarden facility was a critical access facility, the ER was required to be staffed with at least one provider2 at all times—24 hours per day, 365 days per year. ER providers are not plentiful in rural Iowa.

During the relevant time, Mercy usually staffed the Hawarden ER with four providers, including Siebrecht. Mercy referred to these providers collectively as advanced practice providers (APPs). APPs worked under employment contracts with initial terms. The contracts provided that at the end of the initial term, the hospital and the providers could extend the contract by written agreement. Otherwise, the contracts would continue month-to-month for up to 90 days. This 90- day period was known as the Temporary Renewal Period (TRP). If no extension agreement was reached during that period, the contract terminated after either 30 days’ written notice or at the end of the TRP.

APPs worked 72 hours per two-week pay period. They did not have assigned shifts. Instead, a shift coordinator would circulate a calendar to APPs a month in advance, and they would respond by indicating their preferred shifts for that month. Pursuant to their contracts, APPs were required to work three 24-hour shifts per pay period. The contracts also stated that APPs were required to work weekends. When

1 The Honorable Kelly K.E. Mahoney, United States Chief Magistrate Judge for the Northern District of Iowa, to whom the case was referred for final disposition by consent of the parties pursuant to 28 U.S.C. § 636(c). 2 “Provider” refers to doctors, nurse practitioners, and physician assistants. -2- a shift could not be covered by an APP, workers known as PRNs and locums (temporary replacements) covered them.

B. Siebrecht’s First FMLA Leave Siebrecht was diagnosed with multiple sclerosis (MS). 3 Due to effects of her condition, she took FMLA leave from June 3, 2021, to August 1, 2021. When her doctor filled out the paperwork for her leave, he indicated that ongoing stress at work and at home exacerbated Siebrecht’s MS. He also stated that Siebrecht’s episodic MS flareups could periodically prevent her from performing her job functions.

C. Mercy’s Attempt to Renew Siebrecht’s Contract Siebrecht’s employment contract was set to expire on February 28, 2022. On January 25, 2022, the CEO at the Hawarden facility presented Siebrecht with a proposed contract extension. Siebrecht declined the offer and never made a counteroffer. Neither party ever raised the issue of negotiating a new contract with the other.

D. Siebrecht’s Second FMLA Leave Siebrecht took her second FMLA leave from January 31, 2022, to March 14, 2022. Her FMLA paperwork stated that the leave was due to chronic MS with acute exacerbation. Siebrecht’s doctor again attributed exacerbation to her strenuous work schedule and continued stress at home.

E. Siebrecht Seeks Accommodations On February 25, 2022, while still on leave, Siebrecht attended a doctor’s appointment. After evaluating Siebrecht, her doctor cleared her to return to work by the middle of March with the following limitations: no more than one 24-hour shift per week and no weekend shifts because, according to him, weekend shifts in the

3 In denying Siebrecht’s partial motion for summary judgment, the district court concluded that “[a] fact question exists as to whether Siebrecht in fact has MS, and if so, whether it qualified as a disability under the law (whether it substantially limited a major life activity).” R. Doc. 112, at 15. -3- ER tend to be more hectic. In his treatment notes, the doctor opined that 24-hour shifts seemed to be an extremely long time for someone with her condition. He scheduled a three-month follow-up appointment with Siebrecht. He also suggested that if she continued to do well, he would permit her to work additional days. However, he also noted that her condition would have flareups for the rest of her life.

Siebrecht’s doctor informed Mercy that her restrictions were expected to last through December 31, 2022. On March 16, 2022, the HR specialist stated that Mercy could accommodate Siebrecht’s restrictions but could not confirm that the accommodation could be made through December 31, 2022.

F. Termination of Siebrecht’s Employment The CEO of the Hawarden facility emailed an executive at Mercy, stating: “[Siebrecht] is now saying that her doctor notes states that she will be doing 1 (24) [hour] shift through December. This is not working out the best and I think we need to terminate her and let her disability run out. Or she can work at MercyOne her 24 [hour] shift.” App. Vol. II, at 793. In his deposition, the CEO explained that he was expressing concern that Siebrecht was unable to meet her required shifts and that it was unfair to others in the department. Moreover, at least one of Siebrecht’s colleagues complained to the CEO that Siebrecht’s medical leave was unfair to other APPs.

Mercy decided to terminate Siebrecht’s employment on April 26, 2022. Mercy notified Siebrecht of its decision via written letter dated April 28, 2022. The letter stated that because the parties had not renewed Siebrecht’s employment contract, her employment with Mercy was terminated effective May 30, 2022, the day after her TRP would end. On May 20, 2022, Mercy communicated to Siebrecht that she was relieved of further shifts but would continue to be paid through May 30. Siebrecht never had any formal disciplinary actions during her employment with Mercy.

-4- During a doctor’s appointment on May 26, 2022, Siebrecht’s doctor noted that her MS appeared stable. He signed a “Release to Return to Work” statement that released her to return to work with no restrictions effective June 13, 2022.

G. Litigation Siebrecht filed a lawsuit against Mercy in Iowa state court alleging violations of the ADA, the ICRA, and the FMLA. Mercy removed the case to federal court based on federal question jurisdiction. The district court granted summary judgment in favor of Mercy on all of Siebrecht’s claims. 4 Siebrecht appeals.

II. Discussion Siebrecht argues that the district court erred by granting summary judgment on her disability discrimination claims and her FMLA claim. “We review the district court’s grant of summary judgment de novo.” Lipp v. Cargill Meat Sols. Corp., 911 F.3d 537, 543 (8th Cir. 2018).

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Michelle Siebrecht v. Mercy Health Services - Iowa Corp., Counsel Stack Legal Research, https://law.counselstack.com/opinion/michelle-siebrecht-v-mercy-health-services-iowa-corp-ca8-2026.