Nicole Finley v. Seven Hills OB-GYN Associates, LLC

CourtDistrict Court, S.D. Ohio
DecidedApril 27, 2026
Docket1:22-cv-00720
StatusUnknown

This text of Nicole Finley v. Seven Hills OB-GYN Associates, LLC (Nicole Finley v. Seven Hills OB-GYN Associates, LLC) is published on Counsel Stack Legal Research, covering District Court, S.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nicole Finley v. Seven Hills OB-GYN Associates, LLC, (S.D. Ohio 2026).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF OHIO WESTERN DIVISION

NICOLE FINLEY, Case No. 1:22-cv-720 Plaintiff, McFarland, J. Litkovitz, M.J. vs.

SEVEN HILLS OB-GYN ASSOCIATES, LLC, ORDER Defendant.

This matter is before the Court on plaintiff Nicole Finley’s motion for leave to file a first amended complaint (Doc. 35), defendant’s memorandum in opposition (Doc. 36), and plaintiff’s reply memorandum (Doc. 38). I. Introduction In this employment discrimination case, plaintiff initially named only Seven Hills OB- GYN Associates, Inc., D/B/A Axia Women’s Health, D/B/A Seven Hills Women’s Health Centers as defendant. On May 22, 2023, the parties agreed to substitute “Seven Hills OB-GYN Associates, LLC” (“Seven Hills”) as the proper party defendant.1 Plaintiff now seeks to amend her complaint to add Axia Ohio Management, LLC (“AOM”) and Regional Women’s Health Management, LLC (“RWHM”) “as joint-employer/integrated enterprise defendants with Seven Hills.” (Doc. 35 at PageID 251). The issue currently before the Court is whether plaintiff should be permitted to amend her complaint to include AOM and RWHM as defendants in addition to the stipulated defendant, Seven Hills. Due to the complicated nature of the corporate relationships involved, the parties disagree as to plaintiff’s true employer(s). Plaintiff claims that Seven Hills, AOM, and RWHM are liable as plaintiff’s joint

1 Seven Hills OB-GYN Associates, LLC also stipulated it will not allege or attempt to disclaim any liability to “Axia Women’s Health” or any other related entity. (Doc. 13 at PageID 42). employers, and their roles “were concealed for years of litigation through Seven Hills’ carefully parsed representations, incomplete discovery responses, refusal to produce documents, and insistence ‘Axia’ was just a ‘trade name.’” (Doc. 35 at PageID 257). Seven Hills counters that AOM and RWHM are what are known as Management Services Organizations (“MSO”) which

“cannot lawfully employ any employees who provide clinical services, which [p]laintiff did.” (Doc. 36 at PageID 399). According to Seven Hills, AOM served as the MSO during plaintiff’s employment, and “RWHM is the MSO that presently (but not during [p]laintiff’s employment) manages the non-clinical operations of Seven Hills.” (Id.). Seven Hills further contends that plaintiff knew or should have discovered the facts underlying her claims years ago; the addition of two new defendants at this late date unfairly prejudices Seven Hills; and any new claims are not brought in good faith and are futile since neither of the new entities employed plaintiff. (Id.). For the reasons that follow, plaintiff’s motion will be granted. II. Factual Background a. Employment History and Claims2

From 2006 until her termination in December 2020, plaintiff worked as a sonographer and then as an ultrasound manager. (Doc. 35-1 at PageID 265). She reported to Holly Woprice, who Seven Hills identified during discovery as Director of Operations for Regional Women’s Health Management, LLC, and to Jennifer Dunaway, later identified by Seven Hills as Senior Vice President for Axia Ohio Management, Inc.3 (Doc. 35-1 at PageID 265; Doc. 36, Ex. D at

2 Aside from the addition of the two newly named defendants, the facts alleged in plaintiff’s proposed amended complaint essentially repeat those alleged in the original complaint. (Compare Doc. 1 with Doc. 35-1).

3 Plaintiff’s motion refers to both “Axia Ohio Management, Inc.” (Doc. 35 at PageID 255) and “Axia Ohio Management, LLC.” (Id. at PageID 251, 253). Seven Hills’ opposition brief refers to the entity at issue as “Axia Ohio Management, LLC.” (Doc. 36 at PageID 399). Seven Hills’ verified answers to plaintiff’s Second Interrogatories, however, identify the same entity as “Axia Ohio Management, Inc.” (Doc. 36 at PageID 452). Further, the Management Services Agreement (MSA) produced by defendant in April 2025 is between Seven Hills and Axia Ohio Management, Inc. (Doc. 36, Ex. Q). For purposes of this Order, the entity referred to as “AOM” is PageID 435 and Ex. E at PageID 438). Plaintiff’s duties as ultrasound manager included ensuring that ultrasound services were correctly billed and charted and ultrasound technicians were appropriately scheduled and paid. (Doc. 35-1 at PageID 265). Plaintiff alleges that after she sustained a shoulder injury at work in

2019, she received FMLA leave and remained limited in her ability to perform ultrasounds for the remainder of her employment. (Doc. 35-1 at PageID 265-66). In November 2020, plaintiff informed Ms. Woprice and Ms. Dunaway that she needed additional surgery as soon as possible and would require several weeks off for recovery. (Id. at PageID 266). As plaintiff had not taken FMLA leave throughout 2020, her upcoming surgery would have qualified for FMLA and disability leave. (Id.). When plaintiff’s managers questioned how long she would be out — pointing to understaffing in the ultrasound department — she delayed her surgery until January 2021. (Id.). Plaintiff alleges she discovered that an ultrasound technician received medical services while clocked in as an employee on or about December 28, 2020.4 (Id.). Because the technician

failed to clock out before receiving those services, the employee was not billed for the services received, and plaintiff reported the incident to Ms. Dunaway. (Id.). Plaintiff claims that in response to her report, Ms. Dunaway suspended her and ultimately terminated her employment under the stated justification that plaintiff had committed HIPAA infractions. (Id. at PageID

Axia Ohio Management, Inc. based upon the MSA and other discovery propounded by Seven Hills.

4 Plaintiff’s original and amended complaints reference December 28, 2021 as the date plaintiff alleges she reported the technician failing to clock out. However, the year 2021 appears to be in error. (Doc. 1 at PageID 4; Doc. 35-1 at PageID 266). Plaintiff’s termination date is listed throughout the parties’ briefs as either December 31, 2020 (Doc. 35 at PageID 251, 259; Doc. 35-4, Ex. A at PageID 315, 317, 321; Doc. 36 at PageID 398) or December 31, 2021 (Doc. 35-4, Ex. A at PageID 321; Doc. 36 at PageID 427-28). Nevertheless, the parties agree that plaintiff’s EEOC charge was filed in October 2021. (Doc. 35-1 at PageID 264; Doc. 36, Ex. D at PageID 435). Therefore, the Court assumes that plaintiff’s employment was terminated on December 31, 2020 and any references to the December 2021 termination date is a scrivener’s error. 267).5 Plaintiff alleges that Ms. Dunaway and Ms. Woprice used this as an excuse to terminate her employment so they could avoid having to provide plaintiff with more leave or other accommodations and to replace her once she was terminated. Plaintiff states she was explicitly authorized to view ultrasound medical information of all patients as a treatment-related and

payment-related health care operations activity. (Id.). Plaintiff’s employment was terminated on December 31, 2020. (Id. at PageID 266; Doc. 36, Ex. F at PageID 452). b. Pre-Suit Proceedings and Filing of the Complaint Plaintiff filed a Charge of Discrimination with the U.S. Equal Employment Opportunity Commission (“EEOC”). (See EEOC Charge No. 473-2022-00134, received October 26, 2021, Doc. 36, Ex. D at PageID 435; Doc. 35-1 at PageID 264). The EEOC charge named as respondent “Axia Women’s Health f.k.a. Seven Hills Women’s Health,” located at 2060 Reading Road, Suite 170, Cincinnati, Ohio 45202. (Doc. 36, Ex. D at PageID 435). The EEOC charge stated that plaintiff reported directly to Ms. Woprice, and she discussed her need for medical treatment with Ms. Dunaway. (Id.). The EEOC charge alleged discrimination based on

retaliation, disability, and age. (Id.). Plaintiff filed this action against Seven Hills on December 6, 2022. (Doc. 1 at PageID 1).

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