Perry v. The Schumacher Group of Louisiana

District Court, M.D. Florida·Decided July 14, 2020·No. 2:13-cv-00036·Unknown

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA FORT MYERS DIVISION

PAMELA M. PERRY,

Plaintiff,

v. Case No: 2:13-cv-36-FtM-29DNF

THE SCHUMACHER GROUP OF LOUISIANA, a Louisiana corporation, THE SCHUMACHER GROUP OF FLORIDA, INC., a Florida corporation, COLLIER EMERGENCY GROUP, LLC, a Florida limited liability company, HEALTH MANAGEMENT ASSOCIATES INC., a Michigan corporation and NAPLES HMA, LLC, a Florida limited liability company,

Defendants.

OPINION AND ORDER This matter comes before the Court on defendants The Schumacher Group of Louisiana, The Schumacher Group of Florida, and Collier Emergency Group, LLC’s Motion for Summary Judgment (Doc. #244) filed on May 18, 2020. Plaintiff filed a Response in Opposition (Doc. #258) on June 8, 2020. For the reasons set forth below, the motion is denied. I. A. Factual Background1 The Schumacher Group (TSG) is a corporation that provides

healthcare staffing services at medical facilities in certain states throughout the country.2 (Doc. #142, p. 12.) In May 2011, the Collier Emergency Group, LLC (CEG), a subdivision of TSG, entered into an Exclusive Agreement for Emergency Services (Exclusive Agreement) with Naples HMA, LLC (HMA) to staff the emergency departments at two hospitals under the Physician’s Regional Healthcare System: Physician’s Regional Medical Center - Pine Ridge (Pine Ridge) and Physician’s Regional Medical Center - Collier Blvd. (Collier). (Doc. #244-1, p. 30.) Under the terms of the Exclusive Agreement, CEG was required to staff the emergency department with an adequate number of emergency professionals and designate a physician, reasonably satisfactory to HMA, to be the

Medical Director of the Emergency Department. (Id. pp. 30-32.)

1 The background facts are either undisputed or read in the light most favorable to plaintiff as the nonmoving party. However, these facts, accepted at the summary judgment stage of the proceedings, may not be the “actual” facts of the case. See Priester v. City of Riviera Beach, Fla., 208 F.3d 919, 925 n.3 (11th Cir. 2000).

2 TSG consists of the Schumacher Group of Louisiana, Inc., the Schumacher Group of Florida, Inc., and the Collier Emergency Group, LLC. The agreement further provided that all emergency professionals were subject to the “continuous approval” of HMA, and that HMA may, without cause, direct CEG to preclude any emergency

professional from providing medical services if HMA reasonably believed the continued provision of medical services was not in its “best interest.” (Id. at 33.) If such a directive was made, CEG was contractually required “within 30 days of [HMA’s] directive, [to] exclude that Emergency Professional from providing any further Services.” (Id.) In June 2011, plaintiff Pamela Perry, M.D., an African American female and emergency physician, was recruited by CEG to serve as the Medical Director in the Emergency Department at Pine Ridge. (Doc. #244, p. 5; Doc. #258-1, ¶ 1.) HMA approved of CEG’s selection and plaintiff was subsequently offered the position. (Doc. #244, p. 5; Doc. #258-1, ¶ 2.) Plaintiff

accepted and entered into three separate agreements with CEG: a Business Associate Agreement, a Physician Agreement, and a Medical Director Agreement. (Doc. #142, p. 12.) Plaintiff’s tenure as Medical Director at Pine Ridge began in July 2011. The satisfaction ratings for the Emergency Department steadily increased under her supervision (id. p. 14), but the improvements were not without complications. Plaintiff testified that Carol McConn, HMA’s chief nursing officer, ignored her, excluded her from meetings, and bypassed her in communications. (Doc. #90, pp. 30, 33.) Plaintiff also stated that McConn rarely spoke with her, but routinely spoke with her predecessor and would

bypass plaintiff “to speak with any male physician present.” (Id. at 30.) Similarly, problems with HMA nursing director Bobbie Hamilton began on “day one.” (Id.) Hamilton refused to meet with plaintiff for regular weekly meetings to discuss the business of the Emergency Department, ignored her as Medical Director, and “regularly exhibited a pattern of behavior consistent with harassment and being an obstructionist to [plaintiff’s] role as Medical Director such as failing to address clinical issues by HMA RN’s working with [her] and failing to communicate resolution of these concerns to [her].” (Doc. #90, pp. 30, 73; Doc. #244-6, p. 108.) Per plaintiff, Hamilton also “refused to comply with

requests for weekly meetings to ensure a collaborative approach to emergency department management.” (Doc. #244-6, p. 108.) On January 11, 2012, plaintiff sent an email to Hamilton and Dr. Todd Carlson, TSG’s Regional President-East Division, regarding the overtly negative attitude nurse Aimee Collins exhibited towards plaintiff. (Doc. #142, p. 14.) Plaintiff also stated that HMA nurse Jacki Ellis had a similar attitude, and accused Ellis of “lying in a medical record, refusing to be professional towards [plaintiff] in any manner, acting rude, confrontational and directly contradictory with regards to patient care.” (Id.; Doc. #244-4, p. 70.) According to plaintiff, Ellis

“did not exhibit similar behavior towards other MD’s.” (Doc. #244-4, p. 70.) Plaintiff believed that the negative behavior exhibited by McConn, Hamilton, Collins, and Ellis was racially motivated. In March 2012, Dr. Carlson and Marty Anderson, a Senior Regional Vice President at TSG, met with Joseph Bernard, the chief operating officer at Pine Ridge, and McConn for a regularly scheduled quarterly meeting. (Doc. #244, p. 12; Doc. #258-1, ¶ 27.) During the meeting, McConn alleged that plaintiff was not getting along or communicating well with the nurses in the department, was not following the hospital sedation policy, and was not performing HMA mandated chart reviews. (Id.) Anderson

inquired as to the status of an investigation into these allegations, but one had not been done.3 (Id.) Prior to the meeting, Dr. Carlson, Anderson, and Bernard did not know of any

3 Anderson has testified she was surprised HMA had not investigated the allegations against plaintiff prior to the meeting because of the importance of determining “if there’s any foundation to the complaints.” (Doc. #110-1, p. 47.) However, Anderson did not ask why an investigation had not been done, testifying that as the “vendors,” TSG has “to be careful about how aggressively [it] behaves in a meeting” and “need[s] to protect the contract.” (Doc. #134, p. 96.) issues regarding plaintiff’s performance. (Doc. #89, p. 6; Doc. #110-1, p. 45; Doc. #128, p. 36.) On or about March 7, 2012, plaintiff had dinner with Dr.

Carlson and Anderson to discuss the issues raised by McConn at the meeting. (Doc. #142, p. 15.) Plaintiff indicated that the alleged deficiencies in her performance were false and that she would provide Dr. Carlson and Anderson with documentation to support her position. (Id.) Plaintiff also agreed to provide Dr. Carlson and Anderson with an opportunity to address these issues with HMA. (Id.) On March 21, 2012, Dr. Carlson sent plaintiff a text message stating, “We will be clearing the air and bringing the facts to light in front of all admin. Will take care of it.” (Id.; Doc. #244-8, p. 121.) Approximately two weeks after the dinner, plaintiff told Anderson that she believed racial discrimination was an issue at

Pine Ridge. (Doc. #90, p. 82.) In response to plaintiff’s allegations of racial discrimination, Anderson sent plaintiff an email stating the following: I’m still bothered about your comments that Bobbie [Hamilton] has been making derogatory racial comments about you.

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