Putnam v. C. Montana Med. Ctr

2020 MT 65
Montana Supreme Court·Decided March 25, 2020·No. DA 19-0478·Published·Cited by 1 cases

Opinion

03/25/2020

DA 19-0478

Case Number: DA 19-0478

IN THE SUPREME COURT OF THE STATE OF MONTANA 2020 MT 65

ELIZABETH A. PUTNAM, Plaintiff and Appellant,

v.

CENTRAL MONTANA MEDICAL CENTER, Defendant and Appellee.

APPEAL FROM: District Court of the Tenth Judicial District, In and For the County of Fergus, Cause No. DV-14-2017-115 Honorable Jon A. Oldenburg, Presiding Judge

COUNSEL OF RECORD:

For Appellant:

Torger Oaas, Attorney at Law, Lewistown, Montana For Appellee:

Brian Sabey, Hall, Render, Killian, Heath and Lyman, P.C., Denver, Colorado

Submitted on Briefs: January 29, 2020 Decided: March 24, 2020

Filed:

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Clerk

Chief Justice Mike McGrath delivered the Opinion of the Court.

¶1 Elizabeth Putnam appeals an August 12, 2019 Tenth Judicial District Court order granting Central Montana Medical Center’s (“CMMC”) motion for summary judgment and denying Putnam’s motion for partial summary judgment. We affirm. ¶2 We restate the issues on appeal as follows:

Issue One: Whether the District Court erred in concluding that CMMC possessed good cause when it terminated Putnam.

Issue Two: Whether the District Court erred in concluding that CMMC discharged Putnam in compliance with its express written policies.

FACTUAL AND PROCEDURAL BACKGROUND ¶3 Between 2004 and 2017, Putnam served as the In-Home Care Services Director for CMMC. Putnam’s job responsibilities included management, staffing, and overseeing billing activities of several departments relating to home-based care. Putnam was further tasked with routinely evaluating approximately 36 employees. In 2006, Putnam’s annual performance evaluation displayed that she was late with submitting employee evaluations. In October 2007, Putnam received an Employee Counseling Statement indicating high accounts receivable (“AR”) figures1 for three of the departments she was responsible for—Home Health Hospice, In-Home Care, and the Med-Alert Program. This written statement explained that Putnam was expected to understand the billing processes used by her departments and provide weekly oversight to ensure bills were completed in a timely manner. This statement also warned Putnam that

1 AR figures reflect outstanding bills owed.

if she failed to remedy the situation, further disciplinary action would occur “up to and including termination of employment.” ¶4 In November 2007, Putnam’s annual evaluation indicated that she had not submitted at least four employee evaluations. Consequently, Putnam received a “monitor” rating2 on her evaluation for “Develops home health and hospice plans.” Additionally, then-Chief Nursing Operator Diane Scotten noted on Putnam’s evaluation that, given Putnam’s overall responsibility to the department, “it’s important to be constantly aware of all [departments’] operations including billing and contracts.” Putnam’s future evaluations continued to reflect that she often missed employee evaluations and was behind on AR.3 ¶5 Between 2012 and 2016, the outstanding AR amount steadily increased. Putnam was repeatedly notified of this issue. In July 2012, accounting firm Eide Bailey audited CMMC’s financials, determining that approximately $80,000 in outstanding bills would have to be written off as a result of Putnam’s prolonged failure to gather the requisite documentation and comply with billing requirements for certain bills. In March 2015, the AR amount for Home Health/Hospice was $311,002.26. By May 2017, the outstanding Home Health/Hospice AR totaled $809,115.58. ¶6 Beginning in December 2014, to remedy the persistent AR problem, CMMC’s CFO Alan Aldrich began sending Putnam emails. These emails were accompanied by an

2 A “monitor” rating falls between a “meets or exceeds” standard and “unacceptable.”

3 Putnam’s 2007, 2008, and 2011 evaluations all showed that AR continued to be a problem.

Putnam’s 2011, 2013, and 2014 evaluations also indicated that she was behind on employee evaluations.

“Accounts Receivable Analysis,” detailing CMMC’s collection efforts and highlighting areas for improvement.4 Timely billing of Home Health/Hospice was consistently highlighted as one such area for improvement. Beginning in March 2015 and continuing until June 2017, Aldrich began including a statistic in the analysis tracking CMMC’s “AR Days”—the average number of days that accounts sit waiting to be paid down. Between November 2016 and June 2017, despite a company goal to reduce the average number of AR days to 68, average AR days remained above 100.5 ¶7 In November 2016, a meeting was held to address the high AR amount. Putnam remembered expressing her opinion during the meeting that more steps were needed to adequately address the AR problem. Putnam admitted that she was the person in the main leadership role with respect to this issue. One conclusion from the meeting was that a fellow employee would assume some of her job duties to free Putnam up “to work on the harder to solve items.” ¶8 On June 29, 2017, Putnam was absent from a manager’s meeting. Although Putnam admitted that these meetings were important to attend, and that department heads should carefully read the minutes upon missing a meeting, Putnam never read the meeting minutes. On June 30, 2017, Putnam met with her supervisor Karin White and new HR manager Carey Darlington to discuss an employee’s exit interview which included harassment allegations against Putnam, as well as Putnam’s poor meeting

4 Putnam acknowledged in a deposition that these areas for improvement were meant to signify that she address these problems, admitting that “[the AR figures] were not in compliance with expectation.”

5 The AR days at the end of the last full month prior to Putnam’s termination was 128.66.

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Putnam v. C. Montana Med. Ctr, 2020 MT 65 (Mo. 2020).

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Putnam v. C. Montana Med. Ctr
2020 MT 65 (Montana Supreme Court, 2020)