Ruff v. Ascension Health Services

District Court, District of Columbia·Decided July 16, 2025·No. Civil Action No. 2024-2562·Published

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

CHANTAL RUFF,

Plaintiff,

v. Civil Action No. 24-2562 (JDB)

ASCENSION HEALTH SERVICES,

Defendant.

MEMORANDUM OPINION

Chantal Ruff was employed by Ascension Health Services and Providence Health Systems for several years. Her Ascension superiors informed her in April 2023 that she would be terminated effective July 31, and her employment so ended. In May 2024, Ruff filed a charge with the Equal Employment Opportunity Commission (“EEOC”) arguing that Ascension had wrongfully terminated her in retaliation for reporting her supervisors to Human Resources (“HR”). After the EEOC dismissed her charge as untimely, Ruff sued Ascension in court. Ascension now moves to dismiss Ruff’s complaint for failure to state a claim and to dismiss itself as a defendant. The Court will grant the motion to dismiss the complaint.

BACKGROUND1

From November 2021 to July 2023, Ruff was employed by Ascension as an office assistant at Providence Hospital in Washington, D.C. See Pl.’s Consolidated Opp’n [ECF No. 13] (“Consolidated Opp’n”) at 2. Ruff told Ascension that “she suffered from anxiety and panic attacks specifically triggered by working in the Primary Care department,” which Ascension

1 The Court takes the following factual allegations from Ruff’s complaint and subsequent filings, and on review under Federal Rule of Civil Procedure 12(b)(6), it accepts them as true and “liberally construe[s] [them] in . . . her favor.” See, e.g., Johnson v. District of Columbia, 572 F. Supp. 2d 94, 102 (D.D.C. 2008).

initially accommodated by employing Ruff in the urgent-care department. See Compl. [ECF No. 1-1] at 18. There, Ruff worked under Kimberly Saint Bernard and Thelesa Bryant. Id. at 17. Ruff contends Saint Bernard was “regularly verbally abusive,” and Ruff made repeated—but always unanswered—requests to meet with Bryant to address Saint Bernard’s behavior. See id. In October 2022, approximately two weeks after Ruff had filed an HR complaint against Saint Bernard, Ascension transferred Ruff to the primary-care department. See id. at 17–18.

The transfer was difficult for Ruff. She claims it “was presented . . . as a permanent, mandatory requirement of her continued employment,” and although she “continuously sought an explanation for the change and an opportunity to have it reversed due to her disability,” Ascension denied her requests. See id. at 18. In March 2023, Ruff suffered from low blood pressure and had a fainting episode at work. Id. at 13, 18. She sought medical care at Ascension’s urgent-care center and informed Bryant that her physician had referred her to the emergency room. Id. ¶ 1. Ruff later learned that Bryant had discussed her “treatment and diagnosis” with other employees, including Saint Bernard. See id. at 5, 13, 18. Ruff then filed an HR complaint alleging that Bryant had shared her medical information in violation of the Health Insurance Portability and Accountability Act (“HIPAA”). Id. at 18. Following her HR report, Ruff contends Saint Bernard retaliated by “denying treatment requests for patients entered by” Ruff—so Ruff reported Saint Bernard to HR, too. Id. HR concluded both investigations without findings of wrongdoing. Id.

On April 28, 2023, Ascension informed Ruff that due to the closing of its urgent-care, radiology, and pharmacy centers, she—along with all employees in those divisions—would be terminated effective July 31. See id. at 5, 13–14, 19. Ruff argued that she was a permanent employee of primary care, within the internal medicine department, as of her October 2022

transfer, but Ascension stated that the transfer had been temporary and Ruff remained an employee of urgent care. See id. at 5, 13, 19. As scheduled, Ruff’s last day was July 31.

In mid-August, Ruff, through counsel, sent a demand letter to Ascension seeking $150,000 in damages for alleged retaliation and wrongful termination. See id. at 17–23. The demand letter noted Ruff may have claims against Ascension under the Americans with Disabilities Act (“ADA”), 42 U.S.C. §§ 12101–12213, for Ascension’s failure to accommodate Ruff’s disability by transferring her to primary care, as well as under Title VII of the Civil Rights Act of 1964, 42 U.S.C. §§ 2000e–2000e-17, for terminating Ruff in retaliation for her reporting of Bryant and Saint Bernard to HR. See Compl. at 20–21.2 After failing to secure a settlement, Ruff filed a discrimination charge with the EEOC in mid-May 2024. See Mot. to Oppose Dismissal of Case [ECF No. 10] (“Opp’n 2) at 1. On May 20, the EEOC issued a dismissal letter concluding Ruff’s “charge was not filed within the time limits under the law; in other words, [she] waited too long after the date of the alleged discrimination to file [her] charge.” See Compl. at 24. The letter served as an “official notice . . . of the dismissal of [Ruff’s] charge and of [her] right to sue.” See id.

Armed with her right-to-sue letter, Ruff, proceeding pro se, sued Ascension in D.C.

Superior Court, and Ascension removed the case to this Court. Id. at 2–4; Notice of Removal [ECF No. 1] ¶¶ 1, 4. The Court construes Ruff’s complaint as bringing a claim for retaliation under the ADA. See Compl. ¶¶ 1–3; 17–20; Consolidated Opp’n at 1.3 Ruff seeks $150,000 in

2 The Court understands that Ruff now pursues an ADA claim that is different from, and may be inconsistent with, the potential claims contemplated in the demand letter.

3 This conclusion is based on Ruff’s original complaint and her responses to Ascension’s motion to dismiss.

See Richardson v. United States, 193 F.3d 545, 548–49 (D.C. Cir. 1999) (explaining when a court should consider a pro se plaintiff’s “complaint in light of [her]” subsequent filings, including responses to a defendant’s motion to dismiss). Ascension objects to this approach, but neither of the cases it cites involved a pro se plaintiff. See Def.’s Reply Supp. Mot. Dismiss [ECF No. 11] at 2–3; Def.’s Reply to Consolidated Opp’n [ECF No. 14] at 3 (both citing

damages, including severance pay and compensatory damages, a neutral employment reference, the removal of a June 2023 negative performance review from her employee file, and costs and attorney’s fees. See Compl. ¶ 2.

Ascension moved to dismiss both the complaint for failure to state a claim and Ascension as an improper defendant. Mot. Dismiss [ECF No. 5] (“Mot.”). Ruff opposed, see Mot. Opp’n Replacement of Def. [ECF No. 9] (“Opp’n 1”); Opp’n 2, and Ascension filed a reply, see Def.’s Reply Supp. Mot. Dismiss [ECF No. 11] (“Reply”). After Ruff filed another opposition, see Pl.’s Opp’n to Def.’s Mot. [ECF No. 12] (“Opp’n 3”), the Court ordered Ruff to file a consolidated opposition, see Minute Order (Nov. 21, 2024); Consolidated Opp’n. The Court then permitted Ascension to file another reply, see Def.’s Reply to Consolidated Opp’n [ECF No. 14] (“Second Reply”), and Ruff filed a surreply, see Pl.’s Reply Supp. Consolidated Opp’n [ECF No. 15] (“Surreply”). The motion is now very fully briefed.

ANALYSIS

Ascension seeks dismissal of Ruff’s complaint under Federal Rule of Civil Procedure 12(b)(6) because Ruff failed to exhaust administrative remedies—a foundational requirement of an ADA claim. See Mot. at 1. Ascension also moves to dismiss itself as a defendant and substitute Providence Hospital d/b/a/ Providence Health System, who it contends employed Ruff. See id. at 1 n.1.

On Rule 12(b)(6) review, the Court must determine whether, accepting the complaint’s well-pleaded allegations as true, the complaint states each claim plausibly on its face. See Ashcroft

BEG Invs., LLC v. Alberti, 85 F. Supp. 3d 13 (D.D.C. 2015); and Jones v. Ass’n of Am. Med. Colls., Civ. A. No. 22- 1680 (EGS), 2023 WL 2327901 (D.D.C. Mar. 2, 2023)).

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