Sylvia Rabo v. Essentia Health, a non-profit Minnesota corporation

CourtDistrict Court, D. Minnesota
DecidedJune 12, 2026
Docket0:25-cv-04407
StatusUnknown

This text of Sylvia Rabo v. Essentia Health, a non-profit Minnesota corporation (Sylvia Rabo v. Essentia Health, a non-profit Minnesota corporation) is published on Counsel Stack Legal Research, covering District Court, D. Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sylvia Rabo v. Essentia Health, a non-profit Minnesota corporation, (mnd 2026).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF MINNESOTA

Sylvia Rabo, File No. 25-cv-4407 (ECT/LIB)

Plaintiff,

v. OPINION AND ORDER

Essentia Health, a non-profit Minnesota corporation,

Defendant.

Karin Ryan and Charlie R. Alden, Gilbert Alden Barbosa PLLC, Burnsville, MN, for Plaintiff Sylvia Rabo.

Terran C. Chambers and Hannah Camilleri Hughes, Faegre Drinker Biddle & Reath LLP, Minneapolis, MN, for Defendant Essentia Health.

Sylvia Rabo worked as a cardiovascular perfusionist for Essentia Health in Fargo, North Dakota. There, Rabo alleges, she suffered discrimination based on her race, national origin, and sex, including sexual harassment, all at the hands of her direct supervisor. Pursuant to Federal Rule of Civil Procedure 12(b)(6), Essentia has moved to dismiss four of the Amended Complaint’s six counts. The motion will be granted for the most part. (1) Fatal to her hostile-environment sexual-harassment claim under the North Dakota Human Rights Act, the Amended Complaint does not allege that Rabo reported sexual harassment to Essentia. However, Rabo’s claim that her Essentia employment was terminated for rejecting her supervisor’s sexual advances in violation of the North Dakota Human Rights Act will not be dismissed. (2) The negligent-supervision-or-retention claim will be dismissed because the Amended Complaint does not plausibly allege that the harassing conduct of Rabo’s supervisor was reasonably foreseeable to Essentia. (3) The

claim that Rabo’s termination violated public policy will be dismissed because the Amended Complaint does not tether the alleged public policy to a rule having the force of law. (4) And Rabo’s claim for intentional infliction of emotional distress will be dismissed because the supervisor’s harassment on which the claim depends was not plausibly within the supervisor’s scope of employment. I1

Rabo began working as a cardiovascular perfusionist (her formal title was “perfusionist – surgery”) at Essentia-Fargo’s Heart and Vascular Center in October 2023. Am. Compl. [ECF No. 12] ¶¶ 18–19.2 When Rabo started at Essentia, Carl Moser was the

1 In accordance with the standards governing Rule 12(b)(6) motions, the facts are drawn entirely from the operative Amended Complaint and documents embraced by it. Glow In One Mini Golf, LLC v. Walz, 37 F.4th 1365, 1370 (8th Cir. 2022). Relevant here, “materials embraced by the complaint include documents whose contents are alleged in a complaint and whose authenticity no party questions, but which are not physically attached to the pleadings.” Zean v. Fairview Health Servs., 858 F.3d 520, 526 (8th Cir. 2017) (citation modified). 2 According to the Mayo Clinic,

Cardiovascular perfusionists are responsible for operating extracorporeal circulation equipment, such as the heart-lung machine, during an open-heart surgery or any other medical procedure in which it is necessary to artificially support or temporarily replace a patient’s circulatory or respiratory function.

Perfusion is the passage of bodily fluids, such as blood, through the circulatory or lymphatic system to an organ or tissue. Because the heart is mainly responsible for pumping chief perfusionist and Rabo’s direct supervisor. Id. ¶¶ 26, 31. Rabo and Moser were the only full-time perfusionists, and they typically split all perfusionist procedures evenly. See id. ¶¶ 21, 39, 43. Moser also supervised a “PRN3 perfusionist” who worked at another

hospital and traveled to Fargo to cover Rabo and Moser’s vacations. Id. ¶¶ 31–33. Moser managed the perfusionists’ schedules. See id. ¶¶ 31, 35–36. On June 14, 2024, Moser died unexpectedly, and Duane Neugebauer, the cardiac department’s supervisor, became Rabo’s direct supervisor. See id. ¶ 42, 202. Following Moser’s death, Rabo was the only full-time perfusionist on staff. Id. ¶ 43.

On June 25, 2024, Neugebauer offered Rabo the chief perfusionist position. Id. ¶ 44. After accepting that offer, Rabo went “from handling about 50% of the cases to handling all of the cases and potentially working 24/7.” Id. ¶ 48. “Rabo notified Neugebauer they needed to hire a second perfusionist to comply with AmSECT’s4

fluid through the body, when a patient has a procedure that interrupts the heart’s normal function, a cardiovascular perfusionist steps in to temporarily do the heart’s job. They monitor a patient’s vitals and then select appropriate equipment and technique to manage normal blood flow, body temperature, and other respiratory functions.

Cardiovascular Perfusionist, Mayo Clinic Coll. of Med. & Sci., https://college.mayo.edu/ academics/explore-health-care-careers/careers-a-z/cardiovascular-perfusionist (last visited June 11, 2026).

3 “PRN” is the medical abbreviation for the Latin phrase pro re nata, which means “as needed.” See pro re nata, Merriam-Webster, https://www.merriam-webster.com/ dictionary/pro%20re%20nata (last visited June 11, 2026); see also Am. Compl. ¶ 32. 4 AmSECT is the “American Society of ExtraCorporeal Technology,” and it provides Standards and Guidelines for Perfusion Practice to be used “as a checklist or template to ensure departments follow what is expected of a perfusion team by its national society.” Guideline 15.1,” id. ¶ 46, but Neugebauer refused, id. ¶¶ 53–54. Instead, Neugebauer hired PRN or locum5 perfusionists to fill in for Rabo one week per month. Id. ¶¶ 55, 59. That

left Rabo working “as the only perfusionist three out of four weeks per month,” and during those three weeks, “she was either scheduled for a procedure or could be called at any time for a procedure 24/7.” Id. ¶ 58. “Neugebauer finally agreed to also hire two other PRNs[,] but they only covered on-call shifts along with Rabo.” Id. ¶ 60. The PRN perfusionists earned a higher hourly wage than Rabo. See id. ¶¶ 32, 44. According to the Amended Complaint, “shortly after Rabo was made Chief

Perfusionist, Neugebauer began harassing and discriminating against her.” Id. ¶ 66. To support these legal characterizations of Neugebauer’s conduct, the Amended Complaint alleges Neugebauer: (1) controlled scheduling, id. ¶ 67; (2) ignored Rabo’s scheduling requests and prioritized requests of male PRNs, id. ¶ 68; (3) expected Rabo to handle all the cases three out of four weeks per month, called Rabo “lazy,” and told her if he did not

schedule her continuously, she would “lay around and do nothing,” id. ¶ 69; (4) did not require white male perfusionists to handle all cases, id. ¶ 71; (5) paid Rabo less for on-call scheduling than PRN perfusionists were paid, id. ¶¶ 72, 77; (6) told Rabo she was

See AmSECT’s Standards and Guidelines, AmSECT, https://amsect.org/policy- practice/amsects-standards-and-guidelines (last visited June 11, 2026). AmSECT’s guidelines “are what AmSECT has determined are the minimum requirements for safe cardiopulmonary bypass.” Id.

5 A “locum” or “locum tenens” refers to “one filling an office for a time or temporarily taking the place of another.” Locum tenens, Merriam Webster, https:// www.merriam-webster.com/dictionary/locum%20tenens (last visited June 11, 2026). “‘difficult to deal with’ and insinuated he would fire her” when she requested schedule changes or additional compensation, id. ¶ 74.

On September 30, 2024, Rabo reported to Essentia human resources that Neugebauer had discriminated against her based on her gender, race, and national origin. Id. ¶ 76. Rabo wrote: My name is Sylvia Rabo, and I am writing to formally report the discrimination I have experienced from my immediate manager, Duane Neugebauer.

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