Tseng v. MetroHealth Sys.

2025 Ohio 1657
Ohio Court of Appeals·Decided May 8, 2025·No. 114057·Published

Opinion

COURT OF APPEALS OF OHIO

EIGHTH APPELLATE DISTRICT COUNTY OF CUYAHOGA

LEE H. TSENG, M.D., :

Plaintiff-Appellant, :

No. 114057

v. :

THE METROHEALTH SYSTEM, :

Defendant-Appellee. :

JOURNAL ENTRY AND OPINION

JUDGMENT: AFFIRMED

RELEASED AND JOURNALIZED: May 8, 2025

Civil Appeal from the Cuyahoga County Court of Common Pleas Case No. CV-22-960594

Appearances:

Employment Law Partners, LLC, and Kami D. Brauer; The Moskowitz Firm and Joshua B. Fuchs, for appellant.

Gordon Rees Scully Mansukhani, David A. Campbell, and Y. Timothy Chai, for appellee.

MARY J. BOYLE, J.:

In this appeal, plaintiff-appellant, Dr. Lee H. Tseng, M.D. (“Dr.

Tseng”), argues that the employee wage compensation plan adopted by defendant- appellee, The MetroHealth System (“MHS”), is discriminatory and violates

R.C. 4111.17 (Ohio’s Equal Pay Act) and 4112.02 (age discrimination). MHS maintains that there is no evidence of age discrimination against Dr. Tseng and its compensation plan does not violate Ohio’s Equal Pay Act. At trial, MHS’s motion for directed verdict was granted at the close of Dr. Tseng’s case-in-chief. We are now asked to determine whether the trial court erred in granting MHS’s directed verdict motion. For the reasons set forth below, we affirm the trial court’s judgment. I. Facts and Procedural History Dr. Tseng began his career as a doctor at MHS when he started his residency there in 1992 and has been employed at MHS as a radiologist for more than 25 years. In 2018, MHS implemented a new physician compensation plan. Under this compensation plan, Dr. Tseng’s income includes both a base salary and incentive compensation.1 The base salary for each physician is based on two factors: (1) the physician’s specialty, and (2) the physician’s academic rank. The academic rank is driven by the fact that MHS is a teaching hospital affiliated with Case Western Reserve University Medical School (“CWRU”). Dr. Tseng’s specialty is vascular interventional radiology, and his academic rank is assistant professor.

In 2021, MHS completed an assessment that resulted in the two younger radiologists in Dr. Tseng’s department receiving 12 percent raises and Dr. Tseng receiving a 6 percent raise. Following these raises, Dr. Tseng brought his concerns of age discrimination to his superiors. According to Dr. Tseng, MHS failed

1 The incentive portion of the compensation plan is not at issue.

to engage in any investigation or analysis of its compensation plan to determine whether the plan was discriminatory.

In March 2022, Dr. Tseng filed a complaint against MHS alleging two causes of action — violation of R.C. 4111.17 (Ohio’s Equal Pay Act) and violation of R.C. 4112.02(A) (age discrimination). Specifically, Dr. Tseng alleges that within his department there were two other vascular interventional radiologists who were substantially younger, less experienced, and had less seniority than him. According to Dr. Tseng, MHS issued the two younger physicians 12 percent raises but issued him a 6 percent raise, ultimately reducing his base salary rate so that Dr. Tseng and the younger physicians would receive the same base salary rate. Dr. Tseng contends that MHS reduced his base salary by adopting a discriminatory compensation system that negatively impacted older physicians, because this system disregarded his credentials and years of experience, service, seniority, and longevity. Although Dr. Tseng complained to his superiors, he alleges that MHS has continued to pay him under its discriminatory compensation plan. Thus, Dr. Tseng alleges that MHS has and continues to violate R.C. 4111.17 by paying him at a lesser rate, on the basis of his age, than similarly situated younger physicians whose positions require equal skill, effort, and responsibility under similar working conditions.

With regard to his age-discrimination claim, Dr. Tseng alleges MHS violated R.C. 4112.02(A) under two theories — disparate impact and disparate treatment. Under Dr. Tseng’s theory of disparate impact, he alleges that MHS’s compensation plan has a disparate impact, or falls more harshly, on physicians over the age of 40. Under Dr. Tseng’s theory of disparate treatment, he alleges that MHS discriminated against him on the basis of his age when MHS reduced his base salary rate by giving him a lower wage increase than other physicians who were substantially younger, less experienced, and had less seniority than Dr. Tseng.

In response, MHS filed an answer denying that it violated R.C. 4111.17 or 4112.02(A) and alleged several affirmative defenses, including that “[Dr. Tseng’s] claims fail because [Dr. Tseng’s] age, or any other protected category, played no role in [Dr. Tseng’s] compensation”; “[MHS’s] physician compensation system is lawful because employees are paid the same for equal work on jobs the performance of which requires equal skill, effort, and responsibility, and which are performed under similar conditions”; and “[t]he differences in percentage increase levels were due to [MHS’s] application of its neutral, non-discriminatory physician compensation program.” (MHS’s answer, May 10, 2022.) The matter proceeded to a jury trial in May 2024, at which the following evidence was adduced.

Dr. Tseng, who was 57 years old at the time of trial, testified that he has been with MHS for 31 years in total. He first started out as a resident in 1992, which was a five-year program. Next, he completed a one-year fellowship at MHS in a radiology subspecialty known as vascular interventional radiology. On May 19, 1999, Dr. Tseng accepted a position as a radiologist with MHS. Currently, Dr. Tseng is a vascular interventional radiologist with MHS, holds the academic rank of assistant professor with CWRU, and is board certified in diagnostic radiology and interventional radiology.2 Dr. Tseng testified that CWRU determines the academic rank of the MHS physicians. In March 2021, Dr. Tseng was .8 FTE or 80 percent full-time equivalent, which meant that he would “work four out of the five weekdays and [he] would be on-call at that time one of those four days . . .[,] which could be anywhere from five to 8:00 at night, we continue our call through to the morning hours, 8:00 [a.m.] when the shift comes in and you continue your work at that time so one day a week you do that. . . . And then if there were four of us so we rotated our weekend calls every fourth weekend[.]” (Tr. 67-68.)

In March 2021, Dr. William Baughman, M.D. (“Dr. Baughman”), who was the interim chair of MHS’s Radiology Department, gave Dr. Tseng a letter during a meeting at which Dr. Baughman told him that all the interventional radiologists were getting a 12 percent raise. The letter he received indicated that his new annual base compensation was $353,689. According to Dr. Tseng, this was actually a 6 percent pay increase, not 12 percent as Dr. Baughman indicated. Consequently, Dr. Tseng asked to meet with Dr. Baughman to discuss the discrepancy. Dr. Baughman told him “there’s nothing he can do.” (Tr. 71.) Dr. Baughman further told Dr. Tseng that he could talk to his boss, Dr. Bernard Boulanger, M.D., the chief clinical officer at MHS, and see if the three of them could meet to address Dr. Tseng’s concerns.

2 The ranks above assistant professor are associate professor and professor.

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