Valerie Kloosterman v. Metropolitan Hospital

CourtCourt of Appeals for the Sixth Circuit
DecidedAugust 27, 2025
Docket24-1398
StatusPublished

This text of Valerie Kloosterman v. Metropolitan Hospital (Valerie Kloosterman v. Metropolitan Hospital) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Valerie Kloosterman v. Metropolitan Hospital, (6th Cir. 2025).

Opinion

RECOMMENDED FOR PUBLICATION Pursuant to Sixth Circuit I.O.P. 32.1(b) File Name: 25a0239p.06

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

┐ VALERIE KLOOSTERMAN, │ Plaintiff-Appellant, │ │ v. │ > No. 24-1398 │ METROPOLITAN HOSPITAL, dba University of │ Michigan Health-West, dba Metro Health-University │ of Michigan Health; RAKESH PAI, individually and in │ his official capacity as President, Medical Group & │ Chief Population Health Officer at University of │ Michigan Health-West; RHAE-ANN BOOK, │ individually and in her official capacity as Vice │ President of Diversity, Equality, and Inclusion at │ University of Michigan Health-West; MARIA COLE, │ individually and in her official capacity as Director of │ Human Resources at University of Michigan Health- │ West; THOMAS PIERCE, individually and in his official │ capacity as Diversity, Equity & Inclusion Coordinator │ at University of Michigan Health-West; CATHERINE │ SMITH, individually and in her official capacity as a │ member of the Advanced Practice Providers’ Council │ at University of Michigan Health-West, │ Defendants-Appellees. │ ┘

Appeal from the United States District Court for the Western District of Michigan at Grand Rapids. No. 1:22-cv-00944—Jane M. Beckering, District Judge.

Argued: February 6, 2025

Decided and Filed: August 27, 2025

Before: MURPHY, DAVIS, and BLOOMEKATZ, Circuit Judges. No. 24-1398 Kloosterman v. Metropolitan Hosp. et al. Page 2

_________________

COUNSEL

ARGUED: Kevin Wynosky, CLEMENT & MURPHY, PLLC, Alexandria, Virginia, for Appellant. Jonathon A. Rabin, HALL RENDER KILLIAN HEATH & LYMAN, P.C., Troy, Michigan, for Appellees. ON BRIEF: Kevin Wynosky, CLEMENT & MURPHY, PLLC, Alexandria, Virginia, Jeffrey C. Mateer, David J. Hacker, Doug Peterson, Roger L. Byron, FIRST LIBERTY INSTITUTE, Plano, Texas, Kayla A. Toney, FIRST LIBERTY INSTITUTE, Washington, D.C., for Appellant. Jonathon A. Rabin, Larry R. Jensen, HALL RENDER KILLIAN HEATH & LYMAN, P.C., Troy, Michigan, for Appellees. Ilya Shapiro, Tim Rosenberger, MANHATTAN INSTITUTE, New York, New York, Brian T. Goldman, HOLWELL SHUSTER & GOLDBERG LLP, New York, New York, Anthony J. Powell, OFFICE OF THE ATTORNEY GENERAL OF KANSAS, Topeka, Kansas, John Eidsmoe, FOUNDATION FOR MORAL LAW, Gallant, Alabama, Andrew Gould, HOLTZMAN VOGEL BARAN TORCHINSKY & JOSEFIAK, PLLC, Phoenix, Arizona, John M. Reeves, REEVES LAW LLC, St. Louis, Missouri, Philip J. Loree Jr., THE LOREE LAW FIRM, New York, New York, for Amici Curiae.

MURPHY, J., delivered the opinion of the court in which DAVIS and BLOOMEKATZ, JJ., concurred. MURPHY, J. (pp. 15–20), and BLOOMEKATZ, J. (pp. 21–24), also delivered separate concurring opinions. _________________

OPINION _________________

MURPHY, Circuit Judge. Valerie Kloosterman sued her former hospital employer and several of its officials under 42 U.S.C. § 1983, Title VII, and Michigan law. The hospital defendants repeatedly asked the district court to dismiss all of Kloosterman’s claims on the merits. But the court declined to dismiss several of them. Only at that point—after a year of litigation and after the defendants got a preview of how the merits might progress in court—did they seek to arbitrate. We conclude that this request came too late, primarily because the defendants sought to avoid arbitration altogether by asking for a complete judicial victory. Specifically, we hold that the defendants lost their right to arbitrate under the Federal Arbitration Act because their conduct put them “in default in proceeding with [their requested] arbitration.” 9 U.S.C. § 3. We thus reverse the district court’s decision to dismiss this suit in favor of arbitration. No. 24-1398 Kloosterman v. Metropolitan Hosp. et al. Page 3

I

A

Given the early stage at which this case has reached us, we will summarize the facts using Kloosterman’s operative complaint. We emphasize, though, that Kloosterman has yet to support her factual allegations with evidentiary support—as she must do at later stages of this case. See Rudd v. City of Norton Shores, 977 F.3d 503, 507 (6th Cir. 2020).

After her graduation in 2004, Kloosterman began her employment as a physician assistant with Metropolitan Hospital in Wyoming, Michigan. 2d Am. Compl., R.69, PageID 1236, 1241. She worked at an outpatient clinic that provided internal, family, and pediatric care about 15 minutes away from the main hospital building. Id., PageID 1241. Over the years, the Hospital gave Kloosterman “exemplary performance reviews” and never put any discipline in her personnel file. Id., PageID 1242. She also had a “stellar” reputation with patients, who knew her as a “caring provider.” Id. She treated all patients the same regardless of their sexual orientation or gender identity. Id.

In 2016, Metropolitan Hospital became a subsidiary of the University of Michigan Health System. Id., PageID 1241. It eventually began to do business under the name University of Michigan Health-West. Id., PageID 1243. The University of Michigan Board of Regents obtained the power to control the Hospital’s policies. Id., PageID 1243–44. So the Hospital allegedly became a state actor. Id.

After the Hospital affiliated with the University of Michigan Health System, it required Kloosterman to take training “on serving LGBTQ+ patients.” Id., PageID 1244. In the middle of 2021, this training compelled her for the first time to “affirm statements concerning sexual orientation and gender identity that her Christian faith prohibited her from affirming.” Id. Kloosterman’s faith has led her to believe that God creates humans as either male or female and that individuals should not attempt to change their sex. Id., PageID 1238–39. Her faith also bars her from referring to patients using pronouns that do not match their biological sex. Id., PageID 1239. And it prevents her from helping patients obtain “sterilizing drugs” or undergo “surgical procedures” to alter their sex. Id. Even apart from her religion, Kloosterman also believes that No. 24-1398 Kloosterman v. Metropolitan Hosp. et al. Page 4

puberty-blocking drugs and sex-reassignment surgeries do not qualify as proper health care as a matter of her medical judgment. Id., PageID 1240. Yet the training would have required her to affirm statements inconsistent with these opinions on threat of termination. Id., PageID 1245.

To seek a religious accommodation, Kloosterman reached out to the office manager of her clinic, her supervising physician, and Catherine Smith, a nurse who served as a human- resources “liaison” for Kloosterman. Id., PageID 1237, 1245–46. Smith and Kloosterman’s supervising physician told Kloosterman “to do what she felt was right in her heart.” Id., PageID 1245. The office manager told her to speak with employees in the Hospital’s Department of Diversity, Equity, and Inclusion (or DEI). Id. Kloosterman then contacted Dr. Rhae-Ann Booker, the vice president of this department. Id., PageID 1245. Booker arranged for a meeting to discuss Kloosterman’s accommodation request. Id., PageID 1245–46.

On around July 29, 2021, Kloosterman met with Marla Cole, the HR Director; Thomas Pierce, the DEI Program Director; and Smith. Id. At this meeting, the participants asked whether Kloosterman “would use gender identity-based pronouns” and “be willing to refer patients for ‘gender reassignment surgery.’” Id. Kloosterman explained that her religious faith and medical judgment barred her from engaging in these practices. But she added that she would use “patients’ names in place of pronouns” so that she could “respect their wishes” in a way that comported with her beliefs. Id.

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Valerie Kloosterman v. Metropolitan Hospital, Counsel Stack Legal Research, https://law.counselstack.com/opinion/valerie-kloosterman-v-metropolitan-hospital-ca6-2025.