Hanley v. New York City Health and Hospitals Corporation, Inc.Hanley v. New York City Health and Hospitals Corporation, Inc.
Case Information
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF NEW YORK
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CLAIRE HANLEY, M.D., MEMORANDUM AND ORDER
Plаintiff, Case No. 1:19-CV-04246 (FB) (SJB) -against- NEW YORK CITY HEALTH AND
HOSPITALS CORPORATION; KINGS
COUNTY HOSPITAL CENTER;
STATE UNIVERSITYOF NEW YORK
DOWNSTATE MEDICAL CENTER;
WAYNE J. RILEY, M.D. as President of
SUNY Downstate Medical Center;
DEBORAH L. REEDE, M.D. as Chair of
Radiology of SUNY Downstate Medical
Center and individually; PATRICK
HAMMILL, M.D. as Director of
Radiology at Kings County Hospital
Center and individually; and NEESHA
PATEL, M.D.,
Defendants.
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Appearances: For the Hospital Defendants :
For the Plaintiff : LAURA C. WILLIAMS MOLLY SMITHSIMON, Assistant Corporation Counsel for the 7 Times Square, 19th Floor City of New York New York, NY 10022
100 Church Street, Room 2-102 New York, NY 10007 For the SUNY Downstate Defendants: CLEMENT J. COLUCCI Assistant Attorney General for the State of New York 28 Liberty Street New York, NY 10005
BLOCK, Senior District Judge:
In this age discrimination action, Defendants New York City Health and Hospitals Corporation (“NYCHHC”), Kings County Hospital Center (“KCHC”), Patrick Hammill, M.D. (“Dr. Hammill”) and Neesha Patel, M.D. (“Dr. Patel”) (collectively, the “Hospital Defendants”) have moved for summary judgment. Defendants the State University of New York (“SUNY Downstate”), Wayne J. Riley, President of the State University of New York Downstatе Health Science Center at Brooklyn (“Riley”), and Deborah L. Reede, Chair of SUNY Downstate’s Department of Radiology (“Dr. Reede”) (collectively, the “SUNY Downstate Defendants”) have separately moved for summary judgment.
For the following reasons, Defendants’ motions are GRANTED in part and DENIED in part.
I. BACKGROUND
The facts presented here, as well as those in the Discussion section, are taken
from the pleadings, the parties’ Rule 56.1 statements, and the supporting
documentation. The facts are undisputed unless otherwise noted. The Court
construes all evidence in the light most favorable to the non-moving party, drawing
all inferences and resolving all ambiguities in that party’s favor. See LaSalle Bank
Nat. Ass’n v. Nomura Asset Cap. Corp. ,
SUNY Downstate and NYCHHC maintain an agreement (the “Affiliate Agreement”) whereby SUNY Downstate employs radiologists as academic staff subject to renewable term appointments and then recommends them for assignment as clinical practitioners at KCHC, a hospital owned and operated by NYCHHC. Plaintiff was employed pursuant to this agreement in 2002: She worked for SUNY Downstate as a Clinical Assistant Professor of Radiology under the supervision of the Chair of Radiology. She was assigned to work as a radiologist in the breast imaging department of KCHC under the Chief of Service for Radiology at KCHC. Plaintiff’s employment at SUNY Downstate was conditioned upon her maintenance of her clinical position and privileges at KCHC.
Plaintiff alleges that, in 2017, Dr. Hammill, the Chief of Service for Radiology at KCHC, brought on his friend, Dr. Patel, to serve as the Director of Breast Imaging at KCHC. Plaintiff claims that Dr. Patel and Dr. Hammill then brought a series of false allegations against her of poor performance and substandаrd patient care, with the intention of terminating her employment to free her line of funding at the hospital for a younger practitioner. These allegations culminated in Dr. Hammill’s recommendation to the KCHC Medical Board that Plaintiff not be reappointed to her clinical position at the hospital. The Medical Board followed Dr. Hammill’s recommendation, and Plaintiff’s clinical privileges consequently expired. She was approximately 70 years old at the time. Hospital Defs.’ Statement of Undisputed Facts (“SOF”) at ¶ 22. Doctors Hammill and Patel were approximately 47 and 40 years old, respectively. Id. at ¶¶ 10, 15.
Following the expiration of Plaintiff’s clinical privileges at KCHC, the Chair of Radiology at SUNY Downstate, Dr. Reede, recommended that Plaintiff not be reappointed to her academic position at the university. Dr. Reede was approximately 67 years old at the time. Pl.’s Dep. 168:13. Plaintiff’s employment at SUNY Downstate was subsequently terminated, effective December 20, 2019.
After Plaintiff’s termination, Dr. Hammill hired a new breast imaging radiologist, Dr. Bustamante, to replace Plaintiff at KCHC upon Dr. Patel’s recommendation. Dr. Hammill еstimated in his deposition that Dr. Bustamante was around 50 years old at the time when he was hired. Pl.’s SOF at ¶ 5, Ex. D at 33.
Plaintiff’s age discrimination claims are brought under 29 U.S.C. §§ 216, 626 (“ADEA”), et seq. , the New York State Human Rights Law (“NYSHRL”), and the New York City Human Rights Law (“NYCHRL”). She also alleges denial of Procedural Due Process in violation of the Fourteenth Amendment under color of state law pursuant to 42 U.S.C. §1983. She seeks damages and injunctive relief including reinstatement.
II. DISCUSSION a. KCHC is Not a Suable Entity As a preliminary matter, the Hospital Defendants are correct that, “[a]s a facility owned and operated by [NYC]HHC, [KCHC] may not be sued in its independent capacity.” See Ochei v. Coler/Goldwater Mem’l Hosp. , 450 F. Supp. 2d 275, 288 (S.D.N.Y. 2006) (citing (N.Y. City Charter ch. 17, § 396)). All claims against KCHC are therefore dismissed.
b. SUNY Downstate and NYCHHC are Joint-Employers
The existence of an employer-employee relationship is a prerequisite for
each of Plaintiff’s statutory discrimination claims. See Frankel v. Bally, Inc. , 987
F.2d 86, 88 (2d Cir. 1993) (ADEA); Kilkenny v. Greenberg Traurig, LLP , No. 5-
civ-6578 (NRB),
To establish joint liability between SUNY Downstate and NYCHHC,
Plaintiff relies on the joint employer doctrine, see Woodman v. WWOR-TV, Inc. ,
Here, the Felder factors plainly indicate that NYCHHC was Plaintiff’s “joint employer.” It is undisputed that NYCHCC controlled the “manner and means” by which Plaintiff performed her clinical duties at KCHC. See Eisenberg , 237 F.3d at 114 (recognizing that in common law agency analysis “the greatest emphasis should be placed on . . . the extent to which the hiring party controls the ‘manner and means’ by which the worker completes his or her assigned tasks”) (cleaned up). These duties made up the majority of Plaintiff’s day-to-day work, which was also subject to ongoing review by KCHC staff such as Dr. Hammill. Tellingly, although Plaintiff was formally paid by SUNY Downstate, NYCHHC reimbursed the university for the portion of Plaintiff’s compensation earned by her clinical work, which amounted to 95% of her salary.
In addition, although Plaintiff may have been formally hired by SUNY Downstate, her employment contract recommended her independent appointment to KCHC and made that appointment a necessary condition of her continued employment by SUNY Downstate. Whether or not Plaintiff’s appointment at KCHC amounted to a constructive hiring by NYCHHC, the necessity of Plaintiff’s clinical position at KCHC certainly meant that the staff there had the power to constructively fire her.
For these reasons, the Court holds that NYCHHC and SUNY Downstate were Plaintiff’s “joint employers” under the Affiliate Agreement.
c. Plaintiff’s Discrimination Claims
Plaintiffs’ age discrimination claims under the ADEA, the NYSHRL, and
the NYCHRL are governed by the familiar three-part McDonnell Douglas burden-
shifting framework. See Gorzynski v. JetBlue Airways Corp. ,
To succeed under this framework, a plaintiff must first establish a prima
facie case of employment discrimination by showing: “(1) that she was within the
protected age group, (2) that she was qualified for the position, (3) that she
experienced adverse employment action, and (4) that the action occurred under
circumstances giving rise to an inference of discrimination.” Lively v. WAFRA Inv.
Advisоry Grp., Inc. ,
If a plaintiff successfully establishes a prima facie case, the burden shifts “to
the employer to articulate some legitimate, nondiscriminatory reason for the
adverse employment action.” United States v. Brennan ,
Finally, Plaintiff must also demonstrate, as a matter of causation, that there
is a triable issue of fact as to whether age was the “but-for” cause of the adverse
employment action. See Gorzynski ,
As they have moved on distinct grounds, the Court will address the Hospital Defendants and the SUNY Downstate Defendants’ arguments separately.
1. Hospital Defendants
i. Prima Facie Case The parties do not dispute that Plаintiff was in the protected group,
[2]
that she
was qualified for her position, or that she suffered an adverse employment action.
Plaintiff meets her burden on the final element — and therefore establishes a prima
facie case — by providing evidence that she was replaced by two “significantly
younger” workers, Doctors Patel and Bustamante, who were, respectively, 30 and
20 years younger than Plaintiff at the relevant time. See O’Connor v. Consolidated
Coin Caterers Corp. ,
The Hospital Defendants argue that Plaintiff could not have been replaced by Dr. Patel because their roles contained different obligations. [3] But this fails to rebut Plaintiff’s case because there is no dispute that Dr. Patel’s duties included Plaintiff’s obligations, even if Dr. Patel’s rolе was overinclusive. Compare Hospital Defs.’ SOF at ¶ 8 (“Plaintiff’s duties at KCHC included, among other things, reading mammograms and performing procedures”) with ¶ 17 (“Dr. Patel was responsible for . . . reading and interpreting patient breast images”).
There is also no dispute that Dr. Bustamante was hired to replace Plaintiff
after her termination. Pl’s. Ex. D, at 33. Although Dr. Hammill had to guess at his
deposition that Dr. Bustamante was “about 50,” the Court draws the reasonable
inference that Dr. Bustamante was still significantly younger than Plaintiff. See
also Bucalo v. Shelter Island Union Free Sch. Dist. ,
Plaintiff’s prima facie case is bolstered by her allegation that Dr. Hammill
made a discriminatory remark when signing the reappointment credentialing
packet for Dr. Chaudary, who was 67 at the time: “Shouldn’t she be retiring by
now?” Hospital Defs.’ SOF at ¶¶ 22, 163. Generally, stray age-related remarks,
without more, “do not constitute sufficient evidence to make out a case of
employment discrimination.” See Dаnzer v. Norden Sys., Inc. ,
Here, the alleged remark was made by a decisionmaker about one of
Plaintiff’s colleagues who was only slightly younger than Plaintiff herself.
Moreover, the remark “drew a direct link” between the practitioner’s age and the
viability of her continued employment, which is the heart of Plaintiff’s
discrimination claim. See Naumovski v. Norris ,
Plaintiff also attempts to establish an inference of discrimination by virtue of disparate treatment. Specifically, she argues that the other radiologists at KCHC were not subject to comparable discipline despite comparable professional errors. But this argument fails because the similarly situated employees Plaintiff relies on were not “outside h[er] protected group.” See Ruiz v. Cnty. of Rockland , 609 F.3d 486, 493 (2d Cir. 2010). [5] However this result is not dispositive because, as noted, Plaintiff has already met her burden.
The Court declines to draw the Hospital Defendants’ requested “same actor”
inference against Plaintiff’s discrimination claims simply because Doctors
Hammill and Patel, at ages 40 and 47 respectively, were within Plaintiff’s
protected class at the time of the alleged discrimination. This inference is
“permissive, not mandatory,” Ehrbar v. Forest Hills Hosp. ,
Nor does the Court find that Plaintiff’s discrimination claim is fatally
undermined because Dr. Hammill initially approved Plaintiff’s application for
renewal of her clinical privilege in March 2018 but then recommended to the
KCHC Medical Board several months later that she should not be reappointed.
Once again, the non-discriminatory inference here is “permissive, not mandatory,”
and, moreover, is typically “not a sufficient basis to grant summary judgment for
the employer, at least when the employee has proffered evidence of pretext, as
Plaintiff has done here.” See Collins v. Connecticut Job Corps , 684 F. Supp. 2d
232, 251 (D. Conn. 2010). Plaintiff’s proffer of Dr. Hammill’s age-related remark
creates at least a question of fact on the credibility of his non-discriminatory intent.
See Gallo v. Prudential Residential Services ,
For these reasons, Plaintiff has satisfied her minimal burden of establishing a prima facie case of age discrimination.
ii. Legitimate Reasons
Defendants meet their own minimal burden of proffering legitimate, non-
discriminatory reasons to explain the Hospital Defendants’ decision to terminate
Plaintiff’s clinical privileges at KCH. Namely, they assert that рrior to the
termination of her clinical privileges at KCHC, Plaintiff had performed poorly and
subjected her patients to substandard care. These reasons are sufficient to “rebut
the presumption of age discrimination established by plaintiff’s prima facie case.”
Carlton ,
iii. Pretext Plaintiff sufficiently undermines the Hospital Defendants’ legitimate reasons for terminating her to raise triable issues of fact. Drummond , 400 F. Supp. 2d at 528.
Regarding Plaintiff’s allegedly poor performance, Dr. Hammill and Dr. Patel
cited several performance metrics as a basis for the suspension of Plaintiff’s
clinical privileges: (1) her above-average recall rates; (2) her practice of
categorizing diagnostic mammograms; and (3) her alleged disregard for guidelines
promulgated by Dr. Patel. To rebut this, Plaintiff proffers expert testimony and
non-expert testimony showing that her performance was within standard
professional parameters, that it was consistent with the performance of other
practitioners at KCHC, and that Doctors Hammill and Patel were incorrect to rely
on these metrics as evidence of poor performаnce. This evidence suffices to
establish a triable issue of fact as to whether or not Plaintiff had “satisfactory job
performance at the time of discharge.’” See Hawkins v. Astor Home for Children ,
No. 96 Civ. 8788,
The same is true regarding the alleged patient issues that Dr. Patel reported to Dr. Hammill, and subsequently, to the KCHC medical board. For each of the four patients that the Hospital Defendants rely on, Plaintiff identifies a legitimate justification for her conduct and proffers evidence showing that her conduct was within an applicable stаndard of professional care. Consequently, she raises a material question as to the validity of the Hospital Defendants’ reliance upon these alleged incidents as grounds to terminate Plaintiff’s clinical privileges.
Taken together, Plaintiff’s evidence of pretext and her allegations that she was replaced by one or two significantly younger employees, at the direction of a supervisor who allegedly made discriminatory remarks, cumulatively raise a triable question of fact regarding whether age discrimination was a but-for reason fоr her termination. Namely, if Plaintiff can prove her case that the performance concerns identified by Doctors Hammill and Patel did not create a legitimate basis to terminate her, and if she can prove invidious discrimination based upon the circumstances that she has cited, a reasonable jury could find that she was in fact terminated because of her age. [6]
iv. Dr. Hammill and Dr. Patel May Be Liable as
Aiders and Abettors Under the HRL Statutes
The Hospital Defendants have additionally moved to dismiss Plaintiff’s
HRL claims against Dr. Hammill and Dr. Patel because Plaintiff has asserted aider
and abettor liability against them based on their own discriminatory conduct.
While some courts in this circuit have held that defendants cannot be liable as
aiders and abettor for their own discriminatory conduct, “the weight of the
authority tips decidedly in favor of allowing the aider and abettor claim to go
forward.” See Beni v. New York , No. 18- CV-615 (JMA) (ARL), 2019 WL
7598702, at *8 (E.D.N.Y. Aug. 19, 2019) (collecting cases), report and
recommendation adopted , No. 18-CV-615 (JMA) (ARL),
While the Court concedes the logical appeal of precluding circular aider and
abettor liability, the Second Circuit held in Tomka v. Seiler Corporation , 66 F.3d
1295 (2d Cir. 1995) abrogated on other grounds by Burlington Indus., Inc. v.
Ellerth ,
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For these reasons, the Hospital Defendants’ motion for summary judgment on Plaintiff’s discrimination claims is denied.
2. SUNY Downstate Defendants
Plaintiff’ discrimination claims against the SUNY Downstate Defendants do not survive because they are composed solely of a single stray remark by Plaintiff’s supervisor, Dr. Reede.
i. Prima Facie Case Plaintiff alleges that Dr. Reede told her, at a meeting to inform Plaintiff
about SUNY Downstate’s decision not to reappoint her to her academic position,
that older doctors should know when to retire, and that “they are sitting at
conferences drooling” and “can’t be reawakened.” Pl’s. SOF at ¶ 44. But Plaintiff
proffers no “other indicia of discrimination” to indicate that the remarks bore “a
more ominous significance.” See Danzer ,
The same conclusion holds with respect to Plaintiff’s NYCHRL claims
against the Suny Downstate Defendants. See, e.g. , Moore v. Verizon , No. 13-CV-
6467 (RJS),
Accordingly, Plaintiff’s discrimination claims against the SUNY Downstate
Defendants are dismissed. The Court additionally holds that the SUNY Downstate
Defendants will not be derivatively liable for any discrimination committed by the
Hospital Defendants because Plaintiff has not sufficiently alleged that the SUNY
Downstate Defendants had knowledge of the underlying discriminatory conduct.
See Lima v. Addeco ,
d. Deprivation of Procedural Due Process
Plaintiff has pled § 1983 claims for deprivation of due process against both
the Hospital Defendants and the State Defendants. Procedural due proсess claims
under § 1983 for the termination of public employment involve a two-step inquiry:
(1) whether the employee possessed a liberty or property interest associated with
his or her employment and, if so, (2) what process they were entitled to before
being deprived of it. Knights v. City Univ. of New York ,
1. Plaintiff was not Deprived of a Liberty Interest
Plaintiff alleges that she was deprived of a liberty interest when her SUNY
Downstate employment was terminated and “she was deprived of the right to clear
her name,” for which she suffered “a severe loss of personal and professional
reputation.” Pl.’s Mem. of Law in Opp. to Motions for Summ. J. at 22. She
analogizes to the stigma-plus claim at issue in Donato v. Plainview-Old Bethpage
Central School District ,
But govеrnmental allegations of professional incompetence do not implicate
a liberty interest in a stigma-plus context unless “they denigrate the employee’s
competence as a professional and impugn the employee’s professional reputation
in such a fashion as to effectively put a significant roadblock in that employee's
continued ability to practice his or her profession.” Id. at 630-31. Statements that
“an employee merely performed a job poorly or acted in an improper manner [аre]
not sufficient.” Dingle v. City of New York ,
Here, Plaintiff can point to no “bill of indictment” that could imply the type
of professional incompetence that the Second Circuit has recognized to implicate a
liberty interest as a component of a stigma-plus claim. She states only that she
cannot seek employment given the “suspension, termination, and false allegations
against her on record.” Pl.’s SOF at ¶ 45. Read favorably, these cursory
allegations cite to the performance-related concerns raised by Dr. Patel, Dr.
Hammill, and the KCHC Medical Board in their notice of non-appointment. But
these types of performance-related concerns were expressly disavowed in the very
case that Plaintiff relies on. See Donato ,
2. Plaintiff was not Deprived of a Property Interest
Plaintiff also alleges that she was deprived of her property interest in her
clinical staff appointment and privileges at KCHC. However, clinical privileges
only create a property interest protected by the Due Process Clause where they are
“guaranteed by state law.” See Greenwood v. New York, Off. of Mental Health ,
* * *
For these reasons Plaintiff’s procedural due process claims are dismissed.
III. CONCLUSION
For the foregoing reasons, the Hospital Defendants’ motion for summary judgment on Plaintiff’s discrimination claims is DENIED. Their motion for summary judgment on Plaintiff’s procedural due process claims is GRANTED. The SUNY Downstate Defendants’ motions for summary judgment on Plaintiff’s discrimination and procedural due process claims are both GRANTED.
Accordingly, trial shall be held on Plaintiff’s discrimination claims against the Hospital Defendants.
SO ORDERED.
_/S/ Frederic Block__________ FREDERIC BLOCK Senior United States District Judge Brooklyn, New York
March 22, 2024
Notes
[1] While NYCHRL discrimination claims also employ the McDonnell Douglas
framework, see Ya-Chen Chen v. City Univ. of N.Y. ,
[3] Plaintiff has moved for sanctions for spoliation of evidence upon the allegation
that Defendants have not produced Dr. Patel’s “UP-2” form. This form is
generated for employment status changes and would have shown whether Dr.
Patel’s position was temporary, probative to Plaintiff’s claim that she was
terminated to make space for Dr. Patel. To the extent any ambiguities arise from
this dispute, the Court draws them in Plaintiff’s favor. However, Plaintiff has not
made a sufficient showing that the form in question was destroyed in anticipation
of litigation, to the extent it was destroyed at all. Greenberg v. New York City
Transit Auth. ,
[4] The Hospital Defendants’ retort that the statement is hearsay is of no moment —
Dr. Hammill may be called as a witness at trial and his statement could be
admissible as non-hearsay pursuant to Federal Rule of Evidence 801(d)(2)(D).
See, e.g. , Cook v. Arrowsmith Shelburne, Inc. ,
[5] Plaintiff’s argument is not salvaged by her conclusory statement in a footnote that
Dr. Roitberg was not disciplined for comparable professional errors as are levied
against Plaintiff. Absent any additional evidence that Plaintiff and Dr. Roitberg
were similarly situated, this allegation is insufficient to raise an inference of
discrimination. See Graham v. Long Island R.R. ,
[6] Because Plaintiff has sufficiently defeated summary judgment on her ADEA and NYSHRL claims, the Court finds that Plaintiff’s NYCHRL claims also survive under the less exacting standard.