Strother v. Southern California Permanente Medical GroupStrother v. Southern California Permanente Medical Group
Dr. Gеrmaine D. Strother, a physician partner in the Southern California Perma-nente Medical Group (“Medical Group”), sued the Medical Group and two physician partners in the Medical Group alleging racial discrimination and retaliation under
FACTS
Strother is an African-American female partner in the Medical Group, which provides medical services in Southern California to members of the Kaiser Permanente Health Plan. From 1985 to the present, Strother has worked as a family practice physician in the Medical Group’s West Covina clinic. In 1987, Strother received the title of partner in the Medical Group, and in July 1989 she was appointed Assistant Physician-in-Charge (“APIC”) at the West Covina clinic.
The West Covina clinic had historically been a part of the Los Angeles Area of the Medical Group. In 1988-91, the Medical Group expanded its services in the San Gabriel Valley, warranting the creation of a new Baldwin Park service area, which included facilities in West Covina and four other communities. Defendant Gary A. Lulejian was appointed to head this new Baldwin Park Area, first as an acting director, and then as Area Associate Medical Director when the area officially opened in 1992. The Medical Group claims that Lulejian set out to reorganize the clinics within the Baldwin Park Area, which included the elimination of the APIC position and the selection of several “Module Lead” physicians overseeing groups of doctors in each clinic.
Lulejian first met with Strother in December 1989. According to the Medical Group, Lulejian had received numerous negative reports about Strother’s performance as APIC. Lulejian shared these perceptions with Strother and offered to help her improve her personal leadership skills, but Strother allegedly failed to acknowledge and address Lule-jian’s observations. Strother claims that Lulejian told her at the meeting that her APIC position “did not exist,” that she should stop attending certain administrativе meetings, and that she would not achieve any professional advancement in the Medical Group so long as he had the power to prevent it.
From 1990 through the present, the Medical Group made a series of appointments to administrative and committee positions for which Strother claims she was qualified, including Physician in Charge (“PIC”) positions at other clinics and Module Lead positions at West Covina, but for which she was neither considered nor appointed. For its part, the Medical Group asserts that others were more appropriate appointees for these positions because of better interpersonal skills and, in some cases, because of medical specialties more appropriate for the positions. The Medical Group contends that Dr. David Bridgeford, PIC for West Covina and an African-American, found Strother to have an “overbearing and abrasive personality style” which disqualified her for certain leadership positions. Strother twice ran to represent the Baldwin Park Area on the Medical Group’s Board of Directors, but received only one and two votes out of 45-50 doctors in each of the elections. Her APIC position was phаsed out as part of the area reorganization, but Strother continues to serve the
Starting on May 30, 1991, Strother complained to other partners of the Medical Group, including the Associate Area Medical Director, about the alleged discriminatory promotions and appointments being made by Lulejian. On August 13, 1991, Bridgeford allegedly told Strother that he knew about her complaints and warned that filing a discrimination charge would be against her interests. Strother filed a complaint with the California Department of Fair Employment & Housing on September 12, 1991, alleging violations of Title VII. On September 13, 1991, she was replaced as Personal Physician coordinator. According to Strother, she was later barred from attending several Quality Assurance seminars and committee meetings, and was denied two Quality Assurance positions in 1992. She also alleges that she suffered discrimination and verbal and physical abuse in a number of ways.
On September 15, 1992, Strother commenced an action in the United States District Court for the Central District of California against the Medical Group and several individual partners, including Lulejian and Bridgeford,
On May 25,1994, the district court granted the Medical Group’s motion for summary judgment on all of Strother’s remaining claims. The district court held that under Patterson v. McLean Credit Union,
Strother appeals the district court’s decision on her state and federal statutory and state constitutional claims. We reverse the district court’s grant of the Medical Group’s
I. Standard of Review
A dismissal for failure to state a claim pursuant to
A grant of summary judgment is reviewed de novo. Warren v. City of Carlsbad,
We review the district court’s interpretation of state law under the same in-dependent de novo standard that we review questions of federal law. Salve Regina College v. Russell,
II. Discrimination Under FEHA
Strother challenges the district court’s dismissal of her FEHA discrimination claim pursuant to
For an employer, because of the race, religious creed, color, national origin, ancestry, physical handicap, medical condition, marital status, or sex of any person to refuse to hire or employ the person or to refuse to select the person for a training program leading to employment, or to bar or to discharge the person from employment or from a training program leading to employment, or to discriminate against the persоn in compensation or in terms, conditions or privileges of employment.
Cal.Gov’t Code § 12940(a) (West Supp.1996). The district court erred in granting the Medical Group’s 12(b)(6) motion on Strother’s FEHA claim on the ground that Strother, as a bona fide partner in the Medical Group, could not be an employee covered by FEHA.
California authority is of limited assistance in determining whether Strother is protected by FEHA, but does reveal the provision’s general purpose. FEHA’s broad goal is to forward “the public policy of the state that it is necessary to protect and safeguard the
This circuit has not addressed whether an individual labeled a “partner” can be entitled to the protection of federal employment discrimination laws. A number of other circuits and district courts have examined the issue, finding in some cases that a partner was not entitled to the protection of the federal employment discrimination laws, and finding elsewhere that an individual labeled a “partner” was entitled to the same discrimination protection as other employees. In Fountain v. Metcalf, Zima & Co.,
In Wheeler v. Hurdman,
Other federal eases have determined that individuals referred to as “partners” were nonetheless entitled to anti-discrimination law protection. In Simpson v. Ernst & Young,
The cases discussed above, including those in which the courts found that the “partners” in question were not protected by the federal anti-discrimination laws, reveal that determining whether an individual is an “employee” typically requires a factual inquiry which goes beyond merely the partnership agreement and the “partner” label. Courts must analyze the true relationship among partners, including the method of compensation, the “partner’s” responsibility for partnership liabilities, and the management structure and the “partner’s” role in that management, to determine if an individual should be treated as a partner or an employee for the purpose of employment discrimination laws.
In the case at hand, the district court made a determination that Strother was not an employee based solely on her complaint, the attached partnership agreement, and Strother’s “partner” label. Although the Medical Group points to a number of partnership rights provided to Strother in the partnership agreement,
III. Retaliation Under FEHA
In granting the Medical Group’s motion for summary judgment on Strother’s FEHA retaliation claim, the district court held that Strother “failed to show that there is a genuine issue of material fact to support” her claim. To avoid summary judgment on an unlawful retaliation claim, a plaintiff must first produce evidence supporting a prima facie case of employment discrimination. After a prima facie case is established, the burden shifts to the defendant to articulate a legitimate nondiscriminatory reason for its decision, and if such a reason is articulated, the plaintiff must demonstrate that the reason given was merely a pretext for a discriminatory motive. See Lam v. University of Hawai'i,
To assert a prima facie retaliation claim under FEHA, “the plaintiff must show that he engaged in a protected activity, his employer subjected him to adverse employment action, and there is a causal link between the protected activity and the employer’s action.” Flait v. North American Watch Corp.,
In Moyo, a black prison guard alleged that he was fired from his job with the California Dеpartment of Corrections for protesting against the Department’s policy of allowing white inmates to take showers after work shifts, but not allowing the same privilege to black inmates. The Department argued that inmates were not “employees” entitled to the
In the case at bar, there is evidence from which a reasonable factfinder could conclude that Strother had a reasonable belief that she was opposing unlawful employment practices when she filed her complaint with DFEH on September 12,1991. As discussed above, there is some doubt about whether she is an “employee” protected by FEHA. As Moyo makes clear, a complaint about treatment of someone not covered by discrimination laws can nonetheless give rise to a retaliation claim if the complaining party reasonably believed that that person was covered. It follows that an individual who is reasonably mistaken about her own coverage by employment discrimination laws may assert a claim for retaliation. There is no evidence that Strother’s complaints to DFEH were in any way brought in bad faith or meant to harass the Medical Group. Thus, even if Strother is not an “employee” for the purpose of FEHA, a finder of fact could conclude that she had a “reasonable” belief that a FEHA violation had occurred when she filed her charge with the DFEH, making her action a protected activity.
Strother also proffered sufficient facts to establish that she suffered an adverse employment action, the second element of a prima facie case. Not every employment decision amounts to an adverse employment action.
Strother has proffered sufficient facts that could establish the third element of a prima facie retaliation case — a causal link between her complaints and the adverse employment decisions. According to Strother’s answers to interrogatories, on August 13, 1991, David Bridgeford, the West Covina PIC, told Strother “that he knew that she
To rebut Strother’s prima facie case, the Medical Group does not specifically provide legitimate explanations for treatment that supports Strother’s retaliation claim, focusing instead on providing explanations for its actions which formed the basis of Strother’s FEHA discrimination claim, events occurring before Strother filed her administrative complaint with DFEH. Even if we accept the reorganization of the Baldwin Park Area and Strother’s abrasive personаlity style as the Medical Group’s explanation of its actions after Strother filed her DFEH claim, Strother has produced sufficient evidence so that a reasonable factfinder could find that this explanation was merely a pretext.
Although the mere existence of a prima facie case is insufficient to preclude summary judgment, a plaintiff “need produce “very little evidence of discriminatory motive to raise a genuine issue of fact’ as to pretext.” Warren,
Though the Medical Group alleges that its decisions were made in part because of Strother’s poor interpersonal skills, Strother produced a letter from David Bridgeford, dated November 14, 1990, in which he writes that she was “well respected and literally able to get along in any situation with anyone.” Strother also produced a letter, dated June 7, 1991, signed by eleven other physicians containing words to the same effect. While Bridgeford asserts that his letter was untrue and signed with the hope that Strother would leave the West Covina office, the truth of the documents is nonetheless a factual issue based on credibility issues. These letters, along with the temporal proximity of the adverse employment decisions to Strother’s complaint to DFEH and Bridgeford’s alleged threats to Strother, are sufficient to raise a genuine issue of material fact as to
TV. Article I, § 8 of the California Constitution
Strother challenges the district court’s grant of the Medical Group’s motion for summary judgment on her claim brought directly under the California Constitution. Article I, § 8 of the California Constitution reads in full:
A person may not be disqualified from entering or pursuing a business, profession, vocation, or employment because of sex, race, creed, color, or national or ethnic origin.
The Medical Group argues that Strother cannot bring a § 8 claim because she was not prevented from pursuing an entire profession, relying on Long v. California State Personnel Board,
Adopted in 1974, Article I, § 8 extended the protection previously provided by Article XX, § 18 to those discriminated against because of “race, creed, color, or national or ethnic origin” and also prohibits discrimination in “employment.” The legislative history of the provision’s adoption refers to the statute as a “new Section” designed to prohibit “discrimination in economic opportunities.” California Constitution Revision Commission: Proposed Revision of Article I, Article XX, Article XXII of the California Constitution (1971). Case law indicates that § 8 prohibits discrimination that disqualifies an employee from employment with a particular entity, not just disqualification from an entire profession. See, e.g., Rankins v. Commission on Professional Competence of the Ducor Union Sch. Dist.,
Strother arguеs that § 8 not only prohibits complete disqualification from a particular job or profession, but also provides individuals with a remedy against employers for harassment or disparate treatment in different aspects of a particular job. She relies on Rojo v. Kliger,
While containing broad language about the § 8 declaration against sexual harassment, Rojo was nonetheless a case in which the plaintiffs were claiming wrongful discharge. Indeed, in every case where plaintiffs have brought a claim directly under § 8 or relied on the section to demonstrate a public policy against sex discrimination, the claimants alleged that they were wrongfully discharged from their employment or threatened with discharge.
The continued use of the word “disqualified” in Article I, § 8 and the fact that all the eases construing § 8 involved plaintiffs who had been terminated, constructively discharged, or threatened with termination leads us to believe that the California Supreme Court would hold that Strother’s alle
V. The Unruh Act, Cal.Civ.Code § 51
Strother alleges that the district court erred in granting the Medical Group’s motion for summary judgment on Strother’s Unruh Act claim. The relevant portions of the Unruh Act read:
All persons within the jurisdiction of this state are free and equal, and no matter what their sex, race, color, religion, ancestry, national origin, or disability are entitled to the full and equal accommodations, advantages, facilities, privileges, or services in all business establishments of every kind whatsoever.
Cal.Civ.Code § 51 (West Supp.1995). Whether Strother is characterized as an employee or а bona fide partner in the Medical Group, she cannot assert a claim under the Unruh Act for the Medical Group’s alleged discrimination.
In Alcorn v. Anbro Engineering, Inc.,
In excluding employees from Unruh Act coverage, California courts have recognized that the Act and its predecessors have generally been designed to prevent proprietors of businesses from excluding anyone from frequenting their business because of race, national origin, sex, etc. The early common law prohibited discrimination against members of the public in their use of particularly important public enterprises such as bridges, ferryboats, and inns. See Warfield v. Peninsula Golf & Country Club,
Decisions subsequent to Alcorn, however, have allowed parties that are not “clients, patrons or customers” in the traditional sense to bring Unruh Act claims. For example, in Isbister v. Boys’ Club of Santa Cruz, Inc.,
In O’Connor v. Village Green Owners Ass’n,
In Jackson v. Superior Court,
The bank accommodates the public in many ways peripheral to its main functions of рroviding banking services. For example, a bank ordinarily allows persons to accompany its customers and help them pursue their banking business. When it refuses to allow an African American this courtesy because of his or her race, the bank denies that person the “full and equal accommodations, advantages, privileges or services” of the bank.
Id. at 941,
In Rotary Club of Duarte v. Board of Directors,
The eases described above have found that Unruh Act claims were appropriate where the plaintiff was in a relationship with the offending organization similar to that of the customer in the customer-proprietor relationship which the Act and its predecessors have most commonly covered. The plaintiffs in Isbister and O’Connor were involved in relationships substantially similar to those of health club owner-patron and landlord-tenant respectively. The plaintiff in Jackson, though not himself а customer, was allegedly denied access to the facilities of the bank which would have been available to someone of a different race. The substantial business benefits received by members in Rotary Club are similar to benefits received by patrons of dinner clubs or other business establishments where business is created.
Strother argues that she is protected by the Unruh Act because in her position at the Medical Group she is “entitled to receive economic benefits, the use of certain medical facilities, medical supplies and other goods, management courses, and a variety of privileges, advantages, and services, including opportunities for promotion and advancement.” These benefits, however, are no different than those that would be received by any doctor who was, as she once was, a mere employee of the Medical Group. Being a “recipient” of these benefits does not entitle Strother to the protection of the Unruh Act any more than an employee’s being the “recipient” of a paycheck gives him or her Un-ruh Act protection. Even if Strother were considered a bona fide partner rather than an “employee” for the purpose of FEHA, her relationship to the Medical Group is more like that of an employee than that of a “client, patron or customer.” The district court properly granted the Medical Group’s
VI. Cal.Civ.Code § 51.5
Strother likewise argues that the district court erred in dismissing her claim under Cal.Civ.Code § 51.5 on the grounds that she was not a “customer, client, or patron” of the Medical Group. Section 51.5 of the California Civil Code reads in relevant part:
No business establishment of any kind whatsoever shall discriminate against, boycott or blacklist, refuse to buy from, sell to, or trade with any person in this state because of the race, creed, religion, color, national origin, sex, or disability of the person....
Cal.Civ.Code § 51.5 (West Supp.1996).
Few California cases have construed this provision, originally passed in 1976. On its face, § 51.5, like § 51, appears to be aimed only at discrimination in relationships similar to the proprietor/customer relationship. All the forbidden acts referred to except “discriminate” expressly refer to transactions of a proprietor/customer sort. Indeed, at least one California court has noted that § 51.5 is an expansion upon § 51. See Roth v. Rhodes,
VII.
Strother argues that the district court erred in granting the Medical Group’s motion for summary judgment on her claims under
(a) All persons within the jurisdiction of the United States shall have the same right in every State and Territory to make and enforce contracts ... as is enjoyed by white citizens....
(b) For purposes of this section, the term “make and enforce contracts” includes the making, performance, modification, and termination of contracts, and the enjoyment of all benefits, privileges, terms, and conditions of the contractual relationship.
Under Patterson v. McLean Credit Union,
A Strother’s Pre-November 12, 1991 Promotion Denials
For denials of promotions prior to November 12, 1991, “[o]nly where the [denied] promotion rises to the level of an opportunity for a new and distinct relation between the employee and the employer is such a claim actionable under
In Patterson, an African-American woman employed at a credit union as a teller and file coordinator, brought a racial harassment and wrongful termination claim under
This Circuit has examined several claims alleging discrimination in denied promotions to determine whether they would have constituted a sufficient change in the employment relationship to give rise to a
We can easily dispose of Strother’s claims that the Medical Group’s failure to appoint her to handle physician recruitment, failure to hire her as Quality Assurance coordinator, and failure to appoint her to the Urgent Care Committee are actionable under
Strother’s claims that she was denied PIC positions at two other Medical Group clinics and denied a position as a Module Lead at the West Covina clinic demand closer examination. Strother states in her complaint that a PIC “acts as a manager or supervisor for defendant Medical Group and a supervisor and administrative superior of [other partners].” For its part, the Medical Group contends that the duties of the PIC have declined with the reorganization of the Medical Group, and have been spread more evenly among other physicians. The Partnership Agreement indicates that the PIC is appointed for a six-year term of office, that appointments are made by the Area Associate Mеdical Director and may be made with the advice of partners in a particular area, and that PICs may be reappointed at the expiration of their term. PIC’s are given an additional stipend of $200-$500 a month.
Neither the additional income that Strother would receive as a PIC or might receive as a Module Lead, nor the additional duties that Strother would acquire in either position would significantly alter Strother’s contractual relationship with “management.” The additional stipend for the PIC does not constitute a fundamental change in the way the doctor is compensated and does not indicate a change in her contractual relationship with the Medical Group. See Sitgraves,
B. Discrimination Claims After November 12, 1991
In ruling on Strother’s
CRA1991 expanded
CONCLUSION
For the foregoing reasons, we REVERSE the district court’s grant of the Medical Group’s 12(b)(6) motion on the FEHA discrimination claim, the motion for summary judgment on the FEUA retaliation claim, and remand on Strother’s claim under revised
Notes
. These include: Triage Physician at the West Covina Urgent Care Center; Physician Liaison to the Chemical Recovery Program, a position that identifies Strother as a contact for physicians who have patients with chemical dependency problems; Physician Mentor to the West Covina Advice Nurse Center; Family Practice Representative on the Pharmacy and Therapeutics Committee, for which she makes recommendations to the Committee at monthly meetings; and coordinator of the West Covina hospitalizing doctors. The exact nature of many of these positions is unclear from the record.
. Strother alleges, inter alia, that she was held to a higher standard of job performance than male doctors; she was required to work under different and more stressful conditions; she was denied secretarial support and other services granted to other physicians; she was assigned unusually burdensome work schedules; she was denied reimbursement of certain expenses; she was subjected to surveillance, monitoring of her telephone calls, and searches through her personal belongings and documents; she received rude and abusive phone calls; she was subjected to insulting treatment and public ridicule; and that one male doctor once struck her with a clipboard, and that another forced her out of his office with his door.
. The defendants will be referred to collectively as “the Medical Group" when convenient.
. Strother does not appeal the district court’s grant of summary judgment in favor of the Medical Group on several other claims, including
. The parties stipulated to the amount of statutory costs to which the Medical Group is entitled as a result of the district court's judgment, but Strother appeals the district court's underlying finding that the Medical Group was a prevailing party. Thus, because we reverse and remand to the district court on several grounds, we reverse the district court’s finding that the Medical Group was the prevailing party.
. Breitman v. May Co. California,
. See, e.g., Carr v. Barnabey’s Hotel Corp.,
. See also E.E.O.C. v. Dowd & Dowd, Ltd.,
. Cf. Hyland v. New Haven Radiology Associates,
. These include the rights to run for election to the Board of Directors, and to vote on proposed amendments to the partnership, Board of Directors representatives, discharges of partners, and termination of the partnership itself.
. If the district court determines that Strother is an “employee” of the Medical Group who is entitled to FEHA protection, she may be able to base her claims in part on events occurring outside the FEHA one-year limitations period, Cal.Gov.Code § 12960 (West 1962), because of the "continuing violations” doctrine. See, e.g., Accardi v. Superior Court,
. See Steiner v. Showboat Operating Co.,
. These alleged threats could be considered actual evidence of the Medical Group’s discriminatory motive, which alone would be sufficient to establish a prima facie case. See Lowe v. City of Monrovia,
. Cf. Flait,
. See also Sischo-Nownejad,
. See, e.g., Rankins,
. Black’s Law Dictionary defines "disqualify” as follows:
To divest or deprive of qualifications; to incapacitate; to render ineligible or unfit, as, in speaking of the "disqualification” of a judge by reason of his interest in the case, of a juror by reason of his holding a fixed preconceived opinion, or of a candidate for public office by reason of non-residence, lack of statutory age, previous commission of crime, etc.
Black’s Law Dictionary 472 (6th ed. 1990).
. The statute specifically forbid discrimination by “inns, restaurants, hotels, eating houses, places where ice cream or soft drinks of any kind are sold for consumption on the premises, barber shops, bath houses, theaters, skating rinks, public conveyances and all other places of public accommodation or amusement.” 1923 Cal.Stat. ch. 235, § 1.
. See also Pines v. Tomson,
. The Court noted that the only possible claim that Patterson could have under
. The duties of a Module Lead physician are more limited. The record reveals that there are several modules within each clinic, consisting of three to six physicians and supporting nurses. Each module has a Module Lead physician who is to "act as a role model and oversee the quality of the service provided within the module.” April 18, 1994 Lulejian Decl. ¶ 5. The modules were apparently designed to make the administrative structure more "horizontal," id., and perhaps to eliminate the necessity of having a PIC. May 2, 1994 Lulejian Decl. ¶ 11.
. In light of our holding that none of the alleged conduct of the Medical Group or the other defendants prior to November 12, 1991, gives rise to a