RECOMMENDED FOR PUBLICATION

Pursuant to Sixth Circuit I.O.P. 32.1(b)

File Name: 22a0063p.06

UNITED STATES COURT OF APPEALS

FOR THE SIXTH CIRCUIT

JEANNE KING,

Plaintiff-Appellant,

v.

STEWARD TRUMBULL MEMORIAL HOSPITAL, INC.,

Defendant-Appellee.

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No. 21-3445

Appeal from the United States District Court for the Northern District of Ohio at Youngstown.

No. 4:19-cv-00720—Pamela A. Barker, District Judge.

Argued: January 27, 2022

Decided and Filed: April 7, 2022

Before: CLAY, GRIFFIN, and STRANCH, Circuit Judges.

_________________

COUNSEL

ARGUED: Gary A. Reeve, REEVE LAW, Hilliard, Ohio, for Appellant. W. Scott Hastings, 

LOCKE LORD LLP, Dallas, Texas, for Appellee. ON BRIEF: Gary A. Reeve, REEVE LAW, 

Hilliard, Ohio, Irene K. Makridis, MAKRIDIS LAW, Warren, Ohio, for Appellant. W. Scott 

Hastings, LOCKE LORD LLP, Dallas, Texas, for Appellee.

CLAY, J., delivered the opinion of the court in which STRANCH, J., joined. GRIFFIN, 

J. (pp. 23–26), delivered a separate dissenting opinion.

>
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 2

_________________

OPINION

_________________

CLAY, Circuit Judge. Plaintiff Jeanne King, a former employee of Defendant Steward 

Trumbull Memorial Hospital (the “Hospital”), sued the Hospital alleging violations of the 

Family Medical Leave Act (“FMLA”), 29 U.S.C. § 2601, et seq.; the Americans with Disabilities 

Act (“ADA”), 42 U.S.C. § 12112, et seq.; and Ohio Revised Code § 4112, et seq. The Hospital 

filed a motion for summary judgment, which the district court granted. King v. Steward 

Trumbull Mem. Hosp., Inc., No. 19-cv-720, 2021 WL 1578076, at *1 (N.D. Ohio Apr. 22, 2021). 

For the reasons set forth below, we REVERSE the district court’s order and REMAND for 

further proceedings consistent with this opinion.

I. BACKGROUND

A. Factual Background

Jeanne King began working for the Hospital as a registered nurse in 2002. Over the next 

five years, King worked in various departments until she landed in the emergency department, 

where she was supervised by Dale Bungard. Bungard supervised King from approximately 2007 

until King’s termination on June 2, 2017. Bungard described King as a “competently skilled 

emergency nurse.” (Bungard Dep., R. 50, Page ID #1395.)

1. King’s Medical Condition

King was diagnosed with asthma as a young adult, but it began worsening around 2013 

and 2014. Her asthma was often triggered by stress and seasonal allergies, causing intermittent 

flare-ups and severe asthma attacks. At times, these flare-ups left King unable to perform her 

work duties. Her co-workers occasionally helped her by giving her more stationary tasks. 

During particularly bad asthma flare-ups, King could not complete daily tasks like cooking and 

doing dishes. On those days, King would call in sick and tell the Hospital why she could not 

work that day.
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 3

To call in sick, King usually called the central staffing office and spoke to the house 

supervisor—who was not always Bungard, her immediate supervisor. However, King called 

Bungard directly several times and said that she needed time off because of her asthma. She 

said:

When [she] called [Bungard] to report off of work . . . [she] would tell him that 

[she] literally could not breathe. Most of the time when it was that bad, [she] 

could hardly talk. And [she] would tell [Bungard] that [she couldn’t] get off of 

the couch without being out of breath and wheezing.

(King Dep., R. 44, Page ID #210–11.) Bungard “was aware that [King] had asthma,” and he said 

that King’s asthma was “common knowledge” among the Hospital staff. (Bungard Dep., R. 50, 

Page ID #1393–94.) He also knew that King “was off [work] sometimes because of her asthma.” 

(Id. at Page ID #1411.) King allegedly told Bungard that her “asthma was so debilitating that it 

was disabling.” (King Dep., R. 44, Page ID #211.)

2. The Hospital’s Medical Leave Policies

The Hospital allows employees to seek medical leaves of absence to handle personal 

illnesses and disabilities through two channels. First, the Hospital offers up to twelve weeks of 

unpaid leave—either continuous or intermittent—under the FMLA (“FMLA leave”). To be 

eligible for FMLA leave, employees must have worked at least 1,250 hours in the past year. The 

Hospital’s FMLA leave policy tells employees how to apply for leave and provides that:

When the leave is foreseeable, an employee must give 30 days advance notice. 

When the leave is not foreseeable, notice should be given as soon as possible. In 

the case of medical emergencies[,] the employee . . . should contact the 

department manager by telephone as soon as possible.

(Hospital Leave of Absence Policy, R. 44, Page ID #423.) Second, under the Collective 

Bargaining Agreement (“CBA”), employees may seek unpaid medical leave even if they are not 

eligible for FMLA leave (“non-FMLA leave”). The CBA allows up to one year of non-FMLA 

leave. To apply for non-FMLA leave, employees must submit a written request and medical 

documentation from their physician either two weeks before the start of the leave “or as soon as 

circumstances allow.” (CBA, R. 44, Page ID #382–83.) 
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 4

The Hospital uses a third-party administrator called FMLASource to handle both FMLA 

and non-FMLA leave requests. If an employee only applies for FMLA leave but does not meet 

the 1,250 hours requirement, then FMLASource must consider whether the employee qualifies 

for non-FMLA leave. Therefore, when “an employee is not eligible for FMLA leave, 

FMLASource should determine whether the employee is entitled to . . . another leave offered 

pursuant to [the Hospital’s] policies and/or the applicable collective bargaining agreement.” 

(Fischer Decl., R 49-2, Page ID #1378.) “Employees are not required to submit multiple 

requests for leave upon denial of a request for FMLA leave.” (Id.) In accordance with the 

Hospital’s policy, leave requests and medical documentation go through FMLASource rather 

than the employee’s direct supervisors. King had experience dealing with FMLASource; she 

received both FMLA and non-FMLA leave on several occasions in 2015 and 2016.

3. The Hospital’s Attendance Policy

Under its attendance policy, the Hospital may discipline employees for “excessive 

absenteeism” after three “different occasions” in a year. (Hospital Work Rules, R. 44, Page ID 

#435–36.) The policy defines “occasion” as “one day or any number of consecutive days,” and 

clarifies that:

For example, four consecutive days off due to an illness would be a single 

occasion. If the employee returns to work and a week later is absent because of 

the same or different illness, this would be a separate occasion of absence.

(Id.) Violations of the policy are subject to progressive discipline: a verbal warning after the 

third occasion, a written warning after the fourth, and probation after the fifth. Any further 

occasions of absence could lead to discharge.

After her asthma worsened in 2013 and 2014, King was absent on several occasions due 

to her asthma flare ups. Some of these absences were covered by either FMLA or non-FMLA 

leave. Over the years, Bungard gave King several written and verbal warnings for attendance 

issues. But Bungard occasionally withdrew the disciplinary actions after the Hospital excused 

King’s absences under a medical leave policy. In one discipline report, Bungard noted 

“Discipline Cancelled,” scratched out two absence periods, and jotted “error FML” next to the 

excused absence dates. (Discipline Rep., R. 44, Page ID #444.)
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 5

4. King’s April 2017 Asthma Flare-Up

This lawsuit arises out of one of King’s particularly severe asthma flare-ups that began in 

April 2017. Between 2016 and 2017, King worked three shifts each week from 6:00 a.m. to 6:30 

p.m. On April 28, 2017,1 King reported for her twelve-hour shift at the Hospital. But King did 

not complete her shift because, about eight hours into her workday, she had an asthma attack that 

left her unable to breathe. Over the next five weeks, King continued to suffer from severe 

asthma-related symptoms. At the peak of her flare-up, on May 15, her symptoms landed her in 

the emergency room of the Hospital seeking treatment. King could not work throughout this 

time, and she called in sick for her next fourteen shifts. She followed Hospital protocols and 

called either Bungard or the house supervisor at least two hours before each shift and reported 

that she could not work because of her asthma flare-up. Even though King missed fourteen days 

of work, Bungard does not remember having to cover any of her shifts, nor does he recall her 

absence causing any problems.

King regularly saw her physician, Dr. Ramamurthy Alam, during this period. She 

worked with Dr. Alam to find new medications and treatments for her asthma—including oral 

steroids, inhalers, and nebulizers. At some point between April 28 and May 15, Dr. Alam told 

King that she “was not able to return to work” until they developed a better treatment plan. 

(King Dep., R. 44, Page ID #273.) At that time, Dr. Alam did not give King any documentation 

indicating that she needed medical leave following her April 28 flare-up. At first, King put off 

calling FMLASource to ask for leave because she “thought that she was going to improve” and 

that her flare-up would not be a long-term issue. (King Dep., R. 45, Page ID #712, #715.) 

Instead, her symptoms got worse, leading to her emergency room visit on May 15. She called 

FMLASource four days later, on May 19. During that call, King told FMLASource that she 

“was calling in to request the leave” because of her asthma. (King Dep., R. 44, Page ID #266.) 

King did not say how much time she needed off. FMLASource “told [King] that [she] was 

ineligible to apply for a leave because [she] had only worked 300 and some hours in the prior . . . 

year.” (Id.) King said that this could not be right because she was a full-time employee. To fix 

the problem, FMLASource told King to contact Cindy Burns, who worked in the Hospital’s 

1From this point onwards, all references to specific dates are for the year 2017.
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 6

human resources department. According to King, FMLASource “would not even put in for the 

leave” because it thought King did not have the hours for FMLA leave. (King Dep., R. 45, Page 

ID #714.) According to the Hospital, “[a] leave request was not initiated on the basis of this call 

because [King] asked only about her FMLA eligibility and did not request a leave.” (Fischer 

Decl., R. 49-2, Page ID #1378–79.)

Believing that FMLASource had miscalculated her hours, King called Burns on May 19. 

King told Burns that she was trying to apply for leave, but that FMLASource was not letting her 

do so because of her low hours. Burns said that FMLASource did not have an accurate count of 

King’s hours because the Hospital recently changed management, and King’s hours had not been 

properly carried over to the new systems. To fix the error, Burns would need to manually update 

King’s hours. Burns said that she would correct this mistake and follow up with King. A week 

passed, and King did not hear back from Burns. King then called Bungard. She told him that 

she “was trying to apply for the hospital’s medical leave and FMLA.” (King Dep., R. 44, Page 

ID #271.) King told Bungard about the hours issue and her call with Burns. Bungard said he 

would investigate and get back to her. A few days later, on May 30, King called FMLASource 

again “to see if the hours had been corrected so [she] could apply for the leave.” (King Dep., R. 

45, Page ID #752.) After reaching out to FMLASource on May 19, King kept calling in sick and 

began telling Hospital supervisors (Bungard and others) that she “was trying to get a leave but 

[she] hadn’t gotten it yet so [she] was reporting off again for the next day.” (King Dep., R. 44, 

Page ID #270.) She specifically told them that she “was trying to apply for [leave].” (Id.) 

While King was trying to sort out her hours, the Hospital terminated her employment. 

On June 2, Bungard called her in for a meeting and terminated her for “failure to apply timely for 

a leave of absence.” (Bungard Dep., R. 50, Page ID #1419.) At that time, King still had not 

heard back from Burns, she had not been able to apply for leave, and, therefore, she had not 

received an approved leave of absence.

On June 5—three days after her termination—King reached out to FMLASource again to 

see if they had updated her hours and to apply for leave. Even though FMLASource had finally 

updated her hours, her corrected timesheets showed that she only worked 1,170 hours in the past 

year, so she was still ineligible for FMLA leave. The Hospital admits that, on June 5, King 
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 7

specifically asked for FMLA leave from April 28 to June 1. “Because [King] was ineligible for 

FMLA leave, FMLASource next evaluated whether [she] was entitled to any other type of 

leave.” (Fischer Decl., R. 49-2, Page ID #1379.) FMLASource sent King a letter on June 5 

saying that it was considering her request for leave. The letter told King that her physician, 

Dr. Alam, needed to complete a medical certification form and fax it directly to FMLASource. 

The certification form contemplated leave for employees with “chronic health condition[s]” that 

“may cause episodic incapacity or flare-ups . . . (e.g. asthma . . .).” (FMLASource Letter, R. 44, 

Page ID #653.) Dr. Alam faxed the form to FMLASource on June 6—indicating that King 

needed medical leave from April 28 to June 1 because she was “[u]nable to work/perform job 

duties” due to her “chronic health condition.” (Id. at Page ID #655.) Dr. Alam cleared King for 

work beginning on June 2.

After receiving Dr. Alam’s certification form, FMLASource retroactively approved part 

of King’s request. On June 22, FMLASource told King that she was entitled to non-FMLA 

leave because of her asthma. But FMLASource has “a five-day ‘look back’ period when making 

determinations regarding unforeseeable leaves.” (Fischer Decl., R. 49-2, Page ID #1378.) “That 

is, an employee was generally granted leave for up to five days prior to the day the employee 

first requested leave.” (Id.) According to FMLASource, King did not request leave until June 5, 

and, therefore, it initially only approved leave from May 31 to June 1. After learning this, King 

called FMLASource and said that she had applied for leave on May 19. In response, 

FMLASource adjusted the look back period and retroactively approved King’s request for leave 

from May 14 to June 1. It denied her request for leave from April 28 to May 13 because King 

“did not provide sufficient notice for leave.” (FMLASource Letter, R. 44, Page ID #658.) 

Despite retroactively approving periods of non-FMLA leave, nothing about this decision affected 

King’s termination on June 2.
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 8

B. Procedural Background

King filed her Complaint on April 1, 2019, and amended it on April 28, 2020. She 

asserted three causes of action against the Hospital:

2

 interference and retaliation in violation of 

the FMLA, 29 U.S.C. § 2601, et seq.; failure to accommodate and disability discrimination in 

violation of the ADA, 42 U.S.C. § 12112, et seq.; and failure to accommodate and disability 

discrimination in violation of Ohio Revised Code § 4112.01, et seq. King sought reinstatement, 

lost wages, damages for emotional distress, and punitive damages, among other forms of relief.

The Hospital moved for summary judgment on all counts. As to her federal claims, the 

district court found that King was ineligible for FMLA leave and that she failed to exhaust her 

ADA claims. King, 2021 WL 1578076, at *4–*5. The district court then found that King 

“abandoned her wrongful termination claim arising under Ohio law,” id. at *5, because she 

expressly “limit[ed] her arguments to defending the failure of [the Hospital] to afford her 

reasonable accommodation of her disability under the laws of the State of Ohio,” (Pl. Opp’n to 

Mot. Summ. J., R. 56, Page ID #1829.) The district court granted the Hospital’s motion on the

only remaining cause of action, failure to accommodate under Ohio law. See King, 2021 WL 

1578076, at *13. It found that King could not satisfy a single element of her failure to 

accommodate claim. Id. at *6–*13. On appeal, King only challenges the district court’s order as 

to her failure to accommodate claim under Ohio law.

II. DISCUSSION

A. Standard of Review

“We review the district court’s grant of summary judgment de novo.” Kirilenko-Ison v. 

Bd. of Edu. of Danville Indep. Schs., 974 F.3d 652, 660 (6th Cir. 2020) (quoting George v. 

Youngstown State Univ., 966 F.3d 446, 458 (6th Cir. 2020)). Summary judgment is proper “if 

the movant shows that there is no genuine dispute as to any material fact and the movant is 

entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a). “A dispute of a material fact is 

genuine so long as ‘the evidence is such that a reasonable jury could return a verdict for the non2King also sued Burns and Bungard in their individual capacities. King later agreed to dismiss these 

Defendants, and the district court entered an order to that effect on January 25, 2021.
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 9

moving party.’” Kirilenko-Ison, 974 F.3d at 660 (quoting Jackson v. VHS Detroit Receiving 

Hosp., Inc., 814 F.3d 769, 775 (6th Cir. 2016)).

“When evaluating a motion for summary judgment, this Court views the evidence in the 

light most favorable to the party opposing the motion.” Id. (citing Matsushita Elec. Indus. Co. v. 

Zenith Radio Corp., 475 U.S. 574, 587 (1986)). “This includes drawing ‘all justifiable 

inferences’ in the nonmoving party’s favor.” Id. (quoting George, 966 F.3d at 458). Moreover, 

“[i]n reviewing a summary judgment motion, credibility judgments and weighing of the evidence 

are prohibited.” Id. (quoting Biegas v. Quickway Carriers, Inc., 573 F.3d 365, 374 (6th Cir. 

2009)).

B. Analysis

King claims that the Hospital failed to accommodate her asthma in violation of Ohio 

Revised Code § 4112, et seq. Under Ohio law, “[a]n employer must make reasonable 

accommodation to the disability of an employee or applicant, unless the employer can 

demonstrate that such an accommodation would impose an undue hardship on the conduct of the 

employer’s business.” Ohio Admin. Code 4112-5-08(E)(1). The Ohio anti-discrimination law 

mirrors the ADA, so this Court applies the legal standard under the ADA to claims brought 

under both laws. See Brenneman v. MedCentral Health Sys., 366 F.3d 412, 418 (6th Cir. 2004); 

Columbus Civ. Serv. Comm’n. v. McGlone, 697 N.E.2d 204, 206 (Ohio 1998) (citing Little 

Forest Med. Ctr. v. Ohio C.R. Comm’n, 575 N.E.2d 1164 (Ohio 1991)).

In failure to accommodate cases, the plaintiff bears the initial burden of making out a 

prima facie case. See Brumley v. United Parcel Serv., Inc., 909 F.3d 834, 839 (6th Cir. 2018) 

(citing Deister v. Auto Club Ass’n, 647 F. App’x 652, 657 (6th Cir. 2016)). If the plaintiff makes 

this showing, then the burden shifts to the employer to show that the accommodation would 

cause undue hardship for the employer. Cleveland v. Fed. Express Corp., 83 F. App’x 74, 79 

(6th Cir. 2003) (quoting Cehrs v. Ne. Ohio Alzheimer’s Rsch. Ctr., 155 F.3d 775, 781–82 (6th 

Cir. 1998)).
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 10

1. Prima Facie Case

King raises genuine disputes of fact that, viewed in her favor, make out a prima facie 

case. To establish a prima facie claim for failure to accommodate, “a plaintiff must show that 

(1) she was disabled within the meaning of the [the statute], (2) she was otherwise qualified for 

her position, with or without reasonable accommodation; (3) the defendant knew or had reason 

to know about her disability; (4) she requested an accommodation; and (5) the defendant failed 

to provide the necessary accommodation.” Kirilenko-Ison, 974 F.3d at 669 (citing Brumley, 

909 F.3d at 839). The Hospital concedes that King’s asthma qualifies as a disability. The 

analysis thus turns on the remaining elements.

a. Qualified for Her Position

King was a qualified employee if given the reasonable accommodation of medical leave. 

“‘Qualified disabled person’ means . . . a disabled person who can safely and substantially 

perform the essential functions of the job in question, with or without reasonable 

accommodation.” Ohio Admin. Code 4112-5-02(K). Broken down, this element raises two 

distinct questions. First, could King perform “essential” functions of a nurse, with or without an 

accommodation. A job function is “essential” if removing the function would “fundamentally 

alter[]” the job. EEOC v. Ford Motor Co., 782 F.3d 753, 762 (6th Cir. 2015) (en banc) (quoting 

29 C.F.R. § 1630.2(n)(1)). Second, if King needed an accommodation to perform essential 

functions, was her required accommodation reasonable. Reasonable accommodations include 

any “reasonable adjustment made to a job and/or the work environment,” Ohio Admin. Code 

4112-5-02(A), and may include “job restructuring” and “modified and part-time work 

schedules,” id. 4112-5-08(E)(2).

King argues that she was “well-qualified by education and experience for her job as a 

Nurse and could perform the essential functions of that position if given the reasonable 

accommodation of time off of work.” (Pl. Br. at 8.) With her requested accommodation—

medical leave—she could have returned to work and satisfactorily performed her job, as she had 

done for fifteen years. The Hospital argues that King’s asthma flare-ups made her unqualified 

for her job because “an essential element of her job as a nurse . . . required regular, in-person 
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 11

attendance.” (Def. Br. at 11.) According to the Hospital, between April 28 and June 2, King 

repeatedly missed work and could not perform basic nursing duties. It concludes that King 

sought an exemption from an essential job function; thus, her preferred accommodation was per 

se unreasonable. King recognizes that she had to be at the Hospital to do her job. Even so, she 

argues that medical leave is a reasonable accommodation and, therefore, approved extended 

absences do not automatically make her unqualified.

It is true that attendance is an essential function of many jobs. Our Court has found that 

“with few exceptions, ‘an employee who does not come to work cannot perform any of his job 

functions, essential or otherwise.’” Ford Motor, 782 F.3d at 761 (quoting EEOC v. Yellow 

Freight Sys., Inc., 253 F.3d 943, 948 (6th Cir. 2001)). Therefore, “[r]egular, in-person 

attendance is an essential function—and a prerequisite to essential functions—of most jobs, 

especially the interactive ones.” Id. at 762–63.

The Hospital believes that Ford Motor decides this case and urges the Court to adopt the 

following logic: attendance was an essential function of King’s job as a nurse; King’s preferred 

accommodation—medical leave—required extended absences. Relying solely on Ford Motor, 

the Hospital would have the Court stop there—as the district court did. See King, 2021 WL 

1578076, at *6–*7. Taken to its logical end, however, this argument would bar any in-person 

employee from obtaining temporary medical leave as an accommodation. But that cannot be the 

case in light of the plain language of the ADA.

The plain language of the ADA defines a qualified individual as “an individual who, with 

or without reasonable accommodation, can perform the essential functions [of the job].” 

42 U.S.C. § 121118(8). And the purpose of the ADA’s reasonable accommodation requirement 

is to require employers “to change the way things are customarily done to enable employees with 

disabilities to work.” EEOC, Enforcement Guidance: Employer-Provided Leave and the 

Americans with Disabilities Act (May 9, 2016). Leave as a reasonable accommodation is 

therefore consistent with that statutory purpose because it enables the employee to return to work 

following the period of leave requested as an accommodation—i.e., it enables the employee to 

perform the essential function of attendance. 
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 12

In any event, even after Ford Motor, this Court has found that “medical leave can 

constitute a reasonable accommodation” under certain circumstances. Williams v. AT&T 

Mobility Servs. LLC, 847 F.3d 384, 394 (6th Cir. 2017) (citing Cehrs, 155 F.3d at 783), as have 

Ohio courts, see Matasy v. Youngstown Ohio Hosp. Co., 95 N.E.3d 744, 752 (Ohio Ct. App. 

2017) (citing Foster v. Jackson Cnty. Broad. Inc., 2008 WL 109649 (Ohio Ct. App. 2008)). We 

recently reached that same conclusion in Blanchet v. Charter Communs., LLC, --- F.4th ---, 2022 

WL 682540, at *5 (6th Cir. Mar. 8, 2022), where we explained that an employee requesting 

leave was still otherwise qualified under the ADA because “[e]mployees requesting medical 

leave often cannot perform their jobs when they request leave, and medical leave allows them 

time to recover from illnesses or medical procedures.” 

These outcomes make sense given that Ford Motor was not a medical leave case—the 

plaintiff there requested a permanent modified schedule allowing her to telework up to four days 

per week. See 782 F.3d at 759. Therefore, the “general rule” espoused in Ford Motor—that 

“regularly attending work on-site is essential to most jobs,” id. at 761—cannot automatically 

apply where medical leave would enable the employee to return to work and perform the 

essential job duties. Indeed, “[a]pproved medical leave may be a reasonable accommodation and 

an inability to work while on such leave does not mean that an individual is automatically 

unqualified.” Terre v. Hopson, 708 F. App’x 221, 228–29 (6th Cir. 2017) (citing Cehrs, 

155 F.3d at 782).

Thus, in medical leave cases, we focus on the reasonableness of the leave request. See 

Williams, 847 F.3d at 393; Maat v. Cnty. of Ottowa, 657 F. App’x 404, 412 (6th Cir. 2016). 

When assessing reasonableness, this Court considers: (1) the amount of leave sought; 

(2) whether the requested leave generally complies with the employer’s leave policies; and 

(3) the nature of the employee’s prognosis, treatment, and likelihood of recovery. See Williams, 

847 F.3d at 394; Maat, 657 F. App’x at 412–13; Cleveland, 83 F. App’x at 78; Terre, 708 F. 

App’x at 229. Viewing the facts in the light most favorable to King, non-FMLA leave would 

have been a reasonable accommodation for her asthma flare-up.

First, we have generally “declined to adopt a bright-line rule defining a maximum 

duration of leave that can constitute a reasonable accommodation.” Cleveland, 83 F. App’x at 
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 13

78. But we have noted that requests for indefinite leave are likely unreasonable. Williams, 

847 F.3d at 394. Applying this rule, the district court found that King’s request was 

unreasonable because she sought “indefinite leave.” King, 2021 WL 1578076, at * 13. But the 

record contains many disputes about how much leave she actually sought. When she called 

FMLASource on May 19, King did not initially say how much time she needed off. The hospital 

argues that this means King sought indefinite leave. But, according to King, FMLASource did 

not give her the chance to specify how much time she needed during the May 19 call. King 

testified that FMLASource would not let her apply for any kind of leave because FMLASource 

erroneously believed that King had only worked 300 hours in the past year. But when 

FMLASource eventually permitted King to apply for leave on June 5—after King spent weeks 

fixing FMLASource’s mistakes—she asked for a set amount of leave to cover her absences 

between April 28 and June 1.3 Hospital policy allowed her to seek up to twelve weeks of FMLA 

leave and up to one year of non-FMLA leave. King ultimately only requested five weeks of 

leave. Thus, she did not seek an unreasonable amount of leave according to the Hospital’s own 

leave policies.

Second, the record supports King’s position that retroactively granting emergency leave 

can be a reasonable accommodation. Requests for retroactive leave are not per se unreasonable, 

and we have recognized employers’ practices of granting retroactive leave in unforeseeable 

situations like this. See Williams, 847 F.3d at 394–95. Indeed, the Hospital had policies in place 

to handle these types of requests, including relaxed notice requirements for emergency leave 

requests and a five-day look back period for retroactive requests. King’s situation fell within 

these policies. King did not immediately request medical leave after her April 28 asthma attack 

because she “thought that she was going to improve” and that her flare-up would not be a longterm issue. (King Dep., R. 45, Page ID #712, #715.) Under Hospital policy, King had to request 

3The dissent ignores this point and agrees with the Hospital’s assertion that King sought indefinite leave. 

The dissent writes off the medical documentation that King submitted on June 5 because the Hospital had already 

terminated King’s employment by the time King was allowed to submit her leave application. But, at the summary 

judgment stage, the Court must accept King’s version of the facts. According to King, her efforts between May 19 

and June 5—including multiple calls to FMLASource, her supervisor, and a Hospital human resources manager—

were part of the same attempt to apply for medical leave. King completed that request on June 5 with a medical 

certification form stating that she needed a finite period of medical leave between April 28 and June 1. Therefore, 

she did not request indefinite leave.
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 14

FMLA leave “as soon as possible,” (Hospital Leave of Absence Policy, R. 44, Page ID #423), 

and she had to request non-FMLA leave “as soon as circumstances allow[ed],” (CBA, R. 44, 

Page ID #382–83.) King contacted FMLASource to request leave on May 19, shortly after her 

emergency room visit. Moreover, FMLASource’s own errors caused some of King’s failure to 

give advance notice. FMLASource miscalculated her hours, and it violated its own policy by 

refusing to consider King’s eligibility for both FMLA and non-FMLA leave when she first 

sought leave on May 19. King cannot be faulted for the lengthy application process when the 

Hospital—through the agent it hired to process leave requests—caused the delays. Under these 

circumstances, emergency retroactive leave would be a reasonable accommodation.

Further bolstering this conclusion is the fact that the Hospital ultimately found that King 

qualified for non-FMLA leave between May 14 to June 1. By granting King’s leave request—

even if only partially—the Hospital admitted that retroactive non-FMLA leave was a reasonable 

accommodation in this case.4 If given this accommodation, King would have been a qualified 

employee.

None of the cases that the Hospital points to require a different conclusion. Most found 

that medical leave was not a reasonable accommodation—or the employee was unqualified—

when the leave lasted over a year or extended beyond company policies. See Walsh v. United 

Parcel Serv., 201 F.3d 718, 727 (6th Cir. 2000); Gantt v. Wilson Sporting Goods Co., 143 F.3d 

1042, 1046–47 (6th Cir. 1998); Melange v. City of Ctr. Line, 482 F. App’x 81, 84–86 (6th Cir. 

2012). In several others, this Court was not considering whether the leave itself was a reasonable 

accommodation, but whether an employee would be able to perform essential functions of her 

job after returning from an approved leave. See Williams, 847 F.3d at 395; Banks v. Bosch 

Rexroth Corp., 610 F. App’x 519, 528 (6th Cir. 2015); Gamble v. JP Morgan Chase & Co., 

689 F. App’x 397, 402–03 (6th Cir. 2017).

4As discussed below in Part II.B.1.d, the Hospital granted her request in name only. King never received 

the benefits of non-FMLA leave.
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 15

b. Defendant Knew or Should Have Known of Plaintiff’s Disability

King raised a genuine dispute of fact as to whether the Hospital knew or should have 

known about her disability. “An employer has notice of the employee’s disability when the 

employee tells the employer that [s]he is disabled.” Hammon v. DHL Airways, Inc., 165 F.3d 

441, 450 (6th Cir. 1999) (citing Gantt, 143 F.3d at 1046). “Of course, the employee need not use 

the word ‘disabled,’ but the employer must know enough information about the employee’s 

condition to conclude that [s]he is disabled.” Cady v. Remington Arms Co., 665 F. App’x 413, 

418 (6th Cir. 2016) (citing Leeds v. Potter, 249 F. App’x 442, 449 (6th Cir. 2007)). “Relevant 

information could include, among other things, a diagnosis, a treatment plan, apparent severe 

symptoms, and physician-imposed work restrictions.” Id. (citing Yarberry v. Gregg Appliances, 

Inc., 625 F. App’x 729, 737–38 (6th Cir. 2015)).

The Hospital argues that it could not have known about King’s disability merely because 

it “kn[ew] that King had asthma and that she called in sick on many occasions.” (Def. Br. at 15.) 

According to the Hospital, “knowing that King had a health issue is not the same as knowing she 

had a disability.” (Id. (citing Brown v. BKW Drywall Supply, Inc., 305 F. Supp. 2d 814, 829–30 

(S.D. Ohio 2004)).) But, as King notes, an employee does not have to use “magic words” or 

explicitly use the word “disability” to put her employer on notice of her condition. Leeds, 249 F. 

App’x at 449 (citing Smith v. Henderson, 376 F.3d 529, 535 (6th Cir. 2004)). The Hospital 

admits that it knew King had asthma, thus the question is whether the Hospital knew that her 

condition substantially impaired her ability to perform her essential job functions. King raised 

sufficient factual disputes on this point to defeat summary judgment.

Whenever she called in sick, King told her supervisors that it was because of her asthma. 

She told Bungard that she “literally could not breathe,” and that she could not get off the couch 

“without being out of breath and wheezing.” (King Dep., R. 44, Page ID #210–11.) She even 

told Bungard that her asthma was debilitating. When King called FMLASource on May 19, she 

said that she needed medical leave because of her asthma. While an employer may not have 

knowledge of an employee’s disability merely because they took leave in the past and the 

employer is aware that they have some medical issues, see Messenheimer v. Coastal Pet Prods., 

Inc., 764 F. App’x 517, 519 (6th Cir. 2019), King alleges that she repeatedly notified the 
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 16

Hospital of her severe asthma when her symptoms prevented her from working. Thus, a jury 

could find that the Hospital knew that, during flare-ups, King’s asthma was so severe that it rose 

to the level of a disability.

c. Plaintiff Requested an Accommodation

Viewing the facts in King’s favor, a jury could conclude that King requested an 

accommodation on several occasions. The employee bears the “initial burden of requesting an 

accommodation.” Gantt, 143 F.3d at 1046. “We have generally given plaintiffs some flexibility 

in how they request an accommodation.” Mobley v. Miami Valley Hosp., 603 F. App’x 405, 413 

(6th Cir. 2015) (citing Talley v. Family Dollar Stores, Inc., 542 F.3d 1099, 1108 (6th Cir. 2008)). 

Just as an employee does not need to use “magic words” to inform her employer that she is 

disabled, the employee does not need to explicitly use the word “accommodation.” Leeds, 

249 F. App’x at 449 (citing Smith, 376 F.3d at 535). Medical documentation is not required. See 

Mobley, 603 F. App’x at 413 (citing Talley, 542 F.3d at 1108). A plaintiff’s own requests, 

whether written or oral, can satisfy this element. See id. (citing Talley, 542 F.3d at 1108). 

Additionally, “an employee’s initial request does not need to identify the perfect accommodation 

from the start.” Ford Motor Co., 782 F.3d at 779 (Moore, J., dissenting).

“Once an employee requests an accommodation, the employer has a duty to engage in an 

interactive process” to try to determine whether the employer can accommodate the employee’s 

disability. Fisher v. Nissan N. Am., Inc., 951 F.3d 409, 421 (6th Cir. 2020) (citing Hostettler v. 

Coll. of Wooster, 895 F.3d 844, 849 (6th Cir. 2018)); Rorrer v. City of Stow, 743 F.3d 1025, 

1031 n.1, 1045 (6th Cir. 2014) (citing Keith v. Cnty. of Oakland, 703 F.3d 918, 923, 929 (6th Cir. 

2013)). The employer must participate in “good faith” and conduct an “individualized inquiry” 

into possible accommodations. Rorrer, 743 F.3d at 1045 (quoting Keith, 703 F.3d at 923).

Construed in King’s favor, the record includes four instances that could qualify as a 

request for an accommodation. First, King called in sick for every shift between April 28 and 

June 2, and she told different supervisors that she could not work because of her asthma. 

Repeatedly calling in sick, even if it put the Hospital on notice about the severity of her asthma 

flare-up, does not amount to a request for medical leave if the Hospital had to speculate as to 
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 17

King’s need for extended medical leave. See Gantt, 143 F.3d at 1046–47. Initially, when King 

called in, she did not say that she needed medical leave. The district court rightfully concluded 

that these daily call-ins were not requests for an accommodation. However, beginning on May 

19, King started calling in and telling the on-call supervisor (Bungard and others) that she “was 

trying to get a leave but [she] hadn’t gotten it yet so [she] was reporting off again for the next 

day.” (King Dep., R. 44, Page ID #270.) A jury could find that the calls beginning on May 19 

were requests for an accommodation because King explicitly told Hospital supervisors that she 

wanted medical leave to handle her asthma flare-up.

Second, King called FMLASource and asked for medical leave on May 19. The district 

court found that this was not a request for an accommodation and pointed to an unpublished 

lower court opinion finding that merely asking if medical leave was “a possibility” was not a 

request for an accommodation. King, 2021 WL 1578076, at *11 (citing Hudson v. First Scholar, 

Inc., No 12-cv-2292, 2014 WL 12600136, at *6 (N.D. Ohio Mar. 28, 2014)). Even if this 

proposition were correct, it is only relevant if the Court accepts the Hospital’s version of the 

facts. But at summary judgment, we must view the facts in the light most favorable to King. 

Kirilenko-Ison, 974 F.3d at 660 (citing Matsushita Elec., 475 U.S. at 587). While the Hospital 

believes that King called on May 19 only “to ask if she was eligible” for FMLA leave, (Fischer 

Decl., R. 49-2, Page ID #1378), King disputes this fact. According to King, she told 

FMLASource that she “was calling in to request the leave” because of her asthma. (King Dep., 

R. 44, Page ID #266.) Taking King’s version as true, this would satisfy her burden to request an 

accommodation even if King only asked for FMLA leave (for which she was ineligible) rather 

than non-FMLA, and even if she did not say how much time off she needed. See Ford Motor 

Co., 782 F.3d at 779 (Moore, J., dissenting) (employees “do not need to identify the perfect 

accommodation from the start”). Thus, a jury could find that King requested an accommodation 

in her May 19 call with FMLASource.

Third, after calling FMLASource on May 19, King told a human resources employee 

(Burns) and her supervisor (Bungard) that she was seeking medical leave. King called Burns on 

May 19 and said that she was trying to apply for leave but that FMLASource was not letting her 

because of her low hours. Roughly a week later, King called Bungard and said that she “was 
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 18

trying to apply for the hospital’s medical leave and FMLA.” (King Dep., R. 44, Page ID #271.) 

At this point, multiple people within Hospital leadership knew that King was seeking medical 

leave to deal with her asthma flare-up: Burns, Bungard, the FMLASource representative that 

King called on May 19, and the other on-call supervisors that King contacted to call in sick 

between May 19 and June 2.

Finally, King called FMLASource two more times on May 30 and June 5. In response,

FMLASource sent King a letter on June 5 stating that it had “received [her] request for leave,” 

but that it needed more medical documentation to support her request. (FMLASource Letter, R. 

44, Page ID #650 (emphasis added).) King completed her leave application, including 

supporting medical documentation, on June 6.5 A jury could find that King first requested leave 

on May 19 and that her application for leave was outstanding for two weeks before it was 

finalized on June 6, when Dr. Alam submitted a medical certification form indicating that King 

needed leave between April 28 and June 1. Viewed in the light most favorable to King, the 

record shows that she made several requests for medical leave between May 19 and June 6.

These requests triggered the Hospital’s duty to engage in an interactive process to 

determine whether it could reasonably accommodate King’s asthma flare-up. See Hostettler, 

895 F.3d at 857. The record indicates that the Hospital did not participate in that process in good 

faith in three ways. First, the record indicates that FMLASource violated the Hospital’s own 

policies on May 19 when it did not consider King’s eligibility for non-FMLA leave. Even if 

King only asked for FMLA leave, FMLASource was obligated to consider her eligibility for both 

FMLA and non-FMLA leave. But FMLASource simply told King that she was ineligible for 

FMLA leave and refused to allow her to actually make a request. As King puts it, she “was 

immediately rebuffed by FMLASource.” (Pl. Br. at 6.) This shows the Hospital’s bad faith 

refusal to consider her May 19 request for leave. See Kleiber v. Honda of Am. Mfg., Inc., 

5There is some disagreement over whether an employee can properly request an accommodation after her 

employer terminates her. Compare Johnson v. Otter Tail Cnty., No. 00-3098, 2001 WL 664217, at *1 (8th Cir. May 

14, 2001) (“[P]ost-termination requests for accommodation are not properly viewed as requests for accommodation 

at all, but, rather, as requests for reinstatement.” (citing Mole v. Buckhorn Rubber Prods., Inc., 165 F.3d 1212, 1218 

(8th Cir. 1999))), with Bultemeyer v. Fort Wayne Cmty. Schs., 100 F.3d 1281, 1286 (7th Cir. 1996) (employers must 

consider accommodation requests made shortly after the employee’s termination). We do not need to wade into this 

debate because the record shows that King was trying to apply for medical leave well before her termination on June 

2. See Lafata v. Church of Christ Home for the Aged, 325 F. App’x 416, 422 (6th Cir. 2009).
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 19

485 F.3d 862, 872 (6th Cir. 2007) (employers may not “rebuff[]” an employee’s request for an 

accommodation); Rorrer, 743 F.3d at 1046 (noting that an employer’s failure to discuss the 

employee’s request is evidence of bad faith (citing EEOC v. Chevron Phillips Chem. Co., 

570 F.3d 606, 622 (5th Cir. 2009))).

Second, the record indicates that the Hospital unreasonably stalled King’s request 

because of FMLASource’s errors. On May 19, FMLASource did not have accurate timesheets 

because of a recent change in the Hospital’s management. Yet FMLASource made no effort to 

independently confirm or correct King’s hours. Rather than reaching out to the proper human 

resources representative (Burns) to fix King’s hours, FMLASource told King she had to reach 

out to Burns herself. Although the Hospital and FMLASource caused the error, they did nothing 

to fix it. Even after King called Burns, Burns did little to help. It took several weeks for 

FMLASource to update King’s hours, and, when it finally did, no one told King. King had to 

call FMLASource two more times—on May 30 and June 5—before FMLASource updated her 

hours and let her file a formal application for leave. Ultimately, the Hospital put the onus on 

King to fix its own mistake. A jury could find that the Hospital obstructed King’s attempts to 

apply for leave and thereby failed to participate in the interactive process in good faith. See 

Rorrer, 743 F.3d at 1040–41 (“[F]ailing to assist an employee in seeking an accommodation may 

suggest bad faith.” (citing Canny v. Dr. Pepper/Seven-Up Bottling Grp., Inc., 439 F.3d 894, 902 

(8th Cir. 2006))); Kleiber, 485 F.3d at 872 (refusing to provide information to the employee is 

evidence of bad faith).

Finally, the Hospital prematurely halted the interactive process by terminating King 

while her leave request was still outstanding. See Cash v. Siegel-Robert, Inc., 548 F. App’x 330, 

336 (6th Cir. 2013) (employer fails to engage in good faith when “the interactive process . . . was 

still ongoing when the employer terminated the worker’s employment” (citing Bultemeyer, 

100 F.3d at 1284–87)). “An employer may not stymie the interactive process of identifying a 

reasonable accommodation for an employee’s disability by preemptively terminating the 

employee before an accommodation can be considered or recommended.” Cutrera v. La. State 

Univ., 429 F.3d 108, 113 (5th Cir. 2005). And if the employer terminated the employee before 

fully considering the request for an accommodation, then the employer may need to “reconsider 
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 20

the decision to terminate” the employee. See Bultemeyer, 100 F.3d at 1286. Bungard knew that 

King was trying to apply for leave and that she needed FMLASource to fix her hours. Despite 

this knowledge, Bungard terminated her for failing to timely seek leave, even though he knew 

that King was trying to do just that. Thus, King sufficiently requested an accommodation, but 

the Hospital failed to engage in the interactive process in the wake of her requests.

d. Defendant Failed to Provide the Accommodation

As discussed above, construing the facts in her favor, King requested a reasonable 

accommodation—medical leave—to help manage her temporary asthma flare-up. Ultimately, 

the Hospital retroactively approved King’s request for non-FMLA leave between May 14 and 

June 1, but only after the Hospital terminated her. But this retroactive approval did not give 

King the full benefits of non-FMLA leave. Therefore, FMLASource denied King the 

accommodation that she sought.

As defined by the Hospital’s own policies, non-FMLA leave provides that, “[u]pon 

returning from leave of absence, the employee shall be reinstated to the job assignment which 

[s]he formerly occupied.” (CBA, R. 44, Page ID #384 (emphasis added).) Accordingly, one of 

the benefits of medical leave is that the employee will still have a job when she comes back from 

an approved leave. After King requested leave on May 19—and while King was trying to fix 

FMLASource’s erroneous hours records—the Hospital terminated her for “failure to apply 

timely for a leave of absence.”6 (Bungard Dep., R. 50, Page ID #1419.) But on June 22, the 

Hospital retroactively granted King’s request for non-FMLA leave. Even though the Hospital 

ultimately approved King’s request for leave, it never gave her the benefits of an approved leave, 

which would have included reinstatement. Cf. Terre, 708 F. App’x at 227 (recognizing that 

plaintiffs can bring a claim based on the theory that an employee “was granted an 

accommodation which was then made ineffective due to [the employee’s] position being 

[terminated],” because the termination effectively “nullif[ied the] accommodation”). Employers 

6King initially brought a wrongful termination claim. See King, 2021 WL 1578076, at *5. However, the 

district court found that she abandoned this claim, id., and she does not challenge that finding on appeal. The record 

offers little insight into why King decided not to pursue this claim. But since King does not present this claim on 

appeal, we agree that she abandoned this cause of action. See United States v. Melton, 782 F.3d 306, 308 n.1 (6th 

Cir. 2015) (citing Rose v. State Farm Fire & Cas. Co., 766 F.3d 532, 540 (6th Cir. 2014)).
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 21

cannot skirt liability by rubber stamping a period of medical leave after terminating the 

employee. By granting King “leave” when she was no longer employed, King had no job to 

return to. Thus, the post hoc approval of her request did not provide all of the protections that 

medical leave is designed give. Accepting King’s version of events, the Hospital did not give 

her all of the benefits of non-FMLA leave and, therefore, failed to provide a reasonable 

accommodation.

2. Undue Hardship to Employer

“Even where, as here, a plaintiff might be able to demonstrate a reasonable 

accommodation, a defendant can still be granted summary judgment, if there are no genuine 

issues of material fact controverting the conclusion that the reasonable accommodation would 

impose an undue hardship on the employer.” Cleveland, 83 F. App’x at 79. “If the employee 

establishes that a reasonable accommodation is possible, then the employer bears the burden of 

proving that the accommodation is unreasonable and imposes an ‘undue hardship’ on the 

employer.” Id. (quoting Cehrs, 155 F.3d at 781–82). “[T]he inquiry into reasonableness 

requires, ‘a factual determination untethered to the defendant employer’s particularized 

situation,’ whereas the question of whether a reasonable accommodation imposes an undue 

burden is evaluated with regard to ‘the employer’s specific situation.’” Walsh, 201 F.3d at 726 

n.3 (quoting Monette v. Elec. Data Sys. Corp., 90 F.3d 1173, 1184 n.10 (6th Cir. 1996)). Ohio 

law lists three factors that courts should consider: (1) business necessity; (2) financial 

considerations; and (3) any other factors that the employer “can support with objective 

evidence.” Ohio Admin. Code 4112-5-08(E)(3). The Hospital has not shown that granting 

King’s request for medical leave would cause it undue hardship.

When an employer believes that granting medical leave would cause undue hardship, 

courts first look to the employer’s leave policies. See Walsh, 201 F.3d at 726. If the employer’s 

policies provided for the kind of leave that the plaintiff sought, courts will presume that granting 

the plaintiff’s request would not cause undue hardship. See id. For the same reasons as 

discussed above, see supra Part II.B.1.a, King’s request for five weeks of non-FMLA leave was 

well within the Hospital’s policies. It also fell below the prolonged leaves that this Court has 

found unduly burdensome. See, e.g., Aston v. Tapco Int’l Corp., 631 F. App’x 292, 298 (6th Cir. 
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 22

2015). Moreover, the Hospital allowed employees to seek emergency medical leave without 

advance notice, and even had policies in place for handling retroactive leave requests. See supra

Part II.B.1.a. Anti-discrimination laws sometimes require employers to accommodate 

unexpected circumstances. Sudden illnesses and episodic flare-ups are, by nature, difficult to 

plan for and can be quite disruptive to those who fall ill and those around them. But that does 

not mean that accommodating a sudden flare-up will cause undue hardship merely because 

handling these situations requires more flexibility.

Additionally, the record shows that the Hospital did not actually suffer any undue 

hardship because of King’s five-week absence. The Hospital did not have any significant 

staffing disruptions, and Bungard does not remember having to pick up any of King’s missed 

shifts. Nor did King’s absence amount to excessive absenteeism under the Hospital’s 

disciplinary policies. King’s consecutive absences only counted as a single “occasion” and did 

not warrant any disciplinary action.

Finally, at the very least, the Hospital has not shown that keeping King’s job open while 

she applied for leave would have caused undue hardship. While keeping an employee’s job open 

indefinitely may cause undue hardship, see Aston, 631 F. App’x at 298, keeping the job open 

long enough to allow the employee to apply for leave does not. Accepting King’s version of 

events, the Hospital terminated King after she first sought leave from FMLASource and while 

she was trying to sort out her hours so that she could formally apply for leave. Thus, a jury could 

find that the Hospital did not meet its burden to show that granting King retroactive leave while 

keeping her job open would have caused undue hardship.

III. CONCLUSION

For these reasons, we REVERSE the district court’s order granting the Hospital’s motion 

for summary judgment and REMAND for further proceedings consistent with this opinion.
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 23

_________________

DISSENT

_________________

GRIFFIN, Circuit Judge, dissenting.

Even though plaintiff Jeanne King never requested a specific term of medical leave, her 

employer, defendant Steward Trumbull Memorial Hospital, granted her the most leave that it 

could under the circumstances. Because King’s failure to request a definite term of leave and the 

hospital’s grant of leave both independently foreclose her failure-to-accommodate claim, I would 

affirm the district court’s grant of summary judgment in favor of defendant. I therefore 

respectfully dissent. 

I.

To establish a prima facie claim of failure-to-accommodate, King must show that “she is 

otherwise qualified for the position (with or without reasonable accommodation).” Stewart v. 

Bear Mgmt, Inc., 98 N.E.3d 900, 905 (Ohio Ct. App. 2017) (citation omitted).1 This element 

requires King to “propose an accommodation that is objectively reasonable.” Id. (quotation 

omitted); Kleiber v. Honda of Am. Mfg., Inc., 485 F.3d 862, 869–70 (6th Cir. 2007). Here, we 

deal with a request for medical leave, which can be an objectively reasonable accommodation 

only if it has a defined term. See, e.g., Williams v. AT&T Mobility Servs., LLC, 847 F.3d 384, 

394 (6th Cir. 2017). Without a defined duration, a request for leave is per se unreasonable. See 

Monette v. Electr. Data Sys. Corp., 90 F.3d 1173, 1187 (6th Cir. 1996), abrogated in nonrelevant part by Lewis v. Humboldt Acquisition Corp., Inc., 681 F.3d 312 (6th Cir. 2012); Walsh 

v. United Parcel Serv., 201 F.3d 718, 725–28 (6th Cir. 2000); Lynch v. U.S. Postal Serv., 3 F. 

App’x 287, 289 (6th Cir. 2001) (per curiam) (“Indefinite leave is not a reasonable 

accommodation.”); Allen v. BellSouth Telecomms., Inc., 483 F. App’x 197, 201 (6th Cir. 2012) 

(“[O]pen-ended, indefinite requests for leave are not requests for reasonable accommodation.”). 

1King’s claim arises under Ohio law, but because the Americans with Disabilities Act “is similar to the 

Ohio handicap discrimination law,” courts “look to regulations and cases interpreting the federal Act for guidance in 

[their] interpretation of Ohio law.” See Columbus Civ. Serv. Comm’n v. McGlone, 697 N.E.2d 204, 206–07 (Ohio 

1998).
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 24

King never proposed a definite term of medical leave while she was a hospital employee. 

Her only direct request for leave came on May 19, 2017, when she called the hospital’s 

third-party leave administrator. By her own admission, however, she did not ask for a specific 

amount of leave. King Dep., R. 44, PageID 269 (Q: “[D]id you tell them how long of a leave 

that you needed? A: No.”). This vague request cannot be one for a reasonable accommodation. 

See Monette, 90 F.3d at 1187; see also Wood v. Green, 323 F.3d 1309, 1314 (11th Cir. 2003) 

(plaintiff’s failure to request “leave to a specific date” meant that his requested accommodation 

“was not reasonable”). This defeats King’s failure-to-accommodate claim. See Gantt v. Wilson 

Sporting Goods Co., 143 F.3d 1042, 1047 (6th Cir. 1998) (finding no genuine issue of material 

fact where “[t]he last thing the Company heard from Plaintiff [before firing her] was that she did 

not know when she would be able to return to work.”); see also Hudson v. MCI Telecomms. 

Corp., 87 F.3d 1167, 1169 (10th Cir. 1996) (affirming grant of summary judgment in favor of 

employer where plaintiff “failed to present any evidence of the expected duration of her 

impairment as of the date of her termination.”).

The majority excuses King from her burden to propose a reasonable accommodation by 

accusing the hospital of acting in bad faith when it did not provide an interactive process. This 

argument is wholly of the court’s own creation. In our adversarial system, we “rely on the 

parties to frame the issues for decision” and do “not . . . sally forth each day looking for wrongs 

to right.” United States v. Sineneng-Smith, 140 S.Ct. 1575, 1579 (2020) (citation omitted). King 

has never alleged that the hospital acted in bad faith by denying an interactive process. 

Accordingly, this judicially created potential issue is forfeited for the purposes of this appeal. 

See White Oak Prop. Dev., LLC, v. Washington Twp., Ohio, 606 F.3d 842, 850 (6th Cir. 2010). 

In sum, because King never requested a reasonable accommodation (i.e., a definite period 

of leave), her failure-to-accommodate claim fails as a matter of law. 

II.

King’s claim fails for another reason: ultimately, the hospital granted her leave. See 

Stewart, 98 N.E.3d at 905 (to have a failure-to-accommodate claim, the employer must have 

“failed to provide the necessary accommodation.”). After defendant terminated King, she finally 
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 25

asked for a definite period of unpaid leave. The hospital retroactively granted her all of the leave 

that it could under the circumstances. 

The majority opinion acknowledges that the hospital granted King’s request for leave. 

Yet, my colleagues refuse to credit this grant of leave because, in their view, King did not 

receive the leave’s full benefits, which means that her accommodation was effectively nullified. 

The majority’s decision to ignore the accommodation that King received has no basis in law. No 

other court has held that accommodations can be nullified by termination because doing so 

would destroy any distinction between failure-to-accommodate claims and wrongful-termination 

claims based on disability discrimination. If an employee receives an accommodation and is 

then discharged, her harm is the loss of employment, not the denial of a reasonable 

accommodation. And disability-discrimination law provides her a well-worn avenue to redress 

this harm: a wrongful-termination claim based on disability discrimination. See Mattessich v. 

Weathersfield Twp., 59 N.E.3d 629, 635–36 (Ohio Ct. App. 2016). Indeed, we have cautioned 

against collapsing failure-to-accommodate claims into discriminatory-discharge claims. Talley 

v. Family Dollar Stores of Ohio, Inc., 542 F.3d 1099, 1109 (6th Cir. 2008). 

King pursued a wrongful-termination claim below, but expressly abandoned it in 

response to the hospital’s summary-judgment motion, deciding to focus instead on her 

failure-to-accommodate claim. R. 56, PageID 1829 (“King shall limit her arguments to 

defending the failure of Defendant . . . to afford her a reasonable accommodation[.]”). The 

majority undoes this strategic decision by conjuring a nullification doctrine out of thin air so that 

her failure-to-accommodate claim can substitute for her abandoned wrongful-termination claim.

The majority’s only support for its nullification doctrine is our unpublished opinion Terre 

v. Hopson, 708 F. App’x 221 (6th Cir. 2017). But that non-precedential decision is far less 

consequential than the majority makes it seem. In Terre, plaintiff’s employer fired him while he 

was on approved disability leave. Id. at 223. The plaintiff claimed that his discharge while on 

leave nullified the leave’s status as an accommodation, which meant that he had a 

failure-to-accommodate claim for denial of leave. Id. at 227. However, when Terre arrived in 

this court, the only issue before us was whether plaintiff had exhausted his administrative 

remedies on this nullification claim by including it in the charge that he filed with the Equal 
No. 21-3445 King v. Steward Trumbull Mem. Hosp. Page 26

Employment Opportunity Commission. Id. We held that he had. Id. We said nothing on the 

merits of plaintiff’s claims or his nullification theory. 

So where does the majority find its nullification doctrine? It is not in Terre’s holding or 

even its dicta. Instead, the quoted language that the majority cites is from our court’s summary 

in Terre of the plaintiff’s nullification argument, which we did not adjudicate. Id. I am not 

aware of any other case in which we have established a new rule of law based solely on a 

description of a party’s unadjudicated argument. Additionally, I note that when the district court 

ultimately ruled on the merits of Terre’s nullification claim on remand, it rejected that argument 

out-of-hand. Terre v. Hopson, No. 2:15-cv-2456, slip op. at 7 (W.D. Tenn. Dec. 10, 2018). In 

short, even the non-precedent that the majority cites does not support its novel and unprincipled 

decision.

Here, instead of deciding the case before us according to well-established law, the 

majority creates a non-issue and seeks to eliminate the distinction between failure-toaccommodate claims and wrongful-termination claims. I respectfully dissent because, in my 

view, it is clear that the hospital did not deprive King of any leave to which she was entitled.2 

She therefore was not denied any accommodation.

III.

Because the district court correctly granted summary judgment in favor of defendant on 

plaintiff’s failure-to-accommodate claim, I respectfully dissent.

2

In addition to the majority’s novel nullification theory, it also asserts that King’s termination undermines 

the hospital’s medical leave policy, as described in her collective bargaining agreement (“CBA”). However, King 

admits that she did not apply “for any of the leaves contained in the CBA.” Appellant’s Br. 16. Furthermore, I note 

that King’s union disagrees with the majority’s application of these policies. Before filing this suit, King grieved the 

hospital under the CBA, but her union dropped the case after it concluded that she had been “rightfully terminated.” 

King Dep. R. 44, PageID 177.