Court Opinion

ID: 5121397
Source: CourtListenerOpinion
Date Created: 2021-10-27 07:15:33.458276+00
Date Added: 2024-06-11T08:22:22.343408
License: Public Domain

In The
                       Court of Appeals
         Sixth Appellate District of Texas at Texarkana

                            No. 06-21-00041-CV

THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON, Appellant

                                     V.

                      DR. JOHN MCNEELY, Appellee

                    On Appeal from the 11th District Court
                           Harris County, Texas
                        Trial Court No. 2020-32037

                Before Morriss, C.J., Burgess and Stevens, JJ.
                Memorandum Opinion by Chief Justice Morriss
                                      MEMORANDUM OPINION

         John McNeely, a former staff physician and clinical assistant professor of anesthesiology,

sued his employer, the University of Texas Health Science Center at Houston (UTHSC), in

Harris County1 for age-related employment discrimination after he was terminated from

employment at the age of sixty-three and replaced by a physician younger than forty. UTHSC

filed a plea to the jurisdiction arguing that McNeely failed to establish his age-related

discrimination claim through direct or circumstantial evidence. After the trial court denied the

plea to the jurisdiction, UTHSC filed this interlocutory appeal. Because we find that the plea

should have been granted, we reverse the trial court’s ruling and render judgment dismissing

McNeely’s claims for lack of jurisdiction.2

(1)      Legal Framework

         “Sovereign immunity . . . exist[s] to protect the State and its political subdivisions from

lawsuits and liability for money damages.” Univ. of Tex. MD Anderson Cancer Ctr. v. Simpson,

No. 01-20-00679-CV, 2021 WL 3083104, at *4 (Tex. App.—Houston [1st Dist.] July 22, 2021,

no pet. h.) (mem. op.). “[S]overeign immunity ‘extends to various divisions of state government,

including agencies, boards, hospitals, and universities.’” Id. (quoting Ben Bolt-Palito Blanco
1
 Originally appealed to the First Court of Appeals, this case was transferred to this Court by the Texas Supreme
Court pursuant to its docket equalization efforts. See TEX. GOV’T CODE ANN. § 73.001. We follow the precedent of
the First Court of Appeals in deciding this case. See TEX. R. APP. P. 41.3.
2
 The trial court also granted McNeely’s motion to compel discovery, which McNeely mischaracterizes as
jurisdictional discovery. Instead, the record shows that McNeely propounded and sought to compel production of
documents not limited to the jurisdictional inquiry, including requests to produce trial exhibits, documents showing
that McNeely’s supervisor was trained on age discrimination, and documents in support of UTHSC’s affirmative
defenses of statute of limitations, waiver, laches, collateral estoppel, ratification, res judicata, and unclean hands.
Because nothing in the trial court’s order indicated that its grant of the motion to compel discovery was limited to
jurisdictional facts, it appears that the trial court denied the plea to the jurisdiction and then granted McNeely’s
motion to compel general discovery.
                                                          2
Consol. Indep. Sch. Dist. v. Tex. Pol. Subdivisions Prop./Cas. Joint Self-Ins. Fund, 212 S.W.3d

320, 323–24 (Tex. 2006)). “We interpret statutory waivers of sovereign immunity narrowly, as

the Texas Legislature’s intent to waive immunity must be clear and unambiguous.”                    Id.

“Without an express waiver of sovereign immunity or governmental immunity, courts do not

have subject-matter jurisdiction over suits against the State or its political subdivisions.” Id.

(citing State v. Shumake, 199 S.W.3d 279, 283 (Tex. 2006); Tex. Dep’t of Parks & Wildlife v.

Miranda, 133 S.W.3d 217, 224–25 (Tex. 2004)).

       It is undisputed that UTHSC is protected by sovereign immunity.                Yet, the Texas

Commission on Human Rights Act (TCHRA) waives immunity when “[a]n employer commits

an unlawful employment practice if because of . . . age the employer . . . discharges an individual

. . . .” TEX. LAB. CODE ANN. § 21.051(1). One of the purposes of the TCHRA is to “provide for

the execution of the policies of Title VII of the Civil Rights Act of 1964.” TEX. LAB. CODE ANN.

§ 21.001(1).

       UTHSC’s plea to the jurisdiction is based on sovereign immunity. “We review de novo a

trial court’s ruling on a jurisdictional plea.” Simpson, 2021 WL 3083104, at *3 (citing Ben Bolt-

Palito Blanco Consol. Indep. Sch. Dist., 212 S.W.3d at 323; City of Houston v. Vallejo, 371

S.W.3d 499, 501 (Tex. App.—Houston [1st Dist.] 2012, pet. denied)). “A plea to the jurisdiction

is a dilatory plea that seeks dismissal of a case for lack of subject-matter jurisdiction.” Id. (citing

Harris Cty. v. Sykes, 136 S.W.3d 635, 638 (Tex. 2004); Villarreal v. Harris Cty., 226 S.W.3d

537, 541 (Tex. App.—Houston [1st Dist.] 2006, no pet.)); see Sullivan v. Univ. of Tex. Health

Sci. Ctr. at Houston Dental Branch, No. 01-08-00327-CV, 2008 WL 5179023, at *1 (Tex.

                                                  3
App.—Houston [1st Dist.] Dec. 11, 2008, pet. denied) (mem. op.). “A defendant may use a plea

to the jurisdiction to challenge whether the plaintiff has met [the] burden of alleging

jurisdictional facts or to challenge the existence of jurisdictional facts.” Simpson, 2021 WL

3083104, at *3 (citing Miranda, 133 S.W.3d at 226–27).

       When “the plea challenges the existence of jurisdictional facts, we must move beyond the

pleadings and consider evidence when necessary to resolve the jurisdictional issues, even if the

evidence implicates both subject-matter jurisdiction and the merits of a claim.” Alamo Heights

Indep. Sch. Dist. v. Clark, 544 S.W.3d 755, 770–71 (Tex. 2018). “In reviewing such a plea, we

take as true all evidence favorable to the nonmovant, indulging every reasonable inference and

resolving any doubts in the nonmovant’s favor.” Simpson, 2021 WL 3083104, at *3 (citing

Alamo Heights, 544 S.W.3d at 771; Miranda, 133 S.W.3d at 228). “However, we cannot

disregard evidence necessary to show context or evidence and inferences unfavorable to the

nonmovant if reasonable jurors could not do so.” Id. (citing Alamo Heights, 544 S.W.3d at 771).

       “This standard mirrors our summary-judgment standard under Texas Rule of Civil

Procedure 166a(c) and places the burden on the governmental unit, as the movant, to meet the

standard of proof to support its contention that the trial court lacks subject-matter jurisdiction.”

Id. (citing Miranda, 133 S.W.3d at 228; Mission Consol. Indep. Sch. Dist. v. Garcia, 372 S.W.3d

629, 635 (Tex. 2012)).

       “In assessing whether subject-matter jurisdiction exists, we first focus on whether the

plaintiff’s petition, construed in the plaintiff’s favor, pleads facts that affirmatively show that

subject-matter jurisdiction exists.” Univ. of Tex. MD Anderson Cancer Ctr. v. Contreras, 576

                                                 4
S.W.3d 439, 442–43 (Tex. App.—Houston [1st Dist.] 2019, no pet.) (citing Hearts Bluff Game

Ranch v. State, 381 S.W.3d 468, 476 (Tex. 2012)). “Sometimes, however, we also must consider

evidence as to jurisdictional facts.” Id. (citing Hearts Bluff, 381 S.W.3d at 476). “If a fact issue

exists as to whether subject-matter jurisdiction exists and the issue is inextricably entwined with

the merits, the resolution of this issue is for the fact-finder.” Id. (citing Miranda, 133 S.W.3d at

226–28). “But evidence also may undermine the jurisdictional allegations of the plaintiff’s

petition.” Id. (citing Hearts Bluff, 381 S.W.3d at 476). “If the undisputed evidence negates

jurisdiction, then the plaintiff’s suit must be dismissed.” Id. (citing Miranda, 133 S.W.3d at

234).

        “[W]hen analyzing a claim brought under the TCHRA, we look not only to state cases

but also to analogous federal statutes and the cases interpreting those statutes.” Hartranft v. UT

Health Sci. Ctr.-Houston, No. 01-16-01014-CV, 2018 WL 3117830, at *11 (Tex. App.—

Houston [1st Dist.] June 26, 2018, no pet.) (citing Mission Consol. Indep. Sch. Dist. v. Garcia,

372 S.W.3d 629, 634 (Tex. 2012)). “Discrimination and retaliation cases under the TCHRA can

be established with either direct or circumstantial evidence.” Id.

        “In the absence of direct evidence of discrimination, the employee must make a prima

facie case of discrimination under the McDonnell-Douglas burden-shifting analysis.”3 Anderson

v. Houston Cmty. Coll. Sys., 458 S.W.3d 633, 643 (Tex. App.—Houston [1st Dist.] 2015, no

pet). “The three-part burden-shifting framework set forth in McDonnell Douglas Corp. v. Green,

3
 “Direct evidence is evidence that, if believed, ‘proves the fact of discriminatory animus without inference or
presumption.’” Anderson, 458 S.W.3d at 643 (quoting Jespersen v. Sweetwater Ranch Apartments, 390 S.W.3d
644, 653 (Tex. App.—Dallas 2012, no pet.). “If an inference is required for the evidence to be probative as to the
employer’s discriminatory animus, the evidence is circumstantial, not direct.” Id. Here, as shown by the discussion
below, we find no direct evidence of discriminatory animus.
                                                        5
411 U.S. 792, 802 (1973)[,] enables an employee to establish discrimination with circumstantial

evidence.” Hartranft, 2018 WL 3117830, at *11. “If the employee can establish a prima facie

case of discrimination, a rebuttable presumption of discrimination arises, which can alone sustain

a discrimination claim.” Id. (citing McDonnell Douglas Corp., 411 U.S. at 802). “But the

employer can defeat this presumption merely by producing evidence of a legitimate,

nondiscriminatory reason for the disputed employment action.” Id. (citing McDonnell Douglas

Corp., 411 U.S. at 802). “Once rebutted, the presumption disappears, and an employee lacking

direct evidence cannot prove a statutory violation without evidence that the employer’s stated

reason is false and a pretext for discrimination.” Id. (citing McDonnell Douglas Corp., 411 U.S.

at 802); see Democratic Sch. Rsch., Inc. v. Rock, 608 S.W.3d 290, 308 (Tex. App.—Houston [1st

Dist.] 2020, no pet.) (“If the employer rebuts the presumption of discrimination, the burden of

production shifts back to the employee to show that the employer’s stated reason was a pretext

for discrimination.”). For that reason, “when jurisdictional evidence negates the prima facie case

or . . . rebuts the presumption it affords, some evidence raising a fact issue on retaliatory intent is

required to survive a jurisdictional plea.” Alamo Heights, 544 S.W.3d at 764. “In both direct-

and circumstantial-evidence cases, the burden of persuasion remains at all times with the

employee.” Hartranft, 2018 WL 3117830, at *11 (citing McDonnell Douglas Corp., 411 U.S. at

802).

(2)     Factual and Procedural Background

        After receiving notice of his termination from Holger Eltzschig, who was hired in

September 2016 to serve as Chairman of UTHSC’s Department of Anesthesiology (Department)

                                                  6
at the McGovern Medical School, McNeely filed a complaint with the Texas Workforce

Commission Civil Rights Division for unlawful discharge by UTHSC from his positions as

assistant professor and staff physician. In the complaint, McNeely said,

        Dr. Eltzschig has made clear that he is terminating Dr. McNeely due to
        Dr. McNeely’s age. On three occasions, Dr. Eltzschig has informed Dr. McNeely
        that the department is under budget pressure and has had to cut costs. On three
        occasions, Dr. Eltzschig brought in three different younger replacements for
        Dr. McNeely who are each around age 40 or younger, including the latest who is
        30 years old, to replace Dr. McNeely, who as an older (age 63) and more
        experienced doctor, is paid more. Dr. McNeely was terminated despite
        outstanding performance reviews and multiple letters of support from other
        doctors he worked with, all to save money by replacing him with a younger
        physician who is being paid less.

McNeely obtained a right-to-sue letter. In this lawsuit, McNeely alleged that he was replaced by

Dallas Clendeninn,4 a thirty-year-old, part-time, non-benefits-eligible staff physician who was

hired by UTHSC in 2017 while Clendeninn was completing his fellowship.

        In response to McNeely’s claims, UTHSC filed a plea to the jurisdiction and argued that

the decision not to renew McNeely’s contract “was due to a reduction-in-force . . . as a result of

budget concerns.”      According to UTHSC, the Department was forced to cut payroll and

eliminate three benefit-eligible positions, and McNeely was selected for non-renewal of his

employment contract “because he was the only benefits eligible Staff Physician that did not have

a salaried faculty appointment.” UTHSC also argued that McNeely, who also served as the

medical director of anesthesiology for the Ambulatory Services Center of Memorial Hermann

4
 This physician’s surname has been spelled various ways in the record. We have chosen to use the spelling
“Clendeninn” throughout.
                                                   7
Hospital-Houston Medical Center (ASC), improperly relied on evidence that ASC sought to

replace him as medical director.

           UTHSC’s plea to the jurisdiction was supported by Eltzschig’s declaration. Eltzschig

described McNeely’s position, the relationship between UTHSC and the ASC, and the decisions

related to McNeely’s termination. Eltzschig said that UTHSC had both faculty and non-faculty

positions and that non-faculty positions, including staff physicians, are categorized as

administrative and professional employees who may or may not be benefit eligible, do not serve

fixed terms, and are appointed at the pleasure of the president and with the approval of the

executive vice chancellor for health affairs. According to Eltzschig, McNeely was hired to work

in a faculty position in 2005, but voluntarily stepped down from that position in 2011 to become

a non-benefit-eligible, non-faculty, staff physician.

           To support UTHSC’s claim that McNeely was terminated “because he was the only

benefits eligible Staff Physician that did not have a salaried faculty appointment,” Eltzschig said

that McNeely had a voluntary faculty position as assistant professor without pay. Even so,

McNeely said that his assistant professorship was not without pay and disputed UTHSC’s

evidence by introducing UTHSC’s memorandum of appointment showing that he was

compensated for both of his positions at UTHSC. McNeely’s memorandum of appointment

from UTHSC also showed that, as staff physician, he was required to spend eighty percent of his

time at the ASC.5

5
    Eltzschig said that McNeely remained in this position until he was “non-reappointed” on August 31, 2018.
                                                           8
       As for UTHSC’s relationship with the ASC, Eltzschig, as UTHSC’s chairman of the

department, was responsible for assigning anesthesiologists to work at the ASC. Eltzschig said

that McNeely, who had served as the medical director at the ASC since November 1, 2007,

reported directly to the UTHSC department’s vice-chair of clinical affairs, Sam Gumbert, and

Vice-Chair of Finance Carlos Artime, who were also responsible for the day-to-day scheduling

of staffing and assignments for the ASC. Gumbert filed a declaration confirming that, in his

position with UTHSC, he was responsible for the operations of all clinical affairs for the

Department, which included, in part, financial and staffing coverage at the ASC. Despite this

connection between UTHSC and the ASC, Eltzschig claimed that the day-to-day operations of

ASC were managed by United Surgical Partners International (USPI) and that UTHSC did not

control the operations of ASC. Eltzschig also said that the ASC’s board members, not UTHSC,

appointed ASC’s medical director, although UTHSC could recommend a candidate for the

position.

       After Eltzschig was hired in 2016, he noted that McNeely did not have qualifications that

Eltzschig believed important to enhance the success of the ASC, including regional anesthesia

fellowships, business training, active teaching, and academic research activities. According to

Gumbert, the ASC “saw a shift towards a more specialized surgical practice with increased

diversity that often required anesthesiologists with unique, specialized regional fellowship

anesthesia training.” Gumbert said that Donita Fleming, regional vice president of USPI, told

him and Eltzschig that the ASC stakeholders “wanted to focus on cultivating leadership partners

with strong regional fellowship academic backgrounds” and said that McNeely “was unable to

                                               9
perform the Medical Directorship position alone in part because of his limited regional

proficiency.”

            In his 2017 evaluation as medical director, McNeely met all expectations. Even so,

Eltzschig promoted UTHSC’s Jennifer Wu, a doctor under forty who had an MBA, to the

position of associate professor in September 2017 and recommended that the ASC hire her as co-

medical director. On November 13, 2017, Theresa Le, the director of management operations

for UTHSC’s department, emailed Eltzschig and USPI employees that “Eltzschig ha[d] already

communicated to Dr. McNeely about sharing the responsibility as well as the supplement [paid

by UTHSC] with Dr. Wu,” who was to be co-medical director, and that McNeely was “on board

with it.” Wu began working as a co-medical director with McNeely in January 2018 but left in

March 2018.           According to Gumbert, UTHSC leadership began considering candidates to

transition into the co-director position to replace Wu. UTHSC’s Sumreen Vaid-Pinyard, a doctor

under forty, and Sudipta Sen, a younger doctor,6 were “brought in on a trial basis for the role of

Chief of Anesthesia [at UTHSC] and co-ASC Medical Director to replace Dr. Wu” “[s]ometime

between January 4, 2018[,] to April 30, 2018.” After Vaid-Pinyard’s and Sen’s unfruitful trials,

Eltzschig turned his attention to Clendeninn, who was working on an MBA in April 2018.

            Clendeninn’s resume showed that he graduated from medical school in 2013, was an

intern and resident at UTHSC from 2013 to 2017, and was working to complete his fellowship in

regional anesthesia, acute pain medicine, and perioperative ultrasound at the time Eltzschig was

considering him. He “worked as a part-time, hourly non-benefit eligible (casual) Staff Physician

6
    The record does not reveal Sen’s age.
                                                10
from 7/1/2017 – 7/31/2018.” Eltzschig admitted that he had shared at a staff meeting that he

would recommend Clendeninn to the ASC board as a candidate for medical director on May 10,

2018, while McNeely was still serving in that position and that Clendeninn “continued to work at

the ASC on a trial basis for the position of co-ASC Medical Director” from May to November

2018.7 Although Eltzschig and Gumbert said that Clendeninn was to replace Wu, McNeely said

that Eltzschig stated his intention to replace McNeely as medical director of the ASC at the

meeting with others in attendance, including Clendeninn, Gumbert, Artime, and several CRNAs.

Emails from several CRNAs that attended that meeting were attached to McNeely’s declaration

and confirmed his version of events, including that Eltzschig said he was replacing McNeely, not

Wu. McNeely said that, because Clendeninn was still in his fellowship, it was necessary for him

to sign off on Clendeninn’s patient care and that Eltzschig expected him to train Clendeninn in

the role of medical director.

7
    Eltzschig said,

            I recommended Dr. Clendeninn for this position because he had several important qualifications
            that would make him a strong leader and benefit the ASC. Dr. Clendeninn completed his regional
            anesthesia fellowship training in July 2018 and was therefore highly competent with all the
            required skills needed for regional anesthesia services at the ASC. . . . In contrast, Dr. McNeely
            was not fellowship trained in regional anesthesia, and was struggling to provide some of the
            regional anesthesia approaches that were requested by specific surgeons. . . . In addition,
            Dr. Clendeninn had qualifications in the use of ultrasound, a technique which helps to make
            regional anesthesia safer for our patients and provides better outcomes. His training in the use of
            ultrasound included the “Basic Focus Assessed Transthoracic Echocardiography Certification,”
            and the “Basic Perioperative Transesophageal Echocardiography Certification and Testatmur
            Status.” Both of these qualifications are important assets for patient safety, outcomes, and patient
            satisfaction. Dr. Clendeninn . . . also had MBA training that would prove useful for the financial
            issues at ASC. . . . Dr. Clendeninn was academically highly active, including participation at
            National Meetings and moderation of research sessions for regional anesthesia . . . .
            Dr. Clendeninn had experience in academic presentations, publications, and lectures, which made
            him an outstanding teacher and scholar, again, which was in line with the Vision and Mission of
            the Department of Anesthesiology . . . . Dr. McNeely had none of these described qualifications.
                                                            11
       After that announcement, a May 29, 2018, email related to the budget asked participants

to the meeting, including Eltzschig, to be prepared to discuss “faculty changes for year-end

incentive requests and any growth for FY 2018.” According to Eltzschig, the president of

UTHSC told him on May 30, 2018, to reduce the Department budget for the upcoming fiscal

year by $1,000,000.00 due to decreased funding. Eltzschig said that the only option was for him

to reduce the faculty or benefit-eligible staff physician positions, an approach that was endorsed

by the president and Dean Barbara Stoll at the May 30 budget meeting. Eltzschig decided to

eliminate three benefit-eligible positions as a reduction in force and to spread the cuts across the

general, cardiovascular and pediatric anesthesiology divisions. The pediatric anesthesiology

assistant professor resigned “due to family reasons,” the cardiovascular assistant professor was

non-reappointed to his faculty position, and McNeely was terminated as a staff physician.

Eltzschig swore that he selected McNeely for non-renewal because “he was the only employee in

that division who was working as a benefits eligible Staff Position and did not have a paid

faculty appointment.”

       Eltzschig met with McNeely on June 4, 2018, to inform him that his position as staff

physician would not be renewed due to a reduction in force and, after receiving approval from

the president and dean, informed McNeely of the non-renewal. Eltzschig wrote a letter to the

president and dean on June 5, which stated:

       In light of the recent call for budget reduction, I would like to obtain your
       approval for the Department of Anesthesiology to eliminate one (1) benefit-
       eligible staff physician at the [ASC]. The physician affected by this position
       elimination will be Dr. John McNeely who is currently the sole physician that
       holds this type of position, at the location mentioned above . . . . This action is

                                                12
       necessary due to our budget constraint. Your consideration of this request is
       greatly appreciated.

The letter contained signature approvals from the president and dean. A letter to McNeely from

Eltzschig dated June 5, 2018, simply said, “Per our conversation on June 4, 2018, this is to notify

you that your Staff Physician position will not be renewed on September 1, 2018.”

       On July 2, 2018, an email from Le to Eltzschig said that the president wanted “to see

proof documentation of the 3 eliminated positions [they] intended.” Also on July 2, after

receiving an email asking whether McNeely had “stepped down already” as medical director or

whether the [ASC] needed “to send him a termination letter,” Fleming said that McNeely would

be “stepping down” effective September 1. The email stated that the ASC would require written

notice from McNeely if he was resigning, but no written notice of resignation was included in

the record. On July 10, Le emailed Melissa Pifko at UTHSC and wrote that ASC was remaking

the medical directorship agreement “in place of their previous agreement with doctor John

McNeely in the past” and that “all financial support [would] have to be routed through

UT/Department.” The record contained a new directorship agreement executed between the

ASC and UTHSC showing that the ASC “desired to contract with [UTHSC] to provide [a]

Physician” “to serve as Medical Director and to preside over the [ASC’s] Medical Staff.”

       After Eltzschig’s termination notice, but before its effective date, Clendeninn completed

his fellowship on July 31, 2018. Evidence attached to Eltzschig’s declaration showed that

Clendeninn accepted UTHSC’s job offer for the position of assistant professor of anesthesiology

on July 27, before completing the fellowship. Yet, Eltzschig’s declaration said that Clendeninn

(1) “transitioned to a non-tenured faculty position as an Assistant Professor” on August 1, 2018,
                                                13
after completing his fellowship and (2) received a letter from Eltzschig on November 8

informing him that ASC had appointed him as medical director.                            According to McNeely,

Clendeninn was offered benefits in December 2018, after McNeely was terminated.

         UTHSC’s plea focused on the budgetary reasons for McNeely’s termination and claimed

that he was not replaced since his position as a benefits-eligible staff physician was eliminated.

UTHSC argued that Clendeninn “moonlighted” as a casual employee on an as-needed basis

while he completed his fellowship and that McNeely’s benefit-eligible position was eliminated

as opposed to the non-benefits-eligible, casual staff physician position held by Clendeninn.

UTHSC also argued that McNeely had resigned from ASC’s medical directorship, that UTHSC

did not make employment decisions for ASC, and that McNeely failed to provide either direct or

circumstantial evidence of any alleged discrimination by UTHSC.8 As a result, UTHSC argued

that sovereign immunity was not waived and that the trial court erred by denying its plea to the

jurisdiction after relying on evidence McNeely submitted pertaining to ASC.

         In response to the plea to the jurisdiction, McNeely argued that he had made a prima

facie case of age discrimination at UTHSC, that evidence of discrimination at the ASC was

relevant and that the proffered reason that he was terminated due to a reduction in force was

pretext for age discrimination. McNeely presented evidence of his seasoned credentials, said
8
 UTHSC also argued that McNeely failed to file an administrative complaint against the ASC and that any
complaint regarding termination from the ASC was barred for failure to exhaust administrative remedies.
“[E]xhaustion of administrative remedies is a mandatory prerequisite to filing a civil action alleging violations of the
[T]CHRA.” Salman v. KIPP, Inc., No. 01-19-00886-CV, 2021 WL 2931360, at *5 (Tex. App.—Houston [1st Dist.]
July 13, 2021, no pet. h.) (mem. op.) (quoting Hoffmann-La Roche Inc. v. Zeltwanger, 144 S.W.3d 438, 446 (Tex.
2004). “An employee must file a charge with the TWC, allege an unlawful employment practice, state the facts on
which the complaint is based, and identify the respondent.” Id. (citing TEX. LAB. CODE ANN. § 21.201(c); Waffle
House, Inc. v. Williams, 313 S.W.3d 796, 804 (Tex. 2010). ASC is not a party to this case, and McNeely did not
argue in his TWC complaints that he was terminated by ASC from his position as medical director. As a result, we
limit our review to evidence of UTHSC’s alleged discrimination.
                                                          14
that he was an assistant professor at UTHSC until his termination, and remained active as an

instructor teaching medical students at the surgery center. UTHSC’s website for the department

of anesthesiology included McNeely as a faculty member. McNeely said that, in 2017, he

“participated in a program called Doctoring Two and Doctoring Three which called for him to

teach medical students on a weekly basis in a medical setting” and received extremely positive

feedback from the students, which was proven by letters from students attached to his affidavit.

His declaration asserted that Eltzschig brought in younger, less experienced, and less well-paid

doctors as replacements for him on three different occasions.

       McNeely argued that discriminatory intent was shown when Eltzschig announced at the

May 10, 2018, meeting that he intended to replace him with Clendeninn as the ASC’s medical

director. McNeely said that UTHSC dictated who worked at the ASC on a daily basis and that it

was impossible to continue as medical director at the ASC without being an employee of

UTHSC. Even though Eltzschig claimed that McNeely resigned the position of medical director,

McNeely swore that he never resigned from the ASC. McNeely pointed out that UTHSC had a

financial interest in the operations of the ASC, that UTHSC was compensated for the doctors

placed there, and that Eltzschig’s letter to the president and dean sought permission to terminate

McNeely’s staff physician position “at the [ASC].”

       McNeely said that, even though a reduction in force was cited as the reason for his

termination, none of the evidence from UTHSC mentioned an actual reduction in force except

for Eltzschig’s declaration, which McNeely believed was a conclusory statement. Because the

evidence showed that UTHSC’s department of anesthesiology had seventy-three physicians in

                                               15
2016, eighty-six physicians in 2018, and ninety-six physicians in 2020, McNeely argued that

there was no reduction in force and that the Department had steadily grown. He also noted that

the term “reduction in force” was legally defined in the University of Texas system’s policies to

mean that a position (not a person) was eliminated and argued that no position was eliminated

since Clendeninn was a staff physician at the time of his termination, Clendeninn had been

offered a paid assistant professorship, and none of the requirements of the policies were

followed.

        The University of Texas system’s policy statement (Policy) on reductions in force stated

that it could “occasionally be required to eliminate positions due to . . . budgetary needs.” The

Policy required a department head to describe the exact position recommended for elimination

when eliminating positions through a reduction in force and then to submit the “Reduction in

Force Report to the Office of Human Resources and Office of General Counsel for review.” The

Policy required notification in writing of the terminated position “preferably at least 50 days

before termination,” provision of re-employment support assistance “for any employees affected

by elimination of their position,” and preferential procedures for rehire for a period of six months

after termination.9

        McNeely said that he never heard about any reduction in force during his tenure at

UTHSC, was never offered re-employment support, and was not provided preferential rehiring

treatment even though he was willing to retain the same position at a lower compensation rate or

accept a different position. McNeely’s declaration stated that he offered to take a reduction in

9
 While UTHSC argued that it had its own policies and procedures and that the University of Texas system’s policies
related to reductions in force were inapplicable, a separate policy was never produced.
                                                       16
compensation when Eltzschig informed him by telephone on June 3 that his contract would not

be renewed due to financial issues, but that Eltzschig declined his offer. After his termination,

McNeely obtained four letters of support from colleagues at UTHSC praising his attitude,

experience, and technical skill.

(3)    The Plea to the Jurisdiction Should Have Been Granted

       Under the first part of the McDonnell Douglas framework, we first ask whether McNeely

established a prima facie case of age discrimination. “The causation standard for the McDonnell

Douglas prima-facie-case element is not onerous and can be satisfied merely by proving close

timing between the protected activity and the adverse action.” Alamo Heights, 544 S.W.3d at

782.    “The requirements for establishing a prima facie case ‘vary depending on the

circumstances.’” Tex. Tech Univ. Health Scis. Ctr.-El Paso v. Flores, 612 S.W.3d 299, 305

(Tex. 2020) (quoting Exxon Mobil Corp. v. Rincones, 520 S.W.3d 572, 583 (Tex. 2017)). In this

age-discrimination case, a prima facie case will be made by evidence that McNeely (1) was forty

years of age or older, (2) was qualified for the position at issue, (3) was terminated, and (4) “was

either (a) replaced by someone significantly younger or (b) otherwise treated less favorably than

others who were similarly situated but outside the protected class.” Id. (citing Mission Consol.,

372 S.W.3d at 632; AutoZone v. Reyes, 272 S.W.3d 588, 592 (Tex. 2008) (per curiam)). UTHSC

does not dispute that McNeely met the first three elements but challenges the evidence on the

fourth element.

       UTHSC argues that it did not replace McNeely with someone younger because no one

was hired to fill a benefits-eligible staff physician position and Clendeninn’s appointment as

                                                17
medical director of the ASC was not attributable to UTHSC. “But . . . the determination of

whether one employee replaced another cannot depend solely on the employees’ job titles and

salaries.”   Flores, 612 S.W.3d at 306.       “Such a rule would enable employers to simply

manipulate titles and salaries to prevent terminated or demoted employees from ever establishing

a prima facie case.” Id. “Instead, we must look not merely to the employees’ titles and salaries,

but also to their actual duties, comparing the duties of the plaintiff’s prior position with those of

the employee []he alleges replaced h[im].” Id. (citing Baker v. Gregg Cty., 33 S.W.3d 72, 81

(Tex. App.—Texarkana 2000, no pet.) (“A determination of whether an employee was actually

replaced by another requires an inquiry into the job position and duties performed by the

terminated employee, and an inquiry into the work performed by the person who is alleged to

have replaced that employee.”)).

        McNeely was terminated from his assistant professorship. Although UTHSC claimed

that this was a voluntary position, McNeely’s memorandum of employment provided some

evidence that this was a paid faculty position. After McNeely was terminated from this role,

Clendeninn was given the role of assistant professor in the same Department. McNeely also

showed that he was terminated from his position as a staff physician effective September 1 and

that Clendeninn, who occupied the same position, albeit without benefits, was retained.

McNeely also argued and introduced some evidence that, although Clendeninn transitioned into

the role of assistant professor and was no longer a staff physician after August 1, the ASC

contracted with UTHSC to provide a medical director to the ASC and that, as a result,

Clendeninn also performed the same functions and job duties because of his employment with

                                                 18
UTHSC that McNeely had performed in his position as a staff physician. Clendeninn also soon

began receiving benefits.     Because we take as true all evidence favorable to McNeely in

reviewing the plea to the jurisdiction, we find that McNeely made a prime facie case for

purposes of this analysis, creating a rebuttable presumption of age discrimination. See Flores,

612 S.W.3d at 307–08 (If “the plaintiff was removed from h[is] position, that position was not

filled, an existing employee was given a new and different position, and the existing employee

was assigned some but not all of the plaintiff’s former duties . . . the evidence is sufficient to

create a fact issue over whether the existing employee truly replaced the plaintiff if the existing

employee’s duties in her new position are so similar to the plaintiff’s former duties that a

reasonable juror could conclude that the existing employee actually took or was placed in the

plaintiff’s former job or position.”).

       UTHSC sought to rebut this presumption by producing evidence of a legitimate,

nondiscriminatory reason for the disputed employment action. See McDonnell Douglas Corp.,

411 U.S. at 802. It cited several reasons for McNeely’s termination, including (1) a reduction in

force because of budget concerns and (2) McNeely’s “lack in regional anesthesia techniques,

organizational inefficiency, continuous medical leave, and inability to manage the organizational

and financial performance of the ASC.” UTHSC’s evidence, including Eltzschig’s declaration,

emails regarding the budget meeting, and Eltzschig’s letter to the president and dean requesting

approval for McNeely’s termination due to budget constraints, constituted evidence of a non-

discriminatory reason for McNeely’s termination, as did Eltzschig’s and Gumbert’s declarations

about McNeely’s performance as medical director of the ASC. See M.D. Anderson Hosp. &

                                                19
Tumor Inst. v. Willrich, 28 S.W.3d 22, 24–25 (Tex. 2000) (finding that a reduction in force is a

legitimate nondiscriminatory reason for a disputed employment action); Donaldson v. Tex. Dep’t

of Aging & Disability Servs., 495 S.W.3d 421, 438 (Tex. App.—Houston [1st Dist.] 2016, pet.

denied) (an employer’s perception of subpar performance is a legitimate nondiscriminatory

reason); see also White v. Schlumberger Ltd., No. 01-05-00685-CV, 2006 WL 948074, at *4

(Tex. App.—Houston [1st Dist.] Apr. 13, 2006, no pet.) (mem. op.); Russo v. Smith Int’l, Inc., 93

S.W.3d 428, 438 (Tex. App.—Houston [14th Dist.] 2002, pet. denied).

       “Once an employer produces sufficient evidence to support a non-discriminatory

explanation for its decision, a plaintiff must be afforded the opportunity to show ‘that the

legitimate reasons offered by the defendant were not its true reasons, but were a pretext for

discrimination.’” White, 2006 WL 948074, at *4 (quoting Reeves v. Sanderson Plumbing Prod.,

Inc., 530 U.S. 133, 143 (2000)). “That is, a plaintiff may attempt to prove that he was the victim

of intentional discrimination ‘by showing that the [defendant’s] proffered explanation is

unworthy of credence.’” Id. (quoting Reeves, 530 U.S. at 143).

       Regarding the reduction in force, McNeely argued that he presented evidence that

UTHSC sought to replace him as medical director of the ASC before any notice about budget

cuts. Emails from CRNAs who attended a meeting before notice of any reduction in force

showed that Eltzschig said he would be replacing McNeely with Clendeninn as medical director.

While this could be construed as evidence that UTHSC wanted to oust McNeely from the

                                               20
medical directorship,10 there was no evidence that UTHSC wanted to terminate McNeely from

his position as assistant professor and staff physician before the budget cuts. Even so, McNeely

argued that there was no reduction in force after citing to evidence that the Department hired

more employees following his departure. Given the standard of review, we will assume that

McNeely created a fact issue on the question of whether UTHSC’s proffered reason of

terminating McNeely due to budget concerns was false.

        Moving to questions about McNeely’s job performance, UTHSC said that concerns about

McNeely’s performance in his role as medical director, including a lack in regional anesthesia

techniques, organizational inefficiency, and inability to manage the organizational and financial

performance of the ASC, contributed to his termination. Gumbert said McNeely “was limited in

his ability to perform advanced regional anesthesia procedures requested by surgical

stakeholders” at the ASC. In response, McNeely introduced letters from students, which spoke

to his skill as a teacher, and colleagues addressing his positions at UTHSC and the ASC. The

letters from colleagues praised McNeely’s attitude and general skill and stated that his

contributions to the ASC contributed to its growth. McNeely also introduced a positive, June

2017 evaluation from the ASC.11 In any case, UTHSC’s claimed deficiencies in performance

related only to McNeely’s role as medical director, but UTHSC did not employ McNeely in that

capacity. The evidence shows that McNeely could have continued to serve as a staff physician

and assistant professor even if he was not the ASC’s medical director, and UTHSC’s proffered

10
  ASC—not UTHSC—employed McNeely in this position and, no TWC complaint was filed against ASC for the
termination of McNeely’s position as Medical Director.
11
  Neither the evaluation form nor the letters of support from colleges discussed whether McNeely was proficient in
regional anesthesia techniques, and there was also no performance review for 2018.
                                                       21
reason for termination due to job performance did not specifically address any deficiency

McNeely had as staff physician or assistant professor. Thus, at this stage, we will assume that

McNeely presented enough evidence to create a fact issue on whether the proffered reason for

his termination at UTHSC—job performance at the ASC—was false.

       However, something more was required. “[I]f the employer provides evidence of a

legitimate reason for the adverse action, under the federal standard, the employee must prove the

adverse action would not have occurred ‘but for’ the protected activity.” Alamo Heights, 544

S.W.3d at 782. “The but-for causation standard is significantly more difficult to prove than

prima facie causation.” Id. The Houston First Court of Appeals has applied this “but-for”

standard of causation. City of Houston v. Trimmer-Davis, No. 01-19-00088-CV, 2020 WL

4983253, at *4 (Tex. App.—Houston [1st Dist.] Aug. 25, 2020, no pet.). (mem. op.). As a result,

because UTHSC produced evidence of a nondiscriminatory reason for McNeely’s termination,

“the burden of production shift[ed] back to [McNeely] to show that the [UTHSC]’s stated reason

was a pretext for discrimination.” Democratic Sch. Rsch., Inc., 608 S.W.3d at 308. Although

there was a fact issue on whether UTHSC’s proffered nondiscriminatory reason for termination

of employment was false, “an employee lacking direct evidence cannot prove a statutory

violation without evidence that the employer’s stated reason is false and a pretext for

discrimination.” Alamo Heights, 544 S.W.3d at 782 (emphasis added).            In Baker Hughes

Oilfield Operations, Inc. v. Williams, the Houston First Court of Appeals wrote:

       In Reeves, the United States Supreme Court explained that “[p]roof that the
       defendant’s explanation is unworthy of credence is simply one form of
       circumstantial evidence that is probative of intentional discrimination,” which
       “may be quite persuasive” and, “[i]n appropriate circumstances, the trier of fact
                                               22
       can reasonably infer from the falsity of the explanation that the employer is
       dissembling to cover up a discriminatory purpose.” [Reeves, 530 U.S.] at 147[]
       (emphasis added). Thus, “a plaintiff’s prima facie case, combined with sufficient
       evidence to find that the employer’s asserted justification is false, may permit the
       trier of fact to conclude that the employer unlawfully discriminated.” Id. at 148 []
       (emphasis added). However, the Supreme Court cited with approval its prior
       holdings that “[i]t is not enough . . . to disbelieve the employer; the fact-finder
       must believe the plaintiff’s explanation of intentional discrimination.” Id. at 147
       . . . (citing St. Mary’s Honor Ctr. v. Hicks, 509 U.S. 502, 519[] (1993)).
       Moreover, the Supreme Court rejected the suggestion that a showing of falsity by
       the plaintiff would “always be adequate to sustain a jury’s finding of liability,”
       and it recognized that “[c]ertainly there will be instances where, although the
       plaintiff has established a prima facie case and set forth sufficient evidence to
       reject the defendant’s explanation, no rational fact-finder could conclude that the
       action was discriminatory.” Id. at 148[]. For example, “an employer would be
       entitled to judgment as a matter of law . . . if the plaintiff created only a weak
       issue of fact as to whether the employer’s reason was untrue and there was
       abundant and uncontroverted independent evidence that no discrimination had
       occurred.” Id.; see also Little v. Tex. Dep’t of Criminal Justice, 177 S.W.3d 624,
       632 (Tex. App.—Houston [1st Dist.] 2005, no pet.) (reviewing Reeves and stating
       that Supreme Court “has made it clear that it is not sufficient merely to show that
       the employer’s reasons are false or not credible; the plaintiff must prove that the
       employer discriminated intentionally”). Accordingly, “[w]hether judgment as a
       matter of law is appropriate in any particular case will depend on a number of
       factors,” including “the strength of the plaintiff’s prima facie case, the probative
       value of the proof that the employer’s explanation is false, and any other evidence
       that supports the employer’s case and that properly may be considered on a
       motion for judgment as a matter of law.” Reeves, 530 U.S. at 148–149[].

Baker Hughes Oilfield Operations, Inc. v. Williams, 360 S.W.3d 15, 22–23 (Tex. App.—

Houston [1st Dist.] 2011, pet. denied). “Citing to Reeves, the Texas Supreme Court has made

clear that a plaintiff seeking to recover under the Act for illegal discrimination in a case

involving an allegation of pretext must show both that the reason proffered by the employer is

“false, and that discrimination was the real reason.” Id. at 23 (quoting Wal-Mart Stores, Inc. v.

Canchola, 121 S.W.3d 735, 740 (Tex. 2003) (quoting St. Mary’s Honor Ctr., 509 U.S. at 515);

                                               23
see Hudgens v. Univ. of Tex. MD Anderson Cancer Ctr., 615 S.W.3d 634, 646 (Tex. App.—

Houston [14th Dist.] 2020, no pet.).

        As a result, “[t]he relevant inquiry is not whether the complaints made against [the

employee] were a pretext, but what they were a pretext for.” Canchola, 121 S.W.3d at 740.

There must be evidence that the employer “was motivated to terminate [the employee] because

of [discrimination].”     Id.   This is because, “in a discrimination case brought under the

TCHRA . . . the employee still bears ‘the ultimate burden’ to prove that the employer

discriminated against him because of a prohibited consideration.” Hudgens, 615 S.W.3d at 645

(“[A] disagreement with the employer’s determination of inadequate work performance

generally is not sufficient to raise a fact issue on pretext . . . . The issue at the pretext stage is not

whether the employer made an erroneous decision; it is whether the decision, even if incorrect,

was the real reason for the employment determination.”).

        Because “[s]ubjective beliefs are insufficient,” McNeely’s “subjective belief that he was

terminated based on [age] . . . is insufficient to create a fact issue about whether [UTHSC’s]

legitimate nondiscriminatory reason for terminating [him] was pretextual.” Willrich, 28 S.W.3d

at 25. To avoid the plea to the jurisdiction, McNeely “had to provide more than a scintilla of

evidence that the true reason that [UTHSC] terminated his employment was [age]

discrimination.” White, 2006 WL 948074, at *4–5.

        Here, McNeely argues that he has shown that UTHSC intended to replace him with

younger employees because it brought in Wu and Vaid-Pinyard. The evidence showed that Wu

                                                   24
and Vaid-Pinyard were not brought in to replace McNeely’s positions at UTHSC.12 As a result,

the only evidence cited by McNeely to support his claim of age discrimination is Eltzschig’s

decision on Clendeninn’s appointment as medical director at the ASC, but this did not serve as

notice that Eltzschig sought to replace McNeely in the role of staff physician or assistant

professor at UTHSC. Moreover, even had there been evidence that UTHSC sought to replace

McNeely with Clendeninn as staff physician and assistant professor, “[i]n the absence of other

evidence of an unlawful employment practice, evidence of the employment of one person in

place of another is not sufficient to establish an unlawful employment practice.” TEX. LABOR

CODE ANN. § 21.061. After scouring the record for other evidence of age discrimination, we

have found none.13 See Hudgens, 615 S.W.3d at 645 (discussing cases where there was other

evidence of unlawful employment practice including age-related remarks before termination,

severance packages prepared for fourteen employees over fifty years old to “thin the ranks,” and

statistical evidence that older employees had a higher rate of turnover than younger

counterparts).

        “All elements of a TCHRA circumstantial-evidence claim are, perforce, jurisdictional.”

Alamo Heights, 544 S.W.3d at 783. If “jurisdictional evidence rebuts the prima facie case, the

entire McDonnell Douglas framework is fully implicated, and sufficient evidence of pretext and

causation must exist to survive the jurisdictional plea.” Id. (“[T]he burden-shifting scheme in

12
  Instead, they were being considered for the position of co-medical director at ACS. Although Sen was also
considered in this capacity, nothing showed that she was a doctor under forty. Also, although Eltzschig said he was
replacing McNeely with Clendeninn, nothing showed that it was because of McNeely’s age or Clendeninn’s youth.
13
 We also note that there is no evidence of the age of the other two doctors who were selected for non-reappointment
by UTHSC.
                                                        25
toto defines the jurisdictional facts.”). “The absence of a presumption triggers the plaintiff’s

duty to create a fact question on the ultimate issue—whether [age discrimination] caused the

adverse employment action—to survive a jurisdictional challenge.” Id. at 784.

       Although McNeely “was an older employee whom the Texas Commission on Human

Rights Act protects against age discrimination, he has failed to present evidence from which a

reasonable juror could conclude that [his] age was a motivating factor behind” his termination.

Flores, 612 S.W.3d at 314. McNeely “had to provide more than a scintilla of evidence that the

true reason that [UTHSC] terminated his employment was [age] discrimination.” White, 2006

WL 948074, at *5. Because we conclude that he did not, the TCHRA did not waive UTHSC’s

“sovereign immunity from this suit, and the trial court therefore erred by not granting its plea to

the jurisdiction.” Id.; see Suarez v. City of Tex. City, 465 S.W.3d 623, 631–32 (Tex. 2015)

(Absent a valid waiver of immunity, the court lacked subject-matter jurisdiction).

                                                26
         We reverse the trial court’s order denying the plea to the jurisdiction and render judgment

dismissing McNeely’s claims for lack of jurisdiction.14

                                                      Josh R. Morriss, III
                                                      Chief Justice

Date Submitted:            August 11, 2021
Date Decided:              October 26, 2021

14
  McNeely argues that, “[a]t a minimum, even if no direct or circumstantial evidence existed raising fact issues . . .
[he] should be allowed targeted discovery regarding the evidentiary claims made by UTHealth in its plea to the
jurisdiction.” It is true that “trial courts considering a plea to the jurisdiction have broad discretion to allow
‘reasonable opportunity for targeted discovery’ and to grant parties more time to gather evidence and prepare for
such hearings.” Mission Consol. Indep. Sch. Dist. v. Garcia, 372 S.W.3d 629, 642–43 (Tex. 2012) (quoting
Miranda, 133 S.W.3d at 233). Yet, this provision contemplates “alter[ing] hearing deadlines to allow parties the
opportunity to respond with evidence.” Alamo Heights, 544 S.W.3d at 786. Here, the trial court did not alter
hearing deadlines, but denied the plea to the jurisdiction.
                                                         27