Pamela M. Perry, M.D. v. The Schumacher Group of Louisiana ( 2020 )


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  •            Case: 18-13698   Date Filed: 04/07/2020   Page: 1 of 19
    [DO NOT PUBLISH]
    IN THE UNITED STATES COURT OF APPEALS
    FOR THE ELEVENTH CIRCUIT
    ________________________
    No. 18-13698
    ________________________
    D.C. Docket No. 2:13-cv-00036-JES-DNF
    PAMELA M. PERRY, M.D.,
    Plaintiff-Appellant,
    versus
    THE SCHUMACHER GROUP OF LOUISIANA,
    a Louisiana corporation,
    THE SCHUMACHER GROUP OF FLORIDA, INC.,
    a Florida corporation,
    Defendants-Appellees,
    COLLIER EMERGENCY GROUP, LLC,
    a Florida limited liability company,
    Defendant-Cross Defendant- Cross Claimant-Appellee,
    HEALTH MANAGEMENT ASSOCIATES, INC.,
    a Florida corporation,
    Defendant-Cross Claimant-Appellee,
    HEALTH MANAGEMENT ASSOCIATES, INC.,
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    a Michigan Corporation,
    Defendant-Appellee,
    NAPLES HMA, LLC,
    a Florida limited liability company,
    Defendant-Cross Claimant-Cross Defendant-Appellee.
    ________________________
    Appeal from the United States District Court
    for the Middle District of Florida
    ________________________
    (April 7, 2020)
    Before WILSON and GRANT, Circuit Judges, and HINKLE,∗ District Judge.
    WILSON, Circuit Judge:
    This case arises out of Dr. Pamela Perry’s work as an emergency room
    Medical Director and doctor at a hospital in Florida, the alleged race- and gender-
    based discrimination she suffered, and her allegedly unlawful termination. Dr.
    Perry appeals four district court orders disposing of several claims that she brought
    against the entities that provided healthcare staffing services (collectively, TSG)1
    and the company (Naples HMA) that operated the hospital (Pine Ridge) at which
    she worked. Her appeal raises these questions: whether a genuine issue of material
    ∗ Honorable Robert L. Hinkle, United States District Judge for the Northern District of Florida,
    sitting by designation.
    1
    For ease of reference, we refer collectively to The Schumacher Group entities and Collier
    Emergency Group as “TSG;” we need not distinguish among them to decide the issues on
    appeal. They shared counsel and litigation positions.
    2
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    fact exists as to her employment status for purposes of Title VII; whether a failure
    to investigate can constitute evidence of discrimination under 
    42 U.S.C. § 1981
    ;
    and whether Dr. Perry stated common-law claims for negligence, breach of
    contract, and breach of implied duty of good faith and fair dealing against TSG.
    To each of these questions, the district court answered “no.” We agree with the
    district court on the common-law issues but disagree on the Title VII and § 1981
    issues. We thus affirm the district court’s dismissal of the common-law claims,
    reverse its grants of summary judgment and judgment as a matter of law on the
    Title VII claims, and vacate its judgment as to the § 1981 claim.
    I.
    The relevant facts are these. TSG was in the business of contracting with
    and then placing doctors at Florida hospitals. To this end, TSG entered into an
    Exclusive Agreement with Naples HMA, who operated Pine Ridge.2
    By all accounts, Dr. Perry, an African American woman, came to Florida as
    an exceptionally well-qualified doctor. TSG offered her to Naples HMA as a
    candidate for a position as Medical Director of Pine Ridge’s emergency
    department. Naples HMA approved her for the position. TSG offered Dr. Perry
    the position, and she accepted. To set the terms of their relationship, TSG and Dr.
    2
    We note, though, that defendant Collier contracted with both Naples HMA and Dr. Perry.
    3
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    Perry entered into a Business Associate Agreement, Physician Agreement, and
    Medical Director Agreement.
    Dr. Perry began work at Pine Ridge in the Summer of 2011 and did well.
    Meanwhile, at another Naples HMA hospital, the Medical Director Dr. Childress—
    a Caucasian male—struggled for months in his role but was allowed time to
    improve and did so.
    Over time, Dr. Perry suspected that certain Pine Ridge staff members
    mistreated her because of her race and sex. Specifically, she believed that, because
    of racial animus, several nurses in the Emergency Department undermined her
    authority and acted unprofessionally towards her. On March 7, 2012, Dr. Perry
    was invited to a meeting with two TSG officers where she was told that a Pine
    Ridge staff member alleged problems with her performance. Dr. Perry disputed
    any performance problems. A few weeks later, on March 22, 2012 Dr. Perry told
    TSG officers—for the first time—that she believed the nursing staff at Pine Ridge
    was discriminating against her on the basis of her race. Shortly after this meeting,
    when a TSG officer asked Dr. Perry for sources of information contributing to her
    suspicions of bias, Dr. Perry refused to provide any names. TSG did not
    investigate Dr. Perry’s allegations.
    Just a few days after she raised her concerns about racial discrimination,
    Naples HMA requested that TSG remove Dr. Perry as the Medical Director of Pine
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    Ridge, as the Exclusive Agreement permitted Naples HMA to do. So in April
    2012, TSG gave Dr. Perry 60 days’ notice. But Dr. Perry only worked at Pine
    Ridge until May 22, 2012.
    In January 2013, Dr. Perry filed suit against TSG and Naples HMA, seeking
    compensatory damages, punitive damages, injunctive relief, and attorney’s fees.
    Her claims included ones for disparate treatment discrimination based on race and
    gender and retaliation under Title VII against TSG and Naples HMA; racial
    discrimination under § 1981 against TSG and Naples HMA; and common-law
    negligence, breach of contract, and breach of the implied duty of good faith and
    fair dealing against TSG.
    TSG moved to dismiss the common-law claims for failure to state a claim.
    The district court granted TSG’s motion and dismissed those claims.
    TSG also moved for summary judgment on the Title VII claims and the
    § 1981 claim. The district court granted summary judgment for TSG. It found that
    Dr. Perry was an independent contractor, not an employee under Title VII, and
    thus did not enjoy that statute’s protections. Upon reconsideration, the district
    court reaffirmed its grant of summary judgment but clarified its reasoning as to the
    § 1981 claim against TSG.
    Naples HMA separately moved for judgment as a matter of law on Dr.
    Perry’s Title VII claims. Relying entirely on its previous ruling for TSG as to Dr.
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    Perry’s employment status, the district court granted judgment as a matter of law
    for Naples HMA on those Title VII claims too.
    All that remained was a § 1981 claim against Naples HMA. Dr. Perry tried
    to appeal, but we dismissed the appeal on jurisdictional grounds. On remand, Dr.
    Perry moved to voluntarily dismiss the remaining § 1981 claim against Naples
    HMA and for an entry of final judgment. The district court declined, holding that
    it lacked jurisdiction over the case. Perry appealed once again, and we reversed
    the district court’s decision. In that second appeal, we advised Dr. Perry how to
    appeal successfully: seek leave to amend the complaint under Rule 15 to eliminate
    the § 1981 claim against Naples HMA. See Perry v. Schumacher Grp. of La., 
    891 F.3d 954
    , 958 (11th Cir. 2018). Dr. Perry did so. She omitted her § 1981 claims in
    the Fifth Amended Complaint. The district court incorporated its prior orders and
    entered judgment for TSG and Naples HMA.
    We review a grant of summary judgment de novo, applying the same
    standard as the district court. Williamson v. Brevard Cty., 
    928 F.3d 1296
    , 1304
    (11th Cir. 2019). We do not “weigh the evidence and determine the truth of the
    matter but [rather] determine whether there is a genuine issue for trial.” Anderson
    v. Liberty Lobby, Inc., 
    477 U.S. 242
    , 249 (1986); see Fed. R. Civ. P. 56(a) (“The
    court shall grant summary judgment 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
    6
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    law.”). To determine that, we view the evidence in the light most favorable to Dr.
    Perry as the nonmoving party and draw all reasonable inferences in her favor. See
    Williamson, 928 F.3d at 1304. If reasonable minds could differ as to a material
    factual issue, then summary judgment is improper. See Anderson, 
    477 U.S. at
    249–51.
    The standard is nearly identical for reviewing judgment as a matter of law.
    See Taylor v. Mentor Worldwide LLC, 
    940 F.3d 582
    , 591 (11th Cir. 2019).
    Judgment as a matter of law is proper if “the court finds that a reasonable jury
    would not have a legally sufficient evidentiary basis to find for the party on that
    issue.” Fed. R. Civ. P. 50(a)(1). In other words, it is “appropriate only if the
    evidence is so overwhelmingly in favor of the moving party that a reasonable jury
    could not arrive at a contrary verdict.” Taylor, 940 F.3d at 591.
    We review de novo a district court’s order granting a motion to dismiss for
    failure to state a claim. EEOC v. STME, LLC, 
    938 F.3d 1305
    , 1313 (11th Cir.
    2019). “To survive a motion to dismiss, a complaint must contain sufficient
    factual matter, accepted as true, to state a claim to relief that is plausible on its
    face.” Ashcroft v. Iqbal, 
    556 U.S. 662
    , 678 (2009) (internal quotation mark
    omitted). “A claim is facially plausible when the plaintiff pleads sufficient facts to
    allow the court to draw the reasonable inference that the defendant is liable for the
    alleged misconduct.” STME, LLC, 938 F.3d at 1313.
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    II.
    A.
    Title VII of the Civil Rights Act of 1964 prohibits discrimination against
    “any individual” with respect to that individual’s terms and conditions of
    employment because of race or sex. 42 U.S.C. § 2000e-2(a). “The statute does not
    define ‘any individual,’ and although we could read the term literally,” we don’t.
    Llampallas v. Mini-Circuits, Lab, Inc., 
    163 F.3d 1236
    , 1242 (11th Cir. 1998). Title
    VII does not protect everyone; Congress enacted Title VII to regulate only
    “specific employment relationships.” 
    Id. at 1243
    . “We can assume that Congress .
    . . meant to limit the pool of potential plaintiffs under Title VII.” 
    Id.
     Only
    “employees” may bring a Title VII suit. 
    Id. at 1242
    .
    Title VII defines “employee” circularly: an employee is “an individual
    employed by an employer.” 42 U.S.C. § 2000e(f). Based on this definition, we
    have assumed that “employee” should take its “common, everyday meaning.”
    Cobb v. Sun Papers, Inc., 
    673 F.2d 337
    , 339 (11th Cir. 1982).
    “[E]mployee status under Title VII is a question of federal law.” 
    Id.
     To
    determine employment status, we have a hybrid-economic-realities test, examining
    “the economic realities of the relationship viewed in light of the common law
    principles of agency and the right of the employer to control the employee.” 
    Id. at 341
    . Genuine disputes of material fact regarding a hiring party’s right to control or
    8
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    degree of control over the manner and means of performance preclude summary
    judgment or judgment as a matter of law. See, e.g., Garcia v. Copenhaver, Bell &
    Assocs., M.D.’s, P.A., 
    104 F.3d 1256
    , 1266–67 (11th Cir. 1997) (considering the
    same employment-status question in the ADEA context); Daughtrey v. Honeywell,
    Inc., 
    3 F.3d 1488
    , 1492–93 (11th Cir. 1993) (considering the same in the ERISA
    context); Pitts v. Shell Oil Co., 
    463 F.2d 331
    , 333–36 (5th Cir. 1972) (considering
    the same in a common-law context). 3
    Here, the district court found no genuine dispute of material fact regarding
    Dr. Perry’s employment status for purposes of Title VII. It outlined various
    common-law factors, analyzed whether each indicated employee- or independent-
    contractor status, and tallied and weighed them. As a matter of law, it concluded,
    Dr. Pamela Perry was an independent contractor, not an employee. Based on that
    finding, the court granted summary judgment for TSG and judgment as a matter of
    law for Naples HMA on Dr. Perry’s Title VII claims against them, respectively.
    This was error. The district court’s summary judgment order implicitly
    acknowledged a genuine dispute as to control when it concluded that “the
    undisputed evidence establishes that [TSG] did not exercise sufficient control over
    Dr. Perry’s day-to-day affairs.” (emphasis added). The district court improperly
    3
    In Bonner v. City of Prichard, we adopted as binding precedent all decisions of the former Fifth
    Circuit handed down before October 1, 1981. 
    661 F.2d 1206
    , 1209 (11th Cir. 1981) (en banc).
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    resolved disputes about whether certain provisions in the agreements indicated that
    TSG had a right to control Dr. Perry and, if so, the degree of control for which they
    allowed. And the district court improperly credited the agreements’ labels and
    surface-level characterization of the relationship and the amount of control to be
    exercised, as opposed to examining the agreements’ substantive terms. See
    Daughtrey, 
    3 F.3d at
    1492–93 (reminding that courts must assess and weigh all
    aspects of the parties’ relationship, not just characterizations or labels in
    agreements).
    Contrary to the district court’s conclusion, the record reflects several
    disputes about TSG’s control over Dr. Perry. For example, the parties dispute
    whether certain provisions of the agreements constrained Dr. Perry’s ability to
    perform services for any other business while she worked with TSG. In practice,
    Dr. Perry says, some of the agreements’ provisions prevented her from competing,
    but TSG disputes this conclusion.
    The parties also disagree about how much, if any, control TSG had over Dr.
    Perry’s time. Dr. Perry emphasizes that she agreed to work full-time for TSG and
    to prioritize her Pine Ridge services above all others. She also agreed to avoid
    other activities that would conflict with her Pine Ridge services. By agreeing to
    work the same number of undesirable shifts as other physicians, she asserts that
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    she lost control of her schedule. TSG insists that Dr. Perry had control over hers
    and others’ shifts and schedules.
    Further, the parties argue about TSG’s control over the business side of Dr.
    Perry’s medical practice. Dr. Perry says that TSG took virtually complete control
    of the business aspects of her practice. Under the agreements, TSG owned her
    accounts receivable; Dr. Perry could not exercise the financial autonomy that an
    independent physician could. Nor could she take the accounts with her if she left
    TSG. Dr. Perry also agreed to accept payment from any payor that TSG selected,
    and allowed TSG to negotiate with these payors on her behalf. TSG fails to see
    how these provisions show control over Dr. Perry.
    Two more examples for good measure. The parties dispute whether, through
    the agreements, TSG imposed control over the manner and means of Dr. Perry’s
    performance as a physician via its protocols and practice guidelines. And the
    parties dispute the importance of an episode related to Dr. Perry’s decision not to
    replace most, if not all, the doctors in her department despite her supervisor’s
    instruction to do so.
    Therefore, the district court improperly granted summary judgment and
    judgment as a matter of law on all the Title VII claims based on Dr. Perry’s
    employment status.
    B.
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    Section 1981 prohibits racial discrimination in the making and enforcing of
    contracts. 
    42 U.S.C. § 1981
    . We analyze § 1981 claims related to employment
    under the same framework that we use for Title VII claims. See Turnes v.
    AmSouth Bank, NA, 
    36 F.3d 1057
    , 1060 (11th Cir. 1994). And the elements of a §
    1981 race discrimination claim are the same as those of a Title VII disparate
    treatment claim. See Rice-Lamar v. City of Fort Lauderdale, 
    232 F.3d 836
    , 843
    n.11 (11th Cir. 2000). Vacatur and remand is appropriate when a district court
    relies on a legally incorrect standard in granting summary judgment for the
    defendant in an employment discrimination case. See Wright v. Southland Corp.,
    
    187 F.3d 1287
    , 1288 (11th Cir. 1999).
    Here, the district court relied on incorrect legal reasoning to grant summary
    judgment for TSG on Dr. Perry’s § 1981 claim.4 It cited Hulsey v. Pride
    4
    TSG argues that we lack jurisdiction over Dr. Perry’s § 1981 claim against it because Dr. Perry
    omitted that claim from her Fifth Amended Complaint after we advised her to drop her § 1981
    claim against Naples HMA from that complaint. Contrary to TSG’s argument, we have
    jurisdiction over Dr. Perry’s § 1981 claim against TSG. “As a general matter, an amended
    pleading supersedes [and abandons] the former pleading.” Pintando v. Miami-Dade Hous.
    Agency, 
    501 F.3d 1241
    , 1243 (11th Cir. 2007) (alteration accepted) (internal quotation mark
    omitted). But we do not apply the general rule rigidly to deny plaintiffs the ability to appeal a
    dispositive order that preceded the amended pleading and that struck “a vital blow to a
    substantial part of [the] cause of action.” See Wilson v. First Houston Inv. Corp., 
    566 F.2d 1235
    ,
    1237–38 (5th Cir. 1978) (internal quotation mark omitted), vacated on other grounds First
    Houston Inv. Corp. v. Wilson, 
    444 U.S. 959
     (1979). Moreover, we know that an order granting
    summary judgment merges into the final judgment and is open to review on appeal from that
    judgment. Aaro, Inc. v. Daewoo Int’l (Am.) Corp., 
    755 F.2d 1398
    , 1400 (11th Cir. 1985).
    Therefore, Dr. Perry’s seemingly accidental omission of the § 1981 claim against TSG from her
    final amended complaint does not prevent her from appealing the district court’s grant of
    summary judgment on that claim.
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    Restaurants, LLC, 
    367 F.3d 1238
    , 1246 (11th Cir. 2004), to conclude that, as a
    matter of law, a failure to investigate a discrimination claim cannot serve as
    evidence of discrimination. This was error. In Hulsey, we said that the Faragher-
    Ellerth affirmative defense, which is based on a plaintiff employee’s failure to use
    an employer’s system for reporting and preventing harassment, “applies only to
    employer liability based upon a hostile environment theory,” rather than “a
    tangible employment action theory,” in sexual harassment cases. 
    Id.
     Hulsey did
    not even remotely address whether a failure to investigate can serve as evidence.
    And how could it have addressed such a question—the defendant’s human
    resource manager did investigate the plaintiff’s claims. 
    Id. at 1242
    . Hulsey is
    inapposite.
    Because of its misplaced reliance on the Hulsey case, the district court failed
    to consider Perry’s claim that TSG’s failure to investigate was evidence of
    discriminatory treatment. An employee who alleges discriminatory treatment must
    show that her employer acted with discriminatory intent through either direct or
    circumstantial evidence. Jefferson v. Sewon Am., Inc., 
    891 F.3d 911
    , 921 (11th
    Cir. 2018). “Direct evidence is evidence, that, if believed, proves the existence of
    discriminatory intent without inference or presumption.” 
    Id.
     (citation omitted and
    alterations adopted). In contrast, circumstantial evidence “suggests, but does not
    prove, a discriminatory motive” and is evaluated under the burden-shifting test
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    established in McDonnell Douglas Corp. v. Green.” 
    Id.
     at 921–22 (internal
    citation omitted). The district court failed to consider Dr. Perry’s evidence under
    either standard because it misread Hulsey. On remand, it should conduct this
    analysis in the first instance.
    C.
    The district court correctly dismissed Dr. Perry’s common-law claims of
    negligence, breach of contract, and breach of implied duty of good faith and fair
    dealing. We address each in turn.
    To bring a claim for negligence, a plaintiff must allege (1) duty, (2) breach,
    (3) cause, and (4) harm to the claimant. Williams v. Davis, 
    974 So. 2d 1052
    , 1056
    (Fla. 2007). Dr. Perry cited a purported breach by TSG of the TSG-Naples HMA
    Exclusive Agreement, to which she was neither a party nor a beneficiary.
    Nevertheless, she insists TSG owed her—as a known third party—a duty not to
    cause her harm by failing to comply with the Exclusive Agreement.
    The problem with this theory is that Dr. Perry alleged economic harm, not
    physical harm, which is normally “an essential element of a cause of action in
    negligence.” See Monroe v. Sarasota Cty. Sch. Bd., 
    746 So. 2d 530
    , 531 (Fla. 2d
    DCA 1999). Indeed, courts waive “that essential element only under extraordinary
    circumstances which clearly justify judicial interference to protect a plaintiff’s
    economic expectations.” 
    Id.
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    Dr. Perry insists that she can proceed because, “[i]n limited circumstances, a
    party may recover purely economic losses arising from a misrepresentation that is
    made in a negligent manner.” 
    Id.
     at 537 (citing First Fla. Bank, N.A. v. Max
    Mitchell & Co., 
    558 So. 2d 9
     (Fla. 1990); Restatement 2d of Torts § 552 (1977)
    (“Information Negligently Supplied for the Guidance of Others”)). But she failed
    to allege any elements of a claim for negligent misrepresentation. See Coral
    Gables Distrib., Inc. v. Milich, 
    992 So. 2d 302
    , 303 (Fla. 3d DCA 2008) (stating
    the negligent-misrepresentation elements). In the end, Dr. Perry did not allege any
    extraordinary circumstances that justify our interference, so the district court was
    correct to dismiss her negligence claim. See Monroe, 
    746 So. 2d at 531
    .
    Next, the claim for breach of contract. Such a claim has three elements: (1)
    a valid contract; (2) a material breach; and (3) damages. Friedman v. New York
    Life Ins. Co., 
    985 So. 2d 56
    , 58 (Fla. 4th DCA 2008), review denied 
    23 So. 3d 711
    (Fla. 2009). Because Dr. Perry invokes provisions that impose duties and
    obligations on her, not TSG, she relies on the doctrine of prevention of
    performance. That doctrine applies, generally, when a contracting party is ready,
    willing, and able to perform, but the other party prevents her from performing by
    imposing obstacles not contemplated within the contract. See, e.g., Knowles v.
    Henderson, 
    22 So. 2d 384
    , 386 (Fla. 1945); Walker v. Chancey, 
    117 So. 705
    , 707–
    08 (Fla. 1928); Crane v. Barnett Bank of Palm Beach Cty., 
    698 So. 2d 902
    , 904
    15
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    (Fla. 4th DCA 1997). The preventing party cannot then avail itself of the first
    party’s nonperformance. Knowles, 
    22 So. 2d at 386
    .
    Dr. Perry alleges that TSG instructed her to not report her alleged
    discrimination to Naples HMA; she followed that instruction, thereby failing to
    perform under the Physician Agreement; and then TSG used her failure to report
    and the absence of a resulting investigation to allow Naples HMA to end her
    service as Medical Director and physician at Pine Ridge.
    Neither we nor the district court could shoehorn the facts of this case into
    that doctrine. Even if we assume that Dr. Perry’s cited provisions required
    reporting, and that TSG’s alleged instruction of noncompliance equals prevention
    of her compliance, Dr. Perry fails to allege facts that suggest that TSG somehow
    availed itself of her noncompliance. See 
    id.
     Therefore, she fails to state a
    plausible breach-of-contract claim, and the district court correctly dismissed.
    Finally, the claim for breach of implied duty of good faith and fair dealing.
    Such an implied duty “does not exist until a plaintiff can establish a term of the
    contract the other party was obligated to perform and did not.” Snow v. Ruden,
    McClosky, Smith, Schuster & Russell, P.A., 
    896 So. 2d 787
    , 792 (Fla. 2d DCA
    2005). Here, Dr. Perry fails to identify a term that TSG was obligated to perform
    and did not. See 
    id.
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    Nevertheless, Dr. Perry insists that, based on the facts of this case, TSG had
    an implied duty to cooperate with her and did not. See PL Lake Worth Corp. v.
    99Cent Stuff-Palm Springs, LLC, 
    949 So. 2d 1199
    , 1201 (Fla. 4th DCA 2007)
    (explaining how the implied duty of good faith includes a duty to cooperate).
    “When a party stipulates that another shall do a certain thing, he thereby impliedly
    promises that he will himself do nothing which will hinder or obstruct that other in
    doing that thing.” Sharp v. Williams, 
    192 So. 476
    , 480 (Fla. 1939). If “the
    cooperation of one party is an essential prerequisite to performance by the other,
    there is not only a condition implied in fact qualifying the promise of the latter, but
    also an implied promise by the former to give the necessary cooperation.” 
    Id.
     But
    Dr. Perry fails to allege facts that suggest such an implied duty; she fails to explain
    how TSG’s cooperation was an essential prerequisite to her performance. See id.;
    see also PL Lake Worth Corp., 
    949 So. 2d at 1201
     (involving a landlord’s
    withholding of information that was missing and essential for calculating an
    amount owed in a renewal contract). Thus, based on Dr. Perry’s allegations, no
    cause of action for breach of an implied duty exists.
    III.
    For the foregoing reasons, the district court correctly dismissed Dr. Perry’s
    common-law claims. But it erred when it granted summary judgment for TSG on
    Dr. Perry’s Title VII and § 1981 claims and judgment as a matter of law for Naples
    17
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    HMA on Dr. Perry’s Title VII claims. Therefore, we AFFIRM the dismissals of
    the common-law claims. We also REVERSE the grants of summary judgment and
    judgment as a matter of law on the Title VII claims, VACATE the grant of
    summary judgment on the § 1981 claim, and REMAND the Title VII and § 1981
    claims.
    AFFIRMED IN PART, REVERSED AND REMANDED IN PART,
    AND VACATED AND REMANDED IN PART.
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    HINKLE, District Judge, concurring:
    I fully concur in the panel opinion and add a note confirming my
    understanding of the issues that will be open on remand.
    First, the record would support a finding that Dr. Perry would not have lost
    her job had she been a white man instead of an African American woman. And the
    record would support a finding that both TSG and Naples HMA knew it. These
    issues must be resolved by a jury.
    Second, TSG’s business, as relevant here, was managing and staffing this
    hospital’s emergency room. TSG hired Dr. Perry to perform an essential role—
    indeed, the most essential role—in that business. If a company’s pipe bursts and
    the company calls in an unrelated plumber to fix it, the plumber is usually an
    independent contractor. But when a plumbing company hires a fulltime plumber to
    provide services to its customers all day every day—to carry out the company’s
    mission—the plumber is usually an employee. Dr. Perry didn’t come to this
    hospital to fix an isolated broken pipe. She was there to run the shop and carry out
    the company’s mission. A jury could find that Dr. Perry was an employee.
    The bottom line: on remand the Title VII race, gender, and retaliation claims
    will go forward against both TSG and Naples HMA. The § 1981 race claim will go
    forward only against TSG; it was abandoned against Naples HMA.
    19