Anne Marnocha v. St. Vincent Hospital and Heal ( 2021 )


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  •                               In the
    United States Court of Appeals
    For the Seventh Circuit
    ____________________
    No. 20-1374
    ANNE MARNOCHA,
    Plaintiff-Appellant,
    v.
    ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC.
    and ST. VINCENT CARMEL HOSPITAL, INC.,
    Defendants-Appellees.
    ____________________
    Appeal from the United States District Court for the
    Southern District of Indiana, Indianapolis Division.
    No. 18-cv-02714 — James R. Sweeney, II, Judge.
    ____________________
    ARGUED DECEMBER 3, 2020 — DECIDED JANUARY 22, 2021
    ____________________
    Before SYKES, Chief Judge, FLAUM, and ST. EVE, Circuit
    Judges.
    FLAUM, Circuit Judge. On the heels of her termination,
    plaintiff-appellant Dr. Anne Marnocha brought this claim
    against defendants-appellees St. Vincent Hospital and Health
    Care Center, Inc. and St. Vincent Carmel Hospital, Inc. (col-
    lectively “St. Vincent”), asserting age discrimination claims
    under the Age Discrimination in Employment Act (“ADEA”),
    2                                                    No. 20-1374
    
    29 U.S.C. § 621
     et seq. On appeal, Marnocha challenges the dis-
    trict court’s grant of St. Vincent’s motion for summary judg-
    ment, alleging that genuine issues of material fact precluded
    summary judgment on both her termination and failure to
    hire claims. Apart from a minor factual error in the district
    court’s opinion, we agree that no genuine dispute of material
    fact exists for either claim. Summary judgment was therefore
    appropriate, and we affirm.
    I. Background
    A Neonatal Intensive Care Unit (“NICU”) offers special-
    ized care for hospitals’ youngest and smallest patients. Based
    on services and care offered, NICUs have four levels. Level I
    NICUs are normal newborn nurseries, Level II NICUs treat
    mildly sick infants, Level III NICUs provide assisted ventila-
    tion while also caring for critically ill babies, and Level IV NI-
    CUs treat babies in need of the highest level of care, including
    Extracorporeal Membrane Oxygenation and pediatric surgi-
    cal interventions.
    As a board-certified doctor in pediatrics and neonatal-per-
    inatal medicine, Marnocha focused on the medical care of
    newborn infants, especially ill or premature infants. Marno-
    cha received her license in 1981 and joined St. Vincent’s Hos-
    pital on 86th Street in Indianapolis, Indiana (“86th Street”) in
    1987. St. Vincent brought Marnocha in to develop this NICU
    into a Level III facility, and during her tenure, the NICU ad-
    vanced to a Level IV facility.
    When St. Vincent began building a perinatal service pro-
    gram at its Carmel, Indiana campus (“Carmel”) with the goal
    of establishing a Level II, and eventually a Level III, NICU,
    Marnocha was appointed to run the program. Marnocha
    No. 20-1374                                                             3
    transferred to the Carmel location in April 2003 when it
    opened. She worked there part-time until 2005, when she
    transitioned to full-time after the Carmel NICU became a
    Level III facility. Marnocha worked at the Carmel NICU until
    her termination in 2018.
    In February 2017, Dr. Hossain Marandi began serving as
    the President of Peyton Manning Children’s Hospital and the
    Executive Director of the pediatric service line for St. Vincent
    in Indiana. Marandi’s supervisory authority – including the
    authority to hire and fire – covered both the NICUs at Carmel
    and at 86th Street. In June 2017, Marandi concluded there
    were too many neonatologists on staff, a conclusion sup-
    ported by self-identified issues concerning the full-time
    equivalencies (“FTEs”) of 86th Street neonatologists. In for-
    mulating his restructuring plan, Marandi reviewed work-
    flows and schedules, before deciding by September 2017 to
    terminate the Carmel neonatologists and expand the respon-
    sibilities of the 86th Street neonatologists to cover the Carmel
    NICU as well. Although Marandi did share his finalized deci-
    sion to restructure with several colleagues, he maintains the
    evaluation and decision were solely his. 1
    At the time of the restructuring, Carmel employed five
    full-time neonatologists: Marnocha (age 62), Dr. Catherine
    1 Colleague disagreement had no impact on Marandi’s restructuring deci-
    sion. In late summer 2017, Marandi informed several others of his over-
    staffing concerns and his plan to reduce the number of neonatologists. The
    group of several doctors and one nurse with whom Marandi spoke told
    him that St. Vincent was appropriately staffed. At that time, Marandi did
    not include any Carmel neonatologists in these discussions and did not
    publicize his intent to eliminate Carmel neonatologists and expand cover-
    age of 86th Street neonatologists.
    4                                                    No. 20-1374
    Watts (age 58), Dr. Nancy Lemear (age 53), Dr. Kem Temple-
    ton (age 59), and Dr. Melissa Landis (age 35). During this
    same period, 86th Street employed sixteen neonatologists and
    hospitalists who had been employed there less than five years.
    Additionally, twenty of the thirty-two physicians in those po-
    sitions at 86th Street were over forty years old. Although cer-
    tified as a Level III facility, only two percent of babies treated
    at Carmel in 2017 and 2018 qualified for Level III care. By con-
    trast, the “extremely ill babies” at the Carmel NICU were
    transferred to 86th Street, a NICU certified for Level IV care.
    Given this divide, Marandi assumed the 86th Street neonatol-
    ogists could cover Carmel’s NICU, but the Carmel neonatol-
    ogists could not necessarily provide the Level IV care re-
    quired at 86th Street.
    Marandi’s plan to restructure and eliminate the Carmel
    neonatologists triggered Human Resources (“HR”) involve-
    ment. Kellie Harris, an HR employee, proactively set a meet-
    ing with Marandi to talk about his plan to restructure — re-
    ferred to as his “neonatologist request” — as well as discuss
    his business needs and understand the rationale behind the
    planned changes. Standard restructure review required Har-
    ris to assess the impact on the entire targeted group, including
    a risk assessment “to make sure that any business decisions
    [were not] based off of specifics to an individual and that [they
    are] specific to the organizational needs.” For purposes of the
    HR review, the “targeted” and “impacted” group included
    not only the five neonatologist positions at Carmel but also
    twenty-two neonatologists and ten hospitalists at 86th Street,
    described by HR as “everyone with the same responsibilities
    in the departments that we looked at.” This review grouping
    accorded with St. Vincent’s standard HR practice “to look at
    No. 20-1374                                                   5
    everyone that is included in targeted group as one whole de-
    partment.”
    Harris and Marandi provided inconsistent testimony re-
    garding whether St. Vincent had a preference for retaining
    Carmel’s youngest neonatologist, Landis. Harris testified that
    she and Marandi discussed moving Landis from Carmel to
    86th Street and amending her contract rather than terminat-
    ing and rehiring her. Marandi, however, denied that any dis-
    cussion about retaining Landis took place or that anyone ex-
    pressed a preference for retaining her. Harris also testified as
    to discussions about Carmel neonatologists’ past Level IV
    NICU experience, but Marandi again denied having any
    knowledge of “the level of experience that the [neonatolo-
    gists] at Carmel had in regards to working at a Level 4 facil-
    ity.”
    Marandi’s plan to restructure and eliminate was carried
    out as intended: All Carmel neonatologists were fired, while
    the 86th Street group was tasked with covering the Carmel
    NICU. On January 5, 2018, Marandi discharged Marnocha. In
    contrast to his deposition testimony that he had no
    knowledge of the Carmel neonatologists’ Level IV experience,
    Marandi purportedly told Marnocha that she and the other
    Carmel neonatologists were being terminated for lack of re-
    cent Level IV training.
    Marandi told Marnocha there were twenty-two neonatol-
    ogists at 86th Street, but St. Vincent needed twenty-three. All
    five of the newly terminated Carmel neonatologists were eli-
    gible to apply for the remaining opening. Sensitive to Marno-
    cha’s surprise about her termination, Marandi was receptive
    to input about the makeup of the interview panel for the open
    neonatologist position. The parties dispute who picked the
    6                                                             No. 20-1374
    panel members: Marandi asserts that Marnocha selected most
    of the panel, while Marnocha maintains she did not suggest
    the panelists.
    The six-person interview panel, informally led by Dr. Taha
    Ben Saad in his role as the division director of neonatology,
    included: Dr. Melissa Leedy, neonatologist and physician
    lead for pediatric transport; Dr. Ina Whitman, neonatologist
    at 86th Street; Nurse Stacey Yeo, nurse supervisor and neona-
    tal nurse practitioner; Dr. Amy Moon-Holland, OB-GYN; and
    Dr. Jeffrey Rothenberg, Chief Medical Officer of the 86th
    Street campus of St. Vincent Hospital.2 The panel was charged
    with interviewing and making recommendations but not
    with contracting or hiring the recommended individual. Four
    of the five terminated Carmel neonatologists interviewed for
    the open position: Templeton, Watts, Marnocha, and Landis.
    Throughout the formal interview process, the interviewers
    took notes and individually filled out an informal question-
    naire, which included eight categories: educational back-
    ground, prior work experience, technical qualifications, ver-
    bal communication, enthusiasm, knowledge of company,
    team building/interpersonal, and initiative. The interviewers
    first submitted their interview sheets to Ben Saad before “cau-
    cus[ing]” as a group to discuss their views of the candidates.
    2 The district court opinion incorrectly stated Rothenberg was not on the
    panel. This error does not impact our analysis, contrary to Marnocha’s ar-
    guments. Typographical errors do not mandate reversal when it is appar-
    ent that the district court properly understood the facts and considered
    the arguments. See United States v. Marion, 
    590 F.3d 475
    , 476 n.1 (7th Cir.
    2009). From the context of the district court opinion, the district court un-
    derstood and considered the case. Therefore, we find the misstatement at
    issue was nothing more than a typographical error.
    No. 20-1374                                                    7
    There was no need for a formal vote or even extensive
    group discussion, as the panelists unanimously agreed that
    Landis was the best candidate.
    The interviewers articulated clear reasons for preferring
    Landis. The 86th Street NICU is a “very large, big, busy
    NICU” requiring a “kind of high energy person to be able to
    do the job.” Given the slower paced environment at Carmel,
    the interviewers focused on how each candidate planned to
    transition from a nursery with an average daily count of less
    than ten babies to a NICU with an average daily count be-
    tween sixty and seventy babies. Landis was ready with her
    plan. Building on her recent fellowship training at a nation-
    ally recognized NICU, Landis came prepared for her inter-
    view. She had researched surgical protocols and ventilation
    procedures used in Level IV NICUs—thus showing initiative
    the interviewers perceived as demonstrating enthusiasm and
    preparedness for the challenge of transitioning to a higher
    acuity and busier NICU. Bolstering the interviewers’ conclu-
    sion, evaluators also pointed to Landis’s positive attitude and
    aptitude for patient interaction.
    In stark contrast, the interviewers’ consensus on Marno-
    cha was lukewarm, at best. Marnocha relied almost exclu-
    sively on her less-recent Level IV experience, failing to articu-
    late how she would transition to a higher acuity and busier
    NICU. According to Whitman, Marnocha “[d]id not have [a]
    cogent plan for making the transition” from Carmel to 86th
    Street. Of particular concern to the interview panel, Marnocha
    said she did not think much had changed in the fifteen years
    since she had worked in a Level IV NICU. Furthermore, while
    crediting Marnocha’s technical competence, panelists raised
    8                                                      No. 20-1374
    concerns about her on-the-job interpersonal skills and ap-
    proach to patient care.
    On later review, despite this group consensus, responses
    on individual interview questionnaires raised questions. Dur-
    ing Marnocha’s interview, Rothenberg made a note to himself
    that she was “at end of career.” Rothenberg later testified that
    this note meant “that [Marnocha] was toward the end of her
    career as opposed to Dr. Landis who was toward the begin-
    ning of her career,” and that as an administrator, he “want[ed]
    to build for 20, 30 years in the future, not just for the next five
    years.” Rothenberg said in reaching his own decision he
    “would be remiss if [he] didn’t take both immediate needs as
    well as future needs into account when hiring.” However,
    Rothenberg’s “clear-cut” preference for Landis derived not
    solely from long-term planning but also from the impression,
    after interviewing, that “if [he] had to choose one of these four
    to take care of [his] own child, Dr. Landis would be [his] first
    choice.” Furthermore, Rothenberg did not recall talking to his
    fellow interviewers about his forward-thinking projections.
    Nor did the other interviewers affirmatively state Rothenberg
    did so. The record does not indicate that Rothenberg shared
    any age-based bias during the interview process.3
    St. Vincent hired Landis for the open position in February
    2018. As other 86th Street additions, Dr. Hilary White (age 37)
    was hired in early 2017, before Marandi’s arrival and before
    the restructuring, to fill a neonatology position left open by a
    departing employee, and Dr. Kelsey Montgomery (age 36)
    3The only interview panelist asked about Rothenberg’s “end of career”
    note, Whitman, “honestly [did not] recall him discussing that.”
    No. 20-1374                                                      9
    was brought on in August 2018 after being offered future em-
    ployment, pending completion of her pediatric fellowship.
    These final two additions were the product of decisions made
    well before, and unrelated to, Marandi’s restructuring plan.
    Marnocha filed suit against St. Vincent, alleging violations
    of the ADEA. Specifically, Marnocha alleged that St. Vincent
    discriminated against her on the basis of her age by terminat-
    ing her employment as a neonatologist and not hiring her for
    the open neonatologist position. St. Vincent moved for sum-
    mary judgment. The district court granted the motion its en-
    tirety, concluding that no reasonable trier of fact could find
    that St. Vincent terminated or failed to hire Marnocha based
    on her age.
    Marnocha now appeals.
    II. Discussion
    “We review a district court’s grant of summary judgment
    de novo.” Skiba v. Ill. Cent. R.R. Co., 
    884 F.3d 708
    , 717 (7th Cir.
    2018). Summary judgment is appropriate “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 genuine dispute of material fact exists
    ‘if the evidence is such that a reasonable jury could return a
    verdict for the nonmoving party.’” Skiba, 884 F.3d at 717
    (quoting Anderson v. Liberty Lobby, Inc., 
    477 U.S. 242
    , 248
    (1986)). A theory “too divorced from the factual record” does
    not create a genuine issue of material fact. Id. at 721. “Alt-
    hough we construe all facts and make all reasonable infer-
    ences in the nonmoving party’s favor, the moving party may
    succeed by showing an absence of evidence to support the
    non-moving party’s claims.” Tyburski v. City of Chicago,
    10                                                    No. 20-1374
    
    964 F.3d 590
    , 597 (7th Cir. 2020) (citation and internal quota-
    tion marks omitted).
    Recognizing the challenges facing older workers attempt-
    ing to retain or regain employment, Congress enacted the
    ADEA in 1967 to “promote employment of older persons
    based on their ability rather than age,” “prohibit arbitrary age
    discrimination in employment,” and “help employers and
    workers find ways of meeting problems arising from the im-
    pact of age on employment.” 
    29 U.S.C. § 621
    (a)(1), (b). The
    statute extends protection to workers forty years of age and
    older, making it unlawful for an employer “to fail or refuse to
    hire or to discharge any individual or otherwise discriminate
    against any individual with respect to his compensation,
    terms, conditions, or privileges of employment, because of
    such individual’s age.” Carson v. Lake County, Indiana, 
    865 F.3d 526
    , 532 (7th Cir. 2017) (quoting 
    29 U.S.C. § 623
    (a)(1)).
    The ADEA prohibits disparate treatment, where “liability
    depends on whether the protected trait … actually motivated
    the employer’s [adverse] decision.” 
    Id.
     (alteration in original)
    (quoting Hazen Paper Co. v. Biggins, 
    507 U.S. 604
    , 610 (1993)).
    When a plaintiff seeks to recover under a theory of disparate
    treatment, as Marnocha does here, she “must prove, by a pre-
    ponderance of the evidence, that age was the but-for cause of
    the challenged adverse employment action.” Skiba, 884 F.3d at
    719 (citation and internal quotation marks omitted). In other
    words, “[t]o recover under a theory of disparate treatment in
    the ADEA context, ‘it’s not enough to show that age was a
    motivating factor. The plaintiff must prove that, but for [her]
    age, the adverse action would not have occurred.’” McDaniel
    v. Progress Rail Locomotive, Inc., 
    940 F.3d 360
    , 367 (7th Cir. 2019)
    (quoting Wrolstad v. Cuna Mut. Ins. Soc’y, 
    911 F.3d 450
    , 454
    No. 20-1374                                                      11
    (7th Cir. 2018)); see also Gross v. FBL Fin. Servs., 
    557 U.S. 167
    ,
    176–78 (2009) (explaining but-for causation standard for
    ADEA disparate treatment claims).
    Following our decision in Ortiz v. Werner Enterprises, Inc.,
    
    834 F.3d 760
     (7th Cir. 2016), courts must evaluate all evidence
    together as a whole, whatever the source. 
    Id. at 766
    . A plaintiff
    may prove but-for causation either “by introducing direct or
    circumstantial evidence that her employer took an adverse ac-
    tion against her because of her age” or by invoking the bur-
    den-shifting framework set forth in McDonnell Douglas Corp.
    v. Green, 
    411 U.S. 792
     (1973). See Carson, 865 F.3d at 532–33.
    The McDonnell Douglas burden-shifting framework requires
    plaintiff show: “(1) she is a member of a protected class, (2)
    she was meeting the defendant’s legitimate expectations, (3)
    she suffered an adverse employment action, and (4) similarly
    situated employees who were not members of her protected
    class were treated more favorably.” Id. at 533 (quoting Simp-
    son v. Franciscan All., Inc., 
    827 F.3d 656
    , 661 (7th Cir. 2016)). If
    the plaintiff establishes this prima facie case, “the burden
    shifts to the defendant to articulate a legitimate, nondiscrimi-
    natory reason for the adverse employment action, at which
    point the burden shifts back to the plaintiff to submit evidence
    that the employer’s explanation is pretextual.” 
    Id.
     (citation
    and internal quotation marks omitted).
    Regardless of which path to proof a plaintiff takes, “at the
    summary judgment stage the court must consider all admis-
    sible evidence to decide whether a reasonable jury could find
    that the plaintiff suffered an adverse action because of her age.”
    
    Id.
    12                                                   No. 20-1374
    A. Termination Claim
    Marnocha first alleges that St. Vincent unlawfully termi-
    nated her employment in violation of the ADEA. On appeal,
    Marnocha challenges the district court’s grant of summary
    judgment on her termination claim, arguing that the court
    erred both in determining that she could not satisfy the “sim-
    ilarly situated” prong of her prima facie case and in rejecting
    evidence that St. Vincent’s reasons for terminating her were
    pretext for age discrimination.
    We approach Marnocha’s termination claim as pre-
    sented – through the lens of the McDonnell Douglas frame-
    work. Of the framework’s four prongs, St. Vincent conceded
    that Marnocha satisfied the first three: she was over forty and
    part of a protected class, she met St. Vincent’s legitimate ex-
    pectations, and she suffered an adverse employment action.
    The district court’s grant of summary judgment therefore
    turned on whether similarly situated employees under the
    age of forty were treated more favorably. In evaluating the
    similarly situated prong, the district court limited the relevant
    comparators to the terminated Carmel neonatologists. Mar-
    nocha argues that this action “impermissibly narrowed the
    scope” of her comparators. We disagree.
    “All things being equal, if an employer takes an action
    against one employee in a protected class but not another out-
    side that class, one can infer discrimination. The ‘similarly sit-
    uated’ prong establishes whether all things are in fact equal.”
    McDaniel, 940 F.3d at 368 (quoting Filar v. Bd. of Educ. of City
    of Chi., 
    526 F.3d 1054
    , 1061 (7th Cir. 2008)). The purpose of the
    similarly situated prong is to “eliminate other possible ex-
    planatory variables, such as differing roles, performance his-
    tories, or decision-making personnel, which helps isolate the
    No. 20-1374                                                 13
    critical independent variable – discriminatory animus.” Cole-
    man v. Donahoe, 
    667 F.3d 835
    , 846 (7th Cir. 2012) (citation and
    internal quotation marks omitted). While similarly situated
    parties need not be “identical in every conceivable way,” they
    “must be directly comparable to the plaintiff in all material
    respects.” 
    Id.
     (internal quotation marks omitted).
    The district court held that Marnocha failed to carry her
    burden with respect to the similarly situated prong. It con-
    cluded that “[s]he does not provide the ages, work history,
    performance reviews, supervisors, or qualifications of the
    doctors at 86th Street, leaving the Court to speculate as to
    whether age or some other legitimate consideration caused
    the 86th Street neonatologists to retain their positions.” Mar-
    nocha argues that the district court “did not consider all evi-
    dence in the record in a light most favorable to [her]” and did
    not “draw all reasonable inferences in her favor.” She con-
    tends that these errors left her with an “improperly nar-
    rowed” pool of comparators, a pool which excluded the 86th
    Street neonatologists. Despite the lengthy arguments cen-
    tered on the similarly situated prong, we reject Marnocha’s
    position for the simple reason that the neonatologists em-
    ployed at Carmel and the neonatologists employed at 86th
    Street are not comparable in all material respects. While we
    therefore agree with the district court’s judgment, we see no
    need to look beyond the differences in work environment to
    find material lack of comparability. The two work environ-
    ments are distinct, varying by NICU level, acuity, and pace.
    Given these distinctions, the Carmel neonatologists represent
    the proper comparators.
    14                                                   No. 20-1374
    Marandi, the sole decision maker, designed and executed
    a restructuring plan with these differences in mind. Even ac-
    cepting Marnocha’s claims that St. Vincent contemplated
    transferring Landis to 86th Street as true, there is no ambigu-
    ity in the events that transpired: Similarly situated employees
    under the age of forty were not treated more favorably. Ma-
    randi fired all five Carmel neonatologists and gave all five the
    identical opportunity to apply for the opening at 86th Street.
    There is no genuine dispute of fact that the comparators here
    were treated identically, so summary judgment was proper.
    Attempting to counter this conclusion, Marnocha con-
    tends that the district court erred in its application of the sim-
    ilarly situated standard for Reduction in Force (“RIF”) cases
    outlined in Collier v. Budd Co., 
    66 F.3d 886
     (7th Cir. 1995),
    which, by her formulation, requires only a “show[ing] that
    younger employees were treated more favorably.” Marnocha
    maintains that had the district court applied this standard, it
    would have identified a genuine issue of material fact suffi-
    cient to preclude summary judgment. Finding Collier not dis-
    positive in our summary judgment holding, we disagree.
    The language in Collier clarifies, rather than supplants, the
    McDonnell Douglas framework in RIF cases. RIF cases encom-
    pass workforce reductions or restructurings that do not in-
    volve “simply hir[ing] a new person to fill the discharged em-
    ployee’s old position.” Instead, “jobs are often consolidated
    and/or work is shifted to other existing employees.” 
    Id. at 890
    .
    We have therefore held that “the fourth element of the prima
    facie case in RIF cases is not that the employee was replaced
    by a younger employee but that younger employees were
    treated more favorably.” 
    Id.
     at 890–91 (citations and internal
    quotation marks omitted). However, Collier simply clarifies
    No. 20-1374                                                   15
    the articulated RIF standard, a standard that was intended to
    be “consistent with the McDonnell Douglas approach.” 
    Id. at 891
    . Accordingly, the RIF standard does not erase the “simi-
    larly situated” requirement from the fourth prong. Cf. Bellaver
    v. Quantex Corp., 
    200 F.3d 485
    , 495 (7th Cir. 2000) (distinguish-
    ing between a mini-RIF and a true RIF, noting that the “simi-
    larly situated employee” requirement is waived only for a
    mini-RIF). In Collier, it was a given that the alleged compara-
    tors were similarly situated; in the case at hand, the compara-
    tors – the neonatologists employed at Carmel and the neona-
    tologists employed at 86th Street – were not comparable in all
    material respects. The jobs of the two neonatologist groups
    are not fungible; although a Level IV NICU neonatologist can
    perform the duties of a Level II or III NICU neonatologist, the
    reverse is not necessarily true.
    Accordingly, because Marnocha did not carry her burden
    on McDonnell Douglas’s similarly situated prong, we conclude
    that the district court appropriately granted summary judg-
    ment on her termination claim. Finding Marnocha did not es-
    tablish a prima facie case for age discrimination in her termi-
    nation claim, we do not address her arguments regarding pre-
    text.
    B. Failure to Hire Claim
    Marnocha next alleges that she was discriminated against
    because St. Vincent failed to hire her. On appeal, Marnocha
    challenges the district court’s holding that she failed to prove
    that St. Vincent’s rationale for not hiring her was pretext for
    age discrimination. She argues that the court erred by dis-
    counting evidence that Rothenberg’s age bias tainted the in-
    terview panel and that the interview panel was used to con-
    ceal St. Vincent’s preference for Landis.
    16                                                 No. 20-1374
    Relying again on the McDonnell Douglas framework, the
    parties agree that Marnocha established a prima facie case
    that she was not hired because of her age, given (1) she is a
    member of a protected class, (2) she applied for and was qual-
    ified for an open position, (3) despite her qualifications, she
    was rejected for the position, and (4) a similarly situated per-
    son outside her protected class was hired for the position. See
    Oliver v. Joint Logistics Managers, Inc., 
    893 F.3d 408
    , 413 (7th
    Cir. 2018).
    Once a prima facie case is established, the burden shifts to
    the defendant to “articulate a legitimate, nondiscriminatory
    reason for the adverse employment action.” Carson, 865 F.3d
    at 533 (citation and internal quotation marks omitted). Once
    such reasons are given, the burden “shifts back” to the plain-
    tiff to demonstrate that “the employer’s explanation is pre-
    textual.” Id. (citation and internal quotation marks omitted).
    That the “individuals ultimately hired were better candi-
    dates” is a legitimate, nondiscriminatory reason for refusing
    to hire a plaintiff. Skiba, 884 F.3d at 724. To make a showing of
    pretext, a plaintiff must present evidence suggesting the em-
    ployer’s “proffered reason … [is] a lie.” Id. To meet this bur-
    den, plaintiff “must identify such weaknesses, implausibili-
    ties, inconsistencies, or contradictions” in the employer’s as-
    serted “reasons that a reasonable person could find it unwor-
    thy of credence.” Boumehdi v. Plastag Holdings, LLC, 
    489 F.3d 781
    , 792 (7th Cir. 2007).
    The ADEA directs employers “to evaluate [older] employ-
    ees … on their merits and not on their age.” Hazen Paper,
    
    507 U.S. at 611
     (alteration in original) (citation and internal
    quotation marks omitted). In this respect, the interviewing
    No. 20-1374                                                  17
    panel conformed to the ADEA’s command. Based on the rec-
    ord, Landis outshone Marnocha in her interview, positioning
    herself as the better candidate for the 86th Street opening. She
    had a plan for the transition, she impressed the interviewers
    with her proactive research, and she brought the energy
    needed for the job. By contrast, Marnocha brushed off her
    need for training and the existence of medical advances over
    the last fifteen years. Like the plaintiff in Skiba, Marnocha
    “presented as somewhat over-confident regarding [her] own
    knowledge and abilities.” 884 F.3d at 721. The record here
    thus supports a range of legitimate and non-age-related rea-
    sons for hiring Landis over Marnocha.
    Marnocha has not shown that these legitimate, non-age-
    related reasons for hiring Landis are pretextual. Conduct that,
    standing alone, may raise questions about discrimination
    may turn out to be “innocuous when viewed in context.” Id.
    at 720. At the center of Marnocha’s pretext argument is
    Rothenberg’s note that Marnocha was “at end of career,”
    which he later clarified he made because he “want[ed] to
    build for 20, 30 years in the future, not just for the next five
    years.” We have previously explained that the description of
    a plaintiff as a “later career person” is “not an inevitable eu-
    phemism for old age.” Id. at 722 (citing Wilson v. Lear Corp.,
    2 F. App’x. 576, 580 (7th Cir. 2001)). Rothenberg’s considera-
    tions similarly must be put in context. Nothing in the record
    evidences that he steered the interview committee away from
    Marnocha; the record supports the claim that committee
    members independently reached their decision to hire Landis,
    and no interviewers affirmatively stated that Rothenberg
    18                                                            No. 20-1374
    shared his views on Marnocha’s career stage with them.4 Fur-
    thermore, seeking a “high energy person” to fill the open ne-
    onatologist role, without more, does not evidence an inappro-
    priate focus on age. See Blackwell v. Cole Taylor Bank, 
    152 F.3d 666
    , 672 (7th Cir. 1998) (noting descriptive phrases about can-
    didates’ “energy” levels evidence “the kind of evaluative ap-
    proach that the antidiscrimination laws seek to encourage”).
    When looking at the record, Marnocha falls short of showing
    the non-age-related reasons St. Vincent offered are “reasons
    that a reasonable person could find … unworthy of credence.”
    Boumehdi, 
    489 F.3d at 792
    .
    Emerging from the tangled details of this case, it is helpful
    to return to the burden on Marnocha. She must prove but-for
    causation; merely showing that “age was a motivating factor”
    does not suffice. See McDaniel, 940 F.3d at 367 (quoting
    Wrolstad, 911 F.3d at 454). Under this standard, Marnocha has
    not carried her burden on either her termination or failure to
    rehire claims. Using the appropriate comparators, the Carmel
    neonatologists, the only similarly situated neonatologist un-
    der forty was not treated more favorably. Instead, all were
    fired and offered the identical opportunity to reapply and in-
    terview for the remaining opening. Reviewing the rehiring
    4 On appeal, Marnocha argues that Shrager v. Upjohn Co., 
    913 F.2d 398
    , 405
    (7th Cir. 1990), “recognized that hiring panels may well serve as ‘a liability
    shield invented by lawyers’ that can ‘insulate the company from liability
    unless there is evidence that the panel is tainted by prejudice.’” The record
    does not support her claim that the panel was tainted by prejudice. There
    is no evidence Rothenberg shared his long-term viewpoint, and the only
    panel member who was asked about Rothenberg’s views, Whitman, does
    not recall any discussion to that effect.
    No. 20-1374                                                    19
    process, the record supports St. Vincent’s legitimate and non-
    age-related reasons for hiring Landis over Marnocha.
    Although we take “a fresh look at the record,” Skiba,
    884 F.3d at 725 (quoting Bass v. Joliet Pub. Sch. Dist. No. 86,
    
    746 F.3d 835
    , 837 (7th Cir. 2014)), Marnocha is still not entitled
    to relief in this case. Had Marnocha been under the age of
    forty, all else equal, the “same events would have transpired.”
    
    Id.
     (quoting Senske v. Sybase, Inc., 
    588 F.3d 501
    , 507 (7th Cir.
    2009)). The evidence brought forward by Marnocha does not
    permit a reasonable factfinder to conclude that her age caused
    her termination or subsequent hiring outcome. As such, the
    district court’s grant of summary judgment was appropriate.
    III. Conclusion
    For the foregoing reasons, we AFFIRM the district court’s
    grant of summary judgment in favor of St. Vincent.