Jillian Crabtree, V. Jefferson County Public Hospital District 2 ( 2021 )


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  •                                                                                                Filed
    Washington State
    Court of Appeals
    Division Two
    December 14, 2021
    IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON
    DIVISION II
    JILLIAN CRABTREE,                                                   No. 54951-4-II
    Appellant,
    v.                                                      PUBLISHED OPINION
    JEFFERSON COUNTY PUBLIC HOSPITAL
    DISTRICT NO. 2 d/b/a JEFFERSON
    HEALTHCARE,
    Respondent.
    WORSWICK, J. — Jillian Crabtree appeals the trial court’s order granting summary
    judgment dismissing her claims of sex discrimination against her employer, Jefferson
    Healthcare. Jefferson Healthcare fired Crabtree after she became pregnant. On appeal, Crabtree
    argues that there is a genuine issue of material fact as to whether (1) Jefferson Healthcare’s
    stated reasons for her termination were a pretext for discrimination, and (2) Jefferson Healthcare
    was substantially motivated by Crabtree’s pregnancy when it made the decision to discharge her.
    Because issues of material fact exist regarding both these issues, we reverse the order
    granting summary judgment and remand for further proceedings.
    FACTS
    I. BACKGROUND ON CRABTREE’S POSITION
    Crabtree started working at Jefferson Healthcare as the manager of patient access services
    in May 2018. Crabtree’s direct supervisor was Jennifer Goodwin, who was in turn supervised by
    Hilary Whittington. Crabtree’s job duties included overseeing three registration desks: one at the
    main entrance of the hospital, one at the emergency department, and another at the “walk-in”
    No. 54951-4-II
    clinic. Crabtree supervised up to 20 employees at a time and managed those employees’ hours,
    schedules, and personnel issues. Crabtree’s position required her to have working knowledge of
    the electronic medical record (EMR) system and an understanding of the financial counselors’
    role in order to assist her team should an issue arise.
    Every other week, Crabtree had regular one-on-one meetings with Goodwin and Allison
    Crispen, a human resources (HR) “business partner,” who was assigned to assist Crabtree in all
    HR and policy matters. Crabtree described the purpose of those meetings as an open
    conversation and an opportunity to receive advice and input.
    II. CRABTREE’S PERFORMANCE EVALUATION
    About seven months after Crabtree started her position, she received her first
    performance evaluation on November 26, 2018. The evaluation included a self-assessment
    section, followed by the supervisor’s assessment on a scale of 1-4, with 4 being the highest
    score.1 The evaluation contained a total of 19 values, divided across four categories. The
    categories and values were as follows:
    (1) “Organizational Values,” included “Compassion, Respect, Teamwork, and
    Stewardship;”
    (2) “Organizational Competencies,” included “Professional Practices, Quality and
    Safety, Service, Effective Decision Making, Communication, Initiative, and
    Accountability;”
    (3) “Position Standards” included “Overall Job Knowledge, Operations and
    Policy/Procedures, Productivity/Efficiency;” and,
    (4) “Leadership Skills” included “Quality and Safety, People, Service, Community
    Health, and Sustainability.”
    CP at 580-83.
    1
    “1” is defined as “does not meet expectations,” “2” is defined as “needs improvement,” “3” is
    defined as “meets expectations,” and “4” is defined as “exceed expectations.” CP at 580.
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    No. 54951-4-II
    For category (1), Goodwin awarded Crabtree a “3,” meaning that she met expectations
    for all the listed values. For category (2), Goodwin awarded Crabtree a “3” in all values, except
    for “effective decision making,” to which she rated Crabtree a “2,” meaning she needed
    improvement. Goodwin included written feedback for category (2). Her feedback stated:
    As we’ve discussed in our vision for the front end, this is one of your priorities and
    areas where you and the team can gain energy around this forward direction.
    Creating an environment where our team has actively thought [through] what our
    patients’ needs are, prior to them presenting on their date of service, is where our
    operational planning should be.
    CP at 581. Under category (3), Goodwin rated Crabtree’s performance as a “2,” needing
    improvement, on two of three values: “overall job knowledge” and “productivity and efficiency.”
    Goodwin included written feedback for category (2):
    Patient Access scope is at the core of ensuring an accurate, efficient and streamlined
    revenue cycle stream. I encourage you to utilize both NAHAM information/
    networking and HBI tools/best practice materials as great references for Patient
    Access knowledge and understanding.[2]
    CP at 582.
    In category (4), “Leadership Skills,” Goodwin rated Crabtree’s performance as a “3,”
    meeting expectations, in all values, except for a value labeled as “people,” for which Goodwin
    awarded Crabtree a “2,” needing improvement. “People” is defined as:
    Actively works toward recruiting and retaining a high performing workforce; builds
    and maintains strong provider/dyad relationships. Achieves top quartile results in
    the employee engagement survey. Seeks out current and constructive feedback and
    able to respond/adapt to feedback given; holds self and peers accountable to the
    standards of the organization. Engages and develops team.
    CP at 583. In the written feedback that followed, Goodwin expressed the following:
    2
    “NAHAM” and “HBI” are not defined in the record on appeal.
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    [I]t often becomes a balancing act of listening and being available and ensuring that
    [your team] understand[s] there is structure in place to share their feedback in a
    professional and respectful manner. I think they are on a learning curve, as you are,
    with building trust with a new leader and “feeling out” what you will allow with
    their conduct. I’ve seen you get stronger over the last month of backing up your
    responses with both HR assistance and policy and procedures to show the context
    of your direction. Keep up this rhythm and partnership with HR as you continue to
    set structure and expectations for the team . . . The team will need to see that there
    is reasoning, structure and methodology behind the changes from their Leader.
    CP at 584. At the end of the evaluation, Goodwin noted that Crabtree was doing “nice work,”
    and that she was “impressed” with Crabtree’s “professional self-reflection,” which she noted was
    “admirable and a great leadership skill.” CP at 586.
    Goodwin also included a summary of areas where Crabtree could improve. The
    summary included: (1) improving Crabtree’s understanding of registration and financial
    counseling and its impact on “overall revenue cycle steam,” (2) exploring “what works for
    communication” with Crabtree’s team, and (3) increasing visibility with the registration team
    and allowing for more in person discussions to “resolve issues in the moment.” CP at 586. In
    total, Goodwin rated Crabtree as “meeting expectations” in 12 out of 16 categories.3
    Following the evaluation, Whittington included a two-page letter to Crabtree, which was
    “highly unusual” for her to do. CP at 375. In the letter, Whittington told Crabtree that she had a
    “good first year” and that she had “done a nice job stepping into an entirely new career.” CP at
    588-89. She also offered additional feedback.
    Regarding scheduling and staffing, Whittington was “excited” for Crabtree to
    “challenge” the status quo with scheduling and staffing. CP at 588. Whittington also asked
    3
    In total, the evaluation has 19 values, but Goodwin only included a rating for 16 of those
    values.
    4
    No. 54951-4-II
    whether there were other things Crabtree’s team could do to help with staffing and scheduling as
    the traditional template was “not necessarily the best path.” CP at 588.
    Regarding financial counseling, Whittington expressed frustration that Crabtree had
    closed the financial counseling office during training. She said that she would like to treat such
    occurrences as “never” events. CP at 588.
    Regarding “[d]oing work versus being a manager,” Whittington advised Crabtree that she
    should work with Goodwin “to set the guardrails of how time is set to ensure [she] ha[s] enough
    time to both complete the ‘work’ and be around [her] team members.” CP at 588. Because
    “[t]here are times when there are not enough hours in a work week,” Whittington wrote that
    “these peaks may require creative scheduling or prioritizing.” CP at 588.
    Regarding information sharing, Whittington expressed that she would “love to see
    [Crabtree] focus on getting buy in from other leaders about why what the [registration] and
    [financial counseling] teams are doing is so awesome by spreading [Crabtree’s] own (awesome)
    rumors.” CP at 588.
    Regarding decision-making, Whittington offered Crabtree an example of what she herself
    did during her first year working for Jefferson Healthcare. When struggling to make decisions,
    Whittington would “[fold] pieces of paper into two side-by-side halves and [write] ‘how could
    this be awesome?’ and ‘what could go wrong?’ on either sides, with the question [she] was
    considering in bold at the top.” CP at 589.
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    No. 54951-4-II
    Whittington also told Crabtree that she “can do a full SWOT analysis of the two main
    teams and figure out where [her] effort could drive the best results and improvements.”4 CP 589.
    III. CRABTREE ANNOUNCED HER PREGNANCY IN EARLY DECEMBER
    Crabtree told Whittington that she was pregnant in December of 2018. Whittington
    responded by saying “Wow. Poor Jen. She’s going to be without a whole staff this
    spring/summer.” 5 CP at 162. Whittington’s remark referenced another manager on Goodwin’s
    team, Sidonie Straughn-Morse, who was also pregnant. Goodwin supervised four managers,
    including Straughn-Morse and Crabtree. Because one manager position was vacant at the time,
    Goodwin would have been left with only one manager if Straughn-Morse and Crabtree had taken
    maternity leave at the same time.
    That same week, Crabtree informed Goodwin of her pregnancy. Goodwin congratulated
    her and asked if she would be taking leave, and Crabtree said she would. Goodwin then
    followed up by asking if Crabtree planned on coming back after her leave, and Crabtree
    responded “yes.” CP at 166. Goodwin then asked if Crabtree was interested in returning to a
    lesser role, to which Crabtree responded “No. I like my job.” CP at 168.
    About a month later, in January 2019, Whittington made a comment at a staff meeting
    that the hospital will be short staffed for a while because both Crabtree and Straughn-Morse will
    be taking maternity leave in the spring and summer. In February 2019, Crabtree met with HR to
    discuss her options for taking maternity leave.
    4
    A “SWOT analysis” is a business management practice whereby an organization or a unit
    thereof identifies its strengths, weaknesses, opportunities, and threats. CP at 449.
    5
    “Jen” referred to Goodwin.
    6
    No. 54951-4-II
    IV. CRABTREE IS PLACED ON A PERFORMANCE IMPROVEMENT PLAN
    A day after Crabtree’s meeting with HR, Goodwin met with Crabtree to notify her that
    she was placing Crabtree on a 30-day performance improvement plan (PIP).
    Goodwin said that HR, Whittington, and other members in leadership, supported her
    decision to place Crabtree on a PIP. Goodwin said that she noticed “large gaps” in Crabtree’s
    success and other “significant performance issues.” CP at 594. Goodwin included examples of
    what led her to believe that Crabtree would not be successful in her role: (1) Closing central
    registration for training without considering the impact on hospital operations; (2) Failure to
    identify one employee’s non-compliance with the mask mandate sooner; and (3) Inability to
    manage people or make decisions in day-to-day operations. Goodwin also stated that she did not
    “feel confident that [Crabtree] will be successful in filling the gaps within the 30 days.” CP at
    594. When Crabtree stated her belief that PIPs were meant to set people up for failure, Goodwin
    told her that was not her intent but re-affirmed that “it would be a lot of work to fill gaps within
    30 days.” CP at 594. Goodwin also suggested that Crabtree should look for other jobs, but
    Crabtree chose to continue with the PIP.
    After the meeting, Goodwin created a PIP and presented it to Crabtree on February 19,
    2019. The PIP included three goals. The first goal was to create a SWOT analysis and develop a
    registration staffing plan. To accomplish the first goal, Crabtree had to learn Epic, a software
    program that Jefferson Healthcare used to manage the EMR system. She also had to define
    “productivity expectations” for the financial counselors; create staff schedules with reasons why
    each staff member was on a particular shift, including a breakdown of hours, expectations, and
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    No. 54951-4-II
    other requirements; and she had to meet with her team and explain her reasoning behind the
    schedule. CP at 597-98.
    The second goal was to create an impact analysis. To complete this goal, Crabtree was
    required to use documented spreadsheets detailing how patient access interacts with other
    departments. The third and last goal instructed Crabtree to define “gaps and opportunities,”
    “develop action plans,” “define how to identify indicators to react to,” and “define how to
    measure and how work will continue.” CP at 598. To accomplish this goal, Crabtree was
    expected to structure her time to allow for more time at the registration desk, re-institute staff
    meetings, “huddles,” and focus meetings. CP at 598.
    The PIP had four “checkpoint” dates when Goodwin and Crabtree would meet to check
    in on Crabtree’s progress. CP 599-600. Each meeting was scheduled a week apart on February
    26, March 5, March 12, and March 19. After their March 5 meeting, Goodwin emailed Crabtree
    that she was “doing well with [her] proactive work for all of the above,” referring to the PIP
    goals, and that what Goodwin was “hearing and seeing is the right thing.” CP at 708.
    The PIP had a completion date of March 20. Crabtree was concerned about whether she
    could complete the PIP by the deadline, but Goodwin told her that a good faith effort to comply
    with the PIP would be enough.
    By March 12, Crabtree had not completed any of the goals listed in the PIP, but she was
    working toward accomplishing them. For example, Crabtree sought out and received training on
    Epic by meeting with a team member from clinical informatics at least two or three times. For
    the SWOT analysis, Crabtree was working on gathering information by looking through reports
    and other materials available on Epic. For the registration staffing plan, Crabtree went from
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    No. 54951-4-II
    using an Excel spreadsheet for scheduling to a new program called “Kronos” that offered the
    team better visibility and flexibility with scheduling. CP at 294. She was also working on
    redistributing shifts to better correlate with patient volume. To do that, she was gathering data to
    quantify “how many registrars [Jefferson Healthcare] would need based on how many patients
    were coming through.” CP at 204.
    Crabtree’s efforts on the registration staffing plan were put on pause when Jefferson
    Healthcare decided to redefine the duties of the registration staff, which would have significantly
    affected the way Crabtree scheduled her staff. In addition, Crabtree scheduled a meeting with
    Christine Curtis for additional data, but Curtis could not meet until “late next week.” CP at 708.
    Crabtree notified Goodwin of the possible delay in completing the registration staffing plan
    around March 7, and Goodwin noted that “continuous forward progress is ok for this one—the
    data you need and the timeline appears to be outside of your control. Glad you connected with
    Christine for this data.” CP at 708; Br. of Appellant (Appendix A).
    V. CRABTREE’S TERMINATION
    On March 15, before the PIP ended, Jefferson Healthcare terminated Crabtree. Even
    though Crabtree’s termination occurred before the PIP’s end date, Crispen reasoned that it
    became “abundantly clear that [Crabtree] would not be able to complete or make significant
    progress on her [PIP].”6 CP at 501. Crabtree’s termination was finalized in writing on March
    18. The decision to terminate Crabtree was in part made by Whittington and Crispen, both
    6
    Crispen testified in her capacity as a CR 30(b)(6) representative for Jefferson. CP at 373. CR
    30(b)(6) allows an organization to designate “persons [to] . . . testify as to the matters known or
    reasonably available to the organization.”
    9
    No. 54951-4-II
    whom were pregnant at the time of the decision. Crabtree’s termination letter stated the
    following reasons for her termination:
    After our meeting on 3/12/2019 it was evident to me that the work it would take to
    be successful in your PIP by 3/20/2019 was not close to being completed. As of
    3/12/2019 the following had been started and not completed or not started at all
     Learning the Epic modules that Registration and Financial Counseling
    utilize.
     Creating a SWOT analysis of what effort/work is needed to be done to drive
    Registration and Financial Counseling [Account Receivable] improvement
    had not been started.
     Registration Staffing Plan/Schedule that incorporates logic/reasoning to
    patient flow/volumes had not been started. You stated that you had a
    meeting to look at data on 3/14/2019.
     Creating a spreadsheet to show how Patient Access partners and impacts
    other departments/clinics at Jefferson [Healthcare] had not been started.
    CP at 605-06. The letter then articulated details of Crabtree’s performance on the PIP. For
    example, the letter stated that Crabtree was spending “5 hours on Epic training,” but Goodwin’s
    expectation was for Crabtree to spend time learning Epic in addition to her daily work, and that
    Epic training “though a part of the 30-day PIP, should have been completed well before the
    necessity arose for the PIP.” CP at 606.
    VI. STRAUGHN-MORSE
    Straughn-Morse was the other manager on Goodwin’s team who was pregnant at the
    same time as Crabtree. In February 2019, Straughn-Morse was advised that, in addition to
    supervising her team, she would need to take on the supervision of the billing team as well.
    Before Goodwin approached Straughn-Morse about the new duties of her position, Crispen
    emailed Goodwin the following advice:
    If [Straughn-Morse] pushes back, just let her know this isn’t an optional piece, this
    is how the new structure is going to be moving forward because it makes the most
    sense for that position. If she then asks for more money, it is not the practice of
    [Jefferson Healthcare] to give more money for these things.
    10
    No. 54951-4-II
    CP at 713. Straughn-Morse declined to take on additional duties, and she stepped into a lesser
    role with a corresponding reduction in pay and responsibilities. It is unclear if Jefferson
    Healthcare demoted Straughn-Morse or if she elected to step into the lesser role. Straughn-
    Morse took maternity leave in April and returned to work in the lesser role in September.
    VII. PROCEDURAL HISTORY
    Crabtree filed a lawsuit against Jefferson Healthcare alleging that Jefferson Healthcare
    terminated her because of her pregnancy in violation of the Washington Law Against
    Discrimination (WLAD). After discovery, Jefferson Healthcare moved for summary judgment,
    which the trial court granted.
    Crabtree appeals the trial court’s order granting summary judgment dismissing her claims
    of sex discrimination against Jefferson Healthcare.
    ANALYSIS
    I. STANDARD OF REVIEW
    We review dismissals on summary judgment de novo. Frausto v. Yakima HMA, LLC,
    
    188 Wn.2d 227
    , 231, 
    393 P.3d 776
     (2017). We review all evidence and reasonable inferences in
    the light most favorable to the nonmoving party, here, Crabtree. Keck v. Collins, 
    184 Wn.2d 358
    , 368, 
    357 P.3d 1080
     (2015). We affirm an order granting summary judgment if there are no
    genuine issues of material fact and the moving party is entitled to judgment as a matter of law.
    CR 56(c); Keck, 
    184 Wn.2d at 370
    . A motion for summary judgment must be denied if the
    nonmoving party, Crabtree, shows specific facts that show a genuine issue of material fact.
    Zonnebloem, LLC v. Blue Bay Holdings, LLC, 
    200 Wn. App. 178
    , 183, 
    401 P.3d 468
     (2017). A
    genuine issue of fact exists when reasonable minds could disagree on the facts controlling the
    11
    No. 54951-4-II
    outcome of the case. Sutton v. Tacoma Sch. Dist. No. 10, 
    180 Wn. App. 859
    , 864-65, 
    324 P.3d 763
     (2014).
    II. DISCRIMINATION CLAIM
    The WLAD bars employers from discharging an employee because of certain
    characteristics, including sex. RCW 49.60.180(2). The ban on discrimination on the basis of sex
    includes discrimination on the basis of pregnancy. WAC 162-30-020. A violation of RCW
    49.60.180(2) supports a discriminatory discharge claim. See Mikkelsen v. Pub. Util. Dist. No. 1
    of Kittitas County, 
    189 Wn.2d 516
    , 526, 
    404 P.3d 464
     (2017).
    A.     Burden Shifting Framework
    Because direct evidence of discriminatory intent is rare, an employee “may rely on
    circumstantial, indirect, and inferential evidence to establish discriminatory action.” Mikkelsen,
    189 Wn.2d at 526. Where the employee lacks direct evidence, Washington has adopted the three
    step evidentiary burden shifting framework announced in McDonnell Douglas Corp. v. Green,
    
    411 U.S. 792
    , 
    93 S. Ct. 1817
    , 
    36 L. Ed. 2d 668
     (1973) for discriminatory discharge claims.
    Scrivener v. Clark Coll., 
    181 Wn.2d 439
    , 445-46, 
    334 P.3d 541
     (2014).
    First, an employee must make a prima facie case of discriminatory discharge by showing
    that she was (1) within a statutorily protected class, (2) discharged by the defendant, and (3)
    doing satisfactory work. Mikkelsen, 189 Wn.2d at 527. Where the employee establishes a prima
    facie case, a rebuttable presumption of discrimination exists. Mikkelsen, 189 Wn.2d at 527.
    Second, the burden shifts to the employer, who must “‘articulate a legitimate,
    nondiscriminatory reason’” for the discharge. Mikkelsen, 189 Wn.2d at 527 (quoting Scrivener,
    
    181 Wn.2d at 446
    ). The employer is not required to persuade the court that it actually was
    12
    No. 54951-4-II
    motivated by the nondiscriminatory reason, the employer need only show that the employer’s
    evidence, if taken as true would permit the conclusion that there was a nondiscriminatory reason.
    Mikkelsen, 189 Wn.2d at 533.
    Third, if the employer meets this burden, the employee must produce sufficient evidence
    showing that the employer’s alleged nondiscriminatory reason for the discharge was a pretext.
    Mikkelsen, 189 Wn.2d at 527. “‘An employee may satisfy the pretext prong by offering
    sufficient evidence to create a genuine issue of material fact either (1) that the defendant’s reason
    is pretextual or (2) that although the employer’s stated reason is legitimate, discrimination
    nevertheless was a substantial factor motivating the employer.’” Mikkelsen, 189 Wn.2d at 527
    (quoting Scrivener, 
    181 Wn.2d at 446-47
    ). The employee is not required to show that
    discrimination was the only motivating factor for the discharge because an employer’s decision
    may be based on both legitimate and illegitimate reasons. Mikkelsen, 189 Wn.2d at 534.
    Summary judgment for an employer is rarely appropriate in a discriminatory discharge
    case “because of the difficulty of proving discriminatory motivation.” Mikkelsen, 189 Wn.2d at
    527. “‘When the record contains reasonable but competing inferences of both discrimination and
    nondiscrimination, the trier of fact must determine the true motivation.’” Mikkelsen, 189 Wn.2d
    at 528 (quoting Scrivener, 
    181 Wn.2d at 445
    ). To avoid summary judgment, the employee must
    “show only that a reasonable jury could find that discrimination was a substantial factor in the
    employer’s adverse employment action.” Mikkelsen, 189 Wn.2d at 528.
    The parties agree, for the purpose of summary judgment, that steps one and two of the
    burden shifting framework are met. Therefore, we analyze only the third step—whether
    Jefferson Healthcare’s alleged nondiscriminatory reason for the discharge was a pretext.
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    No. 54951-4-II
    B.   Sufficient Evidence of Pretext and Discrimination as Motivating Factor to Survive
    Summary Judgment
    1. Evidence of Pretext
    Crabtree argues that there is a genuine issue of material fact as to whether Jefferson
    Healthcare’s stated reasons for terminating her were pretext for discrimination. We agree.
    In this step of the burden shifting framework, the employee, Crabtree, bears the burden of
    showing sufficient facts supporting pretext to survive summary judgment. Scrivener, 
    181 Wn.2d at 441
    . “Employees may satisfy the pretext prong of the [burden shifting] framework by offering
    sufficient evidence to create a genuine issue of material fact . . . that the employer’s articulated
    reason for its action is pretextual.” Scrivener, 
    181 Wn.2d at 441
    . The ways in which an
    employee can show that a stated reason for termination was pretext for discrimination include,
    but are not limited to, “‘that the reason has no basis in fact, it was not really a motivating factor
    for the decision [or] it lacks a temporal connection to the decision or was not a motivating factor
    in employment decisions for other employees in the same circumstances.’” Scrivener, 
    181 Wn.2d at 447-48
     (quoting Kuyper v. Dep’t of Wildlife, 
    79 Wn. App. 732
    , 738-39, 
    904 P.2d 793
    (1995)).
    “An employee does not need to disprove each of the employer’s articulated reasons to
    satisfy the pretext burden of production.” Scrivener, 
    181 Wn.2d at 447
    . Nor does an employee
    need to prove that discrimination was the only motivating factor in her termination. Scrivener,
    
    181 Wn.2d at 447
    . “An employer may be motivated by multiple purposes, both legitimate and
    illegitimate, when making employment decisions and still be liable under the WLAD.”
    Scrivener, 
    181 Wn.2d at 447
    . Circumstantial, indirect, and inferential evidence is sufficient to
    discharge the plaintiff’s burden. Mikkelsen, 189 Wn.2d at 526.
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    No. 54951-4-II
    “If a plaintiff produces evidence at this [] stage to counter the employer’s reasons, the
    case must be submitted to the jury; if not, the employer is entitled to a dismissal.” Chen v. State,
    
    86 Wn. App. 183
    , 190, 
    937 P.2d 612
     (1997). To overcome an employer’s summary judgment
    motion, the employee must do more than express an opinion or make conclusory statements.
    Chen, 86 Wn. App. at 190. Instead, the facts must be specific and material. Chen, 86 Wn. App.
    at 190. An employee’s assertion of good performance to contradict the employer’s assertion of
    poor performance does not give rise to a reasonable inference of discrimination. Chen, 86 Wn.
    App. at 191. The question is whether the alleged violations were the actual reason for her
    termination. Mackey v. Home Depot USA, Inc., 12 Wn. App. 2d 557, 582, 
    459 P.3d 371
    , review
    denied, 
    195 Wn.2d 1031
    , 
    468 P.3d 616
     (2020).
    Here, Jefferson Healthcare relied on evidence of Crabtree’s PIP and November
    evaluation as the reason for her termination. However, Crabtree rebuts that evidence by showing
    that Goodwin informed her that a good faith effort to comply with the PIP was enough and that
    Goodwin had been giving her positive feedback. More than half way through the PIP and
    following Crabtree’s second to last checkpoint meeting on March 5, Goodwin told Crabtree that
    she was “doing well” on all of her goals on the PIP.
    In Crabtree’s termination letter, Goodwin claimed that she terminated Crabtree because
    she failed to complete or start her PIP goals. However, Crabtree introduced evidence to show
    that the reasons in the termination letter are not based in fact. For example, in the termination
    letter, Goodwin wrote that the registration staffing plan “had not been started.” CP at 606.
    However, Crabtree had already completed steps towards achieving that goal. Her work on that
    goal was put on pause because Jefferson Healthcare was imposing new duties on the registration
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    No. 54951-4-II
    staff, so Crabtree had to stop working because the change directly affected her ability to
    implement a new registration staffing plan because it “significantly change[d] how many . . .
    interactions the registrants have.” CP at 206.
    In addition, the termination letter stated that Crabtree had not started on a SWOT analysis
    or an impact analysis, but Crabtree testified that she was gathering the information necessary for
    the SWOT and impact analysis, a necessary step. These facts are more than just an employee’s
    assertion that her performance was good. These positive messages during the PIP process
    undermine Jefferson Healthcare’s assertions about its reasons for terminating Crabtree.
    Viewing the evidence and inferences in the light most favorable to Crabtree, Crabtree met
    her burden of producing sufficient evidence to show that a genuine issue of material fact exists as
    to whether Jefferson Healthcare’s stated reasons for terminating Crabtree were pretext for
    discrimination.
    Jefferson Healthcare argues that Crabtree was not actually making progress on the
    registration plan because she “was no closer to actually drafting a Registration Staffing Plan,”
    and had only been reviewing data. Br. of Resp’t at 30. And, it argues that Goodwin told
    Crabtree to continue working on the registration staffing plan despite the new duties being
    imposed on the registration staff. However, the PIP did not require Crabtree to “draft” a staffing
    plan or an impact analysis. It simply required her to learn Epic, define productivity expectations,
    and schedule staff meetings. A jury could reasonably conclude that Crabtree had, in fact, started
    working toward her PIP goals.
    16
    No. 54951-4-II
    Therefore, we hold that Crabtree produced sufficient evidence to create a genuine issue of
    material fact as to whether the reasons provided by Jefferson Healthcare were pretext for
    discrimination.
    2. Evidence of Discrimination as a Motivating Factor
    Crabtree alternatively argues that she presented sufficient evidence to create a genuine
    issue of material fact as to whether Jefferson Healthcare was substantially motivated to terminate
    Crabtree because of her pregnancy. We agree.
    Crabtree can alternatively meet her burden to show pretext by showing that
    discrimination was a substantial motivating factor for her termination. Mikkelsen, 189 Wn.2d at
    527. To survive summary judgment, the employee need only present evidence sufficient to
    create a genuine issue of material fact as to whether “discrimination was a substantial factor in an
    adverse employment action, not the only motivating factor.” Mikkelsen, 189 Wn.2d at 534. In
    an employment discrimination context, our Supreme Court has recognized that “evidence of
    employer treatment of other employees” is permissible to show “motive or intent for harassment
    or discharge.” Brundridge v. Fluor Fed. Servs., Inc., 
    164 Wn.2d 432
    , 445, 
    191 P.3d 879
     (2008).
    Where there are “‘reasonable but competing inferences of both discrimination and
    nondiscrimination, it is the jury’s task to choose between such inferences’—not the court’s.”
    Mikkelsen, 189 Wn.2d at 536 (quoting Hill v. BCTI Income Fund-I, 
    144 Wn.2d 172
    , 186, 
    23 P.3d 440
     (2001)) (internal quotations omitted).
    Goodwin was supervising four managerial positions, one of which was vacant when
    Crabtree announced her pregnancy. Of the three managers, Crabtree and Straughn-Morse were
    pregnant at the same time. If both managers were to take maternity leave at the same time,
    17
    No. 54951-4-II
    Goodwin would have been left with only one manager for the spring and summer. Only a few
    weeks before Goodwin placed Crabtree on a PIP, Goodwin evaluated Crabtree as “meeting
    expectations” in most categories. When Whittington learned of Crabtree’s pregnancy, she
    remarked “Wow. Poor Jen. She’s going to be without a whole staff this spring/summer.” CP at
    162. Likewise, when Crabtree told Goodwin that she was pregnant, Goodwin asked if Crabtree
    would be taking leave, and Crabtree said she would. Goodwin then followed up by asking if
    Crabtree planned on coming back after her leave, and Crabtree responded “yes.” CP at 166.
    Goodwin then asked if Crabtree was interested in returning to a lesser role, to which Crabtree
    responded “No. I like my job.” CP at 168.
    During a staff meeting, Whittington noted that Crabtree and Straughn-Morse were
    pregnant and that Jefferson Healthcare expected to be short-staffed for the spring and summer.
    In addition to those remarks, Crabtree was placed on a PIP only a day after she discussed
    maternity leave with HR. Goodwin then expressed her lack of confidence in Crabtree’s ability to
    complete the PIP, and she urged Crabtree to consider lesser roles. Crabtree chose to continue in
    her role and was terminated before the PIP period ended.
    At the same time that Crabtree was placed on a PIP, Straughn-Morse, the other pregnant
    manager, assumed a lesser role. After Straughn-Morse became pregnant, Goodwin gave
    Straughn-Morse the responsibility of managing an additional team with no additional pay, and
    she informed her that the added responsibility was not optional if she wanted to continue in her
    role. Straughn-Morse then started at a lesser role with a corresponding reduction in pay and
    went on maternity leave shortly after. Importantly, both pregnant women on Goodwin’s team
    lost their managerial roles after becoming pregnant.
    18
    No. 54951-4-II
    Viewing the evidence and inferences in Crabtree’s favor, we hold that she presented
    sufficient evidence to show that a genuine issue of material fact exists as to whether Crabtree’s
    pregnancy was a substantially motivating factor for Jefferson Healthcare to terminate her.
    Jefferson Healthcare argues that the comments made by Whittington and Goodwin in
    response to Crabtree’s pregnancy are not sufficient evidence to show a genuine issue of material
    fact because they do not show an intent to discriminate. In Scivener, the Supreme Court held
    that Scrivener presented sufficient evidence to create a genuine issue of material fact about
    whether her age was a substantial factor in her termination. Scrivener, 
    181 Wn.2d at 448
    .
    Scrivener presented evidence of comments from the president noting the “glaring need for
    diversity” and “need for younger talent.” Scrivener, 
    181 Wn.2d at 449
    . Even though the
    Scrivener court considered additional circumstances, it noted “[w]hether or not these statements
    alone would be sufficient to show either pretext or that Scrivener’s age was a substantially
    motivating factor, they are circumstantial evidence probative of discriminatory intent.”
    Scrivener, 
    181 Wn.2d at 450
    .
    Next, Jefferson Healthcare cites to Mikkelsen to support its position that “stray remarks”
    are not enough to create a genuine issue of material fact. Br. of Resp’t at 35-39. In Mikkelsen,
    the court affirmed dismissal on summary judgment of Mikkelsen’s age discrimination claim.
    Mikkelsen, 189 Wn.2d at 475. Mikkelsen presented only two pieces of evidence in support of
    her age claim: the general manager called her “old and stale” once, and that the general manager
    had a “fixation” on a 72-year old employee. Mikkelsen, 189 Wn.2d at 475. Our Supreme Court
    held that Mikkelsen presented “no evidence [that] the [general manager] treated older employees
    19
    No. 54951-4-II
    differently.” Mikkelsen, 189 Wn.2d at 475. Therefore, it affirmed summary judgment dismissal
    of Mikkelsen’s age discrimination claim. Mikkelsen, 189 Wn.2d at 475.
    Jefferson Healthcare argues that the stray remarks alone would not have been sufficient
    to establish a genuine issue of material fact, and that the court considered additional
    circumstances in Scrivener not present here. However, Scrivener made clear that stray remarks
    can be considered in determining whether the evidence in its entirety creates a genuine issue of
    material fact, and Crabtree does not rely solely on manager remarks. Scrivener, 
    181 Wn.2d at 450
     (“The Court of Appeals disregarded [the] statements . . . as stray remarks that do not give
    rise to an inference of discriminatory intent . . . We disagree.”). Therefore, Scrivener actually
    supports Crabtree’s position.
    Unlike the age discrimination evidence in Mikkelsen, Crabtree presented more evidence
    than just the remarks made by Whittington and Goodwin. She presented evidence of another
    employee, Straughn-Morse, giving up her managerial position shortly before going on maternity
    leave. Crabtree also introduced evidence of a potential motive behind why Straughn-Morse was
    moved to a lesser role and why she herself was placed on a PIP a day after discussing maternity
    leave with HR. As evidenced by Goodwin and Whittington’s remarks, the vacancy on
    Goodwin’s team was a concern for Jefferson Healthcare.
    When Crabtree informed Whittington of her pregnancy, Whittington expressed concern
    for how Goodwin was going to handle two of her managers taking maternity leave. In addition,
    when Crabtree informed Goodwin of her pregnancy, Goodwin asked if Crabtree was going to
    take leave and whether she was interested in a lesser role. Moreover, the reasons for Crabtree’s
    termination as listed in her termination letter did not accurately reflect Crabtree’s PIP progress.
    20
    No. 54951-4-II
    Also, the PIP came only a few weeks after Goodwin had evaluated Crabtree’s performance as
    meeting expectations in most categories. Therefore, the facts surrounding Mikkelson’s age
    discrimination claim are distinguishable from the facts in this case.
    Jefferson Healthcare also argues that the evidence of Straughn-Morse’s new position is
    irrelevant and therefore inadmissible. It cites to Brundridge, where the court held that even if
    evidence is probative of discriminatory intent, it will not be admissible if its value is outweighed
    by prejudice. Brundridge, 164 Wn.2d at 445. In that case, the plaintiffs alleged discriminatory
    discharge based on retaliation for refusing to install unsafe safety valves. Brundridge, 164
    Wn.2d at 445. They introduced testimony of another employee who spoke about incidents of
    dangerous gases and how management downplayed those incidents. Brundridge, 164 Wn.2d at
    445. The court did not admit that portion of the testimony because the company did not take
    adverse action against the employee who reported the incidents, and thus, the testimony was
    irrelevant to a retaliatory discharge claim. Brundridge, 164 Wn.2d at 445. However, the
    Brundridge court admitted evidence of retaliation against other employees to show motive
    because it found it to be relevant. Brundridge, 164 Wn.2d at 445.
    Like the admissible testimony about retaliation against employees in Brundridge, the
    circumstances surrounding Straughn-Morse’s change in position are relevant because they tend
    to show that the only other pregnant manager under Goodwin’s supervision had to take a lower
    paying position around the same time. Both of the pregnant women on Goodwin’s team could
    not maintain their managerial roles after they announced their pregnancy. Therefore, we
    consider the Straughn-Morse evidence to be relevant to the issue of sex discrimination.
    21
    No. 54951-4-II
    Finally, Jefferson Healthcare argues that Straughn-Morse’s decision to move to a lesser
    role was voluntary because she did not indicate that Jefferson Healthcare pressured or threatened
    her to take adverse action against her if she did not accept the position. However, when
    reviewing an order granting summary judgment, we view all evidence and inferences in the light
    most favorable to the nonmoving party. Here, there are two inferences that could be made from
    Straughn-Morse’s position change. The first inference is that she accepted the position
    voluntarily without any pressure from Jefferson Healthcare—such an inference would be a non-
    discriminatory inference. Another inference could be that in the conversation Straughn-Morse
    had with Goodwin, she felt that she had no choice but to accept a lesser role in order to keep her
    job—such an inference would be a discriminatory inference. There are two rational and
    competing inferences, and we must view the inferences and evidence in the light most favorable
    to Crabtree.
    Thus, viewing the facts and inferences in the light most favorable to Crabtree, Crabtree
    presented sufficient evidence to show that a genuine issue of material fact exists as to whether
    her pregnancy was a substantially motivating factor in her termination from Jefferson
    Healthcare.
    CONCLUSION
    Crabtree produced sufficient evidence to create a genuine issue of material fact as to
    whether (1) Jefferson Healthcare’s stated reasons for her termination were pretext for
    discrimination, and (2) Crabtree’s pregnancy was a substantially motivating factor for her
    termination from Jefferson Healthcare.
    22
    No. 54951-4-II
    Because genuine issues of material fact exist, the trial court erred in granting Jefferson
    Healthcare’s motion for summary judgment. Consequently, we reverse the order granting
    summary judgment, and remand for further proceedings.
    Worswick, J.
    We concur:
    Glasgow, A.C.J.
    Cruser, J.
    23