“legal conclusions and conclusory allegations merely reciting the elements of the claim are not entitled to [a] presumption of truth”
How later courts described this case
- “legal conclusions and conclusory allegations merely reciting the elements of the claim are not entitled to [a] presumption of truth”
- the plaintiff’s claim accrued when the defendant retired
- to establish a prima facie case for civil conspiracy a plaintiff must show “an express or implied agreement among defendants”
- “Ever since their adoption in 1938, the Federal Rules of Civil Procedure have required plaintiffs to plead claims rather than facts corresponding to the elements of a legal theory.”
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF ILLINOIS
SUSAN STOKER, as Administrator of the
Estate of Kevin Parks,
Plaintiff, Case No. 25-cv-00661-SPM
v.
WEXFORD HEALTH SOURCES, INC.,
ILLINOIS DEPARTMENT OF
CORRECTIONS,
GLENN BABICH,
DEBORAH ISAACS,
DENNIS LARSON, and
STACY MENESS,
Defendants.
MEMORANDUM AND ORDER
MCGLYNN, District Judge:
This matter is before the Court on a Motion to Dismiss filed by Defendants Wexford Health
Sources, Inc., Dr. Dennis Larson, Stacy Menees, and Dr. Glen Babich pursuant to Federal Rule of
Federal Procedure 12(b)(6), and a Motion to Dismiss filed by Defendants the Illinois Department
of Corrections and Deborah Isaacs pursuant to Rules 12(b)(1) and (6). (Docs. 23, 38). Plaintiff
opposes the Motions. (Docs. 45, 50). For the following reasons, the Motions are granted in part
and denied in part.
ALLEGATIONS IN THE COMPLAINT
Plaintiff Susan Stoker, Administrator of the Estate of Kevin Parks, commenced this action
on April 17, 2025, claiming constitutional violations pursuant to 42 U.S.C. § 1983 and violations
of Illinois state laws, the Americans with Disabilities Act, and the Rehabilitation Act. (Doc. 1). In
considering a motion to dismiss, the Court accepts as true the following well-pleaded allegations
of the Complaint. See Lett v. City of Chi., 946 F. 3d 398, 399 (7th Cir. 2020).
Keven Parks (Parks) was diagnosed with autoimmune hepatitis when he was 14 years old.
(Id. at p. 4). Autoimmune hepatitis occurs when the body’s immune system, which usually attacks
viruses, bacteria, and other causes of disease, mistakenly targets the liver. If left untreated,
autoimmune hepatitis can lead to liver failure and cirrhosis. (Id.).
Parks entered the custody of the Illinois Department of Corrections (IDOC) in 2019. (Doc.
1, p. 4). While at IDOC’s Northern Reception and Classification Center, Parks was called to the
healthcare unit for abnormally elevated Liver Function Tests (LFT’s). Parks informed the Northern
Reception physician assistant, Claude Owikotipn, that he had been diagnosed with an autoimmune
condition and had been receiving prescribed medications for his condition while at Kane County
Jail. PA Owikotipn ordered repeat LFT’s in four weeks and instructed Parks to avoid hepatotoxic
substances. Medical providers at Northern Reception, however, never followed up regarding
Parks’ abnormal blood tests, never ordered follow-up LFT’s, and never requested information
from Kane County Jail regarding Parks’ autoimmune condition or medication history. Parks was
not placed on any medication to treat his autoimmune cirrhosis while at Northern Reception. (Id.).
On December 14, 2021, Parks was transferred to Big Muddy River Correctional Center
(Big Muddy). (Doc. 1, p. 5). An LPN noted that Parks’ medical chart was reviewed upon his
arrival, but medical staff failed to note anything about Parks’ elevated LFT’s or autoimmune
disease on his medical intake form. (Id.).
On December 29, 2021, Parks reported to the healthcare unit with constipation, indigestion,
and abdominal tenderness. (Doc. 1, p. 5). He described the pain as “excruciating.” Defendant Dr.
Dennis Larson, a physician at Big Muddy, sent Parks to Good Samaritan Hospital. The medical
providers at Good Samaritan Hospital documented Parks’ history of autoimmune hepatitis and
recommended treatment. Further testing showed that significant damage had already been done
due to the lapses in Parks’ care. Parks’ liver showed signs of cirrhosis with ascites. Parks was
discharged from the hospital and returned to Big Muddy on January 1, 2022. The discharging
physician noted that it was important that Parks: (1) see a liver doctor to follow up with his
autoimmune hepatitis; and (2) report to a transplant surgery clinic to be evaluated for a liver
transplant. (Id.).
Parks was seen by Uchenna Agbim, a hepatologist and gastroenterologist at Saint Luis
University Hospital (SLU) on February 17, 2022. (Doc. 1, p. 5). Dr. Agbim noted that Parks’
autoimmune hepatitis had “progressed due to inconsistent/lack of treatment.” She further noted
that because Parks was “not a transplant candidate currently given that he is currently
institutionalized, it is important for us to try to halt further disease activity.” Because Parks had
already proved intolerant to various medications, this meant relying on second-line treatment
options. Dr. Agbim also indicated that Parks needed a low salt diet and a vaccination for Hepatitis
A. (Id.).
Plaintiff asserts that SLU’s policy of denying transplants to incarcerated individuals
stemmed from Defendant Wexford Health Sources, Inc.’s (Wexford) proven inability or
unwillingness to provide adequate medical care to the people in its custody. (Doc. 1, p. 6).
Furthermore, IDOC and Wexford knew that SLU had a policy of denying transplants to
incarcerated people. Despite its awareness of this self-created problem, IDOC and Wexford
continued—and continue—to send individuals in need of transplants to an institution that they
know will not provide them. Upon learning that his patient needed a transplant, Dr. Larson took
no action to have Parks seen or evaluated by any of the hospitals that IDOC and Wexford know
provide transplants to incarcerated individuals. Faxes from SLU went unanswered, Parks did not
receive a vaccination for Hepatitis A, and Defendants did not place Parks on a low sodium diet.
(Id.).
Parks continued to report abdominal pain and bloating. (Doc. 1, p. 6). Under the false
impression that Parks could only receive a liver transplant if he were released, Parks and his mother
collected medical records in hopes of filing for medical release under the Joe Coleman Medical
Release Act. Defendant Deborah Isaacs, the health care unit administrator at Big Muddy, was
notified of Parks’ desire for medical release and the reasons behind it, but she took no action to
have Parks evaluated for a transplant at any of the hospitals IDOC and Wexford know provide
transplants to incarcerated patients. (Id.).
Parks’ health continued to decline. (Doc. 1, p. 6). On May 20, 2022, he vomited so violently
that his nose began to bleed. He reported being nauseous every day. In July 2022, Parks visited the
healthcare unit with groin discomfort, and he lost ten pounds in two months. (Id.). Defendant Stacy
Menees, a nurse practitioner at Big Muddy, documented Parks’ symptoms but took no steps to
have him referred to a hospital where incarcerated individuals can receive transplants. (Id. at p. 6-
7). Although she received Dr. Agbim’s notes, NP Menees failed to vaccinate Parks for Hepatitis
A or place him on a low sodium diet. (Id. at p. 7).
In September 2022, Parks informed Dr. Agbim that he still had not been vaccinated for
Hepatitis A and that the medications he was receiving at Big Muddy were expired. (Doc. 1, p. 7).
Dr. Agbim implored Dr. Larson to have Parks vaccinated and placed on a low sodium diet. Neither
recommendation was noted in Parks’ medical records. On October 8, 2022, Parks presented at the
healthcare unit feverish and guarding his stomach. For two days, he experienced abdominal pain
that radiated into his back. Defendant Dr. Glenn Babich, the regional medical director for Wexford,
was informed of the situation and instructed that Parks be sent to Good Samaritan Hospital.
Plaintiff asserts that Dr. Babich knew that he was not receiving—and would never receive—the
life-saving treatment he required from SLU. Dr. Babich also knew that other hospitals in the region
evaluate incarcerated individuals for transplants. Even so, Dr. Babich took no steps to ensure that
Parks received the necessary care. (Id.).
At Good Samaritan Hospital, Parks was diagnosed with a blood infection and a stool
infection, requiring four weeks of intravenous antibiotic treatment. (Doc. 1, p. 7). Parks was
discharged back to Big Muddy. At Big Muddy, Parks was seen by Dr. Larson on October 20, 2022,
and by NP Menees on November 1, 2022. (Doc. 1, p. 7-8). There is no indication that Dr. Larson
or NP Menees discussed Parks’ treatment plan with him, his diet, or the importance of medication
compliance. (Id.).
Plaintiff saw Dr. Agbim on December 10, 2022. (Doc. 1, p. 8). In her medical notes, Dr.
Agbim indicated that she and Parks discussed her “concern that we have exhausted many
medications for treatment and that he does not have a backup of [Orthotopic Liver Transplantation]
if his liver gets worse.” Dr. Agbim continued: “While he has indications for [Orthotopic Liver
Transplantation] currently, he cannot do so given that he is institutionalized.” (Id.).
On December 30, 2022, Parks informed Dr. Larson that he would refuse his medications
in hope that such refusal would allow him to be transferred to a different facility so that he would
be eligible for work release and, potentially, a transplant. (Doc. 1, p. 8). Dr. Larson told Parks that
he should discuss his plan with Dr. Agbim at his next appointment. Dr. Larson did not educate
Parks on the importance of medication compliance or inform him that he could be eligible for a
transplant while incarcerated at Big Muddy if only he were referred to a different hospital. On
January 7, 2023, Parks complained to Big Muddy staff that they were giving him the wrong doses
of his liver medications. Rather than giving him 1,000 milligrams per day, as prescribed by Dr.
Agbim, they gave him 2,000 milligrams per day. (Id.).
Parks was treated at the healthcare unit by NP Menees on February 10, 2023, and again on
February 14, 2023, for increasing abdominal pain and diarrhea up to ten times per day. (Doc. 1, p.
9). NP Menees called Dr. Agbim’s office for advice. Dr. Agbim suggested various medications
and again recommended that Parks be placed on a low-sodium diet. NP Menees sent Parks back
to Good Samaritan Hospital. The treating doctors recommended that Parks see a hepatologist “as
soon as possible.” Once discharged from the hospital, Parks was placed back into general
population at Big Muddy. (Id.).
On February 16, 2023, Parks returned to the healthcare unit after vomiting “blood-tinged
vomit that was ‘dark brown.’” (Doc. 1, p. 9). He reported decreased urination and 10 out of 10
abdominal pain. NP Menees noted that Parks’ abdomen was distended and sent him to the
emergency room. Again, the doctors documented increasing fluid build-up, indicating a
progression of Parks’ liver disease. (Id.).
Parks saw Dr. Agbim on February 23, 2023. (Doc. 1, p. 9). Dr. Agbim’s treatment notes
reiterated that “we have exhausted many medications for treatment and [Kevin] does not have a
backup of [Orthotopic Liver Transplantation] if his liver gets worse.” Defendants received these
medical notes and again declined to inform Parks of his treatment options or to seek care from a
hospital where they knew incarcerated individuals would be considered for liver transplantation.
(Id. at p. 9-10).
Parks returned to the healthcare unit on February 27, 2023, with abdominal pain and a
swollen and distended abdomen. (Doc. 1, p. 10). Dr. Larson sent Parks back to the emergency
department at Good Samaritan Hospital. The medical providers noted that (1) Parks likely needed
a liver transplant; (2) he needed a low sodium diet; (3) his cirrhosis had continued to progress; and
(4) they were concerned about poor blood flow in the cells around his liver. The medical providers
also informed Parks that he “will need to be on a prophylactic antibiotic called Ciprofloxacin until
you get a liver transplant.” Parks was discharged from the hospital on March 10, 2023. (Id.).
The following day, Big Muddy sent Plaintiff back to the emergency room. (Doc. 1, p. 10).
Parks’ Model for End-Stage Liver Disease (MELD) score had skyrocketed to 30, indicating an
urgent need for a liver transplant. Plaintiff’s cirrhosis was described as “decompensated,” and
doctors suspected septicemia. (Id.).
On March 30, 2023, Dr. Agbim wrote a letter to Parks’ mother, Gladys. (Doc. 1, p. 10).
She informed Gladys that Parks had “gone untreated for most of his time in prison and his
autoimmune hepatitis [had] resulted in the development of end-stage liver disease called cirrhosis.”
She informed Gladys that Parks’ chronic kidney disease had also progressed such that “[i]n the
past 6 months, he has had multiple admissions to the hospital for an infection in his blood, recurrent
ascites, low blood pressure, and worsening kidney function.” Dr. Agbim wrote that she believed
Parks had “a high chance of death in the next year.” (Id.).
On April 4, 2023, Plaintiff was sent to SLU. (Doc. 1, p. 11). He was “critically ill with
anasarca,” a severe condition that causes widespread swelling throughout the entire body. The
hospital began palliative care. Parks’ mother, Gladys, requested to visit him before he died. Big
Muddy denied the request. Parks died on April 23, 2023. (Id.).
Plaintiff asserts the followings counts:
Count 1: Eighth Amendment deliberate indifference claim against Babich, Isaacs,
Larson, and Menees.
Count 2: Eighth Amendment deliberate indifference (Monell) claim against
Wexford.
Count 3: Civil conspiracy claim under Section 1983 against Babich, Isaacs, Larson,
and Menees.
Count 4: Eighth Amendment failure to intervene claim against Babich, Isaacs,
Larson, and Menees.
Count 5: State law negligence claim against Wexford, Babich, Isaacs, Larson, and
Menees.
Count 6: State law wrongful death claim against Wexford, Babich, Isaacs, Larson,
and Menees.
Count 7: Americans with Disabilities Act claim against IDOC.
Count 8: Rehabilitation Act claim against IDOC.
Count 9: Illinois Survival Act claim against Wexford, Babich, Isaacs, Larson, and
Menees.
Count 10: Respondeat Superior claim against Wexford.
Defendants have filed Motions to Dismiss. (Docs. 23, 38). Plaintiff opposes the Motions
(Docs. 45, 50).
MOTION TO DISMISS
I. Legal Standard
Defendants Wexford, Dr. Larson, NP Menees, and Dr. Babich have filed their Motion to
Dismiss pursuant to Federal Rule of Civil Procedure 12(b)(6), and Defendants Isaacs and IDOC
have filed their Motion to Dismiss pursuant to Rules 12(b)(1) and 12(b)(6). (Docs. 23, 28). Rule
12(b)(1) permits the dismissal of any claim over which a federal court lacks subject matter
jurisdiction. FED. R. CIV. P. 12(b)(1). While the purpose of a motion to dismiss filed pursuant to
Rule 12(b)(6) is to decide the adequacy of the complaint. Gibson v. City of Chi., 910 F.2d 1510,
1520 (7th Cir. 1990). Under both rules, the Court is to construe the Complaint “in the light most
favorable to the plaintiff, accepting as true all well-pleaded facts alleged and drawing all possible
inferences in her favor.” Tamayo v. Blagojevich, 526 F.3d 1074, 1081 (7th Cir. 2008); Alicea-
Hernandez v. Catholic Bishop of Chi., 320 F.3d 698, 701 (7th Cir. 2003).
II. Sovereign Immunity – Defendant Isaacs (Counts 5, 6, 9)
Defendant Isaacs argues that Plaintiff’s state law claims against her, Counts 5, 6, and 9,
should be dismissed as barred by the Illinois doctrine of sovereign immunity. (Doc. 38, p. 17). The
Court agrees.
When a federal court is exercising supplemental jurisdiction over claims based on state
law, the court must apply state law immunities. Rodriguez v. Cook Cnty., 664 F.3d 627, 631 (7th
Cir. 2011). The Illinois State Lawsuit Immunity Act, 745 Ill. Comp. Stat. 5/1, provides that the
State of Illinois is immune from suit in any court, except as provided in the Illinois Court of Claims
Act, 705 Ill. Comp. Stat. 505/8 (and other statutes not relevant here), which vests jurisdiction over
state tort claims against the state in the Illinois Court of Claims.” Richman v. Sheahan, 270 F.3d
430, 441 (7th Cir. 2001). Accordingly, when sovereign immunity applies, this Court lacks
jurisdiction to hear the claim—just as the Illinois trial court would. Walker v. Rogers, 650 N.E.2d
272, 273-74 (Ill. App. Ct. 1995).
“Under Illinois law, a claim against individual officers will be considered a claim against
the state, even when, as here, the officials are sued in their individual capacities, if ‘judgment for
the plaintiff could operate to control the actions of the State or subject it to liability.’” Richman,
270 F.3d at 441 (quoting Currie v. Lao, 592 N.E.2d 977, 980 (1992)). A defendant’s conduct will
be attributed to the state for purposes of sovereign immunity if:
[T]here are (1) no allegations that an agent or employee of the State acted beyond
the scope of his authority through wrongful acts; (2) the duty alleged to have been
breached was not owed to the public generally independent of the fact of State
employment; and (3) where the complained-of actions involve matters ordinarily
within that employee’s normal and official functions of the State[.]
Ingram v. Ill. Dept. of Corr. No. 10-933-GPM, 2011 WL 1519623, at *3 (S.D. Ill. 2011) (quoting
Sneed v. Howell, 716 N.E.2d 336, 340 (Ill. App. Ct. 1999)). Based on these factors, the Court finds
that Illinois would consider the negligence, wrongful death, and survival claims against Isaacs to
be against the state.
Here, the Complaint does not contain any allegations that Isaacs was acting beyond her
authority through wrongful acts. At the time of the alleged negligent conduct, Isaacs was the
healthcare unit administrator at Big Muddy, who was “responsible for the implementation,
oversight, and supervision of policies and practices at Big Muddy.” (Doc. 1, p. 3). Plaintiff asserts
that Isaacs acted in “derogation of [her] duty” as the health care unit administrator and was guilty
of “professional negligence” by not taking “action to have [Parks] evaluated for a transplant at any
of the hospitals the IDOC and Wexford know provide transplants to incarcerated patients.” (Id. at
p. 6, 17). Plaintiff argues in opposition to the application of sovereign immunity by stating that the
facts in the Complaint establish that Isaacs was taking “individual actions in the form of refusal to
provide Kevin Parks lifesaving medical treatment” that were not influenced by her role in her
position at the prison. (Doc. 50, p. 10). Plaintiff’s allegations, however, “challenge only the manner
in which [Isaacs] carried out [her] official duties, and she does not allege that [Isaacs] did anything
that was beyond the scope of [her] authority or that [Isaacs’] actions were outside [her] normal and
official functions” in failing to ensure that Parks was evaluated for a transplant or otherwise
provided needed medical care. Ingram, 2011 WL 1519623, at *3. Her facts as pled do not suggest
that Isaacs acted for a purpose unrelated to and beyond the scope of her employment. Richman,
270 F.3d at 442.1
1 See also See Branham v. Mengler, No. 04–2281, 2005 WL 3534223, at *3 (C.D. Ill. Dec. 5, 2005) (allegations that
a dean at a state university made false promises of tenure to an associate professor were barred by sovereign immunity
where the dean had authority to make statements of the general type alleged and thus was acting within the scope of
his authority); Witt v. Correctional Officer Andrew, No. 99 C 2866, 2000 WL 1349246, at *2–3 (N.D. Ill. Sept.19,
Furthermore, according to the Complaint, Isaacs breached a duty that was uniquely held
by her because of her position as the health care unit administrator at Big Muddy. She had the
opportunity to assist Parks in obtaining proper medical care, including a transplant evaluation,
solely because of her position as an IDOC employee. As the Illinois Supreme Court has held,
“[w]here a charged act of negligence arose out of the State employee’s breach of a duty that is
imposed on him solely by virtue of his State employment, sovereign immunity will bar
maintenance of the action in any court.” Turner v. Miller, 301 F.3d 599, 602 (7th Cir. 2002)
(quoting Currie v. Lao, 592 N.E.2d 977, 980 (1992)). The relationship between Isaacs and Parks
would not have had a source outside Isaacs’ employment status, and “whatever duty was owed by
[Isaacs] to [Parks] existed because of [Parks’] status as a prisoner and his presence at [Big Muddy].
Turner, 301 F.3d at 602-603.
For these reasons, the Court finds that Plaintiff’s state law claims against Isaac are actually
against the State of Illinois, and the claims are barred by sovereign immunity. Therefore, the Court
lacks subject matter jurisdiction, and Claims 5, 6, and 9 are dismissed as to Isaacs. FED. R. CIV. P.
12(b)(1).
III. Statute of Limitations
a. Section 1983 Claims – Defendants Dr. Babich, Dr. Larson, NP Menees,
Wexford, and Isaacs (Counts 1, 2, 3, 4)
The parties agree that the applicable statute of limitations for Section 1983 claims arising
in Illinois is two years. See Woods v. Ill. Dep’t of Children and Family Servs., 710 F.3d 762, 766
2000) (“The court cannot imagine any set of conceivable facts where Andrew’s negligent discharge of his shotgun
while he was on duty as an armed guard in the prison could be considered outside the scope of the duties imposed
upon him by his state employment.”); Healy v. Vaupel, 549 N.E.2d 1240, 1247–48 (Ill. 1990) (allegations that athletic
directors at a state university negligently failed properly to supervise or train employees, failed to supervise the training
and conditioning techniques of gymnasts, including the plaintiff, negligently hired employees of the university’s
athletic department, failed properly to supervise the rehabilitation of injured athletes, and failed to warn the plaintiff
of the dangerous nature of the gymnastic activities the plaintiff was directed to perform concerned matters within the
scope of the defendants' authority).
(7th Cir. 2013). The issue here is when the two-year period began to run.
The Seventh Circuit has held that a Section 1983 deliberate indifference medical injury
claim accrues when the plaintiff knows of his physical injury and its cause. See Devbrow v. Kalu,
705 F.3d 765, 768 (7th Cir. 2013). Where an ongoing period of inadequate medical treatment is
alleged, however, the doctrine of a continuing violation of constitutional rights means that the
statute of limitations does not start to run until the last day of the plaintiff’s ongoing injury. Heard
v. Sheahan, 253 F.3d 316, 318 (7th Cir. 2001); see also Devbrow, 705 F.3d at 770. The continuing
violation doctrine allows a plaintiff to “reach back” to the beginning of the ongoing injury “even
if that beginning lies outside the statutory limitations period” because “it would be unreasonable
to require or even permit [the plaintiff] to sue separately over every incident of the defendant’s
unlawful conduct.” Cesal v. Moats, 851 F.3d 714, 722 (7th Cir. 2017) (quoting Heard, 253 F.3d
at 319). “In other words, the continuing-violation doctrine operates to delay the start of the
limitations period.” Devbrow, 705 F.3d at 770 (emphasis in original) (quoting Heard, 253 F.3d at
319).
Despite Defendants’ arguments that the claims against them accrued either on the date they
last treated Parks or on the date Parks became aware of his injury, the Court finds that the
continuing violation doctrine applies to Plaintiff’s claims brought under Section 1983. (See Doc.
23, p. 6-8; Doc. 38, p. 5-7). The “injuries about which [Plaintiff] is complaining in this case are
the consequence of a numerous and continuous series of events.” Heard, 253 F.3d at 319. Plaintiff
alleges that Parks received inadequate care for his autoimmune hepatitis, which progressed into
cirrhosis, since his arrival into IDOC custody in 2019 until his death in 2023. Notably, Plaintiff
claims that as Parks’ condition worsened it became clear that he needed a liver transplant, but
Defendants refused to send him for evaluation or to a hospital that would facilitate a transplant.
(Doc. 6-10, p. 24). The Court agrees with Plaintiff that the Complaint sufficiently alleges that
“refusing to secure a transplant evaluation at an eligible facility was ongoing.” (Doc. 45, p. 3).
Thus, Plaintiff “was not required to sue until after the unlawful conduct ended.” Cesal, 851 F.3d
at 722.
As pled, the date the unlawful conduct ended was Plaintiff’s death on August 23, 2023.
The facts in the Complaint do not clearly establish that Defendants no longer “had the power to do
something about [Parks’] condition,” just because Parks was transferred to SLU on August 4, 2023.
See Wilson v. Wexford Health Source, Inc., 932 F. 3d 513, 517 (7th Cir. 2019) (quoting Heard,
253 F.3d at 318). According to the case law cited to by Defendants, a defendant is considered to
no longer have the “power to do something,” or in other words “help or harm the inmate,” on the
date when the defendant resigns or retires from public employment, which is not the case here. See
Heard v. Elyea, 525 F. App’x 510 (7th Cir. 2013) (the plaintiff’s claim accrued when the defendant
retired); Wilson, 932 F.3d at 517-518 (the plaintiff’s claim accrued when the defendant resigned);
Christmas v. Wexford Health Sources, Inc., No. 17-cv-1006-SMY-RJD, 2018 WL 784042, at *3
(S.D. Ill. 2018) (plaintiff’s claim accrued when the defendant ended employment at Menard
Correctional Center). See also Heard, 253 F.3d at 318 (the plaintiff’s claims accrued when he was
released from the jail). Nothing in the Complaint suggests that Defendants left IDOC or Wexford
employment prior to Parks’ death, were no longer part of Parks’ medical care team at Big Muddy
once Parks was transferred to SLU, or that once hospitalized Parks was no longer considered in
the custody of Big Muddy for the purpose of his state conviction. On the contrary, according to
the Complaint, staff at Big Muddy continued to exercise authority over Parks even after he was
admitted to SLU on August 4, 2023, and refused to allow Parks’ mother to visit. (Doc. 1, p. 11).
Thus, if the facts alleged are true, Parks continued to be harmed by Defendants “ongoing inaction,”
even once he was hospitalized for the final time. See Turley v. Rednour, 729 F.3d 645, 654 (7th
Cir. 2013) (Easterbrook, J., concurring). The Court therefore cannot find that Plaintiff’s Section
1983 claims against Defendants Dr. Babich, Dr. Larson, Ms. Menees, and Isaacs are “indisputably
time-barred,” at the pleading stage. See Small v. Chao, 398 F.3d 894, 898 (7th Cir. 2005). See also
Clark v. City of Braidwood, 318 F.3d 764, 768 (7th Cir. 2003) (if there is “any set of facts that if
proven would establish a defense to the statute of limitations,” the motion to dismiss should be
denied on those grounds). And likewise, the Court will not dismiss the Monell claim against
Wexford based on care provided to Parks that began upon his admittance at Northern Reception.
See Prince v. Garcia, No. 22-cv-05703, 2024 WL 4368130, at *8 (N.D. Ill. 2024) (“the statute of
limitations for the underlying Section 1983 claim also applies to the Monell claim”) (citations
omitted). Accordingly, the Court finds that the Motions to Dismiss are denied as to Plaintiff’s
Section 1983 claims based on the statute of limitations.
b. State Law Claims – Defendants Dr. Babich, Dr. Larson, NP Menees, and
Wexford (Counts 5, 6, and 9)2
Defendants Dr. Babich, Dr. Larson, NP Menees, and Wexford argue that there are no
allegations that they treated Parks after he was transferred to SLU on April 4, 2023. (Doc. 23, p.
5). Thus, at the latest, they believe the statute of limitations began to run on Plaintiff’s state law
claims on April 4, 2023, and Plaintiff’s negligence, wrongful death, and survival action claims
expired on April 4, 2025, prior to the initiation of this lawsuit. (Id.). In the alternative, Defendants
argue that the statute of limitations began to run earlier than August 4, 2023, on the last date each
individual treated Parks – for Dr. Babich that would be October 8, 2022, Dr. Larson February 26,
2023, and NP Menees February 16, 2023. (Id. at p. 6). They conclude that because Plaintiff did
2 Because the Court has found that sovereign immunity bars Plaintiff’s state law claims against Isaacs, the Court will
not address arguments raised by Isaacs concerning the statute of limitations for claims brought pursuant to Illinois
state law.
not file the Complaint until April 17, 2025, under either calculation, the state law claims in this
case are time barred and must be dismissed. (Id. at 5-6).
As mentioned above, the statute of limitations for Plaintiff’s state law personal injury
claims is two years. See 735 ILCS 5/13-212. “As a general rule, a cause of action for personal
injury accrues at the time plaintiff suffers injury.” Wilson v. Devonshire Realty of Danville, 718
N.E.2d 700, 805 (Ill. App. Ct. 1999) (internal citations omitted). However, equitable exceptions to
this principle exist. Feltmeier v. Feltmeier, 798 N.E.2d 75, 285 (Ill. 2003). Like the federal system,
Illinois has to the continuing tort doctrine which provides, “where a tort involves a continuing or
repeated injury, the limitations period does not begin to run until the date of the last injury or the
date the tortious acts cease.” Belleville Toyota, Inc. v. Toyota Motor Sales, U.S.A., Inc., 770 N.E.2d
177, 345 (Ill. 2002). In contrast, pursuant to the discovery rule, the commencement of the relevant
statute of limitations is postponed “until the injured plaintiff knows or reasonably should know she
has been injured and her injury may have been wrongfully caused.” Wilson, 718 N.E.2d at 805
(citing Jackson Jodran, Inc. v. Leydig, Voit & Mayer, 633 N.E.2d 627, 630-31 (Ill. 1994)). In order
to bring a claim under the Illinois Wrongful Death Act, “courts have held that ‘a wrongful death
action will only lie where the deceased had a claim that was not time-barred on or before his
death.’” Bass v. Honeywell Int’l, Inc., No. 23-cv-2-SMY, 2024 WL 2700670, at* (S.D. Ill. 2024)
(quoting Beetle v. Wal-Mart Assocs., Inc., 761 N.E.2d 364, 369 (2001)).
For the same reasons previously discussed, the Plaintiff has sufficiently pled facts
establishing that Parks was subjected to “a continuous and unbroken course of negligent
treatment,” and “that the treatment was so related as to constitute one continuing wrong.”
Cunningham v. Huffman, 609 N.E.2d 321, 325 (Ill. 1993). Plaintiff does not allege “malpractice
on the basis of one single failure” on the part of Defendants. Myles v. Mercy Hospital, No. 15 C
8804, 2016 WL 3752983, at *5 (N.D. Ill. July 14, 2016). Rather, she claims that since Parks’
arrival at Northern Reception in 2019 until his death, he received negligent care by Wexford
medical staff. From 2019 until December 2021, his autoimmune condition was not treated at all,
and then, once at Big Muddy, he received inadequate care for his deteriorating health and was
never referred for a transplant evaluation. Accepting the allegations in the Complaint as true and
drawing inferences in Plaintiff’s favor, it is not plainly apparent that Plaintiff’s state law claims
against Defendants Wexford, Dr. Babich, Dr. Larson, and NP Menees are barred by the statute of
limitations. Defendants’ Motion to Dismiss Counts 5, 6, and 9 as barred by the statute of limitations
is denied.
IV. Failure to State a Claim
a. The Americans with Disabilities Act and the Rehabilitation Act– Defendant
IDOC (Counts 7 and 8)
The Court agrees with Defendant IDOC that Plaintiff has failed to state a claim under the
Americans with Disabilities Act (ADA) and the Rehabilitation Act (RA).
Under the ADA, “no qualified individual with a disability shall, by reason of such
disability…be denied the benefits of the services, programs, or activities of a public entity, or be
subjected to discrimination by any such entity.” 42 U.S.C. § 12132 (2006). The RA likewise
prohibits discrimination against qualified individuals based on physical or mental disability. See
29 U.S.C. §§ 794-94e. The analysis under the ADA and the RA is the same, except that the RA
includes as an additional requirement the receipt of federal funds, which all states accept for their
prisons. Jaros v. Ill. Dep’t of Corr., 684 F.3d 667, 671 (7th Cir. 2012) (citing 29 U.S.C. §
705(2)(B)). Discrimination under both includes failure to accommodate a disability. Jaros, 684
F.3d at 672 (citation omitted).
The Court finds that, as pled, Plaintiff’s allegations are inappropriately framed under the
ADA and the RA. In the Complaint, Plaintiff asserts that IDOC failed to reasonably accommodate
Parks’ disability, liver cirrhosis, and discriminated against him by denying him access to medical
services and any transplant program. (Doc. 1, p. 20-21). The Court finds that this wording “does
not transform Plaintiff’s complaint about the quality and extent of his access to medical care into
a disability discrimination claim.” Rosado v. Alameida, No. Civ.03CV1110J (LSP), 2005 WL
892120, at *3 (S.D. Cal. Feb. 8, 2005) (finding that the plaintiff failed to state a claim under the
ADA where the plaintiff alleged that the department of corrections failed to make reasonable
accommodations for his disability by failing to have him evaluated for a liver transplant, failing to
place him on the liver transplant list, and by failing to modify his diet as recommended by his
physician). The ADA and RA do not create a “federal cause of action for prisoners challenging
the medical treatment provided for their underlying disabilities.” Hubbard v. Taylor, 452
F.Supp.2d 533, 544 (D. Del. Sept. 20, 2006) (citing Grzan v. Charter Hosp. of Nw. Ind., 104 F.3d
116, 121–22 (7th Cir.1997)). Nor are the ADA and RA “violated by a prison’s simply failing to
attend to the medical needs of its disabled prisoners.” Bryant v. Madigan, 84 F.3d 246, 249 (7th
Cir.1996). “The benefits and services [Parks wished] to receive [were] for his disability; it is
illogical to say that he [was] being denied medical services because he [had] a disability.” Rosado,
2005 WL 892120, at *3. There is no indication that Parks was subject to discrimination or that he
failed to receive services that other inmates received. See Estate of Crandall v. Godinez, No. 14-
CV-1401, 2015 WL 1539017, at *7 (C.D. Ill. Mar. 31, 2015) (claim “that [plaintiff, a mentally ill
inmate who committed suicide] was not properly treated for his mental illness—is distinctly
different from a claim that [plaintiff] was denied access to medical services, and is not cognizable
under the ADA.”). Thus, Plaintiff has failed to state a claim under the ADA and RA and Counts 7
and 8 are dismissed without prejudice.3
b. Deliberate Indifference/Failure to Intervene – Defendants Dr. Babich, Dr.
Larson, NP Menees, and Isaacs (Counts 1 and 4)
Defendants Dr. Babich, Dr. Larson, and NP Menees argue that Plaintiff has failed to state
a claim against them for deliberate indifference. (Doc. 23, p. 8-11). They point out that there are
no assertions that they failed to diagnose Parks or that they denied the recommendations of outside
providers when treating him. (Id. at p. 9). They argue that Plaintiff is attempting to hold them liable
for Dr. Agbim’s treatment decisions, for IDOC’s choice of treatment facility, and because they did
not obtain a second opinion to assess Parks’ transplant candidacy – none of which states a claim
under the Eighth Amendment. (Id. at p. 9-10). Defendants state that according to Plaintiff, Parks
was transferred to different hospitals and seen by specialists over the course of more than a year,
and they cannot be held deliberately indifferent for sending Parks to the emergency rooms when
required. (Id. at p. 10). They also assert that Plaintiff has failed to assert a failure to intervene
claim, as she has not specified what constitutional violations Defendants should have stopped or
what realistic opportunities existed to each Defendant to intervene. (Id. at p. 14).
Healthcare Unit Administrator Isaacs also argues that Plaintiff has failed to sufficiently
plead a deliberate indifference or a failure to intervene claim against her. (Doc. 38, p. 14-15). She
states that the Complaint is absent of facts showing her personal involvement in the alleged
deprivation of Parks’ constitutional rights. (Id.). Isaacs asserts that the only allegation against her
is that she was the healthcare unit administrator at Big Muddy during the relevant times, and she
was notified of Parks’ “desire for medical release and the reasons behind it” but “took no action.”
(Id. at p. 15 (citing Doc. 1, p. 6)). She argues that it is insufficient to state a claim for deliberate
3 Because the Court finds that Plaintiff has failed to state a claim under the ADA and RA, the Court will not address
Defendant IDOC’s statute of limitations arguments. (See Doc. 38, p. 8).
indifference by merely alleging inaction. (Id. at p. 15, 16). Similarly, Isaacs argues that the
Complaint fails to establish that she had a reasonable opportunity to prevent the violation of Parks’
constitutional rights. (Id. at p. 16). She contends that the failure to intervene claim relies on only a
“summary recitation of the legal standard.” (Id.).
When asserting a deliberate indifference claim, a plaintiff must put forward allegations
implicating both an objective and subjective element, namely that: (1) there was an objectively
serious medical need; and (2) the prison official acted with deliberate indifference toward that
need. Farmer v. Brennan, 511 U.S. 825, 832 (1994); Greeno v. Daley, 414 F.3d 645, 653 (7th Cir.
2005). On the other hand, to state a claim for failure to intervene, a plaintiff must plead that the
defendant had a realistic opportunity to prevent another state employee or official from committing
a constitutional violation but failed to do so. See Windle v. City of Marion, Ind., 321 F. 3d 658,
663 (7th Cir. 2003). The Court notes that pleading a separate Eighth Amendment violation for
failure to intervene is not necessarily redundant of an Eighth Amendment violation for denying or
delaying medical care. “A claim for failure to provide medical care concerns the defendant’s
knowledge of, and disregard for, a serious medical risk; whereas a claim for failure to intervene
concerns the defendant’s failure to prevent another from committing a constitutional violation.”
Awalt v. Marketti, No. 11 C 6142, 2012 WL 1161500, at *11 (N.D. Ill. Apr. 9, 2012). See also
Winchester v. Marketti, 2012 WL 2076375, at *6 (N.D. Ill. June 8, 2012) (“Failure to provide
medical care stems from the defendant’s own personal responsibility to provide care directly to
persons. Failure to intervene stems from the defendant’s duty to protect persons against the conduct
of other[s]. The two may overlap, but they are not commensurate.”).
The Court finds that Plaintiff has sufficiently stated claims for deliberate indifference and
failure to intervene against Dr. Babich, Dr. Larson, NP Menees, and Isaacs. The federal system of
notice pleading requires only that a plaintiff provide a “short and plain statement of the claim
showing that the pleader is entitled to relief.” FED. R. CIV. P. 8(a)(2). This requirement is satisfied
if the complaint (1) describes the claim in sufficient detail to give the defendant fair notice of what
the claim is and the grounds upon which it rests, and (2) plausibly suggests that the plaintiff has a
right to relief above a speculative level. Twombly, 550 U.S. at 555. See also Ashcroft v. Iqbal, 556
U.S. 662, 678 (2009); EEOC v. Concentra Health Servs., 496 F.3d 773, 776 (7th Cir. 2007). “A
claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw
the reasonable inference that the defendant is liable for the misconduct alleged.” Iqbal, 556 U.S.
at 678 (citing Twombly, 550 U.S. at 556). Plaintiff has done so here.
The narrative of the Complaint is that Parks received deficient care for his autoimmune
hepatitis and subsequent cirrhosis while in the custody of IDOC, specifically during his time at
Big Muddy, which ultimately lead to his death. While Plaintiff had appointments with an outside
specialist, Dr. Agbim, Plaintiff asserts that his medical care at Big Muddy was poor and
inconsistent. He claims that the recommendations of Dr. Agbim were not followed, he received
expired medication and the wrong dosage of medication, he was frequently sent to the emergency
room due to his rapidly deteriorating health and inadequate care, he repeatedly was sent back to
general population after reporting severe symptoms at the healthcare unit, and he was never seen
or evaluated for a liver transplant. According to Plaintiff, Dr. Agbim wrote that Parks had “gone
untreated for most of his time in prison.” (Doc. 1, p. 10). Plaintiff pleads that Dr. Babich, Dr.
Larson, NP Menees, and Isaacs participated in and are responsible for Parks’ care and failed to
treat or take action that would lead to proper treatment of Parks’ condition, including a liver
transplant. Additionally, Dr. Babich, Dr. Larson, and NP Menees, as Parks’ medical providers, and
Isaacs, as the healthcare unit administrator, were in the position and had opportunities to prevent
Parks’ from receiving constitutionally deficient care at the hands of others but failed to do so. (Id.
at p. 16). The extent of each Defendant’s role in Parks’ medical treatment and whether each
Defendant had the opportunity to intervene or the authority “to refer Parks for further care,
including a liver transplant evaluation, or whether they were bound by ‘administrative issues
beyond [their] control’ are factual issues to be determined at a later date in the litigation.”
Dangerfield v. Wexford Health Sources, Inc., No. 23-cv-03687-SPM, 2024 WL 2873809, at *4
(S.D. Ill. June 7, 2024) (quoting Thomas v. Martija, 991 F. 3d 763, 770 (7th Cir. 2021)). Thus, the
Court will not dismiss Counts 1 and 4 at this stage.
c. Monell Claim – Defendant Wexford (Count 2)
Wexford is a private corporation, and the Seventh Circuit held that the Monell theory of
municipal liability applies in Section 1983 claims brought against private companies that act under
color of state law. See, e.g., Shields v. Ill. Dep’t of Corr., 746 F.3d 782 (7th Cir. 2014) (noting that
every circuit court that has addressed the issue has extended the Monell standard to private
corporations acting under color of state law). “To establish [Monell] liability, a plaintiff must show
the existence of an ‘official policy’ or other governmental custom that not only causes but is the
‘moving force’ behind the deprivation of constitutional rights.” Teesdale v. City of Chi., 690 F.3d
829, 833–34 (7th Cir. 2012). Typically, a plaintiff establishes an official policy through “(1) an
express policy that causes a constitutional deprivation when enforced; (2) a widespread practice
that is so permanent and well-settled that it constitutes a custom or practice; or (3) an allegation
that the constitutional injury was caused by a person with final policymaking authority.” Id. at 834
(citation omitted).
Plaintiff has put forth sufficient facts for a deliberate indifference claim to proceed against
Wexford. According to the Complaint, for the first two years of his incarceration, Parks did not
receive any treatment for his autoimmune condition, despite informing medical staff about his
diagnosis and having test results showing abnormally elevated LFT’s. (Doc. 1, p. 4). Plaintiff
alleges that it was not until Parks needed emergent care and was taken to the emergency room on
December 29, 2021, that Parks even started receiving care from medical providers within IDOC.
(Id. at p. 5). After this point, the Complaint describes Parks’ physical health steadily decreasing,
worsening symptoms, and a continued pattern of inconsistent care. Plaintiff attributes Parks’ poor
health and lapses in care to healthcare personnel’s routine failure to: (1) respond or follow up on
complaints by prisoners about their health status; (2) review relevant medical records as part of a
patient’s treatment plan; (3) create a sensible treatment plan for patients whose health status require
the creation of a treatment plan; (4) schedule follow-up appointments deemed appropriate by
members of the medical staff; (5) take action to secure continuity of care among correctional
facilities within IDOC and other healthcare providers; (6) arrange for prisoners to be referred for
specialty evaluation or treatment, even when such a referral is necessary or proper; and (7) refer
individuals in need of organ transplants to hospitals that do not provide transplants to incarcerated
individuals. (Doc. 1, p. 13). Plaintiff states that these routine failures or practices were allowed to
flourish because, not only were healthcare personnel inadequately staffed, but Wexford “directly
encouraged the very type of misconduct at issue in this case, failed to provide adequate training
and supervision of healthcare and correctional employees, and failed to adequately punish and
discipline prior instances of similar misconduct.” (Id. at p. 14).
Additionally, Plaintiff states that these policies and practices impacted other inmates within
IDOC. (Doc. 1, p. 13). Plaintiff asserts the following:
It is common within the IDOC to see prisoners with clear symptoms of serious
medical needs whose medical records reflect an obvious need for treatment and
whose medical treatment is routinely delayed or completely ignored by healthcare
and correctional employees. Despite knowledge of these problematic policies and
practices, Defendant Wexford did nothing to ensure that prisoners in IDOC
received adequate medical care and access to medical care, thereby acting with
deliberate indifference.
(Id.). And finally, Plaintiff repeatedly alleges that Wexford failed to have Parks evaluated for a
liver transplant and continued to have Parks treated at a hospital that denied incarcerated people
transplants. These facts provide enough information to establish a plausible inference that the
deficiencies in the care that Parks experienced were the result of a Wexford “widespread custom
or practice of treating inmates’ medical needs with deliberate indifference.” Ford v. Wexford
Health Sources, Inc., No. 12 C 4558, 2013 WL 74494, at *9 (N.D. Ill. Feb. 7, 2013). And as this
Court has previously noted, contrary to Wexford’s assertion, “staffing vacancies, failing to create
a sensible treatment plan for patients, and other insufficiencies in prisoner care including ‘repeated
examples of negligent acts which disclose a pattern of conduct by the prison medical staff’ can
amount to deliberate indifference.” Dangerfield v. Wexford Health Sources, Inc., 2024 WL
2873809, at *5 (S.D. Ill. June 7, 2024) (quoting Wellman v. Faulkner, 715 F. 2d 269, 272 (7th Cir.
1983)). Accordingly, the Court will not dismiss Count 2 against Wexford.
d. Civil Conspiracy under Section 1983 – Defendant Dr. Babich, Dr. Larson, NP
Menees, and Isaacs (Count 3)
Civil conspiracy claims are cognizable under Section 1983. See Lewis v. Washington, 300
F.3d 829, 831 (7th Cir. 2002). To state a civil conspiracy claim, “the plaintiff must [plead facts
sufficient to] show that (1) the individuals reached an agreement to deprive him of his
constitutional rights, and (2) overt acts in furtherance actually deprived him of those rights.”
Beaman v. Freesmeyer, 776 F.3d 500, 510 (7th Cir. 2015).
Plaintiff refutes the arguments that she has insufficiently pled a conspiracy claim by stating
that the “policy of all Defendants of intentionally sending inmates, such as Kevin Parks, to
hospitals that purposefully didn’t give liver transplants to inmates is well pled throughout the
complaint,” and that “[i]t is well pled that Defendant Isaacs along with all other Defendants
reached an agreement to deprive Kevin Parks of his rights by fulfilling this policy and by denying
him life saving medical treatment in the form of a liver transplant at a hospital that gave them.”
(Doc. 50, p. 8).4
The Cout finds, however, that it is not well pled that the Defendants reached an expressed
or implied agreement to deprive Parks of his constitutional rights. See Scherer v. Balkema, 840 F.
2d 437, 441 (7th Cir. 1988) (to establish a prima facie case for civil conspiracy a plaintiff must
show “an express or implied agreement among defendants”). In the Complaint, Plaintiff restates
only the elements of the conspiracy claim, and she does not provide any factual allegations
suggesting a “meeting of the minds.” Tarkowski v. Robert Bartlett Realty Co., 644 F.2d 1204, 1206
(7th Cir. 1980) (quoting Sparkman v. McFarlin, 601 F.2d 261, 268 (7th Cir. 1979)). Although
none of the Defendants referred Parks to a hospital that would provide transplants to incarcerated
individuals, the facts do not allow the plausible inference that Defendants were acting in concert
or shared a conspiratorial object. See McCauley v. City of Chi., 671 F.3d 611, 616 (7th Cir. 2011)
(“legal conclusions and conclusory allegations merely reciting the elements of the claim are not
entitled to [a] presumption of truth”). Rather, it appears Plaintiff is pleading that Defendants’
involvement in Parks’ care was more independent in nature and that the lack of communication
and coordination between Parks’ treatment team at Big Muddy contributed to Parks’ deficient
treatment. (See Doc. 1, p. 13). Because there are no “factual allegations [tying] the defendants to
a conspiracy,” Count 3 is dismissed as insufficiently pled. See Cooney v. Rossiter, 583 F. 3d 967,
971 (7th Cir. 2009).
4 Plaintiff responded to Defendant Isaacs’ arguments seeking the dismissal of the conspiracy claim (Count 3) but did
not respond to the arguments submitted by Defendants Dr. Babich, Dr. Larson, and NP Menees. (See Doc. 23; Doc.
45).
e. State Law Claims – Defendants Wexford, Dr. Babich, Dr. Larson, and NP
Menees (Counts 5, 6, and 9)
Defendants Wexford, Dr. Babich, Dr. Larson, and NP Menees argue that Plaintiff has not
sufficiently pled negligence, wrongful death, and survival action claims under Illinois state law.
(Doc. 23, p. 15). They state that Plaintiff has failed to show that (1) Defendants had a duty to
ensure Plaintiff received an organ transplant; (2) Defendants breached their duty by failing to
provide care within the standard of care considering their scopes of practice; and (3) any action by
Defendants caused Parks harm. (Id.). Specifically, as to Dr. Babich, Defendants argue that Plaintiff
has not plead facts establishing a provider-patient relationship between Parks and Dr. Babich. (Id.
at p. 16).
“To sustain an action for medical negligence, plaintiff must show: (1) the standard of care
in the medical community by which the physician’s treatment was measured; (2) that the physician
deviated from the standard of care; and (3) that a resulting injury was proximately caused by the
deviation from the standard of care.” Neade v. Portes, 739 N.E.2d 496, 502 (Ill. 2000). To recover
damages for the harm to Parks by medical negligence, Plaintiff has brought a claim under the
Survival Act, which “preserves causes of action on behalf of decedents that would otherwise be
rendered moot upon the death of the decedent.” Rodgers v. Cook Cnty., 998 N.E.2d 164, 172 (Ill.
App. Ct. 2013). The Wrongful Death Act, on the other hand, provides an independent cause of
action for damages arising from a decedent’s death caused by a wrongful act, neglect, or default.
See 740 Ill. Comp. Stat. 180/1.
Unlike Illinois law, under the federal pleading standards, Plaintiff does not have to plead
facts to “satisfy each element of a claim.” Heffman v. Bass, 467 F. 3d 596, 599 (7th Cir. 2006)
(discussing the differences between the pleading requirements under Illinois state law and federal
law). See also; Chapman v. Yellow Cab Co., 875 F.3d 846, 848 (7th Cir. 2017) (“Ever since their
adoption in 1938, the Federal Rules of Civil Procedure have required plaintiffs to plead claims
rather than facts corresponding to the elements of a legal theory.”). All that is required is “notice.”
Wilson v. Ryker, 451 F. App'x 588, 590 (7th Cir. 2011) (“Notice is what counts”). Again, Plaintiff
has met this burden.
Plaintiff’s negligence and wrongful death claims are based on the alleged indifference
and/or negligent conduct of Defendants for failing to provide Parks “proper medical care or access
to medical care.” (Doc. 1, p. 11). Such conduct included, but is not limited to, failing to manage
Parks’ medication and medical diagnosed conditions and supervise him while off the medication;
failing to send Parks to hospitals that they knew would facilitate a liver transplant; refusing to give
Parks’ medication; failing to appropriately and timely evaluate Parks for signs of liver failure and
cirrhosis; and failing to timely and appropriately respond to Parks’ physical state of pain and
suffering. (Id. at p. 17). These allegations are sufficient to establish that a duty of care existed
between Parks and the Defendants, all who arguably treated him in various capacities at Big
Muddy, based on a physician-patient relationship and that those individuals breached that duty in
willful disregard of his condition, ultimately leading to his death. “[T]he specific standard of care,
and whether that standard was breached, is a fact question to be resolved at a later stage.”
Dangerfield, 2024 WL 2873809, at *7 (quoting Sonntag v. Cook Cty., Ill., No. 21 C 4935, 2022
WL 704833, at *5 (N.D. Ill. Mar. 9, 2022)). Counts 5, 6, and 9 will not be dismissed against
Wexford, Dr. Babich, Dr. Larson, and NP Menees.
f. Respondeat Superior Claim – Defendant Wexford (Count 10)
The Motion to Dismiss is granted as to Count 10. As this Court has previously held, “the
Seventh Circuit’s decision in Iskander squarely precludes [Plaintiff] from bringing a respondeat
superior claim against Wexford under Section 1983.” Reed v. Wexford Health Sources, Inc., No.
20-cv-1139-SPM, 2021 WL 673370, at *2 (S.D. Ill. Feb. 22, 2021) (quoting Hernandez v. Ill.
Dep’t of Corr., No. 17-cv-1335-NJR-RJD, 2019 WL 3059796, at *3 (S.D. Ill. July 12, 2019)). See
also Green v. Meeks, No. 20-cv-463-NJR, 2020 WL 5292045, at *3 (S.D. Ill. Sept. 4, 2020); Lowe
v. Williams, No. 16-c-8274, 2020 WL 5848439, at *7 (N.D. Ill. Oct. 1, 2020); Pindak v. Dart, 125
F. Supp. 3d 720, 765 (N.D. Ill. 2015). Although the Seventh Circuit continues to “cast doubt on
its reasoning in Iskander[,]…this Court is obligated to follow the decisions of higher courts” until
the question is resolved. Hernandez, 2019 WL 3059796, at *3. As the existing law in this circuit
currently prohibits respondeat superior liability in Section 1983 actions, the Motion to Dismiss is
granted as to Plaintiff’s respondeat superior claim under federal law. See Howell v. Wexford
Health Sources, Inc., No. 19-3210, 2021 WL 405006, at *3 (7th Cir. Feb. 5, 2021) (holding that
“[c]ircuit precedent establishes at this time that private corporations acting under color of law also
benefit from Monell’s rejection of respondeat superior liability for an employee’s constitutional
violations”); Peterson v. Wexford Health Sources, Inc., 986 F. 3d 746, 754 (7th Cir. 2021) (stating
that “[d]espite calls to reconsider our precedent, we have chosen to leave Iskander undisturbed”)
(internal citations and quotations omitted).
The Court also dismisses Count 10 as to Plaintiff’s allegations of respondeat superior
liability under Illinois State law. As Defendants argue and this Court has observed, “respondeat
superior is not a separate claim, but a theory of liability. The state law of respondeat superior is
therefore improperly pled as a separate count and is dismissed.” Dangerfield, 2024 WL 2873809,
at *7 (internal quotations and citations omitted). See Armbruster v. Wexford Health Sources, Inc.,
16-cv-544-MRJ, 2017 WL 2619032, at *3 (S.D. Ill. June 16, 2017)). See also Wilson v. Edward
Hosp., 981 N.E. 2d 971 (Ill. 2012). “Nonetheless, Plaintiff may argue respondeat superior as a
theory of her claims against Wexford under the Illinois Wrongful Death Act and Survival Act,
Counts [6 and 9], for the acts and omissions of its employees.” Wiley v. Young, No. 21-cv-599-
JPG, 2022 WL 488144, at *8 (S.D. Ill. Feb. 17, 2022).
DISPOSITION
For the reasons stated above, the Motion to Dismiss filed by Defendants Wexford Health
Sources, Inc., Dr. Larson, NP Menees, and Dr. Babich is GRANTED in part and DENIED in
part. (Doc. 23). The Motion to Dismiss filed by Defendants IDOC and Isaacs is GRANTED in
part and DENIED in part. (Doc. 38). COUNTS 3, 7, 8, and 10 are dismissed in their entirety.
COUNTS 5, 6, and 9 are dismissed as to Defendant Isaacs. As there are currently no surviving
claims against IDOC, the Clerk of Court shall TERMINATE IDOC as a party on the docket.
Plaintiff is proceeding with the following Counts:
Count 1: Eighth Amendment deliberate indifference claim against Babich, Isaacs,
Larson, and Menees.
Count 2: Eighth Amendment deliberate indifference (Monell) claim against
Wexford.
Count 4: Eighth Amendment failure to intervene claim against Babich, Isaacs,
Larson, and Menees.
Count 5: State law negligence claim against Wexford, Babich, Larson, and Menees.
Count 6: State law wrongful death claim against Wexford, Babich, Larson, and
Menees.
Count 9: Illinois Survival Act claim against Wexford, Babich, Larson, and Menees.
IT IS SO ORDERED.
DATED: March 13, 2026
s/Stephen P. McGlynn
STEPHEN P. MCGLYNN
United States District Judge