# Petition — Batt v. Marion Heights, Inc.

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## Record

- **Collection:** Supreme Court brief
- **Document type:** Petition
- **Published:** January 1, 1979
- **Citation:** 440 U.S. 971

## Text

| a Supreme Court, U,
FILED’
78-1181 |
} JAN 29 1979
IN THE j°

MICHAEL RODAK, JR., CLERK
SUPREME COURT OF THE UNITED-STATES7————

October Term, 1978

No.

PATRICK BATT, Petitioner,

Vv.

MARION HEIGHTS, INC., et al, Respondents.

PETITION FOR A WRIT OF CERTIORARI TO THE
UNITED STATES COURT OF APPEALS
FOR THE SEVENTH CIRCUIT

DAVID L. WALTHER
JOHN SUNDQUIST

Attorneys for Petitioner

Of Counsel:
WALTHER & HALLING
222 East Mason Street

Milwaukee, Wisconsin 53202
(414) 271-3400

INDEX

Page

ee Oe. Ck eee oe ee 2

JURI SDICT ION . . . . . . . > . . . . . . . 2

QuEstaens ORUSEETER. 2. wi ccc we «(CO

STATUTORY PROVISIONS INVOLVED. ...... 3

STATEMENT OF THE CASE. . . . «© 2 « e e « « -

REASONS FOR GRANTING THE WRIT. ...... 9

I. Respondent, Marion Heights,

II.

Although Nominally A Private
Health Care Facility, Is, For

The Purposes Of Sec. 1983, A
Public Entity Due To Its Heavy
Governmental Funding, Pervasive
Regulatory Scheme And Applicable
Provisions Of State Law Which
Convert It To A State Agent In
Certain Instances. Furthermore,
The Respondent Performed A Public
Function In The Care Of Its
Elderly And Infirm Residents And As
A Provider Of Employment Training

_And Opportunities For Welfare

Recipients And Unemployed Persons ... 9

The Decision Below Conflicts With
The Law In Other Cicuits As To
Whether The Receipt Of Federal Funds
Under The Yill-Burton Act By A
Health Care Facility Renders Such

ii

Recipient A Government Instrumentality
So That Its Actions Are Governed By
The Constitutional Requirements
Generally Applicable To The State

And Federal Government. .. +++ -s >»

III. "State Action" Decisions Of The
Seventh Circuit Have Imposed
Overly Strict Pleading Requirements
Resulting In The Erroneous Dis~
missal of Petitioner's Complaint
For Failure To State A Claim Upon
Which Relief May Be Granted. .....

CONCLUSION. 2 se se eo eee eee ee 0 8

ot ee ee ee ee
CITATIONS

Cases:

Amalgamated Food Employees Union v. Logan

Valley Plaza, Inc., 391 U.S. 308
(1968) . . . 7 . . . . . * . * >. 7 . *

Braden v. University of Pittsburgh, 447
F* 68+: SU) ee ee

Burton v. Wilmington Parking Authority,
ae Gules PES GAUOA)s « 0 $$ 0 6 0 8 8

Citta v. Delaware Valley Hsopital, 313
F. Supp. 301 (E.D. Pa. 1970) .....

Page
28

30

34
App. 1
16, 17
33, 34
12, 14
31, 32
29

1ii

Cohen v. Illinois Institute of
Technology, 524 F.2d 818 (7th Cir.
1975), cert. denied, 425 U.S. 943
twa ee 6 6 wh eb ee we

Conley v. Gibson, 355 U.S. 41 (1957). .

Doe v. Bellin Memorial Hospital, 479
F.2d 756 (7th Cir. 1973) ..

Doyle v. Unicare Health Care Services,
Inc., 399 F. Supp 69 (N.D. I1l.
1975), aff'd. mem., 541 F.2d 283
c7eh Cit. I97G). « «

Evans v. Newton, 382 U.S. 296 (1966)...

Flagg Bros., Inc. v. Brooks, 436 U.S. 149
(1978) i oe er i ko oe ‘ ee @

Gilmore v. Montgomery, 417 U.S. 556 (1974).

Ginn v. Mathews, 533 F.2d 477 (9th Cir.
(1976) ek Se a on oe A ee oe ae ee ee a a

Jackson v. Metropolitan Edison Co.,
419 U.S. 345 (1974). ee e tet 6 © 8 ©

Jackson v. Norton-Children's Hospital,
Inc., 487 F.2d 502 (6th Cir.
1973). ‘+ 6 64 2.4% .8- 3

Jackson v. The Statler Foundation, 496
Dome Gad €20-COE. 2OTads 0 6 6 ee

Page

11, 12
13
31

16, 29

15, 17

9, 14,
15, 26

Ne ee ov

McQueen v. Druker, 438 F.2d 781 (lst Cir.

1971). ° . ° . . 7 e ° om e ° ° ° ° . .

Marsh v. Alabama, 326 U.S. 501 (1946) .. .

Mercy Medical Center v. Winnebago County,

58 Wis.2d 260, 206 N.W.2d 198 (1973) .

Morrison v. Henke, 165 Wis. 166, 160 N.W.

173 (1917)...

Norton v. Macy, 417 F.2d 1161 (D.C. Cir.

1969) Lis a2 ££ & 8 21 eK, 2S RO OS OS

Perez v. Sugarman, 499 F.2d 761 (2d Cir.

1974) . . . . . . . * . . . . 7 e . .

Pitts v. Department of Revenue, 333 F.

, Supp. 662 (B.D. Wis. 1971). .....

Robinson v. Price, 553 F.2d 918 (5th Cir.

1977) e ° . ° . . ° . . . ° ° ° . . .

Ruffler v. Phelps Memorial Hospital, 453

F. Supp. 1062 (S.D. N.Y. 1978)... .

Sams v. Ohio Valley General Hospital

Association, 413 F.2d 826 (4th Cir.
1969) . ° . 7 ° . - . . 7 ° o +. * e .

Scott v. Macy, 349 F.2d 182 (D.C. Cir.

1965) eo 6 2 & oases & Oe O28 02 &@ @

Simkins v. Moses H. Cone Memorial

Hospital, 323 F.2d 959 (4th Cir.
1963), cert. denied, 376 U.S. 938
(1964):. . . .

Page

20

16, 17

21

21

28

20

32

19

23

29

28

16, 29

Vv vi

Page Page

Taylor v. St. Vincent's Hospital, 424 Wisconsin Administrative Code H 32. .... ll

U.S. 948 (1976), denying cert. to
523 F. 2d 775 (9th Cir. 1976) . e <3 . ° ° 30

Terry v. Adams, 345 U.S. 461 (1953). ....417

Wahba v. New York University, 492 F.2d
96 (2d Cir. 1974), cert. denied,
419 U.S. 874 (1974). . 7-_ °©« © @ ._ 6¢ @ . 27

Ward v. St. Anthony's Hospital, 476 F.2d
671 (10th Cir. 1973) *-_ e* © © @© @ © # @ ae 16

Weise v. Syracruse University, 522 F.2d
Soe uae Gas. 20peees o ww 6 6 ee ore Bg Ze

STATUTES: .

42 U.S.C. See. 190 es i ee

42 U.S.C. Sec. 1983 . . 2. 2 «2 « « ces Passim

Wis. Stat. Sec. 231.02. . . «2. 6 eeeee 22

Wis. Stat. See. Bakse 0 et ee 6 4 tee.

OTHER AUTHORITIES:
45 CFR Sec. 224.13. . . «© © © © we ew © ow @ 2S |
45 CFR Sec. 224.40(c) (4). . «© «© «© «© ow ow ow @ 25 }
U.S. Civil Service Commission F.P.M.

Letter 731-3 (July 3, 1975) 44 U.S.
Law Week 2032 (1975) . .. . «+ « « « 28

ae Wty fee Steere te + -

IN THE . i 9
SUPREME COURT OF THE UNITED STATES
October Term, 1978 OPINION BELOW

The opinion of the Court of Appeals for the

No. Seventh Circuit affirming the order of the District

Court for the Eastern District of Wisconsin dismiss-

ing the petitioner's complaint is reported at 586

PATRICK BATT, Petitioner, F.2d 59. A copy appears in the appendix hereto.

¥. A copy of the petitioner's complaint is also in-
MARION HEIGHTS, INC., et al, Respondents. | cluded. i
JURISDICTION

The judgment of the Court of Appeals for the
PETITION FOR A WRIT OF CERTIORARI TO THE Seventh Circuit was entered on November 2, 1978.
UNITED STATES COURT OF APPEALS
FOR THE SEVENTH CIRCUIT This petition for certiorari was filed within

ninety (90) days of that date. This court's

jurisdiction is invoked under 28 U.S.C. Sec. 1254(1).

The petitioner, Patrick Batt, respectfully
i QUESTIONS PRESENTED

prays that a writ of certiorari issue to review |
l. Is the action of a nominally private

the judgment and opinion of the United States nie
nursing home, in dismissing from employment its

Court of Appeals for the Seventh Circuit,
affirmative action officer, action under color of

entered in this proceeding on November 2, 1978.
law, for purposes of 42 U.S.C. Sec. 1983 where it

receives the majority of its funding from govern-
mental sources, including Hill-Burton, Medicare,
Medicaid, and the Work eoniees Program, is regula-
ted in every facet of its operation; and by being
totally responsible for the care and welfare of
its elderly residents has become the functional
equivalent of a "company town!

2. Whether the instant complaint was
properly dismissed for failure to affirmatively
allege that "the governmental funding and regula-

‘

tions" have "fostered the challenged activities

of [the] private health care facilities."

STATUTORY PROVISIONS INVOLVED
United States Code, Title 42:

Sec. 1983
Every person who, under color of any

statutes, iebtiininna. regulation, custom or usage,
of any State or Territory, subjects or causes to
be subjected any citizen of the United States or

other person within the jurisdiction thereof to the

deprivation of any rights, privileges, or immuni-
ties secured by the Constitution and laws, shall
be liable to the party injured in an action at
law, suit and equity, or other proper proceedings
for redress.

STATEMENT OF THE CASE

Petitioner commenced this action against re-
spondent Marion Heights, Inc., and its directors,
Sister Lillian Van Domlen, Sister Rosalie Klein,
Sister M. Mel O'Dowd, Sister Angiola Strickelmaier,
Sister Peyton Ryan, Delores Gencuski, Mrs. A. Boehm,
John Conway, Robert Hackett and Gerald Falci. Also
named as a defendant was the administrator of
Marion Heights, Inc., Roger 5. teedtien.

The suit was filed in the United States
District Court for the Eastern District of Wiscon-
sin, the ee Robert W. Warren, District
Judge, presiding, seeking equitable relief and

money damages for violations of 42 U.S.C. Sec.

1983, and the United States Constitution. Federal
District Court jurisdiction was grounded on 28
U.S.C. Sec. 1343 and 28 U.S.C. Sec. 1331. The
amount in controversy, exclusive of interest and
costs, exceeds $10,000.00.

Respondents filed a Rule 12(b)(1) and (6)
motion to dismiss on the grounds that respondents
had not acted under color of state law. In a mem-
orandum decision and order dated Janaury 18, 1978,
the District Court granted this motion. Final judg-
ment was entered on January 25, 1978, dismissing
the action.

Timely appeal was taken to the Court of
Appeals for the Seventh Circuit. The case was
argued before the court on September 15, 1978,
and the lower court's order was affirmed by judg-
ment entered November 2, 1978.

Petitioner Patrick Batt (Batt), seeks equi-

table relief and money damages for his unlawful

discharge from employment as personnel director of
Marion Heights, Inc. (Marion Heights), solely be-
cause of his homosexual lifestyle.

Regarding state action, the complaint alleges
that Marion Heights is a Wisconsin non-profit cor-
poration operating a health care facility subject
ee extensive state regulation. (Complaint, Par. 7,
Pet. App. p. 14). The majority of operating funds
for Marion Heights is pee by the federal
government to the State of Wisconsin, in the form
of Medicare and Medicaid benefits. | (Complaint,
Par. 8, Pet. App. p. 14). Marion Heights parti-
cipates in the WIN Employment Training Program,
funded by the United States and administered by
the State of Wisconsin. (Complaint, Par. 9, Pet.
App. p- 15). The occupational and physical
therapy programs at Marion Heights are funded
by the United States Government. (Complaint,

Par. 10, Pet. App. p. 15).

Respondent Hamilton, the administrator, is
licensed by the State of Wisconsin as a health
care admin.strator (Complaint, Par. 11, Pet. App.
p- 15), and acting under the direction of the
Board of Directors, caused plaintiff's termination.
(Complaint, Pars. 14-16, Pet. App. pp. 17-19). The
other named respondents are members of the Board
of Directors and are responsible for plaintiff's
termination. (Complaint, Pars. 14-16, Pet. App.
pp- 17-19).

Batt was employed by Marion Heights as Per-
sonnel director from August 2, 1976, until his
termination on May 6, 1977. As personnel direc-
tor, Batt was responsible for the recruitment,
placement and employment of the work force at
the nursing home, for the management of the
employees’ relation program, for the coordination
of the educational training programs at the

facility, for wage and salary administration

be

‘

and for the interns audit program. (Complaint,
Par. 12, Pet. App. p. 16). More snpoxtentiy,
Batt, under Hamilton's supervision, was primarily
responsible for the administration of various
state and federal programs and regulations.
(Complaint, Par. 13, Pet. App. pp. 16-12). Batt
was the affirmative action officer for Marion
Heights, primarily responsible under Hamilton's
supervision for Marion Heights" compliance

with EEO regulations and litigation. Batt was
pedunetiy responsible for Marion Heights'
compliance with OSHA regulations; and was
primarily responsible for administration of

the WIN Program at Marion Heights. (Id.)

Batt alleged that respondents" actions deprived

him of freedom of speech and association, of the
right to privacy, of equal protection of the law,
and the due process of the law, all in violation

of the First, Fourth, Fifth, Ninth and

Fourteenth Amendments to the United States Consti-

tution.

REASONS FOR GRANTING THE WRIT

I. RESPONDENT, MARION HEIGHTS, ALTHOUGH
NOMINALLY A PRIVATE HEALTH CARE FACILITY,

IS, FOR THE PURPOSES OF SEC. 1983, A PUBLIC

ENTITY DUE TO ITS HEAVY GOVERNMENTAL
FUNDING, PERVASIVE REGULATORY SCHEME AND
APPLICABLE PROVISIONS OF STATE LAW

WHICH CONVERT IT TO A STATE AGENT IN
CERTAIN INSTANCE. FURTHERMORE, THE
RESPONDENT PERFORMED A PUBLIC FUNCTION

IN THE CARE OF ITS ELDERLY AND INFIRM
RESIDENTS AND AS A PROVIDER OF EMPLOYMENT
TRAINING AND OPPORTUNITIES FOR WELFARE
RECIPIENTS AND UNEMPLOYED PERSONS.

There are several avenues to a finding of

state action for Sec. 1983 purposes. Jackson v.

The Statler Foundation, 496 F.2d 623 (2d Cir. 1974),

_ sets forth an oft-quoted analysis as follows:

" (1)

"(2)

The degree to which the
‘private’ organization
is dependent on govern-
mental aid;

The extent and intru-
siveness of the govern-
mental regulatory
scheme;

Mite nics wis, 4 my

10

"(3) Whether that scheme
connotes government
approval of the activity
or whether the assis-
tance is merely provided
to all without such
connotation;

"(4) The extent to which
the organization serves
a public function or
acts as a surrogate for
the state;

"(5) Whether the organiza-
tion has legitimate
claims to recognition
as a ‘private’ associa-
tional or other consti-
tutional terms." Id.
496 F.2d at 629.

Petitioner urges that under those standards
Marion Heights was acting under color of law in
dismissing Batt from its employ.

Marion Heights’ operating budget is derived
from state and federal funding. Batt contends
that the public support of the nursing home has

reached the level where it is "so heavily dependent

on the State as to be considered the equivalent

1l

of a public [institution] for all purposes and in

all of its activities." Cohen v. Illinois Insti-

tute of Technology, 524 F.2d 818 (7th Cir. 1975)

cert. denied, 425 U.S. 943 (1976).

Accompanying the governmental funding is a
comprehensive regulatory scheme which oversees
_ every aspect of respondent's operation. See,
e.g., Wisconsin Administrative Code H 323 42
U.S.C. Sec. 1396 et. seq. While the mere existence
of detailed regulations does not make every act of
tin “petite entity" action of the State, Cohen,
524 F.2d at 825, it does make such a private
entity more susceptible to a finding of state

_ action. Jackson v. Metropolitan Edison Company,

419 U.S. 345, 351 (1974).
-The third factor in a state action analysis

was examined in Jackson v. Metropolitan Edison

Company, 419 U.S. at 351:

"(T]he inquiry must be whether there
is a sufficiently close nexus

12

between the State and the challenged
action of the regulated entity so
that the action of the latter may

be fairly treated as that of the
State itself."

See also, Burton v. Wilmington Parking Authority,
365 U.S. 715 (1961).

The Seventh Circuit cases with regard to this
suatie "the nexus requirement" have exceeded the

Supreme Court standards. Cohen states the rule

in the Seventh Circuit:

"Unless it is alleged that the
regulatory agency has encouraged

the practice in question, or at
least given its affirmative approval
to the practice, the fact that a
business or an institution is sub-
ject to regulation is not of de-
cisive importance." Id., 524 F.2d
at 826.

Complaints which fail to allege such a "nexus" are
being uniformly dismissed at the district court

level in the Seventh Circuit, e.g., Doyle v. Unicare

Health Care Services, Inc., 399 F. Supp. 69 (N.D.

Ill. 1975), aff'd. mem. 541 F.2d 283 (7th Cir. 1976).

13

The decision of the Seventh Circuit in this
case adheres to the Cohen rationale that the sole
route to a finding of state action on the part of
a heavily regulated "private" entity is through
a finding of state encouragement or control of
the challenged activity. (Pet. App. p. 5 ).

Petitioner's complaint does contain suffi-
cient allegations to meet the "nexus" requirement.
Batt was emp loyed by Marion Heights to ensure its
compliance with the realm of governmental cesnle~
tions applicable to it. He supervised respondent's
participation in the WIN Program. He was respon-
sible for compliance with OSHA regulations. As
a recipient of Medicare and Medicaid benefits,
Marion Heights was required to maintain an affir-
mative action program. Batt was the affirmative
action officer.

Respondent employed Batt, as it was required

to do, to ensure that it obeyed federal and state

Tce

14

law. It, in turn, must not be allowed to set
criteria for such a "private policeman" that con-
travene federal law, because the practice of the
policeman will affect the nature of the compliance.
An examination of Supreme Court opinions re-

veals that the Seventh Circuit is erroneously ex-

‘ cluding other viable routes to a finding of state

action when dealing with a governmentally regulated
"private" institutions.

For example, in Jackson v. Metropolitan Edison

Company, 419 U.S. at 352-53, this court stated that
a private entity would be acting under color of
law when it exercises delegated powers "tradi-

' The court

tionally associated with sovereignty.’
in Burton indicated that a consideration of all
relevant factors, in light of the facts and cir-

cumstnces of each case, must be undertaken in any

state action analysis. See also, Jackson v. The

Statler Foundation, 496 F.2d at 629. The singular

15

approach followed by the Seventh Circuit leads to
the erroneous conclusion that no state action
exists when in fact governmental regulation and/or
funding «has esstiieed the point where an otherwise
private insitution is converted into a public :

institution for constitutional purposes. See

Ward v. St. Anthony's Hospital, 476 F.2d 671, 675

(10th Cir. 1973).

Petitioner contends that the court below gave
only cursory treatment to the fourth factor in
* state action analysis: "The extent to which
the organization serves a public function or acts

as a surrogate for the State." Jackson v. The

Statler Foundation, 496 F.2d at 629.

In Evans v. Newton, 382 U.S. 296, 299 (1966),

this court stated:

"[c]onduct that is formally 'private'
may become so entwined with govern-
mental policies or so impregnated

with a governmental character as to
become subject to the constitutional
limitations placed upon state actions."

16

Batt is aware that actions of private hospitals
have frequently been challenged under Sec. 1983 and
that the courts are divided in their response to

such challenges. Compare, Doe v. Bellin Memorial

Hospital, 479 F.2d 756 (7th Cir. 1973); Ward v.

St. Anthony's Hospital, 476 F.2d 671 (10th Cir.

1973); with Simkins v. Moses H. Cone Memorial

Hospital, 323 F.2d 959 (4th Cir. 1963), cert.

denied, 376 U.S. 938 (1964). However, Batt contends

that this court should examine the conduct of

nursing homes in a somewhat different light
than that of private hospitals.

Nursing homes are often a permanent and final
residence for many elderly citizens. Surely a
"private" nursing home could not ignore the con-
stitutional rights of its residents. Batt argues
that the rationale employed by the Court in Marsh

v. Alabama, 326 U.S. 501 (1946), and subsequent

“public function" cases, Amalgamated Food Employees

Union v. Logan Valley Plaza, Inc., 391 U.S. 308

17

(1968); Terry v. Adams, 345 U.S. 461 (1953); and

Evans v. Newton, 382 U.S. 296 (1966), should be

considered in this instance.
While geographically not a town as in Marsh,

nor a business district as in Logan Valley,

realistically, for its patients, the nursing

home is their town, their community. A nursing
home provides its residents with all the essential
services that the company town did in Marsh.
Moreover, the primary source of funding for

these services is the government via Medicare,
Medicaid and lenient tax treatment afforded

the nursing home.

Petitioner urges this court to consider Justice

Black's statement in Marsh v. Alabama:

"Ownership does not always mean
absolute dominion. The more an
owner, for his advantage, opens up
his property for use by the public
in general, the more do his rights
become circumscribed by the

18

statutory and consitutional rights

of those who use it." Id. 326 U.S.

at 508.

The court below held that the petitioner's
public function argument must fail because the
"(clare of the elderly and infirm has traditionally
been a function associated with the family, not

with sovereignty." The court cited this court's

recent decision in Flagg Brothers, Inc. v. Brooks,

436 U.S. 149, (1978) and concluded that petitioner's
complaint failed to meet both the standards espoused

by the majority in Flagg Brothers: "traditionally

and exclusively a state function", and the standard
espoused by the four dissenting justices: "tra-
ditionally and historically associated with
sovereignty." Batt, 586 F.2d at 63. (Pet. App.
p. 8).

Petitioner respectfully submits that the con-

clusion of the Seventh Circuit is erroneous in

19

two respects. First, it directly conflicts with
decisions from other circuits wherein a private
insitution charged with welfare-related duties,
such as care and education of the indigent, has
been found to be acting with a public purpose
and performing a public function.

In Robinson v. Price, 553 F.2d 918 (5th

Cir. 1977), the court distinguished Jackson v.

Metropolitan Edison Company on the basis that

Jackson did not involve "the exercise by a
private entity of powers or functions tradi-
tionally associated with sovereignty. The
handling of welfare-related problems, however,
‘ has been a function that has been traditionally
dealt with by the state." Robinson, 553 F.2d
at 920.

The Ninth Circuit voiced similar sentiments

in Ginn v. Mathews, 553 F.2d 477 (9th Cir. 1976),

wherein it stated:

20

"[W]hen a specific governmental function
is carried out by heavily subsidized
private firms for individuals whose
freedom of decision-making has, by
contract and the reserved govern-
mental power of continuing over-
sight, been circumscribed substan-
tially more than that generally
accorded an independent contractor,
the coloration of state action
fairly attaches." Id. at 481
(quoting McQueen v. Druker,

438 F.2d 781 (1971)) (discussing

the Federal Headstart funding of

a private entity).

The public function theory was also applied

in Perez v. Sugarman, 499 F.2d 761 (2d Cir.

1974):

"In certain circumstances the
actions of private entities may
be considered to be infused
with ‘state action’ if those
private entities are perform-
ing a function public or
governmental in nature and
which would have to be performed
by the Government but for the
activities of the private
parties." Id. 499 F.2d at

765.

21

In Wisconsin, providing medical care and
services to the needy is an essential public
function. Even before state and federal medical
assistance programs, Wisconsin courts have held
that non-profit, private hospitals "perform a
quasi-public function in administering to the
poor and the sick" and liken those services to

the exercise by a municipality of a governmental

function. Morrison v. Henke, 165 Wis. 166, 116

N.W. 173 (1917). In Mercy Medical Center v. Winnne-

bago County, 58 Wis.2d 260, 206 N.W.2d 198 (1973),
the Wisconsin Supreme Court held that "the health
of individual citizens is a legitimate public
.concern" and that "today's cost of medical and
hospital care has reached such heights that the
means of payment necessitate such social devices
as Medicare, medical and hospital insurance, and
public relief." Id. 58 Wis.2d at 268, 206 N.W.2d

at 201.

22

Legislative approval of this public nature
of health care in Wisconsin is evidenced by
Chapter 231 of the Wisconsin Statutes. Accord-
ing to Sec. 231.05(1), ". . .[I]t is the intent of
the legislature to provide assistance and
alternative methods of financing to non-profit
health ‘ietieakties to aid them in providing
needed health services consistent with the
state's health plan." Participating health
facilities may be appointed an agent of the
state health authority for funding purposes.
Under such circumstances Marion Heights is,
by statutory definition, an agent of a
"public instrumentality. . . perform[ing].. .

an essential public function." Sec.

231.02(1), Wis. Stats.
Federal courts must look to state law to

determine whether certain activities undertzcken

23

by private institutions are in fact state functions.

Jackson v. Metropolitan Edison Company, 419 U.S.

at 353. It is clear from Wisconsin law that
private nursing homes provide an essential, dele-
gated public function.

Cases holding that private colleges and uni-
versities are aoe wabdel with a public function
are not controlling in the health care field.
There is no analagous legislative provision for
a unitary educational system. This is not the
case in the area of health care, especially health
care for the elderly.

In the field of mental health care a private

‘ hospital has been recognized as performing a

"public function". In Ruffler v. Phelps Memorial

Hospital, 453 F. Supp. 1062 (S.D. N.Y¥., 1978),
the fact that "the State expressly depends on
the use of private facilities to effectuate its

public policy of providing treatment for those

24
who need it" led to a finding of ane action on
the part of a private mental hospital. Id. 453
F. Supp. at 1067. A private mental hospital is
not unlike a private nursing home in that both
provide long-time twenty-four hour total care for

its patients. Both perform an essential function

which, if they did not, must be assumed by the

State.

Secondly, the concept of "public function"
is not a static and inflexible notion. As the
size and complexity of society has grown, it
cannot be disputed that government has assumed

growing responsibilites formerly dealt with by

' the private sector. The private nursing home has

become an integral part of the public welfare
scheme and should be recognized as such.
In addition to the public functions performed

by respondent with regards to its residents, the

25
nursing home has also involved itself in other
governmental activities which lend support to a
finding of state action.

Under the Federal Work Incentive Program (WIN),
Title IV of the Social Security Act, respondent re-
ceives federal and matching state funds and tax
credits to subsidize employment and training of
welfare recipients. According to 45 CFR Sec. 224.13,

a participating non-profit private employer must be

one "organized for a public purpose." (Emphasis

added). See also, 45 CFR Sec. 224.40(c) (4):
"An eligible employer. . .any private nonprofit
organization established to serve a public
service." (Emphasis added).

Respondent, by virtue of Title VII and its
Status as a federal contractor, is also required
to establish and implement affirmative action guide-

lines. Provisions such as the WIN Program, and

26
affirmative action programs dealing with work
training and employment for the indigent, unemployed
and minorities constitute services traditionally
reserved to the state. Respondent, in exchange for
liberal tax benefits and governmental funding, per-
forms these services for the state. Petitioner was
primarily responsible for the administration of both
the WIN and affirmative action programs at Marion
Heights. His discharge must be subject to consti-
tutional scrutiny in view of his intimate involve-
ment with the respondent's participation in the
governmental programs.

The fifth area of inquiry under the Statler

‘Foundation analysis involves a balancing between

the right of a "private" insitution to retain its
private status and the nature of the right in-

fringed upon. Weise v. Syracuse University, 522

F.2d 397 (2d Cir. 1975). Respondent's claim to

retain its private status pales in comparison to

27

the fundamental consitutional rights of petitioner

which it has violated. Wahba v. New York University,

492 F.2d 96 (2d Cir. 1974), cert. denied, 419 U.S.

874 (1974); Weise v. Syracuse University, 522 F.2d

at 405.
No substantial private interests are involved
in this case. Respondent, by entering the nursing

home field, voluntarily submits to multitudinous

governmental regulation. It provides health care

services in the same manner as any other public health

care facility. Any claim to private status is
miniscule. On the other hand, petitioner represents
a substantial minority of citizens who stand to
suffer permanent exclusion from employment.

The clear trend is to provide consitutional
protection for homosexuals, at least where sexual
preference does not have a detrimental effect
upon the employment relationship. Federal courts

have been almost unanimous in reversing discharges

28

involving civil service employees dismissed on

the grounds of homosexuality. See, Norton v.

Macy, 417 F.2d 1161 (D.C. Cir. 1969); Scott v.
Macy, 349 F.2d 182 (D.C. Cir. 1965). In response
to such litigation, the Civil Service Commission
has recently promulgated guidelines forbidding
discharge of homosexuals solely on the basis of
homosexuality. U.S. Civil Service Commission,
F.P.M. Letter 731-3 (July 3, 1975), 44 U.S.L.W.

2032 (1975).

II. THE DECISION BELOW CONFLICTS WITH THE
LAW IN OTHER CIRCUITS AS TO WHETHER
THE RECEIPT OF FEDERAL FUNDS UNDER
THE HILL-BURTON ACT BY A HEALTH CARE
FACILITY RENDERS SUCH RECIPIENT A
GOVERNMENT INSTRUMENTALITY SO THAT
ITS ACTIONS ARE GOVERNED BY THE CON-
STITUTIONAL REQUIREMENTS GENERALLY
APPLICABLE TO THE STATE AND FEDERAL
GOVERNMENT.

This case presents the Courts with yet another
opportunity to resolve a 15-year old conflict among

the several circuits.

29

In Simkins v. Moses H. Cone Memorial Hospital,

323 F.2d 959 (4th Cir. 1963), cert. denied, 376

U.S. 938 (1964), the Fourth Circuit took the position
that receipt of Hill-Burton monies was sufficient

to convert an otherwise private health care facility
into a public one for purposes of the Fourteenth
Amendment. This remains the law in the Fourth

Circuit. See also Sams v. Ohio Valley General

Hospital Association, 413 F.2d 826 (4th ‘Cir.

1969). The reasoning of the Fourth Circuit has
also been followed by district courts in other

circuits, e.g., Citta v. Delaware Valley Hospital,

313 F. Supp. 301 (E.D. Pa. 1970).
A contrary view has been taken by at least

three other Circuits: Doe v. Bellin Memorial

Hospital, 479 F.2d 756 (7th Cir. 1973); Ward v.

St. Anthony's Hospital, 476 F.2d 671 (10th Cir.

1973); Jackson v. Norton-Children's Hospital,

Inc., 487 F.2d 502 (6th Cir. 1973). This conflict

30

in the law should not be allowed to continue. Such
diverse interpretations of the effect of a federal
program clearly runs contrary to the idea that
all citizens are to be treated alike in the eyes
of the law. In this instance, the geographic
location of the "eyes of the law" is determinative
of the fate of the constitutional rights being
threatened.

Such fundamental inequity demands that this
court "consistent with a responsible exercise of
its certiorari jurisdiction" resolve the conflict.

Taylor v. St. Vincent's Hospital, cert. denied

424 U.S. 948 (1976) (Mr. Justice White and Chief
Justice Burger dissenting from denial of

certiorari).

III. "STATE ACTION" DECISIONS OF THE SEVENTH
CIRCUIT HAVE IMPOSED OVERLY STRICT
PLEADING REQUIREMENTS RESULTING IN
THE ERRONEOUS DISMISSAL OF PETITIONER'S
COMPLAINT FOR FAILURE TO STATE A CLAIM
UPON WHICH RELIEF MAY BE GRANTED.

31

In Burton v. Wilmington Parking Authority, 365

U.S. 715, 722, this court, in addressing the issue
of state action said: "Only by sifting facts and
weighing circumstances can the nonobvious involve-
ment of the State in private conduct be attributed

its true significance."

More recently in Jackson v. Metropolitan Edison

Company, 419 U.S. 345, 351, Mr. Justice Rehnquist

wrote: "The true nature of the state's involvement

may not be immediately obvious, and detailed inquiry

may be required in order to determine whether the
test is met."

| Those statements are consistent with the well-
established rules of notice-pleading. A complaint
must not be dismissed for failure to state a claim
unless it appears beyond doubt that the plaintiff
can prove no set of facts which would entitle him

to relief. Conley v. Gibson, 355 U.S. 41, 45

(1957).

32

Complaints against nominally private insti-
tutions and allegations of state action present
a difficult judicial task upon a motion to dismiss.
Findings of state action rest totally on the
unique factual circumstances of each case. Courts
"cannot decide in the abstract or in a vacuum the
issue of whether sufficient state action exists

to impregnate private conduct with governmental

character so as to proscribe that conduct under

the Fourteenth Amendment." Pitts v. Department

of Revenue, 333 F. Supp. 662, 669 (E.D. Wis. 1971).

See also, Gilmore v. Montgomery, 417 U.S. 556

(1974), where this court after citing the Burton
requirement of "sifting the facts. . .to determine
the nonobvious involvement of the State", remanded
a state action to the district court level for
factual development.

The Court below upheld the dismissal of

petitioner's complaint, holding that it "fail[ed]

33

to allege any set of facts supporting the conclu-
sion or inference that defendants have either
acted as a state instrumentality, performed
traditionally exclusively sovereign functions, or
been compelled or even encouraged by the state
to.make the decisions challenged in these suits."
586 F.2d at 63, ~ (Pet. App. pp. 8-9).

Petitioner respectfully submits that the
Seventh Circuit erred in its dismissal. This case
is unique both in terms of governmental involvement
with respondent and the constitutional rights
claimed by the petitioner. Petitioner suggests
that the court should have heeded the words of

the Third Circuit in Braden v. University of

Pittsburgh, 447 F. 2d 1 (3rd Cir. 1973):

"It would perhaps be possible for us to
decide this last issue state action

on the present record but we think we
should not do so. Very important con-
stitutional questions are presented

and the Supreme Court has repeatedly in-
formed us that such difficult issues

34

should not be decided exempt lenin a

full record and after adequate hearing."

Id., 447 F. 2d at 4.

The court below, by imposing overly strict
pleading requirements has made it nearly impossible
to achieve reasoned results in the already difficult
area of state action. Inequitable and premature
dismissals of serious claims of constitutional
violations leave petitioner and other claimants
without any means of judicial recourse.

CONCLUSION

For these reasons, a writ of certiorari should
issue to reivew the judgment and opinion of the
Seventh Circuit.

Respectfully submitted,

WALTHER AND HALLING

By
David L. Walther

John Sundquist

APPENDIX

In the

Gnited States Court of Appeals
For the Seventh Circuit -

Plaintiff-Appellant,

Vv,

MARION HEIGHTS, INC., SISTER LILLIAN VAN DOMLEN,
SISTER ROSALIE KLEIN, SISTER M. MEL O’Dowp,
SISTER ANGIOLA STICKELMAIER, SISTER PEYTON RYAN,
DELORES GENCUSKI, MRS. A. BOEHM, JOHN CONWAY,
ROBERT HACKETT, GERALD FALCI, and ROGER N. HAMILTON,

Defendants-A ppellees.

Appeal from the United States District Court for the
Eastern District of Wisconsin,
No. 77-C-380—Robert W. Warren, Jucye.

No. 78-1248
STEPHEN J. KAVKA, M.D.,
Plaintiff-Appellant,
Vv.
EDGEWATER HOSPITAL, INC.,
Defendant-A ppellee.

Appeal from the United States District Court for the
Northern District of Illinois, Eastern Division,
No. 77-C-3378—Joseph S. Perry, Judge.

(Caption continued on following page)

2 Nos. 78-1216, 78-1248 & 78-1302

No. 78-1302

JOSEPH Musso,
Plaintiff-A ppellant,

Vv

RAFFAELE SuRIANO, Dean, Loyola University School of
Dentistry, JOHN MapDoniA, Associate Dean, Loyola Uni-
versity School of Dentistry, and LOYOLA UNIVERSITY

SCHOOL OF DENTISTRY,
Defendants-A ppellees.

Appeal from the United States District Court for the
Northern District of Illinois, Eastern Division,
No. 77-C-4014—George N. Leighton, Judye.

ARGUED SEPTEMBER 15, 1978—DECIDED NOVEMBER 2, 1978

Before SPRECHER, Circuit Judge, NICHOLS, Judge* and
BAUER, Circuit Judge.

SPRECHER, Circuit Judge. These three cases have been
consolidated for opinion on the recurring issue of when
the actions of a private entity can properly be
characterized as occurring “under color of state law”
allowing maintenance of an action under 42 U.S.C.
§ 1983.

I

In all three cases, the district court granted defen-
dant’s motions to dismiss the complaints for lack of sub-
ject matter jurisdiction. In each case the district court

eld that there were insufficient allegations of state or
federal action.!

* Honorable Philip Nichols, Jr., Associate Judge, United
States Court of Claims, is sitting by designation.

1 Allegations of governmental action are necessary to confer
federal jurisdiction under 28 U.S.C. § 1343. See note 8 infra.

"=

ee ee ee

Nos. 78-1216, 78-1248 & 78-1302 3

In Batt v. Marion Heights, Inc., — Patrick Batt
brought suit for damages against the defendant nursing
home, its Board of Directors and an individual serving
as administrator of the facility. Batt had been employed
by Marion Heights as personnel director. On May 6,
1977, Batt was discharged, allegedly for the sole reason
that he was a homosexual. Batt claims his dismissal on
this ground deprived him freedom of speech and associa-
tion, his right to privacy, due process, and equal protec-
tion in violation of the First, Fourth, Fifth, Ninth and
Fourteenth Amendments to the United States Constitu-
tion. In support of his charge that he was terminated
“under color of state law,” Batt relies principally on two
factors: 1) Marion Heights receives extensive state and
federal funding under Medicare and Medicaid as well as
through specific governmental programs; and 2) Marion
Heights is regulated and licensed by the State of
Wisconsin. Plaintiff does not allege that this funding or
regulation encouraged or required the defendants’ deci-
sion to discharge homosexual employees.

In Kavka v. Edgewater Hospital, Inc., Dr. Stephen
Kavka alleges that the hospital acted under color of
state law in suspending him from the hospital staff for
failure to self-insure against malpractice. This dismissal
was alleged to be in violation of his rights to due process
and equal protection secured by the Fifth and
Fourteenth Amendments. State action, as formulated in
the complaint, is supported by allegations of substantial
state and federal funding to the defendant under
Medicare, Medicaid, and the Hill Burton Act. Dr. Kavka
does not allege any relation between the governmental
funding and the hospital rule requiring staff physicians
to maintain malpractice insurance. In_ plaintiff's
memorandum in opposition to the defendants’ motion to
dismiss, and in his brief to this court, plaintiff expands
the allegations of his complaint. He alleges that the
State of Illinois in addition has undertaken to regulate
the field of malpractice and has prohibited hospitals
from using exculpatory clauses. Furthermore, he argues
that the federal and state governments, in the course of
regulating participants eligible for Medicare and
Medicaid programs, have effectively approved the use of

4 Nos. 78-1216, 78-1248 & 78-1302

the insurance requirement imposed by Edgewater.’ But

again, the plaintiff fails to demonstrate any relation

eta these actions of the State and the decision of the
ospital.

In the third case, Musso v. Suriano, a dental student
at Loyola University brought an action alleging that he
was expelled by the University without a hearing, in
violation of due process rights secured him by the Fifth
and Fourteenth Amendments to the United States Con-
stitution. It is argued that this expulsion was conducted
under color of state law since Loyola receives substantial
state and federal funding—allegedly fifty percent of its
budget. Additionally, it is stated that the Illinois Depart-
ment of Registration and Education monitors the
curriculum and graduation requirements of the Dental
School. Plaintiff, however, does not allege any impact cf
governmental funding on Loyola’s decision xot to
provide plaintiff with a pre-expulsion hearing.

II

In two recent cases, Cannon v. University of Chicago,
559 F.2d 1063 (7th Cir. 1976), cert. granted, 46 U.S.L.W.
3803 (July 3, 1978), and Cohen v. Illinois Institute 4
Technology, 524 F.2d 818 (7th Cir. 1975), cert. denied,
425 U.S. 943 (1976), this court outlined the elements of
“state action” prerequisite to any 42 U.S.C. § 1983 civil

¢ Specifically, plaintiff charges that the Department of
Health, Education and Welfare requires hospitals par-
ticipating in Medicare and Medicaid programs to have an
“effective governing body legally responsible for the conduct
of the hospital” which has “adopted bylaws in accordance with
legal requirements.” 20 C.F.R. § 405.1021 (1977). Plaintiff
deduces from this that by allowing Edgewater to participate
in the programs, the government has concluded that
Edgewater’s malpractice regulation is necessarily in accord
with “legal requirements.” Plaintiff did not amend his com-
plaint to reflect this theory of state action. Nevertheless, a re-
mand on the issue is unnecessary since we do not — plain-
tiff’s construction of the HEW regulation, nor would plain-
= construction satisfy the elements of state action discussed
infra.

Nos. 78-1216, 78-1248 & 78-1302 5

rights action.? Cohen and Cannon, fairly read, leave no
doubt as to the prevailing legal requirements for a sec-
tion 1983 claim. Nonetheless, actions are still being
filed, as represented by the three complaints in issue
here, without regard to the dictates of those decisions,
necessitating another admonition concerning the
allegations essential to establish state action.

The plaintiffs in each of these three actions on appeal
Support their allegation of state (or federal) action .
primarily through reliance on the distribution of sub-
stantial state and federal funds to defendants and the
imposition of accompanying regulatory measures.‘

The allegations of governmental funding and general
regulation, standing alone, however, cannot support a
finding of state action. The courts, including this one,
have uniformly dismissed claims of state action ground-
ed merely on governmental funding and regulation
where neither has fostered the challenged activities of
Hp health care facilities such as defendants

dgewater Hospital and Marion Heights, Hodge v. Paoli
Memorial Hospital, 576 F.2d 563 (3d Cir. 1978); Schlein
v. Milford Hospital, Inc., 561 F.2d 427 (2d Cir. 1977);
Greco v. Orange Memorial Hospital Corp., 513 F.2d 873
(5th Cir.), cert. denied, 423 U.S. 1000 (1975); Doe v.

3 42 U.S.C. § 1983 states:

Every person who, under color of any statute, ordinance,
regulation, custom, or usage, of any State or Territory,
subjects, or causes to be subjected, any citizen of the United
States or other persons within the jurisdiction thereof
to the deprivation of any rights, privileges, or immunities,
secured by the Constitution and laws, shall be liable to the
party injured in an action at law, suit in equity, or other
proceeding for redress.

‘ The central question presented is that of action b par-
ticular states. Nonetheless, plaintiffs have also invoked federal
action at various points in their argument. Since state and
federal action share similar factual prerequisites, we do not
afford a separate discussion of the relevant principles. See
Cannon v. cog hg, of Chicago, 559 F.2d at 1671 n.8. But as
we pointed out in Cannon, although state and federal actions
must be viewed analogously, federal funding is not relevant to
the existence of state action under section 1983. Jd.

6 , Nos. 78-1216, 78-1248 & 78-1302

Bellin Memorial Hospital, 479 F.2d 756 (7th Cir. 1973);
Mills v. Fox, 421 F. Supp. 519 (E.D.N.Y. 1976) (nursing
home); Doyle v. Unicare Health Service, Inc., 399 F.
Supp. 69 (N.D. Ill. 1975), affd mem., 541 F.2d 283 (7th
Cir. 1976) (nursing home), or of educational institutions
such as defendant Loyola University. Lamb v. Rantone,
561 F.2d 409 (1st Cir. 1977); Cannon v. University of
Chicago, 559 F.2d 1063 (7th Cir. 1976); Cohen v. Illinois
Institute of Technology, 524 F.2d 818 (7th Cir. 1975), cert.
denied, 425 U.S. 943 (1976); Spark v. Catholic University
of America, 510 F.2d 1277 (D.C. Cir. 1975); Sanford v.

oward University, 415 F. Supp. 23 (D.D.C. 1976), affd
mem., 549 F.2d 830 (D.C. Cir. 1977).

Cannon and Cohen, adhering to Supreme Court
decisions in Moose Lodge No. 107 v. Irvis, 407 U.S. 163
(1972) and Jackson v: Metropolitan Edison Co., 419 U.S.
345 (1974), established that a claim under section 1983
must be based on no less than the state’s “affirmative
support” of the private conduct challenged. Cannon v.
University of Chicago, 559 F.2d at 1069; Cohen v. Illinois
Institute of Technology, 524 F.2d at 825-26. The Supreme
Court’s most recent opinion on state action, Flagg
Brothers, Inc. v. Brooks, 46 U.S.L.W. 4438 (May 15,
1978), leaves open the question whether even “affir-
mative support” short of compulsion will suffice to
render a private act attributable to the state. The ques-

§ In Flagg Brothers, four justices voted to affirm the district
court judgment that a warehouseman’s ——— sale of bailed
oods pursuant to a procedure ed in the New York
Uniform Commercial Code § 7-210 was not state action. The
opinion affirms on the ground that the proposed sale was
neither a traditionally exclusive sovereign function nor a sale
“compelled” by the state statute. Statutory permission of such
a sale was considered insufficient nexus to render the action
attributable to the state. The four dissenting justices, although
suggesting that statutory authorization rather than compul-
sion might be sufficient, found state action by characterizin
§ 7-210 as the delegation of a function traditionally associate
with sovereignty. It is also not clear whether actual compul-
sion would be required by the four affirming justices when
the state activity might be characterized as an affirmative act
rather than mere “inaction.”

Nos. 78-1216, 78-1248 & 78-1302 7

tion need not be reached here, however, since plaintiffs
have not established any degree of state encouragement
of the challenged activity. Plaintiffs have not claimed
that state regulations encouraged, or that state funds
were conditioned upon, defendants’ dismissal of homosex-
ual employees, suspension of hospital physicians who
refuse to carry malpractice insurance, or denial of
hearings to dental students expelled for disciplinary
reasons. Plaintiffs have failed to allege any “nexus.” Dis-
missal of the complaints on that ground by the respec-
tive district courts was therefore proper.

Plaintiffs argue that the level of state support of
defendant institutions is so high that they are relieved of
the necessity for pleading or proving a nexus, citing our
decision in Cohen. We do not suggest that nexus is the
exclusive means of establishing state action. Cohen and
Cannon held that under certain limited circumstances
the on need not establish a nexus between the state
funding and/or regulation and the challenged act. The
language of reservation in the cases cannot be ex-
trapolated, as the plaintiffs have done here, however, to
support the assertion that a high level of financial sup-
port, without more, gives rise to state action. The
passage in Cohen cited by plaintiffs states that IIT “is
not so heavily dependent on the State as to be considered
the equivalent of a public university for all purposes and
in all its activities,” and then goes on to distinguish in a
footnote cases of other courts where financial support
was far greater. 524 F.2d at 825 & n.18.

_The alternative to nexus referred to in Cohen suf-
ficient to sustain a claim of state action is not simply a
higher level of state support. Rather, nexus can be
avoided only by an allegation of facts suggesting that the
ostensibly private entity has acted as a state instrumen-
a or a “joint participant,” in the language of Burton
v. Wilminaton Park Authority, 365 U.S. 715, 725 (1961).
Such, an allegation is dependent upon more than fund-
ing; it is dependent 7 facts suggesting control. This
interpretation of the Cohen reservation is buttressed by

Judge (now Justice) Stevens’ citation of Powe v. Miles,

407 F.2d 73 (2d Cir. 1968). Cohen v. Illinois Institute of
Technology, 524 F.2d at 825 n.19. In Powe, Judge

8 Nos. 78-1216, 78-1248 & 78-1302

Friendly found that the state of New York’s comprehen-
sive financing and administration of the New York
State College of Ceramics allowed a finding of state ac-
tion. Judge Friendly emphasized however that the State
had concrete ability to control all the policies of the
college, even though that control had not been specifical-
ly exercised in Powe. 407 F.2d at 83. Recent decisions
premised on an instrumentality theory of state action
Support our conclusion here that mere allegations of
state funding and general regulation, without some
evidence of state administration or practical control, are
insufficient. See Chalfant v. Wilmington Institute, 574
F.2d 739 (3d Cir. 1978) (en banc); Downs v. Sawtelle, 574
F.2d 1 (lst Cir. 1978); Braden v. University of
Pittsburgh, 552 F.2d 948, 965, 970 (3d Cir. 1977) (con-
curring opinion); Hollenbaugh v. Carnegie Free Library,
545 F.2d 382 (3d Cir. 1976); Kerr v. Enoch Pratt Free
Library, 149 F.2d 212 (4th Cir. 1945). Thus, the com-
plaints in the instant actions cannot be sustained on an
instrumentality theory.

_ A third route to state action is also available by depict-
ing the private activity as a public function. Plaintiff
Batt relies heavily on this characterization of nursing
homes. Whether measured by the test of a “traditionally
exclusive state function” forwarded by the four justices
writing the opinion for the court in Flagg Brothers, Inc.
v. Brooks, 46 U.S.L.W. 4488, 4440 (May 15, 1978), or a
function “traditionally and historically associated with
sovereignty,” adopted by the four dissenting justices, 46
U.S.L.W. at 4444, plaintiff’s claim must obviously fail.®
Care of the elderly and infirm has traditionally been a
function associated with the family, not with sovereign-
ty.

Finally, plaintiffs also challenge the procedural
propriety of dismissal based on the insufficiency of the
allegations. We are not imposing rigid pleading re-
quirements. Plaintiffs’ complaints simply fail to allege

* It should be noted that this circuit has used the exclusivity
test. See Anastasia v. Cosmopolitan National Bank of Chicago,
Cio7 é) .2d 150, 157 (7th Cir. 1975), cert. denied, 424 U.S. 928

7 OR peer

Nos. 78-1216, 78-1248 & 78-1302 9

t of facts supporting the conclusion or inference
that detenduats wee either acted as a state instrumen-
tality, performed traditionally exclusive sovereign func-
tions, or been compelled or even encouraged by the state
to make the decisions challenged in these suits. Dis-
missal of the complaints was therefore appropriate. As

we stated in Cohen:

We agree that plaintiff is entitled to the fullest
opportunity to adduce evidence in support of her
claim. But she is not entitled to a trial, or even to
discovery, merely to find out whether or not there
may be a factual basis for her claim which she has
not made. Her complaint omits any allegation of
state support or approval of the defendants’ dis-
criminatory conduct, and the detailed facts set forth
in the complaint, even if wholly true and liberally
construed in her favor, do not warrant the conclu-
sion that I.I.T. is a public university. It is clear
beyond doubt that the claim which she has alleged
does not entitle her to relief.

524 F.2d at 827.

In some cases, extensive discovery and trial will be
necessary to adequately determine whether state action
existed. See Braden v. University of Pittsburgh, 552 F.2d
948 (3d Cir. 1977); Weise v. Syracuse University, 522
F.2d 397 (2d Cir. 1975). But in cases such as these where
plaintiffs’ claim that state action, if present, has taken
the form of statutes or regulations, it is entirely ap-
propriate to resolve the issue on a motion to dismiss the
complaint. The procedure has been affirmed by the
Supreme Court in comparable cases. Flagg Brothers,
Inc. v. Brooks, 46 U.S.L.W. 4438 (May 15, 1978); Jackson
v. Metropolitan Edison Co., 419 U.S. 345 (1974).’

7 The district court opinion affirmed in Jackson dismissed
the complaint finding: No state official participated in the
practice complained of, nor is it alleged that the state re-

uested or cooperated in the suspension of service.” 348 F.
Save. 954, 958 (M.D. Pa. 1972) (emphasis added).

10 Nos. 78-1216, 78-1248 & 78-1302

Furthermore, there is no showing that the plaintiffs in
any of the actions requested to amend their complaints
or to delay judgment on the motions until discovery had
been completed. The judgments are affirmed.®

AFFIRMED.

A true Copy:
Teste:

Clerk of the United States Court of
Appeals for the Seventh Circuit

_Plaintiff Kavka has requested this court to modify the dis-
trict court judgment to reflect a dismissal without prejudice.
We do not consider such a modification necessary since the
order is phrased in jurisdictional terms, and a dismissal for
insufficient gy mi oe of state action is ordinarily construed
as a dismissal or lack of subject matter jurisdiction in any
event. See Flagg Brothers, Inc. v. Brooks, 46 U.S.L.W. 4438,
4439 (May 15, 1978); Carter v. Telectron, Inc., 554 F.2d 1369
oth Cir. 1977): Schlein v. Milford Hospital, Inc., 561 F.2d 427
2d Cir. 1977); Sparks v. Catholic University of America, 510
2d at 1281. Feb. R. Civ. P. 41(b) clearly provides that a dis-
missal for lack of jurisdiction is a dismissal without prejudice.
Carter v. Telectron, Inc., 554 F.2d at 1370.

USCA 4412—Midwest Law Printing Co.. Inc.. Chicago—11-2-78—300

11

UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF WISCONSIN

PATRICK BATT
1628 North Franklin Place #22
Milwaukee, Wisconsin 53202,

Plaintiff, COMPLAINT

Ve
MARION HEIGHTS, INC. Case No. 77-C-380

3333 West Highland Blvd.
Milwaukee, Wisconsin 53208,

SISTER LILLIAN VON DOMLEN,
SISTER ROSALIE KLEIN,
SISTER M. MEL O'DOWD,
SISTER ANGIOLA STICKELMAIER,
SISTER PEYTON RYAN,
DELORES GENCUSKI,

MRS. A. BOEHM,

JOHN CONWAY,

ROBERT HACKETT,

GERALD FALCI, and

ROGER N. HAMILTON

9024 North 70th Street
Milwaukee, Wisconsin,

Defendants.

Now comes the plaintiff, Patrick Batt, by
his attorneys, Walther & Halling, and alleges and

shows to the Court as follows:

12

JURISDICTION

1. This action seeks equitable relief
and damages against detendents pursuant to 42
U.S.C.A. Sec. 1983 on the grounds that defendants;
actions deprive plaintiff of freedom of speech
and association, of the right to privacy, of
equal protection of the laws, and the due process
of the law, all in violation of the First, Fourth,
Fifth, Ninth and Fourteenth Amendments to the
United States Constitution.

2. The jurisdiction of this court is
based upon 42 U.S.C.A. Sec. 1983, 29 U.S.C.A.
Sec. 1343, and 28 U.S.C.A. Sec. 1331. The

amount in controversy, exclusive of interest

and costs, exceeds $10,000.00.

PARTIES
36 Plaintiff, Patrick Batt, is a citizen
of the United States and resides at 1628 North

Franklin Place, Milwaukee, Wisconsin 53202.

13

4. Defendant, Marion Heights, Inc.,

3333 West Highland Blvd., Milwaukee, Wisconsin
53208, is a non-profit Wisconsin corporation
operating a health care facility. At all
material times, defendant Marion Heights, Inc.,
acted through its agents and representatives
under color of state law.

5. Defendants, Sister Lillian Van
Domlen, Sister Rosalie Klein, Sister M. Mel
O'Dowd, Sister Angiola Stickelmaier, Sister
Peyton Ryan, Delores Gencuski, Mrs. A. Boehn,
John Conway, Robert Hackett, and Gerald Falci,
are members of the Board of Directors of Marion
Heights, Inc., and are sued individually, and
in their capacity as members of the Board
of Directors. At all material times defendant
members of the Board of Directors of Marion

Heights, Inc., acted under color of state law.

14

6. Defendant Roger N. Hamilton, 9024
North 70th Street, Milwaukee, Wisconsin 53223, is
the administrator for Marion Heights, Inc. He
is sued in his capacity as administrator and as
an individual. At all material times defendant

Hamilton acted under color of state law.

STATEMENT OF FACT

7. Defendant, Marion Heights, Inc.,
is a private, non-profit corporation, incor-
porated under the laws of the State of Wisconsin.
As a health care facility it is subject to
extensive regulation by the State of Wisconsin
pursuant to Ch. 456, Wis. Stats., and the Wis-
_consin Administrative Code, Health & Social
Services, H 32.

8. The majority of the operating funds
for defendant Marion Heights, Inc., are pro-

vided by the U.S. Department of Health, Education

15

and Welfare, through the State of Wisconsin, in

the form of medicare and medicaid benefits, pur-
suant to 42 U.S.C.A. Sec. 1395.

9. Defendant, Marion Heights, Inc.,
participates in the WIN Employment Training
Program, funded rf the United States Department
of Labor, Manpower Administration and the
State of Wisconsin, and administered by the
State Department of Industry, Labor and Human
Relations, pursuant to 28 U.S.C.A. Secs.
630-644.

10. The occupational and physical therapy
programs at defendant, Marion Heights, Inc.,
health care facility are funded by the United
States government, pursuant to 42 U.S.C.A.

Sec. 1395.

ll. Defendant Hamilton is licensed by the

State of Wisconsin pursuant to Ch. 456 Wis. Stats.

as a health care administrator.

16

12. From August 2, 1976, to May 6, 1977,
plaintiff was employed by defendant Marion
Heights, Inc., as personnel director. In that
capacity, plaintiff was responsible for the
recruitment, placement and employment of
the work force throughout the nursing home, for
the management of the employee relations program,
for the coordination of the education and
training program at the facility, for wage and
salary administration, and for the internal
audit program.

13. Under the supervision of defendant
Hamilton, plaintiff had extensive and primary
responsibility for the administration of state
and federal programs and regulations:

A. Plaintiff was the affirmative
action officer for the center
and in that capacity he was re-

sponsible for compliance with

sine piastc a es

eet etre,

17

Equal Employment Opportunity
regulations and for replying to
EEOC complaints filed against

defendant, Marion Heights, Inc.

B. Plaintiff was primarily respon-
sible for the facility's compliance
with all Occupational Safety and

Health Administration regulations.

C. Plaintiff was primarily responsible
for the administration of the WIN

Program at the facility.

14. On May 6, 1977, defendant Hamilton,

acting for defendant Marion Heights, Inc. and

‘acting under the direction of the defendant

Board of Directors, informed plaintiff that de-
fendant Board of Directors had asked for his

resignation. Defendant Hamilton stated that

18

‘the reason for the request was the objection

of the Board to plaintiff's homosexual life-
style. Plaintiff stated that he had no inten-
tion of quitting and would resist any effort
to force his resignation, since he had been
performing competently and had been guilty of
no wrongdoing.

15. At all times during the course
of his employment with Marion Heights, Inc.,
plaintiff performed his duties as personnel
director in an exemplary fashion; at no time
did his lifestyle intrude upon his duties. |
Furthermore, at no time was there any suggestion

that plaintiff's performance as personnel

director was less than completely satisfactory.

16. Some time later on May 6, 1977,
plaintiff was called into defendant Hamilton's
office and was again asked to resign. At that

time, defendant Hamilton stated that defendant

ee

19

Board of Directors was prepared to offer
plaintiff one month's severance pay and a good
performance recommendation in’ exchange for
plaintiff's immediate resignation. When
plaintiff refused to resign, defendant Hamilton
fired him and told him to be out of the building
by 5:00 p.m. that afternoon. When plaintiff
requested a reason for his discharge, defendant
Hamilton stated that the reason was his homo-
sexual lifestyle. Plaintiff left the building

at 7:30 p.m. on May 6, 1977.

CAUSES OF ACTION

17. At all material times, all defendants

acted under color of state law to willfully

deprive plaintiff of rights, privileges and
immunities secured by the Constitution of the
United States in the following respects:

A. Acting under color of state law,

defendants deprived plaintiff of

20

freedom of speech and associ-

ation as guaranteed by the First
Amendment. f

B. Acting under color of state law,
defendants deprived plaintiff of
the right to privacy as guaran-
teed by the First, Rierch:, Ninth
and Fourteenth Amendments.

'€. Acting under color of state law,
defendants deprived plaintiff of
the right to due process of law
and equal protection of the laws

as guaranteed by the Fifth and

Fourteenth Amendments.

WHEREFORE, plaintiff respectfully prays
that the court assume jurisdiction in this case,
and,

A. That a permanent injunction be issued

21

enjoining defendants, their agents, successors,

employees, attorneys, and those acting in concert
with them, or under their direction, from con-
tinuing or maintaining the policy of dis-
criminating against plaintiff in employment on
the basis of sexual preference, in contravention
of his constitutional rights under the First,
Fourth, Fifth, Ninth and Fourteenth Amendments.

That a permanent injunction be kena
compelling plaintiff's reinstatement to his
former position with defendant Marion Heights,
Inc., or a comparable post, with back pay,
and all other seniority and employment benefits.

C. That damages be awarded to plaintiff
in the amount of $25,000.00.

D. That plaintiff be awarded actual
attorneys fees pursuant to 28 U.S.C.A. Sec.

1988.

22

E. That such further relief be granted

as the court may deem just and proper.

Respectfully submitted,

/s/ David L. Walther

David L. Walther

/s/ John Sundquist

John Sundquist

Attorneys for Plaintiff

WALTHER & HALLING

222 East Mason Street
Milwaukee, Wisconsin 53202
(414) 271-3400

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/brief%3Amicro_IA40385005_2407%3A1. Public record. Not legal advice.
