Russo v. New Hampshire Neurospine Institute — First Circuit revives retaliation claim but rejects sex-discrimination claims

Case
Gina Russo v. New Hampshire Neurospine Institute, P.A.; and Uri M. Ahn
Court
U.S. Court of Appeals for the First Circuit
Judge
Aframe; Howard; Dunlap
Date Decided
August 25, 2026
Docket No.
25-1519
Topics
Employment Discrimination, Retaliation, Title VII, Summary Judgment
Source
Read the full opinion

Background

Gina Russo worked for New Hampshire Neurospine Institute as a physician assistant for eleven years. She had several contentious interactions with Dr. Uri Ahn, an Institute partner, who considered her disrespectful and insubordinate. After Ahn told the Institute that he would not remain if Russo continued working there, the partners voted unanimously on March 25, 2019, to terminate her employment.

The Institute initially allowed Russo to keep working while the parties negotiated a transition and possible severance arrangement, including a potential independent-contractor role at a nursing home. After Russo’s attorney sent a demand letter alleging gender bias and proposing continued negotiations, the Institute immediately ended her employment and abandoned the contemplated contracting arrangement. Russo sued under federal and New Hampshire law for sex discrimination and retaliation. The district court granted summary judgment to the Institute and Ahn on the relevant claims.

The Court’s Holding

The First Circuit affirmed summary judgment on Russo’s sex-discrimination claims. Even assuming she established a prima facie case, the defendants offered a legitimate, nondiscriminatory reason for her termination: the sustained conflict between Russo and Ahn and Ahn’s ultimatum that one of them had to leave. Russo’s evidence of stereotyping, Ahn’s anger, allegedly different treatment of male colleagues, asserted inconsistencies, and the Institute’s all-male physician roster did not permit a reasonable finding that sex bias motivated the decision. The record instead showed that Ahn behaved abrasively toward employees of both sexes and that his hostility toward Russo arose from personal and professional conflict rather than gender.

The court reversed summary judgment on Russo’s retaliation claim against the Institute. Messages from the executive director stating that Russo was “done” because she was making unacceptable allegations constituted direct evidence of retaliatory animus. A jury could find that, after Russo complained of sex discrimination, the Institute materially harmed her by accelerating her termination—depriving her of expected wages and benefits—and withdrawing the contemplated independent-contractor opportunity. Because the evidence could also support a finding that Russo’s demand letter was the but-for cause of those actions, the court remanded the retaliation claim for further proceedings.

Key Takeaways

  • An employer may lawfully act on a serious workplace conflict when the evidence does not reasonably connect its decision to the employee’s protected characteristic.
  • A retaliation claim may succeed even when the underlying discrimination claim fails, and an express statement linking an adverse action to discrimination allegations can constitute direct evidence of retaliatory intent.
  • Accelerating a planned termination or withdrawing a contemplated post-employment opportunity may be materially adverse when those actions could deter a reasonable employee from reporting discrimination.

Why It Matters

The decision distinguishes an employer’s original, nonretaliatory termination decision from later actions taken after an employee engages in protected conduct. An employer does not avoid retaliation liability merely because it had already decided to terminate the employee if it subsequently moves up the termination date or withdraws another benefit because the employee complained of discrimination.

The opinion also underscores that evidence of an abrasive supervisor, gender-neutral criticism, or a workplace’s gender imbalance will not necessarily carry a discrimination claim without facts connecting the challenged employment decision to sex-based bias.

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