Johnny M. Ruffin, Jr. v. Rockford Memorial Hospital

* After an examination of the briefs and the record, we have concluded that oral
argument is unnecessary. Thus, the appeal is submitted on the briefs and the record.
See Fed. R. App. P. 34(a)(2).
United States Court of Appeals
For the Seventh Circuit
Chicago, Illinois 60604
Submitted April 26, 2006*
Decided May 18, 2006
Before
Hon. JOHN L. COFFEY, Circuit Judge
Hon. KENNETH F. RIPPLE, Circuit Judge
Hon. ILANA DIAMOND ROVNER, Circuit Judge
No. 05-1023
JOHNNY M. RUFFIN, JR.,
Plaintiff-Appellant,
v.
ROCKFORD MEMORIAL
HOSPITAL, et al.,
Defendants-Appellees.
Appeal from the United States
District Court for the Northern
District of Illinois, Western Division
No. 04 C 50258
Philip G. Reinhard,
Judge.
O R D E R
Illinois prisoner Johnny Ruffin brought suit pro se claiming that Rockford
Memorial Hospital (“RMH”) and two of its employees discriminated against him in
violation of Title II of the Americans with Disabilities Act (“ADA”), 42 U.S.C.
§ 12131 et seq., by refusing to admit him to the hospital’s rehabilitation program
solely because he was a near-quadriplegic. RMH contends that it did not feel it had
the qualified personnel or the proper equipment to treat him in the most efficient
UNPUBLISHED ORDER
Not to be cited per Circuit Rule 53

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No. 05-1023 Page 2
way. The district court concluded that Ruffin failed to state a claim under Title II
or Title III of the ADA, and granted the defendants’ motion to dismiss. Ruffin now
appeals. We agree with the district court that Ruffin cannot proceed under the
ADA, though some of our reasons differ.
We accept as true the facts alleged in Ruffin’s complaint. Dawson v.
Newman, 419 F.3d 656, 658 (7th Cir. 2005). Ruffin was shot by Kane County
sheriff’s deputies while resisting arrest in June 1999, and shortly thereafter was
diagnosed with “incomplete quadriplegia.” He was admitted for pretrial detention
at the Winnebago County Jail, but because of his injuries his first few months in
custody were spent in local hospitals. In October 1999 Ruffin’s doctors determined
that he was ready to be transferred to an extended-care facility for rehabilitation.
They attempted several times to transfer him to RMH, but RMH would not accept
the transfer. The hospital told Ruffin’s doctors that it did not have appropriate
services available. Ruffin was eventually transferred to the infirmary at the
Winnebago County Jail for rehabilitation.
In October 2001 Ruffin brought this action in the Circuit Court of Winnebago
County, claiming that RMH’s decision to exclude him from its rehabilitation
program cost him some mobility in his back and possibly the chance to walk again.
His complaint invoked Title II of the ADA, which prevents a “public entity” from
discriminating against disabled persons in the provision of services, see 42 U.S.C.
§ 12132, and Title III of the ADA, which prevents such discrimination in “any place
of public accommodation,” see 42 U.S.C. § 12182(a). Ruffin sought compensatory
damages for his alleged loss of mobility, punitive damages, and attorney’s fees and
costs.
The defendants removed the case to federal court and then moved for
dismissal under Federal Rule of Civil Procedure 12(b)(6), arguing that Ruffin had
failed to state a claim. The district court agreed with the defendants, holding that
Ruffin failed to allege that the hospital was a “public entity” within the meaning of
Title II, and that in reality it was not a public entity but rather a private entity.
The court also considered whether Ruffin might have stated a claim under Title III,
but concluded that he did not because his claim amounted to nothing more than a
contention that the hospital had refused to provide “a particular treatment for a
particular disability,” which it had no obligation to provide.
As a preliminary matter, we note that this case is in an unusual posture
since it concerns Ruffin’s medical treatment while he was in the custody of the
Winnebago County Jail. But since neither Ruffin nor the defendants suggest that
RMH’s decision was affected in any way by the jail’s willingness to permit the
transfer or to pay for the treatment, we will assume that his status as a pretrial
detainee has no bearing on the outcome. We review the district court’s dismissal of

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** Ruffin might also have brought a claim under section 504 of the Rehabilitation
Act of 1973, 29 U.S.C. § 794, which we construe consistently with section 12132 of Title
II of the ADA in most respects, see Radaszewski ex rel. Radaszewski v. Maram, 383
F.3d 599, 607 (7th Cir. 2004). Like Title II, the Rehabilitation Act authorizes private
citizens to bring actions for money damages, Tennessee v. Lane, 541 U.S. 509, 517
(2004), but its coverage is not restricted to public entities. The Rehabilitation Act
(continued...)
the ADA claim de novo. See Frank Bros., Inc. v. Wisconsin Dep’t of Transp., 409
F.3d 880, 884-85 (7th Cir. 2005). Dismissal is appropriate only if a plaintiff could
not establish any set of facts that would entitle him to the relief he requests. Id. at
885.
On appeal Ruffin argues that the district court erred in holding that he failed
to state a claim under Title II of the ADA, which applies to public entities alone. See
42 U.S.C. § 12132. Ruffin contends that, contrary to the district court’s
representation, he does allege in his complaint that RMH is a public entity. The
defendants concede this, but assert that the question whether the hospital is a public
entity is a legal conclusion that Ruffin fails to support with adequate factual
allegations. Ruffin, though, was not required to identify, let alone allege facts
concerning, the elements of the legal theories underlying his complaint, see Doe v.
Smith, 429 F.3d 706, 708 (7th Cir. 2005); Dunn v. Washington County Hosp., 429
F.3d 689, 691 (7th Cir. 2005); McDonald v. Household Int’l, Inc., 425 F.3d 424, 427
(7th Cir. 2005), thus the defendants’ position is untenable.
Still, we agree with the outcome reached by the district court even though we
do not endorse its reasoning. We rely on the fact that Ruffin has disclosed on appeal
that his basis for believing that RMH is a public entity is that it is incorporated
under state law. The definition of “public entity” in the ADA does not support this
theory: for purposes of the Act, a “public entity” is a “department, agency, special
purpose district, or other instrumentality of a State or States or local government.”
42 U.S.C. § 12131. Thus, Ruffin cannot prevail on his Title II claim. He argues that
the district court should have converted the motion to dismiss into a motion for
summary judgment so that it could take evidence on whether or not RMH is a public
entity. However, where the appellant has not established that he can “point to any
pertinent evidence that he might be able to obtain and present in opposition to
summary judgment,” the district court’s error is harmless and “remand to enable [a]
formal conversion” of the motion “would be pointless.” Chicago Bd. of Educ. v.
Substance, Inc., 354 F.3d 624, 627-28 (7th Cir. 2003).
Ruffin next argues that if RMH is a private entity he nonetheless states a
claim under Title III of the ADA,** which applies to places of “public

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No. 05-1023 Page 4
** (...continued)
applies to any “program or activity receiving Federal financial assistance.” 29 U.S.C.
§ 794(a); see also Jackson v. City of Chicago, 414 F.3d 806, 811 n.2 (7th Cir. 2005).
RMH’s rehabilitation program is a “program or activity” within the meaning of the
Rehabilitation Act because section 794(b)(3)(A)(ii) defines the term as embracing “all
of the operations of . . . a corporation, partnership, or other private organization . . .
which is principally engaged in the business of providing . . . health care.” And RMH
qualifies as a receiver of “Federal financial assistance” because it receives Medicare
and Medicaid payments. See Grzan v. Charter Hosp. of Nw. Indiana, 104 F.3d 116,
119-20 (7th Cir. 1997); United States v. Baylor Univ. Med. Ctr., 736 F.2d 1039, 1040
(5th Cir. 1984); see also http://www.hospital-data.com/hospitals/ ROCKFORD-
MEMORIAL-HOSPITAL-ROCKFORD.html. Ruffin, though, does not make any
argument on appeal about the Rehabilitation Act, and thus he has waived any
contention that the district court should have recognized such a claim on its own. See
Hart v. Transit Mgmt. of Racine, Inc., 426 F.3d 863, 866-67 (7th Cir. 2005) (per
curiam); Sanchez v. Henderson, 188 F.3d 740, 746 n.3 (7th Cir. 1999); Kerr v. Farrey,
95 F.3d 472, 481 (7th Cir. 1996). Moreover, he failed to raise this theory in his
response to the motion to dismiss in the district court, which is another ground for
finding it waived. Lekas v. Briley, 405 F.3d 602, 614-15 (7th Cir. 2005); Farnham v.
Windle, 918 F.2d 47, 51 (7th Cir. 1990).
accommodation.” 42 U.S.C. § 12182(a). The defendants and the district court
concluded that Ruffin was alleging that he was deprived of benefits equal to those
received by persons with other disabilities who are served by RMH’s rehabilitation
program. The defendants also suggested that Ruffin might simply be claiming that
the treatment he received was inappropriate. The district court and the defendants
are correct in stating that the ADA does not impose liability on these grounds. It is
permissible to extend a service to disabled persons suffering from a certain disability
without offering that or another service to persons suffering from another disability.
Parker v. Metro. Life Ins. Co., 121 F.3d 1006, 1015-16 (6th Cir. 1997); Vaughn v.
Sullivan, 83 F.3d 907, 912-13 (7th Cir. 1996). And Ruffin cannot challenge a
medical treatment decision under the ADA. See Fitzgerald v. Corrs. Corp. of
America, 403 F.3d 1134, 1144 (10th Cir. 2005); Bryant v. Madigan, 84 F.3d 246, 249
(7th Cir. 1996).
But this is not what Ruffin alleges. He has tailored his complaint closely to
the statute and actually does claim that RMH made the sort of “categorical refusal to
treat someone because of their disability” the district court said might be a predicate
for liability. Moreover, we reject the defendants’ suggestion that Ruffin pleaded
himself out of court by attaching to his complaint a report that recounts RMH’s

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statement to his doctors that appropriate services were not available. We have
repeatedly held that a “plaintiff may tell the court what his adversary has said
without throwing in the towel.” Gale v. Hyde Park Bank, 384 F.3d 451, 452 (7th Cir.
2004); see also Carroll v. Yates, 362 F.3d 984, 986 (7th Cir. 2004).
Nonetheless, we still conclude that Ruffin fails to state a claim under Title III
because the language of the subchapter’s enforcement provision provides a remedy
only to a person “who is being subjected to discrimination on the basis of disability or
who has reasonable grounds for believing that such person is about to be subjected to
discrimination. See 42 U.S.C. § 12188(a)(1) (emphasis added). This language does
not apply to Ruffin, whose complaint concerns past events and seeks only money
damages. Money damages, however, are not available to private parties under Title
III, see 42 U.S.C. § 12188(a)(1); Goodwin v. C.N.J., Inc., 436 F.3d 44, 50 (1st Cir.
2006); Powell v. Nat’l Bd. of Med. Exam’rs, 364 F.3d 79, 86 (2d Cir. 2004); Bowers v.
NCAA, 346 F.3d 402, 433 (3d Cir. 2003), and Ruffin does not argue that he wants
injunctive relief, or that any injunctive relief remains available to him.
Accordingly, we AFFIRM the judgment of the district court.

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