The University of Texas Southwestern Medical Center, a teaching hospital affiliated with the University of Texas, hired Naiel Nassar, a physician of Middle Eastern descent, first as a medical resident in 2001 and later as an assistant professor in the Department of Internal Medicine in 2006. Nassar's direct supervisor was Dr. Michael Levine, the Chief of Infectious Disease Medicine, and he also worked with Dr. Brian Becherer, the Medical Director of the hospital's employee health clinic.
In 2007 and 2008, Nassar complained to his supervisors that he was being subjected to discrimination and harassment by Levine on the basis of his religion and ethnic heritage. In July 2008, Nassar was offered and accepted a position as a full-time faculty member in the Department of Internal Medicine. In August 2008, Nassar resigned from his faculty position in a letter stating that the primary reason for his departure was the hostile work environment created by Levine's harassment.
After Nassar resigned, Becherer sent a letter to the state medical board reporting that Nassar had resigned while under investigation for professional misconduct involving alleged improper billing practices. Nassar filed suit in the United States District Court for the Northern District of Texas alleging two claims under Title VII: status-based discrimination on the basis of his race, religion, and national origin, and retaliation for complaining about Levine's conduct.
The case proceeded to trial before a jury. The District Court instructed the jury that Nassar could prevail on his retaliation claim if he showed that retaliation was a motivating factor in the hospital's decision to send the letter to the medical board. The jury found for Nassar on both claims and awarded him $3,000 in backpay and $400,000 in compensatory damages, which the District Court reduced to $300,000 pursuant to the statutory cap. The hospital appealed to the Fifth Circuit, which affirmed the retaliation verdict on the theory that the motivating-factor standard applied. The Supreme Court granted certiorari.
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