                 United States Court of Appeals
                             For the Eighth Circuit
                        ___________________________

                                No. 16−4181
                        ___________________________

                                 Lisa M. Wilcox

                                      Plaintiff - Appellant

                                        v.

    United States of America; Lake Regional Health System; Richland Medical
          Center, LLC; Robert C. Nielsen, M.D.; Russell Johnson, M.D.

                                     Defendants - Appellees
                                 ____________

                     Appeal from United States District Court
               for the Western District of Missouri - Jefferson City
                                 ____________

                         Submitted: November 15, 2017
                            Filed: February 5, 2018

                                  ___________

Before COLLOTON and GRUENDER, Circuit Judges, and HOLMES,1 District
Judge.
                         ____________

HOLMES, District Judge.



1
  The Honorable P.K. Holmes, III, Chief Judge, United States District Court for
the Western District of Arkansas, sitting by designation.
      Lisa Wilcox appeals the judgment of the district court 2 granting the United
States’ motion to substitute parties and motion to dismiss, and Lake Regional
Health Systems’ (Lake Regional) motion for summary judgment. We affirm.

                                        I.

        On June 28, 2013, Wilcox filed a petition in the Circuit Court of Camden
County, Missouri alleging negligence against Dr. Robert Nielsen and Dr. Russell
Johnson after they allegedly failed to diagnose her cancer. Wilcox added Lake
Regional, a non-profit hospital, and Richland Medical Center (Richland), a
federally supported health center, as defendants based on their alleged vicarious
liability for the actions of Nielsen and Johnson. On January 8, 2014, Wilcox’s
case was dismissed, without prejudice, because she was unable to produce
affidavits of merit required by Missouri law.

    Wilcox refiled her petition against the same parties in the Circuit Court of
Camden County on January 5, 2015, and amended it on June 19, 2015.

     Wilcox filed a Federal Tort Claims Act claim with the Department of Health
and Human Services on January 5, 2016.

       On February 12, 2016, the United States filed a notice of removal. On
February 18, 2016, the United States filed a notice of substitution of the United
States as the proper party-defendant in place of Nielsen, Johnson, and Richland.

     On March 3, 2016, the United States filed a motion to dismiss based on
Wilcox’s failure to timely file her administrative claims.


2
 The Honorable M. Douglas Harpool, United States District Judge for the Western
District of Missouri.

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      On May 4, 2016, Lake Regional filed a motion for summary judgment
arguing that Nielsen and Johnson were not employees of Lake Regional.

      On September 8, 2016, the district court granted the United States’ motion
to substitute parties and its motion to dismiss. On October 12, 2016, the district
court granted Lake Regional’s motion for summary judgment.

      Wilcox subsequently filed this appeal. On appeal, she abandons her claims
against Johnson.

                                         II.

      Wilcox contends that the district court erred in granting summary judgment
for Lake Regional because the hospital demonstrated the requisite degree of
control over Nielsen to qualify him as an employee. We disagree.

       We review “a district court’s grant of summary judgment de novo, affirming
if ‘there is no genuine dispute as to any material fact and the movant is entitled to
judgment as a matter of law.’” B.M. ex rel. Miller v. S. Callaway R-II Sch. Dist.,
732 F.3d 882, 886 (8th Cir. 2013) (quoting Fed. R. Civ. P. 56(a)).

       Under Missouri law, Wilcox may not recover against Lake Regional for the
alleged negligence of Nielsen if he is not an employee of Lake Regional. See
Jefferson ex rel. Jefferson v. Missouri Baptist Med. Ctr., 447 S.W.3d 701, 705
(Mo. Ct. App. 2014), reh’g and/or transfer denied (Sept. 22, 2014), transfer denied
(Nov. 25, 2014), (citing Mo. Ann. Stat. § 538.210).

       Staff privileges permit a doctor to use hospital facilities to practice
medicine. Engelstad v. Virginia Mun. Hosp., 718 F.2d 262, 267 (8th Cir. 1983).
Staff privileges alone do not establish an employment relationship with a hospital.

                                        -3-
Id. (“Staff privileges do not establish an employment contract with the
hospital.”). Instead, staff privileges serve to define the limits of a doctor’s ability
to practice in a hospital based on his or her competence in a particular field. Id.

       The record demonstrates that Nielsen had an exclusive employment contract
with Richland and never entered into an employment contract with Lake Regional.
Wilcox’s argument that Nielsen is an employee of Lake Regional is based solely
on Nielsen having staff privileges at the hospital. Wilcox provides a number of
examples of Lake Regional’s alleged control over Nielsen. These include Lake
Regional maintaining a file that contained Nielsen’s credentials, referring to him
as “on staff,” allowing him to treat patients at the hospital, and requiring him to
follow its bylaws and policies. However, these facts simply demonstrate that
Nielsen complied with Lake Regional’s requirements to obtain and maintain staff
privileges.

     Nielsen’s staff privileges demonstrate that Lake Regional viewed him as
competent and allowed him to use its facilities. See id. They do not in any way
demonstrate that Nielsen was employed by Lake Regional. See id. Because
Wilcox has not offered any other support for her assertion that Nielsen was
employed by Lake Regional, she cannot show a genuine dispute of material fact.

     Accordingly, the district court did not err in granting summary judgment for
Lake Regional.

                                         III.

      Wilcox contends that the district court erred in granting the United States’
motion to substitute because Nielsen was not a federal employee acting within the
scope of his employment at a federal agency. We disagree.



                                         -4-
       We review the district court’s order granting substitution of the United
States de novo. See McAdams v. Reno, 64 F.3d 1137, 1144 (8th Cir. 1995).

            Upon certification by the Attorney General that the
            defendant employee was acting within the scope of his
            [federal] office or employment at the time of the incident
            out of which the claim arose, any civil action or
            proceeding commenced upon such claim in a State court
            shall be removed ... to the district court of the United
            States ... Such action or proceeding shall be deemed to
            be an action or proceeding brought against the United
            States ... and the United States shall be substituted as the
            party defendant.

28 U.S.C. § 2679(d)(2). “[T]he Attorney General’s certification ... is prima facie
evidence that the employee’s challenged conduct was within the scope of
employ.” Brown v. Armstrong, 949 F.2d 1007, 1012 (8th Cir. 1991).

      The United States Attorney for the Western District of Missouri and senior
counsel for the Department of Health and Human Services certified that Nielsen
was a federal employee. This certification is prima facie evidence that Nielsen
was acting within the scope of his federal employment.

       Wilcox attempts to rebut this prima facie evidence by arguing that Nielsen
was not a federal employee acting within the scope of his federal employment
because he was employed by Lake Regional. However, as discussed above,
Wilcox has failed to demonstrate that Nielsen was an employee of Lake Regional.
Accordingly, she cannot rebut the prima facie evidence that Nielsen was a federal
employee. The district court did not err in granting the United States’ motion to
substitute.




                                        -5-
                                       IV.

     Wilcox argues that the district court erred in granting the United States’
motion to dismiss because she timely filed her federal tort claim under 28 U.S.C. §
2679(d)(5). We disagree.

     “Our review of an order granting a motion to dismiss is de novo.” Coons v.
Mineta, 410 F.3d 1036, 1039 (8th Cir. 2005).

       Wilcox alleges that her doctors failed to diagnose her cancer on or about
July 1, 2011, and that she was not properly diagnosed until June 4, 2012. Using
the date of Wilcox’s cancer diagnosis as the date of accrual, her January 5, 2016
administrative tort claim was filed more than three years after her claim accrued.
See Motley v. United States, 295 F.3d 820, 822 (8th Cir. 2002) (“[I]n medical
malpractice cases, the claim accrues when the ‘plaintiff actually knew, or in the
exercise of reasonable diligence should have known, the cause and existence of
his injury.’”) (citation omitted).

       “A tort claim against the United States shall be forever barred unless it is
presented in writing to the appropriate Federal agency within two years after such
claim accrues.” 28 U.S.C. § 2401(b). However, under § 2679(d)(5) a claim is
deemed timely even though a plaintiff has not technically complied with the
statute of limitations in § 2401(b). Estate of Bumann v. United States, 2012 WL
4434712, at *2 (N.D. Iowa Sept. 24, 2012). In order for a claim to be timely
under § 2679(d)(5), four requirements must be met: “(1) there must be an initial
cause of action in which the United States was substituted as the party defendant;
(2) the initial cause of action must have be[e]n dismissed pursuant to Section
2675(a); (3) the initial cause of action must have been filed within the 2 year
statute of limitations period required under Section 2401(b); and (4) after
dismissal of the initial cause of action, the plaintiff must have filed the instant

                                        -6-
action with the appropriate federal agency within 60 days.” Id. (summarizing the
requirements of § 2679(d)(5)).

      Despite filing her federal tort claim more than two years after her claim
accrued, Wilcox argues that her claim was timely under § 2679(d)(5). This
argument fails because Wilcox cannot meet the second requirement of
§ 2679(d)(5) as articulated by the court in Bumann. Wilcox’s initial claim was
dismissed without prejudice because she was unable to produce affidavits of merit
required by Missouri law. Her claim was not dismissed for failure to exhaust
administrative remedies pursuant to § 2675(a). Accordingly, she cannot meet the
requirements to demonstrate that her claim was timely under § 2679(d)(5).

       Wilcox also argues that her claim was timely filed under the Missouri
savings statute and that the statute of limitations should be equitably tolled. We
reject both of these arguments. The Missouri savings statute does not apply here.
See Wollman v. Gross, 637 F.2d 544, 549 (8th Cir. 1980) (holding that Congress
did not intend “to allow the state statute of limitations to apply whenever plaintiff
is unaware of the status of the defendant as a federal employee acting within the
scope of his employment.”); see also In re Franklin Sav. Corp., 385 F.3d 1279,
1288 (10th Cir. 2004) (“Although state law determines whether there is
substantive liability under the FTCA, federal law defines the applicable limitations
period.”) (citations omitted). Further, Wilcox has provided no evidence that she
could not have ascertained that Nielsen was a federal employee and, as such, the
statute of limitations should not be equitably tolled. See Motley, 295 F.3d at 824
(“To toll the statute because of a plaintiff’s ignorance of the defendant’s federal
employee status, plaintiff ‘must at the very least show that the information could
not have been found by a timely diligent inquiry....’”) (emphasis in original)
(citation omitted).




                                        -7-
     Accordingly, the district court did not err in granting the United States’
motion to dismiss.

                                         V.

      The district court’s judgment is affirmed in all respects.
                       ______________________________




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