249 NLRB 562
United Hospital, Inc.
562
DECISIONS OF NATIONAL LABOR RELATIONS BOARD
United Hospitals, Incorporated and the Children's
Hospital, Inc., Employer-Petitioners and Hospi-
tal and Nursing Home Employees, Local 113,
AFL-CIO. Case 18-RM-1053
May 16, 1980
DECISION ON REVIEW AND ORDER
BY MEMBERS JENKINS, PENELLO, AND
TRUESDALE
On May 31, 1979, the Acting Regional Director
for Region 18 issued a Decision and Clarification
of Bargaining Unit in the above-entitled proceeding
in which he found that no question affecting com-
merce existed with regard to the representation of
admitting clerks and interviewers' employed by
the Employers at their facilities in St. Paul, Minne-
sota, within the meaning of Section 9(c)(1) and
Section 2(6) and (7) of the National Labor Rela-
tions Acts, as amended. Additionally, the Acting
Regional Director treated the Employers' petition
as a motion for clarification with respect to unit
placement of their unrepresented admitting inter-
viewers and found that these employees constituted
an accretion to the multiemployer service and
maintenance bargaining unit represented by the
Union. Thereafter, in accordance with Section
102.67 of the National Labor Relations Board
Rules and Regulations, Series 8, as amended, the
Employers filed a timely request for review of the
Acting
Regional
Director's
decision
on
the
grounds, inter alia, that the Acting Regional Direc-
tor's finding on a substantial factual issue is clearly
erroneous, and that a substantial question of law is
raised by the absence of officially reported Board
precedent applicable to the instant proceeding. By
telegraphic order dated August 30, 1979, the Board
granted the request for review.
Pursuant to the provisions of Section 3(b) of the
National Labor Relations Act, as amended, the Na-
tional Labor Relations Board has delegated its au-
thority in this proceeding to a three-member panel.
The Board has considered the entire record in
this proceeding with respect to the issues under
review and makes the following findings:
United Hospitals, Incorporated (United), is a
Minnesota corporation, formed in 1972 by the
merger of Charles T. Miller Hospital and St. Lukes
Hospital, that owns and operates two hospital facil-
I The record reveals that the duties of the unionized admitting clerks
and the nonunionized admitting interviewers employed by the Employers
are basically similar, and that the terms "admitting clerks" and "admitting
interviewers" are used interchangeably to describe the same job func-
tions.
249 NLRB No. 63
ities 2 in St. Paul, Minnesota. The Children's Hospi-
tal, Inc. (Children's), is also a Minnesota corpora-
tion located in St. Paul and since 1974 has been
party to a management agreement with United
whereby United furnishes certain administrative,
executive, staff, and operational functions to Chil-
dren's, which retains its separate corporate identity
together with its own assets and board of directors.
Both United and Children's are members of Health
Manpower Management, Inc. (HMMI), which ne-
gotiates
and
administers
collective-bargaining
agreements for approximately 21 health care insti-
tutions in the Minneapolis-St. Paul metropolitan
area. Approximately 5,500 service and maintenance
employees, of which 500-600 are employed by
United and 100-150 are employed by Children's,
are members of an HMMI multiemployer bargain-
ing unit represented by the Union. Of the 21 em-
ployers represented by HMMI, only the admitting
clerks employed by Mercy Hospital and the St.
Lukes Division of United are included in the mul-
tiemployer service and maintenance bargaining
unit, while the admitting clerks and interviewers of
the remaining 19 employers are excluded therefrom
and, indeed, are unrepresented.
United and Children's are currently implement-
ing plans to consolidate their operations at a new
facility in St. Paul. Children's and the St. Lukes
Division of United were scheduled to move into
the new facility during the late spring of 1979,
while the Miller Division of United is supposed to
transfer to the new facility in mid-1980. Previously,
the 13 unionized admitting clerks of the St. Lukes
Division, the 13 unrepresented admitting interview-
ers of the Miller Division, and the 14 unrepresent-
ed admitting interviewers of Children's worked in
separate offices in their respective hospitals. Upon
completion of the consolidated new facility, how-
ever, the unrepresented admitting interviewers of
the Miller Division and the unionized admitting
clerks of the St. Lukes Division will be united into
a single department and work in the same offices.
Further, all of the unrepresented admitting inter-
viewers of Children's scheduled for transfer to the
new facility are to become employees of United
and will be placed on United's payroll. Some of
Children's admitting interviewers will work in a
combined United and Children's emergency room,
while others will be assigned to the admitting
office located in the Children's wing of the new fa-
cility. The record reveals that United plans to use
all admitting clerks and interviewers interchange-
ably, regardless of their past divisional assignments
z The former St. Lukes Hospital and Charles T. Miller Hospital are
now known as the St. Lukes Division and Miller Division of United Hos-
pitals, respectively.
---
UNITED HOSPITALS, INCORPORATED
563
or representational status, according to its staffing
needs.
During collective-bargaining sessions conducted
in late 1978 and early 1979, the Union took the po-
sition that, upon consolidation of the admitting de-
partments at the new facility, the unrepresented ad-
mitting interviewers would constitute an accretion
to the HMMI multiemployer service and mainte-
nance employees unit. The Employers seek a self-
determination election conducted by the Board
among the 40 admitting department employees
scheduled to work at United's new facility. They
contend, inter alia, that a question concerning rep-
resentation exists because of the consolidation of
the previously separate admitting departments into
a new integrated operation at United's new facility.
They further assert that the accretion finding of the
Acting Regional Director is inappropriate, and that
"fairness" demands that the Board direct an elec-
tion in which the admitting clerks and interviewers
at United's new facility be given a choice between
joining the multiemployer service and maintenance
unit or being unrepresented.
The Acting Regional Director found that no
question concerning representation exists because
the Employers' petition seeks an election in a unit
of all admitting clerks and interviewers employed
by United and Children's, a unit "narrower than
the unit sought and claimed appropriate by the
Union herein which claims to represent a multi-em-
ployer unit of service and maintenance employees
at 21 area hospitals which are members of HMMI."
The Acting Regional Director reasoned that to
find the petition raises a question concerning repre-
sentation would permit the Employers "to carve
out at will a small portion of the long-established
bargaining unit" and, thus, to test the Union's con-
tinued majority status. The Acting Regional Direc-
tor noted that in the circumstances of this case
such a result would appear at odds with the
Board's holdings under Section 9(c)(l)(B) of the
Act.
While we agree with the Acting Regional Direc-
tor's conclusion that no question concerning repre-
sentation exists with respect to the employees of
the Employers involved here, we do not rely on
his finding that the Employers' petition attempts to
"carve out at will a small portion of the long-estab-
lished bargaining unit herein and thereby test the
Union's otherwise unquestioned continued majority
status." Rather, we note that the Union, in de-
manding recognition as bargaining representative
for the admitting interviewers at United's new fa-
cility, requested only that they be accreted to the
HMMI multiemployer service and maintenance
unit, and did not and does not now seek to repre-
sent the admitting department employees in a sepa-
rate bargaining unit. There being no request to rep-
resent these employees as a separate unit, we find
no question concerning representation has been
raised within the meaning of Section 9(c)(1) and
Section 2(6) and 2(7) of the Act.3 Accordingly, we
shall dismiss the RM petition.
With respect to the unit clarification issue, the
Acting Regional Director found that the admitting
interviewers
employed
by Children's
and the
Miller Division of United constituted an accretion
to the multiemployer service and maintenance bar-
gaining unit represented by the Union. In so find-
ing, the Acting Regional Director relied on the
fact that after the move to the new facility all ad-
mitting clerks and interviewers will be on United's
payroll and work in a single admitting department,
they will perform similar job functions under
common supervision, and the admitting operation
will be integrated fully into the operation of the
new facility. We disagree with the Acting Regional
Director's accretion finding. In so doing, we espe-
cially note that the admitting interviewers em-
ployed by Children's and the Miller Division of
United have traditionally been excluded from the
multiemployer unit by the parties thereto and,
indeed, have been unrepresented, and that only the
admitting clerks of 2 of the 21 health care facilities
represented by HMMI in the multiemployer unit
are included in that unit. As the overwhelming ma-
jority of admitting clerks and interviewers em-
ployed by the HMMI-represented employers are
excluded from the multiemployer service and main-
tenance unit and are unrepresented, we will not, on
a piecemeal basis, accrete to that unit the unrepre-
sented admitting interviewers of the Employers
herein. Rather, we find that the admitting inter-
viewers employed by Children's and the Miller Di-
vision of United may not be added to the multiem-
ployer unit without a self-determination election
held among the admitting clerks and interviewers
of the other HMMI-represented employers histori-
cally excluded from the multiemployer service and
maintenance unit represented by the Union, assum-
ing that those employees would otherwise belong
in that unit.4 Accordingly, we shall dismiss the pe-
tition and vacate the Acting Regional Director's
order adding the admitting interviewers of Chil-
dren's and the Miller Division of United to the
multiemployer service and maintenance unit repre-
sented by the Union.
3 Woolwich, Inc., 185 NLRB 783 (1970); Bowman Building Products Di-
vision and Allegheny Strapping Division of Cyclops Corporation, 170 NLRB
312 (1968).
' Roper Corporation Newark Division. 186 NLRB 437 (1970).
564
DECISIONS OF NATIONAL LABOR RELATIONS BOARD
ORDER
It is hereby ordered that the petition be, and it
hereby is, dismissed.
IT IS FURTHER ORDERED that the Acting Region-
al Director's order be, and it hereby is, vacated.