248 NLRB 63
Albert Einstein Medical Center
ALBERT EINSTEIN MEDICAL CENTER
63
Albert Einstein Medical Center and Pennsylvania
Nurses Association. Case 4-CA-7024
March 3, 1980
DECISION AND ORDER
Upon a charge filed on September 23, 1974, by
Pennsylvania Nurses Association, herein called the
Union, and duly served on Albert Einstein Medical
Center, herein called Respondent, the General
Counsel of the National Labor Relations Board, by
the Regional Director for Region 4, on August 25,
1978, issued and served on the parties a complaint
and notice of hearing, alleging that Respondent had
engaged in and was engaging in unfair labor prac-
tices affecting commerce within the meaning of
Section 8(a)(5) and (1) and Section 2(6) and (7) of
the National Labor Relations Act, as amended. In
substance, the complaint alleges, inter alia, that
commencing on or about August 13, 1974, and at
all times thereafter, Respondent has refused, and
continues to date to refuse, to bargain collectively
with the Union, although the Union has requested
and is requesting it to do so. On September 7, 1978,
Respondent filed its answer to the complaint deny-
ing the commission of any unfair labor practice.
Thereafter, on January 22, 1979, a hearing was
held before Administrative Law Judge George F.
Mclnerny. At the hearing, all parties entered into a
stipulation in which they petitioned the Board to
approve the transfer of this proceeding to the
Board, and waived the making of findings of fact
and conclusions of law by an administrative law
judge and the issuance of an administrative law
judge's decision. The parties further stipulated that
the entire record in this proceeding would consist
of the charge, the complaint, the answer, the stipu-
lation with exhibits attached thereto, and the tran-
script of the proceeding. Upon conclusion of the
hearing, the parties moved that the proceeding be
transferred directly to the Board in Washington,
D.C., for decision. Thereafter, the Administrative
Law Judge granted the parties' motion. On August
23, 1979, the Board approved the stipulation of the
parties, and ordered the case transferred to the
Board, advising the parties to file briefs with the
Board in Washington, D.C. Thereafter, Respon-
dent, the Union, and the General Counsel filed
briefs with the Board.
Upon the basis of the stipulation, the briefs, and
the entire record in this proceeding, the National
Labor Relations Board makes the following:
248 NLRB No. 9
FINDINGS OF FACT
1. THE BUSINESS OF RESPONDENT
Respondent is a nonprofit corporation organized
under the laws of the Commonwealth of Pennsyl-
vania, and is engaged in providing full medical and
hospital care of patients at its northern division, lo-
cated at York and Tabor Roads in Philadelphia,
Pennsylvania. During the 12 months preceding the
issuance of the complaint herein, a representative
period, Respondent received gross revenues from
its operations in excess of $500,000. During this
same period, it had combined purchases, in inter-
state commerce, of goods valued in excess of
$50,000 directly from points located outside the
Commonwealth of Pennsylvania.
Respondent admits, and we find, that Respon-
dent is, and has been at all times material herein, an
employer engaged in commerce within the mean-
ing of Section 2(6) and (7) of the Act, and that it
will effectuate the policies of the Act to assert ju-
risdiction herein.
II. THE LABOR ORGANIZATION INVOLVED
Respondent, in its answer to the complaint,
denies the allegation that the Union is a labor orga-
nization. The parties stipulated that the Union was
certified
by the Pennsylvania
Labor Relations
Board, herein called the PLRB, as bargaining rep-
resentative of a unit of nurses. The complaint al-
leges, and Respondent admits, that the Union has
sought unsuccessfully to bargain with Respondent
in the certified unit. The record shows that the
Union is an organization in which employees par-
ticipate, and which exists, at least in part, for the
purpose of representing employees in collective
bargaining.
Furthermore,
we
previously
have
found the Union to be a labor organization.'
We find that the Union is a labor organization
within the meaning of Section 2(5) of the Act. 2
i Albert Einstein Medical Center. 245 NLRB No. 26 (1979), and Lancas-
ter Osteopathic Hospital Association. Inc., 246 NLRB No. 96 (1979).
2 Respondent, in support of its argument relating to the Union's labor
organization status, contends, inter alia, that the Union may not act as ex-
clusive bargaining representative for the certified unit because licensed
practical nurses (LPNs) enjoy only limited participation in the Union.
and thus there is no assurance that they will be afforded adequate repre-
sentation. Respondent also contends that a further hearing is warranted
to determine whether there is any danger of a conflict of interest due to
the participation in the leadership of the Union by Respondent's supervi-
sors or those of Respondent's competitors. However, the Board has held
that "[T]he question of statutory labor organization status is .
. distinct
from the question of a statutory labor organization's qualification to act
as a bargaining representative in all instances and without regard to the
circumstances under which bargaining takes place or will take place."
Sierra Vista Hospital. Inc., 241 NLRB No 107 (1979). In view of our de-
cision herein, we find it unnecessary to reach the issues raised by Respon-
dent concerning the Union's qualification to act as bargaining representa-
tive for the unit involved herein
64
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
III. THE ALLEGED UNFAIR LABOR PRACTICES
A. The Stipulated Facts
On June 28, 1973, the Union filed petitions for
representation with the PLRB. Following a hear-
ing, the PLRB issued an "Order and Notice of
Election" on March 5, 1974, directing that the em-
ployees in a voting group consisting of "all full-
time and regular part-time Registered Nurses, in-
cluding Assistant Head Nurses, Public Health
Nurse Coordinator, Home Care Nurse Coordina-
tors, In-Service Instruction Coordinators and Gen-
eral Duty Nurses," as professionals, were entitled
to vote separately on the question of whether they
wished to be included in a bargaining unit with a
voting group consisting of "all full-time and regu-
lar part-time Licensed Practical Nurses." Alternati-
vely, the PLRB found that each voting group con-
stituted a separate appropriate collective-bargaining
unit.
A representation election was conducted by the
PLRB on March 21, 1974. After the resolution of
certain challenged ballots, the results of the elec-
tion were as follows: (1) on the issue of whether
professionals desired to be included in a unit com-
prised of both professional and nonprofessional em-
ployees, 100 ballots were cast for inclusion, and 77
ballots were cast in favor of a unit comprised of
professionals only; and (2) on the issue of whether
the employees wished to be represented by the
Union, 193 ballots were cast in favor of representa-
tion by the Union, 192 ballots were cast for no rep-
resentative, and I ballot was void. Thereafter, on
April 25, 1974, the PLRB issued a "Nisi Order of
Certification" which certified the Union as the ex-
clusive representative for the following unit:
All full-time and regular part-time Registered
Nurses
including
Assistant
Head
Nurses,
Public Health Nurse Coordinators, Home Care
Nurse Coordinators,
In-Service
Instruction
Coordinators, and General Duty Nurses; and
all full-time and regular part-time Licensed
Practical Nurses; and excluding management
level employes, supervisors, confidential em-
ployes, and guards as defined in the Act.
Respondent filed exceptions to this order and, on
July 11, 1974, the PLRB issued a final order dis-
missing Respondent's exceptions. Thereafter, Re-
spondent appealed the final order of the PLRB
through the Pennsylvania courts. Respondent's ap-
peals culminated on February 10, 1978, with the
Pennsylvania Supreme Court's denial of Respon-
dent's petition for allowance of appeal from the de-
cision of the Commonwealth Court of Pennsylva-
nia which had affirmed the PLRB's final order.
During the pendency of Respondent's court ap-
peals, the Union requested that Respondent bargain
with it in the PLRB certified unit, but Respondent
refused to do so. On September 23, 1974, the
Union filed the instant unfair labor practice charges
with the Board, which were held in abeyance until
the state court proceedings were completed. There-
after, as noted above, the instant complaint issued
on August 25, 1978, alleging that Respondent un-
lawfully had refused to bargain with the Union.
B. Contentions of the Parties
The General Counsel contends Respondent vio-
lated Section 8(a)(5) and (1) of the Act by refusing
to recognize or meet and bargain with the Union
concerning a collective-bargaining agreement. The
General Counsel argues, inter alia, that the exten-
sion of comity by the Board to the PLRB certifica-
tion is appropriate because the proceedings which
resulted in the PLRB certification reflected the
true desires of employees, contained no election ir-
regularities, and resulted in no substantial deviation
from due-process requirements, and, further, that
the certified unit is not repugnant to the Act. The
General Counsel relies on, inter alia, Allegheny
General Hospital, 230 NLRB 954 (1977), enforce-
ment denied 608 F.2d 965 (3d Cir. 1979). The Gen-
eral Counsel further contends that neither the pas-
sage of time since the certification, nor the alleged
employee turnover in the unit, is sufficient to re-
lieve Respondent of its obligation to bargain with
the Union.
The Union takes essentially the same position as
the General Counsel, but also contends that, even
if the Board decides not to extend comity, it should
nevertheless find the certified unit appropriate
based on an independent review of the record. In
this regard, the Union asserts that both licensed
practical
nurses (LPNs)
and
registered
nurses
(RNs) are professional employees within the mean-
ing of Section 2(12) of the Act. Although the
Union recognizes that the Board held in St. Cather-
ine's Hospital of Dominican Sisters of Kenosha, Wis-
consin, Inc., 217 NLRB 787 (1975), and other cases,
that LPNs are technical employees, it asserts that
the LPNs at Respondent's facility are professionals.
The Union further asserts that, even if the Board
were to find that LPNs at this facility are technical
rather than professional employees, the certified
unit is appropriate due to the close working rela-
tionship, common duties and supervision, and other
interests which the LPNs share with RNs. Finally,
the Union argues that other technical employees
have no community of interest with LPNs or RNs,
inasmuch as other technical employees are not in-
volved in direct patient care.
ALBERT EINSTEIN MEDICAL CENTER
65
Respondent contends that the Board may not
grant comity to the PLRB certification, citing,
inter alia, Memorial Hospital of Roxborough v.
N.L.R.B.3
Respondent contends that, inasmuch as
the record in the PLRB proceedings is 6 years old,
the Board may not rely on that record to issue a
bargaining order, but must hold further hearing to
receive current evidence concerning the appropri-
ateness of the unit.
Respondent further argues that the unit certified
by the PLRB is inappropriate for two reasons.
First, Respondent asserts that the unit improperly
includes both RNs and LPNs, while excluding
other employees whose functions give them a com-
munity of interest with the included employees.
Respondent urges that RNs should have been in-
cluded in a larger unit of all professionals, while
LPNs should have been included in a unit of all
technical employees. Secondly, Respondent con-
tends that the certified unit includes supervisors
and/or managerial employees. In this regard, Re-
spondent asserts that assistant head nurses, nurse
coordinators, and instructors should have been ex-
cluded from any certified unit.
Finally, Respondent argues that the Union does
not enjoy majority support in the certified unit. Re-
spondent notes that the vote in the underlying
PLRB election was 193 for, and 192 against, repre-
sentation, with 1 void ballot. Respondent argues
that the void ballot should be considered analogous
to an abstention, and that, because only 193 out of
386 eligible employees voted for representation, the
Union has not received a majority of the votes
cast. Respondent further asserts that, since the elec-
tion, the unit has expanded from approximately 400
nurses to 684 nurses, of whom only 32.9 percent
were eligible to vote in the election. Additionally,
it asserts that turnover in the unit since 1974 has
resulted in the departure of a majority of the eligi-
ble voters, so that only 45.2 percent of those eligi-
ble to vote in the election remain in the bargaining
unit.
For all of the above reasons, Respondent con-
tends that the complaint should be dismissed.
C. Discussion and Conclusions
For the reasons set forth below, we find that Re-
spondent did not violate Section 8(a)(5) and (1) of
the Act by refusing to recognize and bargain col-
lectively with the Union with respect to the unit
certified by the PLRB.
It is well settled Board policy that, in the health
care industry, absent special circumstances such as
a stipulation by the parties, existing separate repre-
3 545 F.2d 351 (3d Cir 1976). denying enforcement to 220 NLRB 402
(1975).
sentation, or a separate bargaining history, LPNs
should be included in a bargaining unit of all tech-
nical employees.4 Furthermore, absent special cir-
cumstances, the Board has declined to direct elec-
tions in combined units of LPNs and RNs which
excluded other technical employees.5
It is clear
from the record that the PLRB certified unit ex-
cludes technical employees other than LPNs6 con-
trary to our well-established policy.
We find that it would not effectuate the purposes
of the Act to extend comity to the PLRB certifica-
tion of the combined unit of LPNs and RNs here.
In this regard, we conclude that there are no spe-
cial circumstances here which warrant a departure
from the Board's policy concerning the unit place-
ment of LPNs and other technical employees.
Thus, the parties have not agreed to the combined
unit of LPNs and RNs, either through stipulations
or as a result of voluntary recognition. And, al-
though the unit was certified by the PLRB, there
has been no bargaining pursuant to that certifica-
tion. Furthermore, we find that the PLRB certifi-
cation in itself is insufficient to warrant a departure
from our strong policy against requiring bargaining
in the type of unit involved here. Therefore, in
view of the particular circumstances of this case,
we decline to extend comity to the PLRB certifica-
tion.
Accordingly, we find that Respondent did not
violate Section 8(a)(5) and (1) of the Act when it
refused to bargain with the Union herein. We
therefore shall dismiss the complaint in its entire-
ty. 7
CONCLUSIONS OF LAW
1. Albert Einstein Medical Center is an employer
engaged in commerce within the meaning of Sec-
tion 2(6) and (7) of the Act.
2. Pennsylvania Nurses Association is a labor or-
ganization within the meaning of Section 2(5) of
the Act.
4 St. Catherines Hospital of Dominican Sisters of Kenosha, 217 NLRB at
789. See also Pontiac Osteopalhic Hospital, 227 NLRB 1706 (1977), where
the Board recognized its policy of including LPNs with other technical
employees, but directed an election in a unit of technical employees
which excluded LPNs because of a history of separate bargaining for
LPNs.
5 See Lancaster Osteopathic Hospital Association. 246 NLRB No. 96, and
The Presbyterian Medical Center, 218 NLRB 1266 (1975). We find inappo-
site Maple Shade Nursing Home, Inc, d/b/a Maple Shade Nursing Home
and Convalescent Center, 228 NLRB 1457 (1977), cited by the General
Counsel In that case, the Board found appropriate a combined unit of
RNs and LPNs. However, unlike here, there was no evidence n that
case that the employer employed technical emplosees other than LPNs
6 Although the Union contends that the l.PNs in this case are profes-
sional rather than technical employees, the record des not establish that
they possess the attributes of a professional employee as defined in Sec.
2(12) of the Act.
I In view of our decision herein, we find it unnecessary to reach the
other defenses raised by Respondent
66
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
3. Respondent has not violated the Act as al-
leged.
ORDER
Pursuant to Section 10(c) of the National Labor
Relations Act, as amended, the National Labor Re-
lations Board hereby orders that the complaint
herein be, and it hereby is, dismissed in its entirety.
MEMBER PENELLO, concurring in the result:
I agree that comity should not be extended to
the PLRB certification here, and that the com-
plaint should be dismissed. In so deciding, I make
clear that, unlike my colleagues, I would not, in
the absence of special circumstances, find appropri-
ate a unit limited to technical employees in a health
care institution. See my dissents in Nathan and
Miriam Barnert Memorial Hospital Association d/b/a
Barnert Memorial Hospital Center, 217 NLRB 775
(1975), and in Newington Children's Hospital, 217
NLRB 793 (1975). See also my dissenting opinion
in Allegheny General Hospital, 239 NLRB No. 104
(1978), enforcement denied 608 F.2d 965 (3d Cir.
1979).