194 NLRB 236
Duke University
236
DECISIONS OF NATIONAL LABOR RELATIONS BOARD
Duke University and American Federation of State,
County
and
Municipal
Employees, AFL-CIO,
Petitioner and National Union of Hospital &
Nursing Home Employees, RWDSU, AFL-CIO,
Local 1199D, Petitioner. Cases 11-RC-3234 and
11-RC-3251
November 18, 1971
DECISION, ORDER, AND DIRECTION
OF ELECTION
BY CHAIRMAN MILLER AND MEMBERS
FANNING, JENKINS, AND KENNEDY
Upon separate petitions duly filed under Section
9(c) of the National Labor Relations Act, as amend-
ed, a consolidated hearing was held before W. Britton
Smith, Jr., Hearing Officer. Following the hearing and
pursuant to Section 102.67 of the National Labor
Relations Board Rules and Regulations and State-
ments of Procedure ,
Series
8, as amended, by
direction of the Regional Director for Region 11,
these cases were transferred to the Board for decision.
Briefs were filed by the Employer and National
Union of Hospital & Nursing Home Employees,
RWDSU, AFL-CIO, Local 1199D , herein Local
1199.
The Board has reviewed the Hearing Officer's
rulings made at the hearing and finds that they are
free from prejudicial error. They are hereby affirmed.
Upon the entire record in these cases, the Board
finds:1
1.
The Employer is engaged in commerce within
the meaning of the Act, and it will effectuate the
policies of the Act to assert jurisdiction herein.2
2.
The labor
organizations involved claim to
represent certain employees of the Employer.
3.
A question affecting commerce exists concern-
ing the representation of the employees of the
Employer within the meaning of Section 9(c)(1) and
Section 2(6) and (7) of the Act.
American Federation of State, County and Munici-
pal Employees, AFL-CIO, herein called ASCME,
Petitioner in 11-RC-3234, filed a petition seeking a
unit of what amounts to all service employees,
excluding maintenance employees, on Duke's cam-
1 Duke
University
requested
oral
argument
and the American
Federation of State, County and Municipal Employees, AFL-CIO, filed a
letter opposing the Employer's motion. We hereby deny the Employer's
request for oral argument, as the record, including the briefs, adequately
presents the issues and the positions of the parties.
2 Cornell University, 183 NLRB No. 41; Rules and Regulations, Series 8,
as amended, Section 103.1.
3 This petition was amended at the hearing to describe the unit as:
Service employees at Duke Hospital, including its satellites, Duke
Pavilion, the Rehabilitation Center, the Child Guidance Center, the
storeroom, located in the Anlyan Duke Medical Services Building 6;
and including also, clinical assistants in the Medical Diagnostic Clinic,
pus. The National Union of Hospital & Nursing
Home Employees,
RWDSU, AFL-CIO, Local
1199D, herein called Local 1199, filed its petition
seeking a unit of "all service and maintenance
employees at Duke University Medical Center, a
medical teaching center of Duke University." 3 Each
Petitioner intervened in the other's case and each
wishes to participate in any election the Board should
direct. The Employer, Duke University, takes the
position that a university-wide unit is the only
appropriate unit. All parties, although actively con-
testing the scope of the unit, have agreed that a unit of
"biweekly" service employees would be appropriate.
Biweekly employees are hourly paid, nonacademic,
nonprofessional employees throughout all compo-
nents of the University, who are covered by a uniform
set of personnel policies and fringe benefits and who
are paid every other week. Duke employs in excess of
2,500 biweekly employees.
Duke, a private nonprofit university incorporated
under the Nonprofit Corporation Act of the State of
North Carolina, has an enrollment of approximately
7,200 students in 44 academic departments and 7
graduate schools. Duke is governed by a 36-member
board of trustees, with 9 such trustees sitting on the
Executive Committee. Administratively, the President
is the principal officer of the University, and the
Chancellor acts on behalf of the President. There is a
university counsel and Secretary. The Provost is the
chief academic officer whose responsibilities include
the
Medical School and associated paramedical
programs. The principal administrative offices are
located in one building and all checks, including
paychecks, are centrally issued from this building.
Budgets are prepared on a departmental level, but
flow through the Vice President for Business and
Finance at the university level to the President and
then to the Trustees. "Auxiliary enterprises," operated
on a self-sustaining budgetary basis, include the Duke
Hospital on the Duke campus at Durham, the
Highland and Sea Level divisions of the Medical
Center, both of which are hospitals located over 220
miles away from - the main campus, retail stores,
housing operations, and the student laundry.
All accounting, including accounts payable, are
handled at a central office. Although budgets are
housekeepers and porters, and messengers in Community Health
Services; lab assistants in the Department of Surgery; housekeepers
and lab assistants in the Department of Anesthesiology ; lab assistants
in the Department of Pathology; lab assistants in the Department of
Pediatrics ; orderlies in the Department of Opthalmology, housekeep-
ers, porters and lab assistants in the Department of Micro-Biology and
Immunology; animal caretakers in the Department of Anatomy;
housekeepers, lab assistants and the head clerk in the Department of
Medicine;
housekeepers
in the
Department
of
Obstetrics
and
Gynecology ; and animal caretakers in the Department of Veterinarian
Medicine.
194 NLRB No. 31
DUKE UNIVERSITY
237
made up at departmental levels they are approved and
passed up the line, eventually reaching the full Board
of Trustees before final approval.
Personnel policy is centrally handled. Duke has
established a Personnel Policy Committee which
initiates and directs all personnel activity, including
personnel activity in the hospital. The Personnel
Policy Committee has conceived and published a
manual, which is distributed university-wide, govern-
ing all personnel actions applying to all biweekly
employees. The University's Personnel Office is also
centrally administered with its staff occupying space
at a number of locations, including the hospital
personnel office. The University's Personnel Office
handles applications; screens and refers applicants to
all university departments which have the final say on
hiring; holds orientation classes for employees from
all departments; and makes a list of, and posts, job
vacancies about once a week throughout the Universi-
ty. Finally, that office is responsible, university-wide
for: (a) posting of personnel notices; (b) the affirma-
tive action program; (c) training; (d) handling
grievances at the third step; and (e) applying the same
insurance programs to all employees.
Similarly, support operations for the University are
centrally administered. These include housekeeping
in nonresidential, nonmedical areas and support
services for special events; central purchasing; sur-
plus salvage and disposal; maintenance; operation of
the dining halls; housekeeping in residential areas, on
and off campus; and the Operations Department
which consists of sections of transportation, mail
clerk and messengers, tailors and laundry workers,
grounds and maintenance, university stores, office
machine repairmen, exterminators, security, and
attendants of locker rooms.
The Medical Center, headed by the Vice President
for Health Affairs, encompasses the Medical School,
which offers Ph.D.'s in the five basic science depart-
ments of Anatomy, Physiology-Pharmacology, Bio-
chemistry, Microbiology, and Pathology; the Medical
School also contains the clinical departments of
Medicine Surgery, Pediatrics, Obstetrics and Gyne-
cology, Ophthalmology, Psychiatry, Radiology, and
Community Health Services. The School of Nursing is
also, administratively, part of the Medical Center.
Duke Hospital, headed by a Director, serves as a
laboratory for the clinical departments. The Hospital,
primarily concerned with patient care, contains 835
beds and, in addition, has 35 beds located at the
Hilton Inn and approximately 35 beds at the Durham
Rehabilitation Center located a mile from Duke
Hospital. Also related to the Hospital's administra-
tion is the Durham Child Guidance Center which is
an outpatient clinic in the Division of Child Psychia-
try.
The Hospital's budget is self-sustaining; revenues
are from patient income. Working within the Depart-
ment of Nursing Services and Patient Care Assistants
are biweekly employees who directly service patients.
The housekeeping biweekly employees, called unit
service aides, clean patient areas. There is some
interchange between housekeeping employees in the
Hospital and Medical Center. Some biweekly food
service workers prepare meals and others distribute
trays to patients.
Within the Hospital are the Clinical Chemical
laboratory (routine chemical analysis of blood, urine,
and spinal fluids), the Medical laboratory (routine
clinical tests on blood and some other fluids and
specimens taken from patients), and the Clinical
Microbiology laboratory (diagnoses for infection of
specimens from patients). Working within the labora-
tories and departments connected with the Hospital
are biweekly employees classified as technicians and
technician trainees.
Duke purchased Sea Level Hospital, formerly a
private nonprofit hospital, in May 1969. Sea Level
Hospital, located about 220 miles east of Durham, is
headed by a Director who reports to the Vice
President for Health Affairs of the Medical Center.
The Sea Level Hospital has 80 beds and serves as a
community hospital for acute patients. Sea Level is a
self-sustaining operation with a separate local bank-
ing account. Wages are determined by the area
standards, but employees are covered by the same
benefits as are biweekly employees at the University,
and the Personnel Policy manual is used as a guideline
for personnel policies.
Differences
do exist, as
employees at Sea Level do not receive as much
vacation leave as employees at Duke, and Sea Level
only recognizes six holidays, while Duke grants nine
holidays.
The Highlands Hospital, a psychiatric hospital with
about - 109 patients located in Asheville,
North
Carolina, 230 miles from the Duke campus, is
operated substantially the same as the Sea Level
Hospital, except it has no separate banking account.
All bills are paid by the University and all checks are
issued by the University. However, it is self-sustaining
and prepares its own budget. There are some
differences in sick leave and funeral leave policies, but
other personnel policies are the same as for other
university employees except wages, which follow area
standards. There is no interchange of service employ-
ees among the Highlands, Sea Level Hospital, and
Duke.
At the outset, the Board must deal with Local 1199's
petition as it seeks mainly the biweekly employees
who spend a majority of their time working within
Duke University Hospital. Section 2(2) of the Nation-
al Labor Relations Act precludes the Board from
238
DECISIONS OF NATIONAL LABOR RELATIONS BOARD
asserting jurisdiction over hospitals operated by
corporations or associations where no part of the net
earnings inure to the benefit of any private sharehold-
er or individual. As Duke University Hospital is a
nonprofit hospital operated by a nonprofit university
it appears that, literally, the exclusion contemplated
in Section 2(2) applies to it.4 Although it is true that
the hospitals, particularly the Duke Hospital located
on the Duke University campus, have no separate
legal existence apart from the University, we find
nothing in this circumstance which would remove
hospital functions from the exclusions related in
Section 2(2) of the Act. To put the matter another
way, a nonprofit hospital operated by another
nonprofit entity-albeit one over which we would
assert jurisdiction-is nonetheless still a nonprofit
hospital.
Accordingly, we conclude that we are
prohibited by the statute from asserting jurisdiction
over the hospital functions of Duke University.
The record indicates that the hospital services
rendered by the satellite units and laboratories are
closely and intimately related to, and in some
situations may be inseparable from, the hospital
services. We shall therefore exclude from the overall
unit found appropriate, infra, any employees who are
employed over 50 percent of their working time within
the hospitals,5 Duke University Hospital satellites
which are related to patient care, including Duke
Pavillion, the Durham Rehabilitation Center, the
Child
Guidance
Center,
and
Hilton Inn, or
laboratories 6 intimately connected therewith.? Ac-
cordingly, as Local 1199's petition, as amended,
predominately sought these employees, we shall
dismiss that petition.
The Petitioner, ASCME, contends that an otherwise
overall university unit of biweekly service employees
would be an appropriate unit. Such a unit would be
accord with Cornell University, supra,8 where the
Board set out the factors it considers controlling in
determining appropriate university units, and con-
cluded that the principles it applied in the industrial
sphere could also be reliable guides in the educational
context. Although employees of the Medical Center
4 See Loyola University,
194 NLRB No 30, and cases cited at fn. 5
therein.
5 Excluded under this determination are nurses, nurses aides, ward
clerks, orderlies, messengers, patient care assistants , housekeepers known
as unit service aides, dietary service employees, laundry workers in the
hospital, stock clerks, issue clerks, and receiving clerks in the hospital
locations,
clinical
assistants
I,
II,
III, and IV, morgue attendants,
pharmacist helpers, laboratory assistants, and all other employees under
the Director of Duke Hospital, the Director of Sea Level Hospital, and the
Director of Highlands Hospital
6 Biweekly employees are located in the following Laboratories:
Microbiology, Immunology, Clinical Chemistry, Pathology, Surgery,
Anesthesiology,
Physiology,
Pediatrics,
Anatomy and Medicine, and
Biochemistry, and since they spend a majority of their time performing
duties related to the patient care functions of the Hospital, are hereby
excluded.
and Nursing School were excludedper se in Cornell, it
was by stipulation of the parties. As there is no such
stipulation here, and as both the Employer and
Petitioner contend that an overall unit is appropriate,9
and as the record shows that biweekly service
employees share a separate community of interest, we
find that a university-wide unit of all biweekly service
employees, excluding, as noted, biweekly service
employees who spend a majority of their time in the
hospitals or related satellite units, is appropriate.'0
The parties were in disagreement on the placement
of maid-pages in the unit. The only special training
the maid-pages receive over maids is to handle
incoming telephone calls in the women's dorms. They
do not perform clerical work. In view of the facts that
the maid-pages only take messages, that they are
supervised by supervisors of other biweekly service
employees, that they have formerly been maids and
may revert to their maid status during the time the
school year is not in session, we find that they share a
community of interests with other biweekly service
employees and are properly includable in the appro-
priate unit.
The parties are also in disagreement on the
placement of biweekly employees classified as
"technicians" and "technician-trainees." Most of
these classifications are found in the laboratories
intimately connected with the Hospital and have been
excluded. However, there are some "research techni-
cians" who are not connected to the Hospital, but are
associated with the Medical Center. Although they
clean and wash their work areas and equipment, they
have a separate line of supervision from other
biweekly employees, are being trained in a technical
line, receive close immediate supervision by other
technicians, and the nature of their work is substan-
tially different from other biweekly employees. We
find that their community of interest is separate from
that of biweekly service employees, and we shall not
include them in the unit.
We find the following employees of the Employer
constitute a unit appropriate for purposes of collective
7 See The Horn & Hardart Company, 154 NLRB 1368, Inter-County
Blood Banks, Inc, 165 NLRB 252.
8 Petitioner, ASCME, limited its request to employees on the campus of
Duke University. The record shows that some biweekly service employees
are actually located off the campus, but are within the general campus
area. We shall include such employees in the unit
9 See also Yale University, 184 NLRB No. 101.
10 The parties stipulated to numerous inclusions and exclusions of
employees relating to any unit finding. The stipulations are based on usual
Board policy, i.e., supervisory authority , office clericals, and consequently,
we accept the parties' stipulations. The parties also stipulated to the
inclusion of laundry workers employed in the Duke University laundry and
housekeepers, other than unit service aides. As those classifications are
properly part of the category of biweekly service employees of Duke
University
included in the appropriate unit, we accept the parties'
stipulation
DUKE UNIVERSITY
239
bargaining within the meaning of Section 9(b) of the
Act:
All biweekly service employees of Duke Universi-
ty, excluding biweekly service employees perf orm-
ing a majority of their work in the hospital,
assistant laboratory mechanics in the Department
of Chemistry and Mechanical Engineering, and
other biweekly service employees who perform
technical work, maintenance employees, Security
Department
employees,
exterminators,
sales
clerks, office clericals, program managers, plan-
ners and assistant planners, buyers and junior
buyers, part-time food service aides, head cooks,
head bakers, head butchers, and cashiers, dis-
patcher, repairmen, the musician, and all supervi-
sors as defined in the Act.
ORDER
It is hereby ordered that the petition filed in Case
11-RC-3251 be, and it hereby is, dismissed.
[Direction of Election" omitted from publication.]
MEMBER FANNING, dissenting in part:
Duke University, the employer herein, is a private
nonprofit university. It offers academic training in a
wide variety of disciplines, maintaining 44 academic
departments and operating 7 graduate schools. One of
the latter is a medical school. In furtherance of its
medical training objectives, the Employer operates a
Medical Center which encompasses a Medical School
offering Doctorates in Anatomy, Physiology, Phar-
macology, Biochemistry, Microbiology, and Patholo-
gy. The Medical School also contains clinical depart-
ments of Medicine, Surgery, Pediatrics, Obstetrics
and Gynecology, Opthalmology, Psychiatry, Radiolo-
gy, and Community Health Services. The School of
Nursing is also part of the Medical Center. Duke
Hospital, headed by an administrator, serves as a
laboratory for the various clinical departments of the
Medical School.
The crucial question in this case is whether the
Board has jurisdiction over the operations of Duke
University because it operates a hospital in further-
ance of its educational objectives. This question arises
from the fact that Section 2(2) of the Act defines the
term "employer" in such a way as to exclude "any
corporation or association operating a hospital, if no
part of the net earnings inures to the benefit of any
private shareholder or individual." Inasmuch as Duke
University is a nonprofit corporation, and inasmuch
11 In order to assure that all eligible voters may have the opportunity to
be Informed of the issues in the exercise of their statutory right to vote, all
parties to the election should have access to a list of voters and their
addresses which may be used to communicate with them.
Excelsior
Underwear Inc, 156 NLRB 1236; NLR B v. Wyman-Gordon Co., 394 U S.
759. Accordingly, it is hereby directed that an election eligibility list,
containing the names and addresses of all the eligible voters, must be filed
by the Employer with the Regional Director for Region 11 within 7 days of
as it is engaged in operating a hospital, a respectable
argument can be made that Duke University is not an
"employer" within the meaning of Section 2(2).12
There is, however, an ambiguity in the statutory
language which refers to a "nonprofit corporation
operating a hospital." Duke operates' a hospital, but it
is not engaged only in hospital operations. Duke
University is engaged in operating a university and a
hospital as part of its university operations. It is,
therefore, far from certain that Duke University falls
within the narrowly drawn exemption from the
definition of "employer" and resort to the legislative
history is necessary to properly construe the legisla-
tive language.
The language in issue was offered as an amendment
to Senate Bill 1126 by Senator Tydings during floor
debate. In response to questioning by Senator Taylor
as to the purpose of his amendment, Tydings
declared: 13
It simply makes a hospital, not an "employer" in
the commercial sense of the term. It is not a
business operating on a profit basis. It is a
charitable institution which is kept open, and it is
to lift it out of the category of ordinary business,
and is to except such charitable institutions... .
Such institutions cannot keep open, in certain
cases, I may say to the Senator, unless relief is
afforded. The people who are affected are the poor
people of the country. The amendment affects
only charitable institutions, which do not derive a
cent of profit, but are maintained by donations
almost entirely, except for a small amount of
revenue received for services rendered... .
A hospital is a local institution, quite often
kept up by the donations of benevolent persons. I
hope the Senate will let the amendment go to
conference. Employees of such a hospital should
not have to come to the National Labor Relations
Board. A charitable institution is away beyond the
scope of labor-management relations in which a
profit is involved. No profit is involved in this
work.
...
The most of these institutions are main-
tained by the benevolence of thousands of people
who contribute to community funds and so on, to
keep them going. I am told it will be a big aid to the
community if they are not brought in under the
strict scope of labor-management commercial
relations where no profit is involved.
the date of this Decision and Direction of Election. The Regional Director
shall make the list available to all parties to the election. No extension of
time to file this list shall be granted by the Regional Director except in
extraordinary circumstances. Failure to comply with this requirement shall
be grounds for setting aside the election whenever proper objections are
filed
12 Neither Duke University nor my colleagues make that argument.
13 93 Cong. Rec. 5129 (May 12, 1947)
240
DECISIONS OF NATIONAL LABOR RELATIONS BOARD
Other than for Senator Taft's statement that the
Committee had considered the amendment but did
not act on it because it "felt it would open up the
question of making other exemptions," 14 the Tydings-
Taylor colloquy constitutes the entire legislative
history of this language. From Senator Tydings'
explanations of the purpose of the amendment, it is
reasonably clear that the purpose of the language was
to
exempt those charitable organizations whose
charity is wholly channeled into the operation of
hospitals for the benefit of the local community.
The Duke University hospital does not fit the
Tydings prescription. Not only does the record reflect
that its operations are self-sustaining, but it reflects
that it is operated in substantial part as an educational
laboratory and training ground for its • medical
students. Accordingly, I find that Duke University,
though it is a nonprofit corporation and though it
operates a hospital, is not an exempt employer within
the meaning of Section 2(2) of the Act. I therefore
would assert jurisdiction over all of its operations
specifically including its hospital operations.15
In this connection, I cannot join my colleagues in
reading the relevant statutory language as a prohib-
14 Id.
15 The Board's policy is to assert jurisdiction over the whole of an
employer's operations whenever part of its operations satisfy the relevant
jurisdictional criteria. See Sienions Mailing Service, 122 NLRB 80, 84.
16 Compare congressional treatment of agricultural employees who are
excluded from the definition of "employee" contained in Section 2(3) of
the
Act. The treatment of agricultural employees demonstrates that
ition against directing an election amongst Duke
University's hospital employees. Contrary to their
assertion, the literal language of the Act does not
require such a holding. Indeed they must recast
language
exempting
from the definition of
"employer" a corporation or association operating a
hospital, into language which would, in effect, exclude
from the definition of "employee" those employees
working in a hospital operated by a nonprofit
corporation.16 I cannot join in so rewriting the words
of the statute in the face of Senator Tydings' explicit
statement of a contrary intention. The majority
cannot have it both ways. Either Duke University is
not an "employer" within the meaning of Section 2(2)
because its operations include a hospital, or it is an
"employer" within the meaning of that section as to
all its employees, because it is engaged in much
broader operations.
In view of the foregoing, I dissent from the
majority's failure to include the biweekly employees
working in Duke's hospital operations in the overall
unit of biweekly employees, which I would find to be
appropriate for purposes of collective bargaining
within the meaning of Section 9(b) of the Act.
Congress knew how to extend the provisions of the Act to some, but not
all, of the employees of a particular type of employer. The failure to
exclude employees employed by a nonprofit hospital from the definition of
"employee" and the exemption instead of corporations or associations
operating a nonprofit hospital from the definition of "employer" clearly
forecloses the majority's construction of the statute, for the majority
chooses a route rejected by Congress.