224 NLRB 419
Mercy Hospitals of Sacramento, Inc.
MERCY HOSPITALS OF SACRAMENTO
419
Mercy Hospitals of Sacramento, Inc
and Hospital
and Institutional Workers, Local 250, Service Em-
ployees International Union, AFL-CIO Case 20-
June 7, 1976
DECISION AND ORDER
BY CHAIRMAN MURPHY AND MEMBERS JENKINS
AND PENELLO
Upon a charge filed on November 19, 1975, by
Hospital and Institutional Workers, Local 250, Ser-
vice
Employees International
Union,
AFL-CIO,
herein called the Union, and duly served on Mercy
Hospitals of Sacramento, Inc, herein called the Re-
spondent, the General Counsel of the National La-
bor Relations Board, by the Regional Director for
Region 20, issued a complaint on December 10,
1975, against Respondent, alleging that Respondent
had engaged in and was engaging in unfair labor
practices 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 Copies
of the charge, complaint, and notice of hearing be-
fore an Administrative Law Judge were duly served
on the parties to this proceeding
With respect to the unfair labor practices, the com-
plaint alleges in substance that on or about August
19, 1975, following a Board election in Cases 20-RC-
12299, 12300, 12301, and 12302, the Union and Sta-
tionary Engineers, Local 39, International Union of
Operating Engineers, AFL-CIO, herein called Local
39, as Joint Petitioner (herein referred to collectively
as Joint Petitioner), was duly certified as the exclu-
sive
collective-bargaining
representative
of
Re-
spondent's employees in the unit found appropri-
ate, ` and that, commencing on or about November
14, 1975, and at all times thereafter, Respondent has
refused, and continues to date to refuse, to bargain
collectively with the Joint Petitioner as the exclusive
bargaining representative, although the Joint Peti-
tioner has requested and is requesting it to do so On
December 16, 1975, Respondent filed its answer to
the complaint admitting in part, and denying in part,
the allegations in the complaint
On February 11, 1976, counsel for the General
'Official notice is taken of the record in the representation proceeding,
Case 20-RC-12299, et at, as the term ` record" is defined in Sees 102 68
and 102 69(g) of the Board s Rules and Regulations, Series 8, as amended
See LTV Electrosystems, Inc, 166 NLRB 938 (1967), enfd 388 F 2d 683
(C A 4, 1968), Golden Age Beverage Co, 167 NLRB 151 (1967), enfd 415
F 2d 26 (C A 5, 1969), Intertype Co v Penello 269 F Supp 573 (D C Va,
1967), Follett Corp, 164 NLRB 378 (1967), enfd 397 F 2d 91 (C A 7, 1968),
Sec 9(d) of the NLRA
Counsel filed directly with the Board a Motion for
Summary Judgment Subsequently, on February 26,
1976, the Board issued an order transferring the pro-
ceeding to the Board and a Notice To Show Cause
why the General Counsel's Motion for Summary
Judgment should not be granted Respondent there-
after filed a response to Notice To Show Cause enti-
tled "Opposition to Motion for Summary Judg-
ment " On March 5, 1976, the Union as Charging
Party and Local 39, as the other ,Jointly certified col-
lective-bargaining representative, filed a joinder in
motion for summary judgment
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
Upon the entire record in this proceeding, the
Board makes the following
Ruling on the Motion for Summary Judgment
In its answer to the complaint and response to the
Notice To Show Cause, the Respondent admits all
the operative factual allegations of the complaint but
denies the conclusionary averments on the basis of
the alleged inappropriateness of the unit found ap-
propriate in the underlying representation proceed-
ing and in its objections to the election and the
Board's resolution thereof On the other hand, the
General Counsel contends that the Respondent has
raised no issues of law or fact requiring a hearing
We agree with the General Counsel
Review of the entire record herein, including that
in Cases 20-RC-12299, 12300, 12301, and 12302, dis-
closes that a hearing on the representation petitions
filed was held, in which Local 39 and two other asso-
ciations participated as intervenors 2 Thereafter, the
Regional Director, on December 10, 1975, issued a
Decision and Direction of Elections in which he
found appropriate, inter alga, a bargaining unit of all
service and maintenance employees and a unit of all
office clerical employees, the composition of which
the parties stipulated All parties, except the Respon-
dent, filed with the Board requests for review con-
tending, inter alia, that the unit issues raised substan-
tial questions for law and policy and that there were
compelling reasons for the establishment of Board
rules and policies in this area The Respondent filed
a brief in opposition Because of the important issues
raised by this and a number of other cases in the
health care industry, the Board, on January 29, 1976,
held oral argument and received briefs amici curiae
on the general question of the composition of appro-
2 California Association of Medical Technology , Engineers, and Scientists
of California MEBA, AFL-CIO, and California Nurses Association
224 NLRB No 58
420
DECISIONS OF NATIONAL LABOR RELATIONS BOARD
priate bargaining units in the health care industry
On February 5, 1975, the Board granted the request
for review and stayed the elections pending review
After considering the entire record, including the
oral arguments and amici briefs, in these cases, the
Board, on May 5, 1975, with Member Fanning con-
curring, and former Member Kennedy dissenting, in
part, issued its Decision on Review and Direction of
Elections (217 NLRB 765 (1975) ), herein called De-
cision on Review, in which, inter alra, it found appro-
priate a unit of all service and maintenance employ-
ees and, over the opposition of the Respondent,
granted the request of the Union and Local 39 to be
on the ballot as a point petitioner in that unit elec-
tion, further, it agreed with the Regional Director's
determination as to the appropriateness of the office
clerical unit, but disagreed with his findings as to the
composition of that unit because it decided that in
the health care field as in the industrial sphere, it
would continue to recognize the distinction between
business office clerical employees and other types of
clerical employees Accordingly and consistent with
the congressional direction against the proliferation
of bargaining units in the health care industry, it
found appropriate a unit of all business office clerical
employees excluding the other types of clerical em-
ployees, herein called hospital clericals, who because
their interests were more closely related to the func-
tions served by the employees in the service and
maintenance unit, were included in that unit sought
by the Union and Local 39 as Joint Petitioner
In the June 14, 1975, election in the service and
maintenance unit found appropriate by the Board,'
the Union and Local 39 as Joint Petitioner won The
Respondent filed timely objections to the election al-
leging, in substance, that (1) the Board failed to fol-
low its own rules in granting the request of the Union
gaining representative of the employees in the service
and maintenance unit found appropriate by the
Board Thereafter, the Respondent filed a timely re-
quest for review in which it reiterated its objections
and sought to have the election set aside On October
23, 1975, the Board denied the request as raising no
substantial issues warranting review
In its response to the Notice To Show Cause, the
Respondent also contends the Board violated due
process and its own rules by failing to honor the sti-
pulated unit approved by the Regional Director and
by excluding the hospital clericals from the stipulated
clerical unit and including them in the service and
maintenance unit without the Respondent being af-
forded the opportunity to present evidence and liti-
gate the unit placement of the clerical employees
The Respondent also argues that the Board's subse-
quent decision in Otis Hospital Inc, 219 NLRB 164
(1975), in which the Board decided to apply its gener-
al stipulation policy to the health care industry, sup-
ports its position as to the stipulated clerical unit
First, we note that the Respondent could have
raised and litigated these issues in the underlying rep-
resentation case but failed to do so until after the
instant unfair labor practice proceeding was institut-
ed Further, as set forth in footnote 26 of the Deci-
sion on Review in the underlying representation case,
the Board stated that "no party could at that time,
with any degree of certainty, know what unit or units
in this newly covered industry would be found ap-
propriate" and that the "unit determinations [of the
Regional Director] were tentative " It was for this
basic reason that the Board had requested oral argu-
ment in a series of landmark health care cases, in
order to enable the parties, including amicus curiae,
to assist it in making initial unit determinations par-
ticularly for hospitals in the newly covered industry
and Local 39 to appear on the ballot as Joint Peti- . Thus, at the oral argument, the Union counsel, ad-
tioner, (2) the Union distributed election propaganda -^ verting to the general distinction between plant and
which suggested Board support for the Union and
which misrepresented facts concerning (a) layoff and
subcontracting, (b) wage rates under the Union's
contract
with
another
hospital,
and (c) the
Respondent's role during the malpractice crisis in the
hospital industry which resulted in strikes, layoffs,
and shortened workweeks After investigation, the
Acting Regional Director, on August 19, 1975, issued
a Supplemental Decision and Certification of Repre-
sentative in which she overruled the Respondent's
objections in their entirety and certified the Union
and Local 39, Joint Petitioner, as the exclusive bar-
3 Elections in the registered nurse and business office clerical units found
appropriate by the Board were not held because the Regional Director had
approved the Union's request to withdraw its petitions in Cases 20-RC-
12300 and 20-RC-12302
clerical employees arising from a difference in com-
munity of interest, suggested that the health care in-
dustry be treated the same as the other industries,
while the Respondent counsel pointed out that the
clerical unit stipulated by Respondent with the
Union "evolves solely from the unique facts which
are in existence at the Mercy Hospitals
" and
does not have "persuasive weight on the clerical is-
sues which are present before the Board in other
cases " In these circumstances, further litigation of
the particular facts in Mercy Hospitals would not
have been of any great significance to the Board in
establishing appropriate clerical units for hospitals in
the newly covered health care industry Further, as
we noted in the subsequent Otis decision where it
was determined for the first time to give effect to unit
MERCY HOSPITALS OF SACRAMENTO
composition stipulations in the health care industry,
the cases, in which oral argument was held, "left
open the question of the effectiveness of stipulations
designating units not in conformity with the determi-
nations made in contested cases "
Therefore, giving the governing weight normally
afforded to stipulations in other industries was not
warranted with respect to the clerical unit stipulated
in the underlying representation case Accordingly,
we find that the Respondent's reliance upon the sub-
sequent Otis decision to be not only inapposite but
also without merit Further, upon the records and
oral arguments in the above cases, and consistent
with the congressional intent, the Board decided, in
the health care field as in the industrial sphere, to
continue to recognize the distinction between busi-
ness office clerical employees and other types of cler-
ical employees and, following this determination, ex-
cluded from the business office clerical unit found
appropriate herein all other clerical employees who
were then included in the service and maintenance
unit sought by the Union and Local 39 as Joint Peti-
tioner 4
It thus appears that except for the Otis stipulation
argument, which we have found to be inapposite and
without merit, the additional contentions raised by
the Respondent are without merit and are matters
which could have been raised and litigated in the
underlying representation case 5
It is well settled that in the absence of newly dis-
covered or previously unavailable evidence or special
circumstances a respondent in a proceeding alleging
a violation of Section 8(a)(5) is not entitled to reliti-
gate issues which were or could have been litigated in
a prior representation proceeding 6
All issues raised by the Respondent in this pro-
ceeding were or could have been litigated in the prior
representation proceeding, and the Respondent does
not offer to adduce at a hearing any newly discov-
ered or previously unavailable evidence, nor does it
allege that any special circumstances exist herein
which would require the Board to reexamine the de-
In so concluding, the Board specifically overruled the decision in Na
tional Medical Hospitals, Inc, of San Diego, d/b/a Chico Community Memo
nal Hospital 215 NLRB 821 (1974), to the extent it was inconsistent with
the decision herein In that case, the appropriate unit consisted of all clerical
employees
Further, with respect to subsequent Case 20-RC-13017 where the
Union and Respondent stipulated to a unit of hospital clerical and business
office clerical employees in the Mercy Hospitals, the Regional Director on
October 15, 1975, found that the stipulated all-clerical unit was barred by
the Decision on Review herein The Respondent filed a timely request for
review raising essentially the same arguments that had been raised herein
and in effect requesting reconsideration of the Decision on Review herein
On November 15, 1975, the Board rejected these arguments in denying the
revest for review
See Pittsburgh Plate Glass Co v NLRB, 313 U S 146, 162 (1941),
Rules and Regulations of the Board, Sees 102 67(f) and 102 69(c)
421
cision made in the representation proceeding
We
therefore find that the Respondent has not raised
any issue which is properly litigable in this unfair
labor practice proceeding
We shall, accordingly,
grant the Motion for Summary Judgment
On the basis of the entire record, the Board makes
the following
FINDINGS OF FACT
I
THE BUSINESS OF THE RESPONDENT
Respondent is a California corporation with its
principal office and place of business in Sacramento,
California, from which it operates three acute care
and one geriatric care nonprofit hospital facilities
During the past year it received gross revenues in
excess of $500,000 and purchased goods and supplies
valued in excess of $10,000 from California suppliers
who, in turn, purchased said goods and supplies from
sources located outside the State of California
We find, on the basis of the foregoing, that Re-
spondent is, and has been at all times material here-
in, an employer engaged in commerce within the
meaning of Section 2(6) and (7) of the Act, and that
it will effectuate the policies of the Act to assert Juris-
diction herein
-
II
THE LABOR ORGANIZATIONS INVOLVED
Hospital and Institutional Workers, Local 250,
Service Employees International Union, AFL-CIO,
and Local 39 are labor organizations within the
meaning of Section 2(5) of the Act
III THE UNFAIR LABOR PRACTICES
A The Representation Proceeding
1 The unit
The following employees of the Respondent con-
stitute a unit appropriate for collective-bargaining
purposes within the meaning of Section 9(b) of the
Act
All full-time and regular part-time service and
maintenance employees, including licensed vo-
cational
nurses,
graduate vocational nurses,
nurse assistants, ward clerks, surgical techini-
cans, ACC clerks, x-ray technicians, cardiopul-
monary technicians, respiratory therapy techni-
cians, EKG technicians , tissue technicians, EEG
technicians, pharmacy technicians, pharmacy
clerks, computer programmers, printing assis-
tants, technicians to receiving clerk, housekeep-
422
DECISIONS OF NATIONAL LABOR RELATIONS BOARD
ing technicians, food service workers, laundry
workers, department aides, all employees of the
maintenance and engineering department, and
all clerical employees other than business office
clerical employees, employed at Mercy General
Hospital, Mercy Convalescent Hospital, and
Mercy Children's Hospital, Sacramento, Cali-
fornia, and at Mercy San Juan Hospital, Carmi-
chael, California, excluding all other employees,
guards, and supervisors as defined in the Act
2 The certification
On June 14, 1975, a majority of the employees of
Respondent in said unit, in a secret ballot election
conducted under the supervision of the Regional Di-
rector for Region 20, designated the Joint Petitioner
as their representative for the purpose of collective
bargaining with the Respondent The Joint Petitioner
was certified as the collective-bargaining representa-
tive of the employees in said unit on August 19, 1975,
and the Joint Petitioner continues to be such exclu-
sive representative within the meaning of Section 9(a)
of the Act
B The Request To Bargain and Respondent's Refusal
Commencing on or about October 28, 1975, and at
all times thereafter, the Joint Petitioner has requested
the Respondent to bargain collectively with it as the
exclusive collective-bargaining representative of all
the employees in the above-described unit Com-
mencing on or about November 14, 1975, and con-
tinuing at all times thereafter to date, the Respon-
dent has refused, and continues to refuse, to
recognize and bargain with the Joint Petitioner as the
exclusive representative for collective bargaining of
all employees in said unit
Accordingly, we find that the Respondent has,
since November 14, 1975, and at all times thereafter,
refused to bargain collectively with Joint Petitioner
as the exclusive representative of the employees in
the appropriate unit, and that, by such refusal, Re-
spondent has engaged in and is engaging in unfair
labor practices within the meaning of Section 8(a)(5)
and (1) of the Act
IV THE EFFECT OF THE UNFAIR LABOR PRACTICES UPON
COMMERCE
The activities of Respondent set forth in section
III, above, occurring in connection with its opera-
tions described in section I, above, have a close, inti-
mate, and substantial relationship to trade, traffic,
and commerce among the several States and tend to
lead to labor disputes burdening and obstructing
commerce and the free flow of commerce
V THE REMEDY
Having found that Respondent has engaged in and
is engaging in unfair labor practices within the mean-
ing of Section 8(a)(5) and (1) of the Act, we shall
order that it cease and desist therefrom, and, upon
request, bargain collectively with the Joint Petitioner
as the exclusive representative of all employees in the
appropriate unit, and, if an understanding is reached,
embody such understanding in a signed agreement
In order to insure that the employees in the appro-
priate unit will be accorded the services of their se-
lected bargaining agent for the period provided by
law, we shall construe the initial period of certifica-
tion as beginning on the date Respondent commenc-
es to bargain in good faith with the Joint Petitioner
as the recognized bargaining representative in the ap-
propriate unit See Mar-Jac Poultry Company, Inc,
136 NLRB 785 (1962), Commerce Company d/b/a
Lamar Hotel, 140 NLRB 226, 229 (1962), enfd 328
F 2d 600 (C A 5, 1964), cert denied 379 US 817
(1964), Burnett Construction Company,
149 NLRB
1419, 1421 (1964), enfd 350 F 2d 57 (C A 10, 1965)
The Board, upon the basis of the foregoing facts
and the entire record, makes the following
CONCLUSIONS OF LAW
1
Mercy Hospitals of Sacramento, Inc, is an em-
ployer engaged in commerce within the meaning of
Section 2(6) and (7) of the Act
2
Hospital and Institutional Workers, Local 250,
Service Employees International Union, AFL-CIO,
and Local 39 are labor organizations within the
meaning of Section 2(5) of the Act
3
All full-time and regular part-time service and
maintenance employees, including licensed vocation-
al nurses, graduate vocational nurses, nurse assis-
tants, ward clerks, surgical technicians, ACC clerks,
x-ray technicians, cardiopulmonary technicians, res-
piratory therapy technicians, EKG technicians, tis-
sue technicians, EEG technicians, pharmacy techni-
cians,
pharmacy clerks, computer programmers,
printing assistants, technicians to receiving clerk,
housekeeping technicians, food service
workers,
laundry workers, department aides, all employees of
the maintenance and engineering department, and all
clerical employees other than business office clerical
employees, employed at Mercy General Hospital,
Mercy Convalescent Hospital, and Mercy Children's
Hospital, Sacramento, California, and at Mercy San
Juan Hospital, Carmichael, California, excluding all
MERCY HOSPITALS OF SACRAMENTO
423
other employees, guards, and supervisors as defined
in the Act, constitute a unit appropriate for the pur-
poses of collective bargaining within the meaning of
Section 9(b) of the Act
4 Since August 19, 1975, the above-named Joint
Petitioner has been and now is the certified and ex-
clusive representative of all employees in the afore-
said appropriate unit for the purpose of collective
bargaining within the meaning of Section 9(a) of the
Act
5
By refusing on or about November 14, 1975,
and at all times thereafter, to bargain collectively
with the above-named Joint Petitioner as the exclu-
sive bargaining representative of all the employees of
Respondent in the appropriate unit, Respondent has
engaged in and is engaging in unfair labor practices
within the meaning of Section 8(a)(5) of the Act
6
By the aforesaid refusal to bargain, Respondent
has interfered with, restrained, and coerced, and is
interfering with, restraining, and coercing, employees
in the exercise of the rights guaranteed to them in
Section 7 of the Act, and thereby has engaged in and
is engaging in unfair labor practices within the mean-
ing of Section 8(a)(1) of the Act
7 The aforesaid unfair labor practices are unfair
labor practices affecting commerce within the mean-
ing of Section 2(6) and (7) of the Act
ORDER
Pursuant to Section 10(c) of the National Labor
Relations Act, as amended, the National Labor Re-
lations Board hereby orders that Respondent, Mercy
Hospitals of Sacramento, Inc, Sacramento, Califor-
nia, its officers, agents, successors , and assigns, shall
1
Cease and desist from
(a) Refusing to bargain collectively concerning
rates of pay, wages, hours, and other terms and con-
ditions of employment with Hospital and Institution-
al Workers, Local 250, Service Employees Interna-
tional
Union,
AFL-CIO, and Local 39, Joint
Petitioner, as the exclusive bargaining representative
of its employees in the following appropriate unit
All full-time and regular part-time service and
maintenance employees, including licensed vo-
cational
nurses,
graduate vocational
nurses,
nurse assistants, ward clerks, surgical techni-
cians, ACC clerks, x-ray technicians, cardiopul-
monary technicians, respiratory therapy techni-
cians, EKG technicians, tissue technicians, EEG
technicians, pharmacy technicians, pharmacy
clerks, computer programmers, printing assis-
tants, technicians to receiving clerk, housekeep-
ing technicians, food service workers, laundry
workers, department aides, all employees of the
maintenance and engineering department, and
all clerical employees other than business office
clerical employees, employed at Mercy General
Hospital, Mercy Convalescent Hospital, and
Mercy Children's Hospital, Sacramento, Cali-
fornia, and at Mercy San Juan Hospital, Carmi-
chael, California, excluding all other employees,
guards, and supervisors as defined in the Act
(b) In any like or related manner interfering with,
restraining, or coercing employees in the exercise of
the rights guaranteed them in Section 7 of the Act
2
Take the following affirmative action which the
Board finds will effectuate the policies of the Act
(a) Upon request, bargain with the above-named
Joint Petitioner as the exclusive representative of all
employees in the aforesaid appropriate unit with re-
spect to rates of pay, wages, hours, and other terms
and conditions of employment, and, if an under-
standing is reached, embody such understanding in a
signed agreement
(b) Post at its facilities in Sacramento and Carmi-
chael,
California,
copies of the, attached notice
marked "Appendix 117 Copies of said notice, on
forms provided by the Regional Director for Region
20, after being duly signed by Respondent's repre-
sentative, shall be posted by Respondent immedi-
ately upon receipt thereof, and be maintained by it
for 60 consecutive days thereafter, in conspicuous
places, including all places where notices to employ-
ees are customarily posted Reasonable steps shall be
taken by Respondent to insure that said notices are
not altered, defaced, or covered by any other materi-
al
(c) Notify the Regional Director for Region 20, in
writing, within 20 days from the date of this Order,
what steps have been taken to comply herewith
7 In the event that this Order is enforced by a Judgment of a United
States Court of Appeals the words in the notice reading "Posted by Order
of the National Labor Relations Board " shall read "Posted Pursuant to a
Judgment of the United States Court of Appeals Enforcing an Order of the
National Labor Relations Board'
APPENDIX
NOTICE To EMPLOYEES
POSTED BY ORDER OF THE
NATIONAL LABOR RELATIONS BOARD
An Agency of the United States Government
WE WILL NOT refuse to bargain collectively
concerning rates of pay, wages, hours, and other
terms and conditions of employment with Hos-
pital and Institutional Workers, Local 250, Ser-
vice Employees International Union, AFL-CIO,
424
DECISIONS OF NATIONAL LABOR RELATIONS BOARD
and Local 39, Joint Petitioner, as the exclusive
representative of the employees in the bargain-
ing unit described below
WE WILL NOT in any like or related manner
interfere with, restrain, or coerce our employees
in the exercise of the rights guaranteed them by
Section 7 of the Act
WE WILL, upon request, bargain with the
above-named Union, as the exclusive represen-
tative of all employees in the bargaining unit de-
scribed below, with respect to rates of pay, wag-
es, hours, and other terms and conditions of
employment,
and, if an understanding is
reached, embody such understanding in a signed
agreement The bargaining unit is
All full-time and regular part-time service and
maintenance employees, including licensed
vocational nurses, graduate vocational nurses,
nurse assistants, ward clerks, surgical techni-
cians, ACC clerks, x-ray technicians, cardio-
pulmonary technicians, respiratory therapy
technicians, EKG technicians, tissue techni-
cians, EEG technicians, pharmacy techni-
cians, pharmacy clerks, computer program-
mers,
printing
assistants,
technicians
to
receiving
clerk,
housekeeping technicians,
food service workers, laundry workers, de-
partment aides, all employees of the mainte-
nance and engineering department, and all
clerical employees other than business office
clerical employees, employed at Mercy Gen-
eral Hospital, Mercy Convalescent Hospital,
and Mercy Children's Hospital, Sacramento,
California, and at Mercy San Juan Hospital,
Carmichael, California, excluding all other
employees, guards, and supervisors as defined
in the Act
MERCY HOSPITALS OF SACRAMENTO, INC