291 NLRB 464
Middletown Hospital Association
464
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
Middletown Hospital Association and Ohio Nurses
Association
Cases 9-CA-14866 and 9-CA-
15195
October 28 1988
SUPPLEMENTAL DECISION AND
ORDER
BY CHAIRMAN STEPHENS AND MEMBERS
JOHANSEN AND CRACRAFT
On December 29 1986 the National Labor Rela
tions Board issued a Decision and Order' in which
it among other things adopted the administrative
law judge s determination that under the dispari
ty of interests
standard set forth in St
Francis
Hospital 2
the
petitioned for
unit
of registered
nurses was inappropriate for collective bargaining
The Board also adopted the judge s rulings that
flowed from this determination because the unit
was inappropriate a representation election that
had been conducted in the unit was a nullity ob
jections to the election were dismissed and a bar
gaining order covering that unit if otherwise ap
propriate could not be issued as a remedy for the
unfair labor practices that had been found The Pe
titioner the Ohio Nurses Association (ONA) filed
a petition for review of the Board s decision with
the United States Court of Appeals for the District
of Columbia Circuit Under an agreement reached
among the parties the only issue presented to the
court on review was the Board s determination that
the petitioned for unit was inappropriate
While the ONA s petition for review was pend
ing before the court of appeals, that court ruled in
Electrical Workers IBEW Local 474 v NLRB (St
Francis Hospital)3 that the Board had erred in St
Francis II in concluding that the 1974 amend
ments4 to the Act mandated the use of the dispar
ity of interests
standard and that the amendments
compelled a presumption that there are only two
appropriate units-professional and nonprofession
al-in the health care industry 5 In view of the
court s decision the Board on May 26 1987
moved the court to remand the present case for
further consideration of the unit determination On
September 16 1987 the court granted the Board s
motion and remanded the case to the Board for re
consideration in light of the court s decision in
Electrical Workers IBEW Local 474 6
On March 8 1988 the Board notified the parties
that it was reconsidering its decision in this case
and invited them to file statements of position The
General Counsel declined to file a statement but re
iterated that a bargaining order would be a neces
sary and appropriate remedy if the Board found
the petitioned for bargaining unit to be appropriate
Amicus Ohio Hospital Association declined to file
a statement at that time The Respondent Middle
town Hospital Association filed a statement argu
ing that the petitioned for bargaining unit com
posed solely of registered nurses was inappropriate
and that in any event on various other grounds a
bargaining order would not be an appropriate
remedy for the unfair labor practices that had oc
curred
The Respondent also filed a motion to
reopen the record for the Board to receive evi
dence that assertedly pertained to the bargaining
order issue
The ONA filed a memorandum con
tending that the petitioned for bargaining unit of
registered
nurses was appropriate and that the
Board should order the Respondent to bargain
with the ONA as the exclusive representative of
that unit The ONA and the General Counsel also
filed
memoranda
opposing
the
Respondent s
motion to reopen the record
The National Labor Relations Board has delegat
ed its authority in this proceeding to a three
member panel
Following the court of appeals decision in Elec
trical Workers IBEW Local 474 the Board in St
Vincent Hospital? reconsidered the issue of health
care unit determinations In that case the Board re
iterated its earlier announced decision to engage in
rulemaking for the purpose of identifying certain
specific health care bargaining units that would be
found appropriate except in the most unusual cir
cumstances 8 Because the final rules would not
become effective for a period of time the Board
decided to process all petitions under existing law
i e
under the
disparity of interests
standard
until the final rule had been issued In its second
notice of proposed rulemaking the Board has re
cently reiterated this position 9
Additionally the Board in St
Vincent Hospital
explained why the approach the Board took in St
Francis II was appropriate and not incompatible
with the court of appeals reasoning on review in
' 282 NLRB 541
2 271 NLRB 948 (1984) (St Francis I/)
3 814 F 2d 697 (D C Or 1987)
4 Pub L 93-360 88 Stat 395 (July 26 1974) Among other things the
amendments extended the coverage of the Act to employees of private
nonprofit hospitals
5814F2dat699 715
6 The court s mandate issued on November 12 1987
7 285 NLRB 365 (1987)
8 Member Johansen disagreed with the Board s decision to engage in
rulemaking concerning health care bargaining units as he found rulemak
mg to be inappropriate in this class of decisions Id at 3 fn 6 Neverthe
less he concurs in the present decision as it applies existing law concern
mg the unit issue
9 See 53 Fed Reg 33900 33931 (Sept 1 1988) Member Johansen dis
rented there again indicating his disagreement with rulemaking in regard
to health care units See 53 Fed Reg at 33934-33935
291 NLRB No 79
MIDDLETOWN HOSPITAL ASSN
that case Thus we stressed that the Board in St
Francis II did not state and did not intend to
imply that its approach was mandated by either
the 1974 amendments or their legislative history
Rather
we explained that the disparity of inter
ests
standard was a choice made in the exercise of
the broad discretion with which Congress entrust
ed the Board in Section 9(b) of the Act 10 Accord
ingly the Board applied the disparity of interests
standard to the unit determination before it in St
Vincent Hospital Pending completion of the health
care unit rulemaking the Board has followed this
approach in subsequent cases 11
Having considered the submissions of the parties
the court s decision in IBEW Local 474 and our
decisions subsequent to that case we conclude that
10 See also the Board s decision on remand in St Francis Hospital 286
NLRB 1305 (1987)
11 See Presbyterian/St Luke s Medical Center 289 NLRB 249 (1988)
St Francis Hospital supra
465
it is appropriate to apply existing Board law in de
ciding the unit question in this case Applying ex
isting Board law we again conclude for the rea
sons stated in our prior Decision and Order in this
case that the judge was correct in finding the peti
tioned for unit of registered nurses to be inappro
priate for collective bargaining
Accordingly
we
shall reaffirm our determination that the petitioned
for unit is inappropriate 12
ORDER
The National Labor Relations Board reaffirms its
determination contained in its Decision and Order
previously issued at 282 NLRB 541 (1986) that the
petitioned for unit of registered nurses is inappro
priate for collective bargaining purposes
12 We also deny the Respondent s motion to reopen the record as in
light of our decision here the evidence it seeks to introduce is irrelevant
Nor do we reach the Respondents alternative argument that a bargaining
order in any event would be inappropriate