Highview, Inc.Download PDFNational Labor Relations Board - Board DecisionsApr 6, 1976223 N.L.R.B. 80 (N.L.R.B. 1976) Copy Citation 646 DECISIONS OF NATIONAL LABOR RELATIONS BOARD Highview, Incorporated and American Federation of State, County and Municipal Employees, AFL- CIO, Petitioner. Case 10-RC-10256 April 6, 1976 DECISION ON REVIEW AND DIRECTION OF ELECTION By MEMBERS FANNING, PENELLO, AND WALTHER On April 3, 1975, the Regional Director for Region 10 issued a Decision and Order in the above-entitled proceeding in which he declined to assert jurisdiction over the Employer's operations and accordingly dis- missed the petition. Thereafter, in accordance with Section 102.67 of the National Labor Relations Board Rules and Regulations , Series 8, as amended, the Petitioner filed a timely request for review of the Regional Director's decision on the ground, inter alia, that in dismissing the petition he departed from officially reported Board precedent. On May 20, 1975, the National Labor Relations Board, by telegraphic order, granted the Petitioner's request for review . Thereafter, the Employer filed a brief on 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, including the Employer's brief on review, and makes the following findings: The Employer, Highview, Incorporated, is a pri- vate nonprofit Georgia corporation engaged in the operation of a nursing home located in Fulton Coun- ty, Georgia. The home provides both skilled and in- termediate nursing care to approximately 375 elderly patients from Fulton and DeKalb Counties. Most of the Employer's patients are indigent . The Petitioner seeks to represent what is essentially a unit of service and maintenance employees.' The Regional Direc- tor, relying principally on the Board's decision in Ru- ral Fire Protection Company,2 concluded that the services rendered by the instant Employer were so intimately connected with the municipal functions of the local governments here involved as to warrant finding that the Employer should share the latter's exemption from the Board 's jurisdiction . We do not agree. t The Intervenor, Service Employees International Union . Local No. 579. AFL-CIO, did not file a request for review or a brief on review . It appears from the record , however, that the Intervenor 's unit position is identical with that of the Petitioner. '216 NLRB 584 (1975). The facilities utilized by the instant Employer are owned by Fulton County, are located on county property, and were built with the proceeds of a coun- ty bond issue. Highview is exempt from Federal, state, and county taxes. It receives certain medicines and supplies, as well as maintenance and laundry services, from Fulton County. The county pays for the insurance on the buildings used by the Employer. Highview makes no payment to the local govern- ments for these facilities and services. Additionally, the Employer receives some direct contributions of funds from both Fulton and DeKalb Counties, as well as the city of Atlanta, and Fulton County main- tains a contingency fund upon which the Employer has drawn to defray operating deficits. However, the record reveals that such direct contributions com- prise only a minor portion of the Employer's total revenue.3 In all significant aspects the Employer is opera- tionally independent from and subject to no actual control by the local governments here involved." The Employer is managed by an independent self-perpe- tuating board of directors. There exists no evidence that the county governments have any voice in the selection of the board members, are empowered to effectuate their removal, or can influence, in any fashion, their decisions. The board of directors has complete control over wage scales, personnel poli- cies, and labor relations matters. All of these policies are effectuated by the Employer's administrator who 3 Although not entirely clear from the record , the Employer's annual gross revenue would appear to be in excess of $2 million since the Employer receives an average of slightly over $450 per month for each of its approxi- mately 375 patients . The parties stipulated that during calendar year 1974 the Employer received approximately $88,000 in direct public assistance funds from Fulton and DeKalb Counties . No figures indicating the amount, if any, of direct financial assistance from the city of Atlanta appear in the record . The parties further stipulated that in calendar year 1974 the Em- ployer received $1,293,000 in Medicaid payments . not by virtue of any spe- cial relationship which the Employer has with the state or Federal govern- ments, but under the Medicaid program . The source of the remainder of the Employer's projected annual gross revenue (in excess of $600,000) is not clear from the record , but does include, as payment for services rendered. social security benefits to which some of its patients are entitled . Further still, the record indicates that as the Employer does provide care for a num- ber of private patients that it receives additional revenue therefrom , presum- ably through third-party insurance or private funds . On the basis of the foregoing , and in view of the fact that the Employer apparently receives less than 5 percent of its annual gross revenue in the form of direct payments from the county governments here involved, we find little merit in the Employer's contention that its receipt of revenues is so dependent upon, or its financial affairs so closely tied to, local governmental entities as to war- rant declining jurisdiction on this basis. The record does reveal that the Employer must submit annual financial reports to the county governments . Apparently in return for the direct fi- nancial assistance which it receives , the Employer must reserve a certain number of beds for use by county patients . Inasmuch as the building itself is owned by Fulton County, any improvements thereto must be approved by the county . In order to protect the use of its monies, patients entering the facility as indigents must be certified as such by Fulton County welfare agencies. Aside from the above , which we view as de minimis, there is no evidence of involvement by any governmental entity in the day-to -day oper- ations of the Employer. 223 NLRB No. 80 HIGHVIEW , INCORPORATED 647 makes recommendations to the board and whose ac- tions are reviewed only by the board. Employee grievances are handled at the first step by Highview supervisors, at the second step by the administrator, and at the third step by the board. There is no appeal to the Fulton County Civil Service Board. In our view the foregoing facts bring this case clearly within the ambit of our recently issued deci- sion in Grey Nuns of the Sacred Heart,' wherein, un- der strikingly similar facts, we concluded that the Board's assertion of jurisdiction was proper. As in Grey Nuns, the instant Employer is a private nonpro- fit corporation engaged in the provision of health care. It receives, in furtherance of such activities, as- sistance from exempt government entities. However, as we noted in Grey Nuns, the confluence of these two factors does not necessarily compel the conclu- sion that an Employer's activities are intimately con- nected with those of an exempt governmental entity since the provision of health care, while a legitimate governmental concern, is not traditionally so exclu- sive a governmental one that the application of the intimate connection analysis is per se warranted. We further note, as we did in Grey Nuns, that such a view is particularly applicable in situations such as the instant one where the Employer is operationally autonomous and receives but a modicum of direct financial support from exempt governmental entities. Accordingly, inasmuch as there exists no evidence that any governmental entity is a joint employer of the employees sought herein and further since the Employer otherwise meets the Board's jurisdictional standards,6 we find it will effectuate the purposes of the Act to assert jurisdiction over the instant petition. As indicated the Petitioner seeks a service and maintenance unit composed of all practical nurses, licensed practical nurses, nurses aides, orderlies, utili- ty service workers, housekeeping employees, food service employees, and laundry and maintenance employees; excluding registered nurses, clerical, of- fice clerical, and technical employees, professional employees, guards, and supervisors. The Employer apparently does not dispute the appropriateness of a service and maintenance unit, but in its brief takes issue with the proposed inclusion of several catego- ries of employees. Licensed practical nurses: The Employer employs approximately 30 to 32 individuals whom it classifies ' 221 NLRB No. 201 (1975). We note that as our decision in Grey Nuns issued after the Regional Director 's Decision and Order herein that the Regional Director was without the benefit of the Board 's reasoning in that case in reaching his conclusions here. 6 The parties stipulated that for the past calendar year the Employer re- ceived in excess of $ 100,000 in gross revenue for services rendered, and, in addition , purchased and received goods valued in excess of $50,000 directly from suppliers located outside the State of Georgia. as "charge nurses ." All charge nurses at Highview are LPN's.' As indicated, the Petitioner seeks the.in- clusion of the Employer's LPN's in the requested unit. The Employer argues that its charge nurses are supervisors as defined in the Act and thus should not be included in any unit found appropriate. We find it unnecessary to reach the supervisory argument advanced by the Employer since, as the Petitioner seeks a service and maintenance unit ex- cluding technical employees and the Board has previ- ously found LPN's to be technical employees,' we shall exclude all LPN's from the requested unit' Licensed engineers: The Employer's engineering department is supervised by Chief Engineer Cook. Under Cook are approximately five state-licensed engineers , two grounds maintenance employees, a painter, and a driver. The Employer does not take issue with the inclusion of the grounds maintenance employees, driver, or painter, but contends, contrary to the Petitioner, that the licensed engineers are tech- nical employees who lack the requisite community of interest with the other requested employees to be in- cluded in the same unit with them. Various state and Federal regulations require the Employer to employ licensed individuals for the pur- pose of around-the-clock maintenance and operation of boilers, generators, and heating and cooling sys- tems . In addition to these duties, the employees in question perform maintenance tasks throughout the facility, including plumbing, electrical work, pipe- threading, and welding. On occasion a licensed engi- neer may sometimes man the front desk when the security officer is required to absent himself. While these employees do not interchange with other em- ployees and while they do not have job-related con- tact with other employees, it is clear that their duties, involving as they do maintenance of equipment throughout the facility, bring them into at least inci- dental contact with other employees. By virtue of their duties, the engineers possess skills which are different from other employees and they receive wages considerably above those enjoyed by other requested employees. There is no indication as to what degree of formal education is required of individuals holding the position of licensed engi- neers. 7 Though somewhat unclear from the record , it appears that under the Employer's job classification system the term "charge nurse" is equivalent to the term LPN. It is clear that all employees occupying the position of charge nurse are LPN's; what is not clear is whether the Employer employs any LPN's in other than the charge nurse category . However, inasmuch as our exclusion of LPN's is based on considerations other than their alleged supervisory authority, we find it unnecessary to resolve this issue for purpos- es of our unit determination. 8 See Nathan and Miriam Barnert Memorial Hospital Association d/b/a Barnert Memorial Hospital Center, 217 NLRB No. 132 (1975). 9 In light of his dissent in Barnert, supra, Member Penello would not exclude the LPN's on this basis. 648 DECISIONS OF NATIONAL LABOR RELATIONS BOARD Contrary to the Employer, we are not persuaded that because such individuals are subject to state li- censure requirements or possess certain job-related skills that they are to be considered technical em- ployees. Their work is predominantly manual in na- ture; the degree of formal education required, if any, does not appear advanced; nor do they perform du- ties akin to those of employees in the health care field whom the Board has included in technical units.10 Accordingly, we find them not to be technical employees, and decline to exclude them on this ba- sis." The remainder of the Employer's argument with respect to these employees is not on point as it is directed to the issue of whether the licensed engi- neers , if separately sought, would constitute an ap- propriate unit. Here, as the Petitioner has sought to include the licensed engineers in an overall service and maintenance unit, a request clearly appropriate on its face, and further as no union seeks to sepa- rately represent the engineers, the issue to which the bulk of the Employer's argument is directed is not before us and we therefore need not decide it. Ac- cordingly, we shall include the licensed engineers in the unit. Physical therapy: There are three individuals in- volved in physical therapy at the Employer's facility. Physical Therapy Coordinator Hoffman is in charge of all such work. She possesses a professional degree and is licensed in accordance with Federal and state regulations. The parties are in agreement that Hoff- man should be excluded as a professional employee and/or supervisor. Physical therapy aide Truett is currently enrolled as a full-time student in physical therapy and works part time for the Employer in furtherance of his pro- fessional education. The parties are in agreement that he should be excluded on this basis. Physical therapy aide Bowers is a former volunteer therapist who at the time of the hearing had begun full-time employment in the absence of Hoffman who was then pregnant. Bowers does not function as a preceptor nor is she attempting to qualify as a li- censed physical therapist. Although not entirely clear from the record, it appears she is hourly paid since her time is computed on the basis of a card which she turns in. There is no evidence that Bowers possesses any authority to hire or fire employees, or to recommend or effectuate personnel decisions. In Hoffman's ab- sence , Bowers is apparently responsible for assigning work to Truett and would be empowered to grant him time off. The Employer contends that as Bowers is engaged in providing patient care she does not possess a suffi- cient community of interest to be included in the unit and further contends she should be excluded on the basis of her alleged supervisory functions. We find littler merit in these contentions. Whatever authority she may possess appears routine in nature and is at best sporadically exercised; we conclude, therefore, she should not be excluded on this basis. Moreover, we find Bowers is neither a technical nor a profes- sional employee, and shares a sufficient community of interest to warrant her inclusion. Accordingly, Bowers is included in the unit." The purchasing department: The Employer's pur- chasing department is headed by one Gibson, who is also the Employer's housekeeping coordinator. The parties agree that Gibson should be excluded. Working under Gibson is storeroom clerk Perry. Perry is in charge of the Employer's storeroom and all materials that are received there. He is responsible for issuance, invoice control, supply, and distribution of materials; and in Gibson's absence and with the administrator's approval may place orders for con- sumable or replenishable items. He spends virtually all of his time in the storeroom area and his contact with other employees is apparently limited to those occasions when supplies are requisitioned or distrib- uted. The Employer seems to contend Perry should be excluded from the unit as a managerial employee, or on ground he lacks a sufficient community of interest with other requested employees. The former conten- tion is based on the fact that Perry signs receipts for incoming goods and is, under certain circumstances, allowed to place orders for consumable goods. We do not regard these as sufficient indicia of manageri- al authority as they are either ministerial and routine in nature , or performed only in the absence of Perry's immediate supervisor and with the approval of con- ceded managerial personnel. We find Perry to be nei- ther a technical nor professional employee, and in our view his duties make his position analagous to that of hospital clerical employees whom the Board has included in overall service and maintenance units.13 Accordingly, we shall include Perry in the unit. 12 The Employer additionally contends that upon Hoffman 's return to full-time work Bowers would again return to strictly volunteer status. While we find such a prospective arrangement too speculative to warrant exclud- ing Bowers , we do note that in the event her status should revert to that of la See Barnert Memorial Hospital, supra. a volunteer she would not be eligible to vote inasmuch as she would not at11 Petitioner has requested the exclusion of employees classified as techni- that time be an employee. call, but specifically seeks to include the licensed engineers . 13 Newington Children's Hospital, 217 NLRB No. 134 (1975). HIGHVIEW, INCORPORATED 649 Part-time high school students: The Employer em- ploys approximately three or four high school stu- dents as utility service workers in its dietary depart- ment. The students work approximately 20 hours per week and receive slightly less in wages than other full-time utility service workers. They apparently do not receive scholastic credit for their work experi- ence; however, the Employer's administrator did tes- tify that in case of scheduling conflicts between work and school activities the latter would prevail and the student would be excused. While there exists no written or oral agreement be- tween the schools and the Employer, the nursing home administrator testified that the students in question were employed pursuant to a cooperative education program sponsored by the State whereby employers assist in the training and economic wel- fare of high school students. Whatever the exact na- ture of the program, the administrator indicated that there exists no agreement to the effect that the high school students would, upon graduation, assume full- time positions with the Employer and further indi- cated that student workers, in fact, did not become full-time employees upon graduation. In view of the foregoing, most especially the fact that the student workers' tenure appears of limited duration, we find merit in the Employer's contention that these part-time student employees lack a suffi- cient community of interest to be included in the re- quested unit, and we shall exclude them." Dietary Department Assistant Supervisors Graham, Chappell, Dozier, and Butler: 15 The Employer's di- etary operations are administered by S&S Food Serv- ices, a private contractor. S&S has five employees who manage this department. The remaining em- ployees in the department are employed by High- view, Incorporated, and include approximately 10 or 11 cooks and bakers, 22 dietary aides, 12 full-time utility service workers, and the 3 or 4 part-time stu- dent utility service workers referred to above. The Employer contends that Graham, Chappell, and Do- zier, whom the Employer refers to as assistant dietary 14 See Pawating Hospital Association, 222 NLRB No. 106 (1976). Member Fanning considers Pawating inapposite . In that case the record showed sub- stantial differences between the students involved and employees in the unit found appropriate with respect to wages, hours, fringe benefits , and other conditions of employment . He does not believe that those circumstances exist here , or that it can be said on this record that these students work for only a "limited duration ." He views these students as regular part-time em- ployees working along with other dietary department employees and shar- ing a community of interest with them . Accordingly, he would include these students in the unit as Petitioner requests . See Gruber's Super Market, Inc., 201 NLRB 612, fn. 5 (1973). 15 There is little record evidence with respect to Butler, and the Employer's brief fails specifically to refer to her. However, inasmuch as the record indicates that she occupies the same position within the dietary de- partment as Graham , Chappell, and Dozier , we shall treat her in similar fashion and permit her to vote subject to challenge. department supervisors, possess and exercise supervi- sory authority over the dietary aides and utility ser- vice workers. The Employer bases its contention solely on the testimony of Administrator Myers, arguing that Myers' testimony demonstrates that the individuals in question possess, inter alia, authority to discipline, suspend, and assign work. We have carefully reviewed the testimony relating to the alleged supervisory status of the individuals in question, and noted certain inconsistencies therein.16 Myers was apparently not sufficiently acquainted with the actual duties of these individuals to warrant our relying on his testimony in resolving their alleged supervisory status. Accordingly, we shall permit them to vote subject to challenge. Activities Coordinator Rich: Rich possesses a pro- fessional degree and is trained in the field of patient recreation. She is qualified under appropriate Feder- al regulations to serve as an activities coordinator. Her primary duties deal with organizing recreational activities for residents of the home. She is responsible for obtaining books, magazine subscriptions, games, and crafts. She has no other employees assisting her in performing these duties. In addition, Rich per- forms certain duties with respect to the admission and discharging of patients. The exact nature of these duties is not clear from the record, save for the indication that they involve getting a particular patient's papers in order and giving them to an office clerical employee for typing. The Employer in its brief on review urges the ex- clusion of Rich from any unit found appropriate. The Petitioner has not indicated in its brief its posi- tion with respect to the inclusion or exclusion of Rich. However, on the record Petitioner indicated it was in agreement that Rich should be excluded. Ac- cordingly, we shall exclude Rich from the unit, in accordance with the parties' agreement. Secretary to the personnel coordinator: Personnel Coordinator Cowdy's secretary performs routine typ- ing and filing tasks in the personnel department dur- ing approximately 50 percent of her working time. During the remainder, she performs similar duties in the nursing department. The Employer contends this employee should be excluded pursuant to the parties' stipulation to exclude office clericals. The Petitioner has not indicated its position with respect to the unit placement of this individual. Inasmuch as the record reveals this employee is engaged in routine office 16 E.g., under examination by the Employer's counsel, Myers indicated that the individuals in question were responsible for directing other employ- ees in the preparation and distribution of food. However, he had earlier testified on at least two occasions under examination by Petitioner's counsel that he had no knowledge of the specific duties of these individuals. 650 DECISIONS OF NATIONAL LABOR RELATIONS BOARD clerical work, we shall exclude her from the request- ed unit. In accordance with our determinations herein and the various stipulations 17 of the parties, we shall di- rect an election among the employees in the follow- ing unit which we find appropriate for the purposes 17 The parties stipulated the following individuals should be excluded as supervisors Administrator Myers. Assistant Administrator Payne, Officer Manager Stucky, Director of Nursing Griggs. Assistant Director of Nursing Hankins, Personnel Coordinator Cowdy, Medical Records Coordinator Jus- tice, Purchasing and Housekeeping Departments Coordinator Gibson, and Assistant Housekeeping Department Coordinators McCray and Arnold The parties stipulated to exclude Chaplin Westberry and the currently va- cant position of controller The parties are in agreement to exclude all office clerical employees , registered nurses , and nursing coordinators of collective bargaining within the meaning of Sec- tion 9(b) of the Act: All full-time and regular part-time service and maintenance employees, including nurses aides, orderlies, dietary department employees, house- keeping employees, licensed engineers, and other engineering department employees; ex- cluding all registered nurses, licensed practical nurses, office clerical employees, technical and professional employees, guards, and supervisors as defined in the Act. 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