University Medical Center

National Labor Relations Board - Board Decisions

Sep 26, 2001

335 N.L.R.B. 1318 (N.L.R.B. 2001)

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 1318
Community Hospitals of Central California d/b/a
University Medical Center and California
Nurses Association and Service Employees In-
ternational Union, Local 752, Service Employees
International Union, AFL–CIO. Cases 32–CA–
15864 and 32–CA–15976
September 26, 2001
DECISION AND ORDER
BY CHAIRMAN HURTGEN AND MEMBERS
LIEBMAN AND WALSH
On September 18, 1998, Administrative Law Judge
Michael D. Stevenson issued the attached decision. The
General Counsel filed a brief in support of certain por-
tions of the judge’s decision, limited exceptions, and a
supporting brief. The Charging Party, California Nurses
Association, filed an answering brief in support of the
judge’s decision and a reply to the Respondent’s answer-
ing brief. The Respondent filed exceptions and a sup-
porting brief, a brief responding to the General Counsel’s
limited exceptions, and a reply brief.
The National Labor Relations Board has delegated its
authority in this proceeding to a three-member panel.
The Board has considered the decision and the record
in light of the exceptions and briefs and has decided to
affirm the judge’s rulings, findings,1 and conclusions and
to adopt the recommended Order as modified.2

1 The Respondent has excepted to some of the judge’s credibility
findings. The Board’s established policy is not to overrule an adminis-
trative law judge’s credibility resolutions unless the clear preponder-
ance of all the relevant evidence convinces us that they are incorrect.
Standard Dry Wall Products, 91 NLRB 544 (1950), enfd. 188 F.2d 362
(3d Cir. 1951). We have carefully examined the record and find no
basis for reversing the findings.
In addition, some of the Respondent’s exceptions imply that the
judge’s rulings, findings, and conclusions demonstrate bias and preju-
dice. On careful examination of the judge’s decision and the entire
record, we are satisfied that the Respondent’s contentions are without
merit. In particular, we find no evidence to support the Respondent’s
claim that the judge engaged in “open displays of hostility” toward the
Respondent and its counsel during the hearing. Further, we find, for
the reasons fully explained by the judge, that he did not violate the
Respondent’s due process rights by imposing time limits for the com-
pletion of the Respondent’s case in chief. In any case, the Respondent
has not claimed that it suffered any particularized harm because of
these time limits and does not seek a specific remedy beyond asking the
Board “to take into consideration these [due process] issues when re-
viewing [the] decision.”
Contrary to our colleague, we adopt the finding that the Respondent
violated Sec. 8(a)(1) of the Act by maintaining certain unlawful provi-
sions in its employee handbook, standards of conduct. We correct,
however, the judge’s inadvertent erroneous reference in his conclusion
of law, par. 10, to the relevant portions of the handbook. Accordingly,
we adopt the judge’s finding that the Respondent unlawfully main-
tained pars. 1 (insubordination, etc.) and 8 (not 3, as incorrectly refer-
enced by the judge) (release or disclosure of confidential information).
There were no exceptions to the judge’s recommended dismissal of the
allegation concerning par. 2 (unauthorized removal, damage, use, or
possession of the Respondent’s records).
1. Unlawful refusal to recognize the Union
For the reasons stated fully by the judge, we adopt the
judge’s finding that as of October 7, 1996, the Respon-
dent has been a successor employer to Valley Medical
Center (VMC or the predecessor) under the test of Fall
River Dyeing Corp. v. NLRB 3 and NLRB v. Burns Secu-
rity Services.4 We also agree with the judge that a unit
consisting of employees previously employed by VMC
in unit 7 job classifications remained intact under the
Respondent and continues to be an appropriate, single-
facility unit.5
The California Nurses Association (the Union), the
collective-bargaining representative of the predecessor’s
unit seven employees, made its initial demand for recog-
nition and bargaining on August 16, 1996, before the
Respondent’s takeover of VMC was finalized. This was
a continuing demand. Accordingly, we adopt the judge’s
finding that the Respondent’s obligation to bargain with
the Union was established as of October 7, at which time
the Respondent had assumed control of the predecessor
and a majority of the unit consisted of the predecessor’s
employees.6 The judge found that “at no time did Re-
spondent ever respond substantively to the Union’s de-
mand for recognition.” Further, the judge rejected, for
lack of evidence, the Respondent’s defense that it refused
to recognize and bargain with the Union because it had a
good-faith doubt that the Union retained the support of a
majority of the unit employees. Thus, the judge found
that the Respondent violated Section 8(a)(5) and (1) of

2 We correct the judge’s inadvertent omission from the Order and
notice to employees of the appropriate provisions corresponding to his
finding, which we have adopted, that the Respondent violated Sec.
8(a)(1) of the Act by maintaining unlawful provisions in its employee
handbook.
We shall modify the judge’s recommended Order in accordance with
our recent decision in Ferguson Electric Co., 335 NLRB 142 (2001).
3 482 U.S. 27, 41–43 (1987).
4 406 U.S. 272 (1972).
5 As noted infra, those job classifications include anesthetist I, II,
and noncertified clinical nurse specialist, mental health nurse I and II,
nurse interim permittee and (permittee A), nurse practitioner, public
health nurse I and II, staff education and development instructor (step
4), staff nurse I, I–A, II, II–A, III, and III–A. The judge found that as
of October 15, 1996, 1 week after the Respondent assumed control of
predecessor employer VMC, the Respondent employed 278 of the
predecessor’s unit 7 employees in its unit 7, which consisted of 307
employees.
There were no exceptions to the judge’s recommended dismissal of
all complaint allegations relating to historical units 5 and 12 and the
bargaining representative of those unit employees, Service Employees
International Union, Local 752.
6 Fall River Dyeing Corp. v. NLRB, supra, fn. 106 at 52–53.
335 NLRB No. 87
UNIVERSITY MEDICAL CENTER 1319
the Act by refusing to recognize and bargain with the
Union.7
We agree that the Respondent violated the Act by fail-
ing to recognize and bargain with the Union. However,
we do so pursuant to the successor bar rule established
by the Board in St. Elizabeth Manor, supra,8 where the
Board held:

[O]nce a successor’s obligation to recognize an incum-
bent union has attached (where the successor has not
adopted the predecessor’s contract), the union is enti-
tled to a reasonable period of bargaining without chal-
lenge to its majority status through a decertification ef-
fort, an employer petition, or a rival petition.8
______________________________________
8 In the successorship situation, the successor employer’s ob-
ligation to recognize the union attaches after the occurrence of
two events: (1) a demand for recognition or bargaining by the un-
ion; and (2) the employment by the successor employer of a “sub-
stantial and representative complement” of employees, a majority
of whom were employed by the predecessor. [Citation omitted.]
Thus, because the employer’s obligation to recognize the union
commences at that time, as soon as those two events have oc-
curred, the bar to the processing of a petition or to any other chal-
lenge to the union’s majority status begins, whether or not the
employer has actually extended recognition to the union as of that
time.

Here, as set forth above, all of the factors necessary to
establish a successor bar are present. The Union made a
demand for recognition and bargaining on August 16,
1996. That demand continued in effect through October
7, 1996, when the Respondent assumed control of prede-
cessor VMC and had hired a substantial and representa-
tive complement (278 of 307) of the employees formerly
employed by VMC in unit 7. Thus, beginning on Octo-

7 After the judge issued his attached decision, the Board issued deci-
sions in St. Elizabeth Manor, 329 NLRB 341 (1999), and Levitz Furni-
ture Co. of the Pacific, 333 NLRB 717 (2001).
St. Elizabeth Manor reestablished the principle that a successor em-
ployer violates Sec. 8(a)(5) if it withdraws recognition from an incum-
bent union before a reasonable period of time for bargaining has
elapsed, whether that withdrawal is based on a good-faith doubt of the
union’s continuing majority status or evidence of actual loss of majority
status. Inn Credible Caterers, 333 NLRB 898 fn. 5 (2001).
Subsequently, Levitz overruled Celanese Corp., 95 NLRB 664
(1951), and held (1) that employers are no longer permitted unilaterally
to withdraw recognition from an incumbent union on the basis of a
good-faith doubt about the union’s continuing majority status, and (2)
an employer may unilaterally withdraw recognition from an incumbent
union only where the union has actually lost the support of the majority
of the bargaining unit employees. However, the holding in Levitz is not
being applied retroactively to cases, like this one, involving asserted
“good-faith doubt” of a union’s continued majority status. Rather, the
applicable standard for cases that were pending at the time the Board
issued Levitz is the “good faith uncertainty” standard as explicated by
the Supreme Court in Allentown Mack Sales & Service v. NLRB, 522
U.S. 359 (1998). Levitz, supra, at 727 (Prospective Application).
8 See Inn Credible Caterers, Ltd., supra.
ber 7, the Respondent’s duty to recognize and bargain
with the Union as the representative of the unit employ-
ees attached; and the Union was entitled to a reasonable
period9 of bargaining without challenge to its representa-
tive status. In failing to honor its obligation, the Respon-
dent has violated Section 8(a)(5) and (1) of the Act.
Alternatively, we agree with the judge, for the reasons
he sets forth in section III,B,2,e of his attached decision,
applying Allentown Mack, supra, that the Respondent did
not establish that it had a good faith, reasonable doubt
about the Union’s continued majority status and that,
indeed, the Respondent never relied on any alleged
good-faith doubt as a reason not to recognize the Union.
Thus, even if the Respondent’s refusal to recognize the
Union had not been unlawful under St. Elizabeth Manor,
it would have been unlawful under Allentown Mack.
Accordingly, we shall adopt the judge’s recommended
Order and require the Respondent to recognize and bar-
gain in good faith with the Union on behalf of the unit
employees.10 We have determined that an affirmative
bargaining order is warranted and is necessary to fully
remedy the allegations in this case.11 Such an order vin-
dicates the Section 7 rights of the unit employees who
were denied the benefits of collective bargaining by the
Respondent’s unlawful refusal to recognize and bargain
9 In determining whether a reasonable period has elapsed prior to the
filing of a petition, the Board looks to the length of time as well as what
has been accomplished in the bargaining. St. Elizabeth Manor, supra,
citing Ford Center for the Performing Arts, 328 NLRB 1 (1999).
10 Inn Credible Caterers, supra.
11 We agree, for the reasons fully set forth in Caterair International,
322 NLRB 64 (1996), and Williams Enterprises, 312 NLRB 937
(1993), enfd. 50 F.3d 1280 (4th Cir. 1995), that an affirmative bargain-
ing order is warranted in this case as a remedy for the Respondent’s
unlawful refusal to recognize and bargain with the Union. We adhere
to the view, reaffirmed by the Board in Caterair, that an affirmative
bargaining order is “the traditional, appropriate remedy for an 8(a)(5)
refusal to bargain with the lawful collective-bargaining representative
of an appropriate unit of employees.” 322 NLRB at 68.
In several cases, however, the U.S. Court of Appeals for the District
of Columbia Circuit has required that the Board justify, on the facts of
each case, the imposition of such an order. See, e.g. Vincent Industrial
Plastics v. NLRB, 209 F.3d 727 (D.C. Cir. 2000); Lee Lumber & Build-
ing. Material v. NLRB, 117 F.3d 1454, 1462 (D.C. Cir. 1997); and
Exxel/Atmos v. NLRB, 28 F.3d 1243, 1248 (D.C. Cir. 1994). In the
Vincent case, the court summarized the court’s law as requiring that an
affirmative bargaining order “must be justified by a reasoned analysis
that includes an explicit balancing of three considerations: (1) the
employees’ §7 rights; (2) whether other purposes of the Act override
the rights of employees to choose their bargaining representatives; and
(3) whether alternative remedies are adequate to remedy the violations
of the Act.” 209 F.3d at 738.
Although we respectfully disagree with the court’s requirement for
the reasons set forth in Caterair, we have examined the particular facts
of this case as the court requires, and we find that a balancing of the
three factors warrants an affirmative bargaining order. Chairman Hurt-
gen does not disagree with the court’s view.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 1320
with the Union. Moreover, a bargaining order, with its
attendant bar to raising a question concerning the Un-
ion’s continuing majority status for a reasonable time,
does not unduly prejudice the Section 7 rights of em-
ployees who may oppose continued union representation,
because the duration of the order is no longer than is rea-
sonably necessary to remedy the ill effects of the viola-
tion. As noted, the Respondent never recognized the
Union and never suggested it would bargain with the
Union.12 This fact weighs more heavily in favor of the
Section 7 rights of former VMC employees, whose rights
were infringed upon by the Respondent’s refusal to rec-
ognize the Union.
Further, a bargaining order also serves the policies of
the Act by fostering meaningful collective bargaining
and industrial peace. That is, it removes the Respon-
dent’s incentive to delay bargaining in the hope of fur-
ther discouraging support for the Union. It also ensures
that the Union will not be pressured by the Respondent’s
withdrawal of recognition to achieve immediate results at
the bargaining table following the Board’s resolution of
its unfair labor practice charge and issuance of a cease-
and-desist order.
In addition, a cease-and-desist order, without a tempo-
rary bar against challenging the Union’s representative
status, would be inadequate to remedy the Respondent’s
violations because it would not afford the employees a
reasonable time to regroup and bargain through their
representative in an effort to reach a collective-
bargaining agreement. Such a result would be particu-
larly unfair in circumstances such as those here, where
litigation of the Union’s charge has been protracted, and
the Respondent’s unfair labor practices are of a continu-
ing nature and are likely to have a continuing effect,
thereby tainting any employee disaffection from the Un-
ion arising during that period or immediately thereafter.
We find that these circumstances outweigh the temporary
adverse impact the affirmative bargaining order will have
on the rights of employees who oppose continued repre-
sentation.
Finally, the successor bar rule adopted in St. Elizabeth
Manor effectively provides the same reasonable period
for bargaining here as would an affirmative bargaining
order.

12 Based on all the evidence of the planning process leading up to the
Respondent’s takeover of predecessor VMC, including the Respon-
dent’s failure to allow participation by the Union, the judge found that
the “Respondent never had any intention of recognizing CNA and the
purported efforts by the transition team and others, including legal
counsel, were mere window-dressing for a decision that had never been
in doubt.”
2. Unlawful handbook provisions
In section III,B,3 of his attached decision, the judge
found that the Respondent violated Section 8(a)(1) by
maintaining rules in its employee handbook prohibiting:
[Rule] 1. Insubordination, refusing to follow direc-
tions, obey legitimate requests or orders, or other disre-
spectful conduct towards a service integrator, service
coordinator, or other individual;
. . . .
[Rule] 8. Release or disclosure of confidential informa-
tion concerning patients or employees.
The Board’s standard for analyzing workplace rules
like these is set out in Lafayette Park Hotel, 326 NLRB
824, 825 (1998), enfd. mem. 203 F.3d 52 (D.C. Cir.
1999), as follows:
In determining whether the mere maintenance of rules
such as those at issue here violates Section 8(a)(1), the
appropriate inquiry is whether the rules would reasona-
bly tend to chill employees in the exercise of their Sec-
tion 7 rights. Where the rules are likely to have a chill-
ing effect on Section 7 rights, the Board may conclude
that their maintenance is an unfair labor practice, even
absent evidence of enforcement. [Footnote omitted.]
Our dissenting colleague would reverse the judge’s
8(a)(1) findings, arguing that Lafayette Park supports his
position. He finds that the mere maintenance of rules 1
and 2 would not reasonably tend to chill employees in
the exercise of their Section 7 rights. He asserts that nei-
ther rule expressly prohibits protected activity and that no
employee has been shown to have actually been pre-
vented, discouraged, or restrained by these rules from
exercising their rights under the Act. Although he ac-
knowledges that rule 1 prohibits “disrespectful conduct
towards . . . an individual,” he finds that employees
would not reasonably conclude that the rule applies to
employee solicitation of union support from other em-
ployees. Rather, he finds that, in context, rule 1 is aimed
at conduct in the course of business dealings, and that
there is nothing in the rule, as written, to suggest that it
involves employee-to-employee communications about
union matters.
We disagree with our colleague’s application of Lafay-
ette Park and his narrow assessment of the potentially
chilling scope of this rule, which seemingly springs from
the absence of expressly and clearly unlawful terminol-
ogy in the rule itself. Rather, we fully agree with the
judge’s analysis of the unlawfulness of this rule. Al-
though the judge does not cite Lafayette Park (the
Board’s decision in that case issued just a few weeks
before the judge issued his decision here), we find that
his analysis is entirely consistent with the Lafayette Park
UNIVERSITY MEDICAL CENTER 1321
standard set forth above. As the judge reasoned, con-
certed employee protest of supervisory activity and em-
ployee solicitation of union support from other employ-
ees are protected activities under the Act, and employees
here could reasonably believe that both forms of activity
might be prohibited by rule 1’s prohibition against
“[i]nsubordination . . . or other disrespectful conduct”
towards service integrators and coordinators and other
individuals.13
Contrary to our colleague, our decision is not in con-
flict with the Board majority’s ruling in Lafayette Park
regarding standard of conduct 6, which prohibited em-
ployees from:
Being uncooperative with supervisors, employees,
guests and/or regulatory agencies or otherwise engag-
ing in conduct that does not support the Lafayette Park
Hotel’s goals and objectives.
In Lafayette Park, the majority, focusing on the “goals and
objectives” language, concluded that the language in ques-
tion addressed legitimate business concerns and contained
no ambiguity. The rule in this case, however, included no
such limiting language which removes its ambiguity and
limits its broad scope.
Nor is our decision here in conflict with the District of
Columbia Circuit’s recent opinion in Adtranz ABB Daim-
ler-Benz Transportation N.A., Inc. v. NLRB, 253 F.3d 19
(2001), vacating in pertinent part 331 NLRB 291 (2000).
There, the employer published and distributed to its em-
ployees in a handbook a rule prohibiting, as serious mis-
conduct, the use of “abusive or threatening language to
anyone on company premises.” The Board focused on
the aspect of the rule prohibiting abusive language, ibid.,
291 fn. 3. The Board majority (with Member Brame
dissenting in pertinent part) adopted the administrative
law judge’s finding, relying on Flamingo-Hilton Laugh-
lin, 330 NLRB 287 (1999), that the prohibition against

13 The judge relied on, inter alia, Southern Maryland Hospital, 293
NLRB 1209, 1221–1222 (1989), enfd. in pertinent part 916 F.2d 932
(4th Cir. 1990) (Unlawful rule against, inter alia, “derogatory attacks on
fellow employees . . . or hospital representative[s]”). In enforcing the
pertinent part of the Board’s Order, the Fourth Circuit said:
Although certain types of derogatory remarks may sound
quite similar to maliciously false and defamatory speech, which
an employer may prohibit, derogatory remarks may also include
truthful union propaganda that places hospital personnel in an un-
favorable light. By permitting the punishment of employees for
speaking badly about hospital personnel, the employer “fail[ed] to
define the area of permissible conduct in a manner clear to em-
ployees and thus cause[d] employees to refrain from engaging in
protected activities.” American Cast Iron Pipe Co. v. NLRB, 600
F.2d 132, 137 (8th Cir. 1979). It may very well be true that de-
rogatory attacks destroy, as the hospital puts it, “the positive work
atmosphere,” but the values of free speech and union expression
outweigh employer tranquility in this instance. [916 F.2d at 940.]
abusive language was per se unlawful because it did not
make it clear that it was not intended to prohibit lawful
union organizing propaganda, and could thus, absent
such an explanation, reasonably be interpreted by em-
ployees as prohibiting such communication.
The court vacated this unfair labor practice finding. At
the outset, the court said that it would enforce Board rul-
ings where the Board faithfully applies the standard in
Lafayette Park Hotel, supra (i.e., whether the rule in
question would reasonably tend to chill employees in the
exercise of their statutory rights) and adequately explains
the basis for its conclusion. 253 F.3d at 25. The court
found, however, that the Board had failed to explain the
basis for its conclusion that the rule prohibiting abusive
or threatening language in the workplace could reasona-
bly be interpreted on its face as prohibiting lawful union
propaganda. Indeed, the court rejected any notion that
employees are incapable of organizing a union or exer-
cising their other statutory rights under the Act without
resort to abusive or threatening language. Id. at 26.
Moreover, the court found that abusive language in the
workplace can constitute verbal harassment, triggering
employer civil liability under both federal and state law
for failure to maintain a workplace that is free of harass-
ment. Id. at 27. Further, the court found that threatening
language in the workplace carries with it the potential for
violent confrontations, again triggering employer liabil-
ity. Id.
In this case, however, the rule in question prohibiting
all disrespectful conduct towards others, is clearly
broader on its face than the rule in Adtranz, which pro-
hibited only abusive or threatening language.14 Words
and conduct may be regarded as disrespectful—that is,
lacking in deference or special regard or discourteous15—
without being perceived as actually abusive or threaten-
ing. In other words, there are degrees of unwanted over-
tures. And defining due respect, in the context of union
activity, seems inherently subjective. An employee ex-
posed to vigorous proselytizing for or against a union,
which he preferred to avoid or which reflected an oppos-
ing view, might well feel that he was being treated with a
lack of respect, even if he did not feel threatened or
abused. He might believe, then, that such conduct vio-
lated the Respondent’s rule and could be reported.16
14 “Disrespectful” means lacking in high or special regard, or lacking
in deference. Webster’s New Collegiate Dictionary (1977).
15 See, e.g., Webster’s New Collegiate Dictionary (1977); American
Heritage Dictionary of the English Language (2000). A pushy sales-
man, for example, might well be viewed as being disrespectful without
crossing the line into harassment.
16 See, e.g., Vestal Nursing Center, 328 NLRB 87 (1999) (letter to
employees advising them that they should inform the employer of the
names of any employees who harass them regarding their opinions
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 1322
Correspondingly, potential employee advocates could
reasonably anticipate that some members of their tar-
geted audience would believe that the rule shielded them
from contact with any expression of views that they did
not welcome or agree with. In short, the rule here is sig-
nificantly more likely to chill employees in the exercise
of their Section 7 rights than the rule at issue in Adtranz.
In contrast to the dissent, we do not believe that employ-
ees’ reasonable understanding of the rule will be gov-
erned by “applying the rule of ejusdem generis.” Such
rules of construction guide attorneys in drafting legal
documents, but not lay employees in attempting to un-
derstand employment rules of conduct. Accordingly, we
find it unlawful on its face, under Section 8(a)(1) of the
Act.
As for rule 8 (prohibiting “release or disclosure of con-
fidential information concerning patients or employees”),
our colleague asserts here also that the rule does not ex-
pressly prohibit Section 7 activity, and that it is justified
by the Respondent’s right to keep its business records
confidential and to protect its confidential personnel re-
cords against misuse. We find, however, in agreement
with the judge and contrary to our colleague, that rule 8
is unlawfully broad because it could reasonably be con-
strued by employees to prohibit them from discussing
information concerning terms and conditions of em-
ployment, including wages, which they might reasonably
perceive to be within the scope of the broadly-stated
category of “confidential information” about employees.
Flamingo Hilton-Laughlin, 330 NLRB at 288 (unlawful
rule prohibiting employees from revealing “confidential
information regarding our customers, fellow employees,
or Hotel business”); Pontiac Osteopathic Hospital, 284
NLRB 442, 465–466 (1987) (unlawful rule characteriz-
ing “Hospital affairs, patient information, and employee
problems” as “absolutely confidential,” and prohibiting
employees from discussing them).
ORDER
The National Labor Relations Board orders that the
Respondent, Community Hospitals of Central California
d/b/a University Medical Center, Fresno, California, its
officers, agents, successors, and assigns, shall
1. Cease and desist from

about the union could easily cover legitimate union activity, as it leaves
it to the employee to determine any perceived interruption or harass-
ment; letter encourages employees to report any perceived harassment
and clearly has a chilling effect on legitimate union activity, in viola-
tion of Sec. 8(a)(1) of Act); letter has potential dual effect of encourag-
ing employees to identify union supporters based on the employees’
subjective view of harassment and discouraging employees from
engaging in protected activities. (Citing Mississippi Transport, 310
NLRB 1339, 1344 (1993)).
(a) Failing and refusing to recognize and bargain with
California Nurses Association respecting the unit set
forth below.
(b) Maintaining unlawful provisions in the employee
handbook, Standards of Conduct.
(c) In any like or related manner interfering with, re-
training, or coercing employees in the exercise of the
rights guaranteed them in Section 7 of the Act.
2. Take the following affirmative action necessary to
effectuate the policies of the Act.
(a) On request, bargain with California Nurses Asso-
ciation as the exclusive bargaining representative of the
employees in the following appropriate unit concerning
terms and conditions of employment and, if an under-
standing is reached, embody said understanding in a
signed agreement:

Employees of University Medical Center formerly em-
ployed at VMC in the following job classifications:
Anesthetist I, II, and Non-certified Clinical Nurse
Specialists, Mental Health Nurse I and II, Nurse
Interim Permittee and (Permittee A), Nurse Practi-
tioner, Public Health Nurse I and II, Staff Educa-
tion and Development Instructor (Step 4), Staff
Nurse I, I–A, II, II–A, III, and III–A.

(b) On request of the California Nurses Association,
restore the status quo ante of former unit 7 employees,
rescinding any changes made in the former unit 7 em-
ployees’ wages, hours, and working conditions that were
implemented on and after October 7, 1996, and make all
affected former unit 7 employees whole for any and all
losses they incurred by virtue of the changes to their
wages, fringe benefits, and other terms and conditions of
employment from October 7, 1996, until it negotiates in
good faith with the California Nurses Association to
agreement or to impasse, in the manner set forth in the
remedy section of this decision.
(c) Preserve and, within 14 days of a request, or such
additional time as the Regional Director may allow for
good cause shown, provide at a reasonable place desig-
nated by the Board or its agents, all payroll records, so-
cial security payment records, timecards, personnel re-
cords and reports, and all other records, including an
electronic copy of such records if stored in electronic
form, necessary to analyze the amount of backpay due
under the terms of this Order.
(d) Rescind unlawful provisions previously maintained
in the employee handbook, Standards of Conduct.
(e) Post at its Fresno, California facilities (UMC,
FMC, and CCH), copies of the attached notice marked
UNIVERSITY MEDICAL CENTER 1323
“Appendix.”17 Copies of the notice, on forms provided
by the Regional Director for Region 32, in English and
such other languages as the Regional Director determines
are necessary to fully communicate with employees, after
being signed by Respondent’s authorized representative,
shall be posted for 60 consecutive days in conspicuous
places, including all places where notices to employees
are customarily posted. Reasonable steps shall be taken
by Respondent to ensure the notices are not altered, de-
faced, or covered by other material.
(f) Notify the Regional Director, in writing, within 20
days from the date of this Order what steps Respondent
has taken to comply.

CHAIRMAN HURTGEN, concurring in part and dissent-
ing in part.
1. I agree with my colleagues that the Respondent vio-
lated Section 8(a)(5) and (1) of the Act by refusing to
recognize and bargain with the California Nurses Asso-
ciation (the Union) and that an affirmative bargaining
order is warranted. Contrary to my colleagues, I do not
reach that decision by application of the “successor bar”
rule established in St. Elizabeth Manor,1 a case in which
I dissented. Rather, for the reasons explained in that dis-
sent, I adhere to the previously well-settled and well-
reasoned precedent. However, under that precedent, and
in agreement with the judge, I find that the Respondent
was not justified in refusing to recognize the Union. It
did not have a reasonable doubt, based on objective fac-
tors, that the Union continued to command the support of
a majority of the unit employees.
The judge correctly found that: (a) the Respondent is a
Burns2 successor employer; (b) the historic unit (employ-
ees previously employed by the predecessor in unit 7 job
classifications) remained intact at the Respondent; (c) the
historic unit continued to be an appropriate, single-
facility unit; and (d) the California Nurses Association
(the Union) made a valid demand for recognition and
bargaining effective August 17, 1996, and continuing
thereafter.3 Thus, in agreement with the judge and my
colleagues, I find that the Respondent’s obligation to
recognize and bargain with the Union was established as
of October 7, when the Respondent assumed control of

17 If 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 Na-
tional Labor Relations Board” shall read “Posted Pursuant to a Judg-
ment of the United States Court of Appeals Enforcing an Order of the
National Labor Relations Board.”
1 329 NLRB 341 (1999). See also, my dissent in Inn Credible Ca-
terers, 333 NLRB 898 (2001).
2 NLRB v. Burns Security Services, 406 U.S. 272 (1972).
3 All dates are 1996.
the predecessor and hired a majority of the predecessor’s
employees.
The Respondent never responded substantively to the
Union’s demands. As noted above, the Union made its
initial demand for recognition and bargaining on August
16, almost 2 months before the Respondent took control
of the predecessor and at a time when transition from
predecessor to the Respondent was beginning, but before
the Respondent had finally assumed control. The Re-
spondent acknowledged the demand, saying that it had
been forwarded to legal counsel for “appropriate action.”
The Union’s request for recognition operated as a con-
tinuing demand.4 Further, when there was no response
from the Respondent following the final takeover of the
predecessor on October 7, the Union made subsequent
demands on October 29 and November 25, to no avail.
As more fully explained in the judge’s decision, none
of the Respondent’s careful and extensive pretransition
studies, models, and reports anticipated any role for the
Union at the Respondent. Credited testimony by Henry
Perea, former human resource director at the predecessor,
establishes that, during a pretakeover meeting between
Perea and the Respondent’s human resources official and
legal counsel, the Respondent representatives made it
clear that the Respondent was not interested in having
unions “as part of their overall system in the context of
merger discussions.” Thus, the judge concluded, from
the Respondent’s pretransaction and transition period
course of conduct, that the Respondent “never had any
intention of recognizing [the Union] and the purported
efforts by transition team and others including legal
counsel, were mere window-dressing for a decision [not
to recognize and bargain with the Union] that had never
been in doubt.” This pretransaction conduct, standing
alone, casts doubt on the Respondent’s assertion that it
refused to recognize the Union because it had a good-
faith doubt of the Union’s continued majority status.
The Respondent’s pretransaction conduct does not
stand alone, however. In response to the unfair labor
practice charges filed in this case beginning in April
1997 by the Union, the Respondent submitted two state-
ments of position to the Regional Director. In neither
position statement did the Respondent raise good-faith
doubt of the Union’s majority status as a basis for refus-
ing to recognize the Union.
Further, at the hearing the Respondent’s witnesses
cited a number of incidents that purportedly caused it to
believe that a majority of the unit employees did not sup-
port union representation. As more fully related by the
4 See, e.g., Aircraft Magnesium, 265 NLRB 1344, 1345 (1982), cit-
ing Williams Energy Co., 218 NLRB 1080 fn. 4 (1975).
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 1324
judge, some witnesses testified that unit employees had
expressed frustration with several aspects of the negotia-
tions between the Union and Fresno County in protracted
collective-bargaining negotiations before and during the
early stages of the Respondent’s consideration of a pos-
sible takeover of the predecessor. The judge found, and I
agree, that these matters were too distant in time from
October 7 to support a claim of good-faith doubt.5 Re-
spondent witnesses also testified to reports of employee
disagreement with the Union’s position against the take-
over and dissatisfaction with the personal conduct of
Union Representative Karen Short. The judge found,
and I agree, that those concerns were resolved by Short’s
resignation from her union offices early in 1996.
The judge noted, in any case, that the objections
voiced by the Respondent’s witnesses were not to the
Union per se, but merely to a particular policy, goal, or
tactic.6 Further, the judge noted that “all or most” of the
Respondent’s unit witnesses continued their union mem-
bership through October 6, the day before the takeover
became final, and even on the witness stand at the instant
hearing “professed a strong belief in having a labor union
represent them in collective bargaining.” Thus, I agree
with the judge that none of the above-described evidence
of purported employee disaffection from the Union pro-
vides an objective basis for the Respondent’s claim of
good-faith doubt.
Particularly in light of the Respondent’s failure to ad-
duce evidence showing who at Respondent made the
decision not to recognize and bargain with the Union or
why the decision was made,7 the judge found that the
Respondent failed to show a nexus between the evidence
allegedly supporting a good-faith doubt and the Respon-
dent’s decision not to recognize the Union.
For all of the above reasons, I adopt the judge’s find-
ing that the Respondent was not justified in refusing to
recognize the Union because it did not have a reasonable,

5 Henry Perea credibly testified, contrary to the Respondent’s con-
tention, that union membership “held steady” during the collective-
bargaining negotiations.
6 An employee may desire continued representation by a union even
while engaging in a wide range of action that disclose conflict with, or
opposition to, the union’s goals or tactics. See, e.g., Briggs Plumbing-
ware, Inc. v. NLRB, 877 F.2d 1282, 1288–1289 (6th Cir. 1989).
7 My colleagues have adopted the judge’s finding that the Respon-
dent violated the Act by refusing to recognize and bargain with the
Union, which was supported, in part, by an adverse inference based on
the Respondent’s failure to comply with a subpoena duces tecum for
documents tending to relate to Respondent’s alleged good-faith doubt
of the Union’s majority status. I join them in finding this inference
reasonable. I would find the violation even without this adverse infer-
ence, however, because as I have explained, I find that the Respondent
had no legally cognizable uncertainty of the Union’s continued major-
ity support among unit employees.
good-faith doubt, based on objective factors, that the
Union continued to command the support of a majority
of the unit employees.8
2. My colleagues adopt the judge’s finding that the
Respondent violated Section 8(a)(1) by maintaining cer-
tain provisions in its employee handbook. Their finding
is inconsistent with the Board majority’s application of
the relevant law in Lafayette Park Hotel.9 Thus, I do not
join them in adopting the judge’s decision on this issue.10
In Lafayette Park Hotel, the Board considered whether
the employer’s mere maintenance of certain rules in its
employee handbook violated the Act. The Board agreed
on the standard to be applied—that is, whether the rules
would reasonably tend to chill employees in the exercise
of their Section 7 rights. Where the rules are likely to
have a chilling effect, the Board may conclude that their
mere maintenance is an unfair labor practice. However,
the Board was split on the application of the standard to
rules substantially similar to those at issue here.11 Thus,
in a split decision, in which I was in the majority, the
Board found lawful, inter alia, the employer’s rules
against:
[b]eing uncooperative with supervisors, employees,
guests and/or regulatory agencies or otherwise engag-
ing in conduct that does not support [the em-
ployer’s]goals and objectives
and
[d]ivulging Hotel-private information to employees or
other individuals or entities that are not authorized to
receive that information.
As to the former rule, the Board majority found that
the rule was unambiguous as written, and that any argu-
able ambiguity arose only through parsing and viewing
in isolation the language of the rule and attributing to the
employer an interference with employee rights. The ma-
jority declined to place such a strained construction on
the language and, thus, concluded that employees would
not reasonably conclude that the rule as written prohib-
ited Section 7 activity. Moreover, the majority observed
that the employer had not enforced the rule or by any
8 In reaching this conclusion, I do not rely on the judge’s analysis
under Shattuck Denn Mining Corp. v. NLRB, 362 F.2d 466 (9th Cir.
1966), in fn. 21 of the judge’s decision.
9 326 NLRB 824 (1998).
My colleagues say that I am applying my personal view, as set forth
in Lafayette Park. This is not the case. I am not contending here that
Respondent’s rule is justified by a significant employer interest (al-
though I think that it is). I am contending only that the rule does not
reasonably tend to chill employees in the exercise of Sec. 7 rights.
10 I join my colleagues in rejecting the Respondent’s motion to dis-
miss the complaint allegations regarding certain provisions of the
handbook.
11 Id. at 825–826.
UNIVERSITY MEDICAL CENTER 1325
other conduct led employees reasonably to believe that
the rule prohibited Section 7 activity. Similarly, the
Board majority found that the employer’s maintenance of
the latter rule was not unlawful. Specifically, the major-
ity found that: (a) the rule was not ambiguous on its face;
and (b) employees would reasonably understand that the
rule was designed to protect the employer’s interest in
maintaining confidentiality of its business information,
rather than to prohibit discussion of their wages. Ac-
cordingly the majority concluded that the rule did not
implicate employee Section 7 rights.
Consistent with the majority view in Lafayette Park
Hotel, I would find that the Respondent did not violate
Section 8(a)(1) of the Act by maintaining in its employee
handbook, Standards of Conduct, rules 1 and 8.12 These
rules provide as follows:

While it is not intended to be an exhaustive list,
below are examples of misconduct that are not per-
mitted and may lead to disciplinary action, including
discharge:
1. Insubordination, refusing to follow directions,
obey legitimate requests or orders, or other disre-
spectful conduct towards a service integrator,
service coordinator, or other individual;
. . . .
8. Release or disclosure of confidential informa-
tion concerning patients or employees.

As noted, in determining whether the mere mainte-
nance of rules, such as the Respondent’s, violates Section
8(a)(1), the appropriate inquiry is whether the rule would
reasonably tend to chill employees in the exercise of
their Section 7 rights. Applying this test, I find that the
mere maintenance of these rules by the Respondent
would not reasonably tend to chill employees in the ex-
ercise of the Section 7 rights. Neither rule expressly
prohibits protected activity, nor could either rule rea-
sonably be interpreted to do so. Further, there is no evi-
dence that any employee has actually been prevented,
discouraged, or restrained by these rules in any manner
from exercising rights protected by Section 7.
Rule l, in providing that it is unacceptable to employ-
ees to engage in insubordination or related conduct, is
unambiguous on its face. It does not prohibit Section 7
activity. It addresses the Respondent’s business concern
to maintain discipline and orderly, productive, and re-
spectful relations between employees, managers, and
supervisors. Concededly, the rule bars disrespectful
conduct in relation to “other individuals.” My colleagues

12 As noted by my colleagues, there were no exceptions to the
judge’s recommended dismissal of allegations regarding rule 2, which I
join in adopting.
say that “disrespectful” means “discourteous,” and that
an employee solicitation can reasonably be viewed by the
solicitee as discourteous. In my view, words in a rule are
to be interpreted in the context of the rule, not simply by
reference to a dictionary. Applying that principle, the
rule, in context, is aimed at conduct in the course of
business dealings. Indeed, the meaning of the term “or
other disrespectful conduct” is limited by the remainder
of the rule’s language to certain types of conduct. Thus,
the “disrespectful conduct” addressed by the rule is spe-
cifically directed at “insubordination, refusing to follow
directions, obey legitimate requests or orders.” Applying
the rule of ejusdem generis, the term “disrespectful”
means conduct of a nature that is similar to the types of
conduct previously set forth. There is nothing in the rule
to suggest that it involves employee-employee communi-
cation of a private or union nature. I am unwilling to
place a strained construction on the language.
Because the rule does not explicitly or implicitly pro-
hibit Section 7 activity, employees could not reasonably
fear that their protected right to communicate their views
regarding the union or their wages and conditions of em-
ployment would expose them to potential discipline pur-
suant to the rule. I find that employees would not rea-
sonably conclude that the rule, as written, prohibits Sec-
tion 7 activity. Accordingly, I find that rule 1 would not
reasonably tend to chill employees in the exercise of
their Section 7 rights.13
Similarly, rule 8, prohibiting unauthorized release or
disclosure of confidential information about patients or
employees, does not expressly prohibit Section 7 activity
and is justified by the Respondent’s right to keep its
business records confidential. Clearly, businesses have a
substantial and legitimate interest in maintaining the con-
fidentiality of private information, including guest in-
formation, trade secrets, contracts with suppliers, and a
range of other proprietary information, and in protecting
confidential personnel records against misuse by unau-
thorized persons. In fact, application of the rule is ex-
pressly limited to “confidential information,” a phrase
13 Thus, this case is unlike the broader and less clearly limited rule at
issue in Southern Maryland Hospital, 293 NLRB 1209, 1221–1222
(1989), enfd. in pertinent part 916 F.2d 932 (4th Cir. 1990). There, the
rule at issue prohibited “malicious gossip or derogatory attacks on
fellow employees . . . or hospital representative[s],” subject to disci-
pline for violation. The Board, with judicial approval, found that the
broad rule reasonably could have been understood to encompass “truth-
ful union propaganda that places hospital personnel in an unfavorable
light.” Further, my decision here is supported by the District of Co-
lumbia Circuit’s recent opinion in Adtranz ABB Daimler-Benz Trans-
portation N.S., Inc. v. NLRB, 253 F.3d 19 (200l). There, the court
vacated, in pertinent part, 331 NLRB 291 (2000), the Board’s finding
unlawful a rule prohibiting “abusive or threatening language to anyone
on company premises.”
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 1326
that, in context, employees would reasonably understand
to encompass proprietary or private information of the
Respondent. I do not believe that employees would rea-
sonably read this rule as prohibiting discussion of wages
and working conditions among employees or with a un-
ion, or potentially exposing employees to discipline for
doing so. I would not speculate, as do my colleagues,
that rule 8 prohibits activity protected by Section 7.
Thus, I find that rule 8 would not reasonably tend to chill
employees in the exercise of their Section 7 rights.
Because rules 1 and 8 are specifically focused on le-
gitimate employer interests, and neither rule prohibits
Section 7 activity or reasonably could be construed to do
so, employees could not reasonably fear that their Sec-
tion 7 protected activities are encompassed within the
conduct prohibited by the rules and made punishable by
disciplinary action. Thus, as I have found, neither rule
would reasonably tend to chill employees’ exercise of
their Section 7 rights. To find otherwise would require
that I unreasonably parse the language of the rules and
speculate regarding the Respondent’s intent to interfere
with employees’ Section 7 rights. I decline to do so.
Accordingly, I would dismiss the allegations regarding
Standards of Conduct 1 and 8.

APPENDIX
NOTICE TO EMPLOYEES
POSTED BY ORDER OF THE
NATIONAL LABOR RELATIONS BOARD
An Agency of the United States Government

The National Labor Relations Board has found that we vio-
lated the National Labor Relations Act and has ordered us to
post and abide by this notice.

Section 7 of the Act gives employees these rights.
To organize
To form, join, or assist any union
To bargain collectively through representatives
of their own choice
To act together for other mutual aid or protection
To choose not to engage in any of these protected
concerted activities.

WE WILL NOT refuse to recognize and bargain with
the California Nurses Association as the exclusive col-
lective-bargaining representative of employees in the
following appropriate unit:
Employees of University Medical Center formerly em-
ployed at VMC in unit 7 in the following job classifica-
tions: Anesthetist I, II, and Non-certified Clinical
Nurse Specialist, Mental Health Nurse I and II, Nurse
Interim Permittee and (Permittee A), Nurse Practitio-
ner, Public Health Nurse I and II, Staff Education and
Development Instructor (Step 4), Staff Nurse I, I–A, II,
II–A, III, and III–A.
WE WILL NOT maintain unlawful provisions in our
employee handbook, Standards of Conduct.
WE WILL NOT in any like or related manner interfere
with, restrain, or coerce you in the exercise of the rights
guaranteed you by Section 7 of the Act.
WE WILL, on request, recognize and bargain with the
California Nurses Association as the exclusive collec-
tive-bargaining representative of our employees in the
appropriate unit set forth above concerning wages, hours
and other terms and conditions of employment and, if an
understanding is reached, embody such understanding in
a signed agreement.
WE WILL, on request of the California Nurses Asso-
ciation, restore the status quo ante of former unit 7 em-
ployees, rescinding any changes made in the unit em-
ployees’ wages, hours, and working conditions that were
implemented on or after October 7, 1996, and make all
affected unit employees whole, with interest, for any
losses they incurred by virtue of the changes in their
wages, benefits, and other terms and conditions of em-
ployment from October 7, 1996, until we negotiate in
good faith with the Union to agreement or to impasse.
WE WILL rescind unlawful provisions from the em-
ployee handbook, Standards of Conduct.
COMMUNITY HOSPITALS OF CENTRAL
CALI-FORNIA D/B/A UNIVERSITY
MEDICAL CENTER

Jeffrey L. Henze, Atty., for the General Counsel.
G. Roger King and Gregory W. Guevara, Attys. (Jones, Day,
Reavis & Pogue), of Columbus, Ohio, and Miwon Yi, Atty.
(Jones, Day, Reavis & Pogue), Los Angeles, California, for
the Respondent.
James E. Eggleston, Atty. (Eggleston, Siegel & LeWitter), of
Oakland, California, for the Charging Party California
Nurses Association.
Thomas M. Sharpe, Atty. (Bennett & Sharpe), of Fresno, Cali-
fornia, for the Charging Party Service Employees Interna-
tional Union.
DECISION
STATEMENT OF THE CASE
MICHAEL D. STEVENSON, Administrative Law Judge.
This case was tried before me at Clovis, California, on Octo-
ber 7–9, December 9–12, 1997; March 3–6 and 10–13, and
April 7–10, 1998,1 pursuant to complaints issued by the Re-
gional Director for the National Labor Relations Board for
Region 32 on April 4, 1997 (Case 32–CA–15864), and on
May 23, 1997 (Case 32–CA–15976), and which are based on

1 All dates refer to 1996 unless otherwise indicated.
UNIVERSITY MEDICAL CENTER 1327
charges filed by California Nurses Association and Service
Employees International Union, Local 752, Service Employees
International Union, AFL–CIO (Unions or CNA or SEIU) on
January 3, 1997 (Case 32–CA–15864), and on March 6, 1997
(Case 32–CA–15976). On June 9, 1997, the Regional Director
for Region 32 issued an order consolidating cases, by which
Cases 32–CA–15864 and 32–CA–15976 were consolidated for
hearing (GC Exh. 1(s)). The consolidated complaint alleges
that Community Hospitals of Central California d/b/a Univer-
sity Medial Center (Respondent) has engaged in certain viola-
tions of Section 8(a)(1) and (5) of the National Labor Relations
Act (the Act).
Principal Issues
I. Whether the General Counsel has established a prima facie
case that Respondent is a successor employer.
II. If so, whether Respondent has rebutted a presumption of
continuing majority support for the two unions involved in this
case by showing:
(a) That University Medical Center was integrated into Re-
spondent’s system and operations to such an extent that the two
bargaining units were eroded, fragmented, and otherwise were
no longer appropriate.
(b) that at the time the Unions effectively demanded recogni-
tion and bargaining, Respondent entertained a good-faith doubt
of the Unions’ continuing majority status.
All parties were given full opportunity to participate, to in-
troduce relevant evidence, to examine and to cross-examine
witnesses, to argue orally, and to file briefs. Briefs, which have
been carefully considered, were filed on behalf of the General
Counsel, CNA, and Respondent.
Upon the entire record of the case, and from my observation
of the witnesses and their demeanor, I make the following
FINDINGS OF FACT
I. RESPONDENT’S BUSINESS
Respondent admits that it is a California nonprofit corpora-
tion with its offices and principal place of business located in
Fresno, California, where it operates an acute care facility. It
further admits that as of October 7 it leases the facilities and
equipment of an acute care facility formerly known as Valley
Medical Center in Fresno, California. Respondent further ad-
mits that since it began leasing said facilities and equipment,
Respondent, in the course and conduct of its business opera-
tions, has derived gross revenues in excess of $250,000 and has
purchased and received goods or materials in excess of $5000
which originated outside the State of California. Accordingly,
it admits, and I find, that Respondent is now, and has been at all
times material here, an employer engaged in commerce within
the meaning of Sections 2(2), (6), and (7) of the Act.
II. THE LABOR ORGANIZATIONS INVOLVED
Respondent admits, and I find, that California Nurses Asso-
ciation and Service Employees International Union, Local 752,
Service Employees International Union, AFL–CIO are labor
organizations within the meaning of Section 2(5) of the Act.
III. THE ALLEGED UNFAIR LABOR PRACTICES2
A. Facts
1. Statement of case
On October 7, at 12:01 a.m., Respondent assumed control of
Valley Medical Center (VMC) and renamed the facility Univer-
sity Medical Center (UMC). Because VMC had been a union
facility and Respondent was a nonunion enterprise, at least so
far as the California Nurses Association (CNA) and the Service
Employees International Union, Local 752 (SEIU) were con-
cerned, the primary issue in this case concerns whether Respon-
dent was legally required to recognize and bargain with the two
unions, upon receiving their demands. During the hearing of
this case, the parties and witnesses used various words inter-
changeably to refer to the takeover of VMC: “merger,” “trans-
fer,” “take-over,” “transaction,” “transition,” and “acquisition.”
None of these expressions is precisely correct, but for consis-
tency in this decision, I will use the term “transaction.”
2. VMC—pretransaction
VMC was a large 288 bed medical facility, consisting of six
floors or more with each floor divided into wings, referred to,
for example as 4 East, or 4 West. It was a public facility owned
and operated by Fresno County, and its employees were public
employees, with all the benefits and burdens flowing from that
status. While many of VMC’s employees were represented by
unions and grouped into 11 bargaining units, only three units
are in direct issue in this case: unit 7, in which all registered
nurses (RNs) were grouped; unit 5, in which certain service,
maintenance, and janitorial classifications were grouped; and
unit 12, in which certain clerical positions were grouped. CNA
represented the RNs and SEIU represented the other two units.3
The record contains an organization chart for VMC reflect-
ing the Fresno county board of supervisors at the top, followed
by a county administrative officer, a director of the health ser-
vices agency and the VMC hospital administrator. the various
staff and line managers are also reflected (R. Exh. 26).
Approximately 1800 employees worked at VMC during the
last 6 months before closure. However, as word of the possible
transaction with Respondent leaked out of negotiations, many
employees opted to leave VMC, either to transfer to other
county jobs or to seek employment elsewhere in the public or
private sector. This drain of experienced personnel who did not
wish to await developments combined with a county-imposed

2 Pursuant to a posthearing stipulation submitted to me by Respon-
dent under cover letter dated May 13, 1998, I herewith admit into evi-
dence R. Exh. 109, a memorandum of understanding (MOU) between
unit 21 and the county effective June 6, 1994, through December 15,
1996. In addition, pursuant to the stipulation, I will permit substitution
of new R. Exh. 104 for old R. Exh. 104 admitted into evidence at hear-
ing.
3 The parties stipulated that since January 15, 1976, CNA has been
recognized by the county as the exclusive bargaining representative of
county unit 7, and prior to October 7, such recognition has been embod-
ied in successive labor agreements between the county and CNA; simi-
larly, since May 14, 1974, SEIU has been recognized by the county as
the exclusive bargaining representative of county units 5 and 12 and
prior to October 7, such recognition has been embodied in successive
labor agreements between the county and SEIU (GC Exhs. 2(b), (c)).
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 1328
hiring freeze to place great burdens on those who remained at
VMC. In the case of RNs, VMC used per diem and registry
nurses to alleviate the nursing staff problems caused by the ebb
and flow of the patient census and the degree of care patients
required (aquity levels). In other cases, RNs were hired on a
temporary basis for a specific length of time (traveling contract
nurses). In addition, VMC used the float system to send quali-
fied (i.e., cross-trained) RNs from one department to help out in
another which was short-handed (see R. Exh. 63(h)).
VMC had the usual departments which one would expect to
find in a county hospital and medical center. A first-class
trauma center and burn center were perhaps the crown jewels of
the operations, taking all who needed care, whether able to pay
or not. The emergency department and operating rooms
worked closely with the trauma center and burn center, and
after patients were stabilized, they were transferred as needed
to intensive care unit (ICU) or the more routine, medi-
cal/surgical units on the upper floors. As some persons left this
world, so too did others enter it and VMC maintained a mater-
nal care, birth, and a pediatric ward. Finally, the radiological
and lab services departments cannot be ignored.4
Even the finest medical facility needs various behind the
scenes employees to make it run. I have already mentioned the
service, janitorial, and maintenance employees. In addition,
VMC employed several security personnel, human relations
analysts and clerks, and supervisors and managers. To be sure
there was some duplication of functions, for example, there
were a county and VMC personnel and human relations office.
Moreover, the employees at VMC were civil service and in the
case of the three units in issue here were further covered by a
collective-bargaining agreement. In some cases, for example,
in grievance and arbitration, the collective-bargaining agree-
ment superceded county due process procedures.
Respondent presented evidence suggesting that VMC was
inefficient in operation and losing large sums of money prior to
the transaction. I was told that VMC lacked up-to-date infor-
mation systems and other modern equipment. Its purchasing
methods and recruiting practices were cumbersome and de-
signed to produce delay and frustration. I note that the mission
of VMC was to provide medical services to all who required
them, including the indigent and incarcerated. I express no
opinion on whether VMC was truly inefficient as such finding
is not required by this decision and would involve the weighing
of numerous collateral factors.
3. CNA/Fresno County negotiations
SEIU has two collective-bargaining agreements (MOUs)
with Fresno County: (1) covering unit 5 (hospital, building, and
food service employers)—effective June 6, 1994, to Decem-
ber 15 (GC Exh. 3); (2) covering unit 12 (clerical employees)—
effective June 6, 1994, to December 15 (GC Exh. 5). CNA also
had an MOU effective 1992 to April 1994. CNA and Fresno

4 VMC also contained a number of clinics, i.e., separate medical fa-
cilities such as a children’s health center. These clinics were located in
some cases inside VMC or in other cases, on its campus in separate
structures, or in still other cases in rural locations far removed from
VMC by several miles. Apparently several of the clinics in and around
VMC were conveyed to Respondent as part of the transaction.
County ultimately reached a new agreement effective June 6,
1995, to December 14, 1997 (GC Exh. 4), after approximately
14 months of negotiations.
Unlike the SEIU agreements which were agreed to and in
place prior to negotiations between Fresno County and Re-
spondent over the transaction, CNA negotiations spilled over
into the period when Fresno County was considering the trans-
action with Respondent. Once the possibility of this transaction
entered the public domain in early 1995, the lives of many peo-
ple became more difficult, including those on both sides trying
to reach a new CNA labor agreement.
CNA was represented by Karen Short, a VMC RN who be-
came highly controversial to say the least. She was joined late
in the bargaining by Don Nielsen, an attorney, who was hired by
CNA as a staff representative in May 1994 after bargaining had
been in progress for some time. Short held a number of offices
for CNA, besides chief negotiator, but she resigned all CNA
nonpaid offices in early 1996 and unlike most of her VMC col-
leagues, never went to work for Respondent. Short never testi-
fied in this case, but Nielsen did testify as a General Counsel’s
rebuttal witness. These two negotiators were assisted by an
employee committee numbering 10 to 15, which varied depend-
ing on the demands of business and personal factors.
The county negotiators were headed by Ralph Jiminez, a
high county official who did not testify. He was assisted by a
number of others including Henry Perea, then the director of
human resources at VMC and a General Counsel’s rebuttal
witness, Amy Tobin and Ralph Kinder, then VMC nursing
supervisors who were hired subsequently by Respondent and
called as important witnesses for Respondent, and Dee Ann
VonBerg, a senior personnel analyst for Fresno County who
testified several different times in the instant case.
In any event, negotiations were protracted and acrimonious.
CNA perceived that the county was attempting to foist upon
bargaining unit members a number of “take-aways.” So CNA
negotiators on the one hand had to resist these perceived “take-
aways,” while on the other hand, they had to offer their own
proposals, such as increased cross-training to allow RNs float-
ing to a new department to know what to do. During the nego-
tiations, both Short and another CNA negotiator made personal
attacks upon certain members of the county team. These two
uncalled for remarks occurring at different times during the
bargaining, filtered down to certain members of the CNA bar-
gaining unit, who strongly disapproved of these and other per-
ceived unfair tactics. Several RNs, Jenny Rohan, Janet
McMillan, Sandra Yovino, all Respondent witnesses, and sev-
eral others wrote to Nielsen complaining about Short and the
protracted negotiations in general. While neither the original
nor any copy of the letter can be found, Nielsen’s reply to the
letter dated August 30, 1994, is in the record (R. Exh. 43).
The reaction of the county negotiators to the personal attacks
was to file an unfair labor practice with the county,5 and to
suspend negotiations for a brief period. In his testimony for the
General Counsel, Perea made it clear, contrary to evidence
5 I refused the offer of this unfair labor practice charge (R. Exh. 96)
which never led to any complaint and was promptly dropped once a
new agreement was reached.
UNIVERSITY MEDICAL CENTER 1329
from Respondent, that at no time during negotiations did the
county consider either withdrawing recognition from CNA or
refusing to continue bargaining.
Sometime after a new agreement was reached and after it be-
came clear that the county intended to close VMC, CNA and
county representatives went back to the bargaining table to
conduct “effects bargaining.” Apparently there was no animos-
ity left over from negotiations over the MOU, because Nielsen
was able to achieve a number of concessions from the county
such as preferences for job transfers to other county jobs for
those who wished to stay, such as a “golden handshakes” for
those 2 years or less away from retirement (the county agreed
to give those employees the necessary credit to retire), and such
as an agreement for those employees leaving to cash out their
leave bank of accrued vacation time. After obtaining these and
other concessions, CNA joined with SEIU in attempting to
influence negotiations between the county and Respondent
which negotiations eventually led to the transaction.
4. Respondent pretransaction
Respondent, a private, nonprofit corporation, is governed by
a board of directors which makes general policy decisions. Its
chief executive offices (CEO) was Bruce Perry who was re-
placed at some point during the time material to this case, by
Dr. Phil Hinton. While neither Perry nor Hinton testified, sev-
eral other members of Respondent’s highest management did
testify. For example, Marilyn Hawkins, executive service
leader, Michael McGinnis, chief financial officer, and Eileen
McCloskey, service integrator for human resources all testified
as Respondent’s witnesses. Respondent’s pretransaction organ-
izational chart is contained in the record (R. Exh. 6). By Octo-
ber 7 Respondent had made certain changes in its organiza-
tional chart (R. Exh. 7).
Respondent traces its origins in Fresno under another name
back to 1897. Over the years it grew and expanded in the
Fresno area. Its prime campus and corporate headquarters is
Fresno Community Hospital (FCH), a 359 bed acute care facil-
ity located in downtown Fresno (city and county of Fresno are
not to be confused). A second facility is Clovis Community
Hospital, a 120 bed acute care facility located in an adjoining
suburb of Fresno City. Respondent also owns and operates a
number of outpatient facilities and long-term care facilities (R.
Exh. 2, pp. 2–4).
With one exception, Respondent operates its facilities on a
nonunion basis. The exception concerns a unit of Operating
Engineers Local 39, which attends to the boilers at FCH, and
has maintained a collective-bargaining relationship with Re-
spondent for about 20 years. The collective-bargaining agree-
ment for Local 39 effective July 1, 1995, through June 30,
1998, is contained in the record (R. Exh. 65).
Pretransaction, Respondent employed about 3300 employees
at its various facilities and corporate headquarters. As a result of
acquiring VMC, Respondent hired about 1200 additional em-
ployees, most of whom had been former employees at VMC.
With respect to RNs, some VMC employees had worked per
diem at Respondent’s facilities and some Respondent RNs had
worked per diem at VMC, all pretransaction. In addition, VMC
and Respondent had moved patients back and forth on a limited
basis when one facility or the other had more advanced equip-
ment.
About 1 or 2 years before the transaction, Respondent had
engaged in some restructuring of its facilities and personnel.
While the exact details are not clear, some VMC employees
who learned of the restructuring, felt that Respondent had not
treated its RNs and other relevant classifications kindly during
a period of upheaval and turmoil.
Respondent portrayed itself during hearing as having a sin-
gular philosophy by which it governed its organization. Called
“Shared Governance,” this philosophy sought to give Respon-
dent’s employees both a voice through various committees and
councils in making decisions which would affect them and
accountability for these same decisions. Respondent operated
its organization on an integrated, systemwide basis. Through
the use of employee handbooks and new employee orientation,
Respondent sought to persuade all new hires, they were impor-
tant parts of the whole, rather than merely cogs in a machine.
Many of the committees and councils operated on a system-
wide basis, as did the wage schedules, work schedules, and
other terms and conditions of employment. Respondent even
operated a systemwide grievance system for employees with
complaints. However, the final step of the grievance system
utilized an in-house panel of supervisors and human resources
representatives without resort to an independent arbitrator. For
the losing employee at the final stage, there was no appeal.
Like Respondent’s employees, Respondent’s patients were
also said to be treated differently than they would be elsewhere,
at VMC, for example. Thus, a system called “patient focused
care” was used by Respondent by which patients were given
more control, allegedly, in designing their own medical treat-
ment plan. As part of this plan, as I understand it, Respondent
also reduced in some cases, the number of RNs assigned to a
particular patient and, in their place, substituted lesser trained
personnel, all in the name of greater efficiency, to reduce costs
and speed the patient on the way to faster recovery.
5. Respondent’s pretransaction probe of VMC’s books, re-
cords, and practices
In late 1994 or early 1995 Respondent decided to consider
whether it was feasible and/or desirable to assume control of
VMC.
To answer these questions, Respondent unleashed a troop of
outside investigators, and in-house committees, teams and task
forces to conduct what was called “due diligence.” None
thought it important even to consider the role of the CNA and
SEIU in the transaction and integration of over a 1000 employ-
ees into Respondent. The reason for this omission is based
upon the assumptions of the various investigators that to prop-
erly integrate the formerly unionized employees into Respon-
dent, there would be no union.
a. Outside investigators
There were two independent investigations conducted: one
report is in the record and, for unknown reasons, the other isn’t.
In October 1994 a management consultant called American
Practices Management (APM) began looking into the possibil-
ity of a transaction. By May 1995 APM compiled and issued
its written report contained in the record as Respondent’s Ex-
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 1330
hibit 21. There, after considering a number of options for
VMC, such as status quo, downsizing, or closing, the report
concluded at page 45, that the option of creating a regional
medical network (i.e., privatizing) with Respondent was the
most desirable solution for Fresno County. This report was
made available to the public and as I will report below, CNA,
SEIU, and various community organization in Fresno disagreed
with it’s ultimate conclusion and decided to oppose it, even
after the county and Respondent began to implement it.6
A second report was compiled by the accounting firm of Ar-
thur Anderson. As noted above, this report is not in the record,
and not much detail is known about it. According to Respon-
dent witness, William Grigg, an official of Respondent’s in the
area of budgeting, finance, and accounting, Arthur Anderson
was retained to interpret financial data from the county and to
develop financial and operational models as to how the com-
bined organizations would work. That is, Arthur Anderson
assumed that VMC would be fully integrated into Respondent’s
system, all administrative departments would be fully merged,
employees would be subject to unlimited floating between fa-
cilities, and that VMC would not exist as a stand alone facility.
b. In-house investigators
Respondent first established a project team, under direction
of McGinnis. Its job was to obtain financial and other data
from the county and to examine and analyze this data to see if
the transaction was desirable for Respondent. Its work contin-
ued until the end of 1995, when it issued a report containing,
among other matters, the question of at some point, addressing
the existence of the Unions at VMC.
Another team established by Respondent was the steering
team, containing 4–6 members including CEO Perry, CFOs
McGinnis and Hawkins. Established in early 1995, its job ap-
parently was to consider in greater detail those issues facing
Respondent, if it assumed control of VMC.
By early 1996 the transaction began to look more likely from
Respondent’s point of view and a transition team was estab-
lished with the goal of making the transaction work, if it hap-
pened. Numbering about 12, membership of this group included
Hawkins, McCloskey, Amy Tobin, and Bruce Kender (by then
both former nurses manager at VMC, having been hired by Re-
spondent). Its existence lasted for 8 to 10 months, ending about
November, and covering subjects such as staffing, management,
physician services, and other issues. A primary issue was, ac-
cording to Hawkins, if acquired, whether VMC would be oper-
ated as a separate facility or as part of Respondent’s integrated
system. Eventually, after analyzing various data and meeting
with county representatives, the transition team decided VMC
was to be part of Respondent’s integrated system.
Two other groups played a role in the transaction: first Re-
spondent’s negotiating team which negotiated the details of the
transaction as discussed below, and the human relations task

6 At p. 26 of R. Exh. 21, in the context of discussing why VMC
would have difficulty reducing its expenses and perhaps remaining in
existence, the Report mentions at par. 4, “Hostile Union Relationships.”
More specifically, the authors fault one [unnamed] union at VMC
which allegedly threatened to “aggressively fight any effort to redesign
jobs and reduce labor expenses.”
force (HRTF) which reported to the transition team. The duties
of HRTF was to arrange for the hire of VMC and other em-
ployees by Respondent. By June the transaction was all but
assured. Accordingly, the HRTF set up interviews, both appli-
cants and interviewing panels, and correlated the duties of
VMC employees to Respondent’s jobs, so the former merely
had to find their VMC classification on a list and the corre-
sponding Respondent’s job code and classification would be
evident. In addition, the HRTF arranged for processing of new
employees, orientation, record updating and other such chores.
6. The Respondent/Fresno County negotiations and resulting
transaction
Dated August 27 the master agreement between the county
of Fresno and Respondent for the instant transaction is in the
record (GC Exhs. 11(a)–(e)). The agreement includes various
leases (property and equipment), funding agreements, and pur-
chase of service agreements. The agreement was reached after
several months of negotiations between a small group of Re-
spondent’s top management and a group of county and VMC
officials. It was approved by final vote of the Fresno County
board of supervisors in August and by final role of Respon-
dent’s board of directors in September.
Essentially, the parties agreed to continue operation of the
VMC facility (now called UMC) for 5 years, at the end of
which time the building is supposed to close as a hospital and
revert to the county for such use as it sees fit. During the 5-
year period beginning October 7, Respondent is consolidating
its operations in and around the campus of FCH where it has
acquired a considerable amount of land from the city of Fresno.
Set for completion by October 2001, the project is extremely
ambitious and involves the construction of new buildings and
refurbishing of old. It is contingent upon Respondent’s obtain-
ing the necessary public and private financing, a subject Re-
spondent’s witnesses seemed confident to predict. In the event
the time limits are not realized, Respondent can seek an exten-
sion from the county, but if granted, any extension would in-
volve the payment of penalties.
The negotiators for the county as public employees were
subject in a broad sense to direction and control by the Board of
Supervisors. The Unions had a few sympathizers on the Board
who were lobbied by union representatives. At first, the Un-
ions attempted to stop the transaction entirely and maintain the
status quo. After the Unions failed to stop the transaction by
contacts with the board of supervisors, they tried to stop the
transaction with different tactics, to be discussed below. How-
ever, at some point, union representatives changed the focus of
their activities with respect to the board of supervisors to get
the best possible deal for bargaining unit employees. First, they
attempted to have the board of supervisors require as a condi-
tion of sale, that Respondent recognize and bargain with the
Unions. This position was rejected and in its place, the county
required that recognition of the Unions occur as may be re-
quired by law. Next, the Unions sought guaranteed jobs with
Respondent for all bargaining unit employees who desired jobs.
This too failed as the two sides to the transaction agreed only
that Respondent would give preferences to all VMC employees
who applied, but said VMC applicants would be considered in
UNIVERSITY MEDICAL CENTER 1331
accord with Respondent’s preexisting hiring criteria.7 In late
August or September, Respondent hosted a job fair for VMC
employees who desired to learn about Respondent before ap-
plying. Once the pool of VMC applicants had been exhausted,
Respondent began to recruit from the public at large for the few
remaining jobs either at UMC or created elsewhere with Re-
spondent as a result of the VMC acquisition.
Before VMC employees could apply at Respondent, they had
to be informed of what pay and benefits they could expect. In
general, Respondent’s policy was to pay the same wage for
comparable work. If a Respondent classification was paying
more than a comparable classification at VMC, the hired VMC
employee received the higher wages. Where the Respondent’s
classification was paying less than the comparable classifica-
tion, the hired UMC employee also received the higher wage,
but was then “red-lined,” i.e., his wage was frozen until such
time as the new employee’s wages reached parity with others in
the same Respondent’s classification.
As to benefits, a summary of benefits offered by Respondent
to its employees is included in this record (R. Exh. 36). Re-
spondent called a witness at hearing named Richard Lord, an
official in Respondent’s human resources department responsi-
ble for the design and administration of all corporate benefit
plans. At some point, Respondent prepared a document com-
paring and contrasting the benefits paid by VMC to its employ-
ees with the benefits paid by Respondent to its employees (R.
Exh. 37). McCloskey, also from Respondent’s human re-
sources, explained in her testimony how the summary came to
be prepared. [During negotiations between the county of
Fresno and Respondent over the transaction], “The [County]
negotiators wanted to be sure that we were going to offer these
employees—these new community employees benefits that
would be comparable to what they were getting with the county
of Fresno, so they asked us to prepare a comparison and gave
us information on their benefits so that we could do that.” (Tr.
1526.)
7. The coalition to save VMC
Before the board of supervisors could approve the transac-
tion and before it could even consider it seriously, they were
required by California law to hold a series of public hearings
called the Bielenson Hearings, at which the public could pre-
sent its point of view into the process. These hearings heard
from a number of persons and organizations with strong feel-
ings about the proposed transaction. CNA took a strong posi-
tion in opposition to the transaction as did SEIU. Both Unions
and a number of community organizations entered into a coali-
tion called the Coalition to Save VMC with similar goals. In
support of its point of view, the coalition held marches, ap-
peared on radio and television, circulated a petition (CNA Exh.
40) and (R. Exh. 79) (seeking to have the issue placed on a
referendum) and ultimately filed a legal suit, all for naught,
although the litigation apparently is still in progress.
Respondent presented as witnesses several former CNA bar-
gaining unit employees at VMC who expressed disagreement

7 There is no allegation in this case claiming that Respondent dis-
criminated in the hiring of VMC employees for unlawful reasons.
with CNA over its strategy to oppose the transaction. Some of
these witnesses claimed not to have been consulted to begin
with on the origins of the CNA opposition but most seemed to
object more specifically to the expenditure of time, energy and
money on what was essentially a losing cause. Respondent
presented these witnesses as part of its evidence to show Re-
spondent’s good-faith doubt of the CNA’s majority status.
More about this issue will follow in the analysis and conclu-
sions section of this decision.
8. UMC
As UMC sprang to life on October 7, the public at large and
employees noticed few, if any significant changes. Hawkins,
one of Respondent’s highest leaders, opined that UMC patients
came from the same general population as did the patients for
VMC (Tr. 347). In addition, the same facilities such as the
emergency department, trauma center and burn unit were all
located and operating as before. There was no evidence that
police or paramedics were bringing persons needing immediate
medical care to any different location. The medical/surgical
floors were also located and operating same as before.
The over-all employee complement has been reduced at
UMC to about 1500 employees compared to 1800 at VMC.
The great majority of UMC employees had previously worked
at VMC.
B. Analysis and Conclusions
1. The General Counsel’s prima facie case
I find that the General Counsel (and Charging Parties) have
established a strong prima facie case that Respondent is a
successor to VMC. In Sunrise Nursing Home, 325 NLRB 380,
381 (1998), the judge recited applicable law in his Board ap-
proved decision:

An employer, generally, succeeds to the collective-
bargaining obligation of a predecessor if a majority of its
employees, consisting of a “substantial and representative
complement,” in an appropriate bargaining unit are former
employees of the predecessor and if the similarities be-
tween the two operations manifest a “substantial continu-
ity between the enterprises.” Fall River Dyeing Corp. v.
NLRB, 482 U.S. 27, 41–43 (1987), citing inter alia, NLRB
v. Burns International Security Services, 406 U.S. 272,
290 fn. 4 (1972). Also see Task Force Security &
Investigation, 312 NLRB 412 (1993).
The Supreme Court in Fall River, supra at 43, summa-
rized the factors relevant to determining continuity as fol-
lows:

[W]hether the business of both employers is essentially
the same; whether the employees of the new company are
doing the same jobs in the same working conditions under
the same supervisors, and whether the new entity has the
same production process, produces the same products,
and has basically the same body of customers.

The court further instructed that these characteristics of the
substantial continuity factor were to be assessed primarily
from the perspective of the involved employees, that is,
“whether ‘[these] employees who have been retained will . . .
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 1332
view their job situation as essentially unaltered.’” Id., quoting
Golden State Bottling Co. v. NLRB, 414 U.S. 168, 184
(1973).2 Further, although each factor must be analyzed sepa-
rately, they must not be viewed in isolation and ultimately, it
is the totality of the circumstances which is determinative.
See Fall River, supra.
Moreover, as recognized in NLRB v. Burns Interna-
tional Security Services, Inc., supra, successorship may
depend upon the continued appropriateness of the bargain-
ing unit. As stated by the Supreme Court in Burns at 280.

It would be a wholly different case if [the successor’s] op-
erational structures and practices [were so different that
the existing] bargaining unit was no longer an appropriate
one.

In construing this provision, the Board has held that in “all of
the Board cases in which successorship was found are predi-
cated on the finding that the predecessor’s bargaining unit re-
mained intact under the successor and continued to be an ap-
propriate unit. . . . A determination must therefore be made as
to the integrity of the [predecessor] bargaining unit after the
transfer. . . .” Border Steel Rolling Mills, Inc., 204 NLRB 814
(1973). While the Board has held subsequent to Burns, supra,
that employees acquired from a predecessor “themselves must
constitute an appropriate unit,” Irwin Industries, 304 NLRB
78 (1991), the Board, however, has also held that the Act does
not require an evidently only, ultimately, or most appropriate
unit, but only that it be at least appropriate in nature. Vincent
M. Ippolito, Inc., 313 NLRB 715 (1994); and Morand Bros.
Beverage Co., 91 NLRB 409 (1950).
____________________________
2 Also see Nephi Rubber Products Corp. v. NLRB, 976 F.2d
1361 (10th Cir. 1992).

In Briggs Plumbingware v. NLRB, 877 F.2d 1282, 1285–
1286 (6th Cir. 1989), the court explained that the successor
determination is important because of the presumption that
follows: that the union with which the predecessor bargained
continues to enjoy majority status with the successor’s employ-
ees.
Of all the factors bearing on successorship, perhaps the most
important is a comparison of the workforce of the predecessor
and the alleged successor. If a majority of the latter’s employ-
ees had previously been employed by the former there is usu-
ally a successorship, where the bargaining unit of the predeces-
sor remains appropriate. See Control Services, 319 NLRB
1195 (1995). In Trident Seafoods, 318 NLRB 738 (1995), the
Board stated, “a mere change in ownership should not uproot
bargaining units that have enjoyed a history of collective bar-
gaining unless the units no longer conform reasonably well to
other standards of appropriateness. The party challenging a
historical unit bears the burden of showing that the unit is no
longer appropriate [and] [t]he evidentiary burden is a heavy
one.” [Citation omitted.]
The fact that Respondent, a private, nonprofit enterprise took
control of VMC, a public sector employer owned and operated
by the county of Fresno does not change the normal rules of
successorship. See Lincoln Park Zoological Society, 322
NLRB 263 (1996), enfd. 116 F.3d 216 (7th Cir. 1997).
Next, I find that there is “substantial continuity” between
VMC and Respondent. Northern Montana Health Care Center,
324 NLRB 752 (1997). Thus, Respondent operates an acute
care health facility, in the same location, using essentially the
same equipment. The general pool of patients remains the
same8 and they are treated in the same emergency department,
burn center and trauma unit, among other units continued by
Respondent.
Respondent opened UMC with no hiatus,9 i.e., interruption
in services. In fact, throughout the hearing Respondent wit-
nesses used the term “turnkey” to describe UMC as of 12:01
a.m. on October 7. This expression means that all or most of
the equipment used by VMC to provide medical services to the
public remained intact and available for immediate use by Re-
spondent.10
As to supervisors, I find that Respondent hired many of the
supervisors who worked with bargaining unit employees at
VMC (R. Exh. 56). In fact, some of these supervisors testified
as Respondent’s witnesses. I note the case of Sierra Realty
Corp., 317 NLRB 832, 835 (1995), where the Board cites the
case of Boston-Needham, Industrial Cleaning Co., 216 NLRB
26, 27 (1975), enfd. 526 F.2d 74 (1st Cir. 1975), for the propo-
sition that a respondent cannot escape its obligation as a suc-
cessor by employing different supervisors. To this, I add that,
in some cases, former VMC supervisors have been moved
around in Respondent’s empire, perhaps not always working all
of their time with UMC. Where this practice exists, no effect
on the successorship can be found.
In sum, I find that Respondent has continued to operate the
business of the predecessor in essentially unchanged form. See
Torch Operating Co., 322 NLRB 939 (1997).
I turn now to the former VMC bargaining unit employees.
As to the CNA represented employees, Respondent hired a
substantial and representative complement of RNs as of Octo-
ber 7. As to the SEIU represented employees, Respondent
hired a substantial and representative complement of employees
within the next 3 months, and in any event prior to the SEIU
demand for bargaining on January 13, 1997. See Banknote
Corp. of America v. NLRB, 84 F.3d 637, 644–647 (2d Cir.
1996). The employees, both CNA and SEIU, were performing
at UMC essentially the same jobs under the same working con-
ditions as before. See Harter Tomato Products Co., 321 NLRB
901, 902 (1996).

8 To the extent, there is a change of emphasis to attract more insur-
ance-covered patients as compared to the indigent and prisoners which
were a large part of the patients of VMC, this change in emphasis does
not affect the successorship. See Premium Foods, 260 NLRB 708, 715
(1982), enfd. 709 F.2d 623 (9th Cir. 1983).
9 Compare, CitiSteel USA v. NLRB, 53 F.3d 350, 356 (D.C. Cir.
1995).
10 Of course, I recognize that as the months have passed, Respondent
has upgraded or replaced some of the equipment at UMC or equipment
located elsewhere which can be used by employees of UMC. Perhaps
the best example of this is computer technology, affecting patient re-
cords and other administrative and medical tasks. Medical equipment
has also advanced rapidly, but none of this refutes the substantial conti-
nuity of Respondent’s business, the measure of which is to be taken at
the time of takeover.
UNIVERSITY MEDICAL CENTER 1333
a. Unit 7 (RNs)
Respondent stipulated that since January 15, 1976, CNA has
been recognized by the county of Fresno as the exclusive bar-
gaining representative of county unit 7 and at certain times
prior to October 7, such recognition was embodied in succes-
sive collective-bargaining agreements between the county and
the Union (GC Exh. 2, par. 20, p. 7). As of October 15, Re-
spondent employed 307 nonsupervisory RNs at UMC of whom
approximately 278 were previously employed at VMC in unit 7
job classifications (GC Exh. 2, par. 5, pp. 45).
b. Unit 12 (clerical employees)11
Respondent stipulated that as of January 13, 1997 (date of
SEIU’s demand) there were a total of 202 persons employed in
unit 12 replacement classifications of whom 110 were previ-
ously employed in VMC" unit 12 job classifications (GC Exh.
2, par. 6).
At p. 27 of its brief, Respondent states, “. . . with respect to
units 7 and 12, as of the earliest possible date upon which a
bargaining obligation may have arisen on the part of [Respon-
dent] with respect to such units. . . October 7 with respect to
CNA and January 13, 1997 with respect to SEIU, a majority of
the employees in replacement classifications in each of those
units at UMC had been previously employed in Unit 7 or 12
respectively at VMC” (GC Exh. at 4–5 (stips. 5–6).
c. Unit 5 (hospital, building and food service employees)
Respondent stipulated that as of January 13, 1997, there were
a total of 187 employees classified by Respondent as being
employed in unit 5 replacement classifications, of whom 83
were employed in VMC unit 5 job classifications on October 6.
At page 28 of its brief, footnote 8, Respondent abandons a cer-
tain argument it made at hearing with respect to six former
VMC employees who retired from the county 2 days prior to
October 7. The effect of this change in position is to increase
the 83 employees to 89 employees. This leaves still in question
14 of the employees classified by Respondent as being unit 5
replacement employees. According to the General Counsel and
the Charging Parties these 14 employed as medical assistants
should be excluded from the total number of employees
counted to establish majority hiring status in unit 5 replacement
classifications at UMC as of January 13, 1997.
The medical assistants referred to above and employed by
the county at VMC in its various clinics were not included in
VMC’s unit 5 job classifications, and therefore were not listed
by VMC on the VMC bargaining unit report as of October 6 (R.
Exh. 14). Effective October 6, all 14 medical assistants were
terminated by the county and were subsequently employed by
Respondent as “Technical Partner-Patient Care” as of January
13, 1997. By decision of Respondent’s officials, “Technical
Partner-Patient Care” is a unit 5 replacement classification. Of
the 14, approximately 8 were assigned by Respondent to the
same clinics they worked for under VMC and the others were
assigned to different clinics (GC Exh. 2, stips. pars. 25–31).

11 Although I will recommend below that the SEIU allegations be
dismissed, I include this analysis to avoid remand in the event the dis-
missal is reversed.
At page 28 of its brief, Respondent forthrightly concedes that
if the General Counsel is correct and the 14 are not counted,
this fact reduces the 187 to 173 persons in unit 5, of whom 89
were previously employed in unit 5 classifications at VMC,
thereby establishing a majority of former unit members in the
new unit (GC Exh. 2, stip. par. 4(b)). At page 30 of its brief,
Respondent cites Hydrolines, Inc., 305 NLRB 416 (1991), for
the proposition that a successor may add employees: “It may
add, eliminate or change job classifications.” To understand
the Board’s position, the statement quoted in Hydrolines should
be placed in proper context. In the context of discussing the
form of a union’s bargaining demand [about which there is no
issue in the present case], the Board stated, page 420,

. . . in a successorship situation, the [U]nion, by making a bar-
gaining demand, is attempting to preserve its status as the
bargaining representative of an already defined unit, or that
portion of the unit which has been conveyed or preserved.
The successor, however, may add employees. It may add,
eliminate or change job classifications. It may have plans to
expand or change its operations. The union may be unaware,
or at least uncertain, as to the successor’s plan for its hiring
and operations.

To put the Board’s statement in additional context, I note the
case of Northern Montana Health Care Center, supra, where
the judge wrote that variations in the classifications included or
excluded by the successor in the new units are generally incon-
sequential (citations omitted).
Based on the above discussion, I have considered Respon-
dent’s argument that the medical assistants should be counted
and I reject it. In agreement with the General Counsel, I find
that Respondent effectively “diluted” the former unit represen-
tation of the replacement unit by classifying the 14 former
medical assistants as “technical partner-patient care.” Cf.
Bridgeway Oldsmobile, Inc., 281 NLRB 1246, 1247 (1986),
sup. decision, 290 NLRB 824 (1988).
d. Additional Respondent arguments and conclusions
Respondent follows the meritless argument addressed above
by next contending, brief, page 58, inconsistently that the for-
mer units represented by CNA and SEIU were significantly
reduced under Respondent. Respondent’s argument is based
primarily on Nova Services Co., 213 NLRB 95 (1974); and
Atlantic Technical Services Corp., 202 NLRB 169 (1973), enfd.
498 F.2d 680 (D.C. Cir. 1974). In M. S. Management Associ-
ates, 325 NLRB 1154 (1998), the Board addressed both of
these cases as it reversed the ALJ’s failure to find successor-
ship. As to Nova Services, the Board questioned its continued
precedential value. Id. 1155 fn. 7. As to Atlantic Technical
Services Corp., the Board characterized it as “factually unique.”
Both cases were distinguished form the facts in M. S. Manage-
ment Associates, as I distinguish them from the instant case,
and find that even though certain elements of the units at issue
remained with the county after takeover, I find no “inappropri-
ate fragmentation of a previously homogenous grouping of
employees.” Furthermore, I find any such variation is inconse-
quential. Northern Montana Health Care Center, supra.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 1334
In Derby Refining Co., 292 NLRB 1015 (1989), the Board
explained that when a successor employer hires, as a majority
of its employees, the former unionized predecessor’s employ-
ees, the presumption arises that a majority of the successor’s
employees also support the union. As the Supreme Court stated
in NLRB v. Burns Security Services, 406 U.S. 272, 278–279
(1972), the mere change in ownership, without an essential
change in working conditions, would not be likely to change
employee attitudes toward representation. The board continues,
explaining that the presumption is necessary to promote stabil-
ity during changes of ownership and to reduce industrial strife.
Both the union and the employees are vulnerable during this
period and hard-earned bargained-for rights can easily by di-
minished. Fall River Dyeing Corp. v. NLRB, 482 U.S. 27, 39
(1987). Employees, especially during such times, are worried
about retaining their jobs and may shun the union if they feel it
will help their chances of doing so. If no presumption existed,
corporate transformation could be used to avoid the union and
exploit employees’ fears. Id. Such a situation would not be
conductive to industrial peace.
CNA made a written demand for recognition and bargaining
on August 16 (GC Exh. 6), almost 2 months before Respondent
took control of VMC. On August 26, Respondent made a pro
forma acknowledgement, saying the demand had been for-
warded to legal counsel for “appropriate action” (GC Exh. 7).
On October 29, CNA made a second demand for recognition
and bargaining (GC Exh. 8), and on November 25, CNA made
still a third request (GC Exh. 9). As previously noted, on Janu-
ary 13, 1997, SEIU made a single demand on behalf of units 5,
12, and 21 for recognition and bargaining (GC Exh. 10).
In I. P. Hardin, The Developing Labor Law 788 (3d Ed.
1992), the author explained the effect of a premature demand.

In Grico, the Board reemphasized that “a request for
bargaining is continuous and need not be repeated.”111
Once a demand has been made, a bargaining obligation
will be established if, at any time thereafter, the employees
of a predecessor constitute a majority of a representative
complement of the new employer’s work force.112 The
Supreme Court, in Fall River, approved of the Board’s
“continuing demand” rule.113
________________________________________
111 265 NLRB at 1345 n. 9, 112 LRRM at 1149 n. 9.
112 See also Royal Midtown Chrysler Plymouth, 296 NLRB No.
135, 133 LRRM 1165 (1989); Fremont Ford Sales dba Fremont
Ford, 289 NLRB 1290, 131 LRRM 1074 (1988); Cuello Indus.
dba Scroll Casual, 278 NLRB 10, 122 LRRM 1264 (1986); Re-
dok Enters., 277 NLRB 1010, 120 LRRM 1337 (1985); General
Processing Corp., 263 NLRB 86, 110 LRRM 1479 (1982).
113 Fall River Dyeing & Finishing Corp. v. NLRB, supra note
106, at 52–53, 125 LRRM at 2451.

Based on this authority, I conclude that for CNA October 7,
was the relevant date because the evidence at hearing showed
all or most of Respondent’s hiring to staff UMC had been com-
pleted by that date. I also find that the two subsequent letters
sent by CNA to Respondent were, without any legal effect. As
to SEIU, January 13, 1997, was the relevant date. As to both
Unions, I conclude that Respondent hired a majority of bargain-
ing unit employees as of the effective date of the demands and I
again find that they and the General Counsel have established
strong prima facie case that Respondent had a legal duty to
recognize and bargain with them for the units in question.
In conclusion, I have considered all other arguments raised
by Respondent which bear upon the General Counsel’s prima
facie case and find them lacking in merit. I close this segment
by again turning to Northern Montana Health Care Center,
supra, where the judge quoted from David Wolcott Kendall
Memorial School v. NLRB, 866 F.2d 157, 161 (6th Cir. 1989).

Nothing in the record disclosed that [the employer] would
have recognized and bargained with the Union even if the unit
[had not been at variance].

I apply that statement to this case.

2. Respondent’s affirmative defenses
The General Counsel makes no claim in this case that Re-
spondent was not free to set initial terms and conditions of em-
ployment. See Mariott Management Services, 318 NLRB 144
(1995); and Planned Building Services, 318 NLRB 1049 (1995).
And I have recited above, the general policies regarding pay and
benefits used by Respondent to hire VMC and other new em-
ployees. Later, as Respondent purported to “integrate” the for-
mer VMC unionized employees into its operations, Respondent
made certain changes at UMC in RN schedules, and in other
terms and conditions of employment. However, none of these
changes is effective to defeat Respondent’s successorship obli-
gation. Sierra Realty Corp., supra, 317 NLRB at p. 835.
a. Adverse inference12
On or about March 24, 1998, the General Counsel served a
subpoena duces tecum on Respondent, returnable April 7, 1998
(day 16 of the hearing) and calling for, inter alia, any docu-
ments tending to relate to Respondent’s alleged good-faith
doubt of CNA’s majority status as of October 7, and more spe-
cifically, any such documents tending to show the reason or
reasons why Respondent decided not to recognize CNA as the
representative of the RNs at UMC. The General Counsel also
recited in the subpoena that in case of disputes over privileges,
the disputed documents could be presented to the ALJ for in
camera review (GC Exh. 34).
This subpoena was critically important because Respondent’s
witnesses Hawkins, McGinnis, and particularly McCloskey, all
testified that while they were aware of certain recommendations
presented to CEO Hinton and the board of directors, none of
them was present for the final decision not to recognize the Un-
ions. Moreover, none knew the reasons for this decision, who
made the decision, nor when exactly it was made. This failure
of proof left a yawning gap in Respondent’s evidence which
General Counsel sought to fill. Perhaps the General Counsel
could be faulted for waiting so long to seek this important evi-
dence, but that is not the issue before me. Rather Respondent
refused to submit the documents to me for in camera review,
though ordered to do so. Rather it made its own review of the

12 I place this segment of my decision here because I believe Re-
spondent’s affirmative defenses must be evaluated in the context of this
adverse inference which arose at hearing as a result of Respondent’s
own conduct.
UNIVERSITY MEDICAL CENTER 1335
documents in question and made redactions which Respondent
thought was appropriate. As furnished to the General Counsel
with redactions intact, the documents were admitted into the
record (GC Exh. 35 (a)–(d)).
In an end-of-the case discussion about this issue, Attorney
King assured me that the documents are not relevant, that
[“most”] of the material edited out concerns “financial terms and
conditions,” and “negotiations with the county of Fresno that
had nothing to do with this case” (Tr. 3938). In his extended
remarks on this issue, Attorney King never made clear why the
allegedly innocuous and irrelevant material he described should
be covered by attorney-client and work product privileges, why
a protective order or other alternative would not suffice to pro-
tect the interests asserted by King, and most importantly, why
the judge rather than a party should not be the person to decide
what material must be turned over.13
In Pioneer Hotel & Gambling Hall, 324 NLRB 918, 927
(1997), the Respondent refused to comply with the General
Counsel’s subpoena duces tecum. In drawing an adverse infer-
ence, the judge stated,

As to whether this Respondent or any party to any cause can
decide for itself whether to comply with a presumably valid
subpoena duchess tecum, which has been properly served, I
find that such discretion would hobble if not destroy the proc-
ess under which we labor.

Even if the General Counsel had not subpoenaed the records
in question, I may have found it appropriate to draw an adverse
inference, based on Respondent’s failure to prove who made
the decision not to recognize and bargain with the Unions, why
and exactly when said decision was made.
I find that Respondent’s failure to produce the documents in
question, the best evidence of why exactly, Respondent failed
to recognize the Unions, justifies an inference that if such evi-
dence had been produced, it would have been unfavorable to
Respondent. J. Huzinga Cartage Co., 298 NLRB 965 (1990).
In NLRB v. Shelby Memorial Hospital Assn., 1 F.3d 550, 563
(7th Cir. 1993), the court stated: “The failure of an employer to
produce relevant evidence particularly within its control allows
the Board to draw an adverse inference that such evidence
would not be favorable to it.” This rule is even more applicable
herein because the Respondent failed to produce the evidence
pursuant to a subpoena. In Auto Workers v. NLRB, 459 F.2d
1329, 1338 (D.C. Cir. 1972), the court stated:
The reason why existence of a subpoena strengthens the force
of an inference should be obvious. If a party insists on with-
holding evidence even in the face of a subpoena requiring its
production, it can hardly be doubted he has some good reason
for his insistence on suppression. Human experience indi-
cates that the most likely reason for this insistence is that the
evidence will be unfavorable to the cause of the suppressing
party.

13 In camera inspections are well-established procedures in the Fed-
eral courts, U.S. v. Smith, 123 F.3d 140, 151–152 (3d Cir. 1997), and
have been approved by the Board. Brinks, Inc., 281 NLRB 468, 470
(1986).
See also Douglas Aircraft Co., 308 NLRB 1217 fn. 1 (1992);
International Automated Machines, 285 NLRB 1122, 1123
(1987); and Property Resources Corp. v. NLRB, 863 F.2d 964,
966 (D.C. Cir. 1988).
So with Respondent already facing a heavy burden by virtue
of its opponents’ strong prima facie case, Respondent is now
two steps behind by virtue of an adverse inference.
b. Single facility presumption14
In The Developing Labor Law, p. 197 (3d Ed., 1997 Cum.
Supp. 1998), the Editors provide a helpful starting point for
discussion of the pending issue.

The Board continues to approve single-facility units in the
health care industry,50 and prior judicial disapproval of a sin-
gle-facility presumption in the health care context has been
acknowledged by the circuit involved to have been undercut
by the Supreme Court’s decision in American Hospital Ass’n.
v. NLRB.51 The presumption can be rebutted where the sepa-
rate facilities are in close proximity and functionally inte-
grated and there is employee interchange.52
_____________________________________
50 Children’s Hosp. of San Francisco, 312 NLRB 920, 144
LRRM 1189 (1993).
51 499 U.S. 606, 137 LRRM 2001 (1991). See also California
Pac. Med. Ctr. v. NLRB, 87 F.3d 304, 152 LRRM 2593 (CA 9,
1996), enforcing sub nom. Children’s Hosp. of San Francisco,
312 NLRB 920, 144 LRRM 1189 (1993); Staten Island Univ.
Hosp. v. NLRB, 24 F.3d 450, 146 LRRM 2385 (CA 2, 1994), en-
forcing 310 NLRB No. 207, 143 LRRM 1191 (1993); Bry-Fern
Day Care Ctr. v. NLRB, 21 F.3d 706, 146 LRRM 2041 (CA 6,
1994), enforcing 309 NLRB No.53, 141 LRRM 1316 (1992); Ho-
tel, Hosp., Nursing Home & Allied Servs, Local 144 v. NLRB
(Brooklyn Hosp. Ctr.), 9 F.3d 218, 144 LRRM 2617, 2621 (CA 2,
1993), enforcing 309 NLRB 1163, 143 LRRM 1094 (1992);
Presbyterian Univ. Hosp., supra note 45.
52 Compare Hartford Hosp., 318 NLRB 183, 150 LRRM 1262
(1995) (despite physical proximities, employees were physically
and functionally segregated and had little interchange or interac-
tion) with Lutheran Welfare Servs. of Northeastern Pa., 319
NLRB 886, 151 LRRM 1029 (1995) (facilities less than 200 feet
apart, functionally integrated, and common policies).

However, Respondent has a heavy evidentiary burden to
prove that the historical units are no longer appropriate and the
General Counsel has no burden to prove that the units remain
appropriate. Four Winds Services, 325 NLRB 632 (1998)
(citation omitted). As noted by the judge in Montauk Bus Co.,
324 NLRB 1128, 1135 (1997),

. . . in Trident Seafoods, v. NLRB, 101 F.3d 111, 114 (D.C.
Cir. 1996), the court held that in a successorship case ‘there is
14 This argument does not seem to apply to CNA where Respon-
dent’s bargaining obligation and its takeover of VMC occurred simul-
taneously. All or most of the factors relied on by Respondent to rebut
the single facility presumption constitute unilateral changes in the terms
and conditions of employment of CNA represented employees, which
Respondent could properly make only after recognition and bargaining.
See Litton Financial Printing v. NLRB, 501 U.S. 190 (1991): and Holly
Farms Corp. v. NLRB, 48 F.3d 1360, 1368 (4th Cir. 1995). Notwith-
standing this view, I will consider the argument as it applies both to
CNA and SEIU.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 1336
a strong presumption favoring the maintenance of historically
recognized bargaining units.” The court went on to state that
the Board is “reluctant to disturb units established by collec-
tive bargaining so long as those units are not repugnant to
Board policy or so constituted as to hamper employees in
fully exercising rights guaranteed by the Act.”

I find that the units in question are not repugnant to Board pol-
icy nor so constituted as to hamper employees in fully exercis-
ing rights guaranteed by the Act.
To determine whether the presumption has been rebutted, the
Board looks at such factors as central control over daily opera-
tions and labor relations, including the extent of local auton-
omy: similarity of skills, functions, and working conditions;
degree of employee interchange; and distance between loca-
tions and bargaining history. RB Associates, 324 NLRB 874,
877–878 (1997), citing J & L Plate, Inc., 310 NLRB 429
(1993). However, I note that the organizational structure of the
employer’s operation is not controlling. While an employer has
an expectation of reasonably adequate protection from the dis-
ruptive effects of piecemeal unionization, . . . the Board must
also assure to employees the fullest freedom in exercising the
rights guaranteed by the Act. Id. at. 5.
In Children’s Hospital of San Francisco, 312 NLRB 920
(1993), enfd. 87 F.3d 304 (9th Cir. 1996), the Board affirmed
the holding of an ALJ that Respondent California Pacific Medi-
cal Center had failed to rebut the presumption of a single-
facility unit. The Board relied not just on many years of bar-
gaining history between CNA and the predecessor, but also on
the lack of significant interchange between nurses on the two
campuses, the lack of functional integration between what are
essentially two full service acute care medical facilities, and the
absence of record evidence of any potential for undue adverse
consequences resulting from a labor dispute in this unit.
Other recent cases involving the health care industry also
support the General Counsel’s theory that Respondent failed to
rebut the single facility unit. For example, in Northern Mon-
tana Health Care Center, 324 NRLB 752 (1997), Respondent
was found to be a successor with a duty to recognize and bar-
gain with the union which represented employees of predeces-
sor). See also Visiting Nurses Association of Central Illinois,
324 NLRB 55 (1997) (Single-facility unit found to be appropri-
ate and day-to-day interests of RNs at Employer’s facility are
not merged with RNs at another facility.); and Memorial Medi-
cal, 230 NLRB 976, 977–978 (1977) (Most of Employer’s
policies and procedures are centrally controlled and uniformly
applied to several different facilities, but single facility unit
remains intact.)
c. Bargaining history
For over 20 years, Fresno County has recognized both CNA
and SEIU as collective-bargaining representatives for the units
in question and such recognition over the years has been em-
bodied in a series of collective-bargaining agreements. The
most recent of these are contained in the record (GC Exhs. 3, 4
and 5, SEIU unit 5, CNA unit 7, and SEIU unit 12 respec-
tively). There is no bargaining history between either of the
two Unions and any unit at CCH and FCH. I count this factor
strongly against rebuttal as did the ALJ in Children’s Hospital
of San Francisco.15
In Children’s Hospital of San Francisco, supra, 312 NLRB
at 928, the judge found that the two campuses in question are
located no more than a mile from each other. This should be
compared to the instant case where FCH and VMC are located
about 2–3 miles apart in downtown Fresno (five to 10 minutes
compute). CCH is located about 10–12 miles away from VMC
in the northern part of Fresno County (15 to 20 minutes com-
mute), and about 12–14 miles away from FCH (15 to 20 min-
utes commute) (GC Exh. 2, par. 17, p. 7).
The judge in Children’s Hospital of San Francisco, also
found that subsequent to the merger, Respondent had central-
ized management over the two campuses, including the nursing
department. Here, too, there is centralized management over
all segments of operations including nursing, janitorial, mainte-
nance, and clericals. Labor relations is also centralized as
noted above, under the direction of McCloskey. As was true in
Children’s Hospital of San Francisco, Respondent holds itself
out to the public as a single entity with one CEO, one CFO, and
one board of directors.
Moreover, Respondent offered extensive evidence regarding
floating of RNs both intra and interfacility, transfers and sys-
temwide orientation, training, and holding of social events. In
the context of this case, I find that any detailed analysis of this
evidence is unnecessary and would be unavailing to Respon-
dent’s contention. Like the judge in Children’s Hospital of San
Francisco, supra at 829, I find that Respondent has failed to
prove that UMC has lost its identity as a separate employer of
employees grouped in appropriate units of RNs or clericals or
maintenance and janitors. Finally, Respondent has offered no
evidence to prove that a work stoppage at UMC would seri-
ously disrupt Respondent’s over-all operations. On the con-
trary, FCH and CCH are fully equipped, just as they were be-
fore the transaction, to function independently by making only
minor adjustments in staffing, scheduling, and other facets of
their operation.16
Based on the above discussion, and most particularly the ex-
tensive bargaining history (See Radio Station KOMO-AM, 324
NLRB 256 (1997); I find that Respondent has failed to rebut
the single facility presumption. See D & L Transportation, 324
NLRB 160 (1997); Heritage Park Health Care Center, 324
NLRB 447 (1997), enfd. by Summary Order (2d Cir. 7/1/98).17

15 As noted above, it is also not significant that Respondent did not
take over every aspect of VMC’s operation. See M. S. Management
Associates, 325 NRLB 1154 (1998). For example, the psychiatric
clinic and prisoner services remained with the county. Other services
such as anesthesia were contracted out.
16 At p. 1698 of transcript, Respondent’s witness Amy Tobin, former
assistant director of nursing at VMC and subsequent executive for
Respondent, testified on cross-examination about a former labor dis-
pute at VMC in 1987. Assuming that a labor dispute 9 years before the
time in question would have shed light on a unit question as of October,
I note that Respondent did not attempt to develop this line of inquiry
nor make an offer of proof.
17 Respondent makes much of the judge’s decision in Providence
General Medical Center, Case 19–CA–23241 a case which apparently
was never appealed to the Board. I agree with the General Counsel (Br.
78, fn. 70) and find that the judge’s decision in Providence General
UNIVERSITY MEDICAL CENTER 1337
d. SEIU’s consolidated unit
In this segment of the case, Respondent asserts that it was
legally barred from recognizing SEIU in January 1997 because,
by that time three separate units, units 5, 12, and 21 had been
consolidated by Fresno County. In his brief, the General Coun-
sel concedes, page 90, that if it is found that the three units
were consolidated, then a recognize and bargain order is inap-
propriate because the combined unit contains a mix of nonpro-
fessional and professional employees (within the meaning of
Section 2(12) of the Act) and because no separate self-
determination election was ever held. I find that Respondent’s
argument has merit and will recommend that the SEIU allega-
tions be dismissed from the case.
The governing legal principles are clear enough: the merger
of separately certified units, in effect, destroys the separate
identity of the individual units. Westinghouse Electric Corp.,
238 NLRB 763, 764 fn. 2 (1978). Moreover, unit 21 includes
professional employees such as physical therapists. Said pro-
fessionals cannot be combined with nonprofessionals unless a
majority of professional employees first approve their inclusion
in such unit. Because no such approval ever occurred, Respon-
dent need not bargain with SEIU. Russelton Medical Group,
302 NLRB 718 (1991).
In this case, Respondent offered certain exhibits to prove the
merger (R. Exhs. 103–108, and addendums to GC Exhs. 3–5).
However, it remained to Dee Ann VonBerg called by the Gen-
eral Counsel in rebuttal, to explain what occurred. VonBerg,
chief county spokesperson between 1994–1997 in MOU nego-
tiations and grievance processing, testified that prior to June,
1994, SEIU represented three separate county units 5, 12, and
21. But in June 1994 the county found it would be more con-
venient for it to consolidate the three units and SEIU apparently
did not object. The Civil Service Commission for Fresno
County approved the consolidation on or about August 18,
1994.
The county and SEIU represented by Bob Yates, who testi-
fied as an adverse witness for Respondent, could not reach a
new agreement any time prior to the expiration of the former
individual MOUs for the three units. By mutual agreement, the
parties agreed to defer further discussion on a new MOU for the
consolidated unit until shortly before the three separate MOUs
expired in December. Sometime after SEIU’s demand in Janu-
ary 1997, the parties reached agreement on a new MOU which
was ratified in June 1997.18 The question pending is, was the
consolidation effective prior to the SEIU’s demand for recogni-
tion so that Respondent was privileged to refuse SEIU’s re-
quest.
VonBerg described the various steps taken to effect the con-
solidation required by the governing county ordinance 3.12.200
(Tr. 3855–3857). There is no claim in this case that all proper
procedures were not followed. Notwithstanding the parties’

Medical Center is of no precedential value whatsoever. Accordingly, I
see no need to consider it.
18 This MOU was between the county and SEIU for new consoli-
dated unit 12 that covered all of the employees who had previously
been represented as part of separate units 5, 12, and 21 (Tr. 3862, 3866)
(R. Exh. 108).
failure to reach agreement on a new MOU for the consolidated
unit, VonBerg, the General Counsel’s own rebuttal witness,
gave this testimony on cross-examination:

Q. Is it accurate therefore to conclude that the units
had been consolidated as of the day of the Civil Service
Commission approval, but yet three documents remained,
in effect, that is, the MOUs from 5, 12 and 21?
A. Yes.
[Tr. 3860.]

Thus, the consolidation was effective on August 8, 1994, and
no further action on the part of the county or SEIU was re-
quired to complete the unit consolidation. Rather, to undo the
consolidation, the parties would have had to return to the
county Civil Service Commission. The need to void the August
1994 approval would not have occurred unless the parties had
been unable to reach agreement on a consolidated agreement
(Tr. 3871–3872). But an agreement was reached (R. Exh. 108).
Under the circumstances recited above, I reject General
Counsel’s argument that notwithstanding the approval of the
Civil Service Commission in August 1994, the consolidation
was not effective until June 2, 1997, when the new contract was
ratified. I find it was effective, as testified to by VonBerg upon
approval of the Fresno county Civil Service Commission. In
the alternative, I find that the consolidation was effective on
December 15 when the MOUs for 5, 12, and 21 all expired.
Either way, Respondent would not have been required to rec-
ognize and bargain with SEIU when it filed its demand in Janu-
ary 1997. Not only was it privileged to refuse under the hold-
ing of Russelton Medical Group, Inc., supra, but in addition,
Respondent as well as SEIU, may well have exposed them-
selves to legal liability had it done so. See Kaiser Foundation
Hospitals, 228 NLRB 468, 480–481 (1977), enfd. 577 F.2d 649
(9th Cir. 1978).
Accordingly, I reject the General Counsel’s alternative ar-
gument, page 89 of brief, that even if the consolidation was
effective in 1994, Respondent still had an obligation to recog-
nize and bargain with SEIU as the exclusive representative of
the employees in the combined unit because of substantial con-
tinuity between VMC and UMC and a majority of employees in
the new unit 12 had been employed by VMC in the pretakeover
units 5, 12, and 21. While I have found substantial continuity
and majority status for units 5 and 12 above, I need not concern
myself with majority status for unit 21. There is nothing in the
successorship cases to trump the requirements of Russelton,
supra and the General Counsel cites no case to that effect.
Finally, I also reject the General Counsel’s argument, brief,
pages 90–91, that Respondent has failed to prove that unit 21
contains professional employees within the meaning of Section
2(12) of the Act. The MOU for unit 21 which expired Decem-
ber 15, attachment A (R. Exh. 109), includes salary ranges for
various classifications of physical therapist. This fact coupled
with the case of Kaiser Foundation Hospital, supra, 228 NLRB
at 480, where physical therapists within the State of California
were found to be professional employees, convinces me that
Respondent has proven physical therapists were part of unit 21
and are professional employees. See also Avco Corp., 313
NLRB 1357 (1994).
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 1338
For the reasons stated above, I will recommend that the
SEIU segment of the case be dismissed.19
e. Good-faith doubt of CNA’s majority status20
I begin with a statement of applicable law from I. P. Hardin
The Developing Labor Law 571 (3rd Ed. 1992):

An employer may withdraw recognition from an incumbent
union at any time when such withdrawal is not precluded by
law, if it can affirmatively establish either (1) that the union
no longer enjoyed majority status when recognition was with-
drawn, or (2) that the withdrawal was predicated on a rea-
sonably grounded doubt as to the union’s continued majority
status, which doubt was asserted in good faith, based upon ob-
jective considerations, and raised in a context free of em-
ployer unfair labor practices. Furthermore, the employer must
be aware of the objective facts upon which its doubt is based
at the time it withdraws recognition. (Citations omitted.)

See also NLRB v. Curtin Matheson Scientific, Inc., 494 U.S.
775, 778 (1990).
In the instant case, the focus of Respondent’s evidence was
on its alleged good-faith doubt of CNA majority status. A
good-faith doubt is a genuine, reasonable uncertainty about
whether the [Union] enjoys the continuing support of a majority
of unit employees. Allentown Mack Sales & Services v. NLRB,
522 U.S. 359 (1998). In the past, the Court found that Board
decisions have “muddied the waters” with respect to the appro-
priate standard an employer must meet to satisfy its burden of
proving a “reasonable good-faith doubt.” Id. (finding that
Board decision using the language “clear, cogent and convinc-
ing” evidence “incompatible with its stated preponderance of
the evidence standard in determining an employer’s” reason-
able good-faith doubt). Allentown teaches that the Board can-
not reject or discount probative evidence that tends to establish
the existence of a good-faith doubt, otherwise appropriate under
a preponderance of the evidence standard, by applying a stricter
evidentiary standard than that which it has promulgated. Id.
In Beverly Farm Foundation v. NLRB, 144 F.3d 1048 (7th
Cir. 1998), the court distinguished Allentown Mack and ulti-
mately affirmed the Board’s holding that the employer’s doubt
was not well founded and was unreasonable. I find here that
Respondent’s alleged doubt was not based on good faith.21

19 Because Respondent’s defense constitutes a legal bar, it is irrele-
vant whether Respondent was aware of the defense or relied upon it at
the time it refused to recognize SEIU. Accordingly, I do not concern
myself with these questions.
20 Although Respondent claims to have had a good-faith doubt re-
garding both CNA and SEIU, I limit my decision to CNA because I
have found for Respondent above regarding SEIU, and because all or
most of the evidence at hearing on this point related to CNA. In
agreement with the General Counsel, Br. 101 fn. 84, I find that any
claim of a good-faith doubt for SEIU is unsubstantiated by any record
evidence.
21 To borrow a phase from the unlawful discharge line of cases, I
find that Respondent’s reasons were pretextual and suggestive of a
different motive than the one asserted for the failure to recognize. See
Shattuck Denn Mining Corp. v. NLRB, 362 F.2d 466, 470 (9th Cir.
1966); Wright Line, 251 NLRB 1983 (1980), enfd. 662 F.2d 899 (1st
Cir. 1981), cert. denied 455 U.S. 989 (1982). Thus, the Act does not
Alternatively, I find that even if Respondent’s doubt was based
on good faith, it failed to meet the Board’s standard as clarified
by the Supreme Court in Allentown Mack. That is, Respon-
dent’s doubt was not well-founded and was unreasonable.
(1) Lack of good faith
The evidence in this case convinces me that Respondent
never had any intention of recognizing CNA and the purported
efforts by transition team and others including legal counsel,
were mere window-dressing for a decision that had never been
in doubt. Thus, I note that various reports prepared by outsid-
ers such as Arthur Anderson and the various models prepared
by Respondent’s in-house representatives never allowed for any
role to be played by the Unions. This omission is the more
telling when one considers that in these reports every other
conceivable permutation was considered except what role the
Unions might play. Moreover, Respondent agreed to the trans-
action with the assumption, that VMC would be fully integrated
into Respondent’s operations. This was the testimony of
McCloskey (Tr. 2696), and when put in context of this case,
“fully integrated” means making whatever unilateral changes in
bargaining unit employees’ terms and conditions of employ-
ment were necessary to allow for maximum efficiency, as
judged solely by Respondent’s management.
In the purported pretransaction investigation involving
McCloskey, to a certain extent, Attorney King22 and other Re-
spondent representatives, I was told over and over that the
county was stone-walling and foot-dragging with respect to
producing information relative to employee support for the
CNA bargaining unit. However, in a meeting between
McCloskey, King and Perea, the two Respondent representa-
tives made it clear to Perea, a General Counsel rebuttal witness,
that Respondent was not interested in having Unions as a part
of their overall system in the context of merger discussion (Tr.
3344).
In any event, Perea admitted in his cross-examination, that
there had been some difficulty in getting information about
unions to Respondent, caused in part by chaos surrounding the
merger, and in part, by the county attempting to protect privacy
concerns (Tr. 3363). Nevertheless, Respondent’s alleged pre-
dicament is more imagined than real. It never sought from
CNA any of the records on membership, dues receipts, griev-
ances, or any other subject. No credible reason for the over-
sight was submitted at hearing.
Although Respondent did not claim difficulty in obtaining
any other type of information from the county and although I
find Dee Ann VonBerg, a county senior personnel analyst, who
testified on several different occasions at hearing, to be com-
pletely forthcoming and very cooperative with both sides, I
admit the possibility that Respondent may have experienced
difficulty in getting information from the county. If true, I fail

permit the employer to substitute “good” reasons for “real” reasons.
Hugh H. Wilson Corp. v. NLRB, 414 F.2d 1345, 1352 (3d Cir. 1969),
cert. denied 397 U.S. 935 (1970).
22 I wish to make it clear that I draw “no inference of guilt from
awareness of one’s legal obligations; to do so would to promote the
ostrich over the farther seeing species.” Partington v. Brayhill Furni-
ture Industries, 999 F.2d 269, 271 (7th Cir. 1993).
UNIVERSITY MEDICAL CENTER 1339
to see how that fact would support Respondent’s failure to rec-
ognize and bargain with the Unions. It is after all, Respon-
dent’s burden to rely upon sufficient evidence before its refusal
to recognize, to justify its alleged good-faith doubt.
In conclusion, I note that at no time did Respondent ever re-
spond substantively to the Unions’ demands for recognition and
bargaining. So to this very day, the reason Respondent failed to
recognize and bargain with the Unions is unknown. See
Golden Cross Health Care of Fresno, 314 NLRB 1201, 1210–
1212 (1994), enfd. 87 F.3d 1318 (9th Cir. 1998).
(2) Doubt not well founded and was unreasonable
Before considering Respondent’s evidence, I note first that
as of October 6, there were 414 persons employed at VMC in
unit 7 job classifications (GC Exh. 2, par. 2, p. 4). I note next
that in general to be credited, Respondent’s evidence must be
proximate in time to the change in employers. NLRB v. Curtin
Matheson Scientific, supra, 494 U.S. at 788–789. This is im-
portant in the instant case because much of Respondent’s evi-
dence related to events which occurred long before October 7.
It is also required that an employer must be aware of and rely
on the objective facts upon which its doubt is based, at the time
it withdraws recognition (or when, as a successor, it fails to
recognize the union in the first instance). Orion Corp., 210
NLRB 633, 634 (1974), enfd. 515 F.2d 81, 89 (7th Cir. 1975).
This is important because as the General Counsel points out,
brief, pages 101–102, there is evidence to suggest, and I find,
that Respondent never relied on any alleged good-faith doubt as
a reason not to recognize the Unions. Thus, in (GC Exhs. 31(a)
and (b)) Respondent’s position statements dated February 7,
1997 (CNA), and May 8, 1997 (SEIU), submitted to the Re-
gion, Respondent never mentioned any good-faith doubt as a
basis for refusing to recognize the Unions. Where the reasons
for Respondent’s behavior are inconsistent, evasive and shifting
as I find them to be here, there is strong circumstantial evidence
that Respondent committed the unfair labor practice as charged.
Cf. Van Vlerah Mechanical, Inc. v. NLRB, 130 F.3d 1258, 1264
(7th Cir. 1997). Finally, I noted that an employee may desire
continued representation by a union even while engaging in a
wide range of actions that disclose conflict with, or opposition
to, the union’s goals or tactics. I P. Hardin The Developing
Labor Law, supra at 1997 Cum. Supp. p. 225.
Respondent presented former VMC bargaining unit wit-
nesses who claimed to have withdrawn support for CNA based
on a host of different factors:

(a) the protracted negotiations between the county and
CNA;
(b) CNA’s emphasis on certain issues at the expense of
other issues;
(c) CNA’s failure to communicate adequately with its
bargaining unit employees to find out what they wanted a
new collective-bargaining agreement to contain;
(d) CNA’s waste of its energy and resources by oppos-
ing the closure of VMC, both as part of a coalition with
other groups and on its own initiative;
(e) a CNA leader, Karen Short, opposing the closure of
VMC at the bargaining table and elsewhere, in a way that
some members found objectionable; and
(f) based on a decision of its state delegates in a state
convention, CNA withdrawal from the American Nursing
Association.

I find that notwithstanding the witnesses drawing of legal
conclusions that they and many work acquaintances withdrew
support for CNA based on one or more of these events, the
evidence simply does not reasonably lead to that conclusion.
Either the objected-to events happened too long before Octo-
ber 7, or the matter was resolved, such as the exit of Short in
early 1996 from all her CNA offices, or the objections of the
witnesses was not to CNA per se, but merely to a particular
policy, goal, or tactic. I note that all or most of Respondent’s
former VMC bargaining unit witnesses continued their CNA
membership through October 6. A few, while bashing CNA,
even on the witness stand, professed a strong belief in having a
labor union represent them in collective bargaining.
In Briggs Plumbingware v. NLRB, supra, 877 F.2d 1282,
1288–1289 (6th Cir. 1989), the court noted that employee
statements of dissatisfaction with a union are not deemed the
equivalent of withdrawal of support for the union as the exclu-
sive bargaining representative. The court continued that mere
disparaging remarks about a union to management may have
been made to incur the employer’s favor. (See also Redok En-
terprises, 277 NLRB 1010, 1012 (1985). Further, the mere fact
a few members sought to cancel their automatic dues deduction
does not show union repudiation. NLRB v. Albany Steel, Inc.,
17 F.3d 564, 569–570 (2d Cir. 1994).
In Columbia Portland Cement Co. v. NLRB, 979 F.2d 460,
465 (6th Cir. 1992), the court held that a high turnover of em-
ployees unaccompanied by objective evidence that new em-
ployees do not support the union is no evidence of loss of ma-
jority status by the union. Finally, in Manna Pro Partners L.P.
v. NLRB, 986 F.2d 1346, 1353 (10th Cir. 1993), the court noted
that the source of the alleged employee dissatisfaction was too
remote in time for Respondent to rely on.23
As I suggested above in drawing an adverse inference, I spe-
cifically find herein that Respondent has failed to link-up the
evidence allegedly supporting a good-faith doubt with the deci-
sion to refuse to recognize CNA. I repeat that the record fails
to demonstrate who made the decision and why it was made.
Thus, even assuming for the sake of argument the evidence of
good-faith doubt was adequate to its supposed purpose, it is of
no benefit to Respondent. In other words, the record does not
adequately establish, what did Respondent know and when did
it know it. For the reasons stated above and below, I find that
Respondent has failed to prove its good-faith doubt defense.
Respondent’s witnesses on the good-faith doubt issue may
be divided into two groups: (1) former unit 7 employees at
VMC now working for Respondent, and (2) former VMC su-
pervisors now working for Respondent as supervisors. In the
former category, Genevieve Rohan, RN, worked for VMC for 2
periods for a total of about 10 years. She left there in July and
was hired by Respondent in October. Currently Rohan works
as a trauma nurse coordinator. During her time at VMC, Rohan
was part of the bargaining unit, and a member of CNA. In fact,

23 All of the legal authorities cited in this segment of my decision,
2,d, (2) are unaffected by Allentown Mack Sales & Services.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 1340
she even continued her CNA membership for about 6 years that
she worked elsewhere. Rohan expressed disapproval with the
pace of negotiations during 1994 and 1995 and with the empha-
sis on certain issues to the exclusion of others. Rohan joined
with other RNs such as Sandra Yovino and Janet McQuillen,
RNs, both also Respondent’s witnesses, to send a letter to Don
Nielsen, a CNA official, complaining about various matters
relating to CNA. For all of her alleged dissatisfaction, Rohan
never dropped her CNA membership as she felt collective bar-
gaining was very important.
Another Respondent witness was Diana Johnson, RN, hired
by Respondent in October to perform the same job she per-
formed at VMC, nurse in the OR. Like Rohan, Johnson ob-
jected to CNA’s negotiating team which she heard about
through the grapevine. In the summer of 1995 Johnson claimed
that 20 out of 30 RNs were critical of CNA based on negotia-
tions. Johnson also claimed she tried to drop out of CNA but
her request was untimely.
Yovino and Macmillan generally tracked Rohan in their tes-
timony. All Respondent witnesses who formerly worked in the
VMC bargaining unit and are now working for Respondent
claimed to have conveyed their alleged dissatisfaction to super-
visors such as Bruce Kinder and Amy Tobin, RNs, who both
went to work for Respondent.
Kinder, for example, began working at VMC in 1984 as a
new RN and rose through the ranks to become assistant director
of nursing in July 1995. Kinder then left VMC in the spring
and was hired by Respondent in April as project manager for
VMC transition. Currently, Kinder is a high-level manager for
Respondent as a service integrator for the cardiopulmonary
pathway. While employed at VMC, Kinder was a member of
the negotiating team for the CNA and held certain other impor-
tant offices for CNA before he became part of VMC manage-
ment in 1989. Kinder alluded to a speech by Karen Short in
1995 to the Fresno County board of supervisors (R. Exh. 44,
44(a)). In her opposition to the closing of VMC, Short over-
stated her case, the result of which was to anger and antagonize
some RNs. The speech was broadcast on local radio and heard
throughout VMC. At its conclusion, about 10 RNs such as
Rohan called Kinder and asked him how to get out of CNA.
Kinder left VMC on April 12, but claimed to have main-
tained a close relationship with many of his former colleagues
at VMC. This relationship was both professional and social.
Kinder developed the impression that CNA was not supported
by a majority of RNs in unit 7 and reported this impression to
McCloskey and other members of Respondent’s HR Task
Force.
Respondent also called Amy Tobin, who worked for VMC
about 12 years from 1983 to 1995. Before leaving VMC,
Tobin, like Kinder, held high level management jobs such as
Assistant Director of Nursing. Unlike Kinder, Tobin was never
a member of the unit 7. In late 1995 Tobin worked for Re-
spondent as a consultant, working with other team members
under the auspices of Arthur Anderson & Co., building finan-
cial models, based on various contingencies. In January Tobin
was named service integrator in oncology. Then in October
1997 Tobin left the regular employment of Respondent, but
continues to work on a per diem basis.
While at VMC, Tobin was part of the management side ne-
gotiating team. She described negotiations with CNA as pro-
tracted and acrimonious, marked by several instances of unpro-
fessional conduct by CNA negotiators.24 As noted above, the
CNA-Fresno County bargaining agreement was finally agreed
to in May or June 1995 (GC Exh. 4). Also as noted above,
there was disagreement in certain quarters about CNA’s goals
for negotiations. According to Tobin, during negotiations, she
spoke to many of these bargaining unit dissidents such as RNs
in ICU, burn center and ED, who expressed disappointment
with the CNA bargaining team. Tobin spoke not only to bar-
gaining unit members, but also to nurse managers such as
Diana Johnson who also testified as a Respondent witness and
Ms. Fergeson who supervised about 25 RNs in the surgi-
cal/medical floor and Tom Stoeckel, who supervised about 70–
80 RNs in the ED. All of these nurse managers allegedly re-
lated to Tobin statements of dissatisfaction by bargaining unit
employees based on how their elected negotiating team repre-
sentatives were representing their interests. Supposedly, mo-
rale was low, turnover was high, and employees were con-
cerned about their job as the possible take-over becamed source
of constant attention by CNA employees and other employ-
ees.25
Then Tobin left in October of 1995, 1 year before the time in
question. Tobin claimed to have continued her contacts with
VMC RN employees and nurse managers as part of her consult-
ing duties for Respondent. I find Tobin’s testimony of little
value on the good-faith doubt issue. Apart from the staleness
of her information, and the transitory nature of the dissatisfac-
tion, I question the multiple hearsay nature of her reports by the
other nurse managers, particularly those like Fergeson and
Stoeckel who did not testify. Finally, I note that in April, of
1995, Tobin estimated about 450 RNs in the unite 7 bargaining
unit working at VMC (Tr. 1716). Tobin’s inquiry of nurse
managers, before she left VMC, focused most on 4E (medi-
cal/surgical) ICU and ED (Tr. 1733–1734). Tobin estimated
that as of the time prior to October 1995 when she left at VMC,
4E had about 30 RNs, ICU, 65–80 RNs, and ED 60–70 RNs
(Tr. 1736–1737). Even if all RNs in these three units were
opposed to the Union, a rather far-fetched notion, that would
still leave a clear majority of the bargaining unit about over
60percent in favor.
Finally Tobin testified that Ralph Jimenez, the county’s lead
negotiator for the CNA collective-bargaining negotiations,
allegedly told her during negotiations that about 115 RNs had
completed drop cards for CNA to stop automatic dues deduc-
tion (Tr. 1715). Tobin also recalled Jimenez telling her at some
point during negotiations that the county was considering with-

24 For example, at one point during heated discussions, Short re-
marked about one of the management negotiators who was on crutches,
saying she hoped he’d break his other leg. Another CNA negotiator
remarked in an insulting manner about the Hispanic heritage of mem-
bers of the management bargaining team.
25 Because the County was losing large sums of money in operating
VMC, the County too was considering various options before the one
ultimately chosen. These included, closure, downsizing, and privatiza-
tion without a merger. Each of these options had champions and oppo-
nents and were publicly discussed.
UNIVERSITY MEDICAL CENTER 1341
drawing recognition from CNA, based on loss of majority sup-
port. For unknown reasons, Jimenez was never called as a
witness by either side—and I draw no adverse inference form
his absence. However, as noted above, the General Counsel did
call in rebuttal Henry Perea, currently a senior staff analyst for
the county and during 1994–1995, a member of the county
bargaining team, who did not subsequently go to work for Re-
spondent. He denied that the county was ever considering
withdrawing recognition from CNA and he denied any knowl-
edge of 115 CNA drop cards. On the contrary, he testified that
the information available to the county during negotiations was
that union membership was holding steady (Tr. 3354). I credit
Perea on these two key points and find that Tobin was mis-
taken.26
On surrebuttal, Respondent called three former VMC bar-
gaining unit employees all of whom are now employed by Re-
spondent. I have considered the testimony of Paul Avalos,
Loretta Robeston, and Cislyn Blackwood and find little has
been added to Respondent’s case. Even when all the evidence
allegedly supporting good-faith doubt is considered in toto, I
find that such evidence falls far short of the mark. Accord-
ingly, for the reasons previously stated, I find that Respondent
has failed to establish a good-faith doubt. Even if the evidence
was sufficient, a notion I reject, without the nexus to a specific
decision maker, the evidence cannot be said to have been relied
upon by Respondent to deny recognition to CNA. Therefore, I
reject this affirmative defense.
3. The handbook allegations
a. Respondent’s motion to dismiss handbook allegations
On August 18, 1998, over 2 weeks after the parties filed their
briefs, Respondent filed a document styled, “Respondent’s
Motion to Dismiss Allegations Relating to Employee Hand-
book.” In this motion, Respondent moves that paragraphs 8
and 9 of the complaint (employee handbook allegations) in
Case 32–CA–15864 be dismissed on statute of limitations
grounds. On September 2, 1998, the General Counsel filed a
document in opposition to Respondent’s motion to dismiss. I
deny Respondent’s motion on procedural grounds, finding a bar
to consideration of the Motion on its merits.
First, I find that notwithstanding how Respondent’s motion
is styled, it constitutes in effect, an unauthorized reply brief.
As a matter of discretion, based on Respondent’s failure to seek
permission in advance to file a reply brief, and based on Re-
spondent’s failure to tender a persuasive case for why it finds
itself in the present uncomfortable position, I reject Respon-

26 Perea was a 21 year county employee with no connection to CNA
or Respondent. Moreover, he was part of management during CNA
negotiations. Furthermore, like Jimenez, Perea was of Hispanic back-
ground. So when a CNA representative made a biased comment at the
bargaining table about Hispanics, both men took the remark personally
and caused the county to file unfair labor practice charge against CNA.
This filing interrupted negotiations for a period, but the matter was later
dropped. All this shows me that Perea was not biased for or against
any party in this case.
dent’s reply brief. See J & J Drainage Products Co., 269
NLRB 1163, 1164 (1984).27
In the alternative, I deny Respondent’s motion because a
statute of limitations defense is an affirmative defense which
must be pled and litigated at the hearing. Prestige Ford, Inc.,
320 NLRB 1172 fn. 3 (1996) (the General Counsel’s allega-
tions not time-barred under Sec. 10(b) of the Act where Re-
spondent did not raise defense in its answer or at the hearing,
but did so for the first time in posthearing brief to the judge).
See also Fitel/Lucent Technologies, 326 NLRB 46 (1998); La-
borers’ Local 324 (AGC of California), 318 NLRB 589 fn. 1
(1995). In the present case, Respondent did not plead a statute
of limitations defense in its Answer to Case 32–CA–15864 (GC
Exh. 1(j)) and none was litigated at the hearing. Moreover,
Respondent did not even raise the defense in its initial
posthearing brief.
Perhaps anticipating the above, Respondent attempts (mo-
tion, p. 6, fn. 7), to avoid the consequences of its own inadver-
tence, by claiming that the alleged 10(b) issue raises jurisdic-
tional problems for the Board. However, Section 10(b) is a
statute of limitations and is not jurisdictional. Electrical Work-
ers Locals 2222, et al. (System Council T-6), 236 NLRB 1209,
1217 fn. 5 (1978) (citations omitted); Federal Management
Co., 264 NLRB 107 (1982).
Finally, Respondent implies (motion, pgs. 1–2, fn. 1), that it
was misled on the first day of the hearing by the General Coun-
sel. A brief review of the transcript is sufficient to rebut this
contention:

MR. HENZE: There’s one more matter before we go
to the other exhibits. There’s one amendment to the com-
plaint, and it’s simply deleting one of the allegations in
par. 8(b) regarding the handbook. Par. 8(b)(1) “bulletin
board.” General Counsel would move to delete that alle-
gation in its entirety.
J. STEVENSON: All right. Never an objection about
that, I assume, right?
MR. GUEVARA: None.
J. STEVENSON: None, all right, that motion will be
allowed to delete par. 8(b)(1).
[Trs. 67–68.]

The deleted allegation reads:

b. The [Employee] Handbook contains, inter alia, the
following provisions:
(1) Bulletin Boards
Information of special interest to all employees is
posted regularly on bulletin boards located throughout
community’s facilities. Employees may not post informa-
tion on these bulletin boards without approval from Hu-
man Resources. [p. 16.]

Based on the above discussion, I find that Respondent has
waived a defense under Section 10(b) of the Act and there is no
need at all to cover the matter on its merits.
27 Notwithstanding this finding, I decline to strike Respondent’s mo-
tion from the record.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 1342
b. The handbook allegations
At paragraph 8(e) of the complaint in Case 32–CA–15864, it
is alleged that Respondent has maintained an employee hand-
book in effect at UMC wherein at page 17, there is listed
(2) standards of conduct:

You are required to adhere to all policies, procedures
and professional standards of conduct. Failure to do so
may result in disciplinary action up to and including dis-
charge.
While it is not intended to be an exhaustive list, below
are examples of misconduct that are not permitted and
may lead to disciplinary action, including discharge:
1. Insubordination, refusing to follow directions, obey
legitimate requests or orders, or other disrespectful con-
duct towards a service integrator, service coordinator, or
other individual;
2. Unauthorized removal, damage, use or possession
of records or information belonging to community.
. . . .
8. Release or disclosure of confidential information
concerning patients or employees.28

In its answer (GC Exh. 1(j)) to the complaint, Respondent
admits that it maintains a handbook which contains the provi-
sions recited above. General Counsel contends (Br. 23–27) that
the cited provisions violated Section 8(a)(1) of the Act and
Respondent denies this claim.
As explained in the prior section, Respondent has inadver-
tently neglected to discuss these issues in its 175 page brief.
But no matter. Resolution of the issues will not take long.
Relying on Southern Maryland Hospital Center, 293 NLRB
1209, 1221–1222 (1989), I find that rule 1 (insubordination,
etc.) is overbroad and violates Sec. 8(a)(1) of the Act. In the
cited case, the offending rule, prohibited “. . . derogatory at-
tacks on fellow employees, patients, physicians or hospital
representatives. . . .” I note that a concerted employee protest
of supervisory conduct is protected activity under Section 7 of
the Act. Millcraft Furniture Co., 282 NLRB 593, 595 (1987).
Such Section 7 conduct could easily fall within the prohibition
of the rule in question and the protected activity could be la-
belled insubordination or disrespectful conduct. Furthermore,
the rule purports to cover not just two categories of supervisors,
but “other individuals” as well. Perhaps an employee who
objects to union solicitation in the cafeteria, for example, could
claim he was disrespected by union organizers. The general
rule is that no restrictions may be placed on the employees right
to discuss self-organization among themselves [nor on employ-
ees’ right to engage in other Section 7 activity], unless the em-
ployer can demonstrate that a restriction is necessary to main-
tain production or discipline. Koronis Parts, Inc. 324 NLRB
675 (1997). Moreover, the lack of enforcement of an unlawful
rule is no defense. Id.
I also find in partial agreement with the General Counsel that
rule 8 is overly broad because it is indiscriminate to its applica-
28 At p. 23, fn. 16, of his brief, the General Counsel withdraws the
separate allegation (par. 8(b) of the complaint) relating to alleged im-
proper use of a bulletin board as referenced above.
tion. Pontiac Osteopathic Hospital, 284 NLRB 442, 465–466
(1987). As explained by the judge, Id. 466, the rule in question
could reasonably be construed by employees to preclude dis-
cussing information concerning terms and conditions of em-
ployment, including wages, which could fall under the broad
category of confidential information concerning employees.
On the other hand, rule 3 appears to me to be narrowerly
drawn and straightforward. It could not reasonably be said to
inhibit organizing activity or to apply to other Section 7 activ-
ity. Accordingly, I will recommend dismissal of that portion of
the allegation.
4. Overruling of Board precedent
As an alternative theory, the General Counsel urges the
Board (Br. 114, et seq.) not only to overrule Celanese Corp. of
America, 95 NLRB 664 (1951), but to do so retroactively.
More specifically, the General Counsel urges the Board to bar
any withdrawal of recognition by an employer of a certified
bargaining representative, except as a result of a Board con-
ducted election, whereby the Union is voted out and decertified.
I express no opinion on the merits of the argument for the
following reason: (1) As an ALJ, I lack authority to overrule a
decision of the Board and I am bound by its decisions. Iowa
Beef Packers, Inc., 144 NLRB 615, 616–617 (1963);
(2) Retroactively, is generally disfavored in the law. . . in ac-
cordance with “fundamental notions of justice that have been
recognized throughout history. Eastern Enterprises v. Apfel,
524 U.S. 498, (1998); and see also NLRB v. Guy F. Atkinson
Co., 195 F.2d 141, 149, 151 (9th Cir. 1952). Moreover, in light
of my decision above, it is unnecessary to decide General
Counsel’s alternative theory.29
5. Time limits
a. Factual basis
During the hearing of this case, a number of problems devel-
oped with the presentation of evidence. In some cases, the
parties were not prepared to go forward; in other cases repeti-
tious and cumulative evidence was presented. Repeatedly,
erroneous and inaccurate estimates were provided as to how
long a party’s case would take or as to how long a particular
witness’ direct or cross-examination would take. To allow the
parties time to discuss stipulations or to look at each others
documents, frequent recesses or extended lunches were neces-
sary. Rarely, if ever were documents marked in advance. On
occasion, cross-examination became disjointed and unfocused.
On March 4 (day 9 of hearing) I expressed concern with the
slow pace of the hearing and put the parties on notice I was
considering time limits for Respondent. This was apparently
interpreted by Respondent as a challenge for it to continue the
status quo. Thus new witnesses were added to the
nonmandatory list of witnesses provided to me by Respondent,
and the sluggish pace otherwise continued. On Thursday,
March 5, 1998, I imposed a 1-week time limit for Respondent
to finish its case. This time limit was subsequently extended to
Friday, March 13, 1998, though as late as Tuesday, March 10,
29 I assume strictly for the sake of argument that a change in the law
as urged by the General Counsel would apply to the instant case where
Respondent never recognized either Union in the first place.
UNIVERSITY MEDICAL CENTER 1343
1998, Respondent’s attorneys told me with some reservations,
that it expected to complete its case by Thursday, March 12,
1998 (Tr. 2469).
To a certain extent, all attorneys were responsible for some
delays, but Respondent’s attorneys were responsible for caus-
ing the greater proportion of delays. When criticized for taking
too much time, they repeatedly invoked their client’s interest as
a talisman for the delays. Of course, some delay is inevitable in
all litigation, particularly in a long case with numerous docu-
ments like the instant case. However, I cannot permit an attor-
ney’s irrational exuberance in defense of its client to expand
and inflate the reasonable time which this case or any case
should take. To put the matter in its simplest possible terms,
because this case was taking too much time in proportion to the
valid issues presented, I find as a matter of discretion, that there
was no reasonable alternative except to impose certain time
limits, including the time limits for Respondent to rest its case
over its objection. As noted above, I demonstrated flexibility
so as not to “engender an unhealthy preoccupation with the
clock,” by allowing Respondent to have 1-half day of addi-
tional time before requiring it to rest.
b. Legal basis
In U.S. v. Vest, 116 F.3d 1179, 1186–1188 (7th Cir. 1997),
cert. denied 522 U.S. 1119 (1998), a criminal case, the court
affirmed the use of time limits in an appropriate case. At page
1187 of that decision, the court recited the precedents to set
time limits in civil cases. Of course, it may be argued that these
authorities are not applicable to ALJs in administrative hear-
ings. To any such claim, I would respond in the words of the
Supreme Court in Butz v. Economou, 438 U.S. 478, 513 (1977),
that the role of the ALJ is “functionally comparable” to that of
a judge. Cf. NLRB v. Permanent Label Corp., 657 F.2d 512
(3d Cir. 1981).
For additional legal authority to justify time limits, I rely
upon Section 102.35(f) of the Board’s Rules and Regulations30
and Rule 611(a)31 and Rule 40332 FRE. The Board is required
to follow the Federal Rules of Evidence to the extent practica-
ble. Fimco Inc., 282 NLRB 653, 654 (1987); NLRB v. May-

30 In pertinent part, this Section (Duties and power of administrative
law judges) reads. . .
The administrative law judge shall have authority, with re-
spect to cases assigned to him,
(f) to regulate the course of the hearing.
31 Rule 611(a) FRE. Mode and order of interrogation and
presentation:
(a) Control by court. The court shall exercise reasonable con-
trol over the mode and order of interrogating witnesses and pre-
senting evidence so as to (1) make the interrogation and presenta-
tion effective for the ascertainment of the truth, (2) avoid needless
consumption of time, and (3) protect witnesses from harassment
and undue embarrassment.
32 Rule 403 FRE. Exclusion of relevant evidence on grounds of
prejudice, confusion or waste of time:
Although relevant, evidence may be excluded if its probative
value is substantially outweighed by the danger of unfair preju-
dice, confusion of the issues . . . or by considerations of undue de-
lay, waste of time, or needless presentation of cumulative evi-
dence.
wood Do-Nut Co., 659 F.2d 108, 110 (9th Cir. 1981). Section
102.121 of the Board’s Rules provide that “the rules and regu-
lations in this part shall be liberally construed to effectuate the
purposes and provisions of the Act.” Dorsey Trailers, Inc., 322
NLRB 181 fn. 6 (1996). I find that the imposition of time lim-
its on Respondent and other parties was the least restrictive
means of furthering the Board’s compelling interest in expedit-
ing the hearing while protecting the interests of all parties. See
Manor West, Inc., 311 NLRB 655, 669 (1993).
In still further support of my decision to set time limits as a
matter of discretion, I rely upon George Joseph Orchard Sid-
ing, Inc., 325 NLRB 252 (1998), where the Board affirmed the
ruling of an administrative law judge to appoint interpreters in
unfair labor practice proceedings, finding that such power is
inherent and implied in the office of administrative law Judge.
Moreover, the Administrative law Judge may direct the General
Counsel to pay for an interpreter for Respondent’s witnesses.
See also Domsey Trading Corp., 325 NLRB 429 (1998).
In conclusion, I affirm that my decision on the allegations of
the complaint was unaffected by any issue having to do with
time limits or the reasons in support thereof. Based on the total
record, no party can reasonably claim that it did not receive a
fair and impartial hearing or that it was otherwise deprived of
its right to due process of law. Notwithstanding what I have
just stated, it is always possible that a party may attack the
judge.
It is, of course, unseemly for me to defend my own conduct.
However, I would hope that my behavior would meet the stan-
dard described by Judge learned Hand in Brown v. Walter, 62
F.2d 798, 799 (2d Cir. 1933): “[a] judge, at least in a federal
[trial], is more than a moderator; he is affirmatively charged
with securing a fair trial, and he must intervene sua sponte to
that end, when necessary.” I urge the Board to find that given
the extraordinary facts and circumstances surrounding this case,
I was fully justified in imposing time limits on Respondent and
other parties.
CONCLUSIONS OF LAW
1. Community Hospitals of Central California d/b/a Univer-
sity Medical Center, is an employer engaged in commerce
within the meaning of Section 2(2), (6), and (7) of the Act.
2. California Nurses Association and Service Employees In-
ternational Union, Local 752, Service Employees International
Union, AFL–CIO are labor organizations within the meaning of
Section 2(5) of the Act.
3. California Nurses Association and Service Employees In-
ternational Union, Local 752, Service Employees International
Union, AFL–CIO were the certified bargaining representatives
and had long periods of bargaining history respecting units 7, 5,
and 12 employed by Valley Medical Center in Fresno, Califor-
nia until its takeover by Respondent on October 7.
4. Respondent is a successor to VMC in the unit set forth
below operating that facility at all times on and after October 7;
former county units 7: Employees of University Medical Cen-
ter formerly employed at VMC in the following job classifica-
tions: anesthetist I, II, and noncertified clinical nurse specialist,
mental health nurse I and II, nurse interim permittee and (per-
mittee a), nurse practitioner, public health nurse I and II, staff
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 1344
education and development instructor (step 4), staff nurse I, I-
A, II, II-A, III, and III-A.
5. CNA demanded recognition from Respondent effective
October 7, as the representative of unit 7 employees and SEIU
demanded recognition of Respondent effective January 13,
1997.
6. As a result of the successorship CNA and SEIU enjoyed a
rebuttable presumption of majority employees support amongst
bargaining unit employees in units 7, 5, and 12 as appropriate.
7. Respondent has failed to rebut the single facility pre-
sumption as to all units.
8. Respondent did not have a good-faith doubt that a major-
ity of unit 7 employees supported CNA at relevant times.
9. Respondent violated Section 8(a)(5) and (1) of the Act by
failing and refusing at all times since October 7, to recognize
and bargain with CNA with respect to former county unit 7.
10. Respondent violated Section 8(a)(1) of the Act by main-
taining provisions of its employee handbook, page 17, Stan-
dards of Conduct, pars. 1 and 3 of said handbook.
11. Other than specifically found herein, Respondent has not
violated the Act in any other particulars.
REMEDY
Having found that Respondent has violated the Act in certain
respects as alleged, I will recommend that it be ordered to cease
and desist therefrom and to take certain affirmative action de-
signed to effectuate the purposes of the Act.
I will also recommend that Respondent be directed to recog-
nize and bargain with CNA and make CNA unit employees
whole for any losses they suffered as a result of Respondent’s
failure to recognize and bargain with CNA, with interest as
calculated in accordance with F. W. Woolworth Co., 90 NLRB
289 (1950), and New Horizons for the Retarded, 283 NLRB
1173 (1987).
I will also recommend that Respondent be directed, upon re-
quest by CNA, to restore the status quo ante respecting terms
and conditions of CNA unit 7 employees’ employment.
[Recommended Order omitted from publication.]