Local 144, Hotel, Hospital, Nursing Home & Allied Services Union, SEIU, AFL-CIO v. CNH Management Associates, Inc.

713 F. Supp. 680, 133 L.R.R.M. (BNA) 2592, 1989 U.S. Dist. LEXIS 5684, 1989 WL 55162
CourtDistrict Court, S.D. New York
DecidedMay 23, 1989
Docket87 Civ. 2778 (RWS)
StatusPublished
Cited by2 cases

This text of 713 F. Supp. 680 (Local 144, Hotel, Hospital, Nursing Home & Allied Services Union, SEIU, AFL-CIO v. CNH Management Associates, Inc.) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Local 144, Hotel, Hospital, Nursing Home & Allied Services Union, SEIU, AFL-CIO v. CNH Management Associates, Inc., 713 F. Supp. 680, 133 L.R.R.M. (BNA) 2592, 1989 U.S. Dist. LEXIS 5684, 1989 WL 55162 (S.D.N.Y. 1989).

Opinion

OPINION

SWEET, District Judge.

Plaintiff Local 144, Hotel, Hospital, Nursing Home and Allied Services Union, SEIU, AFL-CIO (“Local 144”) has moved for an order pursuant to 9 U.S.C. § 9 confirming and enforcing the arbitration Opinion and Award of March 8,1988 (the “Final Award”) and pursuant to Rule 15(a) permitting it to amend its complaint. Defendant CNH Management Associates, Inc. (“CNH”) has cross-moved for an order vacating the Final Award and dismissing Local 144’s motion on the alternative grounds, first, that the court lacks power to confirm the Final Award because the plaintiff has failed to comply with Rule 3, Fed.R.Civ.P., second, that the Final Award fails to draw its essence from the parties’ collective bargaining agreement and therefore the Arbitrator exceeded his powers, third, that the Final Award is not final and therefore is not susceptible to judicial action at this time, or fourth, that CNH has not completed discovery, which bars confirmation pursuant to Rule 56(f), Fed.R.Civ.P. For the reasons set forth below, the Final Award is confirmed to the extent it orders payments totaling $8,757,709 plus interest for 1981 to 1985, but vacated for amounts awarded for 1986 and 1987. Local 144’s motion to amend the complaint is granted, except for its proposed claim for an accounting.

The Parties

CNH, a management company, is one of several vendors providing labor services at Concourse Nursing Home (“Concourse”), a skilled nursing facility licensed by New York State (the “State”) and owned by Marvin Neiman (“Neiman”). Since 1977, Local 144 has represented licensed practical nurses, nurses aides, orderlies, laundry workers, and kitchen staff employed by CNH at Concourse.

The Facts

1. The Medicaid Reimbursement System

Through the Medicaid reimbursement system, the State pays health care facilities for caring for patients qualifying for Medicaid benefits. During the period at issue here, approximately 95% of Concourse’s patients qualified for Medicaid, and Concourse, therefore, received about 95% of its revenues through the Medicaid reimbursement system. The operation of that system has given rise to the dispute in this case.

*682 The State reimburses nursing home facilities according to a per diem rate for each Medicaid patient day. Until 1986, the State calculated the per diem rate using a cost-based formula. First, the State designated a base year for determining the facility’s total reimbursable costs. For example, in 1981 the State selected 1978 as a base year, and in 1982 it chose 1980 as the base year. Next, the State calculated the facility’s reimbursable base year costs, including labor costs (union and nonunion expenses for wages and benefits), operating costs, property costs (rental or mortgage expenses), and so forth. The State did not approve and pay automatically all costs a facility incurred. For example, the State imposed “discrete” ceilings on particular costs, such as salaries paid to administrators and relatives of facility owners. If a facility exceeded the discrete ceiling, the State would exclude the excess from its base year cost calculation.

Once the State had computed the allowable base year costs, it determined the reimbursable costs for any given year by multiplying base year costs by a “trend factor” calculated to account for inflation. The State then divided this amount by the facility’s total patient days to arrive at the per diem rate.

Within this system, the State allowed for periodic adjustments for specific items of cost. If a facility convinced the State that it required additional reimbursement to cover a particular cost, the State would reimburse monies for that item and specifically designate those funds on the rate sheets for the given year. For reimbursement provided in this manner, the facility was obligated to spend the funds for the specified purpose or face recoupment by the State.

In 1982, the State modified the Medicaid reimbursement system by imposing “peer group ceilings.” Peer group ceilings reflected a norm the State generated by comparing total costs at similar facilities. To the extent an individual facility’s total costs exceeded the norm, the State denied reimbursement for the excess, and the facility was out of pocket for that amount.

A facility whose costs exceeded the peer group ceilings could appeal to demonstrate that the excess expenditures were necessary to operate properly, for example, because the facility’s patients required specialized medical care. If the facility’s appeal succeeded, the State would retroactively adjust its reimbursement rate. However, as the Interim Award observed, “the State would not approve facility costs in excess of peer group caps that represented] a unilateral decision to operate as a ‘Cadillac’ rather than a ‘Chevrolet’ to provide the same necessary services.” Interim Award at 9.

On January 1, 1986, the State changed its Medicaid reimbursement methodology from a cost based system to a pricing system called “Resource Utilization Group” (“RUGS”). Rather than reimbursing a facility for the costs it incurred, RUGS essentially set a price the State would pay for a facility to treat a certain type of patient.

2. Parity

When Local 144 first began representing CNH's employees, the workers received wages and benefits generally lower than those earned by workers Local 144 represented at other health care facilities. To remedy this situation, Local 144 negotiated clauses in its collective bargaining agreements that required CNH gradually to bring its employees’ wages and benefits on par with those at other facilities, a process known as “parity.”

CNH and Local 144 signed their first collective bargaining agreement on August 10, 1978 (the “1978 Agreement”), which included the following parity clause:

The difference between the minimum provided for under the Metropolitan Agreement [of Greater New York] and that currently being paid by the Employer shall be implemented during the three year agreement in equal one-third (1/3) installments provided the Cost Review Panel approves increases in rates and the State actually reimburses the Employer to offset all Labor Costs.

This provision thus recognized the three comer relationship between the State, the *683 management of the facilities, and the union, a relationship which, to say the least, has complicated the collective bargaining process over the years and has resulted in two strikes prior to the events described here.

On June 29, 1981, CNH and Local 144 signed their second collective bargaining agreement (the “1981 Agreement”), which is at issue here. Paragraph 1 of that agreement required CNH to carry over the salaries and benefits set forth in the 1978 Agreement, “provided that any increase in such wages and economic benefits shall be subject to the reimbursement and parity provision of this agreement as contained in paragraphs 2(e) and 4.”

Paragraph 2(e) set forth the parity obligation, stating:

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713 F. Supp. 680, 133 L.R.R.M. (BNA) 2592, 1989 U.S. Dist. LEXIS 5684, 1989 WL 55162, Counsel Stack Legal Research, https://law.counselstack.com/opinion/local-144-hotel-hospital-nursing-home-allied-services-union-seiu-nysd-1989.