NLRB v. San Rafael Hospital

CourtCourt of Appeals for the First Circuit
DecidedDecember 12, 1994
Docket93-2026
StatusPublished

This text of NLRB v. San Rafael Hospital (NLRB v. San Rafael Hospital) is published on Counsel Stack Legal Research, covering Court of Appeals for the First Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
NLRB v. San Rafael Hospital, (1st Cir. 1994).

Opinion

USCA1 Opinion



UNITED STATES COURT OF APPEALS
FOR THE FIRST CIRCUIT
____________________

No. 93-2026

NATIONAL LABOR RELATIONS BOARD,

Petitioner,

v.

HOSPITAL SAN RAFAEL, INC.,
AND CENTRO MEDICO DEL TURABO, INC., AND ITS SUBSIDIARIES,
TURABO MEDICAL CENTER LIMITED PARTNERSHIP AND
HOSPITAL INTERAMERICANO DE MEDICINA AVANZADA,

Respondents.
____________________

ON APPLICATION FOR ENFORCEMENT OF AN ORDER OF
THE NATIONAL LABOR RELATIONS BOARD
____________________

Before

Breyer,* Chief Judge, ___________

Boudin and Stahl, Circuit Judges. ______________

____________________

David A. Grant with whom Betty Southard Murphy, Jean H. Baker, _______________ _____________________ _____________
Baker & Hostetler, Heber E. Lugo-Rigau and Ledesma, Palou & __________________ ____________________ _________________
Miranda were on brief for respondents. _______
Fred L. Cornnell with whom Frederick C. Havard, Supervisory _________________ ____________________
Attorney, Daniel Silverman, General Counsel, Linda Sher, Acting _________________ ___________
Associate General Counsel, and Aileen A. Armstrong, Deputy _____________________
Associate General Counsel, National Labor Relations Board, were
on brief for petitioner.

____________________

December 12, 1994
____________________

____________________

*Chief Judge Stephen Breyer heard oral argument in this matter,
but did not participate in the drafting or the issuance of the
panel's opinion. The remaining two panelists therefore issue
this opinion pursuant to 28 U.S.C. 46(d).

BOUDIN, Circuit Judge. This is a difficult labor-law ______________

case made even more difficult because the pertinent doctrines

have confusing labels, overlap with one another and

occasionally mutate. We begin with the facts and procedural

history, and then address the legal issues and the claims of

error.

I.

For many years, Hospital San Rafael, Inc., ("San

Rafael") operated a neighborhood hospital in Caguas, Puerto

Rico. In 1978, two doctors--Jaime Soler and Jose Badillo--

bought somewhat over 80 percent of San Rafael's stock; Soler

owned about 70 percent of the joint holdings and Badillo

about 30 percent. The doctors then hired Joaquin Rodriguez

as the hospital's president. These three individuals

comprised the hospital's board.

San Rafael was in poor financial shape, and in mid 1978

the Puerto Rico health authorities said that the hospital

would have to remedy problems in its physical plant or lose

its eligibility to treat Medicare patients. Medicare

patients accounted for almost half of the hospital's

occupancy. Soler, Badillo and Rodriguez began to discuss the

construction of a new hospital. It was conceived that a new

corporation would be established, partly because San Rafael

itself could not obtain loan funds, and in addition the new

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hospital was expected to be more than a local hospital and to

draw patients from the Caribbean basin.

Centro Medico was created in August 1978 to operate the

proposed new hospital under the name Hospital Interamericano

de Medicina Avanzada ("Hospital Interamericano"). In 1981,

Soler had 40 percent of the shares, Badillo 20 percent and

Rodriguez 20 percent. Ultimately, Soler's ownership was

reduced to 38 percent, Badillo and Rodriguez each owned about

19 percent, and 19 percent was acquired by Carlos Pineiro, a

longtime associate of Rodriguez. From the start Rodriguez

was Centro Medico's president, and Soler and Badillo were

among the board members.

At various times, Rodriguez spoke about the new hospital

as if it were an expansion of San Rafael, and San Rafael made

interest-free cash advances for the construction of the new

hospital and took other steps to support its development.

San Rafael was granted a waiver as to its Medicare

deficiencies because of the plans to open a new hospital.

Later, San Rafael agreed to surrender its own license to

operate a hospital, in order to facilitate the licensing of

the new hospital.

San Rafael ceased operation on November 14, 1988. On

November 18, 1988, the new Centro Medico hospital, operating

as Hospital Interamericano, opened to the public. Rodriguez,

Soler and Badillo continued to hold their prior positions.

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Pineiro, who since 1987 had been responsible for labor

relations at San Rafael, became the new hospital's executive

vice president. A majority of the supervisors of San Rafael

and most of the other employees transferred to the new

hospital.

Against this background labor disputes developed that

led to the present litigation. In January 1984, the Union

Nacional de Trabajadores de la Salud, Local 1199 ("the

union") became the certified collective bargaining

representative of two units of San Rafael employees: a

professional unit (e.g., registered nurses) and a technical ____

unit that included other employees. San Rafael and the union

entered into an agreement effective from September 1, 1984,

to August 31, 1987, also agreeing that this contract would

continue until a new contract replaced it.

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