The New York and Presbyterian Hospital v. New York State Nurses Association

Court of Appeals for the Second Circuit·Decided July 7, 2026·No. 25-113·Published

Opinion

25-113 The New York and Presbyterian Hospital v. New York State Nurses Association 1 In the 2 United States Court of Appeals 3 For the Second Circuit 4 ________ 5 6 AUGUST TERM, 2025 7 8 ARGUED: JANUARY 7, 2026 9 DECIDED: JULY 7, 2026 10 11 Docket No. 25-113 12 ________ 13 14 NEW YORK PRESBYTERIAN HOSPITAL, 15 Plaintiff-Appellant, 16 17 v. 18 19 NEW YORK STATE NURSES ASSOCIATION, 20 Defendant-Appellee. 21 ________ 22 23 Appeal from the United States District Court 24 for the Southern District of New York. 25 ________ 26 27 Before: KEARSE, WALKER, AND NARDINI, Circuit Judges. 28 ________ 29 In 2019, Plaintiff-Appellant, the New York and Presbyterian 30 Hospital (the “Hospital”), entered into a collective bargaining 31 agreement with Defendant-Appellee, the New York State Nurses 32 Association (the “Union”). Per this agreement, the Hospital agreed to 33 staff a certain number of registered nurses to the Hospital’s Cardio- 34 Thoracic Intensive Care Unit (“CTICU”) according to an agreed-upon No. 25-113

1 grid. When the Hospital failed to staff the CTICU to grid levels, the 2 Union brought the unit’s nurses’ grievance against the Hospital to 3 arbitration. The Arbitrator later determined that the Hospital 4 breached the parties’ agreement and issued a monetary award (the 5 “arbitral award”) to the affected nurses.

6 In this appeal, the Hospital seeks vacatur of the district court’s 7 confirmation of this arbitral award. The Hospital argues that the 8 monetary award issued (1) was not authorized as a potential remedy 9 in the parties’ collective bargaining agreement and, in any case, 10 (2) was punitive in nature and therefore violated an alleged public 11 policy forbidding punitive labor arbitration awards. For the reasons 12 explained below, we AFFIRM the district court’s confirmation of the 13 arbitral award in favor of Appellee.

14 ________

15 JOHN HOUSTON POPE (James S. Frank, Laura H. 16 Schuman, on the brief), Epstein Becker & Green, 17 P.C., New York, NY, for Plaintiff-Appellant.

18 BRUCE S. LEVINE (Daniel M. Nesbitt, on the brief), 19 Cohen, Weiss and Simon LLP, New York, NY, for 20 Defendant-Appellee. 21 ________

22 JOHN M. WALKER, JR., Circuit Judge:

23 In 2019, Plaintiff-Appellant, the New York and Presbyterian 24 Hospital (the “Hospital”), entered into a collective bargaining 25 agreement with Defendant-Appellee, the New York State Nurses 26 Association (the “Union”). Per this agreement, the Hospital agreed to 27 staff a certain number of registered nurses to the Hospital’s Cardio-

2 No. 25-113

1 Thoracic Intensive Care Unit (“CTICU”) according to an agreed-upon 2 grid. When the Hospital failed to staff the CTICU to grid levels, the 3 Union brought the unit’s nurses’ grievance against the Hospital to 4 arbitration. The Arbitrator later determined that the Hospital 5 breached the parties’ agreement and issued a monetary award (the 6 “arbitral award”) to the affected nurses.

7 In this appeal, the Hospital seeks vacatur of the district court’s 8 confirmation of this arbitral award. The Hospital argues that the 9 monetary award issued (1) was not authorized as a potential remedy 10 in the parties’ collective bargaining agreement and, in any case, (2) 11 was punitive in nature and therefore violated an alleged public policy 12 forbidding punitive labor arbitration awards. For the reasons 13 explained below, we AFFIRM the district court’s confirmation of the 14 arbitral award in favor of Appellee.

15 BACKGROUND

16 In 2019, the Hospital and Union entered into an agreement, 17 which was comprised of a Collective Bargaining Agreement (“CBA”) 18 that was later modified and extended by a Memorandum of 19 Agreement (“MOA”) (together, the “Agreement”). Under the 20 Agreement, the Hospital was required to maintain certain registered 21 nurse staffing levels in the Hospital’s CTICU, as outlined in an 22 agreed-upon staffing grid. 1 The grid required two-to-four fewer 23 nurses in the CTICU than the number of patients admitted to the 24 CTICU. Parties could raise staffing disputes under the Agreement via

1 The CBA was effective January 1, 2019 through December 31, 2022, and was amended and extended by an MOA, effective as of January 1, 2023. Among other changes, the MOA modified the staffing grid in the CTICU. Compare Joint App’x at 371 (CBA), with Joint App’x at 176 (MOA). 3 No. 25-113

1 a specified grievance procedure that culminated in the option of 2 submitting their dispute to arbitration.

3 In June 2023, the Union filed a grievance regarding staffing 4 disparities in the CTICU dating back to January of that year. Five 5 months later, the Union requested arbitration. During arbitration, the 6 Arbitrator set out to resolve the following questions: “Did the 7 Employer violate the collective bargaining agreement with respect to 8 the staffing on the CTICU? If so, what shall be the remedy?” Joint 9 App’x at 41.

10 At arbitration, the Hospital and the Union did not dispute that 11 staffing in the CTICU fell below the Agreement’s required grid levels. 12 The Hospital still argued that it did not violate the Agreement because 13 it made efforts to recruit and hire nurses to fill vacant positions. The 14 Union, on the other hand, maintained that the Hospital’s failure to 15 properly staff the CTICU to the agreed-upon grid levels required a 16 “make-whole financial remedy,” which would compensate the nurses 17 for the “extra labor [they] expended” while working understaffed. 18 Special App’x at 3. The Hospital countered that such a remedy (1) 19 was precluded by the parties’ Agreement and (2) was impermissibly 20 punitive. Id. at 4.

21 On May 22, 2024, after a two-day hearing, the Arbitrator found 22 the Hospital in violation of the parties’ Agreement because of the 23 Hospital’s failure to staff the CTICU in compliance with the grid. The 24 Arbitrator then issued a monetary award to the Union for the 25 Hospital’s breach. In order to calculate the remedy, the Arbitrator 26 determined which nurses in fact worked on an understaffed shift and 27 further narrowed the group of compensable nurses to only those who 28 worked on shifts that were understaffed by three or more nurses. The 29 Arbitrator reasoned that the working conditions faced by nurses who

4 No. 25-113

1 worked on such shifts were adverse enough to trigger a financial 2 remedy, declining the Union’s request for a monetary remedy for 3 every shift on which fewer nurses were assigned than are prescribed 4 by the grid. To calculate the final award, the Arbitrator divided 5 among those nurses “the amount of money the Hospital would have 6 paid to the number of extra nurses needed to properly staff the shift 7 less 2 (since the Arbitrator declined to award a remedy for shifts 8 understaffed by up to 2).” Joint App’x at 56; see also id. at 59–65 9 (appendix dividing award of approximately $275,000 among 10 understaffed shifts). The Arbitrator stated that this remedy was 11 meant as “compensation to the nurses for the adverse conditions 12 under which they worked, and not a penalty to the Employer.” Id. at 13 57. No financial offset was awarded to the Hospital for its recruitment 14 and hiring efforts.

15 In July and August 2024, the parties cross-moved in the district 16 court for the Southern District of New York (Rochon, J.) to vacate or 17 confirm the award. On December 16, 2024, the district court entered 18 judgment denying the Hospital’s motion to vacate and granting the 19 Union’s cross-motion to confirm the award. On January 14, 2025, the 20 Hospital timely appealed.

21 DISCUSSION

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