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

CourtDistrict Court, S.D. New York
DecidedSeptember 30, 2025
Docket1:24-cv-09865
StatusUnknown

This text of The New York and Presbyterian Hospital v. New York State Nurses Association (The New York and Presbyterian Hospital v. New York State Nurses Association) 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.

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The New York and Presbyterian Hospital v. New York State Nurses Association, (S.D.N.Y. 2025).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK

THE NEW YORK AND PRESBYTERIAN HOSPITAL, Petitioner, 24-CV-9865 (RA) v. OPINION & ORDER

NEW YORK STATE NURSES ASSOCIATION, Respondent.

RONNIE ABRAMS, United States District Judge: Before the Court are dueling motions—a petition by New York and Presbyterian Hospital (the “Hospital”) to vacate an arbitration award (the “Award”) pursuant to 9 U.S.C. § 10 of the Federal Arbitration Act (“FAA”) and 29 U.S.C. § 185(a) of the Labor Management Relations Act (“LMRA”) entered in favor of the New York State Nurses Association (the “Union”) due to understaffing in one of its departments, and the Union’s cross-motion to confirm that same award. For the reasons that follow, the Hospital has not met the high standard for vacating an arbitral award. Accordingly, the Court denies the Hospital’s petition to vacate the Award and grants the Union’s cross-motion to confirm it. BACKGROUND The following facts are drawn from the parties’ papers and the underlying Award and are not in dispute unless otherwise noted. See AFK Inc. v. Skybell Techs. Inc., 772 F. Supp. 3d 473, 476 (S.D.N.Y. 2025). The Hospital is a “not-for-profit corporation that operates an academic medical center with several campuses.” Dkt. No. 1 (“Pet.”) ¶ 3. One such unit is New York- Presbyterian Allen Hospital (the “Allen Emergency Department” or the “Allen ED”), a “community-based emergency care center,” id. ¶ 7. The Union is a labor organization representing registered nurses employed by the Hospital. Id. ¶ 4. I. The Agreement Six years ago, the parties entered into a collective bargaining agreement. See Pet. ¶ 6; Dkt. No. 7, Ex. B (the “CBA”). They then executed a Memorandum of Agreement, see Dkt. No. 7, Ex.

C (the “MOA”), effective January 1, 2023, modifying the CBA, and extending it through December 31, 2025. Dkt. No. 7, Ex. D at 6. Section 3.04 of the CBA, as modified by the MOA (together, the “Agreement”), charges the Hospital with maintaining certain nursing staffing levels in the Allen ED, as outlined by a staffing grid (the “Grid”).1 CBA § 3.04(10) (“The [Hospital] agrees to maintain the number of 0F nurses per unit per shift reflected in the improvement grids.”). Unlike the agreements established for other hospital units, the “grid for Allen ED does not impose any nurse-patient staffing ratios or set any maximum number of patients that an RN may be assigned.” Pet. ¶ 14; N.Y. & Presbyterian Hosp. v. N.Y. State Nurses Ass’n, No. 24-CV-5648, 2024 WL 5107586, at *1 (Dec. 13, 2024) (hereinafter N.Y.P. I) (emphasis in original) (discussing staffing grid that set nurse-patient staffing ratios). The Agreement also established the Allocation Committee (the “Committee”), “consisting of members of the [Union’s] Executive Committee,” along with “members of nursing leadership,” to re-assess the staffing grid annually and resolve disputes that arose. CBA § 3.04(4). If the Union believed that the Hospital had violated any provision in Section 3.04—including a “perceived persistent failure to post, recruit for or hire nurses expeditiously” or a “perceived pattern of violations of the number of nurses per unit per shift reflected in the grids”—it could raise this to the Committee. Id. § 3.04(12). If the Committee was unable to resolve the dispute, the parties

1 Section 3.04 of the Agreement provided for a staffing grid, understood to represent the Hospital’s commitment “to recruit for and hire nurses to fill currently vacant budgeted RN positions.” Agreement § 3.04. would be referred to mediation and if that failed, to arbitration. CBA §§ 3.04(6), (12); see also MOA § 3.04(7).2 The Agreement provided that “[t]he arbitrators hearing disputes unresolved by 1F the Allocation Committee [would] have the same remedial authority as an arbitrator under the Agreement.” Agreement § 3.04(7). It further specified that, “[t]he arbitrator [would] not have any power to add to or subtract from or otherwise amend this Agreement,” id. § 14.07, and that the “arbitrator’s decision [would] be final and binding on the parties.” Id. § 14.06. II. The Arbitration Against this backdrop, in June 2023, the Union filed a grievance alleging that the Hospital had failed to comply with the Agreement’s minimum staffing requirements in the Allen ED throughout 2023. See Pet. ¶ 19. A few months later, the Union filed its demand for arbitration. See Dkt. No. 7, Ex. D. It sought, in pertinent part, compliance with the Grid by hiring, scheduling, and staffing a sufficient number of nurses, the issuance of a cease-and-desist, id., and to be made whole by requiring the Hospital to pay “the amount of money [it] would have paid to the number of extra nurses needed to properly staff the shift.” Dkt. No. 7, Ex. A (“Award”) at 27–28. The Hospital

“denied that it violated the Agreement,” claiming to have offered “ample evidence of its good faith efforts to upstaff to satisfy the staffing grid and the obstacles that it faced that were a consequence of market conditions for nursing staff in the area.” Pet. ¶ 22; see also Award at 30–36. The Hospital also took issue with the Union’s proposed remedy, characterizing it as (1) in excess of the Arbitrator’s authority pursuant to Sections 3.04 and 14.07 of the Agreement, (2) in violation of public policy against punitive awards, and (3) irrational. See Pet. ¶¶ 30–39; Award at 34. On September 25, 2024, the Arbitrator entered his decision in favor of the Union. While

2 This subsection is enumerated differently in the CBA and MOA, but refers to the provision entitled “Resolving Allocation Committee Disputes.” Hereinafter, it will be referred to as Agreement § 3.04(7), since this is the way the parties most commonly refer to it. recognizing the “Hospital’s efforts to minimize staff shortages,” Award at 53, he found that the Hospital had violated the staffing requirements in Section 3.04 143 times out of the 567 alleged, finding “evidence of excessive workload, unsafe working conditions, or burnout.” Id. at 55. III. The Award

Having found that the Hospital violated the Agreement, the Arbitrator proceeded to award “three vacation days for each full-time regular Allen ED RN.” Id. at 54. He grounded his authority in Sections 3.04(7) and 14.07 of the Agreement. Id. at 39–43. Section 3.04(7) provides that “arbitrators hearing disputes unresolved by the Allocation Committee shall have the same remedial authority as an arbitrator under the Agreement.” Agreement § 3.04(7). That authority is limited by Section 14.07, which states that the arbitrator “shall not have any power to add to or subtract from or otherwise amend this Agreement.” Agreement § 14.07. The Arbitrator noted that Section 3.04(7) reflected recently negotiated language, in which the parties agreed to “new remedies” and “expand[ed] the remedy provisions in staffing disputes in Section [3.04(7)].” Id. 54. The Arbitrator rejected the Hospital’s argument that the Award was punitive, stating that,

“Compensating a nurse for excessive workload is not a penalty or punitive award giving nurses additional pay.” Id. at 54. He rejected Petitioner’s proposed remedy of simply ordering the Hospital to cease-and-desist its “pattern of staffing violations on the Allen ED,” id. at 56, as “unjust and unfair.” Id. at 54. Dividing the 143 violations by the 47 nurses who worked understaffed shifts in the Allen ED, he found that this approximated three shifts per nurse, and that “[d]ue to the unique patient flow and unequal, irregular, and unusual staff assignments on this unit, the appropriate remedy is three vacation days for each full-time regular Allen ED RN.” Id.

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The New York and Presbyterian Hospital v. New York State Nurses Association, Counsel Stack Legal Research, https://law.counselstack.com/opinion/the-new-york-and-presbyterian-hospital-v-new-york-state-nurses-association-nysd-2025.