Baptist Medical Center/Health Midwest

National Labor Relations Board - Board Decisions

Sep 30, 2002

338 N.L.R.B. 346 (N.L.R.B. 2002)

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 346
Baptist Medical Center/Health Midwest and Medical
Center of Independence/Health Midwest and
Menorah Medical Center/Health Midwest and
Overland Park Regional Medical Center/Health
Midwest and Lee’s Summit Hospital and Visit-
ing Nurse Association/Visiting and Nurse Ser-
vices of Health Midwest and Health Midwest
and Nurses United for Improved Patient Care

Research Medical Center of Health Midwest and
Nurses United for Improved Patient Care and
Nursing Practice Committee (Party-in-Interest).
Cases 17–CA–20415–3, 17–CA–20415–5, 17–CA–
20655, 17–CA–20415–6, 17–CA–20524–4, 17–
CA–20415–7, 17–CA–20524–3, 17–CA–20506,
17–CA–20524–5, 17–CA–20616, 17–CA–20623,
17–CA–20415–8, 17–CA–20524–2, and 17–CA–
20640
September 30, 2002
DECISION AND ORDER
BY MEMBERS LIEBMAN, COWEN, AND BARTLETT
On July 25, 2001, Administrative Law Judge George
Aleman issued the attached decision. On August 16,
2001, he issued an erratum (omitted from publication;
corrections were made). The Respondents filed excep-
tions and a supporting brief. The General Counsel filed
cross-exceptions and a supporting brief. The General
Counsel and the Charging Party filed answering briefs to
the Respondents’ exceptions.
The National Labor Relations Board has considered
the decision and the record1 in light of the exceptions and
briefs and has decided to affirm the judge’s rulings, find-
ings,2 and conclusions, except as discussed below, and to
adopt the recommended Orders as modified.3
A.
The judge has found that the Respondents committed
numerous unfair labor practices. The parties’ exceptions
to these findings are limited. The Respondents’ excep-

1 By Order dated December 11, 2001, Case 17–RC–11816 was sev-
ered from this consolidated proceeding and remanded to the Regional
Director for Region 17 for further appropriate action.
2 The Respondents have 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 363
(3d Cir. 1951). We have carefully examined the record and find no
basis for reversing the findings.
3 The Orders shall be modified to accord with the findings discussed
infra, and new notices shall be substituted to include language changes
in accordance with Ishikawa Gasket America, Inc., 337 NLRB 175
(2001).
tions only challenge findings that: (1) Respondents
Health Midwest and Visiting Nurse Association/Visiting
Nurse Services of Health Midwest (VNA/VNS) violated
Section 8(a)(1) of the Act by distributing memoranda
that impeded employees’ access to the Board and ob-
structed Board processes;4 (2) Respondent Research vio-
lated Section 8(a)(1) by ejecting nonemployee organizers
from outside entrances to its facility,5 and by creating the
impression that employee Jandra Hancock’s union activi-
ties were under surveillance and threatening her with
discipline;6 and (3) Respondent Overland Park Regional
Medical Center/Health Midwest (Respondent Overland
Park) violated Section 8(a)(3) of the Act by issuing writ-
ten discipline to employees Anita Carr and Sharyn John-
son for engaging in union solicitation at nurse stations
during their off-duty time.7 The General Counsel cross-
excepts only to the judge’s failure to find three 8(a)(1)
violations in addition to violations that the judge did find
with respect to an incident involving Carr and Johnson in
Respondent Overland Park’s cafeteria.8
For the reasons set forth below, we reverse the judge
as to the issue in (1) above, in its entirety, and as to the
issues in (2) above, in part. We affirm the judge’s find-
ings as to the issue in (3) above on limited grounds. We
decline to make the additional unfair labor practice find-
ings requested by the General Counsel.
1. The judge found that two memoranda distributed to
employees by Respondents Health Midwest and
VNA/VNS violated Section 8(a)(1) because they inter-
fered with employees’ access to the Board and attempted
to obstruct the Board’s processes. We disagree.
On April 7, 2000,9 the Respondents distributed a
memorandum to employees. The memorandum began
with a declaration that the “United States Department of
Justice has in recent years increased the resources de-
voted to the investigation of health care” in the area, that
the Respondents’ counsel had informed them of an ap-
parent increase in the issuance of investigative subpoe-
nas, and that the “companies of Health Midwest could be
included in such investigations.” The memorandum then
explained that its purpose was to give employees “some
information about your rights and responsibilities if you
are asked to speak with investigators as part of a gov-
ernment investigation.”
Among the rights identified was the right to talk to or
to decline to talk to a government investigator and the
4 See sec. II,A,3 of the judge’s decision.
5 See sec. II,B,1,d of the judge’s decision.
6 See sec. II,B,1,b,(2) of the judge’s decision.
7 See sec. II,F,2 of the judge’s decision.
8 See sec. II,F,3 of the judge’s decision.
9 All dates are in 2000.
338 NLRB No. 38
BAPTIST MEDICAL CENTER/HEALTH MIDWEST 347
right to “seek the advice of a lawyer before doing so.”
The memorandum further advised that “you may be best
served by working with a lawyer who has experience in
matters of this type. Depending on the nature and scope
of the investigation, Health Midwest will pay for the
costs of an attorney who will represent your interests.”
The memorandum also stated that an employee had the
right to consult with a lawyer before testifying under a
subpoena. The one-page message concluded with a re-
quest to inform officials of the Respondents “if you re-
ceive a grand jury subpoena or are contacted by investi-
gators regarding a matter involving any Health Midwest
company in any way.”
When the Respondents distributed the April 7 memo-
randum, both a Board complaint against the Respondents
and union objections to an election conducted a week
earlier at Respondent VNA/VNS were pending. The
Union filed an unfair labor practice charge alleging that
the April 7 memorandum violated employees’ Section 7
rights to file charges or to give testimony to the Board.
Seeking to refute this charge, the Respondents distributed
a second memorandum to employees on April 20. This
memorandum specifically referred to the Union’s charge,
denied that the April 7 memorandum had the alleged
unlawful effect, and “clarif[ied] the record” regarding
NLRB investigations, as follows:

1. You are free to talk to an NLRB investigator
if you wish to do so.
2. You are under no obligation to notify me if an
NLRB investigator contacts you.
3. You will not be disciplined for failing to no-
tify me if an NLRB investigator contacts you.
4. If you choose to talk to an NLRB investigator,
tell the truth.

The April 20 memorandum then reaffirmed the infor-
mation contained in the April 7 memorandum for em-
ployees “when approached by an investigator in a matter
other than a Labor Department, NLRB or similar mat-
ter.” As to such investigations, the Respondents repeated
the right to speak or not to speak to government investi-
gators and again requested notification by employees “if
you are contacted by an investigator . . . so that we can
deal promptly with issues like . . . indemnification and
defense of employees.”
Reviewing the legality of the April 7 memorandum,
the judge noted the pendency of the Board proceedings
and the absence of specific proof that there was any on-
going Justice Department investigation of Health Mid-
west facilities. In this context, he reasoned that the
memorandum’s general references to “government inves-
tigations” revealed the Respondents’ intent to alert em-
ployees to the ongoing Board investigation and, by en-
couraging resort to a lawyer and notice to the Respon-
dents, to interfere both with employees’ right of access to
the Board and with the Board’s processes.
The judge concluded that the April 7 memorandum
violated Section 8(a)(1). Furthermore, because the April
20 memorandum not only failed to repudiate the unlaw-
ful elements of the predecessor document but “in fact,
reaffirmed” them, the judge concluded that the April 20
memorandum also violated Section 8(a)(1).
As explained by the Board in Certain-Teed Products
Corp.,10 when an unfair labor practice charge has been
filed against a party

[t]he Board’s ability to secure vindication of rights pro-
tected by the Act depends in large measure upon the
ability of its agents to investigate charges fully and to
obtain relevant information and supporting statements
from individuals. It is for this reason that the Board has
carefully sought to protect the integrity of its processes
by preventing any obstruction of Board agents in their
investigation of charges.

Applying this principle, the Board has consistently found
8(a)(1) violations where employers have explicitly discour-
aged or warned their employees not to provide information
to investigating Board agents, or advised that Board sub-
poenas could be disregarded.11 However, in all these cases,
the Board was identified specifically as the agency with
which employees should not cooperate. Here, by contrast,
the only governmental entity identified by name in the April
7 memo was the Justice Department. No mention is made
of the Board or its proceedings in connection with the Re-
spondents’ offer of legal counsel and its request for notifica-
tion in the event that employees were contacted by govern-
ment investigators.
The question, therefore, is whether the memorandum
reasonably tended to interfere with employees’ access to
the Board. We conclude that, in all the circumstances, it
did not. The April 7 memorandum made explicit refer-
ence to investigations by the Justice Department and was
clearly directed at investigations that had nothing to do
with the Board, unfair labor practices, or objections.
There is nothing inherently implausible in the purported
concerns reflected in the memorandum, which a reason-
able employee would probably take at face value.12

10 147 NLRB 1517, 1520 (1964).
11 See, e.g., Clark Equipment Co., 278 NLRB 498, 518 (1986); Air
Express International Corp., 245 NLRB 478, 497 (1979); ABC Spe-
cialty Foods, Inc., 234 NLRB 475, 477 (1978).
12 We note that a July 1998 grand jury indictment led to the convic-
tion of a Baptist Medical Center/Health Midwest executive for viola-

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 348
It is true that the memorandum contained language
that, if taken out of context, might lead an employee to
conclude that it required him to notify management if he
was contacted by any type of government investigator,
including perhaps a Board agent. Thus, the memoran-
dum states, “Please inform me . . . if you receive a grand
jury subpoena or are contacted by investigators regarding
a matter involving any Health Midwest company in any
way.” Unlike the judge, however, we conclude that this
slightly overbroad language was probably inadvertent,
and not related to the ongoing investigation of unfair
labor practices and objections. Support for this conclu-
sion can be found in the fact that the Respondents
quickly corrected the memorandum on April 20, as soon
as it was advised that the language could possibly be read
to cover contacts with Board agents. Taking the April 7
memorandum in its entirety, we conclude that a reason-
able employee would not likely read it out of context,
and construe it to cover a Board investigation. And in
any event, the Respondents clearly clarified the memo-
randum on April 20, by stating explicitly that employees
were free to talk to Board investigators without contact-
ing management and without fear of any repercussions.
Unlike the judge, we find that the April 20 memorandum
did narrow the possible coverage of the original memo,
and thus removed any inadvertent implication that an
employee would have to notify management before talk-
ing to a Board agent.
Accordingly, we conclude that the evidence fails to
support the judge’s finding that the April 7 and 20
memoranda unlawfully impeded employee access to the
Board or obstructed the Board’s investigating process.
We shall therefore dismiss this aspect of the complaint.
2. The judge found that Respondent Research violated
Section 8(a)(1) by ejecting two nonemployee union or-
ganizers from the outside entrances of its facility and by
threatening to have them arrested. The Respondents ex-
cept, arguing that this violation was neither alleged in the
complaint nor fully litigated at the hearing. We find
merit in the exception.
The relevant paragraph in the complaint13 alleged that
Respondent Research unlawfully “[t]hreatened employ-
ees with arrest in response to their engaging in protected
union activities” when soliciting union support on March
10, outside entrances to Respondent Research’s facility.
In his decision, the judge found no credible evidence that
Respondent Research’s officials attempted to evict or to
arrest its employees on this occasion. However, the
judge found that these officials did violate Section

tion of the Medicare Anti-Kickback Act. See U.S. v. McClatchey, 217
F.3d 823, 827–828 (10th Cir. 2000).
13 Par. 5(e)(xvii) of the third consolidated complaint.
8(a)(1) by ejecting and threatening to arrest two nonem-
ployee union representatives who were also soliciting at
the facility’s entrances. The judge based his finding on
Respondent Research’s failure to prove that it had a pri-
vate property interest which would privilege its exclusion
of nonemployees.
In finding this violation, the judge stated that the alle-
gation was included in the complaint. In fact, however,
the General Counsel concedes in his answering brief to
Respondent Research’s exceptions that the complaint
alleged only the unlawful threat to arrest employees. The
General Counsel first alleged unlawful conduct with re-
spect to nonemployees in his posthearing brief, based on
the testimony of Respondent Research’s witnesses.
It is well settled that the Board may find a violation
even in the absence of a specific complaint allegation if
the issue: (1) is closely connected to the subject matter of
the complaint, and (2) was fully litigated at the hearing.
Pergament United Sales, 296 NLRB 333, 334 (1989).14
Here, we assume, without deciding, that the first part of
this test has been met. However, we find that the issue
was not fully litigated.
As indicated above, the judge found the 8(a)(1) viola-
tion because Respondent Research failed to establish that
it possessed a property interest in the entrance areas from
which the nonemployee union organizers were excluded.
In this respect, the judge applied precedent holding that
an employer may generally bar nonemployee organizers
from trespassing in order to engage in Section 7 activity,
but the employer bears an initial burden of proving a
sufficient property interest entitling it to exclude these
individuals. E.g., Indio Grocery Outlet, 323 NLRB
1138, 1141 (1997). However, at all relevant times in this
proceeding, the complaint alleged and the General Coun-
sel argued at hearing only that Respondent Research re-
moved employees, not nonemployees, from its hospital
entrances and threatened them with arrest. In cases in-
volving the eviction or arrest of employees who are en-
gaged in protected union solicitation, an employer’s
proof of a property interest in the situs of the alleged
misconduct is not by itself an adequate defense. See
generally Stoddard-Quirk Mfg. Co., 138 NLRB 15
(1962), and Republic Aviation Corp. v. NLRB, 324 U.S.
793 (1945).
Consistent with this precedent, Respondent Research
here successfully defended against the only allegation
known to it by proving that its officials did not direct any
employees to quit the premises under threat of arrest. In
the absence of any indication by the General Counsel
that the lawfulness of the ejection of the nonemployee
14 Member Cowen expresses no view as to this legal principle.

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 349
organizers was also being placed in issue, the Respon-
dent had no notice that there was any reason to present a
property-interest defense. Accordingly, because the is-
sue was not fully litigated, we shall reverse the judge and
delete any reference to this event from the Order and
notice.15
The Respondents also except to the judge’s finding
that Respondent Research violated Section 8(a)(1) by
creating the impression of surveillance of employee Han-
cock’s union activities when her supervisor, Terry
Plesser, remarked that she had “heard through the grape-
vine” that Hancock had been engaged in union solicita-
tion at a medication island during a shift change. We
find it unnecessary to pass on this finding. Elsewhere in
his decision, the judge found that on a different occasion
Respondent Research unlawfully created the impression
that employees’ union activities were under surveillance.
There are no exceptions to this finding. The finding of
an additional 8(a)(1) violation based on Plesser’s remark
would be cumulative and would not affect the remedy for
Respondent Research’s misconduct.
We agree with the judge, however, that Plesser’s fur-
ther remark to Hancock that she would be written up if
an investigation revealed that she had solicited employ-
ees at a medication island constituted an 8(a)(1) threat.
In adopting this violation, we note that the Respondents
do not except to the judge’s finding that the medication
island was not shown to be a patient care area where so-
licitation could be lawfully prohibited. See generally
NLRB v. Baptist Hospital, Inc., 442 U.S. 773 (1979).16
Our dissenting colleague would dismiss this 8(a)(1)
threat on the basis of an “unresolved conflict” between
the testimony of Hancock and Plesser. We perceive no
such conflict, and agree with the judge that Hancock pre-

15 Without addressing all of the cases cited in this section of the de-
cision, Member Cowen agrees with his colleagues that this issue was
not fully litigated and that the violation should be reversed.
16 Member Cowen would not find this 8(a)(1) violation. Contrary to
the judge’s findings, and his colleagues’ arguments, Member Cowen
finds that Hancock’s testimony regarding her January 21, 2000 discus-
sion with Plesser was contradicted. Plesser offered conflicting testi-
mony of, in Respondent Research’s words, “this same meeting,” which
the judge failed to consider or discuss.
Member Cowen finds unpersuasive his colleagues’ attempts to dis-
claim the conflict by stating that Plesser’s “best recollection” of her
discussion with Hancock did not even contain a specific denial of the
threat ascribed by Hancock. On the contrary, Plesser’s “best recollec-
tion,” as set forth below, expressly rejects Hancock’s version:
I asked her not to—to refrain from doing that again, that no discipline
would occur because I had two separate sides to a story, but if some-
thing happened again where another staff member came forward, I
would have to take their side and then we would have to talk to her.”
In the face of this unresolved conflict, Member Cowen finds that the
General Counsel has not met his burden of proof as to this allegation.
Accordingly, Member Cowen would dismiss it.
sented uncontradicted testimony regarding the threat
made to her by Plesser. Although Plesser was asked to
give her “best recollection” of her encounter with Han-
cock, her testimony did not contain a specific denial of
the threat ascribed to her by Hancock on January 21 to
“write her up” for engaging in union solicitation (Tr.
1715). Nor is it even clear from Plesser’s testimony that
it pertained to the January 21 conversation during which
Hancock testified the threat was made, or whether she
was recalling another conversation that the two had later
in February. Finally, we note that in its exceptions, the
Respondents do not contend that Hancock’s testimony
was contradicted by Plesser. To the contrary, they ap-
pear to accept that Plesser warned Hancock of potential
discipline, and argue only that under the circumstances
no violation should be found. See Respondent Re-
search’s exceptions at 6–7.
3. The judge articulated two separate grounds for find-
ing that Respondent Overland Park violated Section
8(a)(3) by disciplining employees Carr and Johnson for
soliciting union support and distributing union literature
during their off-duty hours at various nurses stations: (1)
the discipline was issued pursuant to a no-solicitation/no-
distribution policy that was unlawful under the access
rules applicable to off-duty employees set forth in Tri-
County Medical Center, 222 NLRB 1089 (1976); and (2)
the nurses stations were not shown to be immediate pa-
tient care areas as defined by the Supreme Court in
NLRB v. Baptist Hospital, Inc., supra, where the prohibi-
tion of union solicitation is presumptively lawful. The
Respondents except only to the second ground cited by
the judge and expressly do not except to the first ground.
In the absence of exceptions, we affirm the judge’s find-
ing on the basis of the first ground summarized above.
We therefore find no need to pass on the second ground
and the Respondents’ exceptions thereto.17
17 Member Cowen would dismiss the 8(a)(3) allegations regarding
the discipline of Carr and Johnson. Contrary to his colleagues, Member
Cowen finds that the record establishes that the Overland Park nurses
stations at issue were patient care areas, and that Respondent Overland
Park excepted to the judge’s findings to the contrary. Accordingly,
because Carr and Johnson were disciplined for soliciting in those areas,
Member Cowen finds that the discipline imposed was lawful, regard-
less of the overbreadth of the no-solicitation rule relied on. Saia Motor
Freight, 333 NLRB 607 (2001) (concurring opinion), vacated in 334
NLRB 607 (2001). See also Mt. Clemens General Hospital, 335 NLRB
48 fn. 2 (2001) (Chairman Hurtgen’s position).”
Member Bartlett agrees in principle with former Chairman Hurt-
gen’s opinions in the cases cited by his colleague. Specifically, he
agrees that a disciplinary action that is imposed pursuant to an over-
broad no-solicitation rule is not unlawful if the application of the rule in
the circumstances presented was lawful (e.g., if the employer made
clear that the discipline was being imposed because the employee was
soliciting during working time or in patient care areas). However, here
Respondent Overland Park did not except to the judge’s finding that the

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 350
The judge also found that Respondent Overland Park
violated Section 8(a)(1) on November 18, when Chief
Executive Officer Kevin Hicks prohibited Carr and John-
son from soliciting and distributing union literature in the
cafeteria during their off-duty time, threatened to sur-
round their display table with “a bunch of supervisors,”
and evicted them from the facility. The Respondents do
not except to these findings. However, the General
Counsel cross-excepts to the judge’s failure to find that
during the same encounter Hicks also violated Section
8(a)(1) by prohibiting Carr and Johnson from displaying
a union sign on the back of a chair, by threatening them
with unspecified reprisals if they failed to remove signs,
and by repeatedly asking them whether they were going
to follow his order to leave the facility. With respect to
the alleged threat, we find it unnecessary to pass on the
General Counsel’s cross-exception because an additional
unfair labor practice finding would be cumulative to the
undisputedly unlawful threat to surround Carr’s and
Johnson’s table with supervisors and, hence, would not
affect the remedy for Respondent Overland Park’s mis-
conduct. As for the remaining cross-exceptions, we find
that the conduct urged as unlawful is encompassed
within the violations already found by the judge.
B.
The Respondents also raise a limited remedial issue.
Although they do not except to the judge’s finding that
they violated Section 8(a)(1) by promulgating, maintain-
ing, and enforcing overly broad no-solicitation/no-
distribution policies at their various health care facilities,
they do except to the cease-and-desist provisions of the
judge’s recommended Orders and notices that direct
them to refrain from prohibiting employees’ nonwork-
time distribution of union literature in nonpatient care
areas. In response, the General Counsel agrees that it
would be appropriate for the Board to modify this reme-
dial language.
We also agree. As in any other industry, health care
industry employers may lawfully prohibit distribution of
union literature in working areas, even if they are nonpa-
tient care areas. See Brockton Hospital, 333 NLRB
1367, 1368 (2001); Hale Nani Rehabilitation & Nursing
Center, 326 NLRB 335 (1998). Accordingly, we shall
modify the relevant cease-and-desist paragraphs to pre-
clude the Respondents from applying their no-
distribution rules only in nonworking, nonpatient care
areas during employees’ nonworktime.

discipline violated the Act because it was imposed pursuant to an over-
broad no-solicitation rule. Thus, in the absence of exceptions, Member
Bartlett adopts the judge’s finding.
ORDER
The National Labor Relations Board adopts the rec-
ommended Orders of the administrative law judge as
modified below and orders that
A. Respondent Health Midwest, Kansas City, Mis-
souri, its officers, agents, successors, and assigns, shall
take the action set forth in the Order as modified.
1. Substitute the following for paragraph 1(a).
“(a) Interfering with, restraining, and coercing em-
ployees in their exercise of Section 7 rights by maintain-
ing and enforcing an overbroad and unlawful no-
solicitation/no-distribution policy which prohibits em-
ployees from soliciting union support during their non-
worktime and distributing union literature during their
nonworktime and in nonwork, nonpatient care areas, and
circulating or disseminating to employees memos con-
taining ambiguous and vague interpretations of its
unlawful rules.”
2. Substitute the following for paragraph 2(a).
“(a) Rescind the overly broad and unlawful no-
solicitation/no-distribution policy and the Q&A memo
distributed to employees on November 22, 1999.”
3. Substitute the attached notice marked “Appendix
A” for that of the administrative law judge.
B. Respondent Research Medical Center of Health
Midwest, Kansas City, Missouri, its officers, agents, suc-
cessors, and assigns, shall take the action set forth in the
Order as modified.
1. Substitute the following for paragraphs 1(a) and (b).
“(a) Interfering with, restraining, and coercing em-
ployees in their exercise of Section 7 rights by maintain-
ing and enforcing an overbroad and unlawful no-
solicitation/no-distribution policy which prohibits em-
ployees from soliciting union support during their non-
worktime and distributing union literature during their
nonworktime and in nonwork, nonpatient care areas.
“(b) Preventing employees from soliciting and distrib-
uting literature during their nonworktime in the cafeteria;
creating the impression it was keeping its employees’
union activities under surveillance; interrogating em-
ployees regarding their union activities; disparately pro-
hibiting use of employee mailboxes for the distribution
of union literature or storage and not allowing an em-
ployee to store union literature at a work station while
allowing other nonunion material to be stored; prohibit-
ing employees from discussing the Union among them-
selves and threatening them with discipline if they did
so; and threatening employees with adverse job conse-
quences, including loss of jobs, less supervisory flexibil-
ity, if they selected the Union to represent them.”
2. Substitute the attached notice marked “Appendix
B” for that of the administrative law judge.

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 351
C. Respondent Baptist Medical Center/Health Mid-
west, Kansas City, Missouri, its officers, agents, succes-
sors, and assigns, shall take the action set forth in the
Order as modified.
1. Substitute the following for paragraph 1(a).
“(a) Interfering with, restraining, and coercing em-
ployees in their exercise of Section 7 rights by maintain-
ing and enforcing an overbroad and unlawful no-
solicitation/no-distribution policy which prohibits em-
ployees from soliciting union support during their non-
worktime and distributing union literature during their
nonworktime and in nonwork, nonpatient care areas.”
2. Substitute the attached notice marked “Appendix
C” for that of the administrative law judge.
D. Respondent Medical Center of Independ-
ence/Health Midwest, Independence, Missouri, its offi-
cers, agents, successors, and assigns, shall take the action
set forth in the Order as modified.
1. Substitute the following for paragraph 1(a).
“(a) Interfering with, restraining, and coercing em-
ployees in their exercise of Section 7 rights by maintain-
ing and enforcing an overbroad and unlawful no-
solicitation/no-distribution policy which prohibits em-
ployees from soliciting union support during their non-
worktime and distributing union literature during their
nonworktime and in nonwork, nonpatient care areas.”
2. Substitute the attached notice marked “Appendix
D” for that of the administrative law judge.
E. Respondent Menorah Medical Center/Health Mid-
west, Overland Park, Kansas, its officers, agents, succes-
sors, and assigns, shall take the action set forth in the
Order as modified.
1. Substitute the following for paragraph 1(a).
“(a) Interfering with, restraining, and coercing em-
ployees in their exercise of Section 7 rights by maintain-
ing and enforcing an overbroad and unlawful no-
solicitation/no-distribution policy which prohibits em-
ployees from soliciting union support during their non-
worktime and distributing union literature during their
nonworktime and in nonwork, nonpatient care areas.”
2. Substitute the attached notice marked “Appendix
E” for that of the administrative law judge.
F. Respondent Overland Park Regional Medical Cen-
ter/Health Midwest, Overland Park, Kansas, its officers,
agents, successors, and assigns, shall take the action set
forth in the Order as modified.
1. Substitute the following for paragraph 1(a).
“(a) Interfering with, restraining, and coercing em-
ployees in their exercise of Section 7 rights by maintain-
ing and enforcing an overbroad and unlawful no-
solicitation/no-distribution policy which prohibits em-
ployees from soliciting union support during their non-
worktime and distributing union literature during their
nonworktime and in nonwork, nonpatient care areas.”
2. Substitute the attached notice marked “Appendix F”
for that of the administrative law judge.
G. Respondent Lee’s Summit Hospital, Lee’s Summit,
Missouri, its officers, agents, successors, and assigns,
shall take the action set forth in the Order as modified.
1. Substitute the following for paragraph 1(a).
“(a) Interfering with, restraining, and coercing em-
ployees in their exercise of Section 7 rights by maintain-
ing and enforcing an overbroad and unlawful no-
solicitation/no-distribution policy which prohibits em-
ployees from soliciting union support during their non-
worktime and distributing union literature during their
nonworktime and in nonwork, nonpatient care areas.”
2. Substitute the attached notice marked “Appendix
G” for that of the administrative law judge.
H. Respondent Visiting Nurse Association/Visiting
Nurse Services of Health Midwest, Kansas City and Lex-
ington, Missouri, its officers, agents, successors, and
assigns, shall take the action set forth in the Order as
modified.
1. Substitute the following for paragraph 1(a).
“(a) Interfering with, restraining, and coercing em-
ployees in their exercise of Section 7 rights by maintain-
ing and enforcing an overbroad and unlawful no-
solicitation/no-distribution policy which prohibits em-
ployees from soliciting union support during their non-
worktime and distributing union literature during their
nonworktime and in nonwork, nonpatient care areas.”
2. Substitute the following for paragraph 2(a).
“(a) Rescind the overly broad and unlawful no-
solicitation/no-distribution policy and the Q&A memo
distributed to employees on November 22, 1999.”
3. Delete paragraph 3.
4. Substitute the attached notice marked “Appendix
H” for that of the administrative law judge.
APPENDIX A
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 Federal labor law and has ordered us to post and
obey this notice.
FEDERAL LAW GIVES YOU THE RIGHT TO
Form, join, or assist any union
Choose representatives to bargain with us on
your behalf

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 352
Act together with other employees for your bene-
fit and protection
Choose not to engage in any of these protected
activities.

WE WILL NOT interfere with, restrain, or coerce you in the
exercise of your Section 7 rights by promulgating, main-
taining, or enforcing any rule or policy that prohibits
employees from soliciting on behalf of a labor organiza-
tion during their nonworktime or distributing union lit-
erature during their nonworktime in nonworking nonpa-
tient care areas of our facilities, and WE WILL NOT require
employees to obtain our approval before engaging in
such protected activities.
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 rescind our overly broad and unlawful no-
solicitation/no-distribution policy and the Q&A memo
we distributed to you on November 22, 1999.

HEALTH MIDWEST
APPENDIX B
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 Federal labor law and has ordered us to post and
obey this notice.
FEDERAL LAW GIVES YOU THE RIGHT TO
Form, join, or assist any union
Choose representatives to bargain with us on
your behalf
Act together with other employees for your bene-
fit and protection
Choose not to engage in any of these protected
activities.

WE WILL NOT interfere with, restrain, or coerce you in the
exercise of your Section 7 rights by promulgating, main-
taining, or enforcing any rule or policy that prohibits
employees from soliciting on behalf of a labor organiza-
tion during their nonworktime or distributing union lit-
erature during their nonworktime in nonworking nonpa-
tient care areas of our facilities, and wE WILL NOT require
employees to obtain our approval before engaging in
such protected activities.
WE WILL NOT prevent you from soliciting and distribut-
ing union literature during your nonworktime in the cafe-
teria; create the impression we are keeping your union
activities under surveillance; question you about your
union activities; prevent you from using employee mail-
boxes to distribute union literature or from keeping union
literature at your work station while allowing other non-
union material to be so distributed or kept; prohibit you
from discussing the Union among yourselves or threaten
you with discipline if you choose to do so; threaten you
with adverse job consequences, including a loss of jobs
and less supervisory flexibility if the union is chosen to
represent you.
WE WILL NOT dominate, assist, or otherwise support the
Nursing Practice Committee.
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 rescind our overly broad and unlawful no-
solicitation/no-distribution policy and the Q&A memo
distributed to you on November 22, 1999.
WE WILL disestablish and cease giving assistance to or
supporting the Nursing Practice Committee.

RESEARCH MEDICAL CENTER OF HEALTH
MIDWEST
APPENDIX C
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 Federal labor law and has ordered us to post and
obey this notice.
FEDERAL LAW GIVES YOU THE RIGHT TO
Form, join, or assist any union
Choose representatives to bargain with us on
your behalf
Act together with other employees for your bene-
fit and protection
Choose not to engage in any of these protected
activities.

WE WILL NOT interfere with, restrain, or coerce you in the
exercise of your Section 7 rights by promulgating, main-
taining, or enforcing any rule or policy that prohibits
employees from soliciting on behalf of a labor organiza-
tion during their nonworktime or distributing union lit-
erature during their nonworktime in nonworking nonpa-
tient care areas of our facilities, and WE WILL NOT require
employees to obtain our approval before engaging in
such protected activities.
WE WILL NOT prohibit you from discussing the union
with other employees.

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 353
WE WILL NOT in any like or related manner interfere
with, restrain, or coerce you in the exercise of the rights
guaranteed to you by Section 7 of the Act.
WE WILL rescind our overly broad and unlawful no-
solicitation/no-distribution policy and the Q&A memo
distributed to you on November 22, 1999.

BAPTIST MEDICAL CENTER/HEALTH MIDWEST
APPENDIX D
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 Federal labor law and has ordered us to post and
obey this notice.
FEDERAL LAW GIVES YOU THE RIGHT TO
Form, join, or assist any union
Choose representatives to bargain with us on
your behalf
Act together with other employees for your bene-
fit and protection
Choose not to engage in any of these protected
activities.

WE WILL NOT interfere with, restrain, or coerce you in
the exercise of your Section 7 rights by maintaining and
enforcing an overbroad and unlawful no-solicitation/no-
distribution policy which prohibits you from soliciting on
behalf of a labor organization during your nonworktime
or distributing union literature in nonwork nonpatient
care areas of our facility during your nonworktime, and
WE WILL NOT require employees to obtain our approval
before engaging in such protected activities.
WE WILL NOT unlawfully deny off-duty employees ac-
cess to our facility, WE WILL NOT unlawfully deny em-
ployees of other Health Midwest facilities the right to
solicit and distribute literature in employee breakrooms
or other nonpatient care areas of our facility during their
nonwork time, and WE WILL NOT threaten employees with
arrest or loss of their nursing licenses for engaging in
such activity.
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 rescind our overly broad and unlawful no-
solicitation/no-distribution policy and the Q&A memo
distributed to you on November 22, 1999.

MEDICAL CENTER OF INDEPENDENCE/HEALTH
MIDWEST
APPENDIX E
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 Federal labor law and has ordered us to post and
obey this notice.
FEDERAL LAW GIVES YOU THE RIGHT TO
Form, join, or assist any union
Choose representatives to bargain with us on
your behalf
Act together with other employees for your bene-
fit and protection
Choose not to engage in any of these protected
activities.

WE WILL NOT interfere with, restrain, or coerce you in
the exercise of your Section 7 rights by maintaining and
enforcing an overbroad and unlawful no-solicitation/no-
distribution policy which prohibits you from soliciting on
behalf of a labor organization during your nonworktime
or distributing union literature in nonwork nonpatient
care areas of our facility during your nonworktime, and
WE WILL NOT require employees to obtain our approval
before engaging in such protected activities.
WE WILL NOT remove union literature from employee
mailboxes and WE WILL NOT prohibit you from soliciting
or distributing union literature in our cafeteria or require
that you first obtain permission to do so, and WE WILL
NOT create an impression of surveillance by photograph-
ing employees engaged in union activities.
WE WILL NOT issue disciplinary writeups or warnings
to employees Teresa Barnett and Angela Tuska-Wagner,
or any other employee, in retaliation for their union ac-
tivities.
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 rescind our overly broad and unlawful no-
solicitation/no-distribution policy and the Q&A memo
distributed to you on November 22, 1999.
WE WILL, within 14 days from the date of this Order,
remove from our files any reference to the unlawful
writeups issued to Teresa Barnett and Angela Tuska-
Wagner on October 12, 1999, and WE WILL, within 3 days
thereafter, notify them in writing that this has been done
and the writeups will not be used against them in any
way.

MENORAH MEDICAL CENTER/HEALTH
MIDWEST

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 354
APPENDIX F
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 Federal labor law and has ordered us to post and
obey this notice.
FEDERAL LAW GIVES YOU THE RIGHT TO
Form, join, or assist any union
Choose representatives to bargain with us on
your behalf
Act together with other employees for your bene-
fit and protection
Choose not to engage in any of these protected
activities.

WE WILL NOT interfere with, restrain, or coerce you in
the exercise of your Section 7 rights by maintaining and
enforcing an overbroad and unlawful no-solicitation/no-
distribution policy which prohibits you from soliciting on
behalf of a labor organization during your nonworktime
or distributing union literature in nonwork nonpatient
care areas of our facility during your nonworktime, and
WE WILL NOT require you to obtain approval before en-
gaging in such protected activity.
WE WILL NOT interfere with your right to solicit and
distribute union literature during your nonworktime in
our cafeteria, and WE WILL NOT attempt to coerce you
into refraining from such activity by threatening to have
you surrounded by supervisors as you engage in such
activity.
WE WILL NOT issue disciplinary writeups to employees
Anita Carr and Sharyn Johnson, or any other employee,
for engaging in union activities.
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 rescind our overly broad and unlawful no-
solicitation/no-distribution policy and the Q&A memo
distributed to you on November 22, 1999.
WE WILL, within 14 days from the date of this Order,
remove from our files any reference to the unlawful
writeups issued to Anita Carr and Sharyn Johnson on
October 26, 1999, and WE WILL , within 3 days thereafter,
notify them in writing that this has been done and the
writeups will not be used against them in any way.

OVERLAND PARK REGIONAL MEDICAL
CENTER/HEALTH MIDWEST
APPENDIX G
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 Federal labor law and has ordered us to post and
obey this notice.
FEDERAL LAW GIVES YOU THE RIGHT TO
Form, join, or assist any union
Choose representatives to bargain with us on
your behalf
Act together with other employees for your bene-
fit and protection
Choose not to engage in any of these protected
activities.

WE WILL NOT interfere with, restrain, or coerce you in
the exercise of your Section 7 rights by maintaining and
enforcing an overbroad and unlawful no-solicitation/no-
distribution policy which prohibits you from soliciting on
behalf of a labor organization during your nonworktime
or distributing union literature in nonwork nonpatient
care areas of our facility during your nonworktime, and
WE WILL NOT require you to obtain approval before en-
gaging in such protected activity.
WE WILL NOT unlawfully interrogate you about your
union sympathies or activities, and WE WILL NOT threaten
you with more adverse working conditions, closure of
our facility, or a loss of jobs if you choose to be repre-
sented by a union.
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 rescind our overly broad and unlawful no-
solicitation/no-distribution policy and the Q&A memo
distributed to you on November 22, 1999.

LEE’S SUMMIT HOSPITAL
APPENDIX H
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 Federal labor law and has ordered us to post and
obey this notice.
FEDERAL LAW GIVES YOU THE RIGHT TO
Form, join, or assist any union

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 355
Choose representatives to bargain with us on
your behalf
Act together with other employees for your bene-
fit and protection
Choose not to engage in any of these protected
activities.

WE WILL NOT interfere with, restrain, or coerce you in
the exercise of your Section 7 rights by maintaining and
enforcing an overbroad and unlawful no-solicitation/no-
distribution policy which prohibits you from soliciting on
behalf of a labor organization during your nonworktime
or distributing union literature in nonwork nonpatient
care areas of our facility during your nonworktime, and
WE WILL NOT require you to obtain approval before en-
gaging in such protected activity.
WE WILL NOT threaten you with job loss, harsher treat-
ment, closure of operations, and a strike if you select the
Union to represent you; threaten that a strike would ad-
versely impact your wages and cause you financial hard-
ship, threaten that our supervisors would no longer be
flexible if you brought in the Union; tell you it was futile
to support the Union; interrogate you about your union
sympathies or activities; threaten to be more adversarial
with you if the Union were brought in; suggest that we
might not bargain in good faith by telling you we would
be more confrontational with the Union if you select it to
represent you; prohibit you or nonemployee union organ-
izers from soliciting or distributing literature in the out-
side areas of our facilities over which we have no con-
trol.
WE WILL NOT issue disciplinary writeups to employees
Deanna Jones, Mary Porter, Patricia Gallagher, and Nora
Herse, or any other employee for engaging in union ac-
tivities.
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 rescind our overly broad and unlawful no-
solicitation/no-distribution policy and the Q&A memo
distributed to you on November 22, 1999.
WE WILL, within 14 days from the date of this Order,
remove from our files any reference to the unlawful
writeups issued to Deanna Jones on January 26, 2000, to
Mary Porter on March 29, 2001, and to Patricia Galla-
gher and Nora Hersh on May 1, 2000, and WE WILL,
within 3 days thereafter, notify them in writing that this
has been done and the writeups will not be used against
them in any way.

VISITING NURSE ASSOCIATION/VISITING NURSE
SERVICES OF HEALTH MIDWEST

David A. Nixon, Esq., for the General Counsel.
David L. Wing and Carol Clark, Esqs. (Spencer, Fane, Britt, &
Browne), for the Respondents.
Walter “Bud” Roher, Esq. (Roher & Wood), for the Charging
Party.
DECISION
GEORGE ALEMÁN, Administrative Law Judge. A hearing in
this matter was held on various dates between May 23 and July
20, 2000, following unfair labor practice charges filed by
Nurses United for Improved Patient Care (the Union),1 and
issuance of a third consolidated complaint on May 9, 2000, by
the Regional Director for Region 17 of the National Labor Re-
lations Board (the Board).
The consolidated complaint alleges that Respondent Health
Midwest (HM), and several health care facilities owned and
operated by HM, including Respondents Baptist Medical Cen-
ter/Health Midwest (Baptist), Medical Center of Independ-
ence/Health Midwest (MCI), Menorah Medical Center/Health
Midwest (Menorah), Overland Park Regional Medical Cen-
ter/Health Midwest (Overland Park), Research Medical Center
of Health Midwest (Research), Lee’s Summit Hospital (Lee’s),
Visiting Nurse Association/Visiting Nurse Services of Health
Midwest (VNA/VNS), in various manner, violated Section
8(a)(1) of the National Labor Relations Act (the Act). It further
alleges that Respondent Research’s creation and support of a
Nurse Practicing Committee violated Section 8(a)(2), and that
Respondents VNA/VNS, Menorah, and Overland Park also
engaged in unlawful conduct which violated Section 8(a)(3)
and (1) of the Act. On May 16, 2000, the Regional Director
issued an order consolidating the allegations in the third con-
solidated complaint with objections to an election filed by the
Charging Party Union on April 6, 2000, in Case 17–RC–
11816.2 On May 23, 2000, the Respondents collectively, by
counsel, timely filed a joint answer to the third consolidated
complaint denying the commission of any unfair labor prac-
tices.
All parties were afforded a full and fair opportunity at the
hearing to present oral and written evidence, to examine and
cross-examine witnesses, and to argue orally on the record. On
the entire record, including my observation of the demeanor of
the witnesses, and after considering briefs filed by the General

1 The Union filed its various charges and amended charges between
November 8, 1999, and May 8, 2000 (see GC Exh.1[fff]).
2 In Case 17–RC–11816, the Union filed a representation petition
with the Board on January 19, 2000, seeking to represent “all full-time
and regular part-time registered nurses employed by VNA and/or VNS
of Health Midwest which provide clinical services or support services
for clinical services, including registered nurses employed from 2801
Wyandotte Street, Kansas City, Missouri, and Lexington, Missouri, but
excluding all other professional employees of VNA/VNS of Health
Midwest, office clerical employees, guards, and supervisors as defined
in the Act, and all other employees.” An election among employees in
the above-described unit was held on March 30, 2000, resulting in 58
votes being cast for, and 61 against, representation, with two non-
determinative ballots having been cast.

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 356
Counsel, the Charging Party, and the Respondents,3 I make the
following
FINDINGS OF FACT
I. JURISDICTION
Respondent HM is a corporation with an office in Kansas
City, Missouri, where it is engaged in the business of owning
and managing health care institutions. Respondents Baptist,
MCI, Research, Overland Park, and Lee’s, all corporate enti-
ties, are acute care facilities owned and operated by HM.4
VNA/VNS, also owned and managed by Respondent HM,
maintains offices in Kansas City and Lexington, Missouri, and
is engaged in the business of providing nonacute health care
services primarily at patients’ homes. During the 12-month
period ending December 31, 1999, each named Respondent had
gross revenues in excess of $250,000 and, during the same
period, purchased and received at its facility products, goods,
and materials directly from points outside the geographical
state in which they operate and do business. The complaint
alleges, the Respondents admit, and I find, that each is an em-
ployer engaged in commerce within the meaning of Section
2(2), (6), and (7) of the Act. I further find that the Union is a
labor organization within the meaning of Section 2(5) of the
Act.
II. ALLEGED UNFAIR LABOR PRACTICES
The Respondents herein are alleged to have violated Section
8(a)(1) by, inter alia, promulgating, maintaining, and enforcing
overly broad no-solicitation/no-distribution policies, interfering
with the Board’s investigatory processes, threatening employ-
ees with job loss, closure of facilities, less favorable working
conditions, wage loss, financial hardship, and strikes if they
brought in the Union; telling employees support for the Union
would be a futile gesture; interrogating employees about their
activities, creating the impression of surveillance of their activi-
ties, ejecting employees and nonemployee union supporters

3 Unless otherwise indicated, all dates herein refer to the period be-
tween May 1, 1999, and April 30, 2000. Reference herein to oral tes-
timony is identified by the transcript page number (Tr. __). General
Counsel, Respondents, and Charging Party exhibits received into evi-
dence are respectively identified as “GC Exh.,” “R. Exh.,” and “CP
Exh.” followed by the exhibit number. Reference to arguments con-
tained in the parties’ briefs are identified as “GC Br.” for the General
Counsel’s brief, “R Br.” for the Respondents’ brief, and “CP Br.” as the
Charging Party’s brief, followed by the page number(s).
The General Counsel’s motion to strike portions of the Respondent’s
brief is denied. In the absence of any opposition thereto, the General
Counsel’s further motion to supplement the record by making four
documents relating to Case 17–RC–11816 (e.g., copies of the petition,
Notice of Representation Hearing, Affidavit of Service of the Notice of
Representation Hearing, and return receipts showing service of notice
on parties) part of the record as GC Exhs. 88 through 91 is granted.
Finally, the General Counsel’s unopposed motion, appended to its brief,
to correct certain typographical errors in the transcript is granted and
made part of the record herein as GC Exh.-92.
4 Respondents Baptist and Research are located in Kansas City, Mis-
souri; Menorah and Overland Park are situated in Overland Park, Kan-
sas; MCI in Independence, Missouri; and Lee’s Summit in Lee’s Sum-
mit, Missouri.
from their facility and threatening them with arrest if they did
not do so, and refusing to allow union literature to be placed in
employee mailboxes or to be distributed in their cafeterias.
Respondent, Research Medical, is also alleged to have violated
Section 8(a)(2) by establishing and lending assistance a labor
organization. Finally, Respondents Menorah, Overland Park,
and VNA/VNS are alleged to have violated Section 8(a)(3) and
(1) by issuing disciplinary warnings to employees because of
their union activities. Discussion of the specific allegations
involving each Respondent, and my findings with respect
thereto, follows.
A. Health Midwest (HM)
1. HM’S corporate-wide no-solicitation/no-distribution policy
The record reflects that HM maintains a corporatewide no-
solicitation/no-distribution corporate policy which the parties
agree was distributed or made available to employees of the
various named Respondents between May 8, 1999, and the start
of the hearing (GC Exhs. 67, 67[h]).5 The policy reads as fol-
lows:

PURPOSE:

To prevent disruptions in operations, interference with
patient care and inconvenience to patients and visitors.

POLICY:

Solicitation and distribution within Health Mid-
west…facilities must be approved by the corporation and
conducted according to specified procedures.

A. Non-Employee Solicitation

Persons not employed by Health Midwest…may not
solicit or distribute literature on Health Midwest . . . prop-
erty for any purpose at any time, unless prior authorization
from Health Midwest Vice President for Human Re-
sources has been obtained in writing.

B. Employee Solicitation

1. Working time

Except for solicitation for official Health Midwest . . .
sponsored employee programs, no employee shall solicit
any other employees during working time, nor shall any
employee distribute any literature during working time.

2. Non-working Time

No employee shall solicit any other employee of Health Mid-
west . . . or distribute any literature during non-working time
5 HM’s corporate policy apparently has been in effect since
“9/15/92” (see GC Exh. 67[h]). While not specifically alleged in the
complaint as unlawful, HM’s no-solicitation/no-distribution, as dis-
cussed infra, is virtually identical to policies adopted and maintained by
the other named respondents which are alleged to be unlawful and
whose the validity was fully litigated at the hearing. The validity of
HM’s no-solicitation/no-distribution policy is therefore closely related
to the complaint allegations and is, I find, properly before for me con-
sideration. Ithaca Industries, 275 NLRB 1121, 1126 (1985); Carpen-
ters Local 2605 (DeRose Industries), 256 NLRB 584 fn. 1 (1981).

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 357
time in those areas to which patients and/or visitors have ac-
cess.
a. This prohibition on solicitation and distribution dur-
ing non-working time includes patient treatment areas,
hallways, waiting rooms, elevators, patient/public lounges
and office areas.
b. Those areas in which employees may engage in so-
licitation and distribution during non-working time are the
employee lounges, employee restrooms, employee locker
room, parking lots and cafeteria.

3. Employees may engage in solicitation of or distri-
bution to other employees only when both employees are
on non-working time, such as break periods or meal peri-
ods, and only in areas to which patients and visitors do not
have access.
4. Employees may not bring goods or services onto
the premises for sale to other employees.

C. Solicitation of Patients/Visitors

Solicitation of patients or visitors and/or distribution of
any matter to patients or visitors for any purpose by any
employee is prohibited at all times.

D. Enforcement of Policy

1. This policy will be strictly enforced.

As stated, copies of HM’s policy were distributed or made
available to all HM employees employed at its various hospi-
tals, including those employed by the various Respondents
herein. Comparison of HM’s policy with those maintained by
said Respondents reveals that, with minor variations, the poli-
cies are virtually the same. Thus, the policies maintained by
Respondents VNA/VNS, MCI, Research, and Lee are similar to
HM’s policy, except that in paragraph B.2.a. of VNA/VNS’,
MCI’s, and Research’s policy, and in section 400-200-30, sub-
section 2.2.a. of Lee’s policy, the latter Respondents added
“patients rooms” and “operating rooms,” and replaced “office
areas” with “nurses’ stations” as areas where solicitation and
distribution was prohibited.6
Regarding the validity of HM’s corporatewide policy, the
parties readily acknowledge on brief that the Board’s rule re-
garding solicitation in health care facilities differs from that
which the Board generally applies to other employers. The
Board, for example, has long adhered to the view that employer
rules prohibiting employee solicitation during worktime are
presumptively valid, whereas rules prohibiting or otherwise

6 Compare VNA/VNS’ policy at GC Exh. 5, MCI’s policy at GC
Exh. 67(f), Research’s policy at GC Exh. 67(d), and Lee’s policy at GC
Exh. 67(g), with Health Midwest’s policy at GC Exh. 67(h) and Meno-
rah’s policy at GC Exh. 21. Several of the Respondents, in particular,
Menorah, Research, and Lee also maintain abbreviated versions of their
no-solicitation/no-distribution policies. Respondent Baptist’s no-solici-
tation/no-distribution policy differs somewhat from the policies main-
tained by the other Respondents. (See GC Exh. 67[c].) While no evi-
dence was produced to show that Baptist, like the other Respondents,
adheres to, or has adopted, the provisions of HM’s policy, I am con-
vinced that it does, for the distribution of HM’s corporate policy to all
of its affiliate hospitals, including Respondent Baptist, would have
served no purpose if the policy had no application to them.
restricting solicitation during nonwork time are considered
presumptively invalid. Stoddard-Quirk Mfg. Co., 138 NLRB
615 (1962); Republic Aviation Corp. v. NLRB, 324 U.S. 793
(1954). However, in St. John’s Hospital, 222 NLRB 1150
(1976), the Board, with Supreme Court approval, see Beth Is-
rael Hospital v. NLRB, 437 U.S. 483 (1978), and NLRB v. Bap-
tist Hospital, Inc., 442 U.S. 773 (1979), modified its policy on
solicitation and held that hospitals may limit or restrict em-
ployee solicitation during nonworking time in “immediate pa-
tient-care areas,” such as patients’ rooms, operating rooms, and
places where patients receive treatment, such as X-ray and
therapy areas,7 and that a hospital rule prohibiting solicitation in
such “immediate patient care areas” would be viewed as pre-
sumptively valid. However, prohibitions of lawful nonwork
time solicitation and distribution in areas other than immediate
care areas, even with respect to areas that may be accessible to
patients, are presumptively unlawful, absent a showing by the
health care facility that such a ban is necessary to avoid a dis-
ruption of patient care. Brockton Hospital, 333 NLRB 1367,
1368 (2001); Cooper Health System, 327 NLRB 1159, 1163
(1999). With these principles in mind, I address the specific
allegations raised by the General Counsel regarding HM’s so-
licitation policy.
The General Counsel first contends, on brief, that HM’s pol-
icy is unlawful because it requires employees to obtain ap-
proval from the hospital before engaging in any solicitation or
distribution activity. I agree with the General Counsel, for the
Board has found the imposition of such “prior approval” re-
quirements before employees could exercise their Section 7
right to engage in lawful solicitation and distribution activities
to be facially unlawful. Teletech Holdings, Inc., 333 NLRB
402 (2001); Lake Holiday Manor, 325 NLRB 469, 478 (1998);
Blossom Nursing Center, 299 NLRB 333, 338 (1990); Bruns-
wick Corp., 282 NLRB 794 (1987).
The General Counsel next contends that the policy’s prohibi-
tion in paragraph B.2 on employee solicitation and distribution
during their nonwork time is overly broad and hence presump-
tively unlawful. I agree, for the proscriptive language in para-
graph B.2 is not limited to immediate patient care areas but
rather extends to any and all areas to which “patients or visitors
have access,” including, as evident from paragraph B.2.a., areas
that are generally not viewed as patient care areas such as
“hallways, elevators, patient/public lounges, and office areas.”
See, e.g., Brockton Hospital, supra.8 The rule is moreover
vague and ambiguous, for while paragraph B.2.a. specifically
lists areas to which the solicitation and distribution ban applies,
there is nothing in the rule itself, or elsewhere in the record, to
7 The Board subsequently held in Intercommunity Hospital, 255
NLRB 468 (1981), that “halls and corridors adjacent to patient rooms,
operating rooms, x-ray rooms, and other immediate patient care areas
are extensions of immediate patient care areas in which solicitation
presumptively may be prohibited.”
8 Compare Presbyterian/St. Luke’s Medical Center, 258 NLRB 93,
99 (1981), where the Board found valid a prohibition on solicitation in
hallways and elevators because they were utilized primarily for the
movement of patients and emergency equipment. Here, HM has not
shown that its hallways, elevators, patient/public lounges, or office
areas are used in like manner.

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 358
suggest that the list was to be all-inclusive, that is, intended to
exclude any area not mentioned therein. In fact, the word “in-
cludes” in paragraph B.2.a., suggests that the areas identified
therein were being cited by way of example and reflected some,
but not all, of the hospital areas to which “patients or visitors”
would have access. Thus, the language of paragraph B.2 pro-
hibiting solicitation and distribution in all areas where “patients
or visitors have access” could reasonably be read to include
other nonpatient care areas not listed in paragraph B.2.a., such
as the facility’s lobby, entrances, and public restrooms, as these
areas presumably would be accessible to patients and visitors.
Where, as here, the language of a no-solicitation rule is am-
biguous and can reasonably be interpreted by employees in
such a way as to cause them to refrain from exercising their
statutory rights, the rule is deemed to be invalid even if inter-
preted lawfully by the employer in practice. Presbyterian/St.
Luke’s Medical Center, 258 NLRB 93, 99 (1981). “Any ambi-
guity in a particular prohibition that sweeps so broadly as to put
in doubt an employee’s right to engage in union solicitations
protected by the Act without fear of punishment by his or her
employer is construed against the employer which formulated
that prohibition.” Grouse Mountain Lodge, 333 NLRB 1322,
1337 16 (2001); Altorfer Machinery Co., 332 NLRB 130
(2000). Respondent HM neither asserts, nor has produced evi-
dence to show, that its ban on employee solicitation and distri-
bution of union literature in nonpatient care areas of its facility
during their nonwork time was necessary to avoid a disruption
of patient care or disturbance of patients. Accordingly, HM’s
rule prohibiting such solicitation and distribution by employees
during their nonwork time is found to be unlawful and in viola-
tion of Section 8(a)(1) of the Act. Paragraph 3 of HM’s policy
is, by extension, likewise unlawful for it amounts to nothing
more than a restatement of the prohibition contained in para-
graph B.2.
In sum, I find, as alleged by the General Counsel, that HM’s
corporate no-solicitation/no-distribution policy is overly broad
and that, by maintaining and distributing its policy to all em-
ployees at its various facilities, HM violated Section 8(a)(1) of
the Act. Hoyt Water Heating Co., 282 NLRB 1348, 1357
(1987).
2. The Q&A memo
On or about November 22, each Respondent circulated to
their respective employees the following question and answer
(Q&A) memo which, as stated in the Q&A memo’s opening
paragraph, was intended to “explain this facility’s policy and
practice concerning solicitation and distribution activities.”
(See Jt. Exh. 2.):

May non-employees distribute information or solicit on
hospital premises?

No. The hospital prohibits non-employees from dis-
tributing information or soliciting on our premises. This
prohibition is applied in a non-discriminatory way. The
hospital requires that non-employees only use its premises
in a manner consistent with the premises’ general use. For
example, the hospital limits non-employees use of the
cafeteria to eating.

May employees distribute information or solicit within the
hospital facility?
During non-working time in non-work areas, employ-
ees are allowed to communicate with other employees
about non-work-related topics (including union topics).
The hospital does not require that employees get pre-
approval to do so. The hospital prohibits distribution and
solicitation activities during working time (for both the so-
liciting employee and the employee being solicited) and in
all patient care areas. Working time does not include meal
times, breaks or time before or after shifts.
Patient care areas include patient rooms, treatment ar-
eas, sitting rooms and corridors on floors where patients
stay or are treated, entrances where patients are picked up
and dropped-off, and areas where patients check-in. On
the other hand, employee lounges, the cafeteria, vending
areas, and the gift shop are generally not considered to be
patient care areas.

May off-duty employees distribute information or solicit
within the hospital facility?
Off-duty employees may engage in solicitation and
distribution activities in the non-patient care areas of the
hospital.

May employees currently assigned to other Health Midwest
facilities distribute information or solicit within this facility?
Employees from other locations may engage in solici-
tation and distribution activities in the non-patient care ar-
eas of the hospital that are generally open to the public
such as the cafeteria. Under ordinary circumstances, such
employees should not be entering the work areas at facili-
ties to which they are not currently assigned.

May the hospital (acting through supervisors or managers)
distribute or post information?
Yes. Even though the hospital has a general rule pro-
hibiting employees from distributing or posting informa-
tion in certain areas and at certain times, hospital supervi-
sors and managers may distribute information during work
time and in work areas.

What do I do if I have more questions on solicitation and
distribution?
Contact the Human Resources Director at the hospital.

The Respondents contend that the Q&A memo effectively
clarified and corrected their no-solicitation/no-distribution rules
so as to make them “consistent with the law.”9 I disagree, for
9 While generally denying that their no-solicitation/no-distribution
policies are overly broad or presumptively invalid, the Respondents on
brief, in connection with their discussion of Respondent Baptist’s rule,
implicitly concede that their policies may indeed be facially invalid.
Like the rules maintained by the other Respondents, Baptist’s no-
solicitation/no-distribution policy bans solicitation and distribution “in
areas to which patients have access.” In addressing the validity of that
policy, the Respondents on brief (p. 35), concede that such a ban poten-
tially violates Sec. 8(a)(1) “in that it could be construed to prohibit
solicitation in non-patient care working areas where medical care is not
likely to be disrupted and it could be construed to prohibit distribution
in areas that are not either patient care or working areas.” They con-

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 359
“clarifications of ambiguous rules or narrowing interpretations
of overly broad rules must be effectively communicated to an
employer’s work force before the Board will conclude that the
impact of facially illegal rules has been eliminated.” Laidlaw
Transit, Inc., 315 NLRB 79, 82 (1994). Such communications,
however, must clearly and unambiguously convey to employ-
ees that the employer is disavowing or repudiating the invalid
rule. TeleTech Holdings, Inc., 333 NLRB 402 (2001). The
Q&A memo contains no such repudiation or disavowal of the
unlawful provisions contained in the above-described HM pol-
icy and in the identical policies maintained by the various Re-
spondents herein. Rather, the memo simply states in its open-
ing paragraph that its purpose was to “explain” the no-
solicitation/no-distribution rules in the Respondents’ policies.
Thus, the memo gives no indication to employees that the re-
sponses set forth therein to the hypothetical questions posed
were intended to replace or supersede any rule(s) found in the
Respondents’ no-solicitation/no-distribution policies, or that in
the event of any inconsistencies between the responses in the
memo and any rule found in its no-solicitation/no-distribution
policy, they were to ignore the latter and adhere to the former.
There are, to be sure, inconsistencies between certain re-
sponses provided in the Q&A memo and the no-solicitation/no-
distribution rules found in HM’s no-solicitation/no-distribution
policy, and by extension in the policies maintained by the other
Respondents. Thus, while HM’s policy requires employees to
first obtain management’s approval before engaging in solicita-
tion and distribution activities, and that said activities must be
conducted in accordance with certain specified procedures, the
Q&A memo, in response to the second hypothetical question,
states that “the hospital does not require that employees get pre-
approval” to engage in such activities.
Further, the Q&A memo, in response to question two, also
states that “[d]uring non-working time in nonwork areas, em-
ployees are allowed to communicate with other employees”
about nonwork related topics, including union matters, but that
“the hospital prohibits distribution and solicitation activities
during working time . . . and in all patient care areas.” The
Q&A memo then defines the patient care areas as including
“patient rooms, treatment areas, sitting rooms, and corridors on
floors where patients stay or are treated, entrances where pa-
tients are picked up and dropped off, and areas where patients
check in.”10 The prohibited areas identified in the Q&A memo,
however, differ from those listed in HM’s above policy. Thus,
HM’s policy does not expressly identify hospital “entrances

tend, however, that by distributing the Q&A memo, “Baptist [and im-
plicitly HM’s other facilities] expressly notified each of its employees
in writing that solicitation and distribution were prohibited only during
working time and in all patient care areas,” and that by distributing the
Q&A memo to their employees they, as well as Respondent Baptist,
“appropriately clarified” their “overbroad or ambiguous” policies.
10 The Q&A memo, as noted, makes reference to “work” and “non-
work” areas without defining them. These terms, however, are found
nowhere in any of no-solicitation/no-distribution policies maintained by
the Respondents. Rather, those policies speak in terms of patient care
and non-patient care areas. I am convinced that Q&A memo was
equating work area with patient care area, and nonwork area with non-
patient care area. (See GC Exh. 67.)
where patients are picked up and dropped off,” and “areas
where patients check in,” as areas where solicitation and distri-
bution are prohibited. Conversely, HM’s inclusion in its policy
of “hallways, waiting rooms, elevators, patient/public lounges
and office areas” as areas where solicitation and distribution are
prohibited are not listed in the Q&A memo as prohibited areas.
Finally, while HM’s policy contains no restriction on employ-
ees engaging in solicitation and distribution at HM facilities
where they are not employed, the Q&A memo, as noted, states
that “employees from other locations” are allowed to solicit and
distribute literature in the “non-patient care areas of the hospital
that are generally open to the public, such as the cafeteria,”
adding that “under ordinary circumstances, such employees
should not be entering the work areas at facilities to which they
are not currently assigned.”
The inconsistencies between responses in the Q&A memo
and provisions in the Respondents’ policies, and the lack of any
repudiation or disavowal of the unlawful provisions in their no-
solicitation/no-distribution policies, in my view, served only to
confuse, rather than clarify, how employees could exercise their
Section 7 right to solicit and distribute union literature at their
workplace. Without an express disavowal of the unlawful pro-
visions, employees could reasonably have believed that said
provisions remained in full force and effect, and that the Q&A
memo may simply have been intended to supplement those
provisions. At a minimum, employees would have been con-
fused as to which of the conflicting rules, those set forth in the
Q&A memo responses or the contrary provisions in Respon-
dents’ policies, they were expected to follow. See Garfield
Electric Co., 326 NLRB 1103, 1107 (1998). Thus, the Q&A
memo, in my view, created more, not less, ambiguity and could
reasonably have caused employees to refrain from engaging in
any lawful solicitation or distribution activity for fear that ad-
herence to the Q&A memo’s conflicting “explanation” of their
employer’s existing “no-solicitation/no-distribution” provisions
might cause them to violate said provisions. In these circum-
stances, I find that the Q&A memo was indeed coercive and
violated Section 8(a)(1) of the Act.11
3. Hiersteiner’s memos
On or about April 7, 2000, Respondent HM, through Senior
Vice President and General Counsel Joseph Hiersteiner, dis-
tributed the following memo entitled, “Your Rights and Obliga-
tions Related to Government Investigations,” to “Employees of
Health Midwest Companies” (see GC Exh. 52):

The United States Department of Justice has in recent
years increased the resources devoted to the investigation
of health care in Kansas City. Consistent with this in-
crease in resources, our counsel informs us that there ap-
pear to be increasing numbers of investigative subpoenas
11 The suggestion in the Q&A memo, that employees should contact
the HR director of their respective employer hospital if they had more
questions on solicitation and distribution, does not remedy the problem
for the Respondents, for such inquiries would in all likelihood require
employees to divulge their union involvement or sympathies to their
employer, which employees are undeniably privileged not to disclose.
Lutheran Hospital of Milwaukee, 224 NLRB 176, 183 (1976).

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 360
being delivered to various health care institutions in the
metropolitan area.
Given this increase in activity, the companies of Heath
Midwest could be included in such investigations. This
memorandum is designed to give you some information
about your rights and responsibilities if you are asked to
speak with investigators as part of a government investiga-
tion.
You have the right to talk to a government investigator
if you desire to do so. You also have the right to decline
the opportunity to talk to a government investigator, or to
seek the advice of a lawyer before doing so.
Investigations of this type are generally not routine, al-
though they are becoming more common. Therefore, you
may be best served by working with a lawyer who has ex-
perience in matters of this type. Depending on the nature
and scope of the investigation, Health Midwest will pay
for the costs of an attorney who will represent your inter-
ests.
If you elect to speak with the investigator, or are re-
quired by subpoena to do so, it is absolutely imperative
that everything you say be accurate and truthful. Informa-
tion which is based upon speculation or rumor could have
unintended and harmful consequences. Lying to govern-
ment investigators can itself be a crime which in some
cases is more serious than the matter being investigated.
As part of any ongoing investigation, you may also be
served with a subpoena to appear and offer testimony.
You have the right to consult with a lawyer before testify-
ing.
Please inform me . . . or Brent Lagergren, Director of
Corporate Compliance . . ., if you receive a grand jury sub-
poena or are contacted by investigators regarding a matter
involving any Health Midwest company in any way.
You remain free to speak with any investigator if you
wish to do so. If you choose to speak to the investigator,
tell the truth and be accurate in your statements.
Please contact me if you have any questions or con-
cerns.

VNA/VNS also distributed Hiersteiner’s memo on the same
day to its nursing employees. On April 10, the Union filed a
charge alleging that Hiersteiner’s memo unlawfully interfered
with the employees’ Section 7 rights. On April 20, Hiersteiner
circulated another memo to employees (GC Exh. 53) denying
that the April 7, memo “interfered, restrained, coerced, or dis-
criminated against anyone,” and clarifying “the record regard-
ing NLRB investigations.” The April 29, memo sets forth the
following employee rights:

1. You are free to talk to an NLRB investigator if you
wish to do so.
2. You are under no obligation to notify me if an
NLRB investigator contacts you.
3. You will not be disciplined for failing to notify me
if an NLRB investigator contacts you.
4. If you choose to talk to an NLRB investigator, tell
the truth.

The only testimony provided at the hearing regarding this
memo came from VNA/VNS employee, Celeste Michelson, a
registered nurse. Michelson testified to being given a copy of
the memo by her immediate supervisor, Pat Tenner, on April
11. On asking Tenner what the memo was all about, the latter
explained it was “about ongoing investigations here in Kansas
City, that there was a possibility that Health Midwest could
become a part of that,” and that “the FBI” was conducting the
investigations. Michelson commented to Tenner that she
viewed the investigation as “cool,” and asked if she might be of
some help. Tenner replied that if Michelson believed such
investigations were “cool,” she should “call some of those peo-
ple out in Independence that just went under investigation with
the Columbia system.” Michelson then asked Tenner if she
could call any of the people whose names were listed at the
bottom of the Hiersteiner memo, but Tenner discouraged her
from doing so by stating to Michelson, “Oh, no, don’t do that.”
That, according to Michelson, ended the conversation. Neither
Tenner nor Hiersteiner testified in this proceeding.
The General Counsel contends that the distribution of this
memo by HM was unlawful, arguing, in support thereof, that
HM’s motivation for circulating the memo was to hinder the
Board’s investigation of the charges filed against it by discour-
aging employees from cooperating with Board agents.12 HM
denies the accusation, noting that Hiersteiner’s memo makes no
mention whatsoever to the Board or its proceedings, and that
the memo on its face, as well as Michelson’s testimony, makes
clear that the matter raised by the memo had to do with a De-
partment of Justice investigation, not the Board, and that the
memo simply sought to address in an “evenhanded and accu-
rate” fashion the “very serious issue of investigations.”
Several factors, including the timing of its issuance, lead me
to reject HM’s explanation that the Hiersteiner memo was
merely intended to apprise employees of an ongoing Justice
Department investigation. Initially, despite its reference to a
Justice Department investigation, there is nothing in the memo
itself to suggest, or any evidence of record to show, that HM or
any of its affiliated hospitals, including the Respondents herein,
were under investigation by Justice Department at the time
Hiersteiner circulated his memo. Further, while the memo
states that “there appear to be increasing numbers of investiga-
tive subpoenas being delivered to various health care institu-
tions in the metropolitan area,” there is again no indication in
the memo that HM or any of its health care facilities had been
served with any Justice Department subpoenas. If anything,
Hiersteiner’s assertion therein, that “the companies of Health
Midwest could be included in such investigations,” makes pat-
ently clear that no such ongoing investigation by the Justice
Department of HM or any of its facilities was taking place on

12 Respondent VNA/VNS is also alleged to have violated Sec.
8(a)(1) by distributing the Hiersteiner memo to its nurses. While the
complaint also alleged that several other named Respondents engaged
in similar unlawful conduct, the General Counsel on brief has moved,
without opposition, to withdraw complaint par. 5(b)(viii) because
“there is no evidence that any Respondent” other than HM and
VNA/VNS “was responsible for the distribution of Hiersteiner’s April
7 (or April 20) letter(s).” (GC Br. 61, fn. 46.) The motion to withdraw
complaint par. 5(b)(viii) is granted.

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 361
April 8, when HM distributed the memo to employees. How-
ever, while HM and its respondent affiliates may not have been
under a Justice Department investigation on April 8, they were
at the time undergoing a Board-conducted investigation in con-
nection with unfair labor practice charges filed by the Union.13
Further, the Board had, just 1 week earlier, served the Respon-
dents with a copy of its second consolidated complaint. Fi-
nally, on April 6, 1 day before VNA/VNS and HM distributed
the Hiersteiner memo, the Union filed objections to the March
30 election accusing VNA/VNS of interfering with the conduct
of the election.
I find it to be no mere coincidence that HM and VNA/VNS
chose to circulate the Hiersteiner memo to their employees
when they did. Indeed, the absence of evidence showing that
HM was indeed under investigation by the Justice Department,
the fact that the memo generally refers to “government investi-
gations” and not merely to a Justice Department investigation,
and the timing of its issuance, e.g., days after issuance of a
second consolidated complaint and the filing of new unfair
labor practice charges, and a day after the Union’s filing of
objections to the VNA/VNS election, convinces me that the
memo was indeed intended to alert employees to the ongoing
Board investigation. By offering to provide employees who
might be contacted by the Board during the course of said in-
vestigation with free legal counsel, and by directing employees
to notify them when served with a subpoena or when contacted
by “investigators regarding a matter involving any Health
Midwest company in any way,” the Respondents, I find, unlaw-
fully interfered with the employees’ right of free and unim-
peded access to the Board and unlawfully attempted to obstruct
the Board’s processes. Air Express International Corp., 245
NLRB 478, 497 (1979). Accordingly, I find that Respondent
HM, as well as Respondent VNA/VNS, violated Section
8(a)(1) of the Act when they distributed Hiersteiner’s April 7
memo to their employees.
I further find that Hiersteiner’s subsequent April 20 memo
did not purge Respondent HM and VNA/VNS of liability aris-
ing from their issuance of Hiersteiner’s first memo. It is settled
that under certain circumstances an employer may relieve itself
of liability for unlawful conduct by repudiating the conduct. To
be effective, however, the repudiation must be done in a timely
manner, be unambiguous and specific in nature to the coercive
conduct, be adequately published to the employees involved,
and must provide employees with assurances that no interfer-
ence with their Section 7 rights will occur in the future. Passa-
vant Memorial Area Hospital, 237 NLRB 138 (1978); also
Service Employees Local 399 (City of Hope National Medical
Center), 333 NLRB 1399, 1401 (2001). Hiersteiner’s April 20
memo falls short of satisfying the Passavant requirements for a
successful repudiation. Thus, in his April 20 memo, Hier-
steiner, far from repudiating or disavowing the unlawful and
coercive statements made in his first memo, insisted that his

13 The record reveals that new and/or amended charges were filed by
the Union and served by the Board on the following dates: Respondent
Lee—March 23; VNA/VNS—March 28 and April 3 (new charge);
Respondent Menorah—March 28; Respondent Overland Park—March
29.
April 7, memo had in no way ‘interfered, restrained, coerced, or
discriminated against anyone.” Mohawk Liqueur Co., 300
NLRB 1075, 1086 (1990). Moreover, nowhere in his April 20
memo does Hiersteiner provide employees with assurances that
Health Midwest would not interfere with their Section 7 rights
in the future. In fact, while advising employees that they were
not required to notify management when contacted by a Board
agent, Hiersteiner in his April 20 memo again “requests” that
employees notify HM if contacted by “investigators,” and im-
plicitly promises to cover any legal expenses they might incur
because of said investigation by stating that notifying HM of
such investigation was necessary so that HM could address
issues such as the indemnification and defense of employees.”
Thus, Hiersteiner’s April 20 memo not only failed to repudiate
his prior unlawful April 7 memo, it, in fact, reaffirmed the very
conduct that rendered the April 7 memo unlawful in the first
place by requesting employees to report their contacts with
Board agents, and promising to compensate them for legal ex-
penses incurred as a result of such contacts. Accordingly, I find
that issuance of the April 20 memo, like the April 7 memo, was
coercive and violated Section 8(a)(1) of the Act.
B. Respondent Research
1. The 8(a)(1) conduct
a. The no-solicitation/no-distribution policy
As previously noted, Research’s no-solicitation/no-
distribution policy is virtually identical to HM’s corporate pol-
icy. Like HM’s corporate policy, Research’s no-solicita-
tion/no-distribution rule for employees, contained in paragraph
B.2 of its policy, bans employee solicitation and distribution
during their nonwork time “in those areas to which patients
and/or visitors have access” and, in paragraph B.2.a, identifies
some of those areas as including “patients rooms, operating
rooms, and patient treatment areas,” and such nonpatient care
areas as “hallways, waiting rooms, elevators, patient/public
lounges, and nurses’ stations.” (GC Exh. 67[d].)14 For the
reasons previously discussed regarding the invalidity of HM’s
rule, I find that the no-solicitation/no-distribution language of
paragraphs B.2 and B.2.a. of Research’s policy is also unduly
broad and presumptively invalid as the ban on such activity
extends to nonpatient care areas and is not confined to immedi-
ate patient care areas, as required by the Board and the courts.15
Research has presented no evidence to show that it had experi-
enced a disruption in patient care, or that patients were being
disturbed through employee solicitation and distribution of
union literature in the nonpatient care areas of its Hospital,
including those listed in paragraph B.2.a (e.g., hallways, wait-
ing rooms, elevators, patient/public lounges, and nurses’ sta-
tions), so as to justify banning employee solicitation and distri-
14 Research also maintains a “shortened version” of its policy. (See
p. 3 of GC Exh. 67[d].)
15 Research’s claim, that the language of par. B.2.a. effectively clari-
fies the general language of par. B.2, and eliminates “any potential that
the policy might be misconstrued” (R. Br. 17), is, for the reasons dis-
cussed above in connection with HM’s no-solicitation/no-distribution
policy, without merit.

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 362
bution in such areas.16 Accordingly, I find that Respondent
Research’s ban on solicitation and distribution of literature by
employees during their nonworktime to be unlawful and in
violation of Section 8(a)(1) of the Act.
b. Alleged unlawful conduct by Supervisors Peggy Hierony-
mous, Terry Plesser, Louis Davis, and Paul Gass
(1) Peggy Hieronymous
Research employee, Winnifred Davies, testified to having
several conversations with Hieronymous during which she was
repeatedly questioned about the Union, and to attending a staff
meeting conducted by Hieronymous during which the subject
matter of the Union was discussed. Hieronymous did not tes-
tify. Consequently, Davies’ following testimony is unrefuted
and accepted as true.
Hieronymous’ staff meeting was held in early October. Da-
vies recalls that after discussing work-related matters, Hiero-
nymous told employees “she had heard that there was some
union activity going on and she hoped that, if any of us were
approached, that we would come and talk with her about it.”
(Tr. 1289.) Hieronymous’ above comment is alleged to be
unlawful. I agree, for Hieronymous’ request, that employees
advise her if they were solicited by others, could reasonably be
read to include notifying Hieronymous even when the solicita-
tion activity was of a lawful nature, such as the lawful attempts
by union supporters to solicit employee signatures on union
authorization cards. Employees involved in lawful solicitation
activity might, therefore, be reluctant to engage in such pro-
tected activity for fear of being reported to management. Ac-
cordingly, I find Hieronymous’ remark was coercive and
amounted to a violation of Section 8(a)(1) of the Act. Smith &
Johnson Construction Co., 324 NLRB 970, 982 (1997). Manno
Electric, Inc., 321 NLRB 278, 291 (1996); Arcata Graphics,
304 NLRB 541 (1991); Dunes Hotel, 284 NLRB 871, 878
(1987).

16 I find no merit in Research’s assertion that its ban on solicitation
at nurses’ stations is presumptively valid for, as previously indicated,
that presumption applies to such immediate patient care areas as pa-
tients’ rooms, operating rooms, and places where patients receive
treatment, such as X-ray and therapy areas. In Rocky Mountain Hospi-
tal, 289 NLRB 1347, 1360 (1988), the judge, with Board approval,
noted that the “Board has never extended its listing of what it consid-
ered an immediate patient care area to nursing stations.” While the
Board has found a ban on nurses’ stations to be valid, Intercommunity
Hospital, 255 NLRB 468 (1981), it has done so based on evidence
produced by the hospital establishing that the ban was justified to pre-
vent a disruption to patient care or disturbance of patients. Here, Re-
spondent Research has produced no such evidence regarding its nurses’
stations. Instead, Research relies on evidence adduced at the hearing
regarding the practices followed at nurses’ stations at another of HM’s
facility, Overland Park. No claim has been made here, nor evidence
produced to show, that Research’s nurses’ stations operate in the same
fashion as the nurses’ stations at Overland Park, or that any of HM’s
other affiliate hospitals share the same nursing stations’ operating prac-
tices and procedures. Accordingly, I decline to infer from evidence
produced at the hearing regarding Overland Park’s nurses’ stations that
Research was somehow justified in banning solicitation at its nurses’
stations, for such an inference would be based on nothing more than
speculation and conjecture.
In mid-October, Hieronymous approached Davies and during
this one-on-one conversation stated that she understood there
had been a union meeting the night before, and asked Davies if
she had attended. When Davies responded that she had, Hiero-
nymous asked her to come to her office to talk. Once there,
Hieronymous asked how many employees had attended the
union meeting. Davies replied that approximately 75 people
had been there. Hieronymous then proceeded to ask if she was
able to recognize anyone and, on receiving an affirmative re-
sponse, asked Davies where the employees worked. Davies
answered that the employees were from the “2 West” and
“ICU” departments. Hieronymous continued her questioning
by asking Davies if the Union had asked them to sign cards at
the meeting, and whether Davies would sign a union card.
Davies replied that she probably would not sign one. In early
November, Hieronymous again questioned Davies about her
attendance at a union meeting. Thus, Davies recalls Hierony-
mous asking if she had “somewhere special to go last night.”
When Davies answered, “[Y]es,” Hieronymous asked how
many people had been there. Davies answered, “a lot.” The
conversation ended at that point. Finally, on December 13,
Davies went to the Hospital cafeteria and, after getting her
food, sat at a table with fellow employees Nancy Fisher and
Linda King who were distributing union literature. Davies
recalled seeing Hieronymous seated at a table some 20 feet
away. After lunch, she returned to her work station. The next
day, as Davies headed towards the waiting room to pick up
some family members of a patient, Hieronymous approached
and asked her why she had been sitting with “those union peo-
ple,” the day before at the cafeteria. Davies replied that she
was merely having lunch with her friends, to which Hierony-
mous responded, “You are a bad influence,” and walked away.
(Tr. 1286.)
Regarding the above conduct, I find that Research unlaw-
fully created an impression of surveillance when Hieronymous
told Davies in mid-October and early November she knew of
the union meetings that had taken place just prior to their con-
versations. The test for determining whether an employer has
created an impression of surveillance is whether the employee
would reasonably assume from the statement in question that
his or her union activities had been placed under surveillance.
Fred’k Wallace & Son, 331 NLRB 914 (2000); Tres Estrellas
de Oro, 329 NLRB 50 (1999). Here, Hieronymous gave no
indication of how she knew that these meetings had taken
place. As to her mid-October reference to the previous night’s
meeting, there was nothing ambiguous about Hieronymous’
statement regarding her knowledge of the meeting. Although
Hieronymous’ early November statement was a bit more subtle,
Davies’ response makes clear that she understood full well that
Hieronymous was making reference to a union meeting when
the latter rhetorically asked Davies if she had “somewhere spe-
cial to go last night.” Thus, I am convinced that on both occa-
sions, Hieronymous’ comments would clearly have conveyed
to Davies the impression that Hieronymous was monitoring her,
and other employees’ union activities, rendering them unlawful
under Section 8(a)(1) of the Act. Evans Bros. Barber & Beauty
Salons, 256 NLRB 121 (1981). Firmat Mfg. Corp., 255 NLRB
1213, 1219 (1981).

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 363
Further, Hieronymous’ questioning of Davies during that
mid-October encounter as to her and other employees’ atten-
dance at the union meeting, as to which employees were in
attendance and whether authorization cards were signed, and as
to whether she would sign a card if asked to do so, constituted
an unlawful interrogation, as did Hieronymous’ subsequent
mid-November questioning of Davies’ presence at another
union meeting, and her December 13 questioning of why Da-
vies was sitting with union supporters, Fisher and King. In
determining whether the questioning of an employee constitutes
an unlawful interrogation, the Board applies the totality-of the-
circumstances test adopted in Rossmore House, 269 NLRB
1176 (1984).17 See Westwood Health Care Center, 330 NLRB
935 (2000); also Mercy General Hospital, 334 NLRB 100, 104
(2001). Here, Hieronymous, on learning during the mid-
October meeting that Davies had attended a union meeting the
night before, summoned Davies to her office, a coercive setting
in my view, and began to grill her on what took place at the
meeting, on the involvement of other employees, and regarding
Davies’ own sympathies. There is no evidence to suggest that
prior to this meeting, Davies was known to be a union sup-
porter or sympathizer. In fact, Hieronymous’ query to Davies
on whether she would sign a union card if given one suggests
that Hieronymous did not know where Davies stood regarding
the Union, and Davies’ own response, that she probably would
not sign one, could reasonably have reflected Davies’ unwill-
ingness to reveal how she actually felt for fear of reprisal. This
questioning, as noted, occurred not long after the early October
employee meeting during which Hieronymous unlawfully
asked employees to report on the solicitation activities of oth-
ers. In these circumstances, I find that the Hieronymous’ mid-
October questioning of Davies amounted to an unlawful inter-
rogation and, as noted, violated Section 8(a)(1).
The early November and December 13 incidents were, as
stated, also coercive. Respondent Research has presented no
evidence to suggest that Hieronymous had some legitimate
reason for questioning Davies about her attendance at union
meetings, the attendance of others, or why on December 13,
Davies chose to sit and have lunch with Fisher and King. Re-
garding the December 13 questioning, Hieronymous’ reference
to Davies as a “bad influence” after asking why she was sitting
with Fisher and King, could reasonably have been viewed by
Davies as a sign that Hieronymous suspected her of being a
union supporter, and cause her to refrain from limiting her con-
tacts or having any further association or communications with
Fisher and King, or other union supporters, as it was her Sec-
tion 7 right to do. In light of all of the above facts, and as these
conversations, as demonstrated below, occurred against a back-
ground of hostility and other unlawful conduct, I find that
Hieronymous’ early November and December 13 questioning
of Davies were, as indicated, unlawful interrogations in viola-
tion of Section 8(a)(1). Westwood Health Care Center, supra.

17 Under Rossmore House, the Board considers such factors as the
background, the nature of the information sought, the identity of the
questioner, and the place and method of interrogation as relevant, as
well as whether or not the employee being questioned is an open and
active union supporter.
Finally, Davies testified to another conversation with Hiero-
nymous on or about June 2000, that began with the latter ap-
proaching Davies with a flyer in hand. The flyer notified em-
ployees of an upcoming community rally. Davies recalls see-
ing the flyer at a union meeting she attended the night before.
Hieronymous asked Davies if the paper belonged to her and
whether Davies had placed it on her desk. Davies denied plac-
ing the document on Hieronymous’ desk at which point the
latter simply walked away.
I do not find that Hieronymous unlawfully interrogated Da-
vies by asking if Davies had placed the flyer on her desk.
There is nothing to suggest that Hieronymous was seeking in-
formation from Davies about the previous night’s union meet-
ing or about Davies’ own sympathies or activities. Rather,
Hieronymous appears to have been interested solely in ascer-
taining where the flyer had come from, and ended the inquiry
when Davies denied responsibility for the flyer appearing on
her desk. Accordingly, this particular allegation is dismissed.
(2) Plesser and Davis
RN James Duncan testified, without contradiction, to the fol-
lowing incidents involving Plesser and Davis. On November 4,
admitted Supervisor Terry Plesser asked him to remove certain
union meeting announcements from the staff nurses’ mail-
boxes. Duncan told Plesser that it was his understanding that if
the boxes were being utilized for personal use, then they could
also be used to distribute union material. Plesser purportedly
replied that she would look into it but that, in the meantime, the
union announcements had to be removed. When Duncan re-
sponded, “Well, but we put other things in there,” Plesser an-
swered, “Well, I just never enforced the policy, but the official
policy is that it is for business uses only.” She further told
Duncan that she had been lenient with Duncan by letting him
put notices on the back of bathroom doors. Duncan then agreed
to, and did, remove the union announcements from the mail-
boxes. Duncan testified that items such as Christmas cards,
thank you cards, shower announcements, party announcements,
and personal notices from one employee to another, were some
of the personal items that were routinely placed in the staff
mailboxes. Although called as a witness, Plesser was not ques-
tioned about this incident. Duncan’s testimony regarding this
incident therefore stands unrefuted and is credited.
After removing the union announcements from the mail-
boxes, Duncan folded them and placed them in a small cubby
hole next to his workstation at the intensive care unit (ICU).
Duncan explained that he and other employees who worked at
the workstation routinely used the cubby hole to place trash, or
to store personal items such as magazines, papers, newspapers,
etc. He testified that later that day, Assistant Head Nurse
Louise Davis, an admitted supervisor, came by, noticed the
union announcements in the cubby hole, and after pulling them
out, asked, “What are these?” Duncan said they were his and
asked her to return them. Davis, instead, opened one of the
folded announcements and, on reading it, remarked, “This is
Union stuff; you can’t have this here.” Duncan again told
Davis that the papers were his and that she should return them,
at which point Davis did so and left. Davis did not testify.
Accordingly, I credit Duncan’s above account.

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 364
The General Counsel contends, and I agree, that Research,
through Plesser, violated Section 8(a)(1) by directing Duncan to
remove the union announcements from the staff mailboxes.
Duncan’s undisputed and credited testimony makes clear that
the mailboxes were routinely used by employees to deliver
personal and nonwork-related messages and notices to other
employees. There is no indication that the Respondent had in
the past objected to, or sought to prevent, such use of its mail-
boxes by employees. This is confirmed by Duncan’s credited
testimony that Plesser admitted she had never enforced the
alleged ban on the use the mailboxes to distribute personal
items. In fact, there is no record evidence to indicate that Re-
spondent had a rule restricting use of the mailboxes to work-
related matter. Accordingly, I find that by refusing to allow its
mailboxes to be used for distribution of union-related material
while permitting them for other personal uses, Research acted
in a disparate and unlawful manner and violated Section 8(a)(1)
of the Act, as alleged. Fairfax Hospital, 310 NLRB 299, 305–
306 (1993). Research, I find, further violated Section 8(a)(1)
when, through Davis, it instructed Duncan to remove the “Un-
ion stuff” from the workstation. As credibly testified to by
Duncan, he and other employees at the workstation routinely
kept personal items in the cubby hole. Research has neither
contended nor produced evidence to show that employees were
prohibited from keeping personal items such as magazines,
newspapers, etc., at their workstation. Research thus acted in a
disparate and unlawful manner, and in violation of Section
8(a)(1) when it prohibited Duncan from maintaining his union
literature at his workstation.
Plesser was also involved in an incident involving employee
RN Jandra Hancock. Hancock testified, without contradiction,
that on January 21, Plesser told her she had heard “through the
grapevine” that Hancock had been talking with other nurses
about the Union at the “medication island” during shift change.
Hancock replied that she could not remember who she had
spoken with or what had been discussed, but that she believed
she was free to speak about the Union wherever she was free to
discuss personal matters. Plesser stated that because she had
simply heard about the union talk through the grapevine, she
was going to investigate to find out what actually occurred, but
that if she found out Hancock had “been talking about Union
activities, that she would be forced to write [her] up.” Some 10
days later, Plesser pulled Hancock aside and said that she had
done some investigating and that the accounts she had received
were so different, she was going to drop the matter. Hancock
replied that she too had done some investigating and had
learned that employees “could talk about the Union in places
where we could talk about our personal lives,” but that distribu-
tion and solicitation had to be done in “designated break areas.”
Plesser replied that “that sounded right.” (Tr. 938–939.) I
credit Hancock’s above uncontradicted testimony regarding her
meetings with Plesser.
The General Counsel contends, and I agree, that Plesser’s
“heard it through the grapevine” remark about Hancock’s al-
leged union talk at the medication island during a shift change
would reasonably have created in Hancock’s mind the impres-
sion that her union activities were being kept under surveil-
lance, and was therefore unlawful and a violation of Section
8(a)(1). Mayfield Produce Co., 290 NLRB 1083, 1084 (1988);
American Tool & Engineering Co., 257 NLRB 608, 614
(1981); Bryant Chucking Grinder Co., 160 NLRB 1526, 1547
(1966). I also find Plesser’s threat to write Hancock up if she
learned that Hancock had indeed “been talking about Union
activities,” to be unlawful. Thus, Research has not established
that the medication island is an immediate patient care area, nor
produced evidence to show that a ban on solicitation at the
medication island was justified. Consequently, Hancock was
clearly within her right to discuss union matters with employees
at this location without fear of retribution. Plesser’s threat to
write up Hancock if she discovered the latter had in fact been
talking to employees about the Union at the medication island,
which she was lawfully permitted to do, was therefore coercive
and a further violation of Section 8(a)(1).
(3) Paul Gass
Paul Gass is currently employed by Research as a staff nurse.
He has held that position since February 2000. Prior thereto,
Gass had been a night-shift nursing supervisor since 1991.
Gass testified that as a supervisor, he often attended monthly
supervisory meetings. Gass recalls that sometime September or
October, he attended a management meeting at which a
consulting firm known as Management Sciences Engineering,
which he described as a “union buster,” was present to discuss
strategies Research should take in response to the Union’s
campaign. Gass testified to one supervisors meeting held in
late November or early December chaired by his supervisor,
Director of Nursing Cheryl Ratliff. The meeting was held at a
small second-floor office used by supervisors. He recalls that
Supervisors Mary Ann Gilbock, Jerry Thomas, and Bea Grey
were present. During the course of the meeting, Ratliff, Gass
recalls, asked the supervisors if they knew anyone that was
vocally opposed to the Union. When several supervisors re-
sponded in the affirmative, Ratliff suggested they talk to those
employees and let them know that “we’ve got other people that
were opposed to the Union, and to get them to form a group
that would help keep the Union from coming into Research.”
According to Gass, as of the date of the hearing, a group of
employees opposed to the Union had formed a group known as
“Non-Union Nurses for Change,” or NUNC, for short. He
could not be sure, however, when the group was formed.
Gass testified that following Ratliff’s supervisors meeting,
he spoke on numerous occasions with employees, sometimes
individually, other times in groups, in an effort to persuade
them to oppose the Union. Gass, who admits being opposed to
the Union, explained that he tailored his message to fit the em-
ployee(s) he was addressing, and would include in such discus-
sions how the Union would adversely affect their terms and
conditions of employment. He recalled having one such con-
versation with employee Steve Hunt, whom he supervised and
who, Gass believed, opposed the Union. Gass testified that he
approached Hunt and told him it would be “a good idea if he
got together with other nurses that were opposed to the Union
to try to fight the unionization effort,” and that Hunt agreed it
would be a good idea.
In November, Gass met with a group of employees that in-
cluded Staff Nurses Sharon Hurley, Cathy McCahey, and Kim

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 365
Gerhardt, all three of whom he believes were union supporters,
during which he described to them the “negative aspects that
might go along with the nurses forming a Union.” He recalls
telling them that there would probably be “a lot more animosity
or adversarial relationship between management and staff
nurses than what we enjoyed at that time,” and that a lot of the
flexibility managers then enjoyed in, for example, allowing
employees to take time off, would be lost because there would
be a contract in place and everything would be “in black and
white,” and they would no longer be able to bend the rules. He
also told the employees that the parties’ failure to reach agree-
ment “might lead to a strike and that employees might lose their
jobs because the hospital “didn’t necessarily have to employ
them if they couldn’t come to a contract agreement.” Gass also
mentioned that if the Union came in, there would be a big
change in nursing management, and some nurse managers
“would probably be fired” because if the staff nurses were un-
happy, it meant the nurse managers were not doing their jobs.
Gass further testified to having two separate conversations
with employee Karen Hutten in late November or early De-
cember. The first conversation, he confessed, was triggered by
his knowledge that the nurses had held a prounion meeting.
During this first conversation, he asked Hutten if she had at-
tended the meeting, and then asked what had occurred at the
meeting. Hutten admitted being at the meeting and went on to
discuss with Gass what had transpired. During the second
meeting with Hutten, Gass, as he had done with the earlier
group of nurses, told Hutten about the negative aspects of hav-
ing a union at Research. In all, Gass candidly admitted having
had some 20 to 30 conversations with employees during which
he sought to encourage those opposed to the Union to band
together, and to persuade the prounion employees that the Un-
ion would not benefit them. Gass’ testimony was not refuted
by any other witness and is found to be credible. (Tr. 899–
921.)
I find, in agreement with the General Counsel, that Research,
through the various remarks and comments Gass admits repeat-
edly making to employees, violated Section 8(a)(1) of the Act.
Thus, Gass’ attempt to persuade Hunt to band together with
others to resist the Union’s organizational efforts amounted to
unlawful interference with the employees’ Section 7 rights.
While an employer certainly has a right to be opposed to un-
ions, it does not have the right to interfere with employees, or
to restrain and coerce them in choosing whether or not they
want union representation. Becton-Dickinson Co., 189 NLRB
787, 792 (1971); Sylco Corp., 184 NLRB 741, 754 (1970).
Gass’ remarks to employees about the adverse effects bring-
ing in a union would have on management-employee relations
was also clearly unlawful. While an employer has, under Sec-
tion 8(c) of the Act, a right to communicate its general views on
unionization to its employees, the protection afforded by Sec-
tion 8(c) extends only to such communications that do not con-
tain a threat of reprisal or force or promise of benefit. NLRB v.
Gissel Packing Co., 395 U.S. 575 (1969). Under Gissel Pack-
ing, an employer is free to make a prediction as to the precise
effect it believes unionism will have on the company, provided
the prediction is based on objective facts as to convey the em-
ployer’s belief of the probable consequences beyond his control
that unionization would have on the company. Id. at 618. Re-
search here neither contends, nor has produced evidence to
show, that any of the remarks made by Gass regarding changes
or events that might occur if the Union were brought in had any
factual basis to them. Gass’ remarks, therefore, were not lawful
predictions but rather unlawful threats of reprisals. Accord-
ingly, I find that Research, through Gass, violated Section
8(a)(1) by threatening employees with loss of jobs and by tell-
ing them that supervisors would have less flexibility in han-
dling their concerns if the Union were to come in. Clinton
Electronic Corp., 332 NLRB 479 (2000); Massachusetts
Coastal Seafoods, 293 NLRB 496 (1989), Progress Industries,
285 NLRB 694, 714 (1987); Michael’s Markets, 274 NLRB
826, 835 (1985); St. Vincent’s Hospital, 244 NLRB 84, 92
(1979).
I further find that Gass’ remark about the likelihood of a
strike if the parties could not reach agreement to have been
unlawful and a violation of Section 8(a)(1). The remark was
not made in isolation but rather served as a preface to his fur-
ther unlawful remark that should no agreement be reached,
employees might lose their jobs because Research was under no
obligation to retain them without a contract. Finally, I find that
Research also violated Section 8(a)(1) when Gass questioned
Hutton about the union meeting. In so doing, Gass clearly cre-
ated the impression that Research was engaging in the surveil-
lance of its employees’ union activities. His asking Hutton
whether she had attended the meeting and inquiry into the spe-
cifics of the meeting was also coercive as it amounted to an
unlawful interrogation. There is no indication that Hutton was
an open and active union supporter. Nor is there any indication
that Gass’ questioning of Hutton regarding her activities served
any legitimate purpose. Indeed, Gass’ own testimony makes
clear that his purpose in meeting with employees was to ascer-
tain their loyalties, to encourage those who were opposed to the
Union, and to discourage its supporters. It is reasonable to
assume that his interrogation of Hutton was done in furtherance
of that goal. Accordingly, I find that Gass’ interrogation of
Hutton further violated Section 8(a)(1). Laidlaw Waste Sys-
tems, 305 NLRB 30, 33 (1991); Nachman Corp., 144 NLRB
335, 344 (1963).
(4) The cafeteria solicitation incidents
Lana Jo Koon-Anderson is employed as an RN by Magnetic
Imaging Incorporated at two sites, one of which is the Research
facility. She testified to two separate incidents that occurred at
Research’s cafeteria as she tried to solicit support for the Un-
ion. The first occurred on December 1. That day, she and Re-
search employee Gary Cullen went to Research’s cafeteria to
set up a union information table and distribute literature. Soon
after setting up the table, Research’s president and CEO, Steve
Newton, and Patient Services Vice President Gary Eubank
informed them they could not have union literature on the table
but were free to hold it in their hands and distribute it through-
out the cafeteria. Newton also told Koon-Anderson and Cullen
that they had to remove a sign containing the Union’s mission
statement that had been taped to the front of the table, which
they did.

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 366
Jandra Hancock testified that on December 13, she, along
with employees Linda King, Nancy Fisher, Janice Douty, and
Ann Young, went to Research’s cafeteria where they set out
some union literature on a table and taped a sign containing the
Union’s “mission statement” to the front of the table. At the
time, she observed that there were approximately 10 supervi-
sors in the cafeteria, including Newton, Eubank, and Supervisor
Terry McDermott, sitting two tables behind them. She recalled
that approximately 45 minutes after setting up their display,
Eubank and Newton approached them. Newton told the group
they had to take the union literature off the table and take down
the sign. Hancock and the others were somewhat puzzled by
Newton’s directive as they believed they had a right to display
their literature in the cafeteria. Either Newton or Eubank, how-
ever, told them that Research had a policy prohibiting people
from posting signs because people might believe that this was a
hospital-sponsored event and that their activity was clearly not
being sponsored by the Hospital. They further told Hancock
and the others that management was not trying to infringe on
their right to pass out information, but that the information
could not be placed on the table nor could they post a sign.
According to Hancock, the information was then removed from
the table and placed in a box. As to the sign, one of the em-
ployees placed it on herself rather than posting it on the table.
Hancock and the others then proceeded to distribute the litera-
ture personally to employees as they entered the cafeteria.
Some 10 minutes later, Eubank again approached the group and
stated that they were not permitted to hold up the sign. King,
the employee who was holding up the sign, asked why she was
not allowed to do so, and Eubank replied that because the activ-
ity was not a hospital-sponsored event, the sign could not be
displayed at all. King then hugged Eubank, stated she under-
stood, rolled up the sign, and put it away.
Linda King testified to another cafeteria incident that oc-
curred on February 3. She testified that she arrived at the cafe-
teria around 11:15 a.m., and saw several employees—Patrick
Duncan, Sharon Appel, Karen Hutten, Margo Foley, and Lisa
Christianer—at a table containing union literature. Next to the
table, the employees had posted a union mission statement sign
propped up on a chair. Also in the cafeteria were two nonem-
ployee union organizers who, according to King, were having
lunch. Approximately 15 minutes later, Supervisor Donna
Sofairlo approached and asked the employees to remove the
literature from the table and take the sign down because it was
against the Hospital’s policy on solicitation. King responded to
Sofairlo that she thought this “was an okay thing to do,” noting
that a complaint had been filed with the Board and that one of
the allegations suggested that such solicitation was “permissi-
ble.” Sofairlo acknowledged King’s response, but answered
that she wanted the literature removed because it violated Re-
search’s no-solicitation policy. King then told Sofairlo that the
employees wanted a few minutes to discuss the matter, and the
latter agreed and left. The employees then caucused and de-
cided they wanted to leave the literature and the sign on the
table. King and Appel volunteered to notify Sofairlo of their
decision.
When King and Appel informed Sofairlo that employees had
agreed to continue what they were doing because they believed
they had a right to do so under federal law, Sofairlo replied that
this was Research’s policy, and that the Hospital would not
allow “Avon to set up a booth.” King countered that she under-
stood, but that employees were not “selling a commercial prod-
uct,” and that their pamphlets were for educational purposes.
Sofairlo informed them she would have look into the matter
further. A short while later, after King and Appel joined the
others at the union table, Sofairlo returned with Eubank and
Newton. Newton told the employees that under the Hospital’s
no-solicitation policy, they would have to remove the literature
from the table and take down the sign. King replied that the
Board had issued a complaint suggesting that employees were
allowed to engage in such activity, and asked if Newton had
received a copy. Newton acknowledged receiving a copy but
reiterated that their activity violated the Hospital’s no-
solicitation policy, and reiterated that the material would have
to be removed. The employees, however, insisted that they
wanted the material to remain on the table, at which point New-
ton stated he would consult with legal counsel on the matter.
Newton and Eubank then left but returned a short while later
and stated that following consultation with counsel, they still
wanted the union literature removed and the sign taken down,
but were free to hold on to the literature and pass it out in that
fashion, and could discuss the Union with employees. King
replied that she did not understand Newton’s position, to which
the latter stated that the employees had 15 minutes to remove
their stuff from the table and faced disciplinary action if they
failed to do so. When asked by King what kind of disciplinary
action would be taken, Newton declined to say.
After Newton and Eubank left, the employees discussed the
matter among themselves and agreed to comply with Newton’s
demand that the union literature be removed and the sign be
taken down. Newton and King returned minutes later and
thanked the employees for their cooperation. At one point,
King recalls that employees asked what kind of disciplinary
action would have been imposed had they not complied, but
Newton said it was not necessary to discuss it because the inci-
dent had been resolved. King further recalls that when the
question was again asked about the discipline that might have
been imposed, someone she was unable to identify responded,
“insubordination.” (Tr. 956–962.) King and the other employ-
ees then remained in the cafeteria and continued to distribute
the union literature by hand to others. Eubank admits that
King’s above testimony regarding the above incident was accu-
rate.
The second incident involving Koon-Anderson occurred
around 11 a.m. on February 21, when she and employees Jeff
Colgan and Ann Young arrived at the cafeteria to distribute
literature. Soon after placing union literature on the table and
propping up the union mission statement sign, Director of
Nursing Carolyn Logston approached and advised them they
had 10 minutes to remove their literature and take down the
sign. Koon-Anderson and the others complied with Logston’s
request.
The last incident of record regarding union solicitation in
Research’s cafeteria occurred on March 10. That day, employ-
ees King, Douty, and Hutten had set up union literature on a
cafeteria table and posted a union “missions statement” sign

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 367
when Director of Special Projects Cheryl Ratliff, an admitted
supervisor, approached and directed them to remove the sign as
it was inconsistent with the Hospital’s no-solicitation policy.
(Tr. 1266–1269.) Ratliff had little recollection of this incident,
but did admit telling Douty and Hutten to remove the sign be-
cause it was not consistent “with our solicitation policies.”
Douty testified, without contradiction, that between March 8–
10, she observed a table inside the entrance to the cafeteria with
literature on it describing the Hospital’s “core value” statement,
e.g., the Hospital’s mission with respect to patients.” She also
recalls that on March 10, several tables were set up in the cafe-
teria with literature on it. One such table, she further recalls,
was being used by Research Supervisor Sharon East and others
she did not recognize, to distribute copies of the Hospital’s
“core value” statement to employees, and another was being
used by the Union to distribute its own literature.
While not specifically questioned as to the above cafeteria
incidents to which he was party, Eubank did admit that the
testimony provided by the above employees as to what he
and/or Newton told employees was accurate. Ratliff, as noted,
provided limited testimony regarding the March 10 incident,
and neither Newton, Sofairlo, or Logston were called to testify.
The General Counsel contends that in each of the above in-
cidents, Research violated Section 8(a)(1) by preventing em-
ployees from using a cafeteria table to display and distribute
union literature and to post union signs. Research denies that
its restriction on the setting up of display tables and chairs and
posting of signs in the cafeteria was unlawful. It further points
out that in early March, it discontinued its practice of not allow-
ing materials to be placed on tables for distribution, but contin-
ued the practice with respect to the posting of signs, and that in
these circumstances, no violation should be found. I agree with
the General Counsel.
First, Newton’s, Eubank’s, Sofairlo’s, and Ratliff’s statement
to the above employees, that use of a cafeteria table and/or
chair for solicitation and distribution purposes was prohibited
under Research’s no-solicitation/no-distribution policy, was
patently false, for Research’s policy contains no limitation or
restriction whatsoever on how employees could carry out their
Section 7 protected activities. Rather, Research’s policy, inter
alia, states only that employees are free during their nonwork-
time to solicit and distribute literature in the cafeteria. Finding
no support in its written policy for the restriction imposed by its
managers and supervisors during the above incidents, Research
on brief raises a “past practice” defense to its manager’s ac-
tions. Thus, Research claims it has always “maintained some
limited restrictions on use of its property in the cafeteria” that
included a prohibition on employees “posting signs or using
tables to set up display booths,” and that said restrictions were
designed to “to protect the ability of the facility to continue
serving its primary function as a cafeteria, and to ensure that
events that are not official hospital functions do not appear to
have its endorsement.” (R. Br. 20.) It has, however, produced
no evidence in support of its claim.
Thus, neither Eubank or Ratliff, the only two management
officials to testify as to these incidents, claimed to have been
adhering to a past practice when they refused to allow employ-
ees to use a cafeteria table and chair in furtherance of their
union-related solicitation and distribution activities. Indeed, the
credited testimony of the employees who testified regarding
these incidents makes clear that Eubank and Ratliff referenced
Research’s written no-solicitation/no-distribution policy, not
any particular past practice, in directing them to remove the
union material from the cafeteria tables and chairs. Nor did
Research produce evidence to show that it had, in the past,
prevented employees from using its cafeteria tables and/or
chairs to display nonunion material or to engage in some other
activity unrelated to the cafeteria’s normal function. Finally, if
the Research had intended its written no-solicitation/no-
distribution rule to include a ban on the use of cafeteria ta-
bles/chairs for solicitation and distribution purposes, there is
again no evidence to show that Research either orally or in
writing made its intent known to employees. In sum, I find no
record support for Research’s claim to a written rule or a past
practice prohibiting employees from using cafeteria tables or
chairs to distribute literature or to post signs. Nor is there evi-
dence to indicate that the employees’ placement of union litera-
ture on a single cafeteria table or chair had somehow interfered
with the cafeteria’s ability to carry out its normal food service
function or to adequately accommodate its patrons. Further, I
find it highly unlikely that anyone could reasonably have mis-
taken the union literature sitting on a table and a union sign
propped up on a chair as a Research-sponsored event. Research
has therefore not demonstrated that it had a legitimate business
reason for denying employees use of a cafeteria table and chair
to solicit and distribute union literature. Accordingly, I find
that Research’s refusal in each of the above incidents to allow
employees to display union literature on a cafeteria table and/or
chair amounted to an unlawful interference with their Section 7
right to solicit and distribute union literature and violated Sec-
tion 8(a)(1) of the Act.
Research’s assertion, that no violation should be found be-
cause it changed its policy sometime in March to allow cafete-
ria tables to be used for display purposes, is without merit, for
there is no evidence that this change in policy was communi-
cated to employees that Research ever repudiated its prior
unlawful conduct, or that it assured employees it would no
longer interfere with their Section 7 rights. Passavant Memo-
rial Area Hospital, supra.
c. The removal of union literature from bulletin boards
Research employee Karen Hutton testified, without contra-
diction, that on February 6, and again on February 12, she and
coworker Leslie Remington, posted several pieces of union
literature on two bulletin boards located in a hospital locker
room, and in a “3 North” wing breakroom.18 In the process of
placing the literature in the breakroom, Hutton admits she re-
moved from the board a notice about a symposium on humor
dated 1995, and that the union literature she and Remington
posted took up at least half the total available space on the bul-
letin boards. On February 9, Hutton noticed that the literature
she posted on February 6, was no longer on the bulletin boards

18 Several of the items posted by Hutton and Remington were re-
ceived into evidence as GC Exhs. 39, 76–79. Hutton admits that she
posted other union material on the breakroom bulletin board in addition
to those received into evidence (Tr. 1316).

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 368
and, on February 14, was notified by Remington that the litera-
ture they posted on February 12, had also been removed. On
February 18, Hutton spoke with her supervisor, Lori Burns,
regarding the bulletin boards. Burns told Hutton she was upset
because Hutton had taken down the notice on the 1995 sympo-
sium to post her union notices. Hutton stated she did not think
it mattered much as the symposium brochure was dated 1995.
Burns responded that whether or not such items were removed
was a decision she, not Hutton, was allowed to make. She fur-
ther told Hutton that she was allowed to post one or two pieces
“of current information on the bulletin board,” and that if
Hutton posted more than that, she would take it down again.
Hutton noted that she had removed dated material from the
bulletin boards in the past and that no one from management
ever complained or objected to her about the removals. She
further testified that the bulletin boards were often used to post
personal messages about church socials, parties, recycling, etc.
Burns did not testify.
The General Counsel contends that the removal of the union
literature violated Section 8(a)(1) of the Act. I disagree.
Hutton’s own testimony makes clear that Burns’ objection to
the posting was not that the material was union related, but
rather that Hutton had monopolized the bulletin boards by oc-
cupying, by Hutton’s own admission, at least half the total
space available for posting. Hutton’s further admission that
Burns told her she could post no more than two notices per
board makes clear that Burns did not prohibit her from using
the bulletin boards and was simply and, in my view, lawfully
seeking to prevent monopolization of the bulletin boards by
Hutton to the possible exclusion of other permitted materials.
There is nothing in Hutton’s account of her conversation with
Burns to indicate that the removal of the union material was
motivated by anything other than the latter’s legitimate concern
that the bulletin board be fully accessible to all employees, not
just to the union supporters. Accordingly, I find that Burn’s
removal of the union literature posted by Hutton and Reming-
ton on February 6 and 12, did not violate the Act and shall,
therefore, recommend dismissal of this allegation.
d. Solicitation by nonemployee organizers at
Research entrances
The complaint alleges that Research violated Section 8(a)(1)
when, on March 10, it expelled and threatened to arrest union
organizers gathered outside its front entrances as they at-
tempted to solicit support for the Union from employees enter-
ing the facility. Testimony regarding this incident was pro-
vided by Patient Services Supervisor Jo Thomas, hospital secu-
rity officer Joel Nee, and employee Arlene Foster. With minor
exception, Thomas and Nee testified in similar fashion. The
following is a composite of their testimony.
On the evening of March 10, several employees reported to
Thomas that they had been approached by union representa-
tives as they entered the facility to report for work. Thomas
went to each of the Hospital’s three entrances to see for him-
self. At each entrance, he observed some individuals who were
Research employees, and others he could not identify. He re-
turned to his office and called Newton to inform him of his
observations. Newton, who was not at the Hospital at the time,
arrived 10 to 15 minutes later. Thomas then met with Newton
and with Nurse Manager Denice Nelson. Nelson suggested that
she and Thomas go to each entrance, identify and speak with
those who were not employees, and instruct them that unless
they were employed by Research, visiting a patient, or seeking
medical attention, they would have to “vacate the premises” or
be considered trespassers. Thomas and Nelson did just that.
Those identified as nonemployees, however, refused to leave
saying they had a right to be there. Thomas and Nelson re-
turned to Newton to inform him of what they had done and of
the response they received. Newton then proceeded to contact
Hospital security and spoke with Nee. Nee, accompanied by
Newton, next went to Thomas. Nee recalls Newton asking
what procedure he intended to follow, and Nee replied that he
would first ask individuals to leave the premises and give them
a trespassing warning, but that if they still refused to leave, he
would have them arrested. Newton instructed him to proceed
but to handle the matter in as subtle a way as possible.
Nee and Thomas proceeded to one of entrances where they
encountered Union Representative Terry Falbo, a nonem-
ployee. On learning she was not an employee, Nee asked her to
leave and, when she refused to do so, informed her she was
being placed under arrest. Nee and Thomas then escorted
Falbo to the Hospital’s emergency section from where the Kan-
sas City, Missouri police were called and told of the arrest.
While they waited for the police to arrive, Nee and Thomas
went to another hospital entrance and encountered Rob Hill,
another nonemployee union representative. Nee claims he
followed the same procedure with Hill and that the latter also
refused to leave. When told he faced arrest if he did not leave,
Hill stated Nee had no authority to arrest him. During this ex-
change, two Kansas City police officers arrived. Hill then
asked to speak separately to the police officers and Nee moved
away from them but apparently was able to overhear some of
the conversation. Hill, he recalls, protested to the police that
he, Nee, had no authority to arrest him, but was told by the
police that as he was on private property, Nee could have him
arrested. After some more discussion, Hill agreed to leave but
only if Falbo were also allowed to leave. Nee agreed to release
Falbo at which point the incident ended.
Foster provided a different version from that provided by
Nee and Thomas. Thus, she testified that she was part of the
group that was soliciting signatures on March 10. She recalls
that when Thomas came out, she asked Foster and the others if
they were employees of Research, and the employees re-
sponded that they were. She admits that nonemployee union
organizers were also in the group at some point during their
soliciting activity. Thomas then left but subsequently returned
with approximately 10 security guards and told the employees
they would have to leave. According to Foster, while outside
the entrance, the security guards formed a semicircle and sur-
rounded the employees and remained in this position for some
20–30 minutes. She recalls that one security guard, whose
name she did not know, stated they were going to call the po-
lice, and that at one point, an individual wearing a VNA/VNS
name tag stated she had a camera and would take a picture of
the guards surrounding the employees.

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 369
As between Foster’s testimony regarding this incident, and
that provided by Thomas and Nee, I find the versions provided
by the latter two to be more credible and reliable.19 Thus, I do
not believe that Thomas asked employees of Research to leave
the premises. Rather, I find, as testified by Thomas and Nee,
that their directive was aimed at the nonemployee union organ-
izers who were soliciting outside the hospital entrances.
The General Counsel contends, and I agree, that Research’s
ejection of union organizers Falbo and Hill from the areas out-
side its three entrances, and its threat to have them arrested if
they failed to do so, were unlawful. The Board has held that
where, as here, the exercise of Section 7 rights by nonemployee
union representatives purportedly conflicts with an employer’s
private property rights, the employer bears the initial burden of
establishing that, at the time it expelled the union representa-
tives, it had a sufficient interest in the property entitling it to
exclude individuals from the property. Food for Less, 318
NLRB 646, 649 (1995); also Farm Fresh, Inc., 326 NLRB 997,
1001 (1998), enfd. in part sub nom. Food & Commercial Work-
ers Local 400 v. NLRB, 222 F.3d 1030 (D.C. Cir. 2000); Indio
Grocery Outlet, 323 NLRB 1138, 1141 (1997), enfd. 187 F.3d
1080 (9th Cir. 1999). If an employer is unable to meet the bur-
den of demonstrating the requisite property interest, its exclu-
sion of union agents from the area constitutes a violation of
Section 8(a)(1). Indio Grocery Outlet, supra at 1141; Food &
Commercial Workers Local 400 v. NLRB, supra at 1035. Re-
spondent Research here has clearly not met that burden for, as
the General Counsel correctly points out, Research has pre-
sented no evidence whatsoever regarding the extent of its inter-
est, if any, in the property from which it had Falbo and Hill
ejected on March 10.20 Accordingly, I find that Research’s
ejection and threat to arrest Falbo and Hill on March 10, vio-
lated Section 8(a)(1) of the Act, as alleged.
2. The 8(a)(2) allegation
This particular allegation involves Research’s creation in late
1999 of a Nursing Practice Committee (NPC), which the Gen-
eral Counsel alleges is an employer-assisted labor organization
proscribed under Section 8(a)(2) of the Act, but which Re-
search contends was created solely to deal with patient care and
training issues and not as a labor organization. Testimony re-
garding NPC’s formation and purpose was provided by Eu-
bank, Ratliff, and employee RN Anne Young.
Eubank testified that he first raised the idea of establishing
such a committee with his management staff in August or Sep-
tember. He recalls holding some six staff meetings during
which the NPC was discussed, that the first of such meetings

19 The General Counsel, it should be noted, does not allege that em-
ployees who also engaged in the same solicitation activities at Re-
search’s entrances were asked to leave, as testified to by Foster.
20 While denying in the answer that the eviction of the union organ-
izers was not unlawful, Research on brief raises no defense to its ac-
tions. Further, the fact that only nonemployee organizers, and not its
own employees, were evicted from the premises is of no consequence
for nonemployee organizers enjoy a “derivative right” under Sec. 7 of
the Act to engage in such organizational activities. NLRB v. Indio
Grocery Outlet, supra at 1086; also BE&K Construction Co. v. NLRB,
246 F.3d 619, 626 (6th Cir. 2001).
occurred in August or September, around the time the goals and
budget for the following year were being developed, and that
establishment of the NPC was “a priority in our division.” (Tr.
1055.) He recalls that Director of Nursing Carolyn Logston,
Director of Nursing Education Colleen Mall, Information Sys-
tems Manager Mike Allegri, Director of Surgical Services
Mary Hibdon, and Ratliff were present at this first meeting.
Eubank claims that at this meeting, which lasted approximately
1 hour, a decision was made to set up the PNC and that its de-
velopment would be one of the goals for the coming year. Ac-
cording to Eubank, nothing of what was discussed or decided at
this first meeting was reduced to writing. Eubank, however,
claims that the goal was included in the following year’s man-
agement plan for the Hospital which was finalized around No-
vember 1999. Eubank testified that between his first meeting in
August or September when the creation of the NPC was raised,
and November 1999 when the management plan was finalized,
he held regular weekly meetings with his staff during which “a
tremendous amount of business” was discussed. He claims,
however, that while NPC was discussed at these weekly meet-
ings, it was not the “focal point of our discussions.” Notwith-
standing his admission that a “tremendous amount of business”
was conducted at these meetings, Eubank insisted that no min-
utes were ever taken at any of these meetings. Nor, according
to Eubank, were any notes of what was discussed or agreed to
at those meetings taken by the other members of management
attending the meetings. (Tr. 1069.) According to Eubank, he
and the other members of management who attend these meet-
ings confine everything to memory. (Tr. 1073.)21
Sometime in January or February, Eubank discussed the
formation of NPC with Kevin Haeberle of MSA, the consulting
firm retained by Respondents to assist in opposing the Union’s
organizational efforts. He claims that Haeberle just happened
to stop by his office that day and that he told Haeberle, “I am
thinking about putting together this nursing practice commit-
tee,” in which “we’ll sit around and talk about the issues that
are affecting the practice of nursing here at the hospital.” He
then asked Haeberle what he thought of the idea, and the latter
replied, “I think it’s a good idea.” Haeberle went on to say that
“hospitals throughout the country have similar committees,”
and asked how membership in the committee would be estab-
21 Eubank claims he also informed the Hospital’s vice presidents of
his plan to create the NPC at one of the weekly VP meetings held dur-
ing the fourth quarter of 1999. He again testified that no minutes or
notes of what transpired during these weekly VP meetings, including
the one in which he explained his plan for the NPC, were ever taken. I
reject as simply not credible Eubank’s claim that no minutes or notes of
what occurs at these various meetings are taken and maintained by
Research. It simply defies logic and common business sense to believe
that an institution as large as Research, which by Eubank’s estimation
employs almost 2200 employees, would hold separate weekly business
meetings among its management staff and vice presidents, and not
commit to writing either through minutes or notes, the substance of
what was discussed at those meetings or the decisions reached. Eu-
bank’s suggestion that he and the other managers simply commit every-
thing to memory borders on the absurd. Indeed, I find it strange that
Research willingly maintains minutes of the NPC meetings, but does
not do the same with meetings Eubank holds with the management staff
or of its vice presidents’ meetings.

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 370
lished. Eubank then discussed with Haeberle in some detail
how he intended to choose the NPC members. Eubank admits
having two or three further discussions with Haeberle regarding
NPC, during which Haeberle inquired, and Eubank provided
information, on the status of NPC. (Tr. 1123–1129.) When, on
direct examination of Eubank, the General Counsel expressed
skepticism over the latter’s denial that he and Haeberle had
discussed the NPC in connection with the MSA’ antiunion
consulting activities, Eubank did not expressly deny that such
discussions occurred and insisted only that the NPC “was not
established to deal with the Union issue.” (Tr. 1128.)
NPC was eventually formed and held its first meeting on
April 18, 2000. Eubank testified that he serves as its chairper-
son, and that certain staff nurses were selected to serve on NPC.
Those selected received written notification stating what the
alleged purpose of NPC was and of the April 18 meeting.22
Eubank testified that he alone decided what the purpose of NPC
was to be. Once formed, the staff members of NPC staff pur-
portedly created two subcommittees, identified in the record as
customer services and orientation/preceptors subcommittees.23
(See GC Exh. 56.) Eubank testified that he placed some mem-
bers of management on the committees to support them in their
endeavors. He explained that whatever activities the commit-
tees decided to pursue, the chairperson of those committees
would present their recommendations to Eubank who would
either accept or reject the recommendations. Eubank’s testi-
mony as to who could or could not be a member of NPC was
confusing. Thus, he initially stated that NPC was intended for
staff nurses. When asked if members of management were
permitted to become members, Eubank vacillated somewhat
and avoided a direct answer by stating that management offi-
cials were free to attend the NPC meetings and interact with
staff nurses. On further questioning by the General Counsel,
Eubank conceded that members of management are indeed
members of NPC, but do not have to attend the meetings.
Asked if employees are required to attend NPC meetings, Eu-
bank replied that their attendance is “highly encouraged,” and
that they get paid for attending just as if they were performing
their regular work duties at the hospital.
Documentary evidence reflects that the customer services
subcommittee met on April 26, during which issues identified
as “barriers to patient care and customer services” were dis-
cussed. The subcommittee agreed to meet again on May 2, to
“present benefit information and ideas to improve the available
benefits to allow for retention of current employees and hiring
of new employees.” (See GC Exh. 57.)

22 The purpose of the NPC, as stated in the letter sent to the staff
nurses chosen to be members, is “to discuss pertinent issues affecting
our ability to deliver optimal patient care.” (GC Exh. 62; Tr. 1096.)
Eubank admitted that NPC’s stated purpose is similar to that contained
in the Union’s mission statement set forth in GC Exh. 39 in that both
express a commitment to providing optimal patient care.
23 Preceptors are staff nurses who provide learning experiences for
new nurses. Research employee Anne Young explained that a precep-
tor “takes someone under [their] wing and shows them what you do and
how you do it, and why you do it, and how your department” commu-
nicates with other departments, how patients are received and trans-
ferred from one location to another. (Tr. 1029.)
A second NPC general meeting was held May 16, 2000. Eu-
bank testified, and the minutes of that meeting reflect, that dur-
ing this meeting, Staff Nurse Katherine Spangler-Perry, who
apparently headed one of the two NPC subcommittees, dis-
cussed with the NPC ways for retaining nurses at the Hospital.
She stated that her subcommittee “was looking into issues that
related to changes in wages and salaries,” and that her sub-
committee had “called a few hospitals and were looking at
health insurance, and how health insurance benefits were of-
fered.”24 The subcommittee was also looking into the question
of “call pay, and how other hospitals were paying for call pay.”
Spangler-Perry told those in attendance that her “committee
was interested in surveying other hospitals to gain benefit in-
formation.” She then asked Eubank who would be receiving
the information her subcommittee gathered on the above mat-
ters. Eubank purportedly responded that the Board had recently
notified him that the NPC had been illegally formed, that he
had been subpoenaed to attend a hearing to discuss the NPC,
and that “until all of that was resolved, we could no longer
discuss wages, salaries, benefits or conditions of employment”
with the NPC. (Tr. 1086.)
Ratliff testified she attended the April 18 and May 16 NPC
meetings. She described the first meeting as a “brainstorming”
session focusing on two principal issues: how to manage orien-
tation of new employees, and patient satisfaction issues. She
had some limited recollection about discussion at this first
meeting focusing on ways to improve the new employee men-
toring process. She also recalled, again in limited fashion, that
some discussion took place at this first meeting about the
nurses’ float pools used in the med/surgical and the critical care
units.25 She could not, however, recall if the subject of the float
pool was raised by management or staff employees, and admits
that possible suggestions for changes in the operation of the
float pool were raised by both management and staff personnel
attending the meetings.
Ratliff also testified that she attended some eight manage-
ment meetings beginning in August 1999 in connection with
preparation of the Hospital’s fiscal year 2000 management
plan. She explained that these were directors’ meetings which
are held every Thursday, lasting from 1 to 2 hours, and that the
management plan was one of several agenda items that formed
the basis for discussion at these meetings. Ratliff admitted that
NPC was also discussed at these meetings, but denied that the
Union’s organizing campaign was ever discussed at any of the
meetings held in connection with the FY 2000 management
plan. Like Eubank, Ratliff testified, incredibly in my view, that
no written agendas are prepared for any of these meetings, and
no minutes are ever taken of the directors and vice president
meetings. (Tr. 1261.) From a demeanor standpoint, Ratliff was
24 Minutes of the subjects discussed by Spangler-Perry’s subcommit-
tee at a May 2, 2000 meeting preceding NPC’s May 16 meeting were
received into evidence as GC Exh. 63. Those minutes reflect that in
addition to call pay, the subcommittee discussed such matters as health
insurance for employees, education/tuition reimbursement, and vaca-
tion/sick time benefits.
25 According to Ratliff, nurses assigned to the float pools in either
unit were required to remain and work in the assigned unit for 6
months.

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 371
not a very convincing witness. She was at times evasive and
appeared unwilling to provide straightforward answers to ques-
tions posed by the General Counsel. I place little credence in
her overall testimony.
Employee RN Anne Young testified that in early March, she
saw an NPC bulletin (GC Exh. 54) asking nurses interested in
being on the NPC to submit their names to the head nurse or
manager. The head nurse of her operating room (OR) unit,
Tess Levin, had placed a notation on the bulletin asking those
interested in the NPC to contact her. Young did just that and
several weeks later, in early April, Levin handed her an enve-
lope containing a letter stating she had been selected to serve as
representative of the OR unit. Prior to attending the first NPC
meeting in April, Young received a list of names of individuals
who would be attending the meeting. (GC Exh. 56.) Young did
in fact attend the first NPC meeting and recalls that some 40
management and regular staff employees were present. Eu-
bank, she claims, opened the meeting by thanking them for
attending, asking them introduce themselves, and stating that
the purpose of the NPC was “to address the things in healthcare
that we could change to make things better for our patients.”
Eubank next went around the room asking each person to iden-
tify some things they wished to discuss at the meeting, and
wrote the suggestions on a chalkboard. One major item of
discussion, according to Young, involved the preceptorship
program. Thus, discussion was had about providing certain
incentives for preceptors, such as a luncheon or some form of
reimbursement for those employees who volunteered to serve
as preceptors. She recalls that preceptors from other depart-
ments expressed their desire to get fewer patients, rather than
more, so they would have more time to train and validate the
orientation they were providing to the new student nurses.
Another issue raised at this first meeting dealt with nurses’
complaint about not being consulted regarding the Hospital’s
recent purchase of patients’ beds. Nurses presumably were
concerned that as they were the ones who operated the patients’
beds, they would have preferred to be consulted regarding the
purchase. Discussion was also had on the difficulty nurses
were having finding someone to clean patients’ rooms during
evenings and weekends, and with the lack of food service
available for family members and staff in the late evenings and
nighttime. One recommendation subsequently proffered to the
NPC by the customer service subcommittee regarding the lack
of food service was make box lunches available for families
and staff. Eubank, according to Young, approved of this rec-
ommendation, along with other recommendations made by the
subcommittee involving housekeeping issues, and stated that
these are the kinds of things that can be addressed by the NPC.
Young testified that during the first meeting, nurses got into
a discussion about wages, salaries, and benefits, but Eubank
halted the discussion stating that he was not going to be able to
take care of such matters with the NPC. She recalled one em-
ployee, Lisa Christianer, asked who they needed to talk to if
that was something Eubank had no control over, but Eubank
avoided the answer and simply stated that that was not what
they were there to discuss. (Tr. 1028.) Young testified that at
the second NPC meeting in May, Eubank again repeated that
subjects pertaining to wages, salaries, benefits, and conditions
of employment could not be discussed at the NPC meetings,
and referenced either the Union or the Board in this regard.
She recalled him stating that he was probably going to receive a
subpoena that afternoon and that “he wasn’t supposed to dis-
cuss [the above subjects] anymore.” (Tr. 1035.) Young claims
that Eubank himself had in fact never raised the issue of wages,
salaries, or benefits, and that it was the employees who ex-
pressed an interest in discussing these matters. However, she
does recall him saying that “wages, salaries, and benefits or
conditions of employment . . . would be the normal thing that
we would be doing [at the NPC], but that the Union has filed
unfair labor practice charges against this committee,” and that,
consequently, he “cannot accept anything that deals with
wages, salaries, benefits, or conditions of employment,” and
that the NPC “will not be looking into that until after the hear-
ing, which is scheduled for May 23.” (Tr. 1041.) Unlike Eu-
bank and Ratliff, Young was a very convincing witness who, I
find, testified in an honest and truthful manner regarding the
NPC meetings and what Eubank may have said at those meet-
ings.
Regarding the complaint allegation, I agree with the General
Counsel that Research’s establishment of the NPC amounted to
a violation of Section 8(a)(2) of the Act. Section 8(a)(2) makes
it unlawful for an employer “to dominate or interfere with the
formation or administration of any labor organization or con-
tribute financial or other support to it.” Section 2(5) of the Act
defines a “labor organization” as “any organization of any kind,
or any agency or employee representation committee or plan, in
which employees participate and which exists for the purpose,
in whole or in part, of dealing with employers concerning
grievances, labor disputes, wages, rates of pay, hours of em-
ployment, or conditions of work.” In deciding whether an em-
ployer has violated Section 8(a)(2) and (1) by interfering with,
dominating, or supporting an employee committee, the Board
engages in a two-step inquiry. First, it examines whether the
committee is a “labor organization” as defined by Section 2(5).
If it is not, the allegation is dismissed. If, however, the com-
mittee satisfies the 2(5) criteria, the Board next determines if
the employer has dominated or interfered with the formation or
administration of the committee. See Efco Corp., 327 NLRB
372, 375 (1998), citing to Electromation, Inc., 309 NLRB 990
(1992), enfd. 35 F.3d 1148 (7th Cir. 1994).
Applying the above principles to the instant case, it is pat-
ently clear that NPC is indeed a labor organization within the
meaning of Section 2(5). There is no question that employees
participate in the NPC. Eubank, Ratcliff, and Young all testi-
fied to that effect, and documentary evidence reveals that Eu-
bank was in fact recruiting participants in NPC from the ranks
of employee nurses. Research does, however, deny that NPC
was created for the purpose of “dealing with” employee terms
and conditions of employment. Young’s credited testimony,
however, reveals otherwise. Thus, Eubank’s remark to em-
ployees at one of the NPC meetings, that he had intended to
discuss issues pertaining to employee wages, salaries, and
benefits as one of the “normal things” NPC was set up to do,
but was precluded from doing so due to pending unfair labor
practices filed by the Union, convincingly establishes that one
of NPC’s purposes was indeed to address concerns nurses may

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 372
have regarding their terms and conditions of employment. That
Eubank declined to discuss such issues when raised by employ-
ees during the NPC meetings, and instead steered employees
away from any such discussions, does not defeat a finding of
NPC as a 2(5) labor organization, for if, as the Board pointed
out in Electromation, supra at 996, “a purpose [of the commit-
tee] is to deal with an employer concerning conditions of em-
ployment, the Section 2(5) definition has been met.” Here, the
remarks attributed to him by Young, whom I have credited,
makes clear that Eubank’s reluctance to engage in any such
discussions with the staff nurses was prompted not by any be-
lief on his part that such discussions fell outside the scope for
which NPC was created, but rather because of the pending un-
fair labor practice charges alleging the formation of NPC to be
unlawful. I am fully convinced that had those charges not been
filed, Eubank would have addressed the staff nurses’ concerns
regarding their wages, salaries, and benefits. Indeed, Eubank’s
further remark, again as credibly testified to by Young, that the
issues relating to terms and conditions of employment would
not be addressed until after the hearing in this case, strongly
suggests that Eubank was simply postponing any further dis-
cussion and resolution of such issues until after the hearing in
this matter. Support for this proposition can be found in Re-
search’s FY 2000 management plan, received into evidence as
General Counsel’s Exhibit 71, which, at page 11, sets forth as
one of Research’s “major initiative” its intent to “work with
MSA to defeat [the] union’s organizing efforts for RN’s,” and
identifies establishment of “a staff nurse council” as one of
several courses of action it planned to take in furtherance of
that initiative.”26 The weight of the evidence here thus makes
clear that Research established NPC in response to the Union’s
organizing drive and that it hoped to channel and address em-
ployee concerns regarding their terms and conditions of em-
ployment through NPC as a way of undermining and possibly
defeating the Union’s efforts. In these circumstances, NPC
falls squarely within 2(5)’s definition of a labor organization.
There is also no disputing Research’s domination of NPC. A
labor organization that is the creation of management, whose

26 Eubank, who prepared GC Exh. 71, admits that NPC was the
“staff nurse council” mentioned in that management plan. Also admit-
ted into evidence as GC Exh. 70 was a document that Eubank also
identified as Research’s FY 2000 management plan but which is clearly
different from GC Exh. 71. Both GC Exhs. 70 and 71 were provided to
the General Counsel in response to the latter’s subpoena. Despite iden-
tifying both as Research’s FY 2000 management plan, Eubank did not
adequately explain the existence of both documents. Counsel for the
Respondents, David Wing, represented at the hearing that he believed
from discussions with Research’s CEO that GC Exh. 71 was merely a
“preparatory document,” not the actual FY 2000 plan, and that GC Exh.
70 was the actual plan. Wing’s representation in this regard, however,
not only contradicts Eubank’s sworn, albeit, not very credible testi-
mony, but is, more importantly, based on out-of-court hearsay state-
ments. The CEO who purportedly made such a representation to Wing
was never called to testify, leaving intact the confusion as to which of
the two documents was in fact Research’s actual FY 2000 management
plan. It should be noted that while the caption on p. 1 of GC Exh. 70
identifies that document as the FY 2000 plan, the bottom of all subse-
quent pages identifies it as the “FY 99 Management Plan,” casting
doubt on its reliability.
structure and functions are essentially determined by manage-
ment, and whose continued existence depends on the fiat of
management, is one whose formation or administration is
dominated under Section 8(a)(2). EFCO Corp., 327 NLRB
372, 376–377 (1998), citing to Electromation, supra at 995.
Here, the record makes clear that NPC was formed by Eubank
in consultation with other management officials in mid- to late-
1999. It was also Eubank who recruited staff nurses for mem-
bership in NPC, who selected which staff nurses would serve
on the NPC from among those who disclosed their interest in
serving to their head nurse or manager, and who chaired the
NPC meetings. Eubank also decided how the NPC was to be
structured. Thus, Young testified that at the first meeting, those
present had initially divided themselves into four subcommit-
tees, but Eubank subsequently determined that the NPC should
consist of only two subcommittees. Further, as Eubank readily
admits, and as the documentary evidence shows, membership
in the NDC is not limited to staff nurses but also includes
members of management. Moreover, as testified to by Young,
employees attending the NPC meetings are compensated for
their time. (Tr. 1020.) The above facts make patently clear that
Research, through Eubank, exercises full control over, and
indeed dominates, the activities of, NPC. Finally, documentary
evidence of record, and in particular Research’s FY 2000 man-
agement plan received into evidence as General Counsel’s Ex-
hibit 71, provides irrefutable proof that Research created the
NPC as a means of defeating the Union’s organizing drive
among its nurses.27 Accordingly, I find, as alleged in the con-
solidated complaint, that Research’s formation and domination
of, and assistance to, NPC violated Section 8(a)(2) of the Act,
as alleged.
C. Respondent Baptist
1. The 8(a)(1) conduct
a. The no-solicitation/no-distribution policy
Baptist’s no-solicitation/no-distribution policy reads as fol-
lows:

SOLICITATION & DISTRIBUTION
Because our clients are in areas throughout the Medi-
cal Center, and because tranquility is essential to proper
client care, the Medical Center has adopted the following
policy with regard to solicitation:
Except to solicit participation in official employee
programs, no employee shall solicit any other employee
for any purpose at any time in any area to which clients
have access and client care may be affected. This prohibi-
27 Thus, GC Exh. 71, p. 11, lists the following strategy for the FY
2000: “Work with MSA to defeat union organizing efforts for RN’s.”
Among the steps listed to accomplish this goal is the establishment of
“a staff nurse council” or the NPC. (Tr. 1194–1195.) Eubank’s admis-
sion that it was he who prepared GC Exh. 71 clearly establishes that he
knew from the very outset that NPC was established for the purpose of
defeating the Union’s efforts, and not, as initially claimed by Eubank,
to address patient care concerns. I consider Eubank’s entire testimony
highly suspect and have given it little or no weight.

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 373
tion includes, among other areas: client rooms, ancillary
client care areas, hallways, stairs, elevators, waiting
rooms, client and visitor lounges and the lobby.
Employees may engage in solicitation of other em-
ployees only when both employees are on non-working
time and only in areas to which clients do not have access
and client care will not be affected, such as employee-only
lounges and locker rooms. Except in the course of per-
forming job duties, no employee shall distribute any mat-
ter of any kind in any area of the Medical Center except in
non-working areas to which clients or visitors do not have
access. At no time shall any employee distribute any mat-
ter to clients or visitors unless such distribution is required
as a job duty.28

The General Counsel contends, and I agree, that the above
no-solicitation/no-distribution rule is overly broad and pre-
sumptively invalid. Thus, the rule bans employee solicitation
and distribution in any and all areas to which patients have
“access,” including the hospital’s stairs and lobby, and, conse-
quently, is not limited to “immediate patient care areas” which,
as previously discussed, the Board and courts have held is the
permissible parameter for a rule at a health care facility to be
considered valid. Presbyterian/St. Luke’s Medical Center,
supra. Baptist appears to agree with this assessment of its rule,
for it argues on brief that the policy, as written, “potentially
violates Section 8(a)(1) in that it could be construed to prohibit
solicitation in non-patient care working areas where medical
care is not likely to be disrupted . . . and can be construed to
prohibit distribution in areas that are not either patient or work-
ing areas.” (R. Br. 35.). It contends, however, that the above
rule was “appropriately clarified” and rendered lawful by the
November 22 Q&A memo. For the reasons discussed in sec-
tion II,A,2 above, its contention is without merit. Baptist fur-
ther claims that no violation should be found here because it
has not enforced its ban on solicitation or distribution in nonpa-
tient care areas. I disagree. First, the Board has found that
mere maintenance of an overly broad no-solicitation rule vio-
lates the Act because such a rule tends to chill employees’ ex-
ercise of their protected rights. Beverly Health & Rehabilita-
tion Services, 332 NLRB 347 (2000); Mead Corp., 331 NLRB
509 (2000). Second, Baptist, as shown below, implicitly relied
on this very rule to justify its conduct in prohibiting an em-
ployee from talking about the Union to other employees, ren-
dering its “no enforcement” defense patently false.
b. Directing employees not to discuss the union with others
Respondent Baptist is alleged to have violated Section
8(a)(1) by directing an employee not to discuss the Union with
other employees. The pertinent facts regarding this allegation
stem from testimony provided by the affected employee, Ra-
chel Cox, and by admitted supervisor, Darcy Smith, who does
not deny so instructing Cox. According to Cox, who remains
employed by Respondent Baptist, on or about October 19,
Smith called her at home and told her that two nurses “were
tired of hearing” about the Union and asked Cox “not to talk
about the Union.” Cox responded, “Okay.” Cox claims that

28 The rule refers to the hospital’s patients as “clients.”
Smith never told her who the two nurses were, and made no
mention of whether Cox’s alleged union discussion with these
two nurses occurred during worktime. (Tr. 1273–1275.)
Smith’s version is that sometime in the morning of October
19, she had a conversation with nurses Jo Ann Pummill and Lis
Heinsohn during which the latter complained to her that they
were tired of, and no longer wanted, Cox talking to them about
the Union, and asked her to talk to Cox about it. Smith then
called Cox and asked her “if she would please not bother Lis
and Jo Ann anymore with talking about the union,” and that,
after a few minutes of silence, Cox replied, “Okay.” (Tr. 1851–
1853.) In her version, Smith never mentioned telling Cox that
the alleged union discussion she purportedly had with the two
nurses occurred during either Cox’s or the nurses’ worktime.
As between Smith and Cox, I found the latter’s version of
the phone conversation to be the more credible of the two.
From a demeanor standpoint, I was more favorably impressed
by Cox as a witness and am convinced that she testified in an
honest, straightforward, and truthful manner. Her willingness
to testify against her employer’s interest while still in its em-
ploy further adds to her reliability as a witness. GATX Logis-
tics, Inc., 323 NLRB 328, 332 (1997). Smith, on the other
hand, was not so convincing. Accordingly, I credit Cox and
find that Smith never identified the nurses to her during their
phone conversation and that, after informing Cox that two
nurses were tired of hearing her talk about the Union, Smith
instructed Cox “not to talk about the Union.”
The General Counsel contends that Smith’s remark to Cox
violated Section 8(a)(1) because of its tendency to deter Cox
from exercising her Section 7 right to discuss the Union with
other employees. Respondent Baptist counters that Cox’s al-
leged Union conversation with Pummill and Heinsohn occurred
during worktime, and that it had a right, presumably pursuant to
its above-described no-solicitation rule, to “prohibit solicitation
during working time.” For this reason, it contends that Smith’s
remark to Cox “was not improperly coercive or restrictive of
[her] Section 7 rights.” It points out that even if the report she
received from the two nurses was inaccurate, no Section 8(a)(1)
can be found because on receiving the report Smith, “believing
the report to be truthful, contacted Cox and instructed her to
cease raising the issue during shift change.” (R Br. 37–38.)
Respondent Baptist’s argument is flawed in at least two re-
spects.
First, Respondent Baptist cannot properly rely on its no-
solicitation rule to justify Smith’s decision to prohibit Cox from
discussing the Union for, as found above, that rule is overly
broad and unlawful. As held by the Board, an overly broad rule
governing solicitation is invalid for all purposes. Crestfield
Convalescent Home, 287 NLRB 328 (1987). Mesa Vista Hos-
pital, 280 NLRB 298, 300 (1986). Second, Smith’s directive to
Cox that she refrain from talking to employees about the Union
was not limited either expressly or by implication to working
time.29 Thus, even if Respondent Baptist had a lawful provi-
29 Respondent Baptist’s claim on Br. (p. 37–38), that Smith “in-
structed [Cox] to cease raising the issue during shift change,” finds no
support in the record and is a patent mischaracterization of Smith’s

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 374
sion prohibiting solicitation on an employee’s working time
only, Smith’s failure to so instruct Cox about the limitation, or
to advise her that she was free to engage in such activity during
nonworktime, would reasonably have led Cox to believe that
she was precluded from discussing the Union with other em-
ployees under any and all circumstances, including nonwork-
time, which she had lawful right to do. Accordingly, Smith’s
remark to Cox, as correctly pointed out by the General Counsel,
would have had the effect of deterring Cox from freely exercis-
ing her Section 7 right to solicit other employees during her or
their nonworktime. For these reasons, I find Smith’s remark to
have been unlawful and a violation of Section 8(a)(1) of the
Act.
D. Respondent MCI30
1. The 8(a)(1) conduct
a. The no-solicitation/no-distribution policy
MCI’s no-solicitation/no-distribution policy (GC Exh. 67[f]),
as noted, is virtually identical to HM’s policy, the only differ-
ence being that in its rule restricting employee solicitation and
distribution during nonworktime, MCI added patients’ rooms,
operating rooms, and nurses’ stations as areas where such con-
duct is not permitted. However, for the reasons set forth above
in connection with HM’s policy, MCI’s no-solicitation/no-
distribution policy is overly broad and presumptively invalid as
its prohibition on employee solicitation and distribution of un-
ion literature during their nonworktime is not limited to the
Hospital’s immediate patient care areas but rather extends to all
“those areas to which patients and/or visitors have access,”
which, by definition, would obviously include nonpatient care
areas of the facility. Regarding nonemployee solicitation,
MCI’s rule prohibits “persons not employed by MCI” from
soliciting or distributing literature on Health Center property
for any purpose at any time, unless prior proper authorization
from the executive vice president has been obtained in writing.
(See GC Exh. 7[f].) On September 28, MCI enforced its no-
solicitation/no-distribution policy against two employees of
Respondent Menorah, Teresa Barnett and Angela Tuska-
Wagner (Tuska-Wagner).
b. Barnett’s and Tuska-Wagner’s activity at MCI and Baptist
Teresa Barnett and Angela Tuska-Wagner,31 both employees
of Respondent Menorah, testified that on September 28, a non-
workday for them, they visited MCI in an effort to solicit sup-
port for the Union and to distribute union literature. They had,

testimony for, as set forth above, Smith’s description of what she said
to Cox contains no reference to “shift change.”
30 The General Counsel’s unopposed motion to withdraw, “for want
of evidence,” complaint pars. 5(b)(vi), alleging that MCI Supervisor
Mary Jones disparately prohibited employees from talking about the
Union in a nonpatient care area, and 5(b)(vii), alleging Jones made an
unlawful promise of benefit if employees rejected the Union, is granted.
31 Although the Respondents on brief contend that Tuska-Wagner’s
name is actually “Pustka-Wagner,” (R Br. 6 fn. 3), at the hearing the
witness was asked to and did spell her name as “Tuska-Wagner” (Tr.
627). Consequently, the witness’ spelling of her name at the hearing is
accepted as correct.
just prior thereto, been to Respondent Baptist and engaged in
the same activity without incident.32 On arriving at MCI, Bar-
nett and Tuska-Wagner, each of whom was wearing their em-
ployee identity badge identifying them as Health Midwest em-
ployees and a union ribbon on their blouse lapel, went to the
ICU and surgical services breakrooms where they spoke to
employees about the Union, and distributed union literature and
union ribbons. They then decided to do the same at the other
MCI break areas and headed to their next destination on the
fifth floor. On arriving at the fifth floor, they asked a woman
behind a desk if she could show them where the breakroom was
as they wanted to leave some information there. The woman
replied that she was heading in that direction and asked Barnett
and Tuska-Wagner to follow her. As the breakroom was
locked, the woman unlocked it for them and let them in. Once
inside, Barnett and Tuska-Wagner found the room empty and
then began placing literature in the room, and posting brochures
and union ribbons on the bulletin board. Barnett recalled that
soon thereafter, a woman, who subsequently identified herself
to Barnett at the latter’s request as Mary Adams Meirerend (at
the time a clinical supervisor with MCI), opened the door to the
breakroom and told them they would have to leave. When
Barnett asked her the reasons for directing them to leave, Meir-
erend, according to Barnett’s and Tuska-Wagner’s testimony,
replied that they were “interrupting patient care.” Barnett re-
sponded that they were not interrupting patient care because
32 Barnett and Tuska-Wagner visited breakrooms during their activi-
ties at Baptist Hospital to drop off union literature, including one situ-
ated in Baptist’s surgical unit. Access to this latter breakroom requires
passage through a set of doors marked, “Surgery-Authorized Personnel
Only.” Barnett testified, credibly and without contradiction, that the
door to the surgical unit at Menorah where she is employed contains the
same “Authorized Personnel Only” sign. She further testified, again
without contradiction, that she and other nurses are permitted free ac-
cess through the Menorah surgical unit area even if not assigned to that
unit, and that the only limitation placed on nurses is that entry to certain
sub-areas of the surgical unit requires that nurses be properly attired in
surgical garb. Baptist’s no-solicitation/no-distribution policy expressly
allowed for the solicitation and distribution of union literature by off-
duty employees at “employee-only lounges [e.g., breakrooms] and
locker rooms.” (See. GC Exh. 67[c].) The policy similarly contains no
provision precluding employees of other HM affiliated hospitals from
entering the Baptist facility for such purposes. There is no evidence to
indicate that during their activities at Baptist, Barnett and Tuska-
Wagner were ever told to cease their union activities, or prevented from
doing so. Nor was evidence produced by the Respondents to contradict
Barnett’s claim that she and other nurses had free access to the surgical
unit at Menorah, or to show that the practice at Baptist regarding
nurses’ access to the surgical unit was any different from that followed
at Menorah. The Respondents, however, contend that Tuska-Wagner
and Barnett interrupted several on-duty employees at Baptist during the
course of their activities. Their contention finds no support in the re-
cord. While Tuska-Wagner testified that some of the employees they
encountered and questioned as to the location of the various break-
rooms during their trek through Baptist’s facility were in hospital attire,
she never testified that these individuals were in fact “on duty” at the
time. The fact that the individuals she and Barnett may have encoun-
tered were standing near a nurses’ station or a breakroom does not,
without more, establish that these individuals were in fact working at
the time. (R. Br. 71.)

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 375
they were distributing literature in a breakroom. Meirerend
repeated that they would have to leave, and then departed.
As Barnett and Tuska-Wagner got on the elevator to leave
they were confronted by security guard Robert Vick. Vick
asked them what the problem was and Barnett replied that there
was no problem. Vick next requested that they step off the
elevator and asked for their name badges. After taking their
badges, Vick went to make a phone call. Barnett testified that
she overheard Vick providing their social security numbers to
the person at the other end, but could not make out the rest of
the conversation. Vick returned a short while later and told
Barnett that her social security number had “a hit” on it but did
not reflect any outstanding “warrants.” When Barnett asked
Vick to explain what he meant by “a hit,” Vick simply repeated
his earlier remark that “a hit” had shown up but that there were
no “warrants out.” Barnett recalls that as Vick was giving them
back their badges, Meirerend appeared and told Vick that she
had received instructions from MCI’s CEO, Kent Howard, that
they were to be escorted out of the Hospital. Tuska-Wagner’s
recollection is that Meirerend stated she had received instruc-
tions from Howard that she and Barnett were to be escorted off
the grounds because they were interrupting patient care.
At the lobby of the hospital, Barnett asked Vick if she could
make a phone call. Vick agreed and Barnett then called the
Union’s attorney, Walter Rorer, to apprise him of the incident.
As Barnett was on the phone, Howard appeared and knelt
slightly in front of Tuska-Wagner to look at her identification
badge and asked Tuska-Wagner if she was an MCI employee.
Tuska-Wagner replied she was not, but that she worked at Me-
norah Medical Center. Howard then went over to Barnett, who
was still on the phone, glanced at her identification badge, and
returned to Tuska-Wagner. He then informed Tuska-Wagner
that non-MCI employees are not allowed in the breakroom.
Tuska-Wagner then pulled out a copy of Menorah’s solicitation
policy and showed it to Howard, told him that, according to
Menorah’s policy (GC Exh. 21), employees of the HM hospital
system like herself were entitled to be in the breakroom, bath-
rooms, or cafeteria at MCI, and asked if the policy had been
changed.33 Howard replied that he was fully aware of the pol-
icy, but insisted that the Hospital did not allow non-MCI em-
ployees in its breakrooms. After instructing Vick that Barnett
and Tuska-Wagner were permitted to engage in such activity
only in the cafeteria, but nowhere else in the Hospital, Howard
left. As soon as Barnett got off the phone with Attorney Rorer
and returned to where Tuska-Wagner was, Vick told them it
was time for them to leave. Barnett recalls him saying that “if
we returned to the hospital even to see a patient, we could be
arrested, and that he hated for us to lose our nursing license
because of this.” Barnett recalled Vick stating that they could

33 The language apparently referenced by Tuska-Wagner in her re-
marks to Howard is found in par. B,2,b of GC Exh. 21. MCI’s own
rule contains similar language, also found in par. B,2,b of GC Exh.
67(f). The only difference between the two provisions is that Meno-
rah’s rule B,2,b lists employee locker rooms as an area where employ-
ees may freely solicit and distribute during nonworking time, while
MCI’s rule B,2,b does not. Neither Menorah’s nor MCI’s policy con-
tains any express prohibition on solicitation or distribution of literature
at those facilities by employees employed at other HM facilities.
be arrested for trespassing if they were found anywhere in the
hospital, even if visiting a patient, and expressed concern that
they could lose their nursing licenses over this.” Barnett and
Tuska-Wagner then left the Hospital.
Meirerend’s version of the September 28 incident is that as
she was walking down the hall where the breakroom was lo-
cated, she noticed an individual she did not recognize standing
halfway inside the doorway to the breakroom and went to see if
a staff member was with them.34 She claims she had never
before seen either Barnett or Tuska-Wagner prior to that day,
and does not recall whether they were wearing identification
badges. When she got to the breakroom, one of them, she does
not recall which, made a comment about leaving something in
the breakroom. Meirerend claims she asked them to leave be-
cause she did not recognize them, and that one of the two, she
could not recall which, replied that they did not have to leave
the room. Meirerend informed them that she was going to call
security and have them escorted out of the facility. She could
not recall if anything else was said during that brief conversa-
tion. Meirerend claims that at that point, she walked away and
called security, and also notified Howard because she always
informed Howard whenever she had to call security. Meirerend
was unable to recall whether she saw Howard later that same
day or the following day, and was not present when Howard
approached Barnett and Tuska-Wagner in the lobby. Meirerend
claims she had no further involvement in this Barnett/Tuska-
Wagner incident and was unaware that the two subsequently
received a disciplinary writeup for this incident. Neither How-
ard nor the security guard, Vick, testified in this proceeding.
I credit Barnett’s and Tuska-Wagner’s version of this inci-
dent. While there were some minor variations in their testi-
mony, overall Barnett and Tuska-Wagner corroborated each
other on the more salient points. Thus, I find that Barnett and
Tuska-Wagner were wearing Health Midwest identification
badges when they were in the breakroom, and that Meirerend
must have seen their badges and on confronting them knew
they were employed by Health Midwest at Menorah Hospital. I
also credit their versions of the conversations they had with
Howard and Vick as their testimony in this regard is undis-
puted. Thus, I find that Tuska-Wagner alerted Howard to the
provision in HM’s corporate policy
The General Counsel contends that MCI’s refusal to allow
Barnett and Tuska-Wagner to solicit and distribute literature at
its fifth floor breakroom violated Section 8(a)(1). MCI defends
its conduct by asserting that it had a right to exclude Barnett
and Tuska-Wagner from soliciting under its no-access rule, and
that no showing has been made that “MCI has at any time per-
mitted employees assigned to other facilities to roam the patient
floors or enter work areas.” (R. Br. 40.). I agree with the Gen-
eral Counsel.
Initially, it is unclear from the Respondents’ brief if MCI’s
reference to its no-access rule pertains to the provision in para-
graph A of its policy applicable to nonemployees, or to para-
graph B,2 which applies to off-duty employees. Under either
34 Meirerend testified that the breakroom effectively served as the
employee lounge as MCI did not have a separate employee lounge (Tr.
1440).

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 376
provision, however, MCI would not prevail. Regarding para-
graph A, that provision, as noted, applies only to nonemploy-
ees.35 While Barnett and Tuska-Wagner were not employed by
MCI, they were employed by Health Midwest, MCI’s corporate
parent, at HM’s Menorah facility. Thus, when Barnett and
Tuska-Wagner, as employees of HM’s Menorah hospital,
sought to distribute literature at MCI, another of HM’s hospi-
tals, their status was that of off-duty employees, and not outsid-
ers or nonemployees. See Ryder Student Transportation Ser-
vices, 333 NLRB 9 (2001); ITT Industries, 331 NLRB 4
(2000); Postal Service, 318 NLRB 466 (1995). As such, MCI’s
prohibition on solicitation by nonemployees anywhere “on
Health Center property for any purpose at any time” without
“prior proper authorization” did not apply to them. Howard, I
am convinced, was fully aware of their status as off-duty em-
ployees of another HM facility as he acknowledged to Barnett
and Tuska-Wagner that they had a right to solicit and distribute
literature in the hospital cafeteria, a right not available to non-
employees under paragraph A of MCI’s policy. Thus, to the
extent MCI seeks to justify its eviction of Barnett and Tuska-
Wagner based on the rule applicable to nonemployees, its con-
duct was unlawful and in violation of Section 8(a)(1).36
Nor can MCI lawfully rely on its no-solicitation/no-
distribution rule for off-duty employees to justify the exclusion
of Barnett and Tuska-Wagner from the breakroom, for para-
graph B,2,b of MCI’s policy expressly authorizes the solicita-
tion and distribution of union literature by off-duty employees
in “employee lounges (e.g., breakrooms), employee restrooms,
parking lots, and cafeteria.” Thus, when, on September 28,
Barnett and Tuska-Wagner entered the fifth-floor breakroom or
employee lounge to distribute literature, they did no more than
what was permitted under paragraph B,2,b of MCI’s own pol-
icy.37 In these circumstances, I find that MCI’s eviction of
Barnett and Tuska-Wagner from its fifth-floor breakroom
unlawfully interfered with their Section 7 rights and violated
Section 8(a)(1) of the Act. I also agree with the General Coun-
sel that MCI, through its agent, Vick, further violated Section
8(a)(1) by threatening to have them arrested for trespassing and

35 While MCI has a no-access rule for nonemployees, its general no-
solicitation policy contains no similar “no-access” provision for off-
duty employees. Rather, MCI’s restrictions on solicitation and distribu-
tion activities by off-duty employees is directed at certain areas inside
the facility, and does not include a total ban on employee access to its
facility during their days off.
36 MCI likewise cannot justify the eviction on the basis of language
found in the Q&A memo, discussed supra, which purports to address
the right of employees of one HM facility to solicit or distribute litera-
ture at another HM facility, for Q&A memo was distributed to employ-
ees in November, after the incident involving Barnett and Tuska-
Wagner occurred. In any event, that memo, as previously discussed,
was too ambiguous to have adequately and fairly apprised employees of
their right to solicit and distribute literature at the various other HM
facilities.
37 Even if MCI’s policy expressly prohibited solicitation and distri-
bution in the fifth-floor breakroom, that provision would be presump-
tively unlawful and unenforceable as the breakroom is clearly not an
“immediate patient care area,” and MCI has not demonstrated that a
ban on such activity in the breakroom was needed to prevent a disrup-
tion in patient care or a disturbance of patients.
with a possible loss of their nursing license if they should return
to the facility for any reason whatsoever.
E. Menorah Medical Center38
1. The 8(a)(3) allegations
a. The disciplinary writeups of Barnett and Tuska-Wagner
On October 12, 2 weeks after their solicitation and distribu-
tion activities at Baptist and MCI, Barnett and Tuska-Wagner
were issued disciplinary writeups by their Employer, Menorah,
for their activities at those facilities, which writeups the con-
solidated complaint alleges and Menorah denies violated Sec-
tion 8(a)(3) and (1) of the Act. Barnett testified that on October
12, she was called to the offices of Director of Surgical Ser-
vices Richard Allison and Manager of Peri-Anesthesia Lois
Lair. Once there, Allison smiled at Barnett, laid the writeup on
the table, and asked her to read it. (See GC Exh. 20.) The
writeup contained a brief description of Barnett’s activities at
the MCI and Baptist facilities, identifying the former as inci-
dent 1, and the latter as incident 2.39 After reading the writeup,
Barnett asked for a copy and asked to make a phone call. After
calling Union Attorney Rorer, presumably to inform him of the
writeup, Barnett signed the writeup and received a copy.
Tuska-Wagner testified that she too was called in after Barnett
and given a writeup (see GC Exh. 38). She recalls Allison
handing her the writeup as she walked into his office and ask-
ing if Tuska-Wagner wanted “ to just get this over with.” Hav-
ing learned from Barnett about the writeup, Tuska-Wagner
responded, “Yes.” Barnett and Tuska-Wagner both testified,
without contradiction, that at no time prior to receiving their
writeups were they asked by Allison, Lair, or any other Meno-
rah management official to explain, or provide their versions of,
what occurred at either MCI or Baptist.
As discussed above, Barnett and Tuska-Wagner gave de-
tailed, mutually corroborative, and credible testimony regarding
their activities at MCI and Baptist. However, the writeups’
description of what occurred at MCI differs somewhat from
Barnett’s and Tuska-Wagner’s version of events. Thus, con-
trary to the statement in the writeup that they asked a charge
nurse to let them into a locked breakroom, Barnett and Tuska-
Wagner testified only that they simply asked a woman who was
behind a desk at the nurses’ station for directions to the break-
38 The General Counsel’s unopposed motion to withdraw for lack of
evidence complaint par. 5(c)(ix), alleging that Supervisor Lair dispar-
ately prohibited employees from posting union literature on bulletin
boards, is granted. (GC Exh. 79.)
39 As to incident 1, the writeup states that Barnett was “observed” at
MCI’s 5 East nurses’ station, that the “charge nurse” at that station was
asked either by Barnett or an acquaintance “to be let into the locked
breakroom so you could leave information.” It asserts that Barnett
“interrupted her work at the nurses’ station to let you into the break
room,” that soon after returning to work the charge nurse asked her to
leave the premises, and that Barnett had been identified by security as
one of the nurses who had been in the breakroom.
As to incident 2, the writeup states that on or about September 28,
Barnett “entered through a restricted access door into the surgical area
in Baptist Hospital” that was “clearly marked ‘Surgery Authorized
Personnel Only,’” and that while there, Barnett “engaged in conversa-
tion with 4–5 staff members on their lunchbreak.”

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 377
room, and that it was this unidentified person who volunteered
to personally show them to the breakroom as she was already
heading in that direction, and who willingly unlocked the
breakroom door for them on finding it locked. Further, con-
trary to writeup, at no time in their testimony did either Barnett
or Tuska-Wagner identify the individual as a “charge nurse.”
Nor does their credited testimony reflect that they asked this
individual to open the locked breakroom door for them, as de-
clared in the writeup. Finally, contrary to what the report
states, Barnett’s and Tuska-Wagner’s testimony makes clear
that it was Meirerend, and not the unidentified person who led
to them to the breakroom, who subsequently entered the break-
room and directed them to leave the premises.
Menorah has offered no explanation on to how it learned of
Barnett’s and Tuska-Wagner’s activities at the MCI and Baptist
Memorial facilities. Nor has it explained why it felt justified in
disciplining the two for engaging in protected activities during
their off-duty hours at facilities other than its own. Indeed, the
entire circumstances surrounding the issuance of these writeups
are highly suspect. While there is no denying, and indeed Bar-
nett and Tuska-Wagner readily admit, distributing union litera-
ture at the Baptist and MCI breakrooms on September 28, no
other individual connected with the issuance of these writeups
was called to testify. Thus, Allison, whose name appears on
both writeups as the immediate supervisor and as the one re-
sponsible for issuing them, did not testify. Nor did Lair, who
was present when the writeups were given to Barnett and
Tuska-Wagner. There is, consequently, no explanation in the
record as to how Menorah, and Allison in particular, learned of
these two incidents. Meirerend, as noted, denied having had
any involvement in this incident beyond directing the two em-
ployees to leave the MCI breakroom. Howard and the security
guard Vick, as noted, did not testify. Nor did Menorah learn of
their activities from either Barnett or Tuska-Wagner for, as
noted, neither was questioned about these incidents prior to
receiving the writeups. Finally, even when given the writeups
on October 12, neither Barnett nor Tuska-Wagner were appar-
ently informed as to how Allison, or Menorah itself, knew of
their activities at other facilities.40
I find that the writeups issued to Barnett and Tuska-Wagner
were patently unlawful, for they were issued solely because
Barnett and Tuska-Wagner had, as previously found (see MCI
discussion above), engaged in the protected activity of solicit-
ing employees and distributing union literature at the Baptist
and MCI Hospitals. Saia Motor Freight Line, Inc., 333 NLRB
784 (2001). As pointed out by the Board in Saia Motor, appli-
cation of its Wright Line41 test is not required where, as here,

40 While there is no allegation that the writeups created an unlawful
impression of surveillance, the circumstances surrounding their issu-
ance could reasonably have led Barnett and Tuska-Wagner to believe
that Menorah, in fact, was keeping tabs on their union activities at other
facilities. However, in the absence of a specific allegation, I make no
finding in this regard.
41 251 NLRB 1083 (1980), enfd. 662 F.2d 899 (1st Cir. 1981), cert.
denied 455 U.S. 989 (1982). In Wright Line, the Board established a
causation test to be applied in all discrimination cases turning on em-
ployer motivation. Thus, under Wright Line, the General Counsel must
first make a prima facie showing sufficient to support the inference that
the conduct for which the employer claims to have disciplined
the employee was protected activity. See also Opryland Hotel,
323 NLRB 723, 728 (1997). Application of a Wright Line
analysis would, in any event, result in a finding of a violation.
Thus, to establish a Wright Line prima facie case, the Gen-
eral Counsel must show the affected employed engaged in un-
ion activity, that the employer knew or had reason to be aware
of such activity and harbored antiunion animus, and that the
employer took adverse action against the employee for engag-
ing in such activity. In the absence of direct evidence of ani-
mus or a discriminatory motive, the Board may infer animus or
an unlawful motivation from all of the surrounding circum-
stances. Evidence of suspicious timing, false reasons given in
defense, and a failure to adequately investigate an employee’s
alleged misconduct all support such inferences. Washington
Nursing Home, 321 NLRB 366, 375 (1996). Here, there is no
question that Barnett and Tuska-Wagner were engaged in union
activity when they distributed union literature at the MCI and
Baptist facilities, nor any doubt that Respondent Menorah knew
of their activities, for the warnings were issued to them pre-
cisely for engaging in that very conduct. Finally, Menorah’s
failure to question either Barnett or Tuska-Wagner about their
activities at MCI or Baptist, or to afford them an opportunity to
defend their actions before issuing them the written warnings,
suggests that Menorah had little interest in determining whether
any of their alleged misconduct had in fact occurred, and sup-
ports an inference that the warnings were issued for discrimina-
tory reasons. In these circumstances, the General Counsel, I
find, has made a strong prima facie showing sufficient to sup-
port an inference that the warnings issued to Barnett and Tuska-
Wagner were motivated by their union activity.
Other than the writeups themselves, Menorah has produced
no evidence to refute the General Counsel’s prima facie case.
As previously explained, it has offered no explanation on how
it learned of Barnett’s and Tuska-Wagner’s activities at the
Baptist and MCI facilities. Allison, the one person who most
likely could have answered this troubling question, was not
called to testify. Nor has any claim been made that she was
unavailable to testify. Menorah’s failure to call Allison, or for
that matter anyone else involved in the decision-making proc-
ess, as a witness to explain the circumstances surrounding the
issuance of the warning, or why Barnett and Tuska-Wagner
were not afforded an opportunity to present their side of the
story before being disciplined, supports an adverse inference
that, if called, Allison’s testimony would not have been helpful
to Menorah in its effort to justify the writeups. Keller Mfg. Co.,
237 NLRB 712, 727 (1978). As noted, the writeups themselves
are factually inaccurate, leading me to suspect that Menorah
had little interest in getting the facts straight because its real
motive was to punish Barnett and Tuska-Wagner for their union
activity, not for any alleged violation of company policy. In
short, I find that Menorah has not sustained its burden of show-
ing that Barnett and Tuska-Wagner would have been disci-

protected conduct was a motivating factor in the employer’s decision.
Once this is established, the burden shifts to the employer to demon-
strate that the same action would have taken place even in the absence
of the protected conduct.

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 378
plined for violating its no-solicitation/no-distribution policy
even if they had not, at the time, been engaged in union activ-
ity. Accordingly, under a Wright Line analysis, the writeups
issued to Barnett and Tuska-Wagner on October 12, 1999, vio-
lated Section 8(a)(3) and (1) of the Act, as alleged.
b. The alleged unlawful withholding of work from Barnett
The consolidated complaint alleges that on October 13, 20,
and 27, Menorah unlawfully withheld work from Barnett be-
cause of her union activities.42 Barnett is employed as a part-
time nurse at Menorah’s post anesthesia care unit (PACU), and
works approximately 20 hours per week. She has also worked
in the Hospital’s ICU, and averaged one to two shifts per month
during the period January–October 1999. The record reflects
that the ICU at Menorah maintains a self-scheduling system
whereby nurses from that and other departments having ICU
experience sign up to work different shifts by placing their
names on a signup sheet reflecting the days they would like to
work during a given month. (See, e.g., GC Exh. 9.) ICU Direc-
tor Lesli Bauer testified that the signup process is for the most
part managed and prepared by a self-appointed group of nurses
known as the staffing committee. According to Bauer, the
staffing committee begins the ICU staffing process by simulta-
neously putting out a 4-week time schedule containing columns
with individual dates on top, and the names of individuals who
had worked in the ICU in the past month or so (see, e.g., GC
Exh. 23), and a blank worksheet containing only dates, but no
names, in squares or boxes. (See GC Exh. 9.) Bauer explained
that employees interested in working on a given day listed on
the schedule could do so by designating the shift they prefer in
the dated column, and by writing their names in the appropriate
box in the blank worksheet. The staffing committee determines
which names to include on the time schedule based on whether
they worked in the prior month. However, employees whose
names were not included in the time schedule are nevertheless
free to have their names added to the list or to request the staff-
ing committee do so. When the time schedule and worksheets
are filled in, the staffing committee prepares a clean copy of the
work schedule and a work grid showing on a weekly basis
those employees who have signed up to work in the ICU for the
following month. The staffing committee then reviews the
schedules and worksheets and makes whatever adjustments
need to be made. Bauer testified that the staffing committee’s
completed time schedule is then turned over to her the Friday
before the Monday on which the shifts are scheduled to begin,
and that the schedule is thereafter kept in her office. She claims
that once she gets the final schedule from the staffing commit-
tee, no more changes are made to the schedule unless an em-
ployee comes to her and requests a specific change. Bauer
testified that the only time she removes someone from the list is
if, after the signup sheet is completed, the employee has either
been terminated or voluntarily resigned their employment.
Barnett testified that she has in the past used the ICU’s self-
scheduling system to obtain additional work whenever she

42 The General Counsel’s unopposed motion to withdraw, for want
of evidence, complaint par. 7(b), alleging that employee Barnett was
also unlawfully denied work on February 28 and March 29, 2000, is
granted. (GC Exh. 82 fn. 60.)
needed to make some extra money. She claims that prior to
October 13, she averaged one to two shifts per month at the
ICU. Barnett further testified that while she often had no prob-
lem getting the ICU work she signed up for, there were occa-
sions when, because of a low “census” of patients, she might be
called on the day she was scheduled to work and told either to
remain on call at home, or that the shift work she had signed up
for was canceled.43 Such occasions, according to Barnett, were
rare, occurring probably less than five times during the 3-year
period between October 1996 and October 1999. Barnett also
explained that a nurse who wants to work a particular shift for
which four other nurses have already signed up will typically
work it out with one of the four nurses by swapping shifts, or
simply taking another shift.
The record reflects that Barnett entered her name on the ICU
signup sheet to work on October 13, 20, and 27. Thus, General
Counsel’s Exhibit 9 shows that Barnett was the second person
to sign up for a shift on October 13, and the first person to sign
up for shifts on October 20 and 27. On or about September 16,
Bauer notified Barnett in writing that her request for ICU work
on the three dates requested was not being granted. The note
sent by Bauer to Barnett simply states, “[Thanks], but we are
OK.” (GC Exh. 11.) Bauer explained that she removed Bar-
nett’s name because she already had three regular full-time ICU
staff nurses assigned to work, and therefore had no need for
Barnett who was not part of her regular ICU staff. Barnett
testified that she had never before been informed so far in ad-
vance of her desired shift, and in writing, that her shift request
was not being approved.
The General Counsel contends that Barnett was unlawfully
denied the October 13, 20, and 27, ICU shift assignments be-
cause of her union activities, and that such conduct therefore
violated Section 8(a)(3) and (1). I disagree. To establish a
prima facie case under Wright Line, the General Counsel, as
noted, must produce evidence to show that at the time of the
alleged unlawful conduct, in this case September 16, Barnett
was at the time engaged in union activity, that Menorah knew
or had reason to know of her union activity, and that its denial
of work to Barnett was motivated by antiunion animus. The
General Counsel, in my view, has failed to meet that burden
here.
Barnett’s role as a union activist is fairly well established in
the record. The record reflects that Barnett became involved in
union activities in early September when she prepared and dis-
tributed a flyer to employees at union meetings held at her
house and at an apartment clubhouse on or around September 8.
The flyer identified Barnett as one of several nurses employees
could contact for further information or if they had any ques-
tions. Further, as previously discussed, Barnett, on September
28, solicited and distributed literature at Respondents Baptist
and MCI, for which conduct she was given an unlawful warn-
ing by Menorah on October 12. The above facts make patently
clear that as of September 28, Menorah was fully aware of
Barnett’s involvement with the Union. There is, however, no
evidence showing that Menorah had knowledge of Barnett’s
43 “Census” refers to the number of patients usually maintained at
the ICU on a given day, which typically numbered around seven.

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 379
activities prior to September 28, and in particular as of Septem-
ber 16, when Bauer informed her that her services for the shifts
requested would not be needed.
The General Counsel suggests on brief that Menorah would
have known in early September of Barnett’s involvement with
the Union from the flyers posted by Barnett at Menorah and
other HM facilities announcing upcoming union meetings,
including the one on September 8, and identifying Barnett as a
union contact person. I disagree, for while Barnett, as noted,
testified to having distributed flyers about an upcoming Sep-
tember 21, union meeting to employees of various HM institu-
tions at a meeting held at her house and at a September 8 meet-
ing held at an apartment building, nowhere in her testimony
does Barnett make the claim that she also posted the flyer an-
nouncing the September 21 meeting, or for that matter any
other union flyer, at Menorah or any other HM facility prior to
September 21. Tuska-Wagner’s testimony is equally devoid of
any such claim.
Nor is there any evidence to support the General Counsel’s
assertion that Bauer or any other Menorah management official
had seen, or been provided with, copies of the flyer distributed
by Barnett in early September identifying her as a union advo-
cate. In short, I find the General Counsel has not established
that Menorah had knowledge of Barnett’s union activities on
September 16, when it disapproved Barnett’s request to work
the October 13, 20, and 27 shifts at the ICU. Having failed to
prove an essential element of his prima facie case, I find that
the General Counsel has not sustained his initial Wright Line
burden of proof, and shall therefore recommend that this par-
ticular allegation be dismissed.
c. The alleged removal of Barnett’s name from the
ICU work list
Barnett testified that sometime in February, she looked at the
ICU signup worksheet for March and saw that her name was
not on it. She then called Bauer on or about February 28, and
told her she had been interested “in signing up for some shifts
the last 2 or 3 months” but that her name was no longer on the
signup roster. Bauer purportedly told her, in what Barnett de-
scribed as a harsh tone, that if she wanted to sign up for shifts,
Barnett would have to see her. Bauer recalls Barnett calling her
and mentioning that her name was not on the signup roster.
According to Bauer, she subsequently met with Barnett and
told her she was free to put her name on the signup roster at any
time.
The complaint alleges, and the General Counsel contends,
that the removal of Barnett’s name from the signup roster
sometime between September 16 and February 28, and purport-
edly requiring her to secure authorization from Bauer to sign up
for work at the ICU, were discriminatorily motivated and vio-
lated Section 8(a)(1). I am not convinced that the removal of
Barnett’s name from the roster was motivated by unlawful con-
siderations.
Barnett admits that between September and February 28, she
did not sign up for any ICU shifts, but contends that she did not
do so was because her name had been removed from the sign-
up roster. I doubt this was the true reason for Barnett’s refusal
to sign up for shifts at the ICU during the above period. Thus,
Barnett did not strike me as being particularly shy about assert-
ing her rights or complaining when she felt she had being
wronged. Barnett, for example, asserted her right to distribute
literature at MCI and quickly placed a call to the Union’s coun-
sel to report the incident. Further, on February 28, Barnett
complained to Bauer about not finding her name on the signup
roster. Yet, there is no indication that Barnett ever complained
to Bauer at any time prior to February 28, about not finding her
name on the signup roster. I am convinced that if Barnett had
truly been interested in working shifts at the ICU during the
months in question, e.g., November 1999 through February
2000, she would have, on finding her name missing from the
ICU signup roster, immediately complained to Bauer and not
waited until almost 4 months later to do so. Moreover, consis-
tent with the established practice credibly testified to by Bauer,
all Barnett had to do on finding her name missing from the
signup roster during the months in question was to add her
name to the roster or request that the staffing committee do so.
Nothing in Barnett’s testimony suggest that she did either of the
two.
Barnett’s claim that her name did not appear on the signup
roster between September 1999 and February 2000, is, in any
event, not entirely accurate, for Barnett’s name clearly was on
the signup roster for the month of October, as she signed up to
work three shifts that month, and also appears on the December
signup roster, as shown in Charging Party’s Exhibit 12. This
inconsistency in Barnett’s testimony is further compounded by
her statement, in response to the General Counsel’s query on
whether her name appeared on signup sheets prior to March
2000, that “in 1999, I saw my name on the sheets.” (Tr. 413.)
Finally, Bauer testified, without contradiction and credibly in
my view, that it was the staffing committee, consisting of staff
nurses, which made the decision to remove a name from the
signup roster based on whether an individual had worked in the
prior month.44 Thus, it would appear that the employee-led
staffing committee, not management, may have been responsi-
ble for the failure of Barnett’s name to appear on the signup
roster in any given month. In these circumstances, I find no
evidence to support the General Counsel’s assertion that Bar-

44 The General Counsel contends that Bauer was not a very credible
witness and that her testimony should be discounted whenever it con-
flicts with Barnett’s testimony. To be sure, from a demeanor stand-
point, Bauer was not a very impressive witness. She was at times eva-
sive, argumentative, and somewhat hostile to the General Counsel’s
questioning. However, there were certain unrefuted elements of her
testimony which I found convincing and have accepted as credible.
Thus, her testimony regarding how names are removed from the signup
roster struck me as truthful. Barnett, while more convincing than
Bauer, nevertheless had her less than credible moments on the witness
stand. Thus, I found Barnett was being evasive when asked by Re-
spondents’ counsel if Bauer had offered her some shifts during their
February 28, discussion. Barnett’s repeated “I don’t recall” response
simply lacked the ring of truth and struck me as being both nonrespon-
sive and evasive. The partial crediting of Bauer’s and Barnett’s testi-
mony is of no great consequence, for there is nothing unusual in a trier
of fact crediting a portion of a witness’ testimony and discrediting other
portions. Royal Manor Convalescent Hospital, 322 NLRB 354, 366
(1996); Boyertown Packaging Corp., 303 NLRB 441, 450 (1991); Hill
& Hill Truck Line, Inc., 120 NLRB 101, 118 (1958).

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 380
nett’s name was removed from the ICU signup roster for dis-
criminatory reasons, and shall recommend dismissal of this
allegation.
Nor do I agree with the General Counsel that Bauer changed
the manner by which Barnett was to sign up for shifts when
Bauer told Barnett she would have to go to her office if she
wanted to sign up for an ICU shift. Bauer testified, without
contradiction and credibly in my view, that when Barnett came
to her on February 28, she had already received the final sched-
ule from the staffing committee and that, consistent with past
practice, the schedule was being kept in her office. Thus,
Bauer’s instruction to Barnett, that she would have to come to
her office if she wished to sign up for ICU work for the coming
month, was consistent with what Bauer credibly testified was
the established procedure employees seeking to have their
names added to the final schedule regularly followed. Neither
the General Counsel nor the Charging Party has presented any
evidence to refute Bauer’s testimony regarding this past prac-
tice. Accordingly, I find no evidence that Bauer treated Barnett
in a discriminatory manner by telling Barnett to go to her office
if she wished to sign up for ICU shifts. Accordingly, I shall
recommend dismissal of this allegation.
2. The 8(a)(1) allegations
a. The no-solicitation/no-distribution policy
Menorah’s no-solicitation/no-distribution policy is identical
to HM’s policy which, as found above, is itself unlawful. For
the reasons discussed above regarding HM’s policy, I find Me-
norah’s policy to be overly broad and presumptively invalid.
Menorah’s defense, that paragraph B,2,a clarifies the more
general no-solicitation/no-distribution language of paragraph
B,2, and thus removes any ambiguity in the rule, was similarly
raised by Respondent Research in defense of its own rule and
found to be without merit. For the reasons discussed above
regarding Research’s defense, Menorah’s argument is likewise
rejected as without merit. Further, Menorah, who bears the
burden of establishing that its ban on employee solicitation and
distribution in nonpatient care areas was needed to prevent a
disruption of patient care or disturbance of patients, has pre-
sented no evidence whatsoever to justify the ban. Accordingly,
I find Menorah’s no-solicitation/no-distribution rule to be
unlawful and a violation of Section 8(a)(1).
b. The removal of union literature from mailboxes
In late October, employee Tuska-Wagner, accompanied by
employee Leslie Daniels, was placing union literature in inter-
nal employee mailboxes when Director of Nursing Susan Ma-
lick approached and asked what they were doing. Tuska-
Wagner answered that she was putting some reading material in
the mailboxes, and Malick responded, “We don’t allow that
because I don’t allow Avon and Girl Scout information; I don’t
allow any of those things and I don’t allow this, its not in our
policy.” She recalls Malick stating that they could put part of it
up on the bulletin board, and then proceeded to remove the
literature from the mailboxes, assisted by Daniels. Tuska-
Wagner, who has been employed at Menorah for 3 years,
claims that she has, during the course of her employment, re-
ceived numerous work and nonwork-related items in her mail-
box, including birthday party notices, baby shower things, edu-
cational material, and updates from Menorah and the other
Health Midwest hospitals.
Malick recalls seeing Tuska-Wagner and Daniels placing
flyers in the mailboxes and telling them that “we do not allow
employees to have anything but hospital business in their mail-
boxes.” According to Malick, the employees simply said okay
and asked where they could place the literature, and Malick told
them they could post it on the bulletin board. Malick testified
that she frequently removes personal notices and literature,
such as Avon booklets, from the mailboxes, and similarly re-
moves and discards items such as pens, pharmaceutical litera-
ture, and other literature, including union material, that have
been left laying around at nurses’ stations or the table in the
breakroom because “this is solicitation” and “we can’t have this
stuff laying around.”45 On cross-examination, Malick admitted
that her stated prohibition on the use of mailboxes to dissemi-
nate personal items is not contained in the express language of
Menorah’s no-solicitation/no-distribution policy. She further
conceded that her removal of union literature from mailboxes
occurred that one time only and that, thereafter, she permitted
the mailboxes to be used for distribution of union literature.
(Tr. 1485–1486.)
Tuska-Wagner claims that she notified Human Resources
Supervisor Frankie Hagen of the mailbox incident and asked
her about the policy regarding use of employee mailboxes.
Hagen told Tuska-Wagner she was not sure what the policy
was but would get back to her on it. On November 5, Tuska-
Wagner called Hagen to ask if she had found out anything
about the use of mailboxes, and Hagen told her that “it was not
common practice to put non-official Health Midwest items in
mailboxes.” Confused by Hagen’s response, Tuska-Wagner
again asked whether she could or could not put other items in
the mailboxes, but Hagen repeated that it was not a common
practice to do so. Hagen did not testify.
I place little credence in Malick’s testimony as it was both
confusing and self-contradictory. As credibly testified by
Tuska-Wagner, the nurses’ mailboxes were routinely used by
employees to circulate or distribute messages of a personal
nature. Malick’s testimony about having subsequently changed
her mind and allowed union literature to be placed in mailboxes
was tantamount to an admission that such conduct was fully
permissible and not prohibited by Menorah’s no-solici-
tation/no-distribution policy, as she originally believed. Her
removal of the union literature in late October is therefore
found to have been unlawful. While Malick claims that this
was a one-time event and that she subsequently allowed em-
ployee mailboxes to be used for distribution of union literature,
a finding of a violation is nevertheless appropriate here for
Menorah never properly repudiated Malick’s unlawful conduct
as required under Passavant Memorial Area Hospital, supra.
While Malick may have changed her mind and now permits

45 The General Counsel moved to amend the complaint at the hear-
ing to include as a separate violation of Sec. 8(a)(1) Malick’s admission
that she removed union literature from nurses’ stations on numerous
occasions. The motion was granted over Respondents’ objection. (Tr.
1481–1483.)

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 381
employees to use the nurses’ mailboxes to distribute union
literature, there is no evidence to indicate that Malick informed
employees of this change or, if she had, when that decision was
made. Accordingly, I find that Malick’s unlawful conduct has
not been effectively repudiated and that Menorah, through Ma-
lick, violated Section 8(a)(1) by removing union literature from
the nurses’ mailboxes. Further, Malick’s admitted conduct of
routinely removing union literature from nurses’ stations
constituted an additional violation of Section 8(a)(1), for no
showing has been made that Menorah’s nurses’ stations are
immediate patient care areas which would justify a ban on the
solicitation or distribution activities at said stations, nor
evidence produced to show that a ban on such activity was
necessary to prevent a disruption in patient care or a
disturbance of patients. c. The cafeteria incident
On October 27, Barnett and Tuska-Wagner, who were off
that day, went to Menorah’s cafeteria to solicit employees and
distribute union literature. They were accompanied by Union
Representatives Falbo and Michael Krivosh. Tuska-Wagner
recalls that employee Leslie Daniels subsequently joined them
in their endeavor. Arriving around 11 a.m., Barnett and Tuska-
Wagner placed union literature, pamphlets, and brochures on a
cafeteria table, and posted two union signs, one on a column
next to their display table, the other taped to the back of her
chair. Barnett testified, with corroboration from Tuska-
Wagner, that a security guard appeared a few minutes later,
followed shortly thereafter by management officials, Malick
and Sheryl Sloan. A short while later, Managers Lair and
Stewart also entered the cafeteria. A few minutes later, Meno-
rah’s vice president of nursing services, Dolores Sabia, ap-
proached and asked what was going on. Krivosh told Sabia she
would have to direct her questions to the two nursing employ-
ees, Barnett and Tuska-Wagner. Sabia then turned to Barnett
and stated, “Teresa, you know better than this; you need to
gather your things and leave.” Barnett replied that she had a
copy of Hospital’s policy which stated she had a right to be
there and, after pulling out a copy of Menorah’s policy (GC
Exh. 21) and showing it to Sabia, Barnett read the provision
stating that employees were allowed to distribute literature in
the cafeteria during nonworking time. Sabia turned and began
to leave, but returned and asked Barnett for her copy of the
policy. Barnett declined to do so stating she did not want to
give out her only copy.
Sabia then left but returned some 5 minutes later, accompa-
nied by the director of finance, and told Barnett that under the
hospital’s policy she was not permitted to distribute anything
she wanted but instead had to get permission as to the type of
information she was allowed to distribute. Barnett replied that
Sabia’s comment about needing to get permission was a viola-
tion of the Act, that she did not need permission from anyone as
to the type of material she could distribute and was free to dis-
tribute whatever she wanted. Sabia reiterated her position that
permission was needed, and when Barnett asked who she had to
see about obtaining permission, Sabia identified Human Re-
sources Vice President Gayla Bond as the one she needed to
see. Barnett then turned to Tuska-Wagner and asked what they
were going to do, whether they should stay or leave. Krivosh
in the meantime asked Sabia what would happen if they refused
to leave, and Sabia responded that they would be escorted out
by hospital security. Sabia then asked Barnett to quietly gather
up her things so as to avoid a confrontation or commotion. At
that point, Krivosh and Falbo left the cafeteria. Barnett and
Tuska-Wagner, however, packed their material in boxes but
remained in the cafeteria to have lunch. Barnett recalls that as
she and Tuska-Wagner were packing their things, she noticed
some flashbulbs going off and on looking up observed Allison
with a camera in hand apparently taking pictures of them.
On November 1, Barnett met with Gayla Bond and Hagen, in
the latter’s office to discuss the October 27, incident and to get
clarification regarding the Hospital’s no-solicitation/no-distri-
bution policy. Bond told Barnett that she “did not need permis-
sion to talk to employees during non-working time” or to “dis-
tribute information to employees during non-working times in
areas like the break room, locker rooms, and cafeteria.” How-
ever, she stated that employees were not permitted to set up a
table, put materials on tables, or hang up signs, but could dis-
tribute literature in the cafeteria in a “non-disruptive manner.”
She further told Barnett that at other HM facilities, she would
be considered as a nonemployee, and was not allowed to go to
their breakrooms or distribute literature or engage in solicita-
tion of any kind at those other facilities. (Tr. 402–403.)
Tuska-Wagner also recalled meeting with Hagen in early
November, and the latter telling her that employees did not
need prior approval to speak with fellow RNs about unioniza-
tion, but that she, Hagen, “did not want a table or anything that
resembled a booth in the cafeteria,” and that employees could
not use a table, or put up posters or signs, or “anything along
those lines.” (Tr. 648.) Hagen told Tuska-Wagner that she
preferred that employees went table to table and handed things
out individually in a nondisruptive manner. She also told
Tuska-Wagner that employees were not permitted to stand by
the entrance to the cafeteria and talk to employees as they en-
tered and exited. When Tuska-Wagner pointed out that going
table to table might be more disruptive because employees
wouldn’t have a chance to decide if they did or did not want a
union, Hagen responded that “that is how they wanted it done;
that was the preferred method.” (Tr. 652.)
Barnett’s and Tuska-Wagner’s above undisputed testimony
regarding the cafeteria incident and their subsequent conversa-
tions with Bond and Hagen is credited. Based on said testi-
mony, I find that Menorah, through Sabia, violated Section
8(a)(1) of the Act by prohibiting Barnett and Tuska-Wagner
from soliciting employee support for the Union and distributing
union literature in its cafeteria, and insisting that they first ob-
tain permission and approval from management before engag-
ing in such protected activities. Teletech Holdings, supra; Lake
Holiday Manor, supra; Blossom Nursing Center, supra; Bruns-
wick Corp., supra. Neither the subsequent assurances provided
by Bond to Barnett or by Hagen to Tuska-Wagner, that they
need not obtain permission to solicit or distribute literature in
the cafeteria, constituted an effective disavowal or repudiation
of Sabia’s unlawful conduct under the standards outlined in
Passavant Memorial Area Hospital, supra. I also agree with
the General Counsel’s assertion on brief (p. 72) that Allison’s
unexplained conduct of taking photos of Barnett and Tuska-

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 382
Wagner as they were packing up their union literature and tak-
ing down the union signs could reasonably have been viewed
by Barnett and Tuska-Wagner, as well as by any other employ-
ees who happened to be in the cafeteria at the time, as attempts
by Menorah’s management to keep tabs on the union support-
ers. Accordingly, I find that Allison’s conduct in photograph-
ing the employees unlawfully created an impression of surveil-
lance, and violated Section 8(a)(1).46
F. Overland Park47
1. The no-solicitation/no-distribution policy
Overland Park’s restriction on employee solicitation and dis-
tribution at the workplace, in pertinent part, reads as follows:
(See GC Exh. 67[a]; also GC Exh. 4.)

The solicitation of employees and the distribution of written
or printed materials of any nature . . . by and to employees of
our organization, is prohibited at all times in all patient care
and treatment areas of our organization. This includes eleva-
tors, stairs, corridors, entrances, exits, main lobby, sitting and
waiting rooms, and other areas adjoining or accessible to pa-
tient rooms and patient care or treatment areas. The solicita-
tion of employees by employees in other areas of our organi-
zation is restricted to non-working time during the employees’
scheduled hours. Employees are not to come to our facility
during non-scheduled hours for the purpose of solicitation and
distribution. The phrase “non-working time” as used here in-
cludes the non-working time of both the employee or em-
ployees doing the solicitation or distribution and the employee
or employees to whom such solicitation or distribution is di-
rected.

While not questioning the validity of Overland Park’s prohi-
bition on employee solicitation and distribution in patient care
and treatment areas, the General Counsel nevertheless contends
that the above policy’s ban on that activity in areas of the
hospital such as “stairs, entrances, exits, main lobby, and other
areas adjoining or accessible to patient rooms and to patient
care and treatment areas” “exceeds the lawful bounds of prohi-
bition” required for such a rule to be considered valid under
current Board and court precedent. (GC Br. 92.) I agree with
the General Counsel, for areas of a hospital such as stairs, en-
trances, exits, and main lobbies are generally not viewed as
“immediate patient care areas” to which a ban on solicitation
and distribution would be presumptively justified. Southern
Maryland Hospital, 293 NLRB 1209, 1219 (1989) (main en-
trance); Rocky Mountain Hospital, 289 NLRB 1347, 1360
(1988) (lobby); Presbyterian/St. Lukes Medical Center, 258
NLRB 93, 98 (1981) (first-floor lobby, visitors’ lounge, stair-
ways); Eastern Maine Medical Center, 253 NLRB 224, 227
(1980) (main lobby). Overland Park has presented no evidence

46 While not alleged as a separate violation in the complaint, this
conduct was fully litigated at the hearing and is therefore properly
before me for resolution.
47 The General Counsel’s unopposed motion to withdraw complaint
par. 5(d)(iv), alleging that supervisor Hicks disparately prohibited
employees from being at Overland Park’s facility on days they were not
scheduled to work, is hereby granted (GC Exh. 101 fn. 72).
to show that the extension of its ban on employee solicitation
and distribution to the above-named nonpatient care areas was
needed to prevent a disruption of patient care or a disturbance
of patients.
Regarding the further language in the above provision ban-
ning solicitation in “other areas adjoining or accessible to pa-
tient rooms and to patient care and treatment areas,” I find that
language too vague and ambiguous to support a presumption of
validity. Arguably, this language could be read to prohibit
solicitation and distribution of union literature in hospital eleva-
tors and stairs, generally not considered patient care areas,48
since elevators and stairs obviously provide access to floors
where the patients’ rooms and patient treatment and care areas
are located. The Board has stated that [a]ny ambiguity in a
particular prohibition “which sweeps so broadly as to put in
doubt an employee’s right to engage in union solicitations pro-
tected by the Act without fear of punishment by his or her em-
ployer is construed against the employer which formulated that
prohibition.” Altorfer Machinery Co., 332 NLRB 130 (2000);
Also Eastern Maine Medical Center, supra at 225.
The General Counsel further contends, and I agree, that the
prohibition in the above rule on employees “[coming] to our
facility during nonscheduled hours for the purpose of solicita-
tion and distribution” is also unlawfully broad. In Tri-County
Medical Center, 222 NLRB 1089 (1976), the Board held that
an employer’s no-access rule for off-duty employees will be
deemed valid only if it (1) limits access solely with respect to
the interior of the plant and other working areas; (2) is clearly
disseminated to all employees; (3) applies to off-duty employ-
ees seeking access to the plant for any purpose and not just to
those employees engaging in union activity. Thus, except
where justified by business reasons, a rule that denies off-duty
employees entry to parking lots, gates, and other outside non-
working areas will be found invalid. Here, the language at
issue does not provide the clarity required under Tri-Medical to
constitute a valid no-access rule for off-duty employees. The
rule, for example, does not define the term, “facility.” Thus, it
is unclear if the term “our facility” in the rule applies strictly to
the interior portions of hospital, or whether it also includes the
outside areas of the hospital such as the parking lots, adjacent
sidewalks, and outside walkways. As the judge in Eastern
Maine Medical Center, supra at 1361, noted, with Board ap-
proval, “to be considered as not unduly restrictive of Section 7
rights, such a [no-access] provision must apparently, on its
face, be limited to access to the interior of the facility.” See also
Lafayette Park Hotel, 326 NLRB 824, 828 (1998). Overland
Park’s no-access rule, as noted, contains no such limitation and
48 While the Board has upheld bans on solicitation in elevators and
stairway areas of a hospital, it has done so not because it deems them to
be “immediate patient care areas” but because the hospital in question
had met its burden of showing that the ban was justified because the
elevators and stairs at issue were predominantly used for the movement
of patients and emergency equipment. See Presbyterian/St. Luke’s
Medical Center, supra. Indeed, the Board in Presbyterian/St. Luke’s
went on to find that the hospital’s further ban on solicitation in areas
like main entrances, stairs, corridors, which were dedicated solely to
patient care but which was for general use by everyone at the facility
had not been justified and was invalid.

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 383
is, at best, ambiguous, rendering it invalid under Tri-County
Medical, supra. Nor has Overland Park offered any business
justification for maintaining such an overbroad no-access rule
for off-duty employees. Accordingly, Overland Park’s no-
access rule for off-duty employees is invalid and unenforceable.
Finally, Overland Park’s policy contains a provision requir-
ing “any employee who discovers persons making unauthorized
solicitations, distributions, or postings” to report it to “his/her
Coordinator or the Human Resources Department immedi-
ately.” This provision too is invalid. As the General Counsel
correctly points out on brief, this “reporting” provision effec-
tively requires employees to make a subjective determination of
whether the solicitation or distribution activity they observe
other employees engage in constitutes a breach of Overland
Park’s no-solicitation policy, parts of which, as found above,
are facially invalid. Thus, the possibility that employees, un-
aware of the unlawful nature of several of the policy’s provi-
sions, would report lawful incidents of solicitation and distribu-
tion by other employees to Respondent is very real. Such a rule
clearly has an inhibiting and chilling effect on employee exer-
cise of their Section 7 rights, for employees might very well be
reluctant to engage in such lawful activity for fear that they
would be reported to, and possibly disciplined by, the Respon-
dent for such activity. Accordingly, I find that the “reporting”
requirement in the policy has the effect of unlawfully restrain-
ing and coercing employees in the exercise of their Section 7
rights, and thus violates Section 8(a)(1) of the Act. Hawkins-
Hawkins Co., 289 NLRB 1423, 1424 (1988); Dunes Hotel, 284
NLRB 871, 878 (1987); Montgomery Ward, 269 NLRB 598
(1984). By maintaining and, as shown below, enforcing its
above unlawful no-solicitation/no-distribution policy, Overland
Park is found to have violated Section 8(a)(1) of the Act, as
alleged.
2. The writeups of Anita Carr and Sharyn Johnson
Carr is employed as a registered nurse at Overland Park’s
cardiac cath lab. On October 26, she and Johnson received
verbal warnings from Overland Park’s CEO, Kevin Hicks, for
soliciting union support and distributing union literature during
their off-duty hours at various nurses’ stations,49 and because
an employee had complained of feeling “compromised” by
their union activities (see GC Exhs. 2[a], 3). Carr admits that
she, Johnson, and a third employee, RN Jill Hollrah, distributed
union literature and solicited nurses at the various nursing sta-
tions on October 23, from 12 midnight to 4 a.m. on October 23.
Hicks did not personally witness their activities but rather based
his decision to issue the writeups on a report he received from
Overland Park’s vice president of patient care, Sarah Fields.
(Tr. 26.) Hicks gave two reasons for deciding to issue the
writeups. First, that the activity “occurred at a nursing station,”
which he contends was an “inappropriate place for . . . solicita-
tion to occur,” and second, that “it occurred at a time when
[Carr and Johnson were] not regularly scheduled to work . . .
and had come back to the hospital for that purpose.” Hicks,
however, did not cite the report of an employee feeling com-

49 Carr admits she and Johnson engaged in their activities at the 2
West, 2 South ICUs, and mother/baby nurses’ stations (Tr. 114).
promised by Carr’s and Johnson’s union activities as a reason
for the verbal warning although it is clearly reflected in the
writeup.
Fields, like Hicks, did not have first-hand knowledge of
Carr’s and Johnson’s activities, and testified that she learned of
it around 4 a.m. on the day of the incident from the on-duty
supervisor, Kasey Morrison, who reportedly learned of it from
an employee identified only as Darbi. According to Fields,
Darbi purportedly told Morrison that the union activity was
taking place at the nurses’ stations, and that she, Darbi, had felt
“uncomfortable” with the union remarks Carr and Johnson
made to her. On receiving Morrison’s report, Fields instructed
her that Carr and Johnson should move their activities to the
breakroom. (Tr. 76–78, 86.) Fields claims she and Hicks then
discussed the concerns they had with Carr’s and Johnson’s visit
to the nurses’ stations, as well as the timing of the visits, and
also reviewed the hospital’s solicitation and distribution policy.
According to Fields, her chief concern about the activities un-
dertaken by Carr and Johnson was one of safety. She explained
that Carr and Johnson had failed to check in with security when
they entered the facility during their off-duty hours. (Tr. 83.)
They concluded that Carr’s and Johnson’s conduct amounted to
a violation of the policy and agreed to issue them verbal warn-
ings. Carr then prepared the writeups. Although Hicks, as
noted, testified that there were only two reasons for the write-
ups, Fields included in the writeup as another reason for the
discipline Darbi’s alleged complaint about feeling compro-
mised by Carr’s and Johnson’s union activities.50 Fields and
Hicks admitted that neither of them questioned Carr or Johnson
about the October 23 events before deciding to issue the verbal
warnings. Fields and Hicks thereafter met with Carr on Octo-
ber 26, at which time she was given the warning, attached to
which was a copy of the hospital’s above-described no-
solicitation/no-distribution policy Hicks recalls telling Carr
that the warning was being issued in part because “she was in
violation of Overland Park’s rules by being at its facility dis-
tributing union material at a time that she was not scheduled to
work.” (Tr. 26.) Hicks and Fields held a similar meeting with
50 Fields’ testimony regarding the Darbi incident is somewhat con-
fusing and not very credible. Fields admits she never actually spoke
with Darbi to get her version of events, and instead heard of the inci-
dent from Morrison. She subsequently claimed that she also spoke with
Darbi’s supervisor, Kathy Conder. Conder purportedly reported to
Fields that Darbi had indicated that she was “sick of the conversation”
with Carr and Johnson and didn’t want to participate in it. According
to the Fields, her description in the write-ups of Darbi having felt com-
promised came not from Darbi herself but rather from Conder who
used the term because Darbi had allegedly “felt like she was in a com-
promised position because she could not get out of the conversation,
[and] felt like she had to participate.” Her entire description of this
incident has the very distasteful odor of fabrication. Neither Conder,
Morrison, or Darbi were called to corroborate Field’s testimony in this
regard. For her part, Carr, who was never asked to provide her version
of events before the decision to issue the writeups was made, had no
recollection of having had an encounter with an individual like Darbi
who might have appeared distressed by her union talk. In these cir-
cumstances, I place no credence whatsoever in Fields’ testimony re-
garding the Darbi incident, and consequently find that Overland Park
has not established that the Darbi incident in fact occurred.

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 384
Johnson on November 1, during which he gave her the identical
verbal warning that had been issued to Carr days earlier (GC
Exh. 3).
Carr testified that on October 26, her supervisor, Fran Ma-
rencik, led her to Fields’ office where she met with Fields and
Hicks. Marencik remained in the office, according to Carr.
Hicks proceeded to tell Carr that he hoped she would not feel
intimidated or threatened by the fact that she was outnumbered,
and Carr responded that she did not feel threatened because she
was among friends. Hicks then explained the reason for
writeup. Carr recalls Hicks stating that it had come to his atten-
tion that she had been passing out literature at the nurses’ sta-
tion and that such conduct “was a violation of the solicitation
and distribution policy.” Carr acknowledged engaging in union
talk with employees and distributing literature at the Hospital’s
nurses’ stations and admitted her conduct contravened the Hos-
pital’s no-solicitation/no-distribution policy. Hicks proceeded
to hand Carr a copy of the policy, expressed his intent to en-
force it, and informed Carr that she was not allowed to be at the
nurses’ station during nonworking hours. Fields then spoke up
and mentioned to Carr that certain union literature had been
found in a surgical area restroom to which patients and em-
ployees had access and that this was not an appropriate area for
such literature. Hicks added that it was Carr’s responsibility to
know where the proper areas were for the placement of such
literature. Carr admitted knowing what her responsibility was
in that regard but remarked that it was not her responsibility to
maintain the literature after she had placed it in the appropriate
places. Carr further testified that she found the writeup to be
“fairly objective,” and recalls that Hicks and Fields gave her an
opportunity at that meeting to give her side of what occurred on
October 23, and to ask questions about the writeup. (Tr. 115–
116.) She also recalled reading the part in the writeup about an
employee feeling compromised by her activity but testified she
had no knowledge who the employee was or of having had any
discussion with an employee on October 23, who might have
felt compromised. In fact, she denied having an angry or hos-
tile exchange with anyone during the course of her October 23,
activities. Johnson did not testify in this proceeding, nor was
the individual who purportedly first called Morrison to com-
plain either fully identified or called as a witness.
I agree with the General Counsel that the disciplinary write-
ups of Carr and Johnson were unlawful. Thus, I reject as with-
out merit Overland Park’s claim that it was justified in issuing
the writeups to Carr and Johnson because of their failure to
comply with its no-access rule for off-duty employees, for said
rule is, as found above, invalid and unenforceable under Tri-
County Medical Center, supra, and any disciplinary action
taken pursuant to an unlawful no-solicitation rule is likewise
unlawful. Saia Motor Freight Line, Inc., supra. Overland
Park’s further defense, that Carr and Johnson were lawfully
disciplined for engaging in such activities at the nurses’ sta-
tions, also lacks merit. Nurses’ stations, as previously dis-
cussed, are generally not considered immediate patient care
areas, and a ban on employee solicitation and distribution in
such areas is therefore presumptively invalid unless Overland
Park can establish that the ban was needed to avoid a disruption
in patient care or a disturbance of patients. Overland Park, I
find, has made no such showing here. Accordingly, I find that
the writeups issued to Carr and Johnson violated Section
8(a)(3) and (1) of the Act.
3. Additional 8(a)(1) allegation
On November 18, Carr, Johnson, and employee Stephanie
Lininger, all of whom were not scheduled to work that day,
went to Overland Park’s cafeteria to solicit employee support
for the Union and distribute literature. They were accompanied
by Union Organizer Krivosh. Upon arriving, somewhere
around 11 a.m., these three employees used a table to place
their union literature, and propped up on a chair a sign contain-
ing the Union’s mission statement. Carr claims that soon after
setting up the display, Hicks approached and, after
acknowledging knowing both Carr and Johnson, asked Lininger
her name and whether she worked for Overland Park. After
Lininger identified herself as an employee of the Hospital,
Hicks asked all three employees if they were scheduled to work
that day, and each replied they were not.
Addressing himself to Carr and Johnson, Hicks told them
that while he had not discussed this particular issue with them
during their October 26 disciplinary meetings, “according to the
policy that I gave you, you are not supposed to be here solicit-
ing or distributing on your non-scheduled day to work.” Hicks
then showed them a copy of the Hospital’s policy, stating that
as CEO of the Hospital, he was going to enforce the policy and
asked them to leave. Carr responded that she already had a
copy of and was being guided by Health Midwest’s corporate
policy which, in her view, permitted her to be in the cafeteria
during nonscheduled worktime. As she attempted to hand
Hicks a copy of HM’s corporate policy, Hicks refused to accept
it, stating, “I am enforcing the policy that I gave you and ac-
cording to that policy, you are not allowed to be here. I am
going to have to ask you to leave and you definitely can’t have
your signs up.” When Carr asked if there was a definite policy
banning the use of signs, Hicks stated he was not sure and
would check on it, but that when he returned the signs had to be
down. Carr then asked what would occur if they were not
down, but Hicks repeated that they had better be down, and left
the area.
However, he returned some 15 minutes later by which time
Carr and Johnson had taken down the signs. On his return,
Hicks told Carr and Johnson (Lininger had already left) that as
CEO of the Hospital, he was going to enforce the policy and
demanded that they leave the premises. Carr declined to leave,
stating she had a right to be there. Hicks, who from Carr’s
perspective appeared to be getting upset, again insisted that
they leave, but Carr replied that the Hospital’s policy violated
the law because she had a right to be in the Hospital. Hicks
responded that if Carr had a problem with the Hospital’s policy,
there were proper grievance channels she could follow. Carr
answered back that that had already been done on her behalf by
the Supreme Court in its Beth Israel decision. When Carr
sought to provide him with literature pertaining to that decision,
Hicks became upset, demanded that she and Johnson leave, and
asked what they were going to do. Carr replied that she was
staying put. Both sides kept repeating their respective posi-
tions, and at one point, Hicks asked how they would feel if he

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 385
got “a bunch of supervisors to stand around your table.” Carr
responded that she had no problem with that, and asked if
Hicks wanted to read her literature. Hicks, who apparently was
sitting down by now, got up, took a handful of the literature
from the table, and remarked, “You are going to have to leave.”
Krivosh intervened at this point, telling Hicks that he was vio-
lating Carr’s and Johnson’s rights, and advising that they were
leaving. Hicks asked Krivosh who he was, and the latter, ac-
cording to Carr, replied either, “I am Michael,” or “That
doesn’t matter, we will leave now.” When Hicks extended his
hand and introduced himself to Krivosh, Krivosh simply told
him they were leaving, picked up the union material, and de-
parted.
Hicks’ testimony regarding this incident corroborates Carr’s
version of events. Thus, he admits having an encounter with
Carr and Johnson in the Overland Park cafeteria, but could not
recall when it occurred, or if Lininger was present. He recalls
telling Carr and Johnson that they were not permitted to dis-
tributed literature during their nonscheduled workday, and bas-
ing his decision on the language in the above-cited no-
solicitation/no-distribution policy which, inter alia, states that
“[t]he solicitation of employees by employees in other areas of
our organization is restricted to nonworking time during the
employees’ scheduled hours. Employees are not to come to our
facility during non-scheduled hours for the purpose of solicita-
tion and distribution.” (See GC Exh. 4.) Hicks confirms that
Carr made mention of Health Midwest’s policy and recalls
telling her that he intended to enforce Overland Park’s, not
Health Midwest’s, policy. He had some, albeit vague, recollec-
tion of mentioning to Carr about having supervisors sitting
around their table. Finally, he admits directing Carr and John-
son to remove the signs, and asking them to leave the premises.
Hicks’ conduct in prohibiting Carr and Johnson from solicit-
ing and distributing union literature in Overland Park’s cafete-
ria during their nonscheduled work hours, and in evicting them
from the hospital premises, was clearly unlawful, for it was
based on a no-access rule for employees which, as the General
Counsel correctly points out and as found above, does not pass
muster under Tri-County Medical Center, supra, as it is not, on
its face, limited to the interior portions of Overland Park’s ac-
tual facility but could reasonably be read to include the exterior
portions of the Hospital’s premises. Hicks’ above conduct
therefore violated Section 8(a)(1) of the Act. Further, I agree
with the General Counsel that Hicks’ remark to Carr and John-
son, on how they would feel if he had supervisors surround
their display table, was coercive and violative of Section
8(a)(1). As found above, Carr and Johnson were within their
rights to solicit and distribute literature during their nonwork
time in the cafeteria, a nonwork area. Hicks’ above suggestion
about having his supervisors surround Carr’s and Johnson’s
display table, came in response to Carr’s insistence that she had
a right to be in the cafeteria distributing literature and was stay-
ing put, and was clearly intended to coerce Carr and Johnson
into ending their Section 7 activity in the cafeteria. As such,
Hicks’ remark was unlawful and, as stated, a violation of Sec-
tion 8(a)(1).51
G. Respondent Lee’s Summit Hospital
1. The 8(a)(1) allegations
a. The no-solicitation/no-distribution policy
Lee’s no-solicitation/no-distribution policy is virtually iden-
tical to that maintained by Respondents HM and Research.
Accordingly, for the reasons stated above regarding the latters’
policy, Lee’s no-solicitation/no-distribution policy is found to
be overly broad and presumptively invalid. As Lee neither
claims, nor presented evidence to show, that its ban on em-
ployee solicitation and distribution in nonpatient care areas
during nonworktime was necessary to avoid a disruption of
patient care or disturbance of patients, its maintenance of such
an overly broad rule violates Section 8(a)(1) of the Act. It fur-
ther violated Section 8(a)(1) by distributing the Q&A memo
(see discussion above about HM’s distribution of the Q&A
memo).
b. Supervisor Dean McKim’s interrogation of employees
Joan Wheeler and Dana Forred
The complaint alleges that Respondent Lee, through McKim,
unlawfully interrogated RN’s Wheeler and Forred, both of
whom are directly supervised by McKim. Wheeler and Forred
both provided testimony regarding this incident. Wheeler testi-
fied the incident occurred on January 17, in the breakroom as
she ate lunch. The breakroom, she explained had bank of mail-
boxes for the general use of nurses. As she sat in the break-
room, Forred entered and they began some general talk about
their children. Soon thereafter, McKim entered the breakroom,
pulled some union literature that was stored in a nurse’s mail-
box and asked them what they thought of it. Forred replied,
“[I]t’s about time.” Both Wheeler and Forred testified that
McKim then went on to make additional comments as to what
to expect if the Union came in. While there are some minor
variations in their respective testimony as to what McKim said,
Wheeler and Forred essentially corroborate each other regard-
ing McKim’s remarks.
A composite of their testimony reveals that following
Forred’s “it’s about time” response to McKim’s inquiry on how
they felt about the Union, McKim went on to say that in some
ways, “having the union at Lee’s Summit Hospital would make
my job easier.” By way of example, McKim pointed out that if
any disciplinary action had to be taken against a nurse, he
would not have to handle it himself but would instead defer it

51 While Hicks’ comment was not specifically alleged as a violation
in the complaint, the matter was fully litigated at the hearing and is
therefore properly before me for consideration. The General Counsel
contends that Hicks also threatened Carr and Johnson with unspecified
reprisals by insisting they have the union signs down by the time he
returned from checking on whether Overland Park had a policy prohib-
iting the posting of signs in the cafeteria. The General Counsel, I fear,
reads too much into Hicks’ remark, for I find nothing particularly coer-
cive or threatening in said remark. Accordingly, I disagree with the
General Counsel that Hicks’ remark in this regard amounts to a viola-
tion of the Act.

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 386
the union steward, or that if a nurse needed an unexpected day
off for any emergency at home, he would not have to get in-
volved with it and would again defer the matter to the union
steward. According to Wheeler, McKim further stated that “in
a situation where we were short staffed and needed help, he
would no longer be required to come in and help us because
only dues-paying union nurses would be able to care for pa-
tients at the bedside,” commented that the unionization of Lee’s
Hospital “would make it difficult to hire new nurses,” and sug-
gested that nurses who refused to work mandatory overtime
could be fired once the union was on the scene. Along these
lines, Forred recalls McKim stating that overtime would be
mandatory once the Union came in, that the Union would dic-
tate to employees when to strike, and that employees would not
have a say in the matter. His last words to them, Wheeler re-
calls, was that by unionizing, the nurses “would cause the hos-
pital to be shut down and that management and ancillary staff
would be offered other positions at other facilities, but not nec-
essarily the union nurses.” When Wheeler asked whether he,
McKim, really believed the Hospital would close down,
McKim replied, “Yes I do, I believe that’s what would hap-
pen.” Forred recalls that following this latter remark by
McKim, she commented that his remarks “could be construed
as a threat.” McKim replied, “I’m not threatening you, I just
want you to know the facts.” (Tr. 576–578, 583–586.) McKim
was not called to testify. Accordingly, I credit Wheeler and
Forred and find that McKim made the above remarks to them
following his initial question regarding the union literature.
The complaint alleges, and I agree, that McKim unlawfully
interrogated Wheeler and Forred by asking what they thought
of the union flyer. The inquiry was clearly intended to ascer-
tain how both felt about the Union. Forred’s reply that it’s
about time suggests that Forred understood the question to
mean how he and Wheeler felt about the Union. While not
denying that the above incident took place, Respondent does
argue that McKim’s single inquiry on how Forred and Wheeler
felt about the Union was neither coercive nor unlawful under
Rossmore House, supra. I disagree, for McKim, as noted, did
not confine her discussion to this one question but rather im-
mediately followed the question with what I find were unlawful
threats of more stringent working conditions (e.g., mandatory
overtime, staff shortages), a closure of the facility, and a loss of
jobs if the Union were brought in. In this regard, I reject as
without merit Respondent Lee’s contention that McKim was
simply expressing his opinion as to the likely negative results
that might occur if the Union was certified, for nothing in
Forred’s and Wheeler’s description of McKim’s remarks sug-
gests that they were factually based or reflected “demonstrably
probable consequences beyond Respondent Lee’s control.”
Gissel Packing Co., supra at 618. Consequently, I find that
McKim’s threats of more adverse working conditions, business
closure, and job loss violated Section 8(a)(1) of the Act.
Viewed against this background, McKim’s initial inquiry of
how Wheeler and Forred felt about the Union was neither
harmless nor innocuous. Rather, given the unlawful threats that
followed, I am convinced this “single question” by McKim was
intended to serve as a prelude to McKim’s real purpose of dis-
couraging Forred and Wheeler, via the threats made by McKim,
from supporting the Union. In these circumstances, and con-
sidering the background of hostility and other unlawful conduct
in which it occurred, McKim’s question is found to have been
coercive and a violation of Section 8(a)(1).
H. Respondent VNA/VNS
VNA/VNS, as noted, is a home health care agency owned
and operated by Respondent Health Midwest which delivers
home health care to patients in eleven counties around the Kan-
sas City, Missouri metropolitan area using registered nurses,
physical, occupational, and speech therapists, medical social
workers, and home health aides. While its principal office, as
stated, is in Kansas City, Missouri, it also maintains an office in
Lexington, Missouri, some 50 to 60 miles east of Kansas City.
Its Kansas City location is situated in a building owned by Trin-
ity Lutheran Hospital from which VNA/VNS leases its facility.
(See GC Exh. 68[b].) As noted, on January 19, the Union filed
a petition seeking to represent VNA/VNS’ nurses, which was
served on VNA/VNS on January 21. In addition to the various
unfair labor practice allegations discussed below, VNA/VNS is
also alleged by the Union to have engaged in objectionable
conduct which interfered with the election held March 30, re-
quiring that it be set aside and that a new election be conducted.
I address first the complaint allegations.
1. The 8(a)(1) allegations52
a. The no-solicitation/no-distribution policy
As previously noted, VNA/VNS’ policy, with minor modifi-
cation (see discussion at sec. II,A above), is virtually identical
to Respondent HM’s corporate policy. For the reasons set forth
above regarding the invalidity of HM’s corporate policy,
VNA/VNS’ is likewise found to be overly broad and unlawful
under the holdings in Beth Israel Hospital v. NLRB, and St.
John’s Hospital, supra, as its prohibition on employee solicita-
tion and distribution in areas to which patients have access, like
HM’s policy, clearly extends to nonpatient care areas, and
VNA/VNS has offered no evidence to justify that the ban on
solicitation and distribution in nonpatient care areas was needed
to avoid a disruption of patient care or disturbance of patients.
On brief, VNA/VNS argues that because its nurses provide
nonacute care to patients in their homes rather than in its of-
fices, “the only location where the challenged portion of the
solicitation and distribution policy could be read to prohibit
organizing activities would be in the homes of the patients
VNA serves” Such a policy prohibiting solicitation and distri-
bution in the homes of patients, it argues, is not overbroad or
objectionable. (R. Br. 53.) Its argument is without merit.
There is, for example, no evidence that Respondent VNA/VNS
ever advised its employees to disregard the express language of
its rule prohibiting solicitation and distribution in areas typi-
cally found in a hospital setting, or that its no-solicitation/no-
distribution policy should be construed by them as extending to
patients’ homes. Indeed, the operative words here are con-

52 The General Counsel’s unopposed motion to withdraw, for lack of
evidence, complaint par. 5(g)(vii), alleging that Supervisor Cindy
Miller unlawfully interrogated employees sometime in November is
granted. (GC Br. 17.)

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 387
tained in Respondent’s own argument, to wit, that the policy
could be read, not that it should be or was intended to be read,
as applicable to home settings rather than hospital settings.
Clearly, if VNA/VNS intended its no-solicitation policy to
apply only to home care settings, it could have easily modified
its existing policy to reflect that intent. As it did not do so, the
policy remains as written, leaving employees to read and un-
derstand the policy to mean that they were precluded from ex-
ercising their Section 7 right to solicit and distribute union lit-
erature not only in patient care areas of a hospital facility, but
also in nonpatient care areas of that facility.53 Accordingly, by
maintaining an overly broad no-solicitation/no-distribution
policy, VNA/VNS is found to have violated Section 8(a)(1) of
the Act, as alleged.
b. Alleged unlawful conduct by Supervisor Cheryl McKee
McKee serves as VNA/VNS’ manager of central intake and
of the hospital home health coordinators and has supervisory
authority over nurses, including RNs Jean Buford and Rita
Murphy. Buford and Murphy testified regarding statements
made to them by McKee in late October or early November.
Buford recalls McKee asking her and Murphy into her office
and stating that she wanted to discuss some union activities that
were going on at VNS. According to Buford, McKee told her
and Murphy that if they joined a union, it could affect their
jobs. McKee, Buford further recalls, mentioned that if they
formed a union, insurance companies that currently had con-
tracts with VNA/VNS “would not want to do business with our
company, and VNS may lose its insurance contracts . . . be-
cause they would be fearful of working with a company that
would strike.” Buford testified she felt McKee was trying to
intimidate them and was frightened by her remarks because
supervisors had previously told employees that “if we don’t
please Blue Cross, we can lose our contract.” (Tr. 863–872.)
Murphy provided limited testimony regarding this particular
meeting.54 Thus, she recalls McKee rhetorically asking them if
insurance companies would want to sign contracts with a home
health agency whose nurses might go on strike.”
Although called as a witness, McKee was not questioned
about, and consequently did not deny, the remarks attributed to
her by Buford and Murphy. Accordingly, I credit Buford and
Murphy and find, in agreement with the General Counsel, that
McKee effectively threatened Buford and Murphy that support-
ing or bringing in the union would result in a loss of jobs. I

53 The term “immediate patient care area” is, in my view, broad
enough to include within its definition a patient’s home when the home,
rather than a hospital facility, is being used to medically treat the pa-
tient. In these circumstances, a ban on solicitation and distribution in a
home care setting would, under Beth Israel Hospital v. NLRB, supra, be
presumptively valid. Here, however, VNA/VNS’ policy makes no
reference whatsoever to home health care settings. Rather, a plain
reading of the restrictions on solicitation and distribution contained in
VNA/VNS’ policy makes clear that they were intended to apply to
hospital, not home health care, settings. (See GC Exh. 67[b].)
54 Murphy provided limited testimony not because she had no further
recollection of anything else being said by McKee during this meeting,
but because the General Counsel chose not to pose any additional fol-
low-up questions in an effort to exhaust her recollection of that inci-
dent. (Tr. 1294.)
find nothing in Buford’s or Murphy’s description of McKee’s
remarks to suggest that the latter was simply making a fact-
based prediction of economic consequences beyond
VNA/VNS’ control if the Union were brought in. Gissel Pack-
ing, supra. The threat of job loss was connected solely to the
Union’s arrival. Given Buford’s admission that she felt intimi-
dated and frightened by McKee’s comment, McKee’s threat
may indeed have achieved its intended effect. McKee’s re-
marks were therefore unlawful and a violation of Section
8(a)(1).
Employee Jean “Nora” Hersh has worked for VNA/VNS as
an RN for 10 years. She testified to having a conversation with
her supervisor, McKee, concerning the Union sometime in
November. According to Hersh, during this November conver-
sation McKee asked her to step outside the office building and
then asked her if she was aware of the union activity taking
place at VNA/VNS. Hersh recalls McKee explaining that she
wanted to talk outside because “we could not talk about Union
activity in the building, in our department in particular, because
we had freestanding walls, and not solid walls.”55 Hersh re-
sponded to McKee’s inquiry by stating she had heard rumors, at
which point McKee asked how she felt about it. Hersh told
McKee she would listen to the pros and cons of a union but that
was leaning towards supporting the Union as she had family
members who were affiliated with a union. She recalls McKee
stating that she did not have to answer any of her questions, but
gathered from McKee’s facial expressions that the latter wanted
her to respond. Hersh’s testimony regarding this incident was
not contested by McKee.
Hersh claims she had another encounter with McKee in or
around mid-February as she was walking down a hallway in her
office area. On that occasion, McKee saw her and asked aloud
what her position was regarding the Union. Hersh responded
that she was still prounion and that her father and brother both
were union members and had done quite well for her family.
McKee responded that that was when Hersh was still young,
and not now that she was married. She then asked Hersh if her
family had suffered at all now, and Hersh replied that her hus-
band had recently been outsourced from his job of 21 years and
lost all his benefits, and commented that if he had had a union
he might have been able to keep some of his benefits. McKee
replied, “If you’d had a Union, he probably would have lost his
job.”
A subsequent conversation between the two took place on
March 22. Hersh testified, without contradiction, that she was
called to McKee’s office that day and, once there, McKee be-
gan discussing how the Union would strike if brought in, and
stating that while the Union would probably include a no-strike
provision in their contract, it could nevertheless strike before
the contract went into effect. Hersh was reluctant to get into
any discussion on the subject, and when McKee at one point
55 I read McKee’s remark about not wanting to talk about the Union
inside VNA/VNS’ offices not as a ban on such discussion but rather as
an effort on her part to avoid having what she was about to say to Hersh
overheard by others. Thus, I do not agree with the General Counsel
that McKee’s remark about wanting to discuss the matter outside was
itself unlawful.

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 388
asked, “Aren’t you going to talk?” Hersh replied, “No com-
ment.” McKee asked Hersh if that’s the way it was going to be,
and Hersh again repeated that she had no comment to make.
McKee, however, continued to pepper her with questions and
after stating several more times that she had no comment,
Hersh finally stated, “I just wish not to argue the situation with
you, the issue.” McKee replied that they did not have to argue,
and Hersh responded, “Well, then I wish not to debate it with
you.” McKee then pulled out and showed to Hersh a pamphlet
containing statistical information on the amount of weeks of
work and the money lost by employees due to strikes. McKee
further mentioned that their department would soon be receiv-
ing some personal computers, but that if the nurses went on
strike and Hersh honored the strike, she would not be available
to receive the training on the computers needed to perform her
job. At some point, Hersh got up to leave and as she started to
walk away, McKee commented, “Well, I can’t believe that our
working relationship has gotten this bad.” Hersh turned around
and replied that their working relationship has never been bad.
According to Hersh, she and McKee had always been friendly
with each other and gotten along well, and were able to have
friendly discussions about their families, except when they
discussed the union. (Tr. 828.)
I find that McKee’s questioning of Hersh in November and
again in February regarding her views on the Union, and her
repeated attempts in March to engage Hersh in a discussion
about the Union, constituted unlawful interrogations. In so
finding, I note that these were not isolated incidents. Rather, as
will be shown below, McKee’s unlawful conduct was directed
at other employees as well and, more importantly, occurred
against a background of hostility and additional unlawful con-
duct engaged in by other VNA/VNS management personnel.
In these circumstances, McKee’s interrogations of Hersh were
clearly coercive and violations of Section 8(a)(1). Westwood
Health Care Center, supra. I also find that McKee’s February
remark about how Hersh’s husband would have lost his job if
he had had a Union amounted to an implied threat of a similar
consequence to Hersh if she continued to support the Union and
violated Section 8(a)(1). I further find that McKee’s March
comment to Hersh on how the Union’s arrival would result in a
loss of work and money, and her suggestion that Hersh might
not receive the computer training needed to perform her job if
she supported the Union during a strike also violated Section
8(a)(1), as they constituted retaliatory threats of loss of work,
diminished compensation, and loss of benefits should the Union
prevail. Yolo Transport, Inc., 286 NLRB 1087, 1092 (1987).
Finally, McKee’s comment about the deterioration in their
working relationship after Hersh refused to engage in any dis-
cussion about the Union would reasonably have conveyed to
Hersh that McKee would now view their working relationship
in an unfavorable light. I find McKee’s remark in this regard
constituted an implicit threat that Hersh would now be treated
differently because of her refusal to engage in union talk with
McKee, and violated Section 8(a)(1) of the Act.
RN Marilyn Farrell, employed as a hospital home health care
coordinator by VNA/VNS primarily at Kansas University
Medical Center (KUMC), is also supervised by McKee. She
testified that on or about January 26, she was in the KUMC
cafeteria with fellow employee Ruth Theis and McKee, and
that the latter during that conversation told her and Theis that
Health Midwest had already notified VNS that it would close
VNS if the Union got in. Theis did not testify.
McKee was asked about and did recall having a conversation
with Farrell and Theis on January 26, during which they dis-
cussed “potential concerns as far as Union activity.” She ex-
plained that this conversation came about following some con-
cerns expressed to her by various job applicants she had been
interviewing. McKee claims that during these interviews, the
applicants, who were formerly employed by St. Luke’s Hospi-
tal, volunteered to her that they had been “downsized” by St.
Luke’s Hospital, another area hospital, and that they were con-
cerned about the future of home health care and that, while still
part of the St. Luke’s Health system, feared they may not be in
the future. McKee testified that she shared the concerns of
these job applicants with Farrell and Theis, and told them
“there was a potential that may happen with [VNA/VNS] or
Health Midwest” because the latter were similar in their work-
ing capacities with St. Luke’s Health System. McKee recalls
that following her discussion of what the applicants had dis-
closed to her, Farrell asked if McKee was threatening them, and
McKee purportedly responded that what she was saying was
“not a threat, its just a potential assumption.” McKee recalls
further mentioning to Farrell and Theis that if the Union were
to win the upcoming election, its victory, coupled with the an-
ticipated changes that were expected in Medicare reimburse-
ment methods, “may really affect the productivity at VNA and
our ability to survive dollar-wise.”
Clearly, McKee’s version of the January 26, conversation
differs from that provided by Farrell. Although McKee pro-
vided a more detailed version of that encounter, I found her
account unpersuasive. Initially, nothing in McKee’s version
explains why she would have brought up the issue of the Union
with Farrell and Theis following her alleged discussions with
the job applicants from St. Luke’s. Thus, even if I were to
believe, and I do not, that McKee had such discussions with the
former St. Luke’s employees, nothing in her description of
what they said to her suggests that St. Luke’s problems were
somehow union related. Thus, McKee’s version reflects only
that St. Luke’s may have been “downsizing” its operations. I
am more inclined to believe Farrell’s assertion that McKee told
her and Theis that Health Midwest had already decided to close
its VNA/VNS operations if the Union got in. Regarding
McKee’s comment, no evidence was produced to establish that
such a decision had in fact been made by Health Midwest or
VNA/VNS. Further, if intended as a prediction, McKee’s re-
mark that VNA/VNS would close was not carefully phrased on
the basis of objective fact to convey VNA/VNS’ belief as to
demonstrably probable consequences beyond its control, as
required by Gissel Packing, supra. Accordingly, I find that
McKee’s remark constituted an unlawful threat that VNA/VNS
would close its facility if the employees voted to bring in the
Union. Madison Industries, 290 NLRB 1226, 1229–1230
(1988).
Farrell also testified that on March 24, she met with McKee
in a VNS conference room to discuss some difficulties she was
having adjusting to KUMC and felt that her coworker, Theis,

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 389
who had been at KUMC longer than Farrell, was not being very
supportive. McKee suggested that Farrell may be going
through things all new employees go through but that in time
she, Farrell, would probably be more accepted at KUMC. She
further suggested that maybe Farrell should bake some cookies
so as to endear herself to the KUMC employees. Farrell stated
her belief that there were other things at play, citing as exam-
ples Theis’ alleged refusal to let Farrell know when she had a
phone call, and her belief that Theis spoke negatively about her
in conversations with other employees. McKee, at that point,
told Farrell, “You know, your feelings on the Union aren’t
helping things, I’m sorry, your feelings on certain issues aren’t
helping things.” When Farrell replied that she was able to
separate her feelings about the Union from the workplace,
McKee responded that “not everybody can do that, that people
that were anti-union were feeling very strongly about not hav-
ing a union, that they felt their future was in jeopardy.” McKee
then added that before a contract was signed, the nurses might
have to go on strike, and then handed Farrell a document, simi-
lar to one McKee had handed to Hersh, reflecting how a strike
would adversely impact Farrell’s salary and cause her financial
hardships. Farrell took the document and left.
I find McKee’s March 24 comments to Farrell to be unlaw-
ful. VNA/VNS’ suggestion on brief, that McKee was merely
attempting to help Farrell feel more comfortable in her work
environment, ignores the fact that McKee, rather than attempt-
ing to mediate whatever problem existed between Farrell and
Theis, instead laid the blame for Farrell’s difficulties on her
support for the Union, and proceeded to tell Farrell how her
support for the Union would lead to a strike should the Union
win, which would, in turn, result in adverse job consequences,
such as a loss of wages and financial hardship for Farrell.
Thus, rather than helping Farrell feel more comfortable,
McKee’s remarks I am convinced would have had opposite
effect. More importantly, McKee’s threats of job loss and other
financial hardship were, in my view, clearly designed to coerce
Farrell into withdrawing her support for the Union. As such,
they violated Section 8(a)(1) of the Act.
McKee is also alleged to have unlawfully interrogated RN
employee Patricia Gallagher on or about February 18. Galla-
gher explained that McKee invited her to her office and then
commented that she had seen Gallagher on TV and in the
newspaper. Gallagher replied, “Oh, you saw that did you?”
McKee said yes, and then asked, “What are your feelings or
your thoughts about the Union?” Gallagher told McKee she
had just begun to learn about it and was trying to keep an open
mind. She further explained that she had been very cautious
about not learning much of the Union yet because she needed to
concentrate on learning her new job in Central Intake, and had
told fellow workers who asked her to attend union meetings
that she was not interested. Gallagher’s testimony was not
contested by McKee and is therefore credited and found to have
constituted an unlawful interrogation in violation of Section
8(a)(1). As found above, McKee’s conduct in this regard was
simply one of many instances of coercive interrogations and
other unlawful conduct committed by McKee, rendering it co-
ercive. Westwood Health Center, supra.
On March 3, McKee had another meeting with Gallagher
during which she gave the latter a copy of VNA/VNS’ tardiness
guidelines and stated that several employees, including Galla-
gher, had not been coming to work on time, and that this would
have to change because with the Union coming in, “things were
going to be stricter and we had to be there on time.” Gallagher
recalls that on March 13, she was late for work due to car trou-
ble. She claims she notified McKee about her problem and her
inability to find a ride to work, and asked if McKee could count
this as a sick day as she was also recovering at the time from a
recent operation. McKee told her she would have to come and
was counting on her being at work. Gallagher eventually made
it to work that day at around 11:30 a.m. and met with McKee.
Gallagher sought to negotiate with McKee about not getting
written up for her tardiness that day. McKee agreed not to
write her up. One week later, after Gallagher had put in her
timesheet for the week, McKee called her and stated that she
had not written her up for being tardy on March 13, but would
not negotiate with her in the future, and pointed out that “if the
Union came in, there would be no further negotiations.” Galla-
gher also recalls McKee stating that she knew Gallagher was
for the Union and which employees would be voting for and
against the Union. (Tr. 1001.) Finally, while she could not
recall when it occurred, Gallagher recalled McKee also com-
menting that she knew Gallagher was angry at Health Midwest.
Gallagher responded, “Well, you know as well as I do that
Health Midwest frequently doesn’t treat their employees very
nicely.” McKee then brought up the subject of negotiating over
tardiness stating that “if the Union comes in, there will not be
any further negotiations with her,” and that “she would not be
able to help us in any way, even to pick up a piece of paper to
do a referral.”
I find McKee’s March comments about things becoming
stricter, and that she would no longer negotiate with Gallagher
over her tardiness or help employees in any way, were clear
threats of harsher working conditions which VNA/VNS would
impose on employees if they chose the Union to represent
them, and not a permissible prediction made on the basis of
objective facts to convey VNA/VNS’ belief as to demonstrably
probable consequences beyond its control. Gissel Packing,
supra. The threats were therefore coercive and unlawful, and
violated Section 8(a)(1) of the Act. Fieldcrest Cannon, 318
NLRB 470, 484 (1995); St. Vincent’s Hospital, 244 NLRB 84
(1979); Fidelity Telephone Co., 236 NLRB 166 (1978).
c. Alleged unlawful conduct by admitted Supervisor
Cindy Miller
Miller is alleged to have unlawfully interrogated RN Tera
Watkins about her union sympathies sometime in mid-January,
and again on or about February 22; and interrogated RN Julie
Giltner in or around late February. Miller is also alleged to
have threatened Watkins on or around March 29, with more
onerous working conditions if the Union were brought in. Both
Watkins and Giltner testified; Miller did not.
Regarding the Watkins’ incidents, the latter testified that she
been working for VNA/VNS for a short period of time and had
not yet met Miller who she identified as her “clinical manager.”
In mid-January, she went to Miller’s office and introduced

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 390
herself to Miller and, after some small chat, Miller remarked,
“I’m sure you’re aware that there has been some Union activity
at VNS.” Watkins answered yes, that she had received some
flyers in her mailbox and had spoken to nurses about it. Miller
then proceeded to ask Watkins what she thought about the Un-
ion. Watkins sought to avoid giving Miller a direct answer by
stating that she had learned about Unions while in college and
at first thought it was a good idea, but that the more she got to
learn her job she was no longer sure a union would be a good
idea. The conversation ended at that point. I credit Watkins’
undisputed account and find that Miller’s mid-January ques-
tioning of Watkins on how she felt about the Union amounted
to an unlawful interrogation. In so doing, I note that Miller’s
questioning of Watkins was simply part and parcel of a larger
pattern of interrogations and other unlawful antiunion conduct
engaged in by VNA/VNS. Westwood Health Care Center,
supra. Watkins’ attempt to avoid giving Watkins a direct an-
swer to her question suggests that she may have feared reveal-
ing her prounion sympathies. In these circumstances, and given
that the questioning occurred in Miller’s own office, I find that
the interrogation was coercive and in violation of Section
8(a)(1) of the Act.
Watkins testified to meeting with Miller again on February
22, soon after attending a meeting conducted by Supervisor
Richard Roberson involving the Union, to review some matters
discussed at a staff meeting. Watkins recalls that the first thing
Miller did was to hand her a copy of the AFT constitution, a
union financial statement, and other documents she could not
identify. When Watkins remained silent on receipt of the
documents, Miller asked her, “You’re not going to talk to me
about this, are you?” Watkins replied, “No,” that she did not
want to talk about it and was tired of talking and hearing about
it, noting that she had just come from Roberson’s meeting
where the sole topic was the ongoing union activity. Miller
then asked how the Roberson meeting had gone, and Watkins
proceeded to mention some of the issues that were brought up,
including the nurses’ mistrust of management and how there
were issues that the nurses felt should have, but were not, ad-
dressed. Watkins proceeded to tell Miller about the problems
she herself was having at VNS, such as her workload, safety
issues, travel to unsafe neighborhoods, etc. Miller at that point
became aggravated with Watkins and with her face turning red,
asked Watkins, “Well, what do you think the Union is going to
do about that?” Watkins responded that at least there would be
somebody that she could talk or go to if she had problems like
that. According to Watkins, Miller conceded that she had a
point. Miller’s renewed attempt, a little over a month after her
prior unlawful interrogation of Watkins, to draw the latter into
another discussion of the Union despite the latter’s stated un-
willingness to do so, amounted to a further unlawful interroga-
tion and violated Section 8(a)(1). I also find that Miller’s rhe-
torical question, on what Watkins thought the Union could do
on the issues Watkins felt needed addressing, implicitly con-
veyed to Watkins that support for the Union was an exercise in
futility because the Union would be unable to solve her job-
related concerns. Miller’s remark in this regard is also found to
be a violation of Section 8(a)(1). Zartic, Inc., 277 NLRB 1478,
1480 (1986).
Finally, Watkins testified to receiving a voice mail from
Miller on March 29, the day prior to the Board election stating
she, Miller, had seen Watkins’ picture on a prounion poster and
commented that she believed the Union “was not the right way
to go for nursing.” Miller then criticized Watkins about not
coming to the office often enough, and about her paperwork
being sometimes a week or two late. Miller went on to tell
Watkins that if the Union were voted in, her job performance
may not be acceptable and that the Union might file a grievance
if it believed Watkins was receiving special treatment. Miller
then suggested that Watkins reconsider her position. Watkins
claims she felt threatened by Miller’s voice mail message and
that on informing Miller about her feelings, Miller apologized,
stating that she did not intend for the voice mail to be threaten-
ing but that she had tried on several occasions to discuss the
matter with her but felt Watkins was avoiding her. Miller’s
remarks, I find, constituted a threat that the Union’s arrival on
the scene might lead to more stringent working conditions for
Watkins, and violated Section 8(a)(1).
As to Giltner, the latter testified that sometime in mid- to late
February, she was in Miller’s office when Miller reminded her
that she had a mandatory meeting with Roberson at 10 a.m. that
morning. Giltner told Miller she had a very heavy load of pa-
tients on her schedule and that she could either go to the
Roberson meeting, or tend to her patients. Miller then asked
what Giltner’s stance was on the Union, and Giltner replied she
was prounion. Miller replied that there was therefore not much
point in her attending the meeting, that she should proceed with
her patients’ visits, and that if any change occurred Miller
would let her know. Giltner had a second conversation with
Miller by phone on March 28, 2 days prior to the election, dur-
ing which she mentioned seeing a prounion poster with Gilt-
ner’s photo and signature, and wanted to verify if Giltner had
authorized it. Giltner replied that she had, at which point Miller
stated that she was just checking because this was something
she needed to verify with everyone identified on the poster.
Miller’s questioning of Giltner regarding her stance on the
Union clearly served no legitimate purpose and was designed
simply to ascertain whether or not she was a union supporter.
Miller made no effort to explain the purpose of the meeting,
although implicit in her response is that the mandatory meeting
would be focusing on union matters. I find it highly unlikely,
given Miller’s other unlawful conduct, that Miller’s question
was merely an innocent attempt to ascertain whether or not to
“justify” allowing Giltner to skip the meeting. Miller certainly
knew what the meeting was about, otherwise she would have
had no need to ask the question in the first place. Knowing full
well that the purpose of the meeting was to address union is-
sues, Miller could have made a determination on her own as to
whether Giltner’s attendance at this meeting was more impor-
tant than having Giltner attend to her patients, and could there-
fore have excused Giltner from attending without asking Gilt-
ner where she stood on the union issue. Accordingly, I find
that Miller’s question to Giltner on where she stood on the
Union was coercive and violated Section 8(a)(1).

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 391
d. Alleged unlawful conduct by admitted Supervisor
Pat Tenner
RNs and fellow coworkers Jacqueline Mosier and Celeste
Michelson testified to an incident that occurred in late January
involving their immediate supervisor, Tenner. Both testified
that as they were in a team room engaged in a personal conver-
sation, Tenner approached them and made comments about the
Union. Michelson recalls Tenner first handing them a small
packet and stating that she would not spend too much time
talking because she knew where Mosier and Michelson stood.
Both Mosier and Michelson testified that Tenner then stated,
“[I]f the Union got in, Health Midwest would cut us loose.”
Mosier recalls Tenner adding that she did not think VNA/VNS
could survive. She also recalls telling Tenner, “Oh, Pat, Health
Midwest won’t cut us loose; they need a home health compo-
nent,” and Tenner answering, “Oh, I don’t know about that.”
Tenner did not testify. Accordingly, I credit Mosier and
Michelson and find that Tenner’s remarks constituted an
unlawful threat that Health Midwest would shut down its
VNA/VNS operations if the Union got in. Nothing in Mosier’s
or Michelson’s description of Tenner’s comment about Health
Midwest cutting VNA/VNS loose should the Union prevail was
based on objective facts conveying VNA/VNS’ belief as to
demonstrably probable consequences beyond its control. Gis-
sel Packing, supra. Tenner’s remark is therefore found to have
violated Section 8(a)(1).
e. Alleged unlawful conduct by admitted Supervisor
Sarah Kerr
RN employee Marcia Garman testified that sometime in
early to mid-December, her supervisor, Kerr, told her that “if
the Union came into [VNA/VNS], she [Kerr] could lose her
job.” Garman expressed surprise at Kerr’s remark and replied
that she could not imagine that would happen. Kerr, however,
stated that “if the Union came in, the nurses would make a lot
of demands, and in order for VNA/VNS to meet the demands
. . ., they would probably have to let some of the supervisors
go.” Kerr did not testify. VNA/VNS, in any event, does not
deny the remarks were made. Rather, its description of Kerr’s
remarks as speculative is tantamount to an admission that Kerr
made the remarks. (R. Br. 47.) I therefore credit Garman and
find that Kerr’s remark constituted an implied threat of more
adverse working conditions should the Union prevail. By
VNA/VNS’ own admission, Kerr’s statement that the nurses’
bargaining demands would be so excessive as to cause
VNA/VNS to let supervisors go, was speculative and not based
on fact. Garman, therefore, had no way of ascertaining the
truth of Kerr’s assertion, but could reasonably have believed,
given Kerr’s supervisory position, that she was speaking with
some authority, and expressing VNA/VNS’ intent to dismiss
supervisors should the nurses’ demands at the bargaining table
be excessive. Dismissing, and thereby reducing, the number of
supervisors assigned to staff nurses would in all likelihood
negatively impact the manner in which nurses performed their
work, thereby adversely affecting their working conditions. In
these circumstances, I find that Kerr’s remarks were coercive
and violative of Section 8(a)(1).
Garman testified, again credibly and without contradiction,
to another conversation with Kerr on or around March 7, during
which the latter told her that if the Union got in, VNA/VNS
would not be so flexible with the nurses as it had been in the
past. According to Garman, when nurses in the past needed
time off for a doctor’s or dentist’s visit, Kerr had allowed them
to take an hour or two without being docked for the time, pro-
vided there was sufficient staff available to cover the work. On
other occasions, Kerr had been flexible by allowing nurses to
make up the time by coming in earlier or working through their
lunch break. Kerr, however, stated that with the Union’s arri-
val, “they wouldn’t be flexible with us anymore,” that nurses
would be docked for the time off, or would have to take either
vacation or sick leave. Kerr went on to say that if nurses went
out on strike once the Union came in, VNA/VNS would use the
strike against them by freezing all raises and insurance benefits
during the negotiation process. Under the current system, ac-
cording to Garman, nurses received periodic raises based on a
yearly evaluation in addition to a yearly cost of living increase.
The General Counsel contends, and I agree, that VNA/VNS,
through Kerr, violated Section 8(a)(1) by telling Garman that if
the Union came in, employees would no longer enjoy the flexi-
bility they currently enjoyed, Mercy General Hospital, 334
NLRB 100 (2001), and by stating that wages and other benefits
would be frozen. Pyramid Management Group, Inc., 318
NLRB 607, 608 (1995).
Utilization nurse employee, Patricia Sue Smith, testified
credibly and without contradiction, that on March 6, she sent
Kerr an e-mail requesting the afternoon off to take her son to an
orthodontic appointment. (GC Exh. 40.) Kerr called Smith and
approved her request for time off. The following morning,
Kerr, according to Smith, caught her in the hallway and stated,
“Susie, I just want you to know that if the Union gets voted in, I
[Kerr] may not be able to grant you time off like I did yester-
day.” Smith also testified that on March 22, she sent Kerr an-
other e-mail requesting several days off as vacation days, one
of which was March 30, the date of the Board’s election. (GC
Exh. 41.) Kerr then sent Smith an e-mail on March 23, approv-
ing, with some modification, the vacation days requested by
Smith. (GC Exh. 42.)
On March 30, one of her requested and approved days off,
Smith served as the Union’s observer during the Board elec-
tion. On April 4, Kerr summoned Smith to her office and pre-
sented her with a disciplinary writeup for being off on March
30. Smith objected stating she had in fact requested that day
off in her e-mail. Kerr replied that if she had, she apologized
for the error. Kerr began looking through her folder of em-
ployee e-mails but could not find Smith’s e-mail. She then got
up, went to her office, and returned a short while later with a
folder which contained Smith’s e-mail. Kerr told Smith that
she had been right all along and apologized to Smith for the
error.
The General Counsel contends, and I agree, that Kerr’s
March 7, remark to Smith about how she would not be able to
grant Smith any time off if the Union came in, was unlawful
and a violation of Section 8(a)(1). Mercy General Hospital,
supra. I do not, however, agree with the General Counsel that
Kerr’s further conduct in questioning Smith about being off on

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 392
March 30 was unlawful. Thus, I am convinced that Kerr sim-
ply misread Smith’s initial e-mail requesting time off. Kerr, as
noted, immediately apologized to Smith for the mistake and no
disciplinary action was ever taken against Smith due to this
error. I find the allegation on wrongdoing by Kerr regarding
this incident to be tenuous at best and insufficient to sustain an
8(a)(1) finding.
f. Alleged unlawful conduct by CEO and admitted
Supervisor Richard Roberson
Gallagher testified to attending a staff meeting in late Febru-
ary during which Roberson told employees, “I promise you that
if the Union comes in, I will be adversarial. Garman recalled
attending a meeting conducted by Roberson during which
Roberson made a similar remark to a group of some 15 nurses.
Thus, she recalls Roberson stating that if the Union came to
VNA/VNS, Health Midwest would get them the best attorneys
that money could buy, and they would make negotiations very
difficult for the nurses. Roberson then put up a pie chart pur-
porting to show where VNA/VNS’ money was going, and
stated that there “there really wasn’t any room left for the
nurses to get any more than they had or were currently getting.”
Finally, she recalls Roberson commenting that things were
going to be very adversarial between management and nursing
if the Union came in. Gallagher’s and Garman’s testimony was
unrefuted. On these facts, I am inclined to agree with the Gen-
eral Counsel that Roberson, through his remarks, sought to
convey the impression that supporting the Union would be an
act of futility because VNA/VNS intended to make negotiations
very difficult, implicitly suggesting, in my view, it would not
bargain in good faith, and because it had no money to give. His
further remark about management becoming very adversarial
with the nursing staff was a clear threat that employees could
expect more arduous working conditions. The above remarks, I
find, were coercive and violations of Section 8(a)(1). Hahn
Property Management Corp., 263 NLRB 586 (1982).
g. Alleged unlawful conduct by admitted Supervisor
Carol Cronkhite
Uncontradicted testimony by employee Mary Ellen Hill re-
flects that she attended an employee meeting in late February
conducted by Supervisor Cronkhite during which the latter told
employees that if the Union was voted in, “people who needed
allowances for child care would not have as much leeway as
they presently have,” and that “possibly supervisors would not
be allowed to go and do home visits when the field staff
[nurses] needed relief from home visits.” I credit Hill’s unre-
futed testimony and find that Cronkhite’s remarks, which
VNA/VNS neither contends nor has shown them to be, based
on objective facts, constituted unlawful threats of more adverse
working conditions should the Union be brought in, in violation
of Section 8(a)(1) of the Act.
h. Alleged unlawful conduct by RN Connie Grisham
Employee Grisham is a nonsupervisory employee of
VNA/VNS. The record reveals that on March 29, the day be-
fore the election, Grisham used VNA/VNS’ voice mail system
to send an antiunion message systemwide to all of VNA/VNS
nurses.56 In her voice mail, Grisham identifies herself as an
employee and gives her reasons for opposing the Union.
Roberson testified that he became upset on learning of
Grisham’s message because Grisham was not authorized to use
the voice mail system to send personal messages. He claims
that on hearing the message on the morning of March 29, he
consulted with legal counsel and, soon thereafter, spoke with
John Timmerman, Grisham’s immediate supervisor, and asked
him to call Grisham in as he wanted to talk to her. Grisham
showed up at Roberson’s office the following day, March 30.
At this meeting, Roberson claims he told Grisham that her use
of the voice mail had been inappropriate, that it was not to be
used to express an individual’s personal opinions, and that he
felt her conduct called for her to be counseled. Grisham apolo-
gized to Roberson stating she did not know the voice mail was
not be used in that fashion. This, according to Roberson, ended
the conversation.
The General Counsel contends that Grisham was an agent of
Respondent VNA/VNS rendering the latter liable for the al-
leged misconduct. VNA/VNS concedes that had the message
been sent by one of its supervisors, it would have violated the
Act. It contends, however, that Grisham was not an agent of
VNA/VNS when she sent the message and that her conduct is
therefore not attributable to it. I find merit in VNA/VNS’ con-
tention.
In ascertaining whether an employee is acting as agent of an
employer while making a particular statement, the Board ap-
plies common law principals of agency. The test used by the
Board is whether “under all the circumstances, the employees
would reasonably believe that the alleged employee agent was
reflecting company policy and speaking and acting for man-
agement.” Cooper Industries, 328 NLRB 145 (1999). “In mak-
ing this determination, the question of whether the specific acts
performed were actually authorized or subsequently ratified
shall not be controlling.” An employer may have an em-
ployee’s statement attributed to it if the employee is held out as
a conduit for transmitting information from management to the
other employees. Id. Here, there is nothing in Grisham’s
statement to suggest that the latter was speaking for VNA/VNS
when she transmitted her voice mail to all employees.
Grisham’s message makes clear that she was expressing her
views on the Union after gathering her own facts regarding how
it would benefit her. There is no record evidence to indicate
that Grisham, at any time prior to transmitting her message, had
acted on VNA/VNS’ behalf in other matters, or served as a
conduit of information for VNA/VNS. In sum, I find the Gen-
eral Counsel has not demonstrated that Grisham was acting as
VNA/VNS’ agent when she transmitted her voice-mail message
so as to render VNA/VNS liable for her conduct, and shall
recommend dismissal of this allegation.
i. The March 30 activities outside VNA/VNS’ office
At around 5:30 a.m. on the morning of the Board’s March 30
election, union organizers and VNA/VNS employees, along

56 A tape recording of the message was received into evidence as GC
Exh. 69. A transcript of that recording was also received into evidence
as GC Exh. 16.

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 393
with employees of Menorah Hospital, gathered at the parking
lot outside VNA/VNS’ premises to greet and hand out flowers
and balloons to employees as they entered the facility presuma-
bly to vote and report for work. Employee Deanna Jones testi-
fied she was part of the group, and had arrived around 6 a.m.,
about the time the polls were scheduled to open. She recalls
seeing around 15 employees and some 5 union organizers al-
ready at the scene. Jones recalls that as the group was setting
up the helium gas tank for balloons some 20–30 yards from the
entrance, a couple of security guards approached and told them
they had been instructed to ask the group to leave. At one
point, Union Agent Krivosh, who was in the group, told the
security guards the nurses were exercising their rights and had
an absolute right to be there. Soon thereafter, Roberson ap-
peared and engaged in discussions with members of the group.
Jones recalls hearing Roberson stating that “this is very adver-
sarial and that we needed to leave.” In response to his
adversarial remark, Jones and other employees yelled that they
were simply handing out flowers and having a good time, that
they worked for VNA/VNS and were not leaving. Roberson
replied, “[Y]ou nurses need to go in the building and you need
to go somewhere or go in the building or to work, you can’t
loiter here.” Jones recalls Roberson commenting that he was
going back inside and calling either his attorney or consultant.
Following Roberson’s departure, Krivosh called the group to-
gether and told them he did not want to create an environment
where the police would be called, and told the employees they
had an absolute right to stay, but that he and the other union
agents would move away from the area to the public sidewalk.
According to Jones, Roberson returned a short while later,
accompanied by some security guards and by Jan White, and
began talking to another group of employees which included
employee Theresa Barnett. Jones claims she heard Roberson
tell the group that they had to leave, that this was a public
entrance and that the building was private property owned by
Trinity Lutheran Hospital. White at that point tugged on
Roberson’s shirt as if to pull him away. Roberson, according to
Jones, seemed to be getting upset during his discussion with the

gr

oup. Employee Mosier testified in like fashion as to the activities
outside the VNA/VNS offices on the morning of March 30.
Thus, she recalls security guards coming out and stating that
they had been instructed to move the group to the curb because
they were blocking the entrance. Barnett, Mosier recalls, told
the guards they were not blocking the entrance and were not
going to move. According to Mosier, Roberson came out soon
thereafter and stated, “You VNS nurses get in the building, the
rest of you get to the curb.” Barnett responded, “We’re en-
gaged in lawful Union activity protected under Section 7 of the
National Labor Relations Act, and we are not moving.” Mosier
recalls Barnett telling Roberson that he was making this con-
frontational. Mosier, like Jones, further recalls seeing White
tug on Roberson’s shirt and head back inside the building.
Barnett testified she arrived at the scene shortly after 5:30
a.m. to help hand out flowers to employees entering to vote.
She stayed until 10 a.m., but returned and continued her activi-
ties around 12:30 p.m. Like Jones and Mosier, she recalls secu-
rity guards coming out followed a short while later by
Roberson. The security guards, according to Barnett, first in-
quired of the group if they were employees, but when Roberson
came out, he told the entire group they had to leave the prop-
erty. Barnett told Roberson that she had a right to be there as
she was a Health Midwest employee, and did not intend to
leave. Barnett further told Roberson that it was his and the
security guards’ presence which had caused employees to
gather in a large group and resulting in a confrontation, to
which Roberson purportedly replied, “If you think this a con-
frontation, you wait until the Union gets in.” Roberson went
inside at that point. A short while later, security guards came
out again, asked the group of they were all employees of Health
Midwest, and when the group in unison responded, “Yes,” the
security guards told them they were going to have to leave the
property. Barnett responded that she was participating in pro-
tected activity under the Act. Barnett then noticed Roberson
and White standing a few feet away. She recalls Roberson
telling employees to get off the property or to go to the end of
the driveway. Barnett again responded that she was not leaving
and recommended that Roberson review Section 7 of the Act
and he would understand why she was not leaving. Roberson
and White then went back inside and the guards left the area.
Roberson’s testimony regarding the events of March 30, un-
derstandably differ in some respects from that provided by
Jones, Mosier, and Barnett. He recalls there being union organ-
izers present that morning, along with some VNA/VNS em-
ployees he recognized and some individuals who identified
themselves as Health Midwest employees. He testified he
stepped outside where the employees were on three occasions,
the first with a security guard, the second with White, and the
third with White and a security guard. The security guards, he
noted, were not employed by VNA/VNS but were instead hired
by Health Midwest to protect the facility.57 During his first trip
outside, Roberson recalls telling the group that they had to
leave, that “this was a public entrance, that they had no right to
block it.” Roberson recalls that one of the guards might have
expressed the need to get the Kansas City police involved. He
claims that he went back inside and returned a second time a
short while later to instruct the group to move away from the
entrance and that, if they wanted, they could go a green space
adjacent to the parking lot near the cross street. Roberson did
not recall any employee stating that they had a right to be there
and would not move, nor did recall telling employees of
VNA/VNS to go inside. He did recall someone mentioning the
word adversarial, and reference being made to Section 7 of the
Act.
I credit Jones, Mosier, and Barnett over Roberson regarding
the events of March 30. Roberson seemed somewhat argumen-
tative and not very cooperative. Roberson seemed angry at
having been brought to testify. He constantly glared angrily
and almost defiantly at the General Counsel, and repeatedly
shook his head as if expressing disdain for the entire proceed-
ing. His overall poor demeanor, coupled by his repeated, “I
57 The record does not make clear who the security guards worked
for. Although Roberson suggests they had been retained by Health
Midwest, the building, as noted, is owned by Trinity Lutheran Hospital.
There is no indication in the record of any relationship between Trinity
Lutheran Hospital and Health Midwest.

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 394
don’t know” to questions posed to him, lead me to reject his
testimony as simply not credible. Jones, Mosier, and Barnett,
while providing slightly different accounts of the March 30
incidents, nevertheless corroborated each other in most respects
and, in my view, testified in an honest and truthful manner.
The General Counsel contends, and I agree, that Roberson’s
attempt to remove the VNA/VNS employees, the Health Mid-
west employees, and the union organizers from the areas in the
parking lot adjacent to the building entrances was unlawful.
Although a lessee of the building, VNA/VNS has not demon-
strated, nor so much as argued on brief, that it possessed a suf-
ficient interest over the area in question, e.g., the parking lot,
entitling it to exclude said individuals from the property. Food
for Less, supra; Indio Grocery Outlet, supra. Having failed to
meet its burden of demonstrating the requisite property interest,
VNA/VNS’ attempt to exclude the various groups from the
parking lot area adjacent to the buildings entrances violated
Section 8(a)(1). I also agree with the General Counsel that
Roberson’s remark to Barnett, that VNA/VNS intended to be
confrontational with the Union, constituted a veiled threat that
VNA/VNS’ approach to bargaining would not be a good faith
one but rather confrontational in nature.
2. The 8(a)(3) allegations
a. Deanna Jones’ January 26 writeup
At all relevant times herein, Jones was employed by
VNA/VNS in its performance improvement department. Her
primary duties involved dealing with compliance, regulatory,
and reimbursement issues, and the performance of audits. In
December, Jones was reviewing a chart audit to identify the
documents that needed to be sent to Medicare for reimburse-
ment of services. On reviewing the chart, Jones noticed that
there were no 485s in the medical records.58 Unable to find a
form 485 for a particular patient, Jones sent the therapist who
provided the treatment, Denise Kendall, a voice-mail message
asking her to provide the 485 if available. On December 29,
Kendall replied by voice mail that she was unable to locate the
480 in question. Jones subsequently spoke with Kendall in
person and said that “it looks like we’re going to have to write
off these visits.” Kendall became defensive and replied that she
never gets to see the 485s and does not know if she has work
orders or not, and suggested that Jones do something about the
situation. Jones then went to her office and sent a voice-mail
message to most of the therapists on her work roster telling
them about the need for them to ensure that they received the
485s and suggesting that if matters did not improve they should
organize or do something to resolve the problem.
Jones also sent Kendall a separate voice mail letting her
know of the action she had taken. Jones also sent an e-mail to
Director of Regulatory Affairs Sue Habinger and Clinical Man-
ager Cronkhite, with copies to her immediate supervisor, Sarah

58 Before a therapist could provide physical therapy to a patient, he
or she must have a form 485 from a physician authorizing the treat-
ment. The form was apparently needed by VNA/VNS to receive com-
pensation from the Federal Government pursuant under the Medi-
care/Medicaid programs. A therapist who provided therapy without a
physician’s authorization risked losing his or her license.
Kerr, to Rehab Coordinator and Supervisor Denise Fine, and to
Social Work Coordinator Nancy Cossey regarding the 485s.
(See GC Exh. 30.) In her e-mail, Jones expresses her frustra-
tion at how the practice of therapists not receiving 485s has
been allowed to continue, and suggests that, if necessary, thera-
pists should file a grievance as a group to resolve the problem.
Jones notes in her e-mail her intent to notify Roberson of the
problem. That same day, Jones sent Roberson an e-mail reveal-
ing her concerns and frustration regarding the 485s. (GC Exh.
31.) Later on December 29, Fine responded by e-mail to Jones
stating therein that the problem discussed by Jones in her ear-
lier e-mail was in the process of being remedied. Thus, Fine
notes in her e-mail that clinical secretaries and managers had
been given instructions that 485s were to be photocopied and
forwarded to all active disciplines. Fine goes on to acknowl-
edge that “things aren’t perfect yet” and that in her conversa-
tions with therapists, she had learned that “some secretaries are
better than others about given them a copy of the 485.” (GC
Exh. 32.) On receipt of Fine’s e-mail, Jones immediately sent
another e-mail to Roberson, attaching to it Fine’s response,
apologizing to Roberson for her earlier memo to him because
she had just learned from Fine that the problem was being
fixed. (GC Exh. 33.) Later that day, Jones received an e-mail
from Habinger notifying Jones that the problem about the 485s
was being solved. Habinger concluded her e-mail by noting
that “[t]his is an old/new problem which should be resolved
now.” (GC Exh. 35.) Jones claims that she heard no more
about this incident until almost one month later, e.g., on Janu-
ary 26.
Jones, however, testified to an incident with Roberson that
occurred on January 19. That day, Jones recalls, she met with
some 8–10 employee union organizers in the VNA/VNS recep-
tion area and from there went to Roberson’s office. Jones
claims she tapped on the door, observed Roberson seated at his
desk facing his computer, and asked to speak with him.
Roberson gestured her inside and as he turned to face Jones,
noticed that she was accompanied by a group of employees.
Jones then handed Roberson a letter, a copy of which she read
aloud to him, asking that he voluntarily recognize the Union as
the employees’ exclusive bargaining representative. (GC Exh.
36.) Before she could finish reading, Roberson, according to
Jones, interrupted to say he was “very upset and angry” at them
for doing this, that it had caught him at his worst. He then
stated he would not agree to this because he didn’t think it was
good and that it was not what the agency needed. Jones recalls
Roberson stating how much the agency had been through, that
he didn’t know what this is going to mean. He indicated that he
had been trying to improve things, and pointed out by way of
example that he was trying to get laptop computers for nurses
to help with the paperwork, and was working on that just as
they walked in. He then commented that now with the union
stuff, he didn’t know what was going to happen with the lap-
tops, and didn’t know if he would have time now to work on it.
Jones recalls that at one point, Roberson turned to her and
commented, “I’m really upset and angry about you doing this.”
Jones replied that they were not there to fight or argue with
him, and that they could negotiate such matters later on. She
then directed Roberson to the bottom of the letter and com-

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 395
mented that the employees wanted to run the campaign without
having to be pulled away from their work and without coercion,
and suggested that he read the bottom portion of the letter she
had given him containing the request for recognition. With
that, Jones and the others left Roberson’s office. Jones went
back to her office and a short while later Roberson came by to
speak with her. In her office, Roberson repeatedly told Jones
that he was really angry and hurt by her conduct in coming to
his office without prior notice, and after repeating this theme,
told Jones, “Don’t ever do this again.”
Roberson’s version of the above incident is that Jones and
several other employees barged into his office and demanded
recognition from him on the Union’s behalf. He had no recol-
lection, however, of what Jones said to him, claiming he was so
“taken aback by these people barging into my office” that he
just started reading whatever it was they were reading, but
could not remember what was said. He does, however, recall
asking Jones and the group what they were doing barging into
his office, and telling them he did not intend to do anything,
would not read their letter, and would not recognize anything.
Roberson remembered little else about that encounter, stating
his inability to recall stemmed from the fact that Jones’ and the
other employees’ conduct in barging into his office was so
disruptive and so against everything he had seen his nurses do,
that it almost brought his secretary to tears. Roberson admits
being aware prior to this incident of the Union’s organizational
campaign.
On January 26, Jones was called to Jan White’s office and,
with Kerr and Habinger present, given a disciplinary writeup
for the December 29, e-mail to Habinger and Cronkhite. White
testified that on January 5, she, Habinger, former HR director,
Dennis Johnson, and Kerr met to discuss a written complaint
filed by Denise Fine regarding the voice mails and e-mails
Jones had sent. White claims Fine felt the messages had “cre-
ated some stress and tension between the [Rehabilitation Ther-
apy and Utilization Management] departments.” According to
White, she met three times with management to try to resolve
this complaint and to review the facts regarding Jones’ conduct.
White testified that at the first meeting, she did not have a copy
of Fine’s complaint with her, and that she essentially asked
those present if they had reviewed Jones’ file and whether there
had been any problems with Jones in the past. White claims
she understood from the meeting that Fine believed Jones was
creating a problem between her therapists and herself (Fine)
regarding receipt of the 485s and had become frustrated by
Jones’ actions. White purportedly met a second time with the
supervisors Kerr and Habinger on January 17, during which she
expressed the view that Jones should receive an oral warning
for her conduct. White claims she conducted an independent
investigation into Fine’s complaint by reviewing Jones’ per-
sonnel file, along with any and all documentation Fine had
submitted, including copies of the e-mails sent by Jones on
December 29. On January 26, she called Jones into the office
and gave her the oral warning writeup.
The writeup described Jones’ tone in the e-mail as angry. It
critiqued Jones for complaining about a method for handing
485s when a system had already been set up to address the
problem, and stated that Jones’ voice mail to the therapists had
been based on incorrect information. (See GC Exh. 18.) White,
according to Jones, explained that the delay in giving her the
oral counseling writeup occurred because she had recently
taken over the position around January 5 or 6, but had not as-
sumed her duties because of a death in the family. She claims
that she found the notice of corrective action that should have
been given to Jones earlier still on her desk when she returned
to work and decided to follow up on it. As Jones read the
writeup, White stated that she wanted Jones to understand that
they should be working as a team, and that if she had a problem
or concern she should go to her supervisor and let her know and
work together on it. After reading the writeup, Jones told
White that she had based her statements in the e-mail about the
485s on comments made to her by a well-respected therapist,
and that she herself knew that this had been a longstanding
problem dating back to the 1980s. Jones then inserted her own
remarks in the writeup and left.
Roberson testified that the day after Jones received her
writeup, he and White met to discuss the matter. He recalls
White informing him of the writeup during that meeting and
saying something to the effect that Jones admitted, “[S]he was
wrong in her broadcasting that message.”
Jones recalls that Kerr also left and both went to a confer-
ence room where they had a lengthy conversation. According
to Jones, Kerr began talking about a 4-hour “pride diversity”
workshop she had attended and provided information about the
workshop to Jones. At one point, Kerr mentioned that it might
already be too late for Jones as she had already made up her
mind about the Union. Kerr went on to say that she neverthe-
less felt it was important to let Jones know about the class, and
how Health Midwest is spending a lot of money on the class,
and that this was evidence that Health Midwest was interested
in improving things. Kerr acknowledged that there were prob-
lems at the workplace, that it had been a tough 2 years with all
the merging of the agencies, and went on to tell Jones that “now
you’ve gotten our attention and you know that we’ve got to
improve things and we’re asking for another year,” and that if
things did not improve in a year, Jones could do it (e.g., the
union drive) all over again. Kerr further told Jones that a “No”
vote against the Union might actually be more beneficial and
give Jones more power because VNA/VNS would not know if
it would eventually have a union and would be under closer
scrutiny, consequently giving her more power than if she did
have a union. Kerr then repeated that it might already be too
late for Jones because Jones had already made up her mind, but
that as she had not yet voted, it was not really over “until the fat
lady sings.” Kerr went on to express her appreciation to Jones
for being able to put her opinions about the Union aside and
being able to work together. She added that she did not want
Jones to think that she would have similar conversations like
this every day with Jones but that she had wanted to share this
information with that day and that they could now “just go on
and carry on work as usual.” (Tr. 609–610.) Kerr, as noted,
did not testify. I credit Jones’ above account regarding her
conversation with Kerr.
The General Counsel contends, and Respondent VNA/VNS
denies, that Jones was unlawfully issued the oral warning
writeup because of her union activities. Applying a Wright

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 396
Line analysis, I find that the General Counsel has made a prima
facie showing sufficient to support an inference that the writeup
was motivated if not wholly, at least in part, by Jones’ in-
volvement with and leadership role in the Union’s campaign.
There can no be no doubt given the January 19 incident in
Roberson’s office that the Respondent VNA/VNS was fully
aware of Jones’ active involvement with the Union. Further,
the numerous 8(a)(1) violations found herein to have been
committed by VNA/VNS’ supervisors and managers over an
extended period of time provides ample proof of VNA/VNS’
animosity towards the Union and its supporters. The timing of
the warning, 1 week after Jones made her January 19 request
for recognition on Roberson, supports an inference that the
warning was unlawfully motivated by her union activities. The
fact that VNA/VNS waited almost 3 weeks before informing
Jones that it did not approve of her e-mails and voice mails of
January 30, lends further support to such an inference. In sum,
I find that the General Counsel has satisfied his Wright Line
burden, and that the burden now rests with Respondent
VNA/VNS to establish that it would have issued the writeup
regardless of Jones’ union activity.
VNA/VNS has not, in my view, satisfied its burden here.
Initially, I was unimpressed by White’s testimony as to the
circumstances surrounding issuance of the writeup. Her expla-
nation as to the reasons for the writeup was somewhat confus-
ing and contradictory. White, for example, failed to provide a
straight answer as to what exactly Jones had done to merit the
writeup. Thus, asked why the writeup was issued, White ex-
plained that it was the e-mail Jones sent the therapists that trig-
gered the writeup. White was clearly wrong in this regard for
Jones never e-mailed the therapists but rather sent individual
voice mails to only certain therapists. Indeed, the writeup itself
is wrong for it states that Jones broadcasted a voice mail “to all
therapists,” when clearly she did not. Rather, Jones testified,
credibly and without contradiction, that she sent the voice mail
to a select group of therapists, and that she did so individually,
rather than through a general broadcast. Although White
claimed to have reviewed a log used to record voice mails that
are sent out, the log was never produced. White also claimed
that the writeup was initiated based on a complaint she received
from Supervisor Fine around January 5, regarding the Decem-
ber 29 e-mail and voice mails sent by Jones. Fine, however,
never testified, nor was the complaint allegedly prepared by her
ever produced, leading me to infer that Fine was not called
because her testimony would not have supported VNA/VNS’
explanation for the writeup, and that no such complaint was
submitted by her to White, as testified to by the latter. In short,
White’s testimony lacks any independent corroboration.
White’s uncertainty at the hearing as to what it was that Jones
had actually done wrong to merit the writeup undermines the
writeup’s very validity, as does the fact White, by her own
admission, never bothered to obtain Jones’ version of events
before issuing her the writeup.
Finally, I agree with the General Counsel that there was
nothing offensive or false about the e-mail messages Jones sent
on December 29, to the supervisors. As noted, in her response
memo to Jones, Fine readily admits that a problem regarding
distribution of the 485s to nurses had in fact existed but was in
the process of being remedied. Further, Habinger’s statement
in her e-mail to Jones, admitting that the distribution of the
form 485 was “an old/new problem” supports Jones’ claim as
to the existence of such a problem. In short, I find Respondent
VNA/VNS has not demonstrated that it would have issued
Jones the warning even if Jones had not been a union supporter.
I therefore further find that the warning issued to Jones was
indeed motivated by her union activities and violated Section
8(a)(3) and (1) of the Act, as alleged.
b. The March 29 disciplinary writeup of Mary Porter
Porter worked for VNA/VNS as a visiting field nurse making
home visits to patients pursuant to a physician’s order. She was
also an active union supporter. Thus, her name and photo were
included in a poster, along with other union supporters, that had
been posted at VNA/VNS’ facility during the week of March
27 and March 28. (See GC Exh. 29.) Porter recalls that on
March 28, Supervisor John Timmerman called her aside and
commended her on the work she had done the previous week
particularly since she was apparently working in a newer terri-
tory, asked her to keep up the good work, and whether there
was anything he could do to help her out. Porter replied that
she was currently doing OK, but was currently at her limit in
terms of patients to be seen, and would let him know if she
needed help. Timmerman told her to let him know if he could
help her out in any way.
On March 29, Porter received a call on her pager from Julie
Azinger. On returning Azinger’s call from her cell phone, Az-
inger told her she needed Porter to do an admissions. Porter
responded that she didn’t think she could handle another admis-
sion because she was currently behind on her paperwork from
the four admissions she had done the previous week. She told
Azinger that while she was available to do a visit, she could not
do another admission. According to Porter, the admissions
process requires the completion of some 17 forms and is a very
lengthy process lasting some 2 hours. Soon thereafter, on re-
turning from her lunch break, she received a message from
Timmerman to call him. A short while later, she received an-
other message to call the home office to pick up a voice-mail
message. As she was on highway heading south, she pulled
over and answered the message and spoke with Timmerman.
Timmerman told her she was needed to do an admissions that
same afternoon. Porter told Timmerman that she did not think
she could handle another admission as she was already behind
on her paperwork from the four admissions she had the week
before. She recalls telling Timmerman that she was still unac-
customed to the new territory she was covering and that while
she might be able to take on another visit, she did not feel she
could do the admissions because of the extensive amount of
work involved. When Timmerman asked if she was refusing to
the admissions, Porter replied that she was not refusing but
simply stating that she did not think she would be able to han-
dle the additional work. Timmerman told Porter that he wanted
to speak to her the following day.
Porter met with Timmerman and another supervisor, Evelyn
Cooper, at around 8:30 a.m. on March 30, at which time
Timmerman gave her a disciplinary writeup for her refusal to
do an admissions the previous day. Timmerman told her that

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 397
her offense was classified as a category I offense punishable by
discharge. He further stated that Porter had been insubordinate
which was grounds for dismissal but that he was letting her off
easy. Porter protested to Timmerman that giving her a notice
of corrective action was wrong as she had never previously
been told that declining or refusing a visit was grounds for dis-
ciplinary action. She further told Timmerman that she had, in
the past, refused visits and/or admissions and not only had she
not been disciplined for such refusals, it had not even been
called to her attention that they had a problem with refusals.
Porter testified that in the past she had both accepted add-on
patients for admissions and likewise declined to accept addi-
tional admissions on numerous occasions. She estimated that
she had on at least 24 other occasions declined to accept addi-
tional patient admissions or visits without repercussions or
being cautioned against it. Nurses Mosier, Watkins, Giltner,
and Charley Ducklow similarly testified to having on past occa-
sions turned down requests by staffing coordinators and super-
visors to take on an additional patient and were never repri-
manded or disciplined for doing so.59
The General Counsel, I find, has made a prima facie showing
under Wright Line sufficient to support an inference that the
writeup issued to Porter on March 30, for refusing to take on an
additional admissions assignment was motivated by antiunion
considerations. The evidence, in particular, the poster visibly
placed in VNA/VNS’ facility containing her name and photo
identifying her as a union supporter, establishes Porter as hav-
ing been engaged in union activity when the writeup was is-
sued. Further, while there is no direct evidence showing that
Respondent VNA/VNS had actual knowledge of Porter’s union
sympathies, Watkins’ and Giltner’s above-described credited
claims that Supervisor Miller contacted and questioned them
about their photos on the same poster, makes patently clear that
VNA/VNS’ management was fully aware of the poster and that
the employees shown thereon, including Porter, were union
supporters. Finally, the numerous 8(a)(1) violations committed
by VNA/VNS amply establishes its antiunion animus. The
timing of writeup, just a day or so after the union poster show-
ing Porter as a supporter, and on the very day the Board’s elec-
tion was being held, and just 2 days after Timmerman had
praised Porter for her good work and offered to help her out in
any way he could, provides a strong inference that the writeup
was unlawfully motivated by union considerations.
VNA/VNS, for its part, has not presented any credible evi-
dence to rebut the General Counsel’s prima facie case. Thus,
there is no evidence to show that its discipline of Porter was
consistent with any past practice. Indeed, the opposite appears
to be true, for Porter’s claim of having refused similar assign-
ments in the past without any adverse consequence was, as
noted, corroborated by nurses Mosier, Watkins, Giltner, and

59 Porter testified, without contradiction, that at one point near the
end of the meeting, Cooper stated to Porter that “[s]ome people are not
cut out for home care.” The General Counsel contends, on brief, that
Cooper’s comment violated Sec. 8(a)(1) because it was disparaging,
provocative, demeaning, and intended to provoke Porter into an argu-
ment. (GC Br. 44.) I disagree. While I credit Porter’s claim that Coo-
per made the remark, I view Cooper’s remark as nothing more than an
expression of opinion wholly unrelated to Porter’s union activity.
Ducklow who testified that they too had declined to accept
additional assignments without suffering any repercussions.
VNA/VNS did introduce into evidence as Respondent’s Exhibit
1, a notice of corrective action issued to Porter in November
1998 for “refusing to take a client’s call,” presumably to sup-
port its position that Porter had previously been disciplined for
similar conduct. Respondent’s Exhibit 1, in my view, does not
support VNAVNS’ case, for the writeup issued to Porter on
March 30, was not for refusing to answer a client’s call, but
rather allegedly for refusing to take on an additional admissions
patient. More importantly, the 1998 warning was issued to
Porter not by VNA/VNS but by a prior employer. VNA/VNS’
need to produce Porter’s disciplinary record from a prior em-
ployer regarding an unrelated disciplinary matter, coupled with
its failure to produce records of its own showing employees
were regularly disciplined for refusing assignments, leads me to
believe that, as testified to by Porter and the other nurses, no
such discipline has been imposed on employees in the past for
declining to take additional assignments of new admissions or
new patients. A blatant disparity in treatment is sufficient to
support a prima facie case of discrimination. New Otani Hotel
& Garden, 325 NLRB 928 fn. 2 (1998) In sum, I find that
Respondent VNA/VNS has not satisfied its burden of showing
that it would have issued the writeup to Porter on March 30,
even if she had not been a union supporter. Timmerman, I am
convinced, learned of Porter’s union involvement soon after
praising her work and used Porter’s refusal to take an additional
assignment as a pretext to retaliate against her for her decision
to support the Union. Accordingly, I find that the writeup is-
sued to Porter was unlawful and a violation of Section 8(a)(3)
and (1) of the Act.
c. The writeups of Gallagher and Hersh
The record reflects that on May 1, Gallagher and Hersh re-
ceived disciplinary writeups from their supervisor, McKee, for
excessive tardiness. (GC Exhs. 45, 55.) Respondent VNA/VNS
maintains written tardiness guidelines for employees which
defines the tardiness standard and the disciplinary action to be
taken based on an employee’s tardiness record. (R. Exh. 7.)
Thus, the standard, found in paragraph A,1 of Respondent’s
Exhibit 7, defines the tardiness standard as “no more than two
occasions of tardiness within 10 consecutive work shifts or no
more than seven occasions of tardiness within 40 consecutive
work shifts.” A “consecutive work shift” refers to the em-
ployee’s scheduled work shift. The disciplinary action to be
taken for breach of the tardiness standard is set forth in C,1 and
C,2 of Respondent’s Exhibit 7, and reads as follows:

1. An oral counseling should occur when an em-
ployee’s tardiness record reaches the tardiness standard.
. . .” When the employee’s tardiness record reaches this
point and comes to the attention of the supervisor, the su-
pervisor should counsel the employee concerning his/her
tardiness record. Documentation of the meeting should be
included in the department’s employee file.
2. An oral warning concerning tardiness should be
given if the following two conditions are met:

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 398
(a) If the employee is tardy on three or more occasions
within 10 consecutive work shifts, or eight or more occa-
sions within 40 consecutive work shifts, and
(b) If the employee had an oral counseling regarding
tardiness (refer to C,1 above) within the past year. (If the
oral counseling occurred more than one year prior to the
employee’s again exceeding the tardiness standard, the
employee should receive an oral counseling.)

The tardiness standard is no more than two occasions of tardi-
ness within 10 consecutive work shifts or no more than seven
occasions of tardiness within 40 consecutive work shifts.

Except for the different tardiness dates, the writeups issued
to Gallagher and Hersh contain essentially the same informa-
tion. Both describe the tardiness conduct as a “Category IV”
offense and classify the discipline meted out as an “oral warn-
ing.” VNA/VNS’ disciplinary guidelines, received into evi-
dence as Respondent’s Exhibit 8, lists an oral warning as the
first of a four-step progressive disciplinary process used in
category IV type offenses which include, inter alia, “excessive
tardiness.” (R. Exh. 8, p. 11.) Gallagher’s writeup states she
was tardy on April 7 and 14; Hersh’s warning shows her to
have been late to work on April 10, 14, and 24. Neither Galla-
gher nor Hersh deny being tardy on the dates shown on their
writeups.
Gallagher is a part-time employee, working Mondays,
Wednesdays, and Fridays. She came under McKee’s supervi-
sion in November 1999, after being hired into the central intake
department.60 McKee testified that since she began supervising
Gallagher in November 1999, and continuing through May 1,
when she was issued the writeup, Gallagher had been consis-
tently late to work 50 percent of the time. (Tr. 1818–1819.)
She subsequently changed her estimate to reflect that Gallagher
was late 25 percent, not 50 percent, of the time. (Tr. 1839.)
McKee claims that employees were not required to punch a
timeclock or record their time of arrival on timesheets, but that
she nevertheless knew whether employees such as Gallagher
were late because it was her practice every morning to pass by
the employee work stations to see if they had arrived. She con-
ceded, however, that there were times when she did not make
her rounds either because of a meeting or because she was too
busy at her desk. She testified that about 1 month after Galla-
gher began work, she gave Gallagher an informal evaluation of
her work. She could not, however, recall discussing any atten-
dance or tardiness concerns she may have had about Gallagher
during that informal meeting. According to McKee, during a
March 3 meeting, she provided Gallagher with a copy of, and
explained, VNA/VNS’ attendance policy. In her brief descrip-
tion of her meeting with Gallagher, McKee gave no indication
that she discussed or cautioned Gallagher regarding her tardi-
ness problem.

60 McKee was confused as to Gallagher’s start date in her depart-
ment, stating initially that Gallagher began in November 1999, but
adding during cross-examination that it could have been in February
1999. (Tr. 1814.) Only when shown Gallagher’s 1999 attendance cal-
endar (GC Exh. 85) did McKee concede that Gallagher began work in
her department in early November.
Hersh has been employed by VNA/VNS for 9 years. McKee
claims she had been receiving numerous complaints throughout
1999 and early 2000 from Nurses Murphy and Buford about
Hersh being tardy to work on numerous occasions. Murphy,
according McKee, complained to her some 20–30 times during
1999 about Hersh’s tardiness. McKee recalled two such con-
versations with Murphy, one of which purportedly occurred in
the summer of 1999, the other on December 27, 1999. Bu-
ford’s complaints regarding Hersh were fewer in number than
Murphy’s, and allegedly occurred during October/November
1999.
On May 1, McKee, as noted, issued disciplinary writeups to
Gallagher and Hersh. Gallagher recalls meeting with McKee at
the latter’s office cubicle on May 1, and McKee showing her a
calendar showing that Gallagher had been late on April 7 and
14. Gallagher admitted to McKee having been one-half hour
late on one day, and 10 minutes late on the other. According to
Gallagher, McKee then handed her the writeup, described it as
an oral warning, and asked her to sign it. Gallagher refused to
do so, stating that her latenesses were due a medical condition,
insomnia, and would take the matter up with the Human Re-
sources Director Janice White. McKee purportedly responded
that Gallagher was free to discuss the matter with White, but
that she did not believe VNA/VNS’ policy on tardiness “makes
any allowance for any medical problems like that.” McKee did
not refute any of Gallagher’s above testimony, but does con-
tend that Gallagher actually received an “oral counseling,” a
lesser form of discipline, and not an “oral warning,” and that
she checked off the “oral warning” box on the writeup only
because the form did not list “oral counseling” as an option.
There is, however, nothing in McKee’s testimony to suggest
that she told Gallagher she was only being given an oral coun-
seling. In fact, Gallagher’s undisputed testimony, as noted,
makes clear McKee told her she was receiving an “oral warn-
ing,” not an “oral counseling.”
Hersh’s description of her May 1 meeting with McKee dur-
ing which she received the writeup for being late on April 10,
14, and 24 was similar to Gallagher’s description of her sepa-
rate meeting with McKee that same day. Hersh recalls McKee
stating that her three tardies in April occurred within 10 days
requiring that a notice of corrective action be issued, and then
informed Hersh was being issued an “oral warning” which
would be signed by McKee’s supervisor, Sheryl Jones, and
placed in Hersh’s personnel file. Hersh admits being 15 min-
utes late to work on the 3 days shown in the writeup, but testi-
fied, without contradiction, that this had been her practice dur-
ing her entire 10-year tenure with VNA/VNS,61 and that she
had never before been disciplined or cautioned about being
tardy. McKee, however, has supervised Hersh for about 1-1/2
years.
Hersh does recall having an annual appraisal discussion on
January 24, with McKee during which McKee told her she
needed to improve on her tardiness, and that she reminded
61 While testifying that she more often than not arrived some 15
minutes, e.g., 9:15 a.m., Hersh admitted there may have been days
when she arrived later than 9:15 a.m., and days when she arrived on
time.

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 399
McKee that the latter had, the year before, told employees that
arriving to work 15 minutes late “was not an issue.” When
Hersh asked why McKee was making the change, McKee did
not respond. McKee nevertheless recommended on Hersh’s
evaluation that the latter needed to “improve tardiness,” ex-
plaining to Hersh that “some people in the department were
concerned about it.” (Tr. 834.) Hersh received her written ap-
praisal on February 14, which contained, among other things, a
notation stating she had been “consistently late, on an average
of 10–15 minutes,” and a recommendation that she “improve
tardiness.” Despite these comments, Hersh was found to have
met the standards of performance in this area of her job respon-
sibilities. (GC Exh. 48.) Hersh testified that at a subsequent
March 3 department meeting, she received from McKee a copy
of VNA/VNS’ tardiness policy, with portions of it highlighted,
and a note stating she had “noticed an improvement in
[Hersh’s] tardiness.” Despite McKee’s positive note, Hersh
testified that at no time prior to March 3, had she altered her
practice of reporting to work 15 minutes late.
The General Counsel has made a prima facie showing under
Wright Line that the writeups issued to Gallagher and Hersh on
May 1, were unlawfully motivated by antiunion considerations.
Both Gallagher and Hersh, as previously discussed, were
known by McKee to be union activists or supporters. Further,
the numerous above-described unfair labor practices committed
by VNA/VNS supports a finding that it harbored animus to-
wards the Union and its supporters. Finally, McKee offered no
explanation for why, having tolerated Gallagher’s and Hersh’s
tardiness for so long, she suddenly found their conduct unac-
ceptable. While there is certainly no principle requiring that
misconduct once tolerated at all must be tolerated forever, see,
Clinton Electronics Corp., 332 NLRB 479, 491 (2000),
VNA/VNS here does not contend, nor does McKee claim in her
testimony, that the tardiness warnings issued to Gallagher and
Hersh on May 1, were part of any new, across-the-board effort
or policy by VNA/VNS to crack down on all employee late-
nesses and to more strictly enforce its existing tardiness rules.
The only attempt at an explanation by McKee in this regard is
her claim of having received complaints from several employ-
ees regarding Hersh’s repeated practice of arriving late for
work. However, even if I were to believe, which I do not, that
McKee received such complaints about Hersh’s latenesses, it is
highly unlikely that said complaints are what prompted McKee
to issue the May 1 warning to Hersh, for these alleged com-
plaints occurred as far back as the summer of 1999, and as re-
cent as February 2000, some 3 months prior to the warnings
being issued. Had McKee truly been troubled by these com-
plaints or deemed them to be a serious problem, I do not doubt
she would have acted more promptly and not waited until May
1, to take corrective measures. As to Gallagher, McKee’s tes-
timony is devoid of any similar explanation for her sudden
decision to discipline Gallagher for conduct which had long
been tolerated. In the absence of any explanation for
VNA/VNS’ sudden decision, one month after the Board’s elec-
tion, to strictly enforce a tardiness rule which, from all indica-
tions, had long been ignored, a reasonable inference may be
drawn that the May 1 warnings issued to Gallagher and Hersh
had little or nothing to do with their tardiness record but were
instead retaliatory in nature. Bryant & Stratton Business Insti-
tute, 321 NLRB 1007, 1027, 1028 (1996); Transit Management
Services, 298 NLRB 721, 733 (1990).
Respondent VNA/VNS has presented no credible evidence
to rebut the General Counsel’s prima facie case. There is no
disputing, and indeed, Gallagher and Hersh readily admit, that
they were late for work on the dates shown in the writeups.
However, as found above, this had been standard operating
procedure for both Gallagher and Hersh for quite some time,
and they had never before been disciplined or seriously admon-
ished for their conduct, a fact not contested by McKee.
McKee, as noted, offered no explanation for her sudden deci-
sion in May to discipline Gallagher and Hersh for what McKee
herself admits was their longstanding practice of reporting late
for work. McKee’s testimony, was in any event, so full of in-
consistencies as to render it unworthy of belief. McKee, for
example, testified that she maintains an absentee calendar on
each employee where she recorded when employees were out
sick, on vacation, or tardy. However, review of the 1999 ab-
sentee calendars she kept on Gallagher and Hersh reveals no
tardy entries for the entire year. (GC Exhs. 83, 85.) Yet, it is
patently clear from both Gallagher’s and Hersh’s testimony, as
well as from McKee herself, that both employees were consis-
tently tardy for work throughout all of 1999.
What then can be made of the total lack of any tardy entries
on their attendance calendars? McKee’s attempt at an explana-
tion is simply not credible. Thus, while initially admitting she
used the calendar to record sick, vacation, and tardies, she as-
serted on cross-examination that in 1999 she was not recording
employee latenesses on their calendars. (Tr. 1826.) On redirect
examination, McKee altered course somewhat and explained,
inconsistently in my view, that she used the calendar “primarily
to document the sick and vacation times” and did not mark
down tardiness “unless they are starting to become an issue.”
Her testimony in this regard makes little sense given McKee’s
further claim that during 1999, Gallagher was late to work 25
percent of the time, and Hersh “was not performing acceptably
with regard to when she was reporting to work.” If, indeed,
Gallagher’s and Hersh’s tardiness behavior was as bad as
McKee describes it, why then did she fail to record their tardies
in their calendars? One plausible explanation is that McKee
simply viewed Gallagher’s and Hersh’s practice of arriving to
work 10–15 minutes late each day either as not violating
VNA/VNS’ tardiness policy, or as nothing more than a minor
tolerable infraction not meriting disciplinary action. This ex-
planation is consistent with Hersh’s undisputed and credited
claim that she reminded McKee during her January 24 meeting
of her statement to employees the year before that arriving 15
minutes late to work was not an issue for her. McKee’s claim
that Hersh “was not performing acceptably” regarding her re-
porting time is undermined by the January performance ap-
praisal wherein McKee, while commenting that Hersh needed
to improve in her tardiness conduct, nevertheless rated Hersh as
having met VNA/VNS’ departmental and agency policies, in-
cluding presumably its tardiness policy.
Further undermining VNA/VNS’ claim regarding the legiti-
macy of the writeups is McKee’s assertion the writeups were
nothing more than “oral counselings” and not “oral warnings.”

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 400
Her testimony is simply not credible, for both Gallagher and
Hersh testified, credibly and without contradiction, that McKee
specifically told them the writeups were “oral warnings.”
McKee’s explanation, that she checked the “oral warning”
category because the form lacked a place to record an “oral
counseling,” is rejected as not credible, for McKee could easily
have crossed out the word “warning” and inserted “counseling”
if indeed that was her intent.62 Further, the fact that McKee
classified their conduct as a category IV offense strongly sug-
gests that McKee had issued them “oral warnings,” not “oral
counselings.”
I am persuaded that McKee intended and did in fact issue
“oral warnings” to Gallagher and Hersh, and that White’s sub-
sequent decision to downgrade the writeup to an “oral counsel-
ing” was prompted not by any alleged inconsistencies between
VNA/VNS’ tardiness and disciplinary guidelines, but rather
because VNA/VNS would have been unable to justify the
warnings under its disciplinary policy. That policy, as noted,
requires that an oral warning could issue only if the employee
had at least three tardies within ten consecutive work shifts and
had received an oral counseling regarding tardiness within the
past year. VNA/VNS here neither contends nor has produced
evidence to show that Gallagher and/or Hersh had received an
oral counseling during the 12-month period preceding the May
1 writeups.
In sum, the inconsistencies in McKee’s and White’s testi-
mony, VNA/VNS’ failure to explain its sudden decision to

62 In fact, White testified that both Gallagher and Hersh grieved their
warnings to her and that she subsequently downgraded the discipline
imposed to an “oral counseling” and did so by crossing out the words
“oral warning” and inserting “oral counseling” in their place. White’s
explanation for doing so was not very convincing. Thus, she testified
to having held a grievance meeting met with Gallagher and telling the
latter that she was changing the “oral warning” to an “oral counseling.”
She claims she did so because she felt that VNA/VNS’ tardiness and
disciplinary guidelines were inconsistent with each other. White, how-
ever, never clearly explained what those inconsistencies were. White
further testified that she discussed the matter with McKee and that the
latter stated she viewed the writeup as an “oral counseling” but could
find no place on the form to mark it as such. According to White, she
informed Gallagher that the change of the discipline from “oral warn-
ing” to “oral counseling” was “a validation of the conversation
[McKee] had had with her.” The problem with White’s testimony in
this regard is that McKee in her testimony makes no mention of having
told Gallagher she was receiving an “oral counseling,” and Gallagher
herself testified that McKee simply told her she was receiving an “oral
warning.” White provided similar testimony with respect to her griev-
ance meeting with Hersh. Thus, she explained that she downgraded
Hersh’s write-up to an “oral counseling” because of what she viewed as
inconsistencies in the tardiness and discipline guidelines. White also
crossed out one of the tardy dates (April 21) because “it didn’t have
relevance to the oral counseling.” She did not, however, explain why,
if Hersh had been tardy on April 21, as claimed by McKee, that tardy
suddenly became irrelevant. I found White’s testimony in this regard
not worthy of belief. Indeed, the fact that White’s decision to down-
grade the writeups was made after VNA/VNS was served with a sub-
poena from the General Counsel seeking, inter alia, documents pertain-
ing to the writeups, renders her decision highly suspect, and leads me to
believe that White may have been engaging in some form of damage
control.
issue Gallagher and Hersh oral warnings for conduct it had long
been willing to tolerate, the timing of their issuance just 1
month after the Board’s election, and the lack of a credible
explanation for downgrading the writeups from oral warnings
to an oral counselings, leads me to conclude that the writeups
were retaliatory in nature and that VNA/VNS simply used Gal-
lagher’s and Hersh’s tardiness as a pretext to justify the warn-
ings. Accordingly, I find that the warnings issued to Gallagher
and Hersh on May 1, were unlawful and violated Section
8(a)(3) and (1) of the Act.
3. The objections to the election in Case 17–RC–11816
As noted, the Charging Party Union lost the Board-
conducted election held in Case 17–RC–11816 on March 30,
by a 3-vote margin. The Union contends, in timely filed objec-
tions to the election, that during the critical period between the
filing of the petition on January 19, and the March 30 election,
VNA/VNS engaged in improper conduct which interfered with
the employees’ free choice and seriously affected the election’s
outcome. (See GC Exh. 1[JJJ].) It argues that the election
should be set aside and a new one conducted. I agree.
As found above, during the critical period in question,
VNA/VNS, through its various supervisors and managers, in-
cluding its CEO Roberson, committed numerous violations of
Section 8(a)(1) and (3) of the Act that included threats of job
loss, of harsher treatment, of lesser flexibility in granting em-
ployees time off for personal matters, of a more adversarial
relationship with employees, of a strike which would cause
employees to lose wages and suffer financial hardship; of a loss
of flexibility in granting employees time off; of a closure of its
facility; interrogation of employees regarding their union sym-
pathies, issuing disciplinary warnings to union supporters in
retaliation for their union activities; telling employees, on the
morning of the election, that it intended to be more confronta-
tional with the Union; and evicting from areas outside its of-
fices over which it had no control employee and nonemployee
union supporters who lawfully gathered to solicit and distribute
union paraphernalia. The above-described unlawful conduct
engaged in by VNA/VNS during the critical period parallels the
conduct which the Union has alleged as objectionable and as
warranting setting aside the election. The Board’s stated policy
is to “direct a new election whenever an unfair labor practice
occurs during the critical period since conduct violative of Sec-
tion 8(a)(1) is, a fortiori, conduct which interferes with the
exercise of a free and untrammeled choice in an election.”
Wellstream Corp., 313 NLRB 698, 712 (1994). Accordingly, I
shall recommend that the election held on March 30 in Case
17–RC–11816, be set aside, and that a new election be held.
CONCLUSIONS OF LAW
1. Respondents Health Midwest, Research, Baptist, MCI,
Menorah, Overland Park, Lee’s, and VNA/VNS are employers
engaged in commerce within the meaning of Section 2(2), (6),
and (7) of the Act.
2. The Union herein, Nurses United for Improved Patient
Care, is a labor organization within the meaning of Section 2(5)
of the Act.
3. Nursing Practice Committee (NPC) is a labor organiza-
tion within the meaning of Section 2(5) of the Act.

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 401
4. Respondent Health Midwest has violated Section 8(a)(1)
of the Act by promulgating, maintaining, and distributing to
employees of its affiliated hospitals an overly broad and invalid
no-solicitation/no-distribution policy, by circulating its No-
vember 22 Q&A memo, and by attempting to interfere, through
the April 7 and 20, 2000 Hiersteiner memos, with the Board’s
investigative processes.
5. Respondent Research Medical Center:
(a) Has violated Section 8(a)(1) of the Act by maintaining
and enforcing an overbroad and unlawful no-solicitation/no-
distribution policy; distributing the November 22 Q&A memo
to employees; preventing employees from soliciting and dis-
tributing union literature in its cafeteria during their nonwork-
time; creating the impression it was keeping its employees’
union activities under surveillance; interrogating employees
regarding their union activities; disparately prohibiting use of
employee mailboxes for the distribution of union literature;
preventing an employee from storing union literature at a work
station while allowing other nonunion material to be stored;
prohibiting employees from discussing the Union among them-
selves and threatening them with discipline if they did so;
threatening employees with adverse job consequences, includ-
ing loss of jobs, less supervisory flexibility, if they selected the
Union to represent them; and by removing, under threat of ar-
rest, union organizers who were distributing union literature at
the entrances to its facility.
(b) Has violated Section 8(a)(2) and (1) of the Act by estab-
lishing, lending assistance to, and dominating NPC.
6. Respondent Baptist has violated Section 8(a)(1) of the
Act by promulgating, maintaining, and enforcing an overly
broad no-solicitation/no-distribution policy which prohibits
employees from soliciting and distributing union literature dur-
ing their nonworktime in nonpatient care areas of its facility,
and by directing employee Rachel Cox on October 19, 1999,
not to discuss the Union with other employees.
7. Respondent MCI has violated Section 8(a)(1) of the Act
by promulgating, maintaining, and enforcing an overbroad and
unlawful no-solicitation/no-distribution policy, and by threaten-
ing employees with arrest and loss of their nursing licenses for
soliciting and distributing union literature in the nonpatient care
areas of its facility during their nonworktime.
8. Respondent Menorah:
(a) Has violated Section 8(a)(1) by promulgating, maintain-
ing, and enforcing an overbroad and unlawful no-solici-
tation/no-distribution policy, disparately removing union litera-
ture from employee mailboxes, and prohibiting employees from
soliciting or distributing union literature in its cafeteria without
prior approval from management.
(b) Has violated Section 8(a)(3) and (1) of the Act by issuing
disciplinary writeups to employees Teresa Barnett and Angela
Tuska-Wagner on October 12, 1999, for soliciting and distrib-
uting literature to employees during their nonworktime and in
the nonpatient care areas of other Health Midwest facilities.
9. Respondent Overland Park:
(a) Has violated Section 8(a)(1) by promulgating, maintain-
ing, and enforcing an overbroad and unlawful no-solici-
tation/no-distribution policy, distributing the November 22
Q&A memo, preventing Anita Carr and Sharyn Johnson from
exercising their Section 7 right to solicit and distribute union
literature in its cafeteria, and attempting to intimidate and co-
erce Carr and Johnson into discontinuing their protected activ-
ity by threatening to have its supervisors surround them in the
cafeteria as they solicited other employees and distributed un-
ion literature.
(b) Has violated Section 8(a)(3) and (1) of the Act by issuing
disciplinary writeups to employees Anita Carr and Sharyn
Johnson on October 26, 1999, for engaging in union activities.
10. Respondent Lee’s has violated Section 8(a)(1) of the Act
by promulgating and maintaining a policy an overbroad and
invalid no-solicitation/no-distribution policy, distributing the
November 22 Q&A memo to employees, interrogating employ-
ees Joan Wheeler and Dana Forred on January 17, regarding
their union sympathies, threatening employees with more ad-
verse working conditions, closure of the facility, and with loss
of jobs should the Union be brought in, Respondent Lee’s vio-
lated Section 8(a)(1) of the Act.
11. The following employees of VNA/VNS constitute a unit
appropriate for collective-bargaining purposes:

All full-time and regular part-time registered nurses employed
by VNA and/or VNS of Health Midwest which provide clini-
cal or support services for clinical services, including regis-
tered nurses employed from 2801 Wyandotte Street, Kansas
City, Missouri and Lexington, Missouri, but excluding all
other professional employees of VNA/VNS of Health Mid-
west, office clerical employees, guards, and supervisors as de-
fined in the Act, and all other employees.

12. Respondent VNA/VNS:
(a) Has violated Section 8(a)(1) of the Act by maintaining
and enforcing an overly broad no-solicitation/no-distribution
policy.
(b) Has further violated Section 8(a)(1) through Supervisors
Cheryl McKee, Cindy Miller, Pat Tenner, Sarah Kerr, and its
CEO Richard Roberson, and on repeated occasions between
late October 1999 and March 30, 2000, by threatening employ-
ees with job loss, harsher treatment in the workplace, and clo-
sure of operations if the Union came in; threatening that the
Union’s arrival would lead to a strike that would adversely
affect employee wages and cause financial hardship; threaten-
ing that it would longer be flexible in granting employees time
off; interrogating employees regarding their union sympathies;
telling employees it was futile to support the Union because the
Union would not solve their job-related concerns; threatening
to be more adversarial with employees if they brought in the
Union; implicitly threatening not to bargain in good faith by
telling employees it intended to become more confrontational
with the Union should it be brought in; and by prohibiting em-
ployees and nonemployees from soliciting or distributing union
literature in areas outside its facility over which it had no con-
trol.
(c) Has violated Section 8(a)(3) and (1) of the Act by issuing
a disciplinary writeup to employee Deanna Jones on January
26, 2000, to employee Mary Porter on March 29, 2000, and to
employees Patricia Gallagher and Nora Hersh on May 1, 2000,
in retaliation for their activities on behalf of the Union.

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 402
(d) Except as found herein, VNA/VNS has not engaged in
any other unfair labor practices.
(e) Between January 19, 2000, when the petition in Case 17–
RC–11816 was filed, and March 30, 2000, when the Board held
the election, VNA/VNS engaged in objectionable conduct
which interfered with the employees’ free choice in, and af-
fected the outcome of, the election.
13. The above-described unfair labor practices found to
have been committed by the various Respondents herein affect
commerce within the meaning of Section 2(6) and (7) of the
Act.
REMEDY
Having found that the Respondents have engaged in numer-
ous violations of the Act, I shall recommend that they be or-
dered to cease and desist therefrom and to take certain affirma-
tive action designed to effectuate the policies of the Act.
The Respondents will be ordered to rescind their unlawful
no-solicitation/no-distribution policies and the November 20
Q&A memo distributed to employees. Further, Respondent
Research will be ordered to immediately disestablish and to
cease giving assistance or other support to the Nursing Practice
Committee; Respondent Menorah will be required to remove
from its files the unlawful October 12, 1999 disciplinary write-
ups issued Teresa Barnett and Angela Tuska-Wagner, and to
notify them in writing that it has done so; Respondent Over-
land Park will be ordered to remove the October 26, 1999 dis-
ciplinary writeups issued to employees Anita Carr and Sharyn
Johnson and to notify them in writing of its actions; and Re-
spondent VNA/VNS will be ordered removed from its files the
disciplinary writeups issued to employee Deanna Jones on
January 26, 2000, to employee Mary Porter on March 29, 2000,
and to employees Patricia Gallagher and Nora Hersh on May 1,
2000, and to notify them in writing that it has done so. Finally,
the Respondents shall be required to post an appropriate notice
at their respective facilities.
On these findings of fact and conclusions of law and on the
entire record, I issue the following recommended63
ORDERS64
A. Respondent Health Midwest, Kansas City, Missouri, its
officers, agents, successors, and assigns, shall
1. Cease and desist from
(a) Promulgating, maintaining, and distributing to its various
affiliated hospitals and their employees a no-solicitation/no-
distribution policy containing overly broad and unlawful rules,
circulating or disseminating to employees memos containing
ambiguous and vague interpretations of its unlawful rules, and

63 If no exceptions are filed as provided by Sec. 102.46 of the
Board’s Rules and Regulations, the findings, conclusions, and recom-
mended Order shall, as provided in Sec. 102.48 of the Rules, be
adopted by the Board and all objections to them shall be deemed
waived for all purposes.
64 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.”
interfering, through circulation of written memos, with the
Board’s investigative processes by requiring employees to re-
port to management if contacted by a Board agent, and promis-
ing to provide them with legal counsel.
(b) In any like or related manner interfering with, restraining,
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 effec-
tuate the policies of the Act.
(a) Rescind the overly broad and unlawful rules in its no-
solicitation/no-distribution policy, the Q&A memo distributed
to employees on November 22, 1999, and the April 7 and 20,
2000 Hiersteiner memos.
(b) Within 14 days after service by the Region, post at its fa-
cility in Kansas City, Missouri, copies of the attached notice
marked “Appendix A.” Copies of the notice, on forms pro-
vided by the Regional Director for Region 17, after being
signed by the Respondent’s authorized representative, shall be
posted by the Respondent immediately upon receipt and main-
tained for 60 consecutive days in conspicuous places including
all places where notices to employees are customarily posted.
Reasonable steps shall be taken by the Respondent to ensure
that the notices are not altered, defaced, or covered by any other
material. In the event that, during the pendency of these pro-
ceedings, the Respondent has gone out of business or closed the
facility involved in these proceedings, the Respondent shall
duplicate and mail, at its own expense, a copy of the notice to
all current employees and former employees employed by the
Respondent at any time since May 8, 1999.65
(c) Within 21 days after service by the Region, file with the
Regional Director a sworn certification of a responsible official
on a form provided by the Region attesting to the steps that the
Respondent has taken to comply.
B. Respondent, Research Medical Center of Health Mid-
west, Kansas City, Missouri, its officers, agents, successors,
and assigns, shall
1. Cease and desist from
(a) Interfering, restraining, and coercing its employees in the
exercise of their Section 7 rights by maintaining and enforcing
an overbroad and unlawful no-solicitation/no-distribution pol-
icy which prohibits employees from soliciting union support
and distributing union literature during their nonworktime and
in nonpatient care areas, and which requires that they first ob-
tain approval before engaging in such protected activities.
(b) Preventing employees from soliciting and distributing lit-
erature during their nonworktime in the cafeteria; creating the
impression it was keeping its employees’ union activities under
surveillance; interrogating employees regarding their union
activities; disparately prohibiting use of employee mailboxes
for the distribution of union literature or storage and not allow-
ing an employee to store union literature at a work station while
allowing other nonunion material to be stored; prohibiting em-
65 The first unfair labor practice committed by HM and the other Re-
spondents occurred on May 8, 1999, when, according to the parties’
stipulation, they first distributed or made available to all employees
copies of what has been found herein to be unlawful no-solicitation/no-
distribution policies. (GC Exh. 67.)

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 403
ployees from discussing the Union among themselves and
threatening them with discipline if they did so; threatening
employees with adverse job consequences, including loss of
jobs, less supervisory flexibility, if they selected the Union to
represent them; and by removing, under threat of arrest, union
organizers who were distributing union literature at the en-
trances to its facility.
(c) Dominating, assisting, or otherwise supporting the Nurs-
ing Practice Committee.
(d) In any like or related manner interfering with, restraining,
or coercing employees in the exercise of the rights guaranteed
them by Section 7 of the Act.
2. Take the following affirmative action necessary to effec-
tuate the policies of the Act.
(a) Rescind the overly broad and unlawful no-solicitation/no-
distribution policy and the Q&A memo circulated to employees
on November 22.
(b) Immediately disestablish and cease giving assistance or
any other support to the Nursing Practice Committee.
(c) Within 14 days after service by the Region, post at its fa-
cility in Kansas City, Missouri, copies of the attached notice
marked “Appendix B.” Copies of the notice, on forms pro-
vided by the Regional Director for Region 17, after being
signed by the Respondent’s authorized representative, shall be
posted by the Respondent immediately upon receipt and main-
tained for 60 consecutive days in conspicuous places including
all places where notices to employees are customarily posted.
Reasonable steps shall be taken by the Respondent to ensure
that the notices are not altered, defaced, or covered by any other
material. In the event that, during the pendency of these pro-
ceedings, the Respondent has gone out of business or closed the
facility involved in these proceedings, the Respondent shall
duplicate and mail, at its own expense, a copy of the notice to
all current employees and former employees employed by the
Respondent at any time since May 8, 1999.
(d) Within 21 days after service by the Region, file with the
Regional Director a sworn certification of a responsible official
on a form provided by the Region attesting to the steps that the
Respondent has taken to comply.
C. Respondent, Baptist Medical Center/Health Midwest,
Kansas City, Missouri, its officers, agents, successors, and as-
signs, shall
1. Cease and desist from
(a) Interfering, restraining, and coercing employees in the
exercise of their Section 7 rights by maintaining and enforcing
an overbroad and unlawful no-solicitation/no-distribution pol-
icy which prohibits them from soliciting and distributing union
literature during the nonworktime in nonpatient care areas of its
facility, and which requires them to obtain approval before
engaging in such protected activity.
(b) Prohibiting employees from discussing the Union with
other employees.
(c) In any like or related manner interfering with, restraining,
or coercing employees in the exercise of the rights guaranteed
them by Section 7 of the Act.
2. Take the following affirmative action necessary to effec-
tuate the policies of the Act.
(a) Rescind the overly broad and unlawful no-solicitation/no-
distribution policy and the Q&A memo circulated to employees
on November 22.
(b) Within 14 days after service by the Region, post at its fa-
cility in Kansas City, Missouri, copies of the attached notice
marked “Appendix C.” Copies of the notice, on forms pro-
vided by the Regional Director for Region 17, after being
signed by the Respondent’s authorized representative, shall be
posted by the Respondent immediately upon receipt and main-
tained for 60 consecutive days in conspicuous places including
all places where notices to employees are customarily posted.
Reasonable steps shall be taken by the Respondent to ensure
that the notices are not altered, defaced, or covered by any other
material. In the event that, during the pendency of these pro-
ceedings, the Respondent has gone out of business or closed the
facility involved in these proceedings, the Respondent shall
duplicate and mail, at its own expense, a copy of the notice to
all current employees and former employees employed by the
Respondent at any time since May 8, 1999.
(c) Within 21 days after service by the Region, file with the
Regional Director a sworn certification of a responsible official
on a form provided by the Region attesting to the steps that the
Respondent has taken to comply.
D. Respondent, Medical Center of Independence/Health
Midwest, Independence, Missouri, its officers, agents, succes-
sors, and assigns, shall
1. Cease and desist from
(a) Interfering, restraining, and coercing employees in the
exercise of their Section 7 rights by maintaining and enforcing
an overbroad and unlawful no-solicitation/no-distribution pol-
icy which prohibits them from soliciting and distributing union
literature during the nonworktime in nonpatient care areas of its
facility, and which requires them to obtain approval before
engaging in such protected activity.
(b) Enforcing an unlawful no-access provision or any unlaw-
ful provision in its no-solicitation/no-distribution policy so as to
deny employees of other HM facilities the right to solicit and
distribute literature in employee breakrooms or other nonpatient
care areas of its facility during their nonworktime, and threaten-
ing them with arrest or a loss of their nursing license if they
continued to engage in such activity.
(c) In any like or related manner interfering with, restraining,
or coercing employees in the exercise of the rights guaranteed
them by Section 7 of the Act.
2. Take the following affirmative action necessary to effec-
tuate the policies of the Act.
(a) Rescind the overly broad and unlawful no-solicitation/no-
distribution policy and the Q&A memo circulated to employees
on November 22.
(b) Within 14 days after service by the Region, post at its fa-
cility in Independence, Missouri, copies of the attached notice
marked “Appendix D.” Copies of the notice, on forms pro-
vided by the Regional Director for Region 13, after being
signed by the Respondent’s authorized representative, shall be
posted by the Respondent immediately upon receipt and main-
tained for 60 consecutive days in conspicuous places including
all places where notices to employees are customarily posted.
Reasonable steps shall be taken by the Respondent to ensure

DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 404
that the notices are not altered, defaced, or covered by any other
material. In the event that, during the pendency of these pro-
ceedings, the Respondent has gone out of business or closed the
facility involved in these proceedings, the Respondent shall
duplicate and mail, at its own expense, a copy of the notice to
all current employees and former employees employed by the
Respondent at any time since May 8, 1999.
(c) Within 21 days after service by the Region, file with the
Regional Director a sworn certification of a responsible official
on a form provided by the Region attesting to the steps that the
Respondent has taken to comply.
E. Respondent, Menorah Medical Center/Health Midwest,
Overland Park, Kansas, its officers, agents, successors, and
assigns, shall
1. Cease and desist from
(a) Interfering, restraining, and coercing employees in the
exercise of their Section 7 rights by maintaining and enforcing
an overbroad and unlawful no-solicitation/no-distribution pol-
icy which prohibits them from soliciting and distributing union
literature during the nonworktime in nonpatient care areas of its
facility, and which requires them to obtain approval before
engaging in such protected activity.
(b) Prohibiting employees from soliciting other employees or
distributing union literature in its cafeteria without permission,
and creating an impression of surveillance by taking photo-
graphs of employees engaged in such protected activities.
(c) Issuing disciplinary writeups to employees Teresa Barnett
and Angela Tuska-Wagner, or any other employee, in retalia-
tion for their union activities.
(d) In any like or related manner interfering with, restraining,
or coercing employees in the exercise of the rights guaranteed
them by Section 7 of the Act.
2. Take the following affirmative action necessary to effec-
tuate the policies of the Act.
(a) Rescind the overly broad and unlawful no-solicitation/no-
distribution policy and the Q&A memo circulated to employees
on November 22.
(b) Within 14 days from the date of this Order, remove from
its files any reference to the unlawful writeups issued to Teresa
Barnett and Angela Tuska-Wagner on October 12, 1999, and
within 3 days thereafter notify them in writing that this has
been done and that the writeups will not be used against them
in any way.
(c) Within 14 days after service by the Region, post at its fa-
cility in Overland Park, Kansas, copies of the attached notice
marked “Appendix E.” Copies of the notice, on forms provided
by the Regional Director for Region 13, after being signed by
the Respondent’s authorized representative, shall be posted by
the Respondent immediately upon receipt and maintained for
60 consecutive days in conspicuous places including all places
where notices to employees are customarily posted. Reason-
able steps shall be taken by the Respondent to ensure that the
notices are not altered, defaced, or covered by any other mate-
rial. In the event that, during the pendency of these proceed-
ings, the Respondent has gone out of business or closed the
facility involved in these proceedings, the Respondent shall
duplicate and mail, at its own expense, a copy of the notice to
all current employees and former employees employed by the
Respondent at any time since May 8, 1999.
(d) Within 21 days after service by the Region, file with the
Regional Director a sworn certification of a responsible official
on a form provided by the Region attesting to the steps that the
Respondent has taken to comply.
F. Respondent, Overland Park Regional Medical Cen-
ter/Health Midwest, Overland Park, Kansas, its officers, agents,
successors, and assigns, shall
1. Cease and desist from
(a) Interfering with, restraining, or coercing employees in the
exercise of their Section 7 rights by maintaining and enforcing
an overbroad and unlawful no-solicitation/no-distribution pol-
icy which prohibits them from soliciting and distributing union
literature during the nonworktime in nonpatient care areas of its
facility and which requires them to obtain approval before en-
gaging in such protected activity, and maintaining and enforc-
ing an overly broad no-access rule for off-duty employees.
(b) Issuing disciplinary writeups to employees Anita Carr
and Sharyn Johnson, or any other employee, in retaliation for
their union activities.
(c) In any like or related manner interfering with, restraining,
or coercing employees in the exercise of the rights guaranteed
them by Section 7 of the Act.
2. Take the following affirmative action necessary to effec-
tuate the policies of the Act.
(a) Rescind the overly broad and unlawful no-solicitation/no-
distribution policy and the Q&A memo circulated to employees
on November 22.
(b) Within 14 days from the date of this Order, remove from
its files any reference to the unlawful writeups issued to Anita
Carr and Sharyn Johnson on October 26, 1999, and within 3
days thereafter notify them in writing that this has been done
and that the writeups will not be used against them in any way.
(c) Within 14 days after service by the Region, post at its fa-
cility in Overland Park, Kansas, copies of the attached notice
marked “Appendix F.” Copies of the notice, on forms provided
by the Regional Director for Region 13, after being signed by
the Respondent’s authorized representative, shall be posted by
the Respondent immediately upon receipt and maintained for
60 consecutive days in conspicuous places including all places
where notices to employees are customarily posted. Reason-
able steps shall be taken by the Respondent to ensure that the
notices are not altered, defaced, or covered by any other mate-
rial. In the event that, during the pendency of these proceed-
ings, the Respondent has gone out of business or closed the
facility involved in these proceedings, the Respondent shall
duplicate and mail, at its own expense, a copy of the notice to
all current employees and former employees employed by the
Respondent at any time since May 8, 1999.
(d) Within 21 days after service by the Region, file with the
Regional Director a sworn certification of a responsible official
on a form provided by the Region attesting to the steps that the
Respondent has taken to comply.
G. Respondent, Lee’s Summit Hospital, Lee’s Summit, Mis-
souri, its officers, agents, successors, and assigns, shall
1. Cease and desist from

BAPTIST MEDICAL CENTER/HEALTH MIDWEST 405
(a) Interfering, restraining, and coercing employees in the
exercise of their Section 7 rights by maintaining and enforcing
an overbroad and unlawful no-solicitation/no-distribution pol-
icy which prohibits them from soliciting and distributing union
literature during the nonworktime in nonpatient care areas of its
facility, and which requires them to obtain approval before
engaging in such protected activity.
(b) Interrogating employees regarding their union activities,
and threatening employees with more adverse working condi-
tions, loss of jobs, and closure of its facility if the union were
brought in.
(c) In any like or related manner interfering with, restraining,
or coercing employees in the exercise of the rights guaranteed
them by Section 7 of the Act.
2. Take the following affirmative action necessary to effec-
tuate the policies of the Act.
(a) Rescind the overly broad and unlawful no-solicitation/no-
distribution policy and the Q&A memo circulated to employees
on November 22.
(b) Within 14 days after service by the Region, post at its fa-
cility in Lee’s Summit, Missouri, copies of the attached notice
marked “Appendix G.” Copies of the notice, on forms pro-
vided by the Regional Director for Region 13, after being
signed by the Respondent’s authorized representative, shall be
posted by the Respondent immediately upon receipt and main-
tained for 60 consecutive days in conspicuous places including
all places where notices to employees are customarily posted.
Reasonable steps shall be taken by the Respondent to ensure
that the notices are not altered, defaced, or covered by any other
material. In the event that, during the pendency of these pro-
ceedings, the Respondent has gone out of business or closed the
facility involved in these proceedings, the Respondent shall
duplicate and mail, at its own expense, a copy of the notice to
all current employees and former employees employed by the
Respondent at any time since May 8, 1999.
(c) Within 21 days after service by the Region, file with the
Regional Director a sworn certification of a responsible official
on a form provided by the Region attesting to the steps that the
Respondent has taken to comply.
H. Respondent, Visiting Nurse Association/Visiting Nurse
Services of Health Midwest, Kansas City and Lexington, Mis-
souri, its officers, agents, successors, and assigns, shall
1. Cease and desist from
(a) Interfering, restraining, and coercing employees in the
exercise of their Section 7 rights by maintaining and enforcing
an overbroad and unlawful no-solicitation/no-distribution pol-
icy which prohibits them from soliciting and distributing union
literature during the nonworktime in nonpatient care areas of its
facility, and which requires them to obtain approval before
engaging in such protected activity.
(b) Threatening employees with job loss, harsher treatment,
closure of operations, and a strike if the Union were brought in;
threatening that a strike would adversely impact their wages
and cause them financial hardship; threatening to no longer be
flexible with employees if they brought in the Union; telling
employees it was futile to support the Union; interrogating
employees about their union activities or sympathies; threaten-
ing to be more adversarial with employees; implicitly threaten-
ing not to bargain in good faith by stating it would become
more confrontational with the Union should employees select it
as their bargaining representative; and prohibiting employees
and nonemployees from soliciting or distributing literature in
the outside areas of its facilities over which it has no control.
(c) Issuing disciplinary writeups or warnings to employees
Deanna Jones, Mary Porter, Patricia Gallagher, and Nora
Hersh, or any other employee, in retaliation for their union
activities.
(d) In any like or related manner interfering with, restraining,
or coercing employees in the exercise of the rights guaranteed
them by Section 7 of the Act.
2. Take the following affirmative action necessary to effec-
tuate the policies of the Act.
(a) Rescind its overly broad and unlawful no-solicitation/no-
distribution policy, the Q&A memo circulated to employees on
November 22, and the Hiersteiner memos circulated to employ-
ees on April 7 and 20, 2000.
(b) Within 14 days from the date of this Order, remove from
its files any reference to the unlawful writeups issued to
Deanna Jones on January 26, 2000, to Mary Porter on March
29, 2000l, and to Patricia Gallagher and Nora Hersh on May 1,
2000, and within 3 days thereafter notify them in writing that
this has been done and that the writeups will not be used
against them in any way.
(c) Within 14 days after service by the Region, post at its fa-
cilities in Kansas City and Lexington, Missouri, copies of the
attached notice marked “Appendix H.” Copies of the notice, on
forms provided by the Regional Director for Region 13, after
being signed by the Respondent’s authorized representative,
shall be posted by the Respondent immediately upon receipt
and maintained for 60 consecutive days in conspicuous places,
including all places where notices to employees are customarily
posted. Reasonable steps shall be taken by the Respondent to
ensure that the notices are not altered, defaced, or covered by
any other material. In the event that, during the pendency of
these proceedings, the Respondent has gone out of business or
closed the facility involved in these proceedings, the Respon-
dent shall duplicate and mail, at its own expense, a copy of the
notice to all current employees and former employees em-
ployed by the Respondent at any time since May 8, 1999.
(d) Within 21 days after service by the Region, file with the
Regional Director a sworn certification of a responsible official
on a form provided by the Region attesting to the steps that the
Respondent has taken to comply.
3. The election held on March 30, 2000 in Case 17–RC–
11816 is set aside and the matter is remanded to the Regional
Director for further action consistent with this decision.