Capital Medical Center v. NLRB ( 2018 )


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  •  United States Court of Appeals
    FOR THE DISTRICT OF COLUMBIA CIRCUIT
    Argued November 1, 2017               Decided August 10, 2018
    No. 16-1320
    CAPITAL MEDICAL CENTER,
    PETITIONER
    v.
    NATIONAL LABOR RELATIONS BOARD,
    RESPONDENT
    UNITED FOOD AND COMMERCIAL WORKERS LOCAL 21,
    INTERVENOR
    Consolidated with 16-1369
    On Petition for Review and Cross-Application
    for Enforcement of an Order
    of the National Labor Relations Board
    Charles P. Roberts III argued the cause and filed the briefs
    for petitioner.
    Kellie J. Isbell, Attorney, National Labor Relations Board,
    argued the cause for respondent. On the brief were Richard F.
    Griffin, Jr., General Counsel, John H. Ferguson, Associate
    General Counsel, Linda Dreeben, Deputy Associate General
    2
    Counsel, Elizabeth A. Heaney, Supervisory Attorney, and
    Heather S. Beard, Attorney.
    Matthew J. Ginsburg argued the cause for intervenor.
    With him on the brief was James B. Coppess.
    Before: GARLAND, Chief Judge, and ROGERS and
    SRINIVASAN, Circuit Judges.
    Opinion for the Court filed by Circuit Judge SRINIVASAN.
    SRINIVASAN, Circuit Judge: In this case, a small number
    of off-duty hospital employees, seeking to inform visitors to
    the facility about an ongoing labor dispute, peacefully
    distributed leaflets and held picket signs on hospital property
    next to an entrance. It is undisputed that the employees’
    distribution of leaflets was protected under the National Labor
    Relations Act. The question we face is whether the employees’
    holding of picket signs—without any chanting, marching, or
    obstructing of passage—necessarily took their conduct beyond
    the NLRA’s protections. The hospital tried to stop the
    employees’ stationary display of picket signs, believing that the
    employees had no right to engage in that conduct on the
    facility’s premises.
    The National Labor Relations Board disagreed. The Board
    examined the employees’ form of picketing under a framework
    traditionally applied to assess off-duty employees’ distribution
    of union literature on hospital property. That framework asks
    whether prohibiting the employees’ conduct is necessary to
    avoid disrupting patient care. The Board concluded that, here,
    the hospital failed to make that showing with regard to the
    employees’ holding of picket signs. As a result, the Board
    determined, the hospital had violated the employees’ rights
    under the NLRA by attempting to bar their protected conduct.
    3
    We sustain the Board’s interpretation of the NLRA as
    reasonable. In our view, the Board’s approach permissibly
    balances employees’ rights to organize against an employer’s
    interests in controlling its property. And the Board was not
    compelled to adopt a categorical rule that picketing of any
    kind—including the stationary, nonobstructive holding of a
    picket sign at issue here—is necessarily more disruptive, and
    less entitled to the NLRA’s protections, than distribution of
    union literature. We thus deny the hospital’s petition for
    review and grant the Board’s cross-application for
    enforcement.
    I.
    A.
    Under Section 7 of the National Labor Relations Act,
    employees “have the right to self-organization, to form, join, or
    assist labor organizations, to bargain collectively through
    representatives of their own choosing, and to engage in other
    concerted activities for the purpose of collective bargaining or
    other mutual aid or protection.” 29 U.S.C. § 157. Section 7’s
    protections encompass the “rights to discuss organization and
    the terms and conditions of their employment, to criticize or
    complain about their employer or their conditions of
    employment, and to enlist the assistance of others in addressing
    employment matters.” Quicken Loans, Inc. v. NLRB, 
    830 F.3d 542
    , 545 (D.C. Cir. 2016). Those rights include soliciting
    support not only from fellow employees but also from
    nonemployees such as customers and the general public. E.g.,
    Stanford Hosp. & Clinics v. NLRB, 
    325 F.3d 334
    , 343 (D.C.
    Cir. 2003). Employers commit an “unfair labor practice” in
    violation of the Act when they “interfere with, restrain, or
    coerce employees in the exercise of” their Section 7 rights. 29
    U.S.C. § 158(a)(1).
    4
    When employees seek to exercise Section 7 rights on their
    employer’s property, the employees’ rights are balanced
    against the employer’s property interests and management
    prerogatives. In administering that balance, the Board has
    adopted various presumptions. In Republic Aviation Corp. v.
    NLRB, the Supreme Court approved the Board’s application of
    a presumption that an employer cannot prohibit off-duty
    employees’ solicitation of union support on company property.
    
    324 U.S. 793
    , 803 (1945). To overcome the presumption, an
    employer must present “evidence that special circumstances
    make” a prohibition on solicitation “necessary in order to
    maintain production or discipline.” 
    Id. at 803
    n.10 (citation
    omitted); see 
    id. at 803-04.
    The Board later applied the
    Republic Aviation presumption to the distribution of union
    literature on company property by off-duty employees. Eastex,
    Inc. v. NLRB, 
    437 U.S. 556
    , 572-74 & n.23 (1978).
    The Board has also recognized that employer interests can
    vary based on the nature of the workplace. Of particular
    relevance, the Board has modified the Republic Aviation
    presumption in the hospital context to account for the
    importance of administering patient care without disturbance.
    In immediate patient-care areas, the Board does not consider a
    ban on employee solicitation of union support to be
    presumptively invalid. See Beth Israel Hosp. v. NLRB, 
    437 U.S. 483
    , 495 (1978); NLRB v. Baptist Hosp., Inc., 
    442 U.S. 773
    , 778 & n.8 (1979). But outside of immediate patient-care
    areas, such as in hospital lounges and cafeterias, a prohibition
    on employee solicitation of union support is presumptively
    invalid unless the hospital can demonstrate the need for the
    restriction “to avoid disruption of health-care operations or
    disturbance of patients.” Beth Israel 
    Hosp., 437 U.S. at 507
    .
    The Republic Aviation presumption, including its tailored
    application to hospitals, has been applied predominantly in the
    5
    contexts of oral solicitation of union support or distribution of
    union-related literature. In 2004, however, the Board applied
    the Republic Aviation presumption in a case involving both
    distribution of handbills and picketing on company property.
    Town & Country Supermarkets, 
    340 N.L.R.B. 1410
    (2004).
    Because the employer had failed to demonstrate special
    circumstances justifying its ban on that activity, the Board held
    that the employer committed an unfair labor practice by
    attempting to bar the “employees from engaging in picketing
    and handbilling.” 
    Id. at 1414.
    B.
    With that backdrop in mind, we turn to the dispute in this
    case. Petitioner Capital Medical Center is an acute-care
    hospital in Olympia, Washington.          United Food and
    Commercial Workers (the Union) represents a unit of Capital’s
    technical employees. Their collective bargaining agreement
    expired in September 2012. As of May 2013, the parties had
    yet to reach a new agreement.
    On May 9, 2013, the Union notified Capital that it intended
    to engage in picketing and handbilling outside the hospital on
    May 20, to advocate for a new agreement before the next
    bargaining session. At 6:00 a.m. on May 20, 2013, twenty to
    twenty-five employees began picketing and chanting on the
    public sidewalks around the hospital. The picketing and
    handbilling activities continued throughout the day, with fifty
    to sixty employees picketing and handbilling on the public
    sidewalks in the afternoon. A few employees, with Capital’s
    permission, went onto the hospital’s property to hand out
    leaflets alongside two nonemergency entrances.
    Around 4:00 p.m., two to four employees took leaflets and
    picket signs from the sidewalk and walked onto hospital
    6
    property. They stood next to a nonemergency entrance to the
    building while holding the signs, with some also handing out
    leaflets while holding the signs. The signs contained the
    messages “Respect Our Care” and “Fair Contract Now.”
    Multiple hospital personnel told the employees that they could
    continue distributing leaflets but could not stand on hospital
    property with their picket signs. The employees, though,
    declined to leave.
    Union representatives then met with Capital’s labor
    relations counsel and human resources manager.               The
    company’s counsel informed the Union representatives that the
    picketing employees would face discipline if they remained on
    hospital property. The representatives maintained that the
    employees had a right to remain on hospital property with their
    picket signs. Capital’s counsel then called the Union’s attorney
    and threatened to discipline the employees or call the police.
    One picketing employee, concerned about potential discipline
    or arrest, returned to the sidewalk. Another employee took his
    picket sign and replaced him near the entrance.
    At around 5:00 p.m., roughly an hour after the employees
    began holding picket signs on hospital property, a hospital
    security officer called the police. A police officer arrived, and
    informed Capital personnel that he could not remove the
    employees because they were not being disruptive or blocking
    the entry doors. The picketers opted to leave a short time later
    because their picketing was scheduled to end soon in any event
    (at 6:00 p.m.). Few people entered or exited the hospital during
    the time the employees held picket signs near the entrance, and
    there were no confrontations between the employees and
    anyone who came into or out of the hospital.
    The Union filed a charge with the NLRB’s regional
    director, alleging that Capital’s reaction to the employees’
    7
    holding picket signs on hospital property unlawfully interfered
    with employees’ exercise of their Section 7 rights. The Board
    issued a complaint, alleging that Capital’s interference in the
    picketing violated the Act. In July 2014, an administrative law
    judge found that Capital had committed an unfair labor practice
    by telling employees they could not picket by the entrances,
    threatening disciplinary action, and calling the police.
    On August 12, 2016, the Board affirmed the ALJ’s
    findings and conclusions. Capital Med. Ctr. & UFCW Local
    21, 364 N.L.R.B. No. 69, 
    2016 WL 4362367
    , at *1 (Aug. 12,
    2016). The Board “assume[d] arguendo” that the employees’
    stationary holding of picket signs amounted to “picketing
    within the meaning of the Act.” 
    Id. at *1
    n.4. The Board then
    assessed whether the presumption recognized in Republic
    Aviation, 
    324 U.S. 793
    , as tailored to the hospital context, Beth
    Israel Hosp., 
    437 U.S. 483
    , applies to employee picketing just
    as it applies to employee handbilling and other protected
    Section 7 activity.
    The Board decided that the Republic Aviation framework
    should govern in cases involving picketing on company
    property. That conclusion, the Board noted, found support in
    its prior decision in Town & 
    Country, 340 N.L.R.B. at 1414
    ,
    which had applied the Republic Aviation presumption to
    off-duty employee picketing on the employer’s premises. The
    Board rejected the notion that picketing is inherently more
    disruptive than the other Section 7 activity covered by Republic
    Aviation, such that the presumption should be categorically
    inapplicable in the context of picketing.
    Applying the modified Republic Aviation presumption that
    governs in the hospital context, the Board examined the
    employees’ conduct at issue, which the Board described as
    “holding signs near a nonemergency entrance without any
    8
    patrolling, chanting or obstruction of the entrance.” Capital
    Med. Ctr., 
    2016 WL 4362367
    , at *3 n.9. The Board agreed
    with the ALJ’s finding that the employees’ stationary, peaceful
    picketing was unlikely to interfere with patient care. Capital
    thus failed to meet its burden to show that it needed to bar the
    picketing to “prevent patient disturbance or disruption of health
    care operations.” 
    Id. at *5.
    One Board member dissented,
    disagreeing with the Board’s conclusion that the Republic
    Aviation presumption should apply to off-duty picketing on
    employer property.
    Capital now petitions this court for review, and the Board
    cross-applies for enforcement of its order. 29 U.S.C.
    § 160(e)-(f). The Union has intervened in support of the
    Board’s decision.
    II.
    Capital principally challenges the Board’s decision on the
    ground that the Republic Aviation framework should be
    inapplicable in the context of employee picketing on company
    property. We disagree. The Board permissibly declined to
    conclude that picketing inherently is so disruptive as to be
    categorically ineligible for protection under the Republic
    Aviation presumption. We also reject Capital’s contention that,
    in applying the Republic Aviation framework, the Board should
    have found the picketing in this case sufficiently likely to
    disrupt patient care such that Capital could validly bar it.
    A.
    We first address whether the Board could apply the
    Republic Area framework to employee picketing on company
    premises, or whether the Board instead was obligated to
    confine that framework to the exercise of Section 7 rights in
    9
    other ways such as orally soliciting support or distributing
    leaflets. In deciding to apply Republic Aviation to employee
    picketing, the Board construed the scope of Section 7’s
    protections. We defer to the Board’s reasonable interpretation
    of ambiguous NLRA provisions, as we generally do when an
    agency construes a statute it administers. E.g., ITT Indus., Inc.
    v. NLRB, 
    251 F.3d 995
    , 999-1000 (D.C. Cir. 2001); see
    Chevron U.S.A. Inc. v. Nat’l Res. Def. Council, 
    467 U.S. 837
    ,
    842-43 (1984). We sustain the Board’s application of the
    Republic Aviation framework here on that basis.
    At the outset, it is undisputed that Section 7 does not
    directly resolve the rights of off-duty employees to picket on
    company property. See ITT 
    Indus., 251 F.3d at 1000
    (“Section
    7 does not itself speak of access rights[.]”). The Board’s
    interpretation of those rights, then, would ordinarily call for our
    deference if reasonable. But Capital contends that the Board’s
    interpretation nonetheless is ineligible for deference because,
    Capital argues, the Board failed to balance the hospital’s
    property rights against the employees’ Section 7 rights, as it
    was required to do. See 
    id. at 1005;
    NLRB v. Babcock & Wilcox
    Co., 
    351 U.S. 105
    , 112 (1956).
    Capital’s argument is misconceived. The Board accounted
    for (and balanced) the employer’s property rights and
    management prerogatives by invoking the Republic Aviation
    framework. See DHL Express, Inc. v. NLRB, 
    813 F.3d 365
    ,
    376 (D.C. Cir. 2016). As the Board explained, “Republic
    Aviation itself explicitly required a balance between protection
    of employees’ Section 7 rights and employers’ property rights
    and business interests”; and the Republic Aviation framework
    gives effect to an employer’s interests in the hospital setting on
    a case-by-case basis by enabling a hospital to “prohibit Section
    7 activities in non-patient care areas if it shows that the
    prohibition is needed to prevent patient disturbance or
    10
    disruption of health care operations.” Capital Med. Ctr., 
    2016 WL 4362367
    , at *4; see also 
    id. at *4
    nn.10-11.
    We therefore must sustain the Board’s interpretation if it
    is reasonable. Capital advances two strands of arguments in
    contending that the Board could not permissibly apply the
    Republic Aviation presumption to employee picketing on
    company property. First, Capital asserts that picketing of any
    kind is inherently more disruptive than other forms of Section
    7 activity. Second, Capital submits the Board did not
    adequately explain its departure from agency precedents under
    which an employer could bar picketing on its property if there
    were reasonable alternative means of communication available
    to the employees. We find Capital’s arguments unpersuasive,
    and we sustain the Board’s approach as reasonable.
    1.
    There is no dispute that the tailored Republic Aviation
    presumption protects off-duty employees’ distribution of union
    literature on hospital property in non-patient care areas (unless
    the hospital can show it needs to bar the conduct to avoid
    disrupting health care operations). Capital therefore did not
    attempt to stop its employees from handing out leaflets outside
    the entrance to its facility. Is employee picketing categorically
    different, such that the Republic Aviation framework should
    have no application to picketing as a blanket matter?
    The Board permissibly answered that question no. The
    Board explained that “[t]here is nothing in the nature of
    picketing per se that would support a conclusion that Republic
    Aviation is inapplicable to that activity.” Capital Med. Ctr.,
    
    2016 WL 4362367
    , at *3 n.9. “In fact,” the Board determined,
    “picketing is often neither coercive nor disruptive.” 
    Id. The Board
    said that it needed to “look no further for an example
    11
    than the peaceful display of picket signs . . . that occurred in
    this case.” 
    Id. “Indeed,” the
    Board reasoned, “the quiet,
    stationary” picketing at issue “was even less confrontational
    than the permitted handbilling in an important respect: it
    involved no direct contact with the recipient of the handbill.”
    
    Id. at *5
    n.14. And whereas the employees “stationed
    themselves outside the main pathways to the doors,” they “only
    stepped into the entryway . . . when handbilling,” not when
    they merely held picket signs. 
    Id. at *4
    n.13.
    The Board’s interpretation of Section 7, so as to apply the
    same framework to picketing as to other protected employee
    conduct, is reasonable. In contending otherwise, Capital relies
    on the Supreme Court’s observation that “picketing is
    qualitatively different from other forms of communication.”
    Edward J. DeBartolo Corp. v. Fla. Gulf Coast Bldg. & Const.
    Trades Council, 
    485 U.S. 568
    , 580 (1988). The Board, though,
    addressed that observation directly, explaining that the Court
    “did not state that [picketing] is necessarily or inherently
    ‘coercive’ or ‘disruptive.’” Capital Med. Ctr., 
    2016 WL 4362367
    , at *3 n.9. And the Court in DeBartolo, when
    referring to “picketing,” appeared to have in mind “those
    patrolling a picket 
    line,” 485 U.S. at 580
    , as opposed to the
    stationary holding of picket signs by two to four employees
    without any patrolling (or even chanting), at issue here.
    The Board, moreover, specifically rejected any notion that
    it was “holding that on-premises picketing must be permitted
    to the same degree as on-premises solicitation and
    handbilling.” Capital Med. Ctr., 
    2016 WL 4362367
    , at *3 n.9
    (internal quotation marks omitted). Rather, the Board could
    “easily envision circumstances, not present here, where
    picketing on hospital property would disrupt operations or
    interfere with patient care while solicitation and distribution
    would not.” 
    Id. The Republic
    Aviation framework would
    12
    enable a hospital to bar picketing in those situations. 
    Id. And the
    Board presumably will develop principles on a
    case-by-case basis that will guide employers about the
    circumstances in which they can prohibit picketing on
    company premises. It also bears recalling that the Republic
    Aviation framework’s presumption applies only in
    “non-patient care areas.” 
    Id. at *4
    . In patient-care areas, a
    hospital is generally free to prohibit Section 7 activity
    including any holding of picket signs. See Stanford 
    Hosp., 325 F.3d at 338-39
    .
    Capital argues that the Board erred in relying on its
    previous decision in Town & Country Supermarkets, which, in
    Capital’s view, was inadequately reasoned and materially
    distinguishable in its treatment of picketing. The Board,
    though, invoked Town & Country Supermarkets here primarily
    (and correctly) to show that it had previously applied the
    Republic Aviation framework to picketing by off-duty
    employees on company property. 
    Id. at *3.
    The Board hardly
    relied solely on Town & Country Supermarket to justify its
    decision to apply Republic Aviation in the context of this case.
    Rather, as discussed, the Board separately set out why it would
    be appropriate to bring employee picketing within that
    framework—including by reasoning that picketing can be
    noncoercive and nondisruptive, as the Board found was true of
    the peaceful, stationary holding of picket signs in this case.
    Finally, Capital argues that the Board erred in relying on
    Section 8(g) of the NLRA. That provision requires employees
    of health care facilities to provide 10-days’ advance notice
    before engaging in picketing or striking. 29 U.S.C. § 158(g).
    The Board invoked Section 8(g) to demonstrate that Congress
    contemplated the picketing of health care facilities by
    employees, and Congress allowed for picketing of hospitals
    without excluding picketing on hospital property. Capital
    13
    Med. Ctr., 
    2016 WL 4362367
    , at *3 n.9. Capital emphasizes
    that Section 8(g) does not speak to whether picketing of
    hospitals necessarily would occur on a hospital’s private
    grounds. The Board understood as much, but permissibly
    relied on Section 8(g) to support the general idea that picketing
    of hospitals need not be subjected to different standards than
    other Section 7 activity.
    In short, the Board reasonably interpreted Section 7 in
    concluding that the Republic Aviation presumption could
    encompass not only solicitation and distribution on employer
    property, but also picketing.
    2.
    Capital next contends that the Board applied the Republic
    Aviation framework without accounting for and sufficiently
    explaining its departure from its prior precedents. “[A]n
    unexplained divergence from its precedent would render a
    Board decision arbitrary and capricious.” Fort Dearborn Co.
    v. NLRB, 
    827 F.3d 1067
    , 1074 (D.C. Cir. 2016). The Board,
    though, gave an adequate explanation here.
    Capital points primarily to the Board’s decision in
    Providence Hospital, 
    285 N.L.R.B. 320
    (1987). There, a
    hospital prohibited off-duty employees from engaging in
    informational picketing on hospital property. In administering
    the balance “between property rights and Section 7 rights,” the
    Board applied its then-applicable Fairmont Hotel test. 
    Id. at 321
    (citing Fairmont Hotel, 
    282 N.L.R.B. 139
    (1986)). That
    test addressed whether an employer must allow access to its
    property for the exercise of Section 7 rights by off-duty
    employees or nonemployee union organizers. Under the test,
    if the employer’s property interests and the off-duty
    employees’ (or nonemployee organizers’) Section 7 interests
    14
    were relatively equal in weight, the Board considered whether
    there was a “reasonable alternative means for communicating
    with [the] intended audience.” 
    Id. at 322.
    Applying that
    inquiry in Providence Hospital, the Board upheld the hospital’s
    ban on picketing on its property, concluding that the employees
    could effectively communicate with the public by engaging in
    informational picketing on adjacent public property. 
    Id. The Board
    subsequently determined that the availability of
    “reasonable alternative means” would be relevant in every case
    involving access to company property for exercising Section 7
    rights, not just cases in which the competing interests were
    roughly equal in strength. See Jean Country, 
    291 N.L.R.B. 11
    ,
    11 (1988). The Supreme Court then invalidated the Jean
    Country framework’s balancing of interests, “[a]t least as
    applied to nonemployees.” Lechmere, Inc. v. NLRB, 
    502 U.S. 527
    , 538 (1992). The Court held that, under its precedents,
    nonemployee union organizers had no cognizable interest in
    accessing the employer’s premises as long as they had
    reasonable access to employees elsewhere. 
    Id. at 537-38.
    The
    Court did not directly speak to whether the Jean Country
    framework—including the consideration of “reasonable
    alternative means”—continued to govern in cases involving
    off-duty employees.
    Capital argues that the Board was obligated by its
    precedents to continue considering the availability of
    reasonable alternative means in cases involving off-duty
    employees, unless it adequately explained why it would no
    longer do so. The Board, however, adequately accounted for
    its precedents in its decision. It specifically referenced
    Providence Hospital, explaining that the decision no longer
    governed “[f]or the reasons set forth by the [administrative
    law] judge.” Capital Med. Ctr., 
    2016 WL 4362367
    , at *4 n.12.
    And the ALJ in turn thoroughly explained her decision not to
    15
    apply the Providence Hospital/Jean Country line of
    decisions—and instead to apply the Republic Aviation
    framework—in the circumstances of this case.
    The ALJ acknowledged that the “case that weighs most
    strongly in [Capital’s] favor is Providence Hospital.” Capital
    Med. Ctr. & UFCW Local 21, ALJ Decision, 
    2014 WL 3548159
    , at 10 (July 17, 2014) (J.A. 359). But the Providence
    Hospital/Jean Country line of decisions, the ALJ observed, had
    been rejected by the Supreme Court as applied to
    nonemployees. 
    Id. at 8,
    10-11 (J.A. 357, 359-60). And the
    Board had since “declined to apply the Jean Country test to
    cases involving off-duty employee access to the work
    premises.” 
    Id. at 8
    (J.A. 357). Rather, the Board’s decisions
    had evolved to draw distinctions based on certain “primary
    considerations,” one of which the ALJ found especially salient
    here: whether the circumstances involved a blanket prohibition
    against off-duty employees accessing company property, or
    instead involved selective permission for off-duty employees
    to come onto the premises for some purposes but not to engage
    in certain forms of Section 7 activity. 
    Id. at 8,
    10-11 (J.A. 357,
    359-60).
    This case falls into the latter category, the ALJ explained.
    It “does not involve a no-access rule or policy.” 
    Id. at 8
    (J.A.
    357). Instead, “off-duty employees were permitted to be on the
    Hospital’s premises . . . so long as they did not carry picket
    signs.” Id.; see 
    id. at 11
    (J.A. 360). In that setting, the ALJ
    determined, the Republic Aviation framework, rather than the
    Providence Hospital/Jean Country line of decisions, was
    controlling. 
    Id. at 8,
    11 (J.A. 357, 360).
    The Board expressly incorporated the ALJ’s reasoning.
    Capital Med. Ctr., 
    2016 WL 4362367
    , at *4 n.12. The Board
    thus determined that, “consistent with . . . [its] treatment of
    16
    other Sec. 7 activity in a hospital setting, it is appropriate to
    place on the employer the burden of showing a likelihood of
    disturbance or disruption in a particular case.” 
    Id. The Board
    adequately explained why it adopted that approach rather than
    the one set out in Providence Hospital/Jean Country, including
    by adopting the ALJ’s reasoning on the issue.
    B.
    Capital briefly challenges the Board’s finding that, under
    the Republic Aviation framework, the informational picketing
    at issue here was unlikely to disrupt health operations or cause
    patient disturbance. We assess whether the Board’s finding in
    that regard is supported by substantial evidence, Brockton
    Hosp. v. NLRB, 
    294 F.3d 100
    , 104 (D.C. Cir. 2002), and
    conclude that it is.
    In order to overcome the Republic Aviation presumption,
    “the Hospital had to show only a likelihood of, not actual,
    disruption or disturbance.” 
    Id. Capital asserts
    that the Board
    impermissibly required it to show an actual disruption rather
    than the likelihood of a disruption. The Board, however,
    examined whether Capital had adduced evidence of “any
    potential disruption” and the “likely impact” of the picketing.
    Capital Med. Ctr., 
    2016 WL 4362367
    , at *4 (emphases added).
    Capital failed to rebut the presumption, not because it was
    made to prove an actual disruption, but because its allegation
    of a “potential disruption” was based on “speculative and
    exaggerated contentions” that were “not supported by the
    record.” 
    Id. at *4
    -5.
    The Board’s finding that Capital had failed to demonstrate
    a likelihood of patient disturbance or disruption of health care
    operations is supported by substantial evidence. Undisputed
    record evidence establishes that there were only two to four
    17
    employees who held picket signs on the hospital’s property,
    standing stationary by a nonemergency entrance. They did not
    chant, march, or obstruct visitors from entering or leaving the
    hospital, and Capital offered no evidence demonstrating that
    the peaceful holding of picket signs nonetheless could disrupt
    patient care. We therefore uphold the Board’s finding that the
    picketing at issue here presented no likelihood of disruption or
    disturbance, and we sustain the Board’s resulting conclusion
    that Capital violated the NLRA by attempting to stop the
    employees from holding picket signs.
    * * * * *
    For the foregoing reasons, we deny the petition for review
    and grant the Board’s cross-application for enforcement of its
    order.
    So ordered.