Case brief

DINGES v. SACRED HEART ST. MARY'S HOSPITALS, INC. Case Brief

United States Court of Appeals, Seventh Circuit • 1999
Holding checked against the opinion
164 F.3d 1056
AI-generated from the opinion text. Read the opinion before you rely on it.

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Case Brief Summary & Legal Analysis

4 min read

tl;dr: Two emergency medical technicians sought overtime pay for all hours spent on call under a seven-minute response requirement. The court affirmed summary judgment for the Hospital because infrequent calls and available personal activities allowed effective use of that time for private pursuits.

Legal Significance: The decision applies a contextual approach to compensability of on-call time under the FLSA. Response time alone is not dispositive; call frequency, local conditions, and effective opportunities for personal pursuits matter. In close cases, voluntarily chosen compensation arrangements inform the analysis without overriding statutory requirements.

Case Facts & Court Holding

Key Facts & Case Background

Sacred Heart St. Mary’s Hospitals operated a hospital in rural Tomahawk, Wisconsin. Garrett Dinges and Christine Foster requested first-out emergency medical technician status, which required reaching the Hospital within seven minutes of a page. Both already lived within that distance, as did the entire City of Tomahawk.

First-out EMTs received $2.25 per on-call hour plus time-and-a-half for emergency work, with at least two hours credited per call. Their schedules combined hospital shifts, evening and overnight on-call periods, and three 48-hour periods free of work and on-call duties during each two-week cycle.

During 14- to 16-hour on-call periods, first-out EMTs averaged 0.65 calls and had less than a 50% chance of receiving any call. Plaintiffs could remain home, sleep, care for children, and pursue numerous activities nearby. Foster attended children’s sports, dance recitals, restaurants, and parties. A flexible duty-swap policy facilitated occasional out-of-town events, although holiday swaps were harder to arrange.

Dinges and Foster sued to have their entire on-call periods treated as working time. The district court granted summary judgment to the Hospital because they could use the time effectively for personal pursuits. Plaintiffs appealed.

Court Holding & Legal Precedent

Issue: Did the plaintiffs’ first-out on-call periods constitute compensable work under the FLSA despite their ability to pursue personal activities while meeting a seven-minute response requirement?

The court affirmed summary judgment for the Hospital, holding that these plaintiffs’ on-call periods did not constitute work requiring additional FLSA compensation. Infrequent calls, nearby residences, rural conditions, and substantial opportunities for personal activities permitted effective private use of the time despite the seven-minute response requirement. Their voluntarily chosen compensation arrangement also weighed in favor of preserving the arrangement in this close case.

IRAC Legal Analysis

Legal Issue

Did the plaintiffs’ first-out on-call periods constitute compensable work under the FLSA despite their ability to pursue personal activities while meeting a seven-minute response requirement?

Conclusion

The decision supports a fact-specific assessment of on-call restrictions rather than a categorical response-time threshold. Its precedential force rests on the combination of infrequent calls, practical freedom for personal pursuits, and the circumstances of the chosen arrangement.

Legal Rule

Under the FLSA, 29 U.S.C. § 207, on-call time is not work when employees can use it effectively for personal pursuits. 29 C.F.R. § 553.221(d). The inquiry concerns meaningful opportunities for many personal activities, not every desired activity, and response time alone is not dispositive. Armour & Co. v. Wantock, 323 U.S. 126 (1944), and Skidmore v. Swift & Co., 323 U.S. 134 (1944), distinguish being engaged to wait from waiting to be engaged. Auer v. Robbins, 519 U.S. 452 (1997), supports deference to the Secretary’s definitions.

Legal Analysis

The court used the regulation’s functional inquiry to apply the distinction drawn in Armour and Skidmore. The question was whether plaintiffs could use on-call time effectively for personal pursuits. Their ability to remain home mattered, but call frequency also mattered: repeated interruptions could prevent effective sleep or other activities even at home. Here, fewer than half of the lengthy on-call periods involved any call.

The court rejected plaintiffs’ argument that the seven-minute response requirement controlled the outcome. Its practical effect depended on residence and local conditions. Both plaintiffs lived nearby before requesting first-out status, and neither claimed the requirement affected residential choices. Rural Tomahawk had little traffic, and plaintiffs did not contend that the deadline interfered with sleep or childcare. The court did not decide whether a shorter deadline would be permissible.

The cited appellate decisions did not establish a dispositive response-time threshold. Instead, the court assessed the actual opportunities available to these plaintiffs, including activities around town and occasional duty swaps.

Finally, the court considered the arrangement plaintiffs had sought. Although the FLSA overrides contracts, their choice mattered amid uncertainty under the governing standard. The court reasoned that requiring payment for every on-call hour could prompt replacement of standby duty with additional hospital shifts and staffing, potentially reducing plaintiffs’ earnings or time at home. This was a predicted consequence, not a finding that the Hospital had already changed its Tomahawk practices.

The Opinion

Summary

  • On-call time for rural EMTs with a 7-minute response time is not “work” under the FLSA.
  • The key test is whether employees can use the time “effectively for personal pursuits,” considering factors like call frequency and geographic context.
  • In close cases, courts may defer to voluntary agreements that are mutually beneficial to employers and employees.

Full text

Complete unedited opinion text as published by the court

EASTERBROOK, Circuit Judge.

EASTERBROOK, Circuit Judge.

Working more than 40 hours per week draws premium pay under the Fair Labor Standards Act, 29 U.S.C. § 207. Should hours spent "on call" be treated as work? According to the Supreme Court, the answer depends on whether one has been "engaged to wait" or is "waiting to be engaged." Compare Armour & Co. v. Wantock,323 U.S. 126, 65 S.Ct. 165, 89 L.Ed. 118 (1944), with Skidmore v. Swift & Co.,323 U.S. 134, 65 S.Ct. 161, 89 L.Ed. 124 (1944). That evocative distinction rarely decides a concrete case; on-call time readily can be characterized either way. For most purposes it is best to ask what the employee can do during on-call periods. Can the time be devoted to the ordinary activities of private life? If so, it is not "work." Even a functional approach produces close calls, however; this is one.

Sacred Heart St. Mary's Hospitals operates a hospital in rural Tomahawk, Wisconsin. The Hospital's ambulance department has two "emergency medical technicians" (EMTs) in-house during the day (and recently for an evening shift), but after hours the Hospital relies on standby crews. Two EMTs serve as the "first-out" crew and two more as the "second-out" crew, which will be called to duty if the first-out crew is in the field when the Hospital must dispatch an ambulance. An EMT on first-out status must arrive at the Hospital within 7 minutes of receiving a page. Members of the first-out crew receive $2.25 per hour of on-call time, plus pay at time-and-a-half for all hours devoted to handling a medical emergency. The Hospital credits them with at least two hours' work (and thus they receive three hours' wages) for each emergency call, even if they are back home in less—as they usually are. When calls take more than two hours, they are paid for actual time. Members of the second-out crew have 15 rather than 7 minutes to reach the Hospital. The schedule of a first-out EMT over a two-week period includes 7 days of duty at the Hospital (on 8 or 10 hour shifts) plus 7 evenings and nights of on-call time. It also has three 48-hour periods when the EMT is neither working nor on call. When the Hospital had only one shift per day of EMTs on the premises, and the on-call period correspondingly lasted 14 to 16 hours, a first-out EMT could expect to receive an average of 0.65 calls per period. Because medical emergencies sometimes occur in bunches, the probability of receiving at least one call to work during a given 14 to 16 hour period is lower, approximately one in two.

Garrett Dinges and Christine Foster asked for and were assigned first-out status. Now, in this suit, they contend that the rewards should have been even greater than those the Hospital promised and delivered— that the entire 14 to 16 hour on-call period should be treated as working time, so it would produce 21 to 24 hours' wages even if they did not receive any emergency call. Both Dinges and Foster live within 7 minutes' drive from the Hospital—indeed, the entire City of Tomahawk is within the 7-minute radius—so they can and do pass the on-call time at home or at other activities in or near the City. Plaintiffs observe that during on-call time their options are restricted:

The Hospital responds by emphasizing what EMTs can do during on-call hours—cook, eat, sleep, read, exercise, watch TV and movies, do housework, care for pets, family, and loved ones at home. Many things in the vicinity of home also are compatible with first-out status. For example, Foster watches her children participate in sports, attends dance recitals, and goes to restaurants and parties. Moreover, the Hospital adds, most of the things that can't be done on first-call status, such as camping and attending events out of town, also are foreclosed by the 15-minute response time of the second-call team, or for that matter by a one-hour response time. But attending special events such as out-of-town weddings could be arranged, even if the weddings were scheduled during on-call time, if an EMT swapped duty periods with another member of the staff. The Hospital has a flexible swap policy. Because swaps require finding another EMT willing to trade, they are hard to arrange for holidays (few EMTs are anxious to work on Thanksgiving or Christmas and give up their own family get-togethers) but easier to arrange for occasional events such as parties and weddings. The district judge concluded that the extensive list of things EMTs can do during first-out time is the legally important one—because time is not "work" if it can be used effectively for personal pursuits—and granted summary judgment to the Hospital.

The district court's emphasis on the fact that the EMTs can stay at home while on call, and can do many things while there, has the support of the Department of Labor's implementing regulations.

29 C.F.R. § 553.221(d). See Auer v. Robbins,519 U.S. 452, 117 S.Ct. 905, 137 L.Ed.2d 79 (1997) (courts should defer to the Secretary's definitions of terms). The regulatory question is whether the employee can "use the time effectively for personal pursuits"— not for all personal pursuits, but for many. But then there is that weasel word "effectively." An employee who can remain at home while on call, but is called away every few hours, can't use the time "effectively" for sleeping, and probably not for many other activities. Plaintiffs, however, experience less than a 50% chance that there will be any call in a 14- to 16-hour period, so their time may be used effectively for sleeping, eating, and many other activities at home and around Tomahawk. (Over 338 on-call periods, Dinges had 184 pass without a call. Thus Dinges responded to at least one call only 46% of the time. Foster's experience was similar.)

Plaintiffs make a great deal of the 7-minute response limit, which they say is below the shortest period that any appellate court has deemed compatible with "effective" use of time for personal pursuits. Maybe so; the cases are not easy to classify. See Bright v. Houston Northwest Medical Center Survivor,934 F.2d 671 (5th Cir.1991) (en banc); Brock v. El Paso Natural Gas Co.,826 F.2d 369 (5th Cir.1987); Martin v. Ohio Turnpike Commission,968 F.2d 606 (6th Cir.1992); Cross v. Arkansas Forestry Commission,938 F.2d 912 (8th Cir.1991); Berry v. Sonoma County,30 F.3d 1174 (9th Cir. 1994); Andrews v. Skiatook,123 F.3d 1327 (10th Cir.1997); Renfro v. Emporia,948 F.2d 1529 (10th Cir.1991); Birdwell v. Gadsden,970 F.2d 802 (11th Cir.1992). But we do not think that response time is dispositive. It sets a limit on the distance an EMT may live from the Hospital, but a person who lives nearby may have ample time to respond. A person who lived well outside Tomahawk would find a 20-minute response time as constraining as plaintiffs find a 7-minute time, while someone who lived next door to the hospital would think 7 minutes generous. Both plaintiffs live where they did before they asked for first-out status and do not say that they would have moved farther away if the time were longer; the response time has not affected residential choices. Tomahawk is rural and traffic jams are rare. A 7-minute response limit in Milwaukee would not be compatible with effective use of time for personal pursuits; things are otherwise in the countryside. Plaintiffs do not contend that the 7-minute time interferes with sleeping or the care of children. It is long enough to wake up (or finish changing a diaper) and still get to the Hospital on time. Seven minutes may be the lower limit, for it takes time to shake off the cobwebs when awakening and to jump into clothes, but we need not explore the question further.

To the extent there is uncertainty— and the open-ended regulatory standard, combined with the Supreme Court's oracular "test," ensures uncertainty—we must take account of the arrangement plaintiffs themselves chose. They sought first-out status because it created the best earnings opportunity, and they agreed to a combination of hourly pay for on-call hours plus time-and-a-half for actual emergency calls. The prospect of being paid for spending time at home (even time asleep) must have been attractive. Although the FLSA overrides contracts, in close cases it makes sense to let private arrangements endure—for the less flexible statutory approach has the potential to make everyone worse off. Suppose we were to hold that time the EMTs spend on call counts as "work." That would produce a windfall for Dinges and Foster today, but it would lead the Hospital to modify its practices tomorrow. If the EMTs are "working" 24 hours a day, then the Hospital will abolish the on-call system and have EMTs on its premises 24 hours a day, likely hiring additional EMTs so that it can limit the premium pay for overtime. This is what St. Mary's already has done at its hospital in Rhinelander, Wisconsin. The Hospital will pay more in the process, but EMTs such as Dinges and Foster will receive less, spend more time at the Hospital (and less at home), or both. Ambulatory statutory and regulatory language permits labor and management to structure their relations so that each side gains. That is what the Hospital has done in Tomahawk, and we do not think that the FLSA compels a different arrangement.

AFFIRMED