Catholic Healthcare

More than half the employees who enjoy union representation are employed in Catholic hospitals and nursing homes. The Catholic Health Association reports that there are more than 600 Catholic hospitals and 1400 nursing homes. The hospitals alone employ more than 500,000 full-time employees and another 200,000 part-time workers.

Tens of thousands of nurses, certified nursing assistants, technical staff, and other employees of Catholic hospitals and nursing homes belong to unions. These workers have the right to organize in unions under the National Labor Relations Act (NLRA). When a majority choose a union to represent them, by voting or by signing authorization cards, the union is empowered to represent them in collective bargaining with the employer. The Service Employees International Union (SEIU), National Nurses United (NNU), the American Federation of State, County and Municipal Employees (AFSCME) and the American Federation of Teachers (AFT) each represent large numbers of Catholic health care employees; a dozen or more other unions represent such employees in particular parts of the United States.

Catholic hospitals are not usually operated by a Bishop or a Diocese. Most Catholic hospitals were established and staffed by religious orders of priests, friars or nuns, but today are managed and staffed by lay employees of many faiths. A Catholic hospital is required to adhere to the Ethical and Religious Directives (ERDs) for Catholic Health Care Services promulgated by the US Conference of Catholic Bishops (USCCB). If a Bishop finds that a Catholic hospital is in violation of the ERDs he can revoke its Catholic status. Many of the 72 ERDs cover pastoral care of patients or services, such as abortion, which are forbidden. However, the seventh directive specifically enjoins Catholic hospitals to treat workers with justice and recognize their right to form a union and bargain collectively:

7. A Catholic health care institution must treat its employees respectfully and justly. This responsibility includes: equal employment opportunities for anyone qualified for the task, irrespective of a person’s race, sex, age, national origin, or disability; a workplace that promotes employee participation; a work environment that ensures employee safety and well-being; just compensation and benefits; and recognition of the rights of employees to organize and bargain collectively without prejudice to the common good.

In 2009, after a long process of dialogue and discernment, the US Conference of Catholic Bishops, the Catholic Health Association, and several labor organizations produced an important document on the topic. Respecting the Just Rights of Workers: Guidance and Options for Catholic Health Care and Unions can be found on the USCCB website.

We have identified more than one hundred Catholic hospitals and health care institutions whose employees enjoy the benefits of union representation. In some, different unions represent different categories of employees. Is your union or hospital missing from the list?  Email Clayton Sinyai with details and help us keep the list current and complete!

—Clayton Sinyai, Catholic Employer Project

Catholic Health Care Institutions with Collective Bargaining

According to our most recent information, at least some categories of workers at each of the following hospitals and nursing homes enjoy union representation.


Archdiocese of Anchorage

  1. Providence Kodiak Island Medical Center, Kodiak AK (IBT 959)

Diocese of Juneau

  1. Ketchikan Medical Center, Ketchikan AK (Alaska Nurses Association)



Archdiocese of Los Angeles

  1. Marian Medical Center (Dignity/CHW), Santa Maria CA (NNU CNA, SEIU UHW)
  2. Saint John’s Pleasant Valley Hospital (Dignity/CHW), Camarillo CA (SEIU UHW)
  3. Saint John’s Regional Medical Center (Dignity/CHW), Oxnard CA (SEIU UHW)
  4. Saint Mary Medical Center (Dignity/CHW), Long Beach CA (NNU CNA, SEIU UHW)
  5. St. John’s Health Center (Sisters of Charity), Santa Monica CA (NNU CNA)
  6. Providence St. Joseph Medical Center (Providence), Burbank CA (SEIU 121N, SEIU UHW)
  7. Providence Tarzana Medical Center (Providence), Tarzana CA (SEIU 121N, NUHW)

Archdiocese of San Francisco

  1. Saint Mary Medical Center, San Francisco CA (NNU CNA, SEIU UHW)

Diocese of Fresno

  1. Mercy Medical Center – Community Campus (Dignity/CHW), Merced CA (SEIU UHW)
  2. Mercy Hospital (Dignity/CHW), Bakersfield CA (NNU CNA, SEIU UHW)

Diocese of Monterey

  1. Dominican Hospital (Dignity/CHW), Santa Cruz CA (NNU CNA, SEIU UHW)

Diocese of Sacramento

  1. Mercy General Hospital (Dignity/CHW), Sacramento CA (SEIU UHW)
  2. Mercy Hospital (Dignity/CHW), Folsom CA (NNU CNA, SEIU UHW)
  3. Mercy Medical Center (Dignity/CHW), Mt. Shasta CA (NNU CNA, SEIU UHW)
  4. Mercy Medical Center (Dignity/CHW), Redding CA (NNU CNA, SEIU UHW)
  5. Mercy San Juan Medical Center (Dignity/CHW), Carmichael CA (NNU CNA, SEIU UHW)
  6. Saint Elizabeth Community Hospital (Dignity/CHW), Red Bluff CA (SEIU UHW)

Diocese of San Bernardino

  1. Saint Bernardine Medical Center (Dignity/CHW), San Bernardino CA (NNU CAN, SEIU UHW)
  2. St. Mary Medical Center (St. Joseph Health System), Apple Valley CA (NNU CNA, USW)

Diocese of Santa Rosa

  1. Petaluma Valley Hospital (St. Joseph Health System), Petaluma CA (NNU CNA, NUHW)
  2. Queen of the Valley (St. Joseph Health System), Napa CA (NNU CNA)
  3. Santa Rosa Memorial Hospital (St. Joseph Health System), Santa Rosa CA (NUHW)
  4. St. Joseph Hospital (St. Joseph Health System), Eureka CA (NNU CAN, NUHW)

Diocese of Stockton

  1. Saint Joseph’s Medical Center (Dignity/CHW), Stockton CA (NNU CNA, SEIU UHW)


Archdiocese of Hartford

  1. Sister Virginie Grimes Health Center (Saint Raphael Healthcare System), New Haven CT (IBT 443)
  2. Hospital of Saint Raphael (Saint Raphael Healthcare System), New Haven CT (IBT 443)

District of Columbia

Archdiocese of Washington DC

  1. Georgetown University Hospital (MedStar), Washington DC (SEIU 1199)
  2. Providence Hospital, Washington DC (NNU)



Diocese of Honolulu

  1. St. Francis Healthcare (Sisters of St. Francis), Honolulu HI (IBT 996)


Archdiocese of Chicago

  1. St. Anthony Hospital, Chicago IL (IBT 743)
  2. Mercy Hospital and Medical Center (Sisters of Mercy), Chicago, IL (IBT 743)
  3. Presence/Resurrection Home Health, Chicago IL (Nurses/Therapists, AFSCME Council 31)


Diocese of Gary

  1. Saint Mary Medical Center (Community Health Systems), Hobart IN (SEIU Healthcare IL-IN)


Archdiocese of Dubuque

  1. Mercy Medical Center (Sisters of Mercy), Cedar Rapids IA (IBT 238)


Archdiocese of Baltimore

  1. Bon Secours Hospital, Baltimore MD (SEIU 1199/LIUNA 572)


Archdiocese of Boston

  1. Carney Hospital (Caritas/Steward), Dorchester MA (NNU MNA, SEIU 1199)
  2. Good Samaritan Medical Center (Caritas/Steward), Brockton MA (NNU MNA, SEIU 1199)
  3. Holy Family Hospital (Caritas/Steward), Methuen MA (NNU MNA, SEIU 1199)
  4. Merrimack Valley Hospital (Caritas/Steward), Haverhill MA (NNU MNA, SEIU 1199)
  5. Norwood Hospital (Caritas/Steward), Norwood MA (NNU MNA, SEIU 1199)
  6. St. Elizabeth’s Hospital (Caritas/Steward), Brighton MA (NNU MNA, SEIU 1199)

Diocese of Springfield

  1. Mercy Medical Center (Sisters of Providence), Springfield MA (NNU MNA)
  2. Providence Hospital (Sisters of Providence), Holyoke MA (NNU MNA)


Archdiocese of Detroit

  1. Mercy Hospital (Trinity Health), Cadillac MI (SEIU Healthcare MI)
  2. St. James Nursing Center, Detroit MI (IBT 614)

Diocese of Grand Rapids

  1. Mercy General Health Partners – Hackley Campus (Trinity Health), Muskegon MI (NUHW)
  2. Mercy General Health Partners – Mercy Campus (Trinity Health), Muskegon MI (SEIU Healthcare MI)

Diocese of Kalamazoo

  1. Battle Creek Health System (Trinity Health), Battle Creek MI (SEIU Healthcare MI)
  2. Borgess Medical Center (Ascension), Kalamazoo MI (NNU MNA/SEIU Healthcare MI)

Diocese of Lansing

  1. Genesys Regional Medical Center (Ascension), Flint MI (AFSCME/IBT 332)
  2. Genesys Regional Medical Center (Ascension Health—Daughters of Charity, Congregation of St. Joseph, Sisters of St. Joseph of Carondolet), Goodrich MI (IBT 332)
  3. Genesys Regional Medical Center (Ascension Health—Daughters of Charity, Congregation of St. Joseph, Sisters of St. Joseph of Carondolet), Grand Blanc MI (IBT 332)
  4. Genesys Convalescent Center, Grand Blanc MI (IBT 332)


Archdiocese of St Paul and Minneapolis

  1. Saint Francis Regional Medical Center (Benedictine Health/Allina), Shakopee MN (NNU MNA, SEIU Healthcare MN)
  2. St. Joseph’s Hospital (Sisters of St. Joseph of Carondolet/HealthCare East), St. Paul MN (SEIU Healthcare MN)

Diocese of Duluth

  1. St. Ann’s Residence, Duluth MN (IBT 346)
  2. Regina Medical Center (Sisters of Charity of our Lady), Hastings MN (NNU MNA, SEIU Healthcare MN)
  3. Essentia Health St. Mary’s Medical Center, Duluth MN (IUOE 70)
  4. St Elegius, Duluth MN (SEIU Healthcare MN)
  5. St. Joseph’s Medical Center (Benedictine Sisters of Duluth/Essentia), Brainerd MN (NNU MNA, SEIU Healthcare MN)

Diocese of Winona

  1. St Elizabeth’s, Wabasha MN (MNA SEIU)
  2. St. Mary’s Hospital (Sisters of St. Francis/Mayo Clinic), Rochester MN (SEIU)

Diocese of New Ulm

  1. St. Therese of New Hope, New Hope MN (SEIU Healthcare MN)

Diocese of Crookston

  1. CHI LakeWood Health, Baudette MN (NNU MNA)
  2. CHI St. Joseph’s Health, Park Rapids            MN (NNU MNA, SEIU Healthcare MN)

Diocese of St. Cloud

  1. CHI St. Gabriel’s Health, Little Falls MN (NNU MNA)


Diocese of Helena

  1. St. James Community Hospital (Sisters of Charity of Leavenworth Health System), Butte MT (IBT Local 2/UNITEHERE)


Diocese of Las Vegas

  1. St. Rose Dominican Hospitals – Siena Campus (Dignity/CHW), Henderson NV (NNU CAN, SEIU UHW)
  2. St. Rose Dominican Hospitals – Rose de Lima Campus (Dignity/CHW), Henderson NV (NNU CAN, SEIU UHW)
  3. Saint Rose Dominican Hospitals, Nevada —  San Martin Campus Las Vegas NV (NNU)

New Jersey

Archdiocese of Newark

  1. St. Michael’s Medical Center (Catholic Healthcare East), Newark NJ (IUOE JNESO, SEIU 1199)
  2. Providence Nursing Home, Hackensack, NJ (IBT 97)

 Diocese of Camden

  1. Our Lady of Lourdes Medical Center, Camden, NJ (IBT 929)
  2. Bishop McCarthy Residence, Vineland NJ (IUOE JNESO)
  3. Cardinal Health Swedesboro, NJ (IBT Local 500)

 Diocese of Trenton

  1. Providence Nursing & Rehabilitation Center, Trenton  NJ (IBT 35)

New Mexico

Archdiocese of Santa Fe

  1. Christus St. Vincent Medical Center (Christus), Santa Fe NM (AFSCME 1199NM)

New York

Archdiocese of New York

  1. Carmel Richmond Rehabilitation Center (Archcare), Staten Island NY (SEIU 1199)
  2. Ferncliff Nursing Home (Archcare), Rhinebeck NY (SEIU 1199)
  3. Mary Manning Walsh Home (Archcare), New York NY (SEIU 1199)
  4. St Vincent de Paul Residence (Archcare), Bronx NY (SEIU 1199)
  5. St Vincent Hospital Westchester (St Joseph’s), Westchester NY (NYSNA)
  6. St Cabrini of Westchester nursing home, Westchester NY (NYSNA/SEIU 1199)
  7. Terence Cardinal Cooke Center (Archcare),  New York NY (NYSNA, SEIU 1199)

 Diocese of Brooklyn

  1. Bon Secours Community Hospital (Bon Secours Health System), Port Jervis NY (SEIU 1199)
  2. Good Samaritan Hospital (Bon Secours Health System), Suffern NY (SEIU 1199)
  3. Ozanam Hall Nursing Home, Bayside NY (NYSNA, UFCW 342)
  4. St. Joseph’s Medical Opioid Treatment Center, Jamaica NY (NYSNA)

 Diocese of Buffalo

  1. Mercy Hospital, Buffalo, NY (CWA, IUOE)
  2. Sisters of Charity Hospital, St Joseph Campus  (CWA, SEIU 1199)
  3. Kenmore Mercy Hospital – (CWA, UFCW)
  4. Mount St. Mary’s Hospital and Health Center, Lewiston NY (SEIU 1199)
  5. St Catherine Laboure Health Care Center, Buffalo NY (SEIU 1199)
  6. Macauley Residence – CNAs and Service, Buffalo NY (SEIU 1199)

 Diocese of Rochester

  1. St Joseph’s Hospital (Arnot Health), Elmira NY (NYSNA)

Diocese of Rockville Centre

  1. St Charles Hospital, Port Jefferson NY (NYSNA)
  2. St. Catherine of Siena Hospital, Smithtown NY (NYSNA/AFT)
  3. St. Joseph Bethpage, Rockville Centre NY (NYSNA)

 Diocese of Syracuse

  1. St Luke Health Services Long term care, Oswego NY (SEIU 1199)



Archdiocese of Cincinnati

  1. Mercy Memorial Hospital (Catholic Healthcare Partners), Urbana, OH (SEIU 1199)
  2. Mercy McCauley Center (Catholic Healthcare Partners), Urbana, OH (SEIU 1199)
  3. Springfield Regional Medical Center (Catholic Healthcare Partners), Springfield OH (SEIU 1199)

Diocese of Cleveland

  1. Allen Medical Center (Mercy/CHP), Oberlin OH (SEIU 1199)
  2. Marymount Hospital (Sisters of St. Joseph/Cleveland Clinic), Garfield Heights OH (SEIU 1199)
  3. Mercy Regional Medical Center (Catholic Healthcare Partners), Lorain OH (SEIU 1199)
  4. St. Vincent Charity Hospital (Sisters of Charity), Cleveland OH (SEIU 1199)

Diocese of Youngstown

  1. St. Elizabeth Health Center (Catholic Healthcare Partners), Youngstown OH (IBT 377)
  2. Assumption Village (Mercy/CHP), Youngstown OH (SEIU 1199)
  3. Humility of Mary Health Partners, Warren, OH (IBT 377)
  4. St. Joseph Health Center, Warren OH (IBT 377)


Archdiocese of Portland

  1. Mercy Medical Center, Roseburg OR (Oregon Nurses Association)
  2. PeaceHealth Peace Harbor Medical Center, Florence OR (ONA)
  3. PeaceHealth Sacred Heart, Eugene OR (AFT 6552, ONA , SEIU 49)
  4. PeaceHealth Sacred Heart, Springfield OR (AFT 6552, ONA , SEIU 49)
  5. Peace Health Sacred Heart Home Health and Hospice, Eugene OR (ONA)
  6. PeaceHealth Laboratories, Springfield OR (SEIU 49)
  7. Providence Home Health & Hospice, Eugene OR (ONA)
  8. Providence Medford Medical Center, Medford OR (ONA)
  9. Providence Milwaukie Hospital, Milwaukie OR (ONA)
  10. Providence Newberg Medical Center, Newberg OR (ONA)
  11. Providence Portland Medical Center, Portland OR (ONA)
  12. Providence Seaside Hospital, Seaside OR (ONA)
  13. Providence St. Vincent Medical Center, Portland OR (ONA)
  14. Providence Willamette Falls Medical Center, Oregon City OR (ONA)

 Diocese of Baker

  1. Providence Hood River Memorial Hospital, Hood River OR (ONA)
  2. St. Alphonsus Medical Center, Baker City OR (ONA)
  3. St. Alphonsus Medical Center, Ontario OR (ONA)
  4. St. Anthony Hospital, Pendleton OR  (ONA)


Archdiocese of Seattle

  1. Catholic Community Services, Bellingham WA (SEIU 1199NW)
  2. Franciscan Medical Group (CHI), Seattle (SEIU 1199NW)
  3. Peacehealth Peace Island Medical Center, Friday Harbor WA (Washington State Nurses Association)
  4. PeaceHealth Southwest Washington Medical Center, Vancouver WA (AFT 5017, WSNA)
  5. PeaceHealth St. John Medical Center, Longview WA WSNA SEIU 49
  6. PeaceHealth St. Joseph Hospital (PeaceHealth), Bellingham WA (SEIU 1199NW/WSNA)
  7. Providence Everett Medical Center (UFCW 21)
  8. Providence St. Peter Hospital, Olympia WA (SEIU 1199NW)
  9. St. Clare Hospital (CHI), Lakewood WA (SEIU1199NW/WSNA)
  10. St Elizabeth Hospital (CHI), Enumclaw WA (SEIU 1199NW)
  11. St. Joseph Medical Center (CHI), Tacoma WA (SEIU1199NW/WSNA)

 Diocese of Spokane

  1. Lourdes Medical Center (Ascension), Pasco WA (SEIU 1199NW)
  2. Providence Centralia Hospital, Centralia WA (SEIU 1199NW)
  3. Providence Holy Family Medical Center, Spokane WA (WSNA)
  4. Providence Sacred Heart Medical Center, Spokane WA (WSNA)
  5. Providence Sound Home Care and Hospice, Olympia WA (SEIU 1199NW)
  6. Providence VNA HomeHealth, Spokane WA (WSNA)
  7. Providence St Joseph Hospital, Chewelah WA (SEIU 1199NW)


Archdiocese of Milwaukee

  1. St. Francis Hospital (Ascension), Milwaukee WI (AFT Local 5001)