The Labor Board's record, joined to who is hiring
Healthcare union elections in Washington
63 union petitions since Jan 2023 at 10 healthcare employers hiring in Washington, by the National Labor Relations Board's record: unions won 24 elections and 3 petitions are pending. Workers at public hospitals organize under Washington law instead, outside this record.
Providence, MultiCare Health System, Fred Hutchinson Cancer Center, Albertsons Companies, Wellpath, Confluence Health, Seattle Children's, Children's Therapy Center, Walgreens, Downtown Emergency Service Center.
Union petitions in Washington
Newest first. Each employer opens its page, with its open jobs.
| Filed | Employer | Workers | Union | Outcome |
|---|---|---|---|---|
| 5 Nov 2026 | ProvidenceSpokane, WA | Not described | United Food and Commercial Workers Local 3000 | Pending |
| 23 Oct 2026 | MultiCare Health SystemTacoma, WA | Not described | Washington State Nurses Association | Pending |
| 16 Oct 2026 | ProvidenceEverett, WA | Not described | SEIU Healthcare 1199NW | Petition withdrawn |
| 16 Oct 2026 | ProvidenceEverett, WA | Not described | SEIU Healthcare 1199NW | Petition withdrawn |
| 14 Oct 2026 | ProvidenceSeattle, WA | Not described | SEIU Healthcare 1199NW | Petition withdrawn |
| 14 Oct 2026 | ProvidenceSeattle, WA | Not described | SEIU Healthcare 1199NW | Petition withdrawn |
| 14 Oct 2026 | ProvidenceSeattle, WA | Not described | SEIU Healthcare 1199NW | Petition withdrawn |
| 25 Sep 2026 | ProvidenceSpokane, WA | laboratory professionals66 eligible | United Food and Commercial Workers Local 3000, affiliated with the United Food and Commercial Workers International Union, AFL-CIO | The union won, 44 to 9 |
| 28 May 2026 | Fred Hutchinson Cancer CenterSeattle, WA | nurse practitioners and physician assistants (collectively “APPs”)121 eligible | Union of American Physicians and Dentists | Voted 21 Sep 2026, not yet certified, 54 to 55 |
| 28 May 2026 | ProvidenceEverett, WA | pharmacists72 eligible | United Food and Commercial Workers Local 3000, affiliated with United Food and Commercial Workers International Union, AFL-CIO | The union won, 40 to 23 |
| 29 Apr 2026 | Albertsons CompaniesOak Harbor, WA | pharmacy technicians, pharmacy technician specialist, pharmacy technician – B, and...7 eligible | United Food and Commercial Workers Local 3000, affiliated with United Food and Commercial Workers International | The union won, 4 to 3 |
| 20 Apr 2026 | ProvidenceOlympia, WA | Not described | United Food and Commercial Workers Local 3000 | The union won |
| 24 Mar 2026 | Albertsons CompaniesPullman, WA | pharmacy technicians, lead pharmacy technicians,1 pharmacy assistants, technicians in...8 eligible | The Pharmacy Guild, affiliated with the International Association of Machinists and Aerospace Workers, AFL-CIO | The union won, 7 to 1 |
| 25 Feb 2026 | Albertsons CompaniesClarkston, WA | pharmacists4 eligible | The Pharmacy Guild, affiliated with the International Association of Machinists and Aerospace Workers, AFL-CIO | No union, 1 to 1 |
| 18 Feb 2026 | ProvidenceLacey, WA | Not described | SEIU Healthcare 1199NW | Petition withdrawn |
| 4 Feb 2026 | ProvidenceOlympia, WA | psychiatric technicians (also referred to as mental health techs)10 eligible | SEIU Healthcare 1199NW | No union, 0 to 8 |
| 30 Jan 2026 | MultiCare Health SystemTacoma, WA | medical assistants, lead medical Assistants1, surgery schedulers, surgery scheduling...16 eligible | United Food and Commercial Workers Local 3000, affiliated with the United Food and Commercial Workers International Union | The union won, 14 to 0 |
| 28 Jan 2026 | WellpathYakima, WA | Not described22 eligible | Teamsters Local Union 760 | The union won, 11 to 0 |
| 1 Dec 2025 | MultiCare Health SystemPuyallup, WA | nurse practitioners and physicians’ assistants10 eligible | Union of American Physicians and Dentists | The union won, 7 to 0 |
| 1 Dec 2025 | MultiCare Health SystemPuyallup, WA | nurse practitioners and physicians’ assistants34 eligible | Union of American Physicians and Dentists | The union won, 30 to 0 |
| 1 Dec 2025 | MultiCare Health SystemTacoma, WA | nurse practitioners and physicians’ assistants38 eligible | Union of American Physicians and Dentists | The union won, 32 to 2 |
| 21 Nov 2025 | MultiCare Health SystemTacoma, WA | registered nurse case managers11 eligible | United Food and Commercial Workers Local 3000 | No union, 0 to 9 |
| 5 Sep 2025 | MultiCare Health SystemTacoma, WA | registered nurses in hospice care59 eligible | SEIU Healthcare 1199 NW | The union won, 24 to 14 |
| 5 Sep 2025 | ProvidenceCentralia, WA | operating room assistants, senior electronic imaging assistants, and supply chain...12 eligible | United Food and Commercial Workers Local 3000 chartered by the United Food and Commercial Workers, AFL-CIO | No union, 1 to 8 |
| 3 Sep 2025 | Confluence HealthWenatchee, WA | professional employees99 eligible | United Food and Commercial Workers Local 3000, chartered by the United Food and Commercial Workers, AFL-CIO | The union won, 41 to 40 |
| 27 Aug 2025 | ProvidenceCentralia, WA | Not described | United Food and Commercial Workers Local 3000 | Petition withdrawn |
| 19 Aug 2025 | ProvidenceWalla Walla, WA | technical employees118 eligible | SEIU Healthcare 1199NW | The union won, 64 to 45 |
| 25 Jul 2025 | MultiCare Health SystemTacoma, WA | Not described9 eligible | United Food and Commercial Workers Local 3000, affiliated with the United Food and Commercial Workers International Union, AFL-CIO | No union, 0 to 5 |
| 22 Jul 2025 | MultiCare Health SystemYakima, WA | Not described24 eligible | Teamsters Local 760 affiliated with International Brotherhood of Teamsters | The union won, 11 to 2 |
| 4 Jun 2025 | Seattle Children'sSeattle, WA | case managers, utilization management RNs, and care manager RNs31 eligible | Washington State Nurses Association, affiliated with American Federation of Teachers | No union, 3 to 22 |
| 20 May 2025 | MultiCare Health SystemOlympia, WA | patient service representatives and physical therapy assistants/aides10 eligible | United Food and Commercial Workers Local 3000, affiliated with the United Food and Commercial Workers International Union, AFL-CIO | No union, 0 to 5 |
| 19 May 2025 | MultiCare Health SystemOlympia, WA | registered nurse case managers6 eligible | United Food and Commercial Workers Local 3000, affiliated with United Food and Commercial Workers International Union AFL-CIO | No union, 0 to 6 |
| 9 May 2025 | MultiCare Health SystemOlympia, WA | professional employees31 eligible | United Food and Commercial Workers Local 3000, affiliated with the United Food and Commercial Workers International Union | The union won, 17 to 1 |
| 13 Mar 2025 | Confluence HealthWenatchee, WA | Not described | United Food and Commerical Workers local 3000 | Petition withdrawn |
| 11 Mar 2025 | MultiCare Health SystemSpokane Valley, WA | health info techs, HIM specialists, HIM analysts, and HIM coordinators5 eligible | SEIU Healthcare 1199NW | The union won, 4 to 0 |
| 24 Jan 2025 | Children's Therapy CenterKent, WA | CHERISH social workers/infant mental health specialists, developmental specialists...82 eligible | United Food and Commercial Workers Local 3000, affiliated with AFL-CIO | The union won, 43 to 18 |
| 23 Jan 2025 | ProvidenceOlympia, WA | physical therapists, occupational therapists, and speech-language pathologists17 eligible | SEIU Local 775 | The union won, 12 to 0 |
| 13 Jan 2025 | ProvidenceOlympia, WA | professional employees138 eligible | United Food and Commercial Workers Local 3000 | The union won, 86 to 33 |
| 16 Aug 2024 | ProvidenceOlympia, WA | guards as defined in § 9(b)(3) of the act32 eligible | United Federation Law Enforcement Officers Security & Police Benevolent Association (LEOS-PBA) | The union won, 9 to 7 |
| 13 Aug 2024 | ProvidenceCentralia, WA | Not described | United Federation LEOS-PBA | Petition withdrawn |
| 9 Aug 2024 | WalgreensVancouver, WA | pharmacists11 eligible | The Pharmacy Guild, affiliated with the International Association of Machinists and Aerospace Workers, AFL-CIO | The union won, 10 to 0 |
| 5 Aug 2024 | ProvidenceOlympia, WA | Not described | United Federation LEOS-PBA | Petition withdrawn |
| 3 Jul 2024 | MultiCare Health SystemTacoma, WA | registered nurse diabetes educators8 eligible | United Food and Commercial Workers Local 3000, affiliated with the United Food and Commercial Workers International Union | No union, 0 to 7 |
| 28 Jun 2024 | ProvidenceEverett, WA | mental health counselors2 eligible | UFCW Local 3000 | No union, 0 to 0 |
| 18 Jun 2024 | MultiCare Health SystemPuyallup, WA | licensed practical nurses (LPNs), medical assistants, lead medical assistants and...34 eligible | United Food and Commercial Workers Union, Local 3000, affiliated with United Food and Commercial Workers International Union | The union won, 25 to 2 |
| 11 Apr 2024 | ProvidenceOlympia, WA | DI schedulers, IR schedulers, and lead DI/IR schedulers7 eligible | SEIU Healthcare 1199NW | No union, 0 to 7 |
| 26 Mar 2024 | MultiCare Health SystemAuburn, WA | hospital case manager registered nurses13 eligible | United Food and Commercial Workers Union, Local 3000, affiliated with the United Food and Commercial Workers International Union, AFL-CIO | No union, 2 to 8 |
| 26 Mar 2024 | ProvidenceOlympia, WA | patient schedulers, lead patient schedulers, surgery schedulers, and lead surgery...9 eligible | SEIU Healthcare 1199NW | No union, 1 to 8 |
| 15 Mar 2024 | MultiCare Health SystemTacoma, WA | registered nurses and registered nurse residents74 eligible | International Association of Machinists and Aerospace Workers, AFL-CIO, District Lodge 160 | The union won, 28 to 16 |
| 25 Jan 2024 | ProvidenceCentralia, WA | patient schedulers and senior patient schedulers5 eligible | United Food and Commercial Workers Local 3000, chartered by the United Food and Commercial Workers, AFL-CIO | No union, 1 to 4 |
| 23 Jan 2024 | ProvidenceEverett, WA | senior patient authorization and referral specialists6 eligible | Office and Professional Employees International Union Local 8, affiliated with the AFL-CIO | No union, 0 to 6 |
| 1 Dec 2023 | ProvidenceEverett, WA | Not described | United Food and Commercial Workers Local 3000 | Petition withdrawn |
| 22 Sep 2023 | MultiCare Health SystemTacoma, WA | staff RNs (including transport nurses and lactation consultants)40 eligible | Washington State Nurses Association | No union, 0 to 17 |
| 18 Aug 2023 | MultiCare Health SystemPuyallup, WA | professional employees211 eligible | International Association of Machinists and Aerospace Workers, District Lodge 751, AFL-CIO | The union won, 116 to 25 |
| 14 Jul 2023 | Confluence HealthWenatchee, WA | pool oncology registered nurse navigators and infusion registered nurses35 eligible | Washington State Nurses Association | No union, 1 to 20 |
| 30 Jun 2023 | Seattle Children'sSeattle, WA | Not described | International Alliance of Theatrical Stage Employees, Moving Picture Technicians, Artists and Allied Crafts of the United States, Its Territories and Canada, AFL-CIO, CLC | Petition withdrawn |
| 24 May 2023 | Seattle Children'sSeattle, WA | Not described | Theatrical Wardrobe Union Local 887 of the International Alliance of Theatrical Stage Employees, Moving Picture Technicians, Artists and Allied Crafts of the United States, its Territories and Canada, AFL-CIO, CLC | Petition withdrawn |
| 12 May 2023 | Downtown Emergency Service CenterSeattle, WA | Not described | SEIU Healthcare 1199NW | Petition withdrawn |
| 10 Apr 2023 | ProvidenceCentralia, WA | palliative care registered nurses2 eligible | United Food and Commercial Workers Local 3000, chartered by the United Food and Commercial Workers, AFL-CIO | No union, 2 to 0 |
| 30 Mar 2023 | ProvidenceOlympia, WA | palliative care registered nurses8 eligible | United Food and Commercial Workers Local 3000, chartered by the United Food and Commercial Workers, AFL-CIO | No union, 1 to 6 |
| 24 Feb 2023 | Seattle Children'sSeattle, WA | Not described | United Food and Commercial Workers Local 3000 | Petition dismissed |
| 15 Feb 2023 | ProvidenceOlympia, WA | registered nurse case managers24 eligible | United Food and Commercial Workers Local 3000 | No union, 7 to 12 |
| 15 Feb 2023 | ProvidenceOlympia, WA | Not described9 eligible | United Food and Commercial Workers Local 3000 | No union, 2 to 6 |
Employers hiring in Washington with a petition
- Providence Its open jobs
- MultiCare Health System Its open jobs
- Fred Hutchinson Cancer Center Its open jobs
- Albertsons Companies Its open jobs
- Wellpath Its open jobs
- Confluence Health Its open jobs
- Seattle Children's Its open jobs
- Children's Therapy Center Its open jobs
- Walgreens Its open jobs
- Downtown Emergency Service Center Its open jobs
Healthcare union elections in Washington: common questions
Which hospitals and healthcare employers in Washington unionized recently?
Unions won 24 elections in Washington since Jan 2023 at employers hiring on this site, the latest: Providence, laboratory professionals in Spokane, WA (United Food and Commercial Workers Local 3000, affiliated with the United Food and Commercial Workers International Union, AFL-CIO), filed 25 Sep 2026: the union won, 44 to 9; Providence, pharmacists in Everett, WA (United Food and Commercial Workers Local 3000, affiliated with United Food and Commercial Workers International Union, AFL-CIO), filed 28 May 2026: the union won, 40 to 23; Albertsons Companies, pharmacy technicians, pharmacy technician specialist, pharmacy technician – B, and... in Oak Harbor, WA (United Food and Commercial Workers Local 3000, affiliated with United Food and Commercial Workers International), filed 29 Apr 2026: the union won, 4 to 3; Providence, a unit of workers in Olympia, WA (United Food and Commercial Workers Local 3000), filed 20 Apr 2026: the union won.
Which unions represent healthcare workers in Washington?
By the elections won since Jan 2023: Union of American Physicians and Dentists (3), United Food and Commercial Workers Local 3000 (2), The Pharmacy Guild, affiliated with the International Association of Machinists and Aerospace Workers, AFL-CIO (2) and United Food and Commercial Workers Local 3000, affiliated with the United Food and Commercial Workers International Union (2). Each won among one unit of workers at one site; older units are not in this window.
Are any union elections pending in Washington?
3: Providence, a unit of workers in Spokane, WA (United Food and Commercial Workers Local 3000), filed 5 Nov 2026; MultiCare Health System, a unit of workers in Tacoma, WA (Washington State Nurses Association), filed 23 Oct 2026; Fred Hutchinson Cancer Center, nurse practitioners and physician assistants (collectively “APPs”) in Seattle, WA (Union of American Physicians and Dentists), filed 28 May 2026: voted 21 Sep 2026, not yet certified, 54 to 55.
Healthcare union elections in other states
- Oregon
- California
- New York
- Minnesota
- Massachusetts
- Michigan
- Pennsylvania
- Illinois
- New Jersey
- Ohio
- Vermont
- District of Columbia
- Montana
- Maryland
- New Mexico
- Wisconsin
- Connecticut
- Indiana
- Alabama
- Arizona
- Florida
- Georgia
- Iowa
- Missouri
- Tennessee
- Texas
- Kansas
- Kentucky
- North Carolina
- New Hampshire
- Nevada
- Rhode Island
- South Dakota
- Virginia
Sources and method
A case is listed when the employer its petition names is one of the employers hiring on this site, matched by name and by its open jobs in the case's town. Cases filed since Jan 2023, read 9 Nov 2026. Every state.
- National Labor Relations Board case records (nlrb.gov), as copied nightly by labordata/nlrb-data
Cite this page
CareJobs.Now. (2026). Healthcare union elections in Washington. Data as of 9 Nov 2026. https://carejobs.now/healthcare-union-elections/washington