Monday June 7, 2021

Healthcare Labor Activity Report

The new ASHHRA Healthcare Labor Activity Report is a comprehensive resource for healthcare human resources professionals and provides an accurate and timely analyses of union organizing activity in the healthcare industry. The publication available to ASHHRA members, developed in collaboration with Chessboard Consulting.

As the authoritative resource for healthcare human resources professionals, ASHHRA provides members with important and timely information about labor activity across the nation. The report includes analyses of national, regional and state representation petitions and elections as reported by the National Labor Relations Board (NLRB). The report also includes articles written by labor experts about relevant and timely labor issues impacting employers and the workplace.


Authored for the first time by Chris Cimino at Chessboard Consulting, the ASHHRA 2023 Healthcare Labor Activity Report is redesigned to present data and information in a streamlined format to support informed decision-making for healthcare executives (see page 34 for more information about the authors).

Data and Analysis
This report contains an analysis of available data on healthcare union organizing. Data is drawn from multiple sources, including, but not limited to:

  • U.S. Department of Labor (U.S. DOL)
  • National Labor Relations Board (NLRB)
  • Bloomberg Law: Labor PLUS Databases
  • Cornell-ILR, Labor Action Tracker
  • The Gallup Organization

NLRB election data is dynamic and subject to case activity influenced by ongoing litigation between employers, unions, and the NLRB. As such, the data is subject to revision. As in past years, all data is presented on a calendar year basis.

Presented by ASHHRA in collaboration with Chessboard Consulting.

Content and Layout

At ASHHRA, our goal is always to provide our members with data that is ready to use as you work to improve employee engagement and your organization’s performance. For this reason, the Healthcare Labor Activity Report begins with an Executive Summary and a review of Important Trends to Watch in 2023 that could influence union organizing in healthcare. A more detailed review of the data is presented later in this report. Appendices also provide important background information for the reader (beginning on page 36).

NEW! This report also now comes with a PowerPoint presentation you can use for briefing your board of directors, senior leaders, or mid-level/front-line leaders with important highlights from this report.