The National Labor Relations Board (NLRB) has published the breakdown of this week’s vote by registered nurses at the hospitals in the St. Joseph Health system to unionize. The vote to unionize was 326 to 272. This was out of 781 eligible voters. The NLRB website says there was 40 challenged ballots and one ballot was voided. The vote applied to the following RN’s at St. Joseph hospitals in Bryan, College Station, Navasota, Madisonville, and Caldwell: All full-time, regular part-time, and per diem registered nurses, including charge and relief charge registered nurses, including the positions of Care Coordinator RN; Clinical Educator RN; Clinical Educator RN Sponsor; CV Navigator RN; Educator RN; First Assistant RN; Flex Team I RN; Flight RN; Lactation Educator RN; National Resident RN; Navigator RN; Occupational Health RN; Oncology Navigator; RN; RN Flex Team I; Specialty Clinic RN; Trauma Stroke Registrar RN; and Wound Ostomy RN. Click HERE to read and download information obtained December 12, 2025 from the NRLB website. Original story December 11 2025: More than 700 registered nurses at St. Joseph Regional Hospital vote to unionize. A news release from Texas AFL-CIO says the representation with National Nurses Organizing Committee/National Nurses United (NNOC/NNU) will allow nurses to have a say in making decisions in patient care, staffing, and to help recruit and retain experienced nurses. The news release quotes a St. Joseph RN as saying they have deep concerns for patient safety and well-being. A statement from the hospital says in part they express gratitude to their nurses and the hospital looks forward to continuing their tradition of providing compassionate and patient centered care. St. Joseph’s becomes the 33rd hospital owned by parent company CommonSpirit to be represented by NNOC/NNU. The union also says they represent three other hospitals in Texas. Statement from St. Joseph Health: Based on the preliminary vote counts, St. Joseph Health’s Registered Nurses have chosen union representation, pending the official certification of the NLRB. We express our gratitude to our nurses and look forward to continuing our 90-year tradition of providing compassionate, patient-centered care here in the Brazos Valley. News release from the Texas AFL-CIO: HEADLINE: 700+ Registered nurses at St. Joseph hospital in Bryan-College Station vote decisively to join National Nurses Organizing Committee / National Nurses United Registered nurses at CommonSpirit Health’s St. Joseph Health Regional Hospital (St. Joseph Health) in Bryan, Texas voted decisively this week to join National Nurses Organizing Committee/National Nurses United (NNOC/NNU), the nation’s largest and fastest-growing union of registered nurses. “This is a great day for the nurses at St. Joseph Health and for the patients in our community,” said Tara Cassell, a registered nurse in the labor and delivery unit. “Nurses have come together to ensure that our voices are heard as we advocate for our patients. We were compelled to organize and form a union because of our deep concerns about our patients’ safety and well-being. We are excited to build a strong contract that protects nurses and patients so we can provide the best care possible.” The election was held on Dec. 9 and 10 and was conducted by the National Labor Relations Board. The more than 700 RNs join RNs at Ascension Seton Medical Center (ASMCA) in Austin, Texas, who ratified their first union contract just last year, as well as RNs in El Paso and Corpus Christi represented by NNOC/NNU. Nurses at the 316-bed facility say they voted to join the union because it is critical that nurses have a say in making decisions in patient care, staffing, and to help recruit and retain experienced nurses, which leads to improved patient care. St. Joseph Health is owned by CommonSpirit Health, one of the largest Catholic health care systems in the nation. CommonSpirit Health made $1.1 billion in profits last year. In past years, the compensation for CommonSpirit Health CEOs has been among the highest for nonprofits in the country. Former CEO Lloyd Dean and current CEO Wright Lassiter, lll took home a combined $36.6 million in 2024. Nurses contend that CommonSpirit clearly has the funds to address the patient safety issues at St. Joseph Health. “Nurses understand the importance of putting patient care and safety before profits,” said Katie Oberhelman, a registered nurse in the medical unit. “As we bargain for our first contract, we will be negotiating for our patients. We must demand safe staffing in all our units and on every shift that takes into account the acuity of our patients. We must put in safeguards against workplace violence in order to ensure that our hospital is first and foremost a place of healing.” “These nurses put patient care first by decisively voting to unionize,” said Texas AFL-CIO Secretary-Treasurer Lorraine Montemayor. “Now, they’re going to inspire countless other workers across the state to claim their power and organize their workplaces. Welcome to the labor movement, y’all!” Nurses will now move to elect their bargaining team and prepare to negotiate their first contract. NNOC/NNU now represents more than 17,000 nurses at 33 CommonSpirit Health facilities across the country.
