Group Health Co-op board to discuss motions raised by union campaign’s supporters

Group Health Cooperative of South Central Wisconsin's East Side Madison clinic. (Photo by Erik Gunn/Wisconsin Examiner)
Directors of a Madison health care system will consider Thursday whether to change course in the organization’s response to a union organizing campaign.
Supporters of the union campaign at Group Health Cooperative of South Central Wisconsin put five motions before the board of directors at an in-person meeting in October — including one to voluntarily recognize the union, SEIU Wisconsin.
A statement from the co-op management Wednesday did not address whether the board will directly act on any of the motions when it meets.
“The motions are advisory to the Board of Directors concerning its instructions to management about the unionization efforts of our direct care employees,” Group Health stated. “All the Motions will be considered by the Board at the November 20th meeting. The results of those discussions will be communicated to our membership in a future statement.”
Group Health’s response to the union drive, which became public about a year ago, has produced a rift between the co-op’s management and some of its members, who have criticized the organization’s response as a betrayal of its progressive heritage.
“To me it was horrifying to learn that we had people leaving because the conditions were not tolerable,” said Ruth Brill, a Group Health member since 1979 who has supported the union organizing campaign.
According to union supporters, the five motions offered at an Oct. 11 in-person mass meeting to discuss the union organizing campaign passed unanimously. About 170 Group Health members attended that meeting, and union allies said it was the largest turnout in memory for an in-person meeting of co-op members.
Three of the five motions call on the board, the co-op management, or both:
- To report to members how much money Group Health has spent in 2024 and 2025 to pay the law firm Husch Blackwell, which has represented the co-op in connection with the union campaign.
- To voluntarily recognize SEIU Wisconsin as the representative for the professions and departments that the union first sought to represent when workers petitioned the National Labor Relations Board for a union election on Dec. 12, 2024. That motion also demands that Group Health “observe strict neutrality regarding the unionization of any of its workers.”
- To compile a report “of all meeting minutes, emails, and other communications involving Board members, administrators, and/or supervisory employees regarding union activity, from January 2024 to the present.”
The third motion also demands a report on all legal or consulting fees that Group Health has spent related to the union drive, including itemized details.
The fourth motion demands that the board and administration “faithfully follow the democratically expressed will” of the co-op members, charging that the membership has “been denied an opportunity to duly and fully exercise its role” in leading the co-op.
The fifth motion calls for a meeting by mid-January “on the democratization of GHC governance.”
“GHC says members are the most important part of our cooperative and yet the board is not listening to what the members have very clearly stated what they would like to happen,” said Dr. Nisha Rajagopalan, a family practice physician and among the union campaign’s leaders.
“If we are a cooperative that is for our members and our patients, those people showed up in the room and they voted and said exactly what they wanted, and we would like to hear the board uphold that,” said Katie Cloud, a certified medical assistant who has also been active in the union campaign.
Paul Terranova, a Group Health member for 25 years, organized a presentation to the co-op board earlier this year to make the case for unionization in the context of a nonprofit co-op. He later helped organize a slate of candidates for the board in opposition to four incumbent board members. All four of the rival candidates were elected in June.
Terranova said that board members have not communicated directly with Group Health members about the union campaign. Board discussions about the matter have been conducted in closed sessions.
The board’s consideration of the motions is “a really pivotal moment for GHC,” Terranova said, “and how they handle this is going to say a lot about whether this is still a cooperative or if it’s become just a corporate board with cooperative window dressing.”
A conflict over who should be in the union and how it should be recognized
The union campaign at Group Health Cooperative has been mired in conflict over who should be represented.
Originally union organizing focused on specific health care professions in specific departments where union activists said there was the strongest interest in union representation and where there were specific concerns in common about working conditions.
Group Health management opposed that bargaining unit, asserting that because Group Health is “an integrated care delivery system” all health care-related staff should be included and should vote in the election.
Union supporters have argued that expanding who votes in the election was a ploy to defeat the union, an accusation that Group Health management officials have denied.
“The only reason to include people who would not be interested [in union representation] would be to water down the vote, so that there’s a higher chance that the vote for representation will fail,” said Ruth Brill, a retired member of the state employees’ union who is supporting the Group Health unionizing campaign.
Hoping for a compromise agreement, the union and employees leading the union campaign changed their petition to confine the election to a single clinic. Instead, however, the co-op stuck to the original management proposal covering all health care workers.
The National Labor Relations Board regional director assigned to the case chose the company’s proposed unit over the union’s single clinic proposal.
After that decision, however, SEIU Wisconsin argued that dozens of unfair labor practice charges against Group Health would intimidate employees from voting for the union and prevent a fair election. The NLRB regional director agreed to block the election until the unfair labor practice charges are resolved.
While awaiting the NLRB’s investigation of the charges, employees campaigning for the union have argued instead that Group Health should voluntarily recognize the original bargaining unit that the union proposed.
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