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STATEMENT from County Executive Jeffrey V. Smith, M.D., J.D.

With the recent acquisition of O’Connor Hospital, St. Louise Regional Hospital, and the De Paul Health Center, Santa Clara County has hired more than 1,600 employees into well-paying union jobs, including over 650 nursing positions. Our primary focus since the acquisition closed on March 1 has been integrating these three health facilities into the County’s Health System, with the highest priority being patient care, increasing healthcare access, and delivering high-quality medical services to all members of our community. This important work will continue during the California Nurses Association (CNA) work action tomorrow. The County has taken all necessary steps to ensure that high-quality medical services, patient care, and all hospital operations will be unaffected by the CNA work action.​

While the County respects the right of employees to select the organization of their choice for purposes of representation, CNA does not currently represent any County employees, has not taken any of the steps necessary to become the lawful representative of any County employees, and is using its unlawful strike in its dispute about which union will represent County nursing staff located at O’Connor and St. Louise. The nursing staff at O’Connor and St. Louise fall within existing County job classifications—such as Clinical Nurses or Patient Services Case Coordinators—that are already represented by other unions. The County will continue to meet its obligation to recognize these other unions as the exclusive representatives of these new employees in accordance with its contracts and applicable laws, rules and regulations.

The County has provided updates over the past few days to employees to address their questions about the work action. We are encouraging employees to contact their union representatives if they are seeking additional guidance on union representation.

For updates on the acquisition of the hospitals and the work action, please visit

*County Executive Statement on Work Action​​​ 

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Media ContactLaurel Anderson, Office of Public Affairs, (408) 299-5119.​

Last updated: 3/11/2019 5:01 PM