[
 {
  "event_id": "2010-temple-univ",
  "year": 2010,
  "start_date_iso": "2010-03-31",
  "date_display": "Mar 31 – Apr 28, 2010",
  "facility": "Temple University Hospital",
  "city": "Philadelphia",
  "state": "PA",
  "workers_approx": 1500,
  "action_type": "strike",
  "duration": "28 days",
  "issues": "Wages, benefits, 'gag rule' on nurses speaking about conditions; PASNAP nurses + techs won contract after month-long strike",
  "hospital_system": "Temple University Health System",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": "2010-twin-cities-mna",
  "year": 2010,
  "start_date_iso": "2010-06-10",
  "date_display": "Jun 10, 2010",
  "facility": "Twin Cities hospitals (14 hospitals, 6 systems incl. Allina, Fairview, Children's)",
  "city": "Minneapolis–St. Paul",
  "state": "MN",
  "workers_approx": 12000,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Nurse-to-patient ratios, pension, pay — largest nurses' strike in U.S. history at the time (MNA)",
  "hospital_system": "Multiple (Allina, Fairview, HealthEast, North Memorial, Children's, Park Nicollet)",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": "2011-whc-dc",
  "year": 2011,
  "start_date_iso": "2011-03-04",
  "date_display": "Mar 4, 2011",
  "facility": "Washington Hospital Center",
  "city": "Washington",
  "state": "DC",
  "workers_approx": 1600,
  "action_type": "strike",
  "duration": "1 day + 4-day lockout",
  "issues": "Short staffing and compensation cuts; MedStar locked out nurses 4 extra days, ~$6M cost (NNU)",
  "hospital_system": "MedStar Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": "2011-tufts-averted",
  "year": 2011,
  "start_date_iso": "2011-05-06",
  "date_display": "May 2011 (strike averted)",
  "facility": "Tufts Medical Center",
  "city": "Boston",
  "state": "MA",
  "workers_approx": 1200,
  "action_type": "averted",
  "duration": "—",
  "issues": "Strike called for May 6, 2011 was averted with a last-minute agreement (MNA)",
  "hospital_system": "Tufts Medicine (Wellforce)",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": "2011-hibbing-range",
  "year": 2011,
  "start_date_iso": "2011-07-11",
  "date_display": "Jul 11–13, 2011",
  "facility": "Range Regional Health Services",
  "city": "Hibbing",
  "state": "MN",
  "workers_approx": 150,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Safe staffing, chronic overtime and burnout (MNA); earlier April strike notice was pulled after a deal",
  "hospital_system": "Fairview Range",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": "2011-ca-kaiser-sympathy",
  "year": 2011,
  "start_date_iso": "2011-09-22",
  "date_display": "Sep 22, 2011",
  "facility": "Kaiser Permanente hospitals (statewide sympathy strike)",
  "city": "Statewide",
  "state": "CA",
  "workers_approx": 17000,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Sympathy strike with NUHW workers protesting proposed retirement and health benefit cuts (CNA/NNU)",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": "2011-ca-sutter-childrens",
  "year": 2011,
  "start_date_iso": "2011-09-22",
  "date_display": "Sep 22, 2011",
  "facility": "Sutter hospitals (12) + Children's Hospital Oakland",
  "city": "Bay Area",
  "state": "CA",
  "workers_approx": 6000,
  "action_type": "strike",
  "duration": "1 day + 5-day lockout",
  "issues": "Benefit and sick-leave cuts; during the lockout, patient Judith Ming died Sep 24 at Alta Bates Summit after a replacement nurse's medication error",
  "hospital_system": "Sutter Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - ED staffed by Vituity (physician-owned partnership, not PE)"
 },
 {
  "event_id": "2011-ca-dec-sutter-lbm",
  "year": 2011,
  "start_date_iso": "2011-12-22",
  "date_display": "Dec 22, 2011",
  "facility": "Sutter Bay Area hospitals + Long Beach Memorial",
  "city": "Statewide",
  "state": "CA",
  "workers_approx": 6000,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Cuts to health coverage, sick leave and patient-care concessions (CNA/NNU)",
  "hospital_system": "Sutter Health / MemorialCare",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - ED staffed by Vituity (physician-owned partnership, not PE)"
 },
 {
  "event_id": "2012-kaiser-jan",
  "year": 2012,
  "start_date_iso": "2012-01-31",
  "date_display": "Jan 31, 2012",
  "facility": "Kaiser Permanente facilities (statewide)",
  "city": "Statewide",
  "state": "CA",
  "workers_approx": 18000,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Mental health understaffing + proposed health/retirement benefit cuts; NUHW clinicians joined by ~17,000 CNA RNs and Local 39 engineers",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": "2012-sutter-jun",
  "year": 2012,
  "start_date_iso": "2012-06-13",
  "date_display": "Jun 13, 2012",
  "facility": "Sutter hospitals (11, incl. Alta Bates Summit)",
  "city": "Bay Area",
  "state": "CA",
  "workers_approx": 4500,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "~100 proposed contract concessions nurses said would erode patient care (CNA/NNU)",
  "hospital_system": "Sutter Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - ED staffed by Vituity (physician-owned partnership, not PE)"
 },
 {
  "event_id": "2012-sutter-nov",
  "year": 2012,
  "start_date_iso": "2012-11-01",
  "date_display": "Nov 1, 2012",
  "facility": "Sutter East Bay hospitals (7)",
  "city": "East Bay",
  "state": "CA",
  "workers_approx": 3200,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "18-month contract fight over concessions; one of 70+ CNA strikes in CA in two years",
  "hospital_system": "Sutter Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - ED staffed by Vituity (physician-owned partnership, not PE)"
 },
 {
  "event_id": "2013-sutter-eastbay",
  "year": 2013,
  "start_date_iso": "2013-05-21",
  "date_display": "May 2013 (7-day strike)",
  "facility": "Sutter East Bay hospitals (incl. Alta Bates Summit)",
  "city": "East Bay",
  "state": "CA",
  "workers_approx": 3100,
  "action_type": "strike",
  "duration": "7 days",
  "issues": "Contract demands nurses called union-busting; 9th Sutter walkout in two years (CNA/NNU)",
  "hospital_system": "Sutter Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - ED staffed by Vituity (physician-owned partnership, not PE)"
 },
 {
  "event_id": "2013-uc-afscme",
  "year": 2013,
  "start_date_iso": "2013-05-21",
  "date_display": "May 21–22, 2013",
  "facility": "UC medical centers (5) + UC Berkeley health center",
  "city": "Statewide",
  "state": "CA",
  "workers_approx": 13000,
  "action_type": "strike",
  "duration": "2 days",
  "issues": "Patient-care staffing and safety (AFSCME 3299 patient care workers; UPTE-CWA sympathy strike)",
  "hospital_system": "University of California",
  "ownership_code": "gov",
  "ownership_label": "Public / government",
  "pe_contract": "n/a"
 },
 {
  "event_id": "2014-kaiser-mh",
  "year": 2014,
  "start_date_iso": "2014-04-23",
  "date_display": "Apr 2014 (date approx.)",
  "facility": "Kaiser Permanente mental health clinics (statewide)",
  "city": "Statewide",
  "state": "CA",
  "workers_approx": 2500,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Mental health understaffing and appointment wait times (NUHW; one of five strikes 2011–2015 per NUHW chronology)",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": "2014-kaiser-ebola",
  "year": 2014,
  "start_date_iso": "2014-11-11",
  "date_display": "Nov 11–12, 2014",
  "facility": "Kaiser Permanente (86 CA hospitals & clinics)",
  "city": "Statewide",
  "state": "CA",
  "workers_approx": 18000,
  "action_type": "strike",
  "duration": "2 days",
  "issues": "Inadequate Ebola safeguards and eroding patient-care staffing; Sutter Tracy and Watsonville Community RNs struck the same days (NNU)",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": "2014-whc-dec",
  "year": 2014,
  "start_date_iso": "2014-12-22",
  "date_display": "Dec 22, 2014",
  "facility": "Washington Hospital Center",
  "city": "Washington",
  "state": "DC",
  "workers_approx": 1600,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Staffing levels and Ebola preparedness (NNU)",
  "hospital_system": "MedStar Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": "2015-kaiser-mh",
  "year": 2015,
  "start_date_iso": "2015-01-12",
  "date_display": "Jan 12–19, 2015",
  "facility": "Kaiser Permanente mental health clinics (65 picket lines, statewide)",
  "city": "Statewide",
  "state": "CA",
  "workers_approx": 2600,
  "action_type": "strike",
  "duration": "7 days",
  "issues": "Mental health understaffing and long patient wait times (NUHW week-long statewide strike)",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": "2015-uchicago-averted",
  "year": 2015,
  "start_date_iso": "2015-04-28",
  "date_display": "Apr 28, 2015 (strike averted)",
  "facility": "University of Chicago Medical Center",
  "city": "Chicago",
  "state": "IL",
  "workers_approx": 1500,
  "action_type": "averted",
  "duration": "—",
  "issues": "One-day strike called for Apr 30 averted after tentative agreement; 95% had authorized (NNU)",
  "hospital_system": "UChicago Medicine",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": "2015-sutter-5",
  "year": 2015,
  "start_date_iso": "2015-04-30",
  "date_display": "Apr 30, 2015",
  "facility": "Sutter hospitals (Roseville, Mills-Peninsula, Auburn Faith, Tracy, Santa Rosa)",
  "city": "Northern California",
  "state": "CA",
  "workers_approx": 2500,
  "action_type": "strike",
  "duration": "1 day + lockout",
  "issues": "Compensation and patient-safety issues (CNA/NNU)",
  "hospital_system": "Sutter Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - ED staffed by Vituity (physician-owned partnership, not PE)"
 },
 {
  "event_id": "2016-allina-june",
  "year": 2016,
  "start_date_iso": "2016-06-19",
  "date_display": "Jun 19–26, 2016",
  "facility": "Allina Health hospitals (5: Abbott Northwestern, Mercy, United, Unity, Phillips Eye)",
  "city": "Minneapolis–St. Paul",
  "state": "MN",
  "workers_approx": 4800,
  "action_type": "strike",
  "duration": "7 days",
  "issues": "Health insurance benefits and staffing (MNA); first of two 2016 Allina strikes",
  "hospital_system": "Allina Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": "2016-brigham-averted",
  "year": 2016,
  "start_date_iso": "2016-06-27",
  "date_display": "Jun 2016 (strike averted)",
  "facility": "Brigham and Women's Hospital",
  "city": "Boston",
  "state": "MA",
  "workers_approx": 3300,
  "action_type": "averted",
  "duration": "—",
  "issues": "Planned one-day strike averted after agreement on pay, staffing and benefits (MNA)",
  "hospital_system": "Partners HealthCare (Mass General Brigham)",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": "2016-allina-fall",
  "year": 2016,
  "start_date_iso": "2016-09-05",
  "date_display": "Sep 5 – Oct 16, 2016",
  "facility": "Allina Health hospitals (5)",
  "city": "Minneapolis–St. Paul",
  "state": "MN",
  "workers_approx": 4800,
  "action_type": "strike",
  "duration": "~6 weeks (open-ended)",
  "issues": "Health insurance benefits; the two 2016 strikes cost Allina ~$105–149M (MNA)",
  "hospital_system": "Allina Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": "2016-prime-seiu",
  "year": 2016,
  "start_date_iso": "2016-10-01",
  "date_display": "Oct 2016 (week-long, dates approx.)",
  "facility": "Prime Healthcare SoCal hospitals (incl. St. Francis Lynwood, Centinela, Garden Grove, Encino)",
  "city": "Los Angeles area",
  "state": "CA",
  "workers_approx": 1800,
  "action_type": "strike",
  "duration": "~7 days",
  "issues": "Severe understaffing and refusal to bargain (SEIU-UHW; ~500 St. Francis RNs also struck); contract settled Aug 2017",
  "hospital_system": "Prime Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": "2017-tufts",
  "year": 2017,
  "start_date_iso": "2017-07-12",
  "date_display": "Jul 12, 2017",
  "facility": "Tufts Medical Center",
  "city": "Boston",
  "state": "MA",
  "workers_approx": 1200,
  "action_type": "strike",
  "duration": "1 day + 4-day lockout",
  "issues": "Staffing, pay and pension changes; first Boston nurses' strike in 31 years (MNA)",
  "hospital_system": "Tufts Medicine (Wellforce)",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2018,
  "start_date_iso": "2018-05-08",
  "date_display": "May 8–9",
  "facility": "University of California medical centers (5 campuses)",
  "city": "Statewide",
  "state": "CA",
  "workers_approx": 53000,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "AFSCME service and patient-care workers struck over wages and outsourcing; nurses and technical staff joined in sympathy",
  "hospital_system": "University of California",
  "ownership_code": "gov",
  "ownership_label": "Public / government",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2018,
  "start_date_iso": "2018-10-23",
  "date_display": "Oct 23–25",
  "facility": "University of California medical centers (5 campuses)",
  "city": "Statewide",
  "state": "CA",
  "workers_approx": 39000,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Second systemwide strike of 2018 over wages, outsourcing, and pay inequality",
  "hospital_system": "University of California",
  "ownership_code": "gov",
  "ownership_label": "Public / government",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2019,
  "start_date_iso": "2019-05-06",
  "date_display": "May 6 – mid-Jun",
  "facility": "Mercy Health St. Vincent Medical Center",
  "city": "Toledo",
  "state": "OH",
  "workers_approx": 2000,
  "action_type": "strike",
  "duration": "~6 weeks",
  "issues": "Mandatory on-call hours, health benefit costs, and staffing — one of the biggest labor disputes in Toledo history",
  "hospital_system": "Bon Secours Mercy Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2019,
  "start_date_iso": "2019-09-20",
  "date_display": "Sep 20",
  "facility": "University of Chicago Medical Center",
  "city": "Chicago",
  "state": "IL",
  "workers_approx": 2200,
  "action_type": "strike",
  "duration": "1 day + 4-day lockout",
  "issues": "Chronic short staffing, forced on-call hours, and patient safety",
  "hospital_system": "UChicago Medicine",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2020,
  "start_date_iso": "2020-01-28",
  "date_display": "Jan 28–30",
  "facility": "Swedish Medical Center (Providence)",
  "city": "Seattle",
  "state": "WA",
  "workers_approx": 8000,
  "action_type": "strike",
  "duration": "3 days + lockout",
  "issues": "Wages, staffing, and alleged unfair labor practices — two ERs closed during the walkout",
  "hospital_system": "Providence",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: Home health & hospice moved to JV run by PE-backed Compassus (2025); flagged by nurses unions & Oregon regulators"
 },
 {
  "event_id": null,
  "year": 2020,
  "start_date_iso": "2020-03-05",
  "date_display": "Mar 5–7",
  "facility": "San Joaquin General Hospital",
  "city": "French Camp",
  "state": "CA",
  "workers_approx": 750,
  "action_type": "strike",
  "duration": "2 days",
  "issues": "Unsafe patient staffing, nurse retention, and wages",
  "hospital_system": "San Joaquin County (public)",
  "ownership_code": "gov",
  "ownership_label": "Public / government",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2020,
  "start_date_iso": "2020-06-26",
  "date_display": "Jun 26 – Jul 5",
  "facility": "Riverside Community Hospital",
  "city": "Riverside",
  "state": "CA",
  "workers_approx": 500,
  "action_type": "strike",
  "duration": "10 days",
  "issues": "Understaffing and lack of PPE during the first COVID-19 surge",
  "hospital_system": "HCA Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2020,
  "start_date_iso": "2020-07-04",
  "date_display": "Jul 4–20",
  "facility": "AMITA Health Saint Joseph Medical Center",
  "city": "Joliet",
  "state": "IL",
  "workers_approx": 720,
  "action_type": "strike",
  "duration": "16 days",
  "issues": "Unsafe staffing and benefit protections — first strike there since 1993; won staffing improvements",
  "hospital_system": "AMITA Health (Ascension)",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: Clinical staffing outsourced to SCP Health (Onex Partners)"
 },
 {
  "event_id": null,
  "year": 2020,
  "start_date_iso": "2020-07-20",
  "date_display": "Jul 20–24",
  "facility": "Santa Rosa Memorial Hospital",
  "city": "Santa Rosa",
  "state": "CA",
  "workers_approx": 740,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Proposed cuts to sick leave and health benefits, plus PPE shortages — the largest pandemic-era strike at the time",
  "hospital_system": "Providence",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: Home health & hospice moved to JV run by PE-backed Compassus (2025); flagged by nurses unions & Oregon regulators"
 },
 {
  "event_id": null,
  "year": 2020,
  "start_date_iso": "2020-09-12",
  "date_display": "Sep 12–19",
  "facility": "University of Illinois Hospital",
  "city": "Chicago",
  "state": "IL",
  "workers_approx": 800,
  "action_type": "strike",
  "duration": "7 days",
  "issues": "PPE and safer COVID-19 working conditions; thousands of SEIU service workers joined mid-strike",
  "hospital_system": "UI Health",
  "ownership_code": "gov",
  "ownership_label": "Public / government",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2020,
  "start_date_iso": "2020-10-07",
  "date_display": "Oct 7–11",
  "facility": "San Joaquin General Hospital",
  "city": "French Camp",
  "state": "CA",
  "workers_approx": 750,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Second strike of 2020 over staffing and PPE; a contract was ratified in 2021",
  "hospital_system": "San Joaquin County (public)",
  "ownership_code": "gov",
  "ownership_label": "Public / government",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2020,
  "start_date_iso": "2020-10-07",
  "date_display": "Oct 7–12",
  "facility": "San Leandro & Alameda Hospitals",
  "city": "San Leandro & Alameda",
  "state": "CA",
  "workers_approx": 1000,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Alleged failure to protect nurses and patients during the pandemic",
  "hospital_system": "Alameda Health System",
  "ownership_code": "gov",
  "ownership_label": "Public / government",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2020,
  "start_date_iso": "2020-11-17",
  "date_display": "Nov 17–19",
  "facility": "St. Mary Medical Center",
  "city": "Langhorne",
  "state": "PA",
  "workers_approx": 800,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Unsafe staffing and low wages as COVID cases surged; won a five-year contract",
  "hospital_system": "Trinity Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2021,
  "start_date_iso": "2021-03-08",
  "date_display": "Mar 8, 2021 – Jan 3, 2022",
  "facility": "Saint Vincent Hospital",
  "city": "Worcester",
  "state": "MA",
  "workers_approx": 700,
  "action_type": "strike",
  "duration": "301 days",
  "issues": "Staffing and pay — the longest nurses' strike in Massachusetts history; the Tenet dispute became a modern reference point for hospital labor actions",
  "hospital_system": "Tenet Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2021,
  "start_date_iso": "2021-04-16",
  "date_display": "Apr 16–17",
  "facility": "Barton Memorial Hospital",
  "city": "South Lake Tahoe",
  "state": "CA",
  "workers_approx": 155,
  "action_type": "strike",
  "duration": "2 days",
  "issues": "Wages, recruitment, and retention in a long-running first-contract fight",
  "hospital_system": "Barton Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2021,
  "start_date_iso": "2021-04-21",
  "date_display": "Apr 21–24",
  "facility": "Tyler Memorial Hospital",
  "city": "Tunkhannock",
  "state": "PA",
  "workers_approx": 100,
  "action_type": "strike",
  "duration": "4 days",
  "issues": "Staff shortages, low pay, and aging equipment; the hospital later cut inpatient services",
  "hospital_system": "Commonwealth Health",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2021,
  "start_date_iso": "2021-05-25",
  "date_display": "May 25–26",
  "facility": "Chinese Hospital",
  "city": "San Francisco",
  "state": "CA",
  "workers_approx": 100,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Staffing and retention; nurses later won their first union contract",
  "hospital_system": "Independent / other",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2021,
  "start_date_iso": "2021-06-01",
  "date_display": "Jun 1–4",
  "facility": "Logan Health",
  "city": "Kalispell",
  "state": "MT",
  "workers_approx": 650,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "First-contract fight — staffing committee, seniority, and wages; contract won in September",
  "hospital_system": "Logan Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2021,
  "start_date_iso": "2021-06-24",
  "date_display": "Jun 24",
  "facility": "Cook County Health (Stroger Hospital & clinics)",
  "city": "Chicago",
  "state": "IL",
  "workers_approx": 900,
  "action_type": "strike",
  "duration": "1 day (18-day dispute)",
  "issues": "Persistent nursing shortage — county agreed to recruit 300 nurses with 12–31% raises",
  "hospital_system": "Cook County Health (public)",
  "ownership_code": "gov",
  "ownership_label": "Public / government",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2021,
  "start_date_iso": "2021-10-01",
  "date_display": "Oct 1 – Nov 4",
  "facility": "Mercy Hospital",
  "city": "Buffalo",
  "state": "NY",
  "workers_approx": 2000,
  "action_type": "strike",
  "duration": "~5 weeks",
  "issues": "Staffing and working conditions; won 1:4 staffing ratios and higher base pay",
  "hospital_system": "Catholic Health (Buffalo)",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2021,
  "start_date_iso": "2021-10-04",
  "date_display": "Oct 4",
  "facility": "Sutter Delta Medical Center",
  "city": "Antioch",
  "state": "CA",
  "workers_approx": 350,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Understaffing, overwork, and stalled negotiations",
  "hospital_system": "Sutter Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - ED staffed by Vituity (physician-owned partnership, not PE)"
 },
 {
  "event_id": null,
  "year": 2021,
  "start_date_iso": "2021-10-05",
  "date_display": "Oct 5–7",
  "facility": "McKenzie-Willamette Medical Center",
  "city": "Springfield",
  "state": "OR",
  "workers_approx": 400,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Outsourcing, turnover, wages, and COVID-19 protections",
  "hospital_system": "Quorum Health",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE-owned: GoldenTree Asset Management / Davidson Kempner investor group"
 },
 {
  "event_id": null,
  "year": 2021,
  "start_date_iso": "2021-10-17",
  "date_display": "Oct 17–19",
  "facility": "Abbott Northwestern WestHealth",
  "city": "Plymouth",
  "state": "MN",
  "workers_approx": 50,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Holiday pay, benefits, and scheduling demands",
  "hospital_system": "Allina Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2021,
  "start_date_iso": "2021-11-03",
  "date_display": "Nov 3 – Dec 1",
  "facility": "Cabell Huntington Hospital",
  "city": "Huntington",
  "state": "WV",
  "workers_approx": 1000,
  "action_type": "strike",
  "duration": "28 days",
  "issues": "Wages, safe staffing, and health insurance; ended with a ratified 3-year contract",
  "hospital_system": "Mountain Health Network",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2021,
  "start_date_iso": "2021-11-08",
  "date_display": "Nov 8–12",
  "facility": "Sutter Delta Medical Center",
  "city": "Antioch",
  "state": "CA",
  "workers_approx": 350,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Second strike in five weeks over staffing and unfair labor practice claims",
  "hospital_system": "Sutter Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - ED staffed by Vituity (physician-owned partnership, not PE)"
 },
 {
  "event_id": null,
  "year": 2021,
  "start_date_iso": "2021-11-18",
  "date_display": "Nov 18",
  "facility": "UPMC hospitals",
  "city": "Pittsburgh",
  "state": "PA",
  "workers_approx": 100,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Union recognition, a $20 minimum wage, and healthcare costs",
  "hospital_system": "UPMC",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2021,
  "start_date_iso": "2021-12-06",
  "date_display": "Dec 6–11",
  "facility": "McKenzie-Willamette Medical Center",
  "city": "Springfield",
  "state": "OR",
  "workers_approx": 300,
  "action_type": "strike",
  "duration": "6 days",
  "issues": "Second strike of 2021; won a 3-year contract in February 2022",
  "hospital_system": "Quorum Health",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE-owned: GoldenTree Asset Management / Davidson Kempner investor group"
 },
 {
  "event_id": null,
  "year": 2022,
  "start_date_iso": "2022-03-13",
  "date_display": "Mar 13–18",
  "facility": "Armstrong County Memorial Hospital",
  "city": "Kittanning",
  "state": "PA",
  "workers_approx": 200,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Understaffing, recruitment, pay; first strike there in 20+ years",
  "hospital_system": "Independent / other",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2022,
  "start_date_iso": "2022-03-30",
  "date_display": "Mar 30–31",
  "facility": "AHMC Seton Medical Center",
  "city": "Daly City",
  "state": "CA",
  "workers_approx": 300,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Understaffing, lack of support staff and PPE",
  "hospital_system": "AHMC Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2022,
  "start_date_iso": "2022-04-18",
  "date_display": "Apr 18",
  "facility": "Sutter Health (15+ facilities)",
  "city": "Northern California",
  "state": "CA",
  "workers_approx": 8000,
  "action_type": "strike",
  "duration": "1 day + lockout",
  "issues": "Staffing shortage, nurse retention, health & safety protections",
  "hospital_system": "Sutter Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - ED staffed by Vituity (physician-owned partnership, not PE)"
 },
 {
  "event_id": null,
  "year": 2022,
  "start_date_iso": "2022-04-25",
  "date_display": "Apr 25–29",
  "facility": "Stanford & Lucile Packard Children's Hospitals",
  "city": "Palo Alto",
  "state": "CA",
  "workers_approx": 5000,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Understaffing, mandatory overtime, mental health support, pay",
  "hospital_system": "Stanford Medicine",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2022,
  "start_date_iso": "2022-05-09",
  "date_display": "May 9–13",
  "facility": "Cedars-Sinai Medical Center",
  "city": "Los Angeles",
  "state": "CA",
  "workers_approx": 2000,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Pay, staffing and working conditions (SEIU-UHW service workers)",
  "hospital_system": "Cedars-Sinai",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2022,
  "start_date_iso": "2022-05-18",
  "date_display": "May 18–20",
  "facility": "Kaiser Permanente mental health clinics",
  "city": "Honolulu",
  "state": "HI",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Mental health staffing and access to care",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": null,
  "year": 2022,
  "start_date_iso": "2022-05-23",
  "date_display": "May 23–Jun 22",
  "facility": "Saint Michael's Medical Center",
  "city": "Newark",
  "state": "NJ",
  "workers_approx": 350,
  "action_type": "strike",
  "duration": "31 days",
  "issues": "Contract dispute (JNESO); ended when workers accepted new deal",
  "hospital_system": "Prime Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2022,
  "start_date_iso": "2022-06-22",
  "date_display": "Jun 22–23",
  "facility": "AHMC Seton Medical Center",
  "city": "Daly City",
  "state": "CA",
  "workers_approx": 300,
  "action_type": "strike",
  "duration": "2 days",
  "issues": "Second strike of 2022 over staffing and patient care",
  "hospital_system": "AHMC Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2022,
  "start_date_iso": "2022-06-23",
  "date_display": "Jun 23",
  "facility": "Kaiser Permanente Los Angeles Medical Center",
  "city": "Los Angeles",
  "state": "CA",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Contract and staffing (California Nurses Association)",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": null,
  "year": 2022,
  "start_date_iso": "2022-07-18",
  "date_display": "Jul 18–Aug 1",
  "facility": "Sequoia Hospital (Dignity Health)",
  "city": "Redwood City",
  "state": "CA",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "~2 weeks",
  "issues": "Fair contract (AFSCME); ended with a 4-year deal",
  "hospital_system": "CommonSpirit (Dignity Health)",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2022,
  "start_date_iso": "2022-08-15",
  "date_display": "Aug 15–Oct 18",
  "facility": "Kaiser Permanente mental health clinics",
  "city": "Northern California",
  "state": "CA",
  "workers_approx": 2000,
  "action_type": "strike",
  "duration": "10 weeks",
  "issues": "Mental health staffing and patient access to therapy",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": null,
  "year": 2022,
  "start_date_iso": "2022-09-12",
  "date_display": "Sep 12–14",
  "facility": "16 hospitals — Minnesota Nurses Association",
  "city": "Twin Cities & Duluth",
  "state": "MN",
  "workers_approx": 15000,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Staffing and pay — largest private-sector nurses' strike in U.S. history",
  "hospital_system": "Multiple systems (Twin Cities)",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2022,
  "start_date_iso": "2022-09-22",
  "date_display": "Sep 22–23",
  "facility": "Windham Hospital (Hartford HealthCare)",
  "city": "Willimantic",
  "state": "CT",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "2 days",
  "issues": "Nurses' contract, pay and staffing",
  "hospital_system": "Hartford HealthCare",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2022,
  "start_date_iso": "2022-09-26",
  "date_display": "Sep 26",
  "facility": "Sutter Santa Rosa Regional Hospital",
  "city": "Santa Rosa",
  "state": "CA",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Engineers' contract dispute (ESC Local 20)",
  "hospital_system": "Sutter Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - ED staffed by Vituity (physician-owned partnership, not PE)"
 },
 {
  "event_id": null,
  "year": 2022,
  "start_date_iso": "2022-10-03",
  "date_display": "Oct 3–5",
  "facility": "Allina Health facilities",
  "city": "Minneapolis",
  "state": "MN",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Pay and staffing (SEIU Healthcare MN & IA)",
  "hospital_system": "Allina Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2022,
  "start_date_iso": "2022-10-24",
  "date_display": "Oct 24–25",
  "facility": "Windham Hospital (WCMH United Employees)",
  "city": "Willimantic",
  "state": "CT",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "2 days",
  "issues": "Second Windham strike of 2022 — pay and staffing",
  "hospital_system": "Hartford HealthCare",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2022,
  "start_date_iso": "2022-10-24",
  "date_display": "Oct 24–28",
  "facility": "Alta Bates Summit Medical Center",
  "city": "Oakland & Berkeley",
  "state": "CA",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Staffing and contract (California Nurses Association)",
  "hospital_system": "Sutter Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - ED staffed by Vituity (physician-owned partnership, not PE)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-01-09",
  "date_display": "Jan 9–11",
  "facility": "Mount Sinai Hospital & Montefiore Medical Center",
  "city": "New York City",
  "state": "NY",
  "workers_approx": 7000,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Staffing shortages and burnout; won 19% raises over 3 years and staffing enforcement",
  "hospital_system": "Mount Sinai / Montefiore",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-01-23",
  "date_display": "Jan",
  "facility": "MyMichigan Alma & McLaren Central",
  "city": "Alma / Mount Pleasant",
  "state": "MI",
  "workers_approx": 250,
  "action_type": "averted",
  "duration": "—",
  "issues": "Alleged bad-faith bargaining; deals reached before walkout",
  "hospital_system": "MyMichigan / McLaren",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: McLaren EDs staffed via TeamHealth (Blackstone)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-02-27",
  "date_display": "Feb 27",
  "facility": "South Shore University Hospital (Northwell)",
  "city": "Bay Shore",
  "state": "NY",
  "workers_approx": 800,
  "action_type": "averted",
  "duration": "—",
  "issues": "Pay and safe staffing ratios; tentative deal averted strike",
  "hospital_system": "Northwell Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-03-20",
  "date_display": "Mar 20",
  "facility": "Henry Mayo Newhall Hospital",
  "city": "Valencia",
  "state": "CA",
  "workers_approx": 700,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Alleged unfair labor practices, low wages, high turnover",
  "hospital_system": "Independent / other",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-03-28",
  "date_display": "Mar 28",
  "facility": "MarinHealth Medical Center",
  "city": "Greenbrae",
  "state": "CA",
  "workers_approx": 600,
  "action_type": "averted",
  "duration": "—",
  "issues": "Patient care and staffing; 16.5% raise deal averted strike",
  "hospital_system": "MarinHealth",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - ED staffed by Vituity (physician-owned partnership, not PE)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-05-02",
  "date_display": "May 2",
  "facility": "John Muir Behavioral Health Center",
  "city": "Concord",
  "state": "CA",
  "workers_approx": 78,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Hazardous staffing levels, working conditions, pay",
  "hospital_system": "John Muir Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-05-02",
  "date_display": "May 2",
  "facility": "St. Rose Hospital",
  "city": "Hayward",
  "state": "CA",
  "workers_approx": 200,
  "action_type": "averted",
  "duration": "—",
  "issues": "Staffing and pay; called off after progress in negotiations",
  "hospital_system": "Independent / other",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-05-11",
  "date_display": "May 11",
  "facility": "PIH Health Good Samaritan Hospital",
  "city": "Los Angeles",
  "state": "CA",
  "workers_approx": null,
  "action_type": "averted",
  "duration": "—",
  "issues": "Understaffing and missed breaks; tentative deal averted strike",
  "hospital_system": "PIH Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-05-22",
  "date_display": "May 22",
  "facility": "HCA Healthcare (5 hospitals)",
  "city": "Southern California",
  "state": "CA",
  "workers_approx": 3000,
  "action_type": "averted",
  "duration": "—",
  "issues": "Staffing crisis; 15% raise deal averted strike",
  "hospital_system": "HCA Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-06-12",
  "date_display": "Jun 12",
  "facility": "St. Charles Health System",
  "city": "Bend",
  "state": "OR",
  "workers_approx": 1000,
  "action_type": "averted",
  "duration": "—",
  "issues": "Staffing, meal breaks, pay; marathon talks averted strike",
  "hospital_system": "St. Charles Health System",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-06-12",
  "date_display": "Jun 12",
  "facility": "NewYork-Presbyterian Brooklyn Methodist",
  "city": "Brooklyn",
  "state": "NY",
  "workers_approx": 1250,
  "action_type": "averted",
  "duration": "—",
  "issues": "Staffing cuts; 18% raises over 3 years averted strike",
  "hospital_system": "NewYork-Presbyterian",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-06-19",
  "date_display": "Jun 19–23",
  "facility": "Providence Portland, Seaside & Home Health/Hospice",
  "city": "Portland",
  "state": "OR",
  "workers_approx": 1800,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Unsafe ratios, pay, alleged unfair labor practices — Portland's first nurses' strike in 22 years",
  "hospital_system": "Providence",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: Home health & hospice moved to JV run by PE-backed Compassus (2025); flagged by nurses unions & Oregon regulators"
 },
 {
  "event_id": "asc-jun23",
  "year": 2023,
  "start_date_iso": "2023-06-27",
  "date_display": "Jun 27",
  "facility": "Ascension Seton Medical Center",
  "city": "Austin",
  "state": "TX",
  "workers_approx": 900,
  "action_type": "strike",
  "duration": "1 day + lockout",
  "issues": "Unsafe staffing, retention — largest nurses' strike in Texas history",
  "hospital_system": "Ascension",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: IL hospitalists via SCP Health (Onex); WI ED/ICU via TeamHealth (Blackstone); revenue cycle via R1 RCM (TowerBrook/CD&R)"
 },
 {
  "event_id": "asc-jun23",
  "year": 2023,
  "start_date_iso": "2023-06-27",
  "date_display": "Jun 27",
  "facility": "Ascension Via Christi St. Francis",
  "city": "Wichita",
  "state": "KS",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "1 day + lockout",
  "issues": "Same-day Ascension strike over staffing and first contracts",
  "hospital_system": "Ascension",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: IL hospitalists via SCP Health (Onex); WI ED/ICU via TeamHealth (Blackstone); revenue cycle via R1 RCM (TowerBrook/CD&R)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-07-12",
  "date_display": "Jul 12–18",
  "facility": "Oahu Care Facility",
  "city": "Honolulu",
  "state": "HI",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "7 days",
  "issues": "Wages, fair contract, alleged unfair labor practices",
  "hospital_system": "Independent / other",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-07-19",
  "date_display": "Jul 19",
  "facility": "SSM Health Saint Louis University Hospital",
  "city": "St. Louis",
  "state": "MO",
  "workers_approx": null,
  "action_type": "picket",
  "duration": "1 day",
  "issues": "Informational picket over chronic staffing crisis and workplace violence",
  "hospital_system": "SSM Health",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: Hospitalist staffing contracted to Sound Physicians (Summit Partners)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-07-31",
  "date_display": "Jul 31–Aug 10",
  "facility": "Loretto Hospital",
  "city": "Chicago",
  "state": "IL",
  "workers_approx": 200,
  "action_type": "strike",
  "duration": "11 days",
  "issues": "Below-standard wages and equipment; won new 3-year contract",
  "hospital_system": "Independent / other",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-08-03",
  "date_display": "Aug 3–4",
  "facility": "Rochester General Hospital",
  "city": "Rochester",
  "state": "NY",
  "workers_approx": 900,
  "action_type": "strike",
  "duration": "2 days",
  "issues": "Unsafe nurse-to-patient ratios and pay",
  "hospital_system": "Rochester Regional Health",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: Urgent/immediate care centers staffed by TeamHealth (Blackstone) clinicians since 2016"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-08-04",
  "date_display": "Aug 4–Dec",
  "facility": "Robert Wood Johnson University Hospital",
  "city": "New Brunswick",
  "state": "NJ",
  "workers_approx": 1700,
  "action_type": "strike",
  "duration": "~4 months",
  "issues": "Staffing ratios, pay, benefits — one of the longest nurses' strikes of the decade",
  "hospital_system": "RWJBarnabas Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-08-04",
  "date_display": "Aug 4",
  "facility": "Trinity Health Grand Haven",
  "city": "Grand Haven",
  "state": "MI",
  "workers_approx": 200,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Wages, safe staffing, alleged bad-faith bargaining",
  "hospital_system": "Trinity Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-08-18",
  "date_display": "Aug 18–28",
  "facility": "Garfield Medical Center",
  "city": "Monterey Park",
  "state": "CA",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "10 days",
  "issues": "Short staffing, workplace-violence protections, faulty equipment",
  "hospital_system": "AHMC Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-08-22",
  "date_display": "Aug 22–23",
  "facility": "Ascension Saint Joseph",
  "city": "Joliet",
  "state": "IL",
  "workers_approx": 500,
  "action_type": "strike",
  "duration": "2 days",
  "issues": "Understaffing and low wages",
  "hospital_system": "Ascension",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: IL hospitalists via SCP Health (Onex); WI ED/ICU via TeamHealth (Blackstone); revenue cycle via R1 RCM (TowerBrook/CD&R)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-09-06",
  "date_display": "Sep 6",
  "facility": "Cedars-Sinai Marina del Rey Hospital",
  "city": "Marina del Rey",
  "state": "CA",
  "workers_approx": 250,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Bargaining rights and benefits",
  "hospital_system": "Cedars-Sinai",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-09-11",
  "date_display": "Sep 11–13",
  "facility": "Ascension Providence Rochester Hospital",
  "city": "Rochester",
  "state": "MI",
  "workers_approx": 270,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Wages, staffing, unsettled contracts (nurses & rad techs)",
  "hospital_system": "Ascension",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: IL hospitalists via SCP Health (Onex); WI ED/ICU via TeamHealth (Blackstone); revenue cycle via R1 RCM (TowerBrook/CD&R)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-09-25",
  "date_display": "Sep 25",
  "facility": "SSM Health Saint Louis University Hospital",
  "city": "St. Louis",
  "state": "MO",
  "workers_approx": 500,
  "action_type": "strike",
  "duration": "24 hours",
  "issues": "Patient care, unsafe staffing, workplace violence",
  "hospital_system": "SSM Health",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: Hospitalist staffing contracted to Sound Physicians (Summit Partners)"
 },
 {
  "event_id": "kp2023",
  "year": 2023,
  "start_date_iso": "2023-10-04",
  "date_display": "Oct 4–6",
  "facility": "Kaiser Permanente (multi-state)",
  "city": "California",
  "state": "CA",
  "workers_approx": 75000,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Largest healthcare strike in U.S. history — staffing shortage and pay; won 21% raises over 4 years",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": "kp2023",
  "year": 2023,
  "start_date_iso": "2023-10-04",
  "date_display": "Oct 4–6",
  "facility": "Kaiser Permanente (multi-state)",
  "city": "Colorado",
  "state": "CO",
  "workers_approx": 75000,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Part of the largest healthcare strike in U.S. history",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": "kp2023",
  "year": 2023,
  "start_date_iso": "2023-10-04",
  "date_display": "Oct 4–6",
  "facility": "Kaiser Permanente (multi-state)",
  "city": "Oregon",
  "state": "OR",
  "workers_approx": 75000,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Part of the largest healthcare strike in U.S. history",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": "kp2023",
  "year": 2023,
  "start_date_iso": "2023-10-04",
  "date_display": "Oct 4–6",
  "facility": "Kaiser Permanente (multi-state)",
  "city": "Washington",
  "state": "WA",
  "workers_approx": 75000,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Part of the largest healthcare strike in U.S. history",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": "kp2023",
  "year": 2023,
  "start_date_iso": "2023-10-04",
  "date_display": "Oct 4–6",
  "facility": "Kaiser Permanente (multi-state)",
  "city": "Virginia",
  "state": "VA",
  "workers_approx": 75000,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Part of the largest healthcare strike in U.S. history",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": "kp2023",
  "year": 2023,
  "start_date_iso": "2023-10-04",
  "date_display": "Oct 4–6",
  "facility": "Kaiser Permanente (multi-state)",
  "city": "Washington D.C.",
  "state": "DC",
  "workers_approx": 75000,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Part of the largest healthcare strike in U.S. history",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-10-09",
  "date_display": "Oct 9–13",
  "facility": "St. Francis Medical Center",
  "city": "Lynwood",
  "state": "CA",
  "workers_approx": 1500,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Staffing and wages; contract ratified in December",
  "hospital_system": "Prime Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-10-18",
  "date_display": "Oct",
  "facility": "Allegheny General Hospital",
  "city": "Pittsburgh",
  "state": "PA",
  "workers_approx": null,
  "action_type": "averted",
  "duration": "—",
  "issues": "Pay and ratios; contract ratified before strike date set",
  "hospital_system": "Allegheny Health Network",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-10-23",
  "date_display": "Oct 23–27",
  "facility": "Providence St. Joseph Medical Center",
  "city": "Burbank",
  "state": "CA",
  "workers_approx": 700,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Alleged bad-faith bargaining and unfair labor practices",
  "hospital_system": "Providence",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: Home health & hospice moved to JV run by PE-backed Compassus (2025); flagged by nurses unions & Oregon regulators"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-10-23",
  "date_display": "Oct 23–27",
  "facility": "PeaceHealth Southwest & St. John",
  "city": "Vancouver / Longview",
  "state": "WA",
  "workers_approx": 1300,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Pay and staffing standards; won 20–55% raises",
  "hospital_system": "PeaceHealth",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: ED physicians at St. Joseph (Bellingham, WA) employed by TeamHealth (Blackstone)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-10-23",
  "date_display": "Oct 23–27",
  "facility": "Rochester General Hospital (2nd action)",
  "city": "Rochester",
  "state": "NY",
  "workers_approx": 900,
  "action_type": "averted",
  "duration": "—",
  "issues": "Second strike averted by 42-month contract with raises",
  "hospital_system": "Rochester Regional Health",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: Urgent/immediate care centers staffed by TeamHealth (Blackstone) clinicians since 2016"
 },
 {
  "event_id": "kpnw23",
  "year": 2023,
  "start_date_iso": "2023-11-01",
  "date_display": "Nov 1–18",
  "facility": "Kaiser Permanente imaging & pharmacy techs",
  "city": "Portland",
  "state": "OR",
  "workers_approx": 870,
  "action_type": "strike",
  "duration": "~3 weeks",
  "issues": "Alleged unfair labor practices",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": "kpnw23",
  "year": 2023,
  "start_date_iso": "2023-11-01",
  "date_display": "Nov 1–18",
  "facility": "Kaiser Permanente imaging & pharmacy techs",
  "city": "SW Washington",
  "state": "WA",
  "workers_approx": 870,
  "action_type": "strike",
  "duration": "~3 weeks",
  "issues": "Alleged unfair labor practices",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-11-14",
  "date_display": "Nov 14–19",
  "facility": "Providence Regional Medical Center",
  "city": "Everett",
  "state": "WA",
  "workers_approx": 1300,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Understaffing and pay for understaffed shifts",
  "hospital_system": "Providence",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: Home health & hospice moved to JV run by PE-backed Compassus (2025); flagged by nurses unions & Oregon regulators"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-11-14",
  "date_display": "Nov 14–15",
  "facility": "Howard Brown Health",
  "city": "Chicago",
  "state": "IL",
  "workers_approx": 366,
  "action_type": "strike",
  "duration": "2 days",
  "issues": "Wages, layoffs protection, doubled patient loads",
  "hospital_system": "Independent / other",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-11-21",
  "date_display": "Nov 21–23",
  "facility": "Ascension Saint Joseph (2nd strike)",
  "city": "Joliet",
  "state": "IL",
  "workers_approx": 517,
  "action_type": "strike",
  "duration": "2 days",
  "issues": "Pay and staffing levels",
  "hospital_system": "Ascension",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: IL hospitalists via SCP Health (Onex); WI ED/ICU via TeamHealth (Blackstone); revenue cycle via R1 RCM (TowerBrook/CD&R)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-11-22",
  "date_display": "Nov 22–27",
  "facility": "HCA Riverside, West Hills & Los Robles",
  "city": "Riverside / Thousand Oaks",
  "state": "CA",
  "workers_approx": 2400,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Workplace violence, ratio-law compliance; won 16.5–17% raises",
  "hospital_system": "HCA Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": "asc-dec23",
  "year": 2023,
  "start_date_iso": "2023-12-06",
  "date_display": "Dec 6",
  "facility": "Ascension Seton Medical Center (2nd strike)",
  "city": "Austin",
  "state": "TX",
  "workers_approx": 800,
  "action_type": "strike",
  "duration": "1 day + lockout",
  "issues": "Unsafe conditions; first union contract ratified Mar 2024",
  "hospital_system": "Ascension",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: IL hospitalists via SCP Health (Onex); WI ED/ICU via TeamHealth (Blackstone); revenue cycle via R1 RCM (TowerBrook/CD&R)"
 },
 {
  "event_id": "asc-dec23",
  "year": 2023,
  "start_date_iso": "2023-12-06",
  "date_display": "Dec 6",
  "facility": "Ascension Via Christi St. Francis (2nd strike)",
  "city": "Wichita",
  "state": "KS",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "1 day + lockout",
  "issues": "Second same-day Ascension strike over staffing",
  "hospital_system": "Ascension",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: IL hospitalists via SCP Health (Onex); WI ED/ICU via TeamHealth (Blackstone); revenue cycle via R1 RCM (TowerBrook/CD&R)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-12-24",
  "date_display": "Dec 24–27",
  "facility": "Cedars-Sinai Marina del Rey Hospital",
  "city": "Marina del Rey",
  "state": "CA",
  "workers_approx": 250,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Bargaining rights; won 4-year contract Feb 2024",
  "hospital_system": "Cedars-Sinai",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2023,
  "start_date_iso": "2023-12-27",
  "date_display": "Dec 27–29",
  "facility": "SSM Health Saint Louis University Hospital",
  "city": "St. Louis",
  "state": "MO",
  "workers_approx": 500,
  "action_type": "strike",
  "duration": "2 days",
  "issues": "Staffing and safety plans; third SLUH action of 2023",
  "hospital_system": "SSM Health",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: Hospitalist staffing contracted to Sound Physicians (Summit Partners)"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-01-03",
  "date_display": "Jan 3",
  "facility": "Montefiore Nyack, New Rochelle & Mount Vernon",
  "city": "Lower Hudson Valley",
  "state": "NY",
  "workers_approx": 800,
  "action_type": "averted",
  "duration": "—",
  "issues": "Staffing and pay; 3-year contracts ratified, strike averted",
  "hospital_system": "Montefiore Health System",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-01-15",
  "date_display": "Jan 15",
  "facility": "University of Chicago Medicine",
  "city": "Chicago",
  "state": "IL",
  "workers_approx": 200,
  "action_type": "picket",
  "duration": "1 day",
  "issues": "MLK Day rally over patient ratios and retention",
  "hospital_system": "UChicago Medicine",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-01-21",
  "date_display": "Jan 21–28",
  "facility": "Kapiolani Medical Center for Women & Children",
  "city": "Honolulu",
  "state": "HI",
  "workers_approx": 600,
  "action_type": "strike",
  "duration": "7 days",
  "issues": "Working conditions and staffing",
  "hospital_system": "Hawaii Pacific Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-02-08",
  "date_display": "Feb 8–12",
  "facility": "Ascension Saint Joseph",
  "city": "Joliet",
  "state": "IL",
  "workers_approx": 500,
  "action_type": "strike",
  "duration": "4 days",
  "issues": "Third strike since Aug 2023; contract ratified May 2024",
  "hospital_system": "Ascension",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: IL hospitalists via SCP Health (Onex); WI ED/ICU via TeamHealth (Blackstone); revenue cycle via R1 RCM (TowerBrook/CD&R)"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-02-10",
  "date_display": "Feb 10–24",
  "facility": "PeaceHealth Sacred Heart Home Care",
  "city": "Springfield",
  "state": "OR",
  "workers_approx": 100,
  "action_type": "strike",
  "duration": "2 weeks",
  "issues": "Hospice nurses' pay and safety; contract won in May",
  "hospital_system": "PeaceHealth",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: ED physicians at St. Joseph (Bellingham, WA) employed by TeamHealth (Blackstone)"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-03-14",
  "date_display": "Mar 14",
  "facility": "University of Chicago Medicine",
  "city": "Chicago",
  "state": "IL",
  "workers_approx": 2800,
  "action_type": "averted",
  "duration": "—",
  "issues": "Understaffing; 4-year contract deal averted strike",
  "hospital_system": "UChicago Medicine",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-03-25",
  "date_display": "Mar 25–26",
  "facility": "Seton Medical Center",
  "city": "Daly City",
  "state": "CA",
  "workers_approx": 430,
  "action_type": "strike",
  "duration": "2 days",
  "issues": "Health insurance takeaways; coverage won back in October",
  "hospital_system": "AHMC Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-03-28",
  "date_display": "Mar 28",
  "facility": "MarinHealth Medical Center",
  "city": "Greenbrae",
  "state": "CA",
  "workers_approx": 600,
  "action_type": "averted",
  "duration": "—",
  "issues": "Patient care and retention; tentative deal averted strike",
  "hospital_system": "MarinHealth",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - ED staffed by Vituity (physician-owned partnership, not PE)"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-04-02",
  "date_display": "Apr 2–4",
  "facility": "Santa Clara County health system",
  "city": "San Jose",
  "state": "CA",
  "workers_approx": 3750,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Pay and workplace protections; 15% raises won in May",
  "hospital_system": "Santa Clara County (public)",
  "ownership_code": "gov",
  "ownership_label": "Public / government",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-04-15",
  "date_display": "Apr 15–20",
  "facility": "MyMichigan Medical Center",
  "city": "Sault Ste. Marie",
  "state": "MI",
  "workers_approx": 120,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Wages and benefits; new contract raised top pay to $50/hr",
  "hospital_system": "MyMichigan Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-04-16",
  "date_display": "Apr 16",
  "facility": "MarinHealth Medical Center (techs)",
  "city": "Greenbrae",
  "state": "CA",
  "workers_approx": 100,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Technologists' contract dispute",
  "hospital_system": "MarinHealth",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - ED staffed by Vituity (physician-owned partnership, not PE)"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-04-18",
  "date_display": "Apr 18",
  "facility": "Ascension St. John ED physicians",
  "city": "Detroit",
  "state": "MI",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "24 hours",
  "issues": "Rare physicians' strike over ER staffing and conditions",
  "hospital_system": "Ascension",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: IL hospitalists via SCP Health (Onex); WI ED/ICU via TeamHealth (Blackstone); revenue cycle via R1 RCM (TowerBrook/CD&R)"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-04-23",
  "date_display": "Apr 23–25",
  "facility": "Sutter Center for Psychiatry",
  "city": "Sacramento",
  "state": "CA",
  "workers_approx": 150,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Psychiatric staffing and pay",
  "hospital_system": "Sutter Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - ED staffed by Vituity (physician-owned partnership, not PE)"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-05-24",
  "date_display": "May 24",
  "facility": "Ascension Genesys Hospital",
  "city": "Grand Blanc",
  "state": "MI",
  "workers_approx": 800,
  "action_type": "averted",
  "duration": "—",
  "issues": "Forced overtime and ratios; tentative deal averted strike",
  "hospital_system": "Ascension",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: IL hospitalists via SCP Health (Onex); WI ED/ICU via TeamHealth (Blackstone); revenue cycle via R1 RCM (TowerBrook/CD&R)"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-06-18",
  "date_display": "Jun 18",
  "facility": "SSM Health Saint Louis University Hospital",
  "city": "St. Louis",
  "state": "MO",
  "workers_approx": 500,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Fair contract after 12 months without one; 17% average raises won in July",
  "hospital_system": "SSM Health",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: Hospitalist staffing contracted to Sound Physicians (Summit Partners)"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-06-18",
  "date_display": "Jun 18–20",
  "facility": "Six Providence hospitals",
  "city": "Portland / Medford / Hood River",
  "state": "OR",
  "workers_approx": 3000,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Staffing-law compliance, pay, healthcare benefits",
  "hospital_system": "Providence",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: Home health & hospice moved to JV run by PE-backed Compassus (2025); flagged by nurses unions & Oregon regulators"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-07-14",
  "date_display": "Jul 14–20",
  "facility": "UChicago Medicine (skilled trades)",
  "city": "Chicago",
  "state": "IL",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "7 days",
  "issues": "SEIU 73 trades workers' contract",
  "hospital_system": "UChicago Medicine",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-08-19",
  "date_display": "Aug 19–25",
  "facility": "UI Health",
  "city": "Chicago",
  "state": "IL",
  "workers_approx": 1300,
  "action_type": "strike",
  "duration": "7 days",
  "issues": "Staffing, safety, pay",
  "hospital_system": "UI Health",
  "ownership_code": "gov",
  "ownership_label": "Public / government",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-08-20",
  "date_display": "Aug 20–27",
  "facility": "Kadlec Regional Medical Center",
  "city": "Richland",
  "state": "WA",
  "workers_approx": 1100,
  "action_type": "strike",
  "duration": "8 days",
  "issues": "Pay and staffing (SEIU)",
  "hospital_system": "Providence",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: Home health & hospice moved to JV run by PE-backed Compassus (2025); flagged by nurses unions & Oregon regulators"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-09-13",
  "date_display": "Sep 13",
  "facility": "Kapiolani Medical Center",
  "city": "Honolulu",
  "state": "HI",
  "workers_approx": 600,
  "action_type": "strike",
  "duration": "1 day + 2-week lockout",
  "issues": "Staffing; 10 arrested at demonstration; contract won in October",
  "hospital_system": "Hawaii Pacific Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-10-21",
  "date_display": "Oct 21 → 2025",
  "facility": "Kaiser Permanente mental health (SoCal)",
  "city": "Los Angeles / San Diego",
  "state": "CA",
  "workers_approx": 2400,
  "action_type": "strike",
  "duration": "Open-ended, ~6 months",
  "issues": "Mental health staffing, pensions, patient access",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-10-25",
  "date_display": "Oct 25",
  "facility": "University Medical Center",
  "city": "New Orleans",
  "state": "LA",
  "workers_approx": 600,
  "action_type": "strike",
  "duration": "1 day + lockout",
  "issues": "First-contract fight begins — safety and staffing",
  "hospital_system": "LCMC Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-11-01",
  "date_display": "Nov 1",
  "facility": "St. Joseph Medical Center",
  "city": "Tacoma",
  "state": "WA",
  "workers_approx": 1250,
  "action_type": "picket",
  "duration": "1 day",
  "issues": "Informational picket; landmark contract won in December",
  "hospital_system": "CommonSpirit (VMFH)",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-11-04",
  "date_display": "Nov 4 → Jan 2025",
  "facility": "Essentia Health",
  "city": "Deer River",
  "state": "MN",
  "workers_approx": 70,
  "action_type": "strike",
  "duration": "5 days, then 49-day strike",
  "issues": "Rural staffing and pay; 49-day strike ended Jan 2025",
  "hospital_system": "Essentia Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-11-04",
  "date_display": "Nov 4–6",
  "facility": "Maui Health (Maui Memorial, Kula, Lanai)",
  "city": "Wailuku",
  "state": "HI",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Pay and staffing across Maui facilities",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-11-13",
  "date_display": "Nov 13–16",
  "facility": "UI Health (2nd strike)",
  "city": "Chicago",
  "state": "IL",
  "workers_approx": 1300,
  "action_type": "strike",
  "duration": "4 days",
  "issues": "Second strike since August; tentative deal reached",
  "hospital_system": "UI Health",
  "ownership_code": "gov",
  "ownership_label": "Public / government",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-11-20",
  "date_display": "Nov 20–21",
  "facility": "UCSF (AFSCME & UPTE)",
  "city": "San Francisco",
  "state": "CA",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "2 days",
  "issues": "University health workers' pay and staffing",
  "hospital_system": "University of California",
  "ownership_code": "gov",
  "ownership_label": "Public / government",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2024,
  "start_date_iso": "2024-12-17",
  "date_display": "Dec 17",
  "facility": "Newton-Wellesley Hospital",
  "city": "Newton",
  "state": "MA",
  "workers_approx": 1500,
  "action_type": "averted",
  "duration": "—",
  "issues": "Insurance costs; 15.5% raises averted 1-day strike",
  "hospital_system": "Mass General Brigham",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-01-10",
  "date_display": "Jan 10–Feb 24",
  "facility": "Providence — 8 hospitals & 6 clinics",
  "city": "Oregon (statewide)",
  "state": "OR",
  "workers_approx": 5000,
  "action_type": "strike",
  "duration": "46 days",
  "issues": "Largest strike in Oregon history — staffing, pay; won 20–42% raises",
  "hospital_system": "Providence",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: Home health & hospice moved to JV run by PE-backed Compassus (2025); flagged by nurses unions & Oregon regulators"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-01-17",
  "date_display": "Jan 17",
  "facility": "San Joaquin General Hospital",
  "city": "French Camp",
  "state": "CA",
  "workers_approx": 1000,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Unilateral changes outside bargaining; contract won in March",
  "hospital_system": "San Joaquin County (public)",
  "ownership_code": "gov",
  "ownership_label": "Public / government",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-02-05",
  "date_display": "Feb 5–6",
  "facility": "University Medical Center",
  "city": "New Orleans",
  "state": "LA",
  "workers_approx": 600,
  "action_type": "strike",
  "duration": "2 days + 3-day lockout",
  "issues": "Stalled first-contract talks, disaster preparedness",
  "hospital_system": "LCMC Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-02-17",
  "date_display": "Feb 17–21",
  "facility": "Geisinger Wyoming Valley & Luzerne County sites",
  "city": "Wilkes-Barre",
  "state": "PA",
  "workers_approx": 800,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Understaffing and burnout; won 13–26% raises and safety upgrades",
  "hospital_system": "Geisinger",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-03-17",
  "date_display": "Mar 17",
  "facility": "Northwell South Shore University Hospital",
  "city": "Bay Shore",
  "state": "NY",
  "workers_approx": 900,
  "action_type": "averted",
  "duration": "—",
  "issues": "Staffing and AI oversight; first AI-review contract in NY averted strike",
  "hospital_system": "Northwell Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-03-20",
  "date_display": "Mar 20",
  "facility": "Beth Israel Deaconess Hospital",
  "city": "Plymouth",
  "state": "MA",
  "workers_approx": 420,
  "action_type": "picket",
  "duration": "1 day",
  "issues": "Informational picket and strike authorization over staffing and insurance; the later contract raised pay about 13.6–27.4%, depending on experience",
  "hospital_system": "Beth Israel Lahey Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-03-24",
  "date_display": "Mar 24–27",
  "facility": "Santa Clara County lab workers",
  "city": "San Jose",
  "state": "CA",
  "workers_approx": 200,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Lab staffing and pay",
  "hospital_system": "Santa Clara County (public)",
  "ownership_code": "gov",
  "ownership_label": "Public / government",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-04-19",
  "date_display": "Apr 19",
  "facility": "University Medical Center",
  "city": "New Orleans",
  "state": "LA",
  "workers_approx": 600,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Union-busting allegations, workplace safety",
  "hospital_system": "LCMC Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-04-25",
  "date_display": "Apr 25",
  "facility": "Stanford Health Care & Lucile Packard (CRONA)",
  "city": "Palo Alto",
  "state": "CA",
  "workers_approx": 5000,
  "action_type": "averted",
  "duration": "—",
  "issues": "Staffing and wages; 12% raises + AI safeguards averted strike",
  "hospital_system": "Stanford Medicine",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-04-28",
  "date_display": "Apr 28–29",
  "facility": "LA County health workers (SEIU 721)",
  "city": "Los Angeles",
  "state": "CA",
  "workers_approx": 55000,
  "action_type": "strike",
  "duration": "2 days",
  "issues": "County-wide walkout including public health and hospital staff",
  "hospital_system": "LA County (public)",
  "ownership_code": "gov",
  "ownership_label": "Public / government",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-05-01",
  "date_display": "May 1 (also Feb & Apr)",
  "facility": "University of California medical centers",
  "city": "Statewide",
  "state": "CA",
  "workers_approx": 55884,
  "action_type": "strike",
  "duration": "Series of strikes",
  "issues": "UPTE + AFSCME healthcare, research & service workers — staffing and pay",
  "hospital_system": "University of California",
  "ownership_code": "gov",
  "ownership_label": "Public / government",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-05-01",
  "date_display": "May 1",
  "facility": "University Medical Center",
  "city": "New Orleans",
  "state": "LA",
  "workers_approx": 600,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Workplace violence and first-contract fight",
  "hospital_system": "LCMC Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-05-13",
  "date_display": "May 13",
  "facility": "UR Medicine Home Care",
  "city": "Rochester",
  "state": "NY",
  "workers_approx": 110,
  "action_type": "averted",
  "duration": "—",
  "issues": "Caseloads and insurance; 3-year deal averted 5-day strike",
  "hospital_system": "UR Medicine",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-05-15",
  "date_display": "May 15–Aug 18",
  "facility": "Butler Hospital",
  "city": "Providence",
  "state": "RI",
  "workers_approx": 800,
  "action_type": "strike",
  "duration": "~3 months",
  "issues": "Workplace safety and wages — longest hospital strike in Rhode Island history",
  "hospital_system": "Care New England",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-05-20",
  "date_display": "May 20–27",
  "facility": "Five Western NY nursing homes",
  "city": "Buffalo area",
  "state": "NY",
  "workers_approx": 1000,
  "action_type": "strike",
  "duration": "7 days",
  "issues": "Bad-faith bargaining, staffing, wages at for-profit facilities",
  "hospital_system": "Independent / other",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": "mc-may25",
  "year": 2025,
  "start_date_iso": "2025-05-22",
  "date_display": "May 22",
  "facility": "MemorialCare Long Beach & Miller Children's",
  "city": "Long Beach",
  "state": "CA",
  "workers_approx": 2200,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Staffing, workplace violence, ER wait times",
  "hospital_system": "MemorialCare",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": "mc-may25",
  "year": 2025,
  "start_date_iso": "2025-05-22",
  "date_display": "May 22",
  "facility": "Alhambra Hospital Medical Center",
  "city": "Alhambra",
  "state": "CA",
  "workers_approx": 200,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Same-day strike over staffing and patient care",
  "hospital_system": "AHMC Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-05-26",
  "date_display": "May 26–30",
  "facility": "West Anaheim Medical Center",
  "city": "Anaheim",
  "state": "CA",
  "workers_approx": 163,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Below-market wages and turnover; contract won in July",
  "hospital_system": "Prime Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-05-27",
  "date_display": "May 27–Jun 1",
  "facility": "UnityPoint Health-Meriter",
  "city": "Madison",
  "state": "WI",
  "workers_approx": 950,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Staffing, security, pay; 2-year deal ended strike",
  "hospital_system": "UnityPoint Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-06-09",
  "date_display": "Jun 9–14",
  "facility": "Henry Ford Rochester Hospital",
  "city": "Rochester",
  "state": "MI",
  "workers_approx": 350,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Pay and staffing",
  "hospital_system": "Henry Ford Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-06-25",
  "date_display": "Ended Jun 30",
  "facility": "UCSF Benioff Children's Hospital",
  "city": "Oakland",
  "state": "CA",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "Multi-day",
  "issues": "NUHW workers' contract dispute",
  "hospital_system": "University of California",
  "ownership_code": "gov",
  "ownership_label": "Public / government",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-07-02",
  "date_display": "Jul 2",
  "facility": "Providence hospice workers",
  "city": "Petaluma / Santa Rosa",
  "state": "CA",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Hospice staffing and pay",
  "hospital_system": "Providence",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: Home health & hospice moved to JV run by PE-backed Compassus (2025); flagged by nurses unions & Oregon regulators"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-07-07",
  "date_display": "Jul 7–10",
  "facility": "McLaren Macomb",
  "city": "Mount Clemens",
  "state": "MI",
  "workers_approx": 700,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Contract, staffing and pay (OPEIU nurses & service workers)",
  "hospital_system": "McLaren Health Care",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: EDs incl. Flint, Greater Lansing, Central Michigan & Bay Regional staffed via TeamHealth (Blackstone)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-07-08",
  "date_display": "Jul 8",
  "facility": "Nine Twin Cities hospitals",
  "city": "Minneapolis–St. Paul",
  "state": "MN",
  "workers_approx": 12000,
  "action_type": "averted",
  "duration": "—",
  "issues": "Staffing, violence protections; deals on Jul 3 averted strike",
  "hospital_system": "Multiple systems (Twin Cities)",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-07-08",
  "date_display": "Jul 8",
  "facility": "Essentia & Aspirus St. Luke's hospitals",
  "city": "Duluth / Superior",
  "state": "MN",
  "workers_approx": 2000,
  "action_type": "averted",
  "duration": "—",
  "issues": "Hospital-nurse strike averted by tentative agreements",
  "hospital_system": "Essentia / Aspirus",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-07-08",
  "date_display": "Jul 8–11",
  "facility": "HealthPartners Clinic",
  "city": "Stillwater",
  "state": "MN",
  "workers_approx": 80,
  "action_type": "strike",
  "duration": "4 days",
  "issues": "First-contract fight (LPNs, medical assistants)",
  "hospital_system": "HealthPartners",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-07-08",
  "date_display": "Jul 8–23",
  "facility": "Essentia clinics, hospice & APPs",
  "city": "Duluth",
  "state": "MN",
  "workers_approx": 700,
  "action_type": "strike",
  "duration": "~2 weeks",
  "issues": "Historic first APP strike — clinic nurses and advanced practice providers",
  "hospital_system": "Essentia Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-07-15",
  "date_display": "Jul 15–16",
  "facility": "University Medical Center",
  "city": "New Orleans",
  "state": "LA",
  "workers_approx": 600,
  "action_type": "strike",
  "duration": "2 days",
  "issues": "Alleged retaliation against union nurse leaders",
  "hospital_system": "LCMC Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-07-22",
  "date_display": "Jul 22 & 25",
  "facility": "UC San Diego & UCSF (UPTE)",
  "city": "San Diego / San Francisco",
  "state": "CA",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "1-day actions",
  "issues": "Layoffs at university medical centers",
  "hospital_system": "University of California",
  "ownership_code": "gov",
  "ownership_label": "Public / government",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-07-29",
  "date_display": "Jul 29",
  "facility": "Hospice East Bay",
  "city": "Pleasant Hill",
  "state": "CA",
  "workers_approx": 80,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Rising caseloads, understaffing, first contract",
  "hospital_system": "Independent / other",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-08-12",
  "date_display": "Aug 12",
  "facility": "West Anaheim Medical Center",
  "city": "Anaheim",
  "state": "CA",
  "workers_approx": 360,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Safe staffing and turnover (RNs)",
  "hospital_system": "Prime Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-09-01",
  "date_display": "Sep 1 → 2026",
  "facility": "Henry Ford Genesys Hospital",
  "city": "Grand Blanc",
  "state": "MI",
  "workers_approx": 750,
  "action_type": "strike",
  "duration": "6+ months, ongoing into 2026",
  "issues": "Nurse-to-patient ratios and pay — one of the longest US nurse strikes",
  "hospital_system": "Henry Ford Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-09-08",
  "date_display": "Sep 8",
  "facility": "Kaiser Permanente (20+ NorCal hospitals)",
  "city": "Northern California",
  "state": "CA",
  "workers_approx": 600,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Nurse midwives & anesthetists — staffing, burnout, first contract",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-09-29",
  "date_display": "Sep 29",
  "facility": "Providence Santa Rosa & Petaluma (engineers)",
  "city": "Santa Rosa",
  "state": "CA",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "Multi-day",
  "issues": "Stationary engineers' contract (IUOE Local 39)",
  "hospital_system": "Providence",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: Home health & hospice moved to JV run by PE-backed Compassus (2025); flagged by nurses unions & Oregon regulators"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-10-13",
  "date_display": "Oct 13",
  "facility": "Temple University Hospital & Women's",
  "city": "Philadelphia",
  "state": "PA",
  "workers_approx": 2600,
  "action_type": "averted",
  "duration": "—",
  "issues": "Safety and healthcare costs; contracts ratified 3 days before strike",
  "hospital_system": "Temple Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": "kp2025",
  "year": 2025,
  "start_date_iso": "2025-10-14",
  "date_display": "Oct 14–19",
  "facility": "Kaiser Permanente (multi-state)",
  "city": "California",
  "state": "CA",
  "workers_approx": 31000,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Largest strike in UNAC/UHCP history — wages vs. inflation, staffing",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": "kp2025",
  "year": 2025,
  "start_date_iso": "2025-10-14",
  "date_display": "Oct 14–19",
  "facility": "Kaiser Permanente (multi-state)",
  "city": "Hawaii",
  "state": "HI",
  "workers_approx": 31000,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Part of 31,000-worker Kaiser strike",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": "kp2025",
  "year": 2025,
  "start_date_iso": "2025-10-14",
  "date_display": "Oct 14–19",
  "facility": "Kaiser Permanente (multi-state)",
  "city": "Oregon",
  "state": "OR",
  "workers_approx": 31000,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Part of 31,000-worker Kaiser strike",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-10-17",
  "date_display": "Oct 17",
  "facility": "Kapiolani Medical Center (Teamsters)",
  "city": "Honolulu",
  "state": "HI",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Support staff contract dispute",
  "hospital_system": "Hawaii Pacific Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-10-30",
  "date_display": "Oct 30",
  "facility": "Six Tenet Healthcare hospitals",
  "city": "San Ramon / Modesto / Palm Springs +",
  "state": "CA",
  "workers_approx": 3100,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Patient care and safe staffing at six CA hospitals",
  "hospital_system": "Tenet Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-10-30",
  "date_display": "Oct 30",
  "facility": "Keck Hospital of USC & USC Norris",
  "city": "Los Angeles",
  "state": "CA",
  "workers_approx": 1800,
  "action_type": "strike",
  "duration": "24 hours",
  "issues": "Missed breaks, staffing, contract",
  "hospital_system": "Keck Medicine of USC",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": "allina25",
  "year": 2025,
  "start_date_iso": "2025-11-05",
  "date_display": "Nov 5",
  "facility": "Allina Health clinics (doctors & APPs)",
  "city": "Twin Cities",
  "state": "MN",
  "workers_approx": 600,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Historic physicians' ULP strike — first-contract fight",
  "hospital_system": "Allina Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": "allina25",
  "year": 2025,
  "start_date_iso": "2025-11-05",
  "date_display": "Nov 5",
  "facility": "Allina Health clinics (doctors & APPs)",
  "city": "Western Wisconsin",
  "state": "WI",
  "workers_approx": 600,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Part of the Allina physicians' strike",
  "hospital_system": "Allina Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-11-11",
  "date_display": "Nov 11–13",
  "facility": "University Medical Center",
  "city": "New Orleans",
  "state": "LA",
  "workers_approx": 600,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Fifth strike since Oct 2024 — retention and patient care",
  "hospital_system": "LCMC Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-11-16",
  "date_display": "Nov 17–18",
  "facility": "University of California (19 med centers)",
  "city": "Statewide",
  "state": "CA",
  "workers_approx": 25000,
  "action_type": "averted",
  "duration": "—",
  "issues": "Retention, floating limits, AI safeguards; deal averted 2-day strike",
  "hospital_system": "University of California",
  "ownership_code": "gov",
  "ownership_label": "Public / government",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-11-18",
  "date_display": "Nov 18",
  "facility": "Cooley Dickinson Hospital",
  "city": "Northampton",
  "state": "MA",
  "workers_approx": 399,
  "action_type": "averted",
  "duration": "—",
  "issues": "Benefits and staffing; tentative deal averted 1-day strike",
  "hospital_system": "Mass General Brigham",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-11-18",
  "date_display": "Nov 18–19",
  "facility": "Houlton Regional Hospital",
  "city": "Houlton",
  "state": "ME",
  "workers_approx": 55,
  "action_type": "strike",
  "duration": "2 days",
  "issues": "Staffing, ED conditions, retention",
  "hospital_system": "Independent / other",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-11-26",
  "date_display": "Nov 26–29",
  "facility": "Sharp HealthCare",
  "city": "San Diego",
  "state": "CA",
  "workers_approx": 5827,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Patient care, wages, sick leave; 4-year contract ratified Jan 2026",
  "hospital_system": "Sharp HealthCare",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - ED staffed by Vituity (physician-owned partnership, not PE)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-12-02",
  "date_display": "Dec 2–30",
  "facility": "Legacy Health (advanced practice providers)",
  "city": "Portland",
  "state": "OR",
  "workers_approx": 135,
  "action_type": "strike",
  "duration": "~4 weeks",
  "issues": "First APP strike in Oregon — compensation, unpaid work, patient access",
  "hospital_system": "Legacy Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2025,
  "start_date_iso": "2025-12-22",
  "date_display": "Dec 22",
  "facility": "Boston Medical Center Brighton",
  "city": "Brighton",
  "state": "MA",
  "workers_approx": 650,
  "action_type": "authorized",
  "duration": "3-day strike authorized",
  "issues": "97% voted to authorize a three-day strike over proposed staffing reductions, benefit cuts, and wage concerns",
  "hospital_system": "Boston Medical Center Health System",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-01-09",
  "date_display": "Jan 9",
  "facility": "Three South Florida HSA hospitals",
  "city": "Miami area",
  "state": "FL",
  "workers_approx": null,
  "action_type": "averted",
  "duration": "—",
  "issues": "Deal reached before planned strike",
  "hospital_system": "Healthcare Systems of America",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE legacy: operates former Steward hospitals (Cerberus Capital)"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-01-12",
  "date_display": "Jan 12",
  "facility": "Seven NYC safety-net hospitals",
  "city": "New York City",
  "state": "NY",
  "workers_approx": null,
  "action_type": "averted",
  "duration": "—",
  "issues": "Contract deals averted safety-net hospital strike",
  "hospital_system": "NYC Health + Hospitals",
  "ownership_code": "gov",
  "ownership_label": "Public / government",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-01-12",
  "date_display": "Jan 12",
  "facility": "Three Northwell Long Island hospitals",
  "city": "Long Island",
  "state": "NY",
  "workers_approx": null,
  "action_type": "averted",
  "duration": "—",
  "issues": "Tentative agreements averted strike",
  "hospital_system": "Northwell Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-01-12",
  "date_display": "Jan 12–Feb 21",
  "facility": "Mount Sinai, Montefiore & NewYork-Presbyterian",
  "city": "New York City",
  "state": "NY",
  "workers_approx": 15000,
  "action_type": "strike",
  "duration": "41 days",
  "issues": "Staffing ratios and pay — one of the largest nurse strikes in NYC history",
  "hospital_system": "Mount Sinai / Montefiore / NYP",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-01-17",
  "date_display": "Jan 17 → Mar",
  "facility": "MultiCare Yakima Memorial",
  "city": "Yakima",
  "state": "WA",
  "workers_approx": 170,
  "action_type": "strike",
  "duration": "~2 months",
  "issues": "Technicians' pay and staffing (Teamsters 760)",
  "hospital_system": "MultiCare",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": "kp2026",
  "year": 2026,
  "start_date_iso": "2026-01-26",
  "date_display": "Jan 26–Feb 24",
  "facility": "Kaiser Permanente",
  "city": "California",
  "state": "CA",
  "workers_approx": 31000,
  "action_type": "strike",
  "duration": "~4 weeks",
  "issues": "UNAC/UHCP nurses and professionals — staffing and wages",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": "kp2026",
  "year": 2026,
  "start_date_iso": "2026-01-26",
  "date_display": "Jan 26–Feb 24",
  "facility": "Kaiser Permanente",
  "city": "Hawaii",
  "state": "HI",
  "workers_approx": 31000,
  "action_type": "strike",
  "duration": "~4 weeks",
  "issues": "Part of the 31,000-worker Kaiser strike",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-01-27",
  "date_display": "Jan 27–30",
  "facility": "Kindred Hospitals Brea & Westminster",
  "city": "Brea / Westminster",
  "state": "CA",
  "workers_approx": 315,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Pay and staffing at long-term acute care hospitals",
  "hospital_system": "Kindred (ScionHealth)",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE-owned: TPG & Welsh Carson legacy (now ScionHealth)"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-02-09",
  "date_display": "Ended Feb 12",
  "facility": "Kaiser SoCal pharmacy & lab (UFCW)",
  "city": "Southern California",
  "state": "CA",
  "workers_approx": 3000,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Pharmacy and lab staffing and pay",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-02-16",
  "date_display": "Feb 16–21",
  "facility": "Providence Cedars-Sinai Tarzana",
  "city": "Los Angeles (Tarzana)",
  "state": "CA",
  "workers_approx": 900,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Unsafe staffing and working conditions (SEIU 121RN)",
  "hospital_system": "Providence",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: Home health & hospice moved to JV run by PE-backed Compassus (2025); flagged by nurses unions & Oregon regulators"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-02-17",
  "date_display": "Feb 17–20",
  "facility": "West Anaheim Medical Center",
  "city": "Anaheim",
  "state": "CA",
  "workers_approx": 360,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Patient safety — third West Anaheim strike since 2025",
  "hospital_system": "Prime Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-02-18",
  "date_display": "Feb 18",
  "facility": "AHMC Seton Medical Center",
  "city": "Daly City",
  "state": "CA",
  "workers_approx": null,
  "action_type": "averted",
  "duration": "—",
  "issues": "Tentative agreement averted 1-day strike",
  "hospital_system": "AHMC Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-02-18",
  "date_display": "Feb 18",
  "facility": "Saint Mary's Regional Medical Center",
  "city": "Reno",
  "state": "NV",
  "workers_approx": 350,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Part of 2,100-worker Prime Healthcare actions across CA & NV",
  "hospital_system": "Prime Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-02-18",
  "date_display": "Feb 18–19",
  "facility": "MarinHealth Medical Center",
  "city": "Greenbrae",
  "state": "CA",
  "workers_approx": 1200,
  "action_type": "strike",
  "duration": "1 day + lockout",
  "issues": "Healthcare benefits — 700 RNs joined by 500 Teamsters service workers",
  "hospital_system": "MarinHealth",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - ED staffed by Vituity (physician-owned partnership, not PE)"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-02-19",
  "date_display": "Feb 19",
  "facility": "Centinela Hospital Medical Center",
  "city": "Inglewood",
  "state": "CA",
  "workers_approx": 800,
  "action_type": "averted",
  "duration": "—",
  "issues": "Short staffing and wages; tentative deal averted strike",
  "hospital_system": "Prime Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-02-19",
  "date_display": "Feb 19–20",
  "facility": "Shasta Regional Medical Center",
  "city": "Redding",
  "state": "CA",
  "workers_approx": 600,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Unsafe staffing and patient safety",
  "hospital_system": "Prime Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-02-19",
  "date_display": "Feb 19–26",
  "facility": "Keck Hospital of USC & USC Norris",
  "city": "Los Angeles",
  "state": "CA",
  "workers_approx": 1400,
  "action_type": "strike",
  "duration": "7 days",
  "issues": "Healthcare plan restructuring and staffing",
  "hospital_system": "Keck Medicine of USC",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-03-02",
  "date_display": "Mar 2–6",
  "facility": "Providence Saint Joseph Medical Center",
  "city": "Burbank",
  "state": "CA",
  "workers_approx": 1000,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Unsafe staffing and working conditions",
  "hospital_system": "Providence",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: Home health & hospice moved to JV run by PE-backed Compassus (2025); flagged by nurses unions & Oregon regulators"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-03-18",
  "date_display": "Mar 18",
  "facility": "Kaiser Permanente Northern California",
  "city": "Northern California",
  "state": "CA",
  "workers_approx": 25400,
  "action_type": "strike",
  "duration": "24 hours",
  "issues": "23,000 nurses' sympathy strike with 2,400 mental health workers — staffing and AI in mental healthcare",
  "hospital_system": "Kaiser Permanente",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found - physicians self-employed via Permanente Medical Groups"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-03-23",
  "date_display": "Mar 23",
  "facility": "Northern Light Eastern Maine Medical Center",
  "city": "Bangor",
  "state": "ME",
  "workers_approx": 900,
  "action_type": "averted",
  "duration": "—",
  "issues": "Safe staffing and retention; tentative deal averted strike",
  "hospital_system": "Northern Light Health",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: ER & hospitalist physicians at four Maine hospitals outsourced to TeamHealth (Blackstone) since 2019"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-02-05",
  "date_display": "Feb 5",
  "facility": "Boston Medical Center South",
  "city": "Brockton",
  "state": "MA",
  "workers_approx": 475,
  "action_type": "authorized",
  "duration": "3-day strike authorized",
  "issues": "99% voted to authorize a three-day strike over staffing, benefits, wages, and retention",
  "hospital_system": "Boston Medical Center Health System",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": "bmc-1199-2026",
  "year": 2026,
  "start_date_iso": "2026-03-09",
  "date_display": "Mar 9 – May 12",
  "facility": "Boston Medical Center Brighton & South (1199SEIU)",
  "city": "Brighton / Brockton",
  "state": "MA",
  "workers_approx": 1400,
  "action_type": "settlement",
  "duration": "One-day strike averted",
  "issues": "Workers authorized a one-day strike planned for May 1, then ratified a three-year contract protecting healthcare and benefits with wage gains",
  "hospital_system": "Boston Medical Center Health System",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-04-30",
  "date_display": "Apr 30 – May 3",
  "facility": "Boston Medical Center South",
  "city": "Brockton",
  "state": "MA",
  "workers_approx": 475,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "MNA nurses and healthcare professionals struck over staffing, wages, and major increases in health-benefit costs",
  "hospital_system": "Boston Medical Center Health System",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-05-01",
  "date_display": "May 1–5",
  "facility": "University Medical Center",
  "city": "New Orleans",
  "state": "LA",
  "workers_approx": 600,
  "action_type": "strike",
  "duration": "5 days",
  "issues": "Sixth strike since Oct 2024 — bad-faith bargaining allegations",
  "hospital_system": "LCMC Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-05-26",
  "date_display": "May 26–29",
  "facility": "Houlton Regional Hospital",
  "city": "Houlton",
  "state": "ME",
  "workers_approx": 55,
  "action_type": "strike",
  "duration": "4 days",
  "issues": "Staffing and retention — second Houlton strike in 7 months",
  "hospital_system": "Independent / other",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-06-08",
  "date_display": "Jun 8",
  "facility": "Boston Medical Center South",
  "city": "Brockton",
  "state": "MA",
  "workers_approx": 475,
  "action_type": "picket",
  "duration": "1 day",
  "issues": "Informational picket — not a strike — as contract talks remained stalled over staffing, pay, benefits, and retention",
  "hospital_system": "Boston Medical Center Health System",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-06-11",
  "date_display": "Jun 11",
  "facility": "St. Mary of Nazareth Hospital",
  "city": "Chicago",
  "state": "IL",
  "workers_approx": 400,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Union recognition drive at Prime Healthcare hospital",
  "hospital_system": "Prime Healthcare",
  "ownership_code": "fp",
  "ownership_label": "For-profit / publicly traded",
  "pe_contract": "n/a"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-07-01",
  "date_display": "Jul 1",
  "facility": "Beth Israel Deaconess Medical Center resident physicians",
  "city": "Boston",
  "state": "MA",
  "workers_approx": 811,
  "action_type": "settlement",
  "duration": "First union contract",
  "issues": "Residents and fellows ratified their first union contract, with compensation gains reported at roughly 13–21% depending on training year",
  "hospital_system": "Beth Israel Lahey Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-07-02",
  "date_display": "Jul 2",
  "facility": "UMass Memorial Medical Center — University Campus",
  "city": "Worcester",
  "state": "MA",
  "workers_approx": 1250,
  "action_type": "authorized",
  "duration": "14-day strike authorized",
  "issues": "Nurses voted 1,233–17 to authorize a 14-day strike over staffing, workplace safety, and retention; no strike date was set",
  "hospital_system": "UMass Memorial Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-07-03",
  "date_display": "Jul 3–6",
  "facility": "MyMichigan Medical Center Alma",
  "city": "Alma",
  "state": "MI",
  "workers_approx": 178,
  "action_type": "strike",
  "duration": "3 days",
  "issues": "Unfair labor practice strike — contract expired in February; final offer froze first-year pay for many nurses",
  "hospital_system": "MyMichigan Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-07-06",
  "date_display": "Jul 6",
  "facility": "Ascension Saint Agnes Hospital",
  "city": "Baltimore",
  "state": "MD",
  "workers_approx": 600,
  "action_type": "strike",
  "duration": "1 day",
  "issues": "Staffing-hour cuts and unsafe floating of nurses to unfamiliar units; first-contract fight since 2024",
  "hospital_system": "Ascension",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: IL hospitalists via SCP Health (Onex); WI ED/ICU via TeamHealth (Blackstone); revenue cycle via R1 RCM (TowerBrook/CD&R)"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-07-06",
  "date_display": "Jul 6",
  "facility": "Ascension Via Christi St. Francis & St. Joseph",
  "city": "Wichita",
  "state": "KS",
  "workers_approx": 1200,
  "action_type": "strike",
  "duration": "1 day (out until Jul 10)",
  "issues": "Workplace violence protections after serious safety incidents, plus safe staffing and retention",
  "hospital_system": "Ascension",
  "ownership_code": "pe",
  "ownership_label": "PE-backed / PE-linked",
  "pe_contract": "PE contract: IL hospitalists via SCP Health (Onex); WI ED/ICU via TeamHealth (Blackstone); revenue cycle via R1 RCM (TowerBrook/CD&R)"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-07-06",
  "date_display": "Jul 6",
  "facility": "Abbott Northwestern Hospital & Allina corporate offices",
  "city": "Minneapolis",
  "state": "MN",
  "workers_approx": null,
  "action_type": "strike",
  "duration": "—",
  "issues": "SEIU Healthcare Minnesota & Iowa members struck outside Abbott Northwestern and Allina Health headquarters",
  "hospital_system": "Allina Health",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-07-08",
  "date_display": "Jul 8",
  "facility": "Brigham and Women's Hospital & MGB Home Care",
  "city": "Boston",
  "state": "MA",
  "workers_approx": 4500,
  "action_type": "strike",
  "duration": "1-day strike + 4-day lockout",
  "issues": "Largest healthcare strike in Massachusetts history — staffing, wages, and health insurance costs; workers were locked out after the walkout",
  "hospital_system": "Mass General Brigham",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 },
 {
  "event_id": null,
  "year": 2026,
  "start_date_iso": "2026-07-13",
  "date_display": "Jul 13 (planned)",
  "facility": "St. Charles Hospital",
  "city": "Port Jefferson",
  "state": "NY",
  "workers_approx": 300,
  "action_type": "strike",
  "duration": "planned",
  "issues": "Planned strike over nurse-to-patient staffing ratios after a 99% strike authorization vote",
  "hospital_system": "Catholic Health (Long Island)",
  "ownership_code": "np",
  "ownership_label": "Nonprofit",
  "pe_contract": "None found in public reporting (as of Jul 2026)"
 }
]
