River Hills
Bargaining
Updates
Updated on September 16, 2026
We remain committed to negotiating in good faith with Teamsters Local 90 while keeping our focus on the patients and communities we serve. Throughout this process, our priority is to support safe, high-quality care and maintain a workplace that attracts and retains talented team members through competitive wages, benefits, and a positive work environment.
Welcome!
Contract negotiations between River Hills Community Health Center and Teamsters Local 90 began on May 20, 2026.
We’ve created this section as a resource to share timely, factual information about negotiations.
We respect every team member's right to choose for or against union representation. In addition to the union information provided below, you have a unique opportunity to “Wait and See.” Can the Teamsters fulfill their campaign promises to those employees at the 201 Market location in the collective bargaining process? Learn how long it will take, etc. See Collective Bargaining Updates.
Negotiations Schedule
June 10-11
Summary of the first two days of bargaining between River Hills Community Health Center and Teamsters Local 90. Click HERE to read.
July 1st-2nd
This update provides a summary of the bargaining sessions held on July 1-2. Click HERE to read.
July 23rd-24th
This update provides a summary of the bargaining sessions held on July 23-24. Click HERE to read.
August 12-14
This update provides a summary of the bargaining sessions held on August 12-14. Click HERE to read.
Sept 9-11
This update provides a summary of the bargaining sessions held on Sept. 9-11. Click HERE to read.
The Negotiations Process

Preparation
Each side assembles its team, reviews current terms, and identifies priorities.

Initial Proposals
Written proposals are exchanged. These are points for discussion, not finished agreements.

Negotiation
Sessions continue with counter-proposals; agreed items are tentatively set aside.

Tentative Agreement
When all provisions are agreed, the full document becomes a tentative contract.

Ratification?
Bargaining-unit members may choose to ratify the terms of the tentative agreement. If not ratified, the Teamsters may return to the bargaining table and/or call for a strike authorization vote.
Unions in Healthcare
Why we believe healthcare is different- and how the risk of a strike affects patient care and the community.
Community Healthcare Challenges
Funding instability, workforce shortages, rising costs, and growing demand facing FQHCs in 2026.