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Banner Health Clinicians Vote 149-66 to Form Arizona’s First Physician Union

Outpatient clinicians at 31 Banner clinics across the Phoenix Valley voted Wednesday to join the Union of American Physicians and Dentists, a first for Arizona. Banner employs about 800 people in Queen Creek.

Gwen Pruett

September 3, 20263 min read

Outpatient clinicians at Banner Health voted Wednesday to join the Union of American Physicians and Dentists, the first time physicians in Arizona will be represented by a labor union.

Of the more than 200 physicians, physician assistants and nurse practitioners who cast ballots, 149 voted for the union and 66 against. The clinicians work in primary care at 31 Banner clinics across the Phoenix Valley and together see more than 500,000 patients a year.

Why it matters in Queen Creek

Banner Health is the town's second-largest employer, with about 800 employees, according to the Town of Queen Creek's economic development office. Only Queen Creek Unified School District employs more people here.

Banner also operates an outpatient primary-care clinic in town, the Banner Health Center at 21772 S. Ellsworth Loop Road, the kind of clinic covered by the vote. The union and Banner have not published which 31 clinics make up the bargaining unit, so whether clinicians at the Queen Creek location took part is not known.

The physician who began the organizing effort, Dr. Justin Watkins, practices family medicine in neighboring Gilbert.

What the clinicians say

Clinicians told Courthouse News they are burned out, overworked and underpaid, and that they routinely take hours of charting home each night to keep up with caseloads. They said operations staff rather than clinicians now set how long a provider can spend with a patient, in some cases 15 minutes.

The clinicians said the deciding factor came last year, when Banner adopted a policy under which administrators can reduce a physician's base pay by as much as $15,000 a year if the company misses certain revenue goals. Before that, they said, only patient-care measures could reduce a doctor's pay.

"Because of our lack of autonomy and because of our patient burden, we are in a situation where it is very difficult to provide the quality of care to our patients that we want to and we are accustomed to," Watkins said.

Watkins began organizing with the union in June 2025. Around the same time, another physician at his clinic filed an unfair labor practice complaint with the National Labor Relations Board.

A clinician named Syerra Lea said managers threatened her job after she raised concerns about a scheduling error, and said she was forced out four days after giving notice once they learned she supported the union.

What Banner says

Banner opposed the union and set up a webpage arguing that a union cannot guarantee working conditions will improve.

"We respect that decision, and if the results are certified by the National Labor Relations Board we'll consider our next steps in meeting our obligations to the union, our clinicians and the community we serve," a Banner representative said. "We remain deeply committed to the culture we have built together, which is grounded in trust, respect and a shared dedication to our patients and communities."

Banner has said it will not be able to make meaningful changes while negotiations are under way, and its website notes that no law requires the company to reach a contract.

What a union can and cannot do

Cambria Nwosu, a registered nurse and patient-rights advocate, said a union gives clinicians a way to negotiate collectively over workload, pay, scheduling and discipline. She also said its limits are real.

"There are health care problems that unions alone cannot solve," Nwosu said. "It cannot correct the workforce shortages directly or the actual inadequate infrastructure of the health care system."

What happens next

The results go to the National Labor Relations Board for certification. If certified, the union and Banner would begin bargaining a first contract, a process that can take months or years.

Registered nurses and other support staff were not part of the vote and will not be represented by the union.

Sources

https://www.courthousenews.com/arizona-physicians-unionize-at-banner-health/

https://www.bannerhealth.com/locations/queen-creek/banner-health-center-ellsworth

https://investtheqc.com/workforce/

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Gwen Pruett

Gwen Pruett reports on local business, new openings, and economic development in Queen Creek.

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