- Caritas Christi Healthcare: In January of 2009, 1199SEIU and Caritas entered into a Free and Fair Elections agreement which allowed hospital workers at all Caritas facilities to make their own decision regarding whether to join 1199. In 2009 alone, workers at St. Elizabeth’s Medical Center, Carney Hospital and Norwood Hospital voted to unite with thousands of their coworkers as members of 1199SEIU.
- Boston Medical Center: From 1996-1997, BMC workers held two union elections under an election accord. In 2005, another group of workers voted in an election under a new accord, negotiated earlier that year.
- The Trustees of Boston City Hospital in 1993 negotiated a process in which they agreed to recognize the union upon evidence that a majority of workers petitioned for representation.
- Whidden Memorial Hospital: Two elections took place between 2000 and 2002 under a free and fair accord.
- UMass Medical Center in Worcester conducted an election in or about 1999 under an accord.