8th Cir.

Midwest Division-RMC, LLC, doing business as Research Medical Center v. National Labor Relations Board

March 18, 2026 ·24-1680 ·Panel Decision ·Loken · By Aisha Johnson

The Eighth Circuit reversed the National Labor Relations Board's order finding that a hospital violated the National Labor Relations Act by withdrawing union recognition immediately after a decertification election vote. The court held that an employer may withdraw recognition at its peril before formal certification, meaning no violation occurs if the election results are ultimately upheld.

Midwest Division-RMC, LLC, a hospital in Kansas City, Missouri, faced two separate labor disputes involving different unions. First, the Service Employees International Union (SEIU) represented technical and maintenance staff. In June 2021, employees voted to decertify SEIU, but the hospital immediately withdrew recognition and stopped bargaining before the National Labor Relations Board certified the election results. The Board found this premature withdrawal violated the National Labor Relations Act. Second, the National Nurses Organizing Committee (NNOC) represented nurses. When a union representative attempted to attend a grievance meeting alongside another representative, the hospital refused, citing a collective bargaining agreement that it interpreted as allowing only one union representative per meeting. The Board found the hospital violated the Act by excluding the second representative.

The court addressed the SEIU dispute by analyzing the legal status of election results prior to certification. The Board had relied on a precedent, W.A. Krueger Co., which held that an employer acts at its peril in making unilateral changes before certification. However, the Eighth Circuit found this rule inconsistent with the National Labor Relations Act and prior Board decisions like Mike O'Connor Chevrolet. The court reasoned that the Act confers rights on employees, not unions, and there is no legal basis to treat initial certification elections differently from decertification elections. The court held that an employer may withdraw recognition after a decertification vote at its own peril; if the Board subsequently certifies the election, the employer has committed no unfair labor practice. Because the Board had certified the decertification results, the hospital's actions were lawful. Regarding the NNOC dispute, the court reviewed the collective bargaining agreement de novo. The agreement stated that the grievant and the authorized union representative could meet with the hospital but did not explicitly limit the number of union representatives. The court found the agreement silent on this point and noted that the record supported the union's right to select its own representatives under Section 7 of the NLRA. The court concluded that the hospital's refusal to allow the second representative was unsupported by the contract language.

The decision reverses the NLRB's order regarding the SEIU dispute, effectively allowing employers to withdraw union recognition immediately after a decertification vote tally without fear of liability, provided the election is eventually certified. This shifts the risk of premature withdrawal to the union, which must now wait for formal certification before challenging an employer's actions. For the NNOC dispute, the hospital must comply with the NLRB order to allow designated union representatives to attend grievance meetings, reinforcing the union's statutory right to select its own representatives. The case is remanded to the Board to dismiss the complaints related to SEIU.