Approximately 101 non-union employees at Valley Medical Center were laid off following the abrupt non-renewal of the federal Medicaid Directed Payment Program funding, which provided critical financial support to the institution. The layoffs highlight issues in labor stability and protection for non-union staff.

During NPR's coverage on the rising trend of concierge medicine, Dr. Paul Carlan of Valley Medical Group criticized the privatization of primary care. He emphasized that healthcare is a public good supported by tax dollars, and the shift to membership models undermines community access. This statement highlights the company's commitment to ethical and accessible healthcare.

On September 12, 2024, over 2,400 healthcare workers held an informational picket demanding a fair contract, improved sick leave, and safe staffing at Valley Medical Center. After 14 bargaining sessions, management's proposals—viewed as a rollback of existing standards and prioritizing executive compensation—failed to meet the union's demands, highlighting exploitative labor practices.

On September 11, 2024, hundreds of healthcare workers at Valley Medical, represented by SEIU 1199NW, organized an informational picket demanding improved wages, enhanced sick leave, and better working conditions. The protest, bolstered by the support of local politicians, highlighted persistent concerns over labor rights and patient safety.