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News Release

Legacy Health Responds To Oregon Nurses Association’s Strike Disinformation - 12/15/25

As the strike enters week three, and ONA ramps up the rhetoric, Legacy sets the record straight and addresses misrepresentations and disingenuous ONA tactics.

 

ONA has refused to provide Legacy with a counterproposal for five weeks. In that time, Legacy has made three proposals and remains committed to bargaining in good faith until an agreement is reached.

 

Portland, Ore. (Dec. 15, 2025) – To address the ongoing disinformation shared by the Oregon Nurses Association (ONA), Legacy Health believes it is imperative to provide key facts and clarity around the Adult Specialty Advanced Practice Providers (APPs) strike and set the record straight about the bargaining process to date and where both sides stand.

Legacy Health has a long track record of productive and collaborative relationships with represented groups and has always been committed to bargaining in good faith to reach a mutually agreeable contract with our APPs. We have met with their bargaining committee over 30 times to try to come to an agreement. As bargaining has progressed, ONA has repeatedly released misleading information and employed increasingly disingenuous and combative tactics that create unnecessary conflict and confusion with employees and the communities we serve.

 

Below are the facts:

 

Proposals to Avert a Strike

Since issuing a strike notice on Nov. 20, ONA has not provided a single counterproposal to Legacy. In fact, the union has not submitted a new proposal in more than five weeks, since Nov. 7, even though a counterproposal can be submitted at any day or time. The ball has been in their court for weeks.

 

Legacy negotiated up to the moment we received ONA’s strike notice on Nov. 20. Our most recent offer included an average 10% increase. ONA indicated they would prepare a response. They did not. Instead, they issued a strike notice.

 

Even more outrageous, ONA has refused to take Legacy’s most recent offers to its APP members for consideration and a vote. Contrary to what ONA has publicly claimed, Legacy remains ready to review any counterproposal ONA decides to present. The truth is, ONA has walked away from the bargaining table, and we are waiting for them to return. They have the ability to return to the negotiating table at any time and end this strike.

 

Bargaining and Mediation

Rather than respond to our offers, ONA has escalated tensions, including an incident in which ONA representatives brought a baseball bat to an in-person bargaining session. This is objectively threatening and wildly inappropriate given safety concerns in our hospitals, particularly from healthcare professionals.

 

On Nov. 20, when Legacy gave the bargaining unit its best and final offer, we made it clear that bargaining could continue, however, if ONA issued a strike notice, bargaining would need to pause so that Legacy could focus on patient care contingency planning. Instead of taking a market-competitive offer to its members, ONA chose to stop bargaining and issue a strike notice.

 

After the strike began, ONA requested mediation and Legacy immediately agreed, despite ONA publicly claiming that Legacy had refused to engage a mediator. Mediation began on Dec. 8. The federal mediator subsequently scheduled additional sessions for Dec. 15, 18 and 22. Legacy looks forward to participating in each session.

 

Despite Legacy’s clear willingness to engage a neutral mediator and bargain in good faith, ONA is now reversing course and asserting that a mediator is not necessary. At the same time, they continue to spread misinformation through local and social media, including claims that Legacy is “refusing” to negotiate. These statements are inaccurate and undermine the constructive dialogue needed to reach agreement.

 

Legacy’s Compensation Philosophy

Our philosophy throughout this process remains unchanged: to reach a fair and market-aligned agreement that supports our employees and the long-term stability of our organization. Legacy Health has offered an average 10% pay increase for all adult specialty advanced practice providers. That means:

  • First-year APPs would be offered a salary range of between $151,500 to $165,000, depending on position.
  • A provider with 10 years of experience would begin at between $180,000 and $196,000, depending on position.
  • The most experienced APPs would earn between $197,500 and $215,000, depending on position.

We understand employees may compare our compensation to other local health systems, yet each system operates within its own financial and economic environment. Legacy’s realities are not the same as others. Our compensation model is based on market data, internal equity and what is financially responsible for our organization given our unique financial challenges. Because the financial ecosystems of local health systems are different, the pay structures are not directly comparable. 

 

As a safety-net health system, our mission is to care for everyone in our community, including those who rely on Medicaid and other governmental programs. These payers represent a disproportionate share of our patient population, and governmental reimbursement does not cover the full cost of providing care. Despite these realities, the ONA is insisting on 20% to 30% pay increases and refusing to meaningfully participate in the mediation process to try to reach agreement on an alternative package.

 

Going Forward

Legacy wants to reach an agreement with our valued APPs. We stand ready to bargain in good faith with the ONA and put an end to this strike. We deeply respect our people and are committed to providing them with the resources and tools needed to do the important work they do each day and continue to grow and thrive in their health care careers. 

 

Throughout this process, we have remained committed to our values and our mission, which extends to providing our people and our community with an accurate and transparent picture of where we are today in this process.

 

Legacy looks forward to engaging in the next of several scheduled mediation sessions today, Monday, Dec. 15.

 

###

 

About Legacy Health

Legacy Health is a local nonprofit health system driven by our mission to improve the health of those around us. We offer a unique blend of health services — from wellness and urgent care to dedicated children’s care and advanced medical centers — to care for patients of all ages when and where they need us across the Portland/Vancouver metro area and mid-Willamette Valley. With an eye toward a healthier community, our partnerships tackle vital issues such as housing and mental health. Legacy strives to help everyone live healthier and better lives, with the vision of being essential to the health of the region. For more information, visit legacyhealth.org.

Legacy Health Responds To Oregon Nurses Association’s Strike Disinformation - 12/15/25

As the strike enters week three, and ONA ramps up the rhetoric, Legacy sets the record straight and addresses misrepresentations and disingenuous ONA tactics.

 

ONA has refused to provide Legacy with a counterproposal for five weeks. In that time, Legacy has made three proposals and remains committed to bargaining in good faith until an agreement is reached.

 

Portland, Ore. (Dec. 15, 2025) – To address the ongoing disinformation shared by the Oregon Nurses Association (ONA), Legacy Health believes it is imperative to provide key facts and clarity around the Adult Specialty Advanced Practice Providers (APPs) strike and set the record straight about the bargaining process to date and where both sides stand.

Legacy Health has a long track record of productive and collaborative relationships with represented groups and has always been committed to bargaining in good faith to reach a mutually agreeable contract with our APPs. We have met with their bargaining committee over 30 times to try to come to an agreement. As bargaining has progressed, ONA has repeatedly released misleading information and employed increasingly disingenuous and combative tactics that create unnecessary conflict and confusion with employees and the communities we serve.

 

Below are the facts:

 

Proposals to Avert a Strike

Since issuing a strike notice on Nov. 20, ONA has not provided a single counterproposal to Legacy. In fact, the union has not submitted a new proposal in more than five weeks, since Nov. 7, even though a counterproposal can be submitted at any day or time. The ball has been in their court for weeks.

 

Legacy negotiated up to the moment we received ONA’s strike notice on Nov. 20. Our most recent offer included an average 10% increase. ONA indicated they would prepare a response. They did not. Instead, they issued a strike notice.

 

Even more outrageous, ONA has refused to take Legacy’s most recent offers to its APP members for consideration and a vote. Contrary to what ONA has publicly claimed, Legacy remains ready to review any counterproposal ONA decides to present. The truth is, ONA has walked away from the bargaining table, and we are waiting for them to return. They have the ability to return to the negotiating table at any time and end this strike.

 

Bargaining and Mediation

Rather than respond to our offers, ONA has escalated tensions, including an incident in which ONA representatives brought a baseball bat to an in-person bargaining session. This is objectively threatening and wildly inappropriate given safety concerns in our hospitals, particularly from healthcare professionals.

 

On Nov. 20, when Legacy gave the bargaining unit its best and final offer, we made it clear that bargaining could continue, however, if ONA issued a strike notice, bargaining would need to pause so that Legacy could focus on patient care contingency planning. Instead of taking a market-competitive offer to its members, ONA chose to stop bargaining and issue a strike notice.

 

After the strike began, ONA requested mediation and Legacy immediately agreed, despite ONA publicly claiming that Legacy had refused to engage a mediator. Mediation began on Dec. 8. The federal mediator subsequently scheduled additional sessions for Dec. 15, 18 and 22. Legacy looks forward to participating in each session.

 

Despite Legacy’s clear willingness to engage a neutral mediator and bargain in good faith, ONA is now reversing course and asserting that a mediator is not necessary. At the same time, they continue to spread misinformation through local and social media, including claims that Legacy is “refusing” to negotiate. These statements are inaccurate and undermine the constructive dialogue needed to reach agreement.

 

Legacy’s Compensation Philosophy

Our philosophy throughout this process remains unchanged: to reach a fair and market-aligned agreement that supports our employees and the long-term stability of our organization. Legacy Health has offered an average 10% pay increase for all adult specialty advanced practice providers. That means:

  • First-year APPs would be offered a salary range of between $151,500 to $165,000, depending on position.
  • A provider with 10 years of experience would begin at between $180,000 and $196,000, depending on position.
  • The most experienced APPs would earn between $197,500 and $215,000, depending on position.

We understand employees may compare our compensation to other local health systems, yet each system operates within its own financial and economic environment. Legacy’s realities are not the same as others. Our compensation model is based on market data, internal equity and what is financially responsible for our organization given our unique financial challenges. Because the financial ecosystems of local health systems are different, the pay structures are not directly comparable. 

 

As a safety-net health system, our mission is to care for everyone in our community, including those who rely on Medicaid and other governmental programs. These payers represent a disproportionate share of our patient population, and governmental reimbursement does not cover the full cost of providing care. Despite these realities, the ONA is insisting on 20% to 30% pay increases and refusing to meaningfully participate in the mediation process to try to reach agreement on an alternative package.

 

Going Forward

Legacy wants to reach an agreement with our valued APPs. We stand ready to bargain in good faith with the ONA and put an end to this strike. We deeply respect our people and are committed to providing them with the resources and tools needed to do the important work they do each day and continue to grow and thrive in their health care careers. 

 

Throughout this process, we have remained committed to our values and our mission, which extends to providing our people and our community with an accurate and transparent picture of where we are today in this process.

 

Legacy looks forward to engaging in the next of several scheduled mediation sessions today, Monday, Dec. 15.

 

###

 

About Legacy Health

Legacy Health is a local nonprofit health system driven by our mission to improve the health of those around us. We offer a unique blend of health services — from wellness and urgent care to dedicated children’s care and advanced medical centers — to care for patients of all ages when and where they need us across the Portland/Vancouver metro area and mid-Willamette Valley. With an eye toward a healthier community, our partnerships tackle vital issues such as housing and mental health. Legacy strives to help everyone live healthier and better lives, with the vision of being essential to the health of the region. For more information, visit legacyhealth.org.