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News Release

Legacy Advanced Practice Providers Ratify Historic First Union Contract After 29-Day Strike - 01/02/26

PORTLAND, Ore. — Legacy Health advanced practice providers (APPs) have overwhelmingly voted to ratify their first union contract, marking a historic victory for frontline healthcare workers and a major turning point in labor relations at Legacy Health. The contract includes across-the-board pay raises, accelerated timelines for raises, and new protections for APPs if Legacy makes unilateral decisions about the workplace.

 

The landmark agreement follows a 29-day strike that began December 2, when APPs walked off the job demanding respect for their work, competitive pay, and a sustainable future for patient care. The first contract is a clear demonstration of what healthcare workers can win when they stand together.

 

“We’re incredibly proud of what we accomplished together on the strike line,” said Megan Barckert, a nurse practitioner (NP) in oncology and member of the bargaining team. “Advanced practice providers make up 41% of all providers nationally, and that number is steadily growing. Our strike is a clear representation of this changing market. APPs are integral leaders within healthcare, and our voices will not be silenced.”

 

Over the course of the strike, Legacy management dramatically shifted their position. Prior to the strike, executives said they would not bargain or improve their “last, best, and final” offer. During the strike, however, Legacy APPs and management met numerous times at the bargaining table, ultimately reaching an improved second tentative agreement that delivers accelerated pay increases, a fourth raise, and new protections against unilateral workplace changes.

 

The ratified contract represents a breakthrough not only for APPs, but for workers across Legacy Health. Long considered a historically low–union density health system in Oregon, Legacy has undergone a dramatic transformation—especially in 2025.

 

While the Legacy APPs who were just on strike joined the Oregon Nurses Association (ONA) in December 2023, nearly 2,900 frontline Legacy workers—including registered nurses (RNs) and APPs—joined ONA in 2025 alone. This includes more than 2,300 RNs at Legacy Emanuel, Randall, and Good Samaritan hospitals who voted to unionize in January 2025, a campaign that was three decades in the making. Those workers are still bargaining their first contracts.

 

During the strike, APPs were joined by their colleagues from Legacy GoHealth and Legacy Pediatrics in “solidarity strikes,” an uncommon event in healthcare settings and a powerful demonstration of the growing unionization at Legacy. APPs at GoHealth and Pediatrics are among the groups that organized with ONA in 2025.

 

This shift reflects growing discontent among healthcare workers in an increasingly corporatized healthcare system—one that asks frontline caregivers to do more with less while patients wait longer for care, and executive compensation continues to rise. These issues are not unique to Legacy, but the scale of organizing and the number of first contracts being negotiated is.

 

The agreement comes more than two years after APPs joined ONA and follows over 18 months of bargaining.

 

Among other things, Key provisions of the historic contract include, among other things:

  • Across-the-board wage increases and clearer pay scales, moving multiple departments into higher pay tiers. The agreement represents meaningful progress toward competitive compensation, which will improve recruitment and retention.
  • Regular cost-of-living adjustments, increased extra-shift pay, and enhanced compensation for night and extended shifts.
  • Accelerated pay increases across the life of the contract, with no caps on raises, and an additional fourth raise.
  • Just-cause protections for discipline and termination, ensuring due process and fairness.
  • A new Labor–Management Committee to improve communication and proactively address workplace issues.

Perhaps most importantly, the contract ends an era of one-sided decision-making at Legacy. APPs now have enforceable rights, a real voice on the job, and a union contract that sets clear standards.

 

“This historic strike and ratification send a clear message: Legacy is now a union shop,” continued Barckert. “There will be no more unilateral decision-making by Legacy, no more shortchanging providers, and far more solidarity and strength for frontline workers.”

 

APPs already ended their strike on December 30 and began the process of returning to work as part of the tentative agreement.

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

# # #

 

Legacy Advanced Practice Providers Ratify Historic First Union Contract After 29-Day Strike - 01/02/26

PORTLAND, Ore. — Legacy Health advanced practice providers (APPs) have overwhelmingly voted to ratify their first union contract, marking a historic victory for frontline healthcare workers and a major turning point in labor relations at Legacy Health. The contract includes across-the-board pay raises, accelerated timelines for raises, and new protections for APPs if Legacy makes unilateral decisions about the workplace.

 

The landmark agreement follows a 29-day strike that began December 2, when APPs walked off the job demanding respect for their work, competitive pay, and a sustainable future for patient care. The first contract is a clear demonstration of what healthcare workers can win when they stand together.

 

“We’re incredibly proud of what we accomplished together on the strike line,” said Megan Barckert, a nurse practitioner (NP) in oncology and member of the bargaining team. “Advanced practice providers make up 41% of all providers nationally, and that number is steadily growing. Our strike is a clear representation of this changing market. APPs are integral leaders within healthcare, and our voices will not be silenced.”

 

Over the course of the strike, Legacy management dramatically shifted their position. Prior to the strike, executives said they would not bargain or improve their “last, best, and final” offer. During the strike, however, Legacy APPs and management met numerous times at the bargaining table, ultimately reaching an improved second tentative agreement that delivers accelerated pay increases, a fourth raise, and new protections against unilateral workplace changes.

 

The ratified contract represents a breakthrough not only for APPs, but for workers across Legacy Health. Long considered a historically low–union density health system in Oregon, Legacy has undergone a dramatic transformation—especially in 2025.

 

While the Legacy APPs who were just on strike joined the Oregon Nurses Association (ONA) in December 2023, nearly 2,900 frontline Legacy workers—including registered nurses (RNs) and APPs—joined ONA in 2025 alone. This includes more than 2,300 RNs at Legacy Emanuel, Randall, and Good Samaritan hospitals who voted to unionize in January 2025, a campaign that was three decades in the making. Those workers are still bargaining their first contracts.

 

During the strike, APPs were joined by their colleagues from Legacy GoHealth and Legacy Pediatrics in “solidarity strikes,” an uncommon event in healthcare settings and a powerful demonstration of the growing unionization at Legacy. APPs at GoHealth and Pediatrics are among the groups that organized with ONA in 2025.

 

This shift reflects growing discontent among healthcare workers in an increasingly corporatized healthcare system—one that asks frontline caregivers to do more with less while patients wait longer for care, and executive compensation continues to rise. These issues are not unique to Legacy, but the scale of organizing and the number of first contracts being negotiated is.

 

The agreement comes more than two years after APPs joined ONA and follows over 18 months of bargaining.

 

Among other things, Key provisions of the historic contract include, among other things:

  • Across-the-board wage increases and clearer pay scales, moving multiple departments into higher pay tiers. The agreement represents meaningful progress toward competitive compensation, which will improve recruitment and retention.
  • Regular cost-of-living adjustments, increased extra-shift pay, and enhanced compensation for night and extended shifts.
  • Accelerated pay increases across the life of the contract, with no caps on raises, and an additional fourth raise.
  • Just-cause protections for discipline and termination, ensuring due process and fairness.
  • A new Labor–Management Committee to improve communication and proactively address workplace issues.

Perhaps most importantly, the contract ends an era of one-sided decision-making at Legacy. APPs now have enforceable rights, a real voice on the job, and a union contract that sets clear standards.

 

“This historic strike and ratification send a clear message: Legacy is now a union shop,” continued Barckert. “There will be no more unilateral decision-making by Legacy, no more shortchanging providers, and far more solidarity and strength for frontline workers.”

 

APPs already ended their strike on December 30 and began the process of returning to work as part of the tentative agreement.

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

# # #

 

Striking APPs From Legacy Reach Second Tentative Agreement - 12/30/25

Portland, Ore. - Striking advanced practice providers (APPs) have reached a second tentative agreement with Legacy Health, marking a significant victory for the 135 frontline providers who have been on strike demanding a fair contract since December 2. As part of the agreement, the strike will end before the completion of the ratification vote, and APPs will return to work in the coming days.

 

This agreement represents a major shift by Legacy Health. When ONA members first issued their 10-day strike notice, Legacy stated they would not bargain. They did. Legacy then claimed they would not change their offer. They did. And after the first tentative agreement was overwhelmingly rejected by APPs, Legacy moved further—advancing the timing of raises along with other improvements.

 

In addition to across-the-board raises, key provisions of the second tentative agreement include a clarified provision on extra shift pay, enhanced compensation for night and extended shifts, and the creation of a Labor–Management Committee to improve communication and proactively address workplace issues.

 

If ratified, this agreement would be the first contract for Legacy APPs and would end Legacy’s ability to make unilateral decisions about critical workplace issues. The contract establishes just-cause protections for discipline and termination, ensuring due process and clear, enforceable standards.

 

If the contract is not ratified, Oregon Nurses Association (ONA) members and Legacy Health have agreed to a 90-day cooling-off period. During this time, ONA will not return to strike as negotiations continue.

 

APPs play a critical role in our healthcare system, standing on the frontlines, caring for Oregonians, and saving lives. If their contract is ratified, they will gain the full protections of a union, marking a significant milestone for healthcare workers in Oregon. Once again, APPs are leading the way and demonstrating what true solidarity and collective action look like.

 

ONA will not provide further comment until the ratification vote concludes.

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

# # #

Striking APPs From Legacy Reach Second Tentative Agreement - 12/30/25

Portland, Ore. - Striking advanced practice providers (APPs) have reached a second tentative agreement with Legacy Health, marking a significant victory for the 135 frontline providers who have been on strike demanding a fair contract since December 2. As part of the agreement, the strike will end before the completion of the ratification vote, and APPs will return to work in the coming days.

 

This agreement represents a major shift by Legacy Health. When ONA members first issued their 10-day strike notice, Legacy stated they would not bargain. They did. Legacy then claimed they would not change their offer. They did. And after the first tentative agreement was overwhelmingly rejected by APPs, Legacy moved further—advancing the timing of raises along with other improvements.

 

In addition to across-the-board raises, key provisions of the second tentative agreement include a clarified provision on extra shift pay, enhanced compensation for night and extended shifts, and the creation of a Labor–Management Committee to improve communication and proactively address workplace issues.

 

If ratified, this agreement would be the first contract for Legacy APPs and would end Legacy’s ability to make unilateral decisions about critical workplace issues. The contract establishes just-cause protections for discipline and termination, ensuring due process and clear, enforceable standards.

 

If the contract is not ratified, Oregon Nurses Association (ONA) members and Legacy Health have agreed to a 90-day cooling-off period. During this time, ONA will not return to strike as negotiations continue.

 

APPs play a critical role in our healthcare system, standing on the frontlines, caring for Oregonians, and saving lives. If their contract is ratified, they will gain the full protections of a union, marking a significant milestone for healthcare workers in Oregon. Once again, APPs are leading the way and demonstrating what true solidarity and collective action look like.

 

ONA will not provide further comment until the ratification vote concludes.

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

# # #

Legacy Agrees To Return To Mediation Following Rejection Of Tentative Agreement - 12/29/25

Portland, Ore. - Just two days after advanced practice providers (APPs) at Legacy Health overwhelmingly rejected the first tentative agreement, Legacy has agreed to return to mediation. 
 

Legacy APPs and Legacy management will meet with a federal mediator on Tuesday, December 30. 
 

The Oregon Nurses Association welcomes this development and views it as a necessary step forward. At the same time, we are clear-eyed about what must happen next. This round of mediation must be approached with urgency, seriousness, and a genuine commitment from Legacy management to negotiate in good faith—around the clock if necessary—until a fair agreement is reached. 
 

APPs want nothing more than a fair contract that supports recruitment and retention of experienced providers, respects the critical work we do, and allows us to deliver the highest quality patient care. 
 

Our patients, our coworkers, and the communities we serve all deserve a timely and fair resolution. 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.


# # #

 

Legacy Agrees To Return To Mediation Following Rejection Of Tentative Agreement - 12/29/25

Portland, Ore. - Just two days after advanced practice providers (APPs) at Legacy Health overwhelmingly rejected the first tentative agreement, Legacy has agreed to return to mediation. 
 

Legacy APPs and Legacy management will meet with a federal mediator on Tuesday, December 30. 
 

The Oregon Nurses Association welcomes this development and views it as a necessary step forward. At the same time, we are clear-eyed about what must happen next. This round of mediation must be approached with urgency, seriousness, and a genuine commitment from Legacy management to negotiate in good faith—around the clock if necessary—until a fair agreement is reached. 
 

APPs want nothing more than a fair contract that supports recruitment and retention of experienced providers, respects the critical work we do, and allows us to deliver the highest quality patient care. 
 

Our patients, our coworkers, and the communities we serve all deserve a timely and fair resolution. 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.


# # #

 

Legacy APPs Resoundingly Reject Tentative Agreement - 12/27/25

(Portland, Ore.) — With nearly 90 percent of eligible members voting, advanced practice providers (APPs) at Legacy Health have resoundingly rejected the tentative agreement reached on December 23. APPs rejected the agreement because of Legacy’s bad-faith bargaining, disrespect for their profession, uncompetitive wages, and bloated executive pay. The vote delivers a clear rebuke of Legacy’s offer, and the strike will continue with daily picketing.

 

APPs cited multiple reasons for rejecting the agreement, including: 
• Legacy’s lack of meaningful movement at the bargaining table since the strike began. 
• Legacy’s disrespect for advanced practice providers—frontline caregivers who deliver critical, lifesaving care to Oregonians every day. 
• A contract that would leave Legacy APPs far behind peers at other health systems, driving turnover and undermining patient care. 
• Legacy’s hypocrisy—publicly claiming financial hardship while continuing with lavish compensation for top executives and ignoring their frontline providers. 
 
Legacy’s Failure to Bargain in Good Faith 
Since issuing a strike notice, advanced practice providers (APPs) repeatedly offered to meet at any time and in any location to move negotiations forward. Legacy Health instead chose to delay bargaining and engage in bad-faith tactics. 

 

Legacy management has even publicly acknowledged—nearly boasting—that the tentative agreement did not materially improve after the strike began, despite APPs returning to the table again and again with meaningful compromises. 

 

In the same breath, Legacy claimed it “...remained committed throughout the process to reaching a mutually agreeable contract that supports advanced practice providers,...” while also admitting that “...the agreement is materially consistent with the offer presented on Nov. 20, prior to the strike being announced.” These contradictory statements cannot both be true. Rather than engaging in serious, productive negotiations, management played games at the bargaining table, dragged out the process, and issued inconsistent and misleading statements to the press—while frontline providers and patients were caught in the middle. 

 

The question should be asked of Legacy management: if you are committed to reaching a “mutually agreeable contract that supports APPs” why have you offered a deal that has not “materially” changed since the strike began?

 

This misleading approach to bargaining reflects a broader failure by Legacy to take this process seriously and a troubling disregard for the impact their decisions have on patient care. This is not leadership; it is avoidance—and every Oregonian should be concerned. 

 

Disrespect for APPs 
By refusing to offer wages that are competitive with APPs at other hospitals—and in some cases paying them less than other frontline caregivers within Legacy — management has once again demonstrated its disregard for its healthcare professionals. 

 

Advanced practice providers—including nurse practitioners, physician associates, and clinical nurse specialists—are highly trained clinicians who save lives, perform surgeries, and care for families every day. They deliver essential, lifesaving care across a wide range of settings and are critical to the health and safety of communities throughout Oregon. 

 

Legacy’s decision to undervalue this workforce—and its indifference when experienced APPs leave for other health systems—is a slap in the face and a clear sign of blatant disrespect. 

 

Uncompetitive Wages and APP Turnover 
Legacy has made false and misleading claims to the public about raises in this contract. In reality, some APPs would see little to no increases at all over the life of the agreement, and the entire unit would continue to lag behind other healthcare systems.

 

The proposed agreement would have left Legacy APPs 10% behind their counterparts at OHSU, and behind what Kaiser APPs have been offered—perpetuating a widening wage and standards gap that threatens the long-term stability of Legacy’s workforce. 

 

This disparity would inevitably drive experienced APPs out of the system, worsening patient care, increasing burnout among remaining staff, and inflating costs as Legacy is forced into a constant recruitment and retention cycle of its own making. When frontline providers are undervalued, patient care inevitably suffers. 

 

Legacy Executives’ Excessive Compensation 
Legacy executives repeatedly claim the health system is broke, but their own compensation tells a very different story. In 2024 alone, Legacy’s CEO was paid $3,861,658, while executive compensation across the system increased by 26%. 

 

These executives are not the ones delivering bedside care, staffing clinics, or keeping patients safe. Yet Legacy continues to funnel millions to administrators while refusing to adequately compensate the clinicians who provide care. This imbalance is not only insulting—it is reckless. 

 

Oregonians deserve a health system that prioritizes patients and frontline caregivers, not one that rewards executives while understaffing units and pushing experienced providers out the door. These priorities are not in line with what Oregonians expect and deserve from their healthcare systems. 

 

What’s Next 
The decisive rejection of this tentative agreement sends a clear message: Legacy APPs will not accept a contract that undervalues their work, drives turnover, and undermines patient care—especially while executives continue to reward themselves with outrageous salaries. We’re prepared to hold the line for as long as it takes to win the respect we deserve. 

 

APPs remain ready to return to the bargaining table immediately and have offered to bargain every day, with or without a mediator, starting tomorrow, Sunday, December 28. 

 

The path forward is clear—Legacy must stop delaying, negotiate in good faith, and present an offer that reflects the value of APPs and the needs of the communities they serve. 

 

Per ONA policy, we will not be sharing the vote totals.

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

# # #

Legacy APPs Resoundingly Reject Tentative Agreement - 12/27/25

(Portland, Ore.) — With nearly 90 percent of eligible members voting, advanced practice providers (APPs) at Legacy Health have resoundingly rejected the tentative agreement reached on December 23. APPs rejected the agreement because of Legacy’s bad-faith bargaining, disrespect for their profession, uncompetitive wages, and bloated executive pay. The vote delivers a clear rebuke of Legacy’s offer, and the strike will continue with daily picketing.

 

APPs cited multiple reasons for rejecting the agreement, including: 
• Legacy’s lack of meaningful movement at the bargaining table since the strike began. 
• Legacy’s disrespect for advanced practice providers—frontline caregivers who deliver critical, lifesaving care to Oregonians every day. 
• A contract that would leave Legacy APPs far behind peers at other health systems, driving turnover and undermining patient care. 
• Legacy’s hypocrisy—publicly claiming financial hardship while continuing with lavish compensation for top executives and ignoring their frontline providers. 
 
Legacy’s Failure to Bargain in Good Faith 
Since issuing a strike notice, advanced practice providers (APPs) repeatedly offered to meet at any time and in any location to move negotiations forward. Legacy Health instead chose to delay bargaining and engage in bad-faith tactics. 

 

Legacy management has even publicly acknowledged—nearly boasting—that the tentative agreement did not materially improve after the strike began, despite APPs returning to the table again and again with meaningful compromises. 

 

In the same breath, Legacy claimed it “...remained committed throughout the process to reaching a mutually agreeable contract that supports advanced practice providers,...” while also admitting that “...the agreement is materially consistent with the offer presented on Nov. 20, prior to the strike being announced.” These contradictory statements cannot both be true. Rather than engaging in serious, productive negotiations, management played games at the bargaining table, dragged out the process, and issued inconsistent and misleading statements to the press—while frontline providers and patients were caught in the middle. 

 

The question should be asked of Legacy management: if you are committed to reaching a “mutually agreeable contract that supports APPs” why have you offered a deal that has not “materially” changed since the strike began?

 

This misleading approach to bargaining reflects a broader failure by Legacy to take this process seriously and a troubling disregard for the impact their decisions have on patient care. This is not leadership; it is avoidance—and every Oregonian should be concerned. 

 

Disrespect for APPs 
By refusing to offer wages that are competitive with APPs at other hospitals—and in some cases paying them less than other frontline caregivers within Legacy — management has once again demonstrated its disregard for its healthcare professionals. 

 

Advanced practice providers—including nurse practitioners, physician associates, and clinical nurse specialists—are highly trained clinicians who save lives, perform surgeries, and care for families every day. They deliver essential, lifesaving care across a wide range of settings and are critical to the health and safety of communities throughout Oregon. 

 

Legacy’s decision to undervalue this workforce—and its indifference when experienced APPs leave for other health systems—is a slap in the face and a clear sign of blatant disrespect. 

 

Uncompetitive Wages and APP Turnover 
Legacy has made false and misleading claims to the public about raises in this contract. In reality, some APPs would see little to no increases at all over the life of the agreement, and the entire unit would continue to lag behind other healthcare systems.

 

The proposed agreement would have left Legacy APPs 10% behind their counterparts at OHSU, and behind what Kaiser APPs have been offered—perpetuating a widening wage and standards gap that threatens the long-term stability of Legacy’s workforce. 

 

This disparity would inevitably drive experienced APPs out of the system, worsening patient care, increasing burnout among remaining staff, and inflating costs as Legacy is forced into a constant recruitment and retention cycle of its own making. When frontline providers are undervalued, patient care inevitably suffers. 

 

Legacy Executives’ Excessive Compensation 
Legacy executives repeatedly claim the health system is broke, but their own compensation tells a very different story. In 2024 alone, Legacy’s CEO was paid $3,861,658, while executive compensation across the system increased by 26%. 

 

These executives are not the ones delivering bedside care, staffing clinics, or keeping patients safe. Yet Legacy continues to funnel millions to administrators while refusing to adequately compensate the clinicians who provide care. This imbalance is not only insulting—it is reckless. 

 

Oregonians deserve a health system that prioritizes patients and frontline caregivers, not one that rewards executives while understaffing units and pushing experienced providers out the door. These priorities are not in line with what Oregonians expect and deserve from their healthcare systems. 

 

What’s Next 
The decisive rejection of this tentative agreement sends a clear message: Legacy APPs will not accept a contract that undervalues their work, drives turnover, and undermines patient care—especially while executives continue to reward themselves with outrageous salaries. We’re prepared to hold the line for as long as it takes to win the respect we deserve. 

 

APPs remain ready to return to the bargaining table immediately and have offered to bargain every day, with or without a mediator, starting tomorrow, Sunday, December 28. 

 

The path forward is clear—Legacy must stop delaying, negotiate in good faith, and present an offer that reflects the value of APPs and the needs of the communities they serve. 

 

Per ONA policy, we will not be sharing the vote totals.

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

# # #

Striking APPs Reach Tentative Agreement With Legacy Health - 12/24/25

Portland, Ore. – Advanced practice providers (APPs) represented by the Oregon Nurses Association have reached a tentative agreement with Legacy Health following a strike that began on December 2.

 

The tentative agreement will be presented to the full membership for a ratification vote, opening Friday, December 26 at 12:00 p.m. and closing Saturday, December 27 at 12:00 p.m.

 

If ratified, the agreement would become the first contract for Legacy APPs and among the first secured by one of the many newly organized bargaining units across Legacy Health, including more than 2,100 frontline nurses who joined ONA in January 2025.

 

Key provisions of the tentative agreement include across-the-board pay raises and new pay scales with clearer tier definitions, moving several departments into higher pay tiers. While the agreement does not fully close the wage gap with OHSU APPs, it represents meaningful progress toward more competitive compensation. The contract also provides expedited pay increases in years two and three, with no caps on those increases.

 

Additional improvements include increased extra shift pay, enhanced compensation for night and extended shifts, and the creation of a Labor–Management Committee to improve communication and proactively address workplace issues. The agreement also establishes just-cause protections for discipline and termination, ensuring due process and clear standards.

 

APPs will remain on strike during the ratification vote. Strike line times may vary due to weather conditions and the holiday season. If the tentative agreement is not ratified, APPs will continue their strike until a new agreement is reached.

 

Legacy APPs voted to join ONA in December 2023 and have been bargaining with Legacy Health since April 2024. The bargaining unit includes nurse practitioners, physician associates, and clinical nurse specialists who play a critical role in patient care across Legacy Health facilities.

 

NOTE: ONA will not provide further comment until after the ratification vote concludes. 

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

# # #

Striking APPs Reach Tentative Agreement With Legacy Health - 12/24/25

Portland, Ore. – Advanced practice providers (APPs) represented by the Oregon Nurses Association have reached a tentative agreement with Legacy Health following a strike that began on December 2.

 

The tentative agreement will be presented to the full membership for a ratification vote, opening Friday, December 26 at 12:00 p.m. and closing Saturday, December 27 at 12:00 p.m.

 

If ratified, the agreement would become the first contract for Legacy APPs and among the first secured by one of the many newly organized bargaining units across Legacy Health, including more than 2,100 frontline nurses who joined ONA in January 2025.

 

Key provisions of the tentative agreement include across-the-board pay raises and new pay scales with clearer tier definitions, moving several departments into higher pay tiers. While the agreement does not fully close the wage gap with OHSU APPs, it represents meaningful progress toward more competitive compensation. The contract also provides expedited pay increases in years two and three, with no caps on those increases.

 

Additional improvements include increased extra shift pay, enhanced compensation for night and extended shifts, and the creation of a Labor–Management Committee to improve communication and proactively address workplace issues. The agreement also establishes just-cause protections for discipline and termination, ensuring due process and clear standards.

 

APPs will remain on strike during the ratification vote. Strike line times may vary due to weather conditions and the holiday season. If the tentative agreement is not ratified, APPs will continue their strike until a new agreement is reached.

 

Legacy APPs voted to join ONA in December 2023 and have been bargaining with Legacy Health since April 2024. The bargaining unit includes nurse practitioners, physician associates, and clinical nurse specialists who play a critical role in patient care across Legacy Health facilities.

 

NOTE: ONA will not provide further comment until after the ratification vote concludes. 

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

# # #

Legacy Returns To Mediation As APPs From Pediatrics, GoHealth Urgent Care Join Colleagues On Strike - 12/22/25

Portland, Ore. - A second group of advanced practice providers (APPs) at Legacy Health is joining the strike today, signaling growing unrest across the health system. Thirty APPs from Legacy’s Pediatrics department are beginning a two-day solidarity strike, joining 40 APPs from Legacy GoHealth urgent care clinics who are on day two of their own two-day walkout.

 

Both groups are striking in solidarity with APPs from Legacy’s adult specialties department, who have been on strike since Dec. 2, and are now entering their 21st day on the line. The addition of pediatric APPs underscores escalating discontent across Legacy’s frontline workforce as management returns to mediation today for what is currently the final scheduled session.

 

Legacy Go Health is the health system’s urgent care operation, and Legacy pediatric APPs provide care to newborns, infants and children across Legacy’s hospitals and clinics.

 

WHO: Advanced practice providers from Legacy’s Pediatrics department will join APPs from Legacy GoHealth urgent care clinics and the adult specialties unit. The APPs joining the strike include nurse practitioners (NPs) and physician associates (PAs).

 

WHEN: The strike line will be operating on Monday, Dec. 22 from 8 a.m. – 4 p.m.

At 12:00 p.m. a short rally will be held featuring APPs from across Legacy. APPs from all three units will be available for interviews.

 

WHERE: Legacy Emanuel, 501 N Graham St, Portland

 

WHY: On December 9, APPs from Legacy Pediatrics and Legacy GoHealth urgent care clinics announced they had voted to launch solidarity strikes, joining their colleagues on the picket line in support of a fair contract.

 

APPs from Legacy Pediatrics won their union election in August 2025. Like their colleagues in adult specialties and Legacy GoHealth urgent care, they are deeply concerned about patient care, unsafe staffing levels, inequities across the healthcare system, and Legacy management’s ongoing refusal to bargain fairly.

 

All three APP groups have made clear they want to be caring for patients—not walking a picket line—but believe this action is necessary to protect patient safety and the future of care at Legacy.

 

In October, pediatric APPs formally petitioned to join the adult specialties bargaining unit, underscoring the shared concerns and unity among Legacy’s frontline providers.

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

# # #

Legacy Returns To Mediation As APPs From Pediatrics, GoHealth Urgent Care Join Colleagues On Strike - 12/22/25

Portland, Ore. - A second group of advanced practice providers (APPs) at Legacy Health is joining the strike today, signaling growing unrest across the health system. Thirty APPs from Legacy’s Pediatrics department are beginning a two-day solidarity strike, joining 40 APPs from Legacy GoHealth urgent care clinics who are on day two of their own two-day walkout.

 

Both groups are striking in solidarity with APPs from Legacy’s adult specialties department, who have been on strike since Dec. 2, and are now entering their 21st day on the line. The addition of pediatric APPs underscores escalating discontent across Legacy’s frontline workforce as management returns to mediation today for what is currently the final scheduled session.

 

Legacy Go Health is the health system’s urgent care operation, and Legacy pediatric APPs provide care to newborns, infants and children across Legacy’s hospitals and clinics.

 

WHO: Advanced practice providers from Legacy’s Pediatrics department will join APPs from Legacy GoHealth urgent care clinics and the adult specialties unit. The APPs joining the strike include nurse practitioners (NPs) and physician associates (PAs).

 

WHEN: The strike line will be operating on Monday, Dec. 22 from 8 a.m. – 4 p.m.

At 12:00 p.m. a short rally will be held featuring APPs from across Legacy. APPs from all three units will be available for interviews.

 

WHERE: Legacy Emanuel, 501 N Graham St, Portland

 

WHY: On December 9, APPs from Legacy Pediatrics and Legacy GoHealth urgent care clinics announced they had voted to launch solidarity strikes, joining their colleagues on the picket line in support of a fair contract.

 

APPs from Legacy Pediatrics won their union election in August 2025. Like their colleagues in adult specialties and Legacy GoHealth urgent care, they are deeply concerned about patient care, unsafe staffing levels, inequities across the healthcare system, and Legacy management’s ongoing refusal to bargain fairly.

 

All three APP groups have made clear they want to be caring for patients—not walking a picket line—but believe this action is necessary to protect patient safety and the future of care at Legacy.

 

In October, pediatric APPs formally petitioned to join the adult specialties bargaining unit, underscoring the shared concerns and unity among Legacy’s frontline providers.

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

# # #

Media Advisory: Legacy’s Labor Crisis Deepens As GoHealth APPs Join Strike - 12/20/25

(Portland, Ore.) - APPs from Legacy GoHealth clinics will join their colleagues on the strike line for a two-day strike starting Sunday, December 21, signaling growing solidarity among advanced practice providers and escalating discontent across Legacy’s workforce.

 

WHAT: About 40 advanced practice providers (APPs) from Legacy GoHealth clinics will hold a two-day strike against Legacy Health on Sunday, Dec. 21 and Monday, Dec. 22. The strike comes as mediation between Legacy and the APPs from the adult specialties unit continues.

 

The APPs joining the strike include nurse practitioners (NPs) and physician associates (PAs) who are employed by Legacy but work in the private equity-owned GoHealth clinics. The APPs are from more than a dozen clinics throughout the Portland metro and Southwest Washington.

 

WHEN: The strike line will be operating on Sunday, Dec. 21 from 8 a.m. – 2 p.m. Go Health APPs will be available for interviews from 11 a.m. – 1 p.m.

 

WHERE: Legacy Good Samaritan, 1015 NW 22nd Ave, Portland; at the intersection of NW 22nd and NW Marshall

 

WHY: APPs from GoHealth won their union election in January 2025. Like their counterparts in the adult specialties unit, they are concerned about patient care, staffing, equity across the healthcare system and Legacy management’s refusal to bargain fairly.

 

The providers say many people who can’t access a primary care provider come to the clinics for basic healthcare. Patient needs vary drastically, while some can be treated during the allotted time, others require management of complex issues, making it difficult to stay on time in an already full appointment schedule. The work performed by APPs at GoHealth clinics is just as complex as that of APPs in the hospitals, but they are also paid well below market rates.

 

Pediatric APPs from Legacy will also be starting a two-day strike beginning Monday, December 22.

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

# # #

Media Advisory: Legacy’s Labor Crisis Deepens As GoHealth APPs Join Strike - 12/20/25

(Portland, Ore.) - APPs from Legacy GoHealth clinics will join their colleagues on the strike line for a two-day strike starting Sunday, December 21, signaling growing solidarity among advanced practice providers and escalating discontent across Legacy’s workforce.

 

WHAT: About 40 advanced practice providers (APPs) from Legacy GoHealth clinics will hold a two-day strike against Legacy Health on Sunday, Dec. 21 and Monday, Dec. 22. The strike comes as mediation between Legacy and the APPs from the adult specialties unit continues.

 

The APPs joining the strike include nurse practitioners (NPs) and physician associates (PAs) who are employed by Legacy but work in the private equity-owned GoHealth clinics. The APPs are from more than a dozen clinics throughout the Portland metro and Southwest Washington.

 

WHEN: The strike line will be operating on Sunday, Dec. 21 from 8 a.m. – 2 p.m. Go Health APPs will be available for interviews from 11 a.m. – 1 p.m.

 

WHERE: Legacy Good Samaritan, 1015 NW 22nd Ave, Portland; at the intersection of NW 22nd and NW Marshall

 

WHY: APPs from GoHealth won their union election in January 2025. Like their counterparts in the adult specialties unit, they are concerned about patient care, staffing, equity across the healthcare system and Legacy management’s refusal to bargain fairly.

 

The providers say many people who can’t access a primary care provider come to the clinics for basic healthcare. Patient needs vary drastically, while some can be treated during the allotted time, others require management of complex issues, making it difficult to stay on time in an already full appointment schedule. The work performed by APPs at GoHealth clinics is just as complex as that of APPs in the hospitals, but they are also paid well below market rates.

 

Pediatric APPs from Legacy will also be starting a two-day strike beginning Monday, December 22.

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

# # #

Six Days Before Christmas, Legacy Executives Threaten To Strip Healthcare From Striking Advanced Practice Providers (Photo) - 12/19/25

MEDIA AVAILABILITY: Aurora Lake, a critical care nurse practitioner and ONA member who is 8 months pregnant, will be available for interviews at 11:30 a.m. Dec. 19 at the strike line outside Legacy Emanuel Medical Center.

 

(Portland, Ore.) — Legacy Health is escalating its intimidation campaign against frontline healthcare workers by threatening to terminate health insurance for striking advanced practice providers (APPs) effective January 1, 2026. This retaliatory move—announced just six days before Christmas—puts caregivers and their families at risk and exposes the extreme measures Legacy executives are willing to take to put profits over patients and workers.

 

For many APPs, the consequences are immediate and severe. Among those affected are pregnant clinicians who rely on continuous healthcare coverage during one of the most vulnerable moments of their lives. 

 

Aurora Lake, a critical care nurse practitioner who is 8 months pregnant, had this to say: “Legacy does not have to do this, they are choosing to do this. They are choosing to threaten their caregivers, choosing to threaten our families, and even choosing to threaten pregnant employees like me.”

 

Stripping healthcare from striking workers is a familiar strike-busting tactic—and a particularly cruel one. Legacy’s threat comes as APPs continue to advocate for conditions that allow them to provide safe, ethical, and sustainable care to the community.

 

“I am eight months pregnant and preparing to bring a child into the world,” Lake continued. “Legacy knows exactly what they’re doing. They are threatening to take away my healthcare at the very moment I need it most—not because they have to, but because they want to scare us. This decision was made by the highest-paid employees at Legacy and no healthcare system that claims to value patients would ever treat caregivers this way—especially someone who could give birth at any moment.”

 

Legacy’s stated mission is to provide “good health for our people.” It also frequently touts its commitment to “people-centered care” and celebrates its clinicians in public-facing marketing. Yet behind closed doors, decisions are being made by the highest-paid executives to punish the very workers who make patient care possible.

 

This intimidation tactic is the result of Legacy’s own choices and will likely damage the relationship between frontline caregivers and management long after the strike ends. It will not have the effect Legacy intends. Frontline providers remain united in their commitment to bargain in good faith and secure a fair contract, and in our demand for respect, fair treatment, and a healthcare system that puts patients and caregivers before profits.

 

Aurora Lake will be available for interviews at 11:30 a.m. at the Legacy Emanuel strike line.

 

 

Update on Mediation
Mediation on Thursday, December 18, did not result in any agreement, as Legacy management continues to play games at the bargaining table rather than engage in meaningful negotiations. Despite repeated efforts by ONA APPs to move talks forward and bargain around the clock, Legacy has failed to demonstrate good faith or a genuine commitment to resolving this dispute—delaying progress while escalating pressure tactics outside the mediation room.

 

The next mediation session is scheduled for Monday, December 22, when APPs once again hope Legacy will abandon delay tactics and come prepared to negotiate seriously.

 

In response to Legacy’s continued delays and threats against striking workers, solidarity among caregivers is growing. Approximately 80 APPs from Legacy GoHealth and Legacy Pediatrics will be joining the picket lines for solidarity strikes from Sunday, December 20 through Tuesday, December 22. Their participation underscores the deep concern across Legacy facilities about management’s approach and the shared commitment among caregivers to fight for safe, ethical, and sustainable healthcare.

 

###

Attached Media Files: ONA members Aurora Lake, a critical care nurse practitioner (left), and Rob Brookshire, a physician associate, are advanced practice providers (APPs) on strike at Legacy Health. Photo courtesy of ONA., Aurora Lake and Rob Brookshire, Critical care nurse practitioner and ONA member Aurora Lake on strike outside Legacy Emanuel Medical Center Dec. 17. Photo courtesy of ONA.,

Six Days Before Christmas, Legacy Executives Threaten To Strip Healthcare From Striking Advanced Practice Providers (Photo) - 12/19/25

MEDIA AVAILABILITY: Aurora Lake, a critical care nurse practitioner and ONA member who is 8 months pregnant, will be available for interviews at 11:30 a.m. Dec. 19 at the strike line outside Legacy Emanuel Medical Center.

 

(Portland, Ore.) — Legacy Health is escalating its intimidation campaign against frontline healthcare workers by threatening to terminate health insurance for striking advanced practice providers (APPs) effective January 1, 2026. This retaliatory move—announced just six days before Christmas—puts caregivers and their families at risk and exposes the extreme measures Legacy executives are willing to take to put profits over patients and workers.

 

For many APPs, the consequences are immediate and severe. Among those affected are pregnant clinicians who rely on continuous healthcare coverage during one of the most vulnerable moments of their lives. 

 

Aurora Lake, a critical care nurse practitioner who is 8 months pregnant, had this to say: “Legacy does not have to do this, they are choosing to do this. They are choosing to threaten their caregivers, choosing to threaten our families, and even choosing to threaten pregnant employees like me.”

 

Stripping healthcare from striking workers is a familiar strike-busting tactic—and a particularly cruel one. Legacy’s threat comes as APPs continue to advocate for conditions that allow them to provide safe, ethical, and sustainable care to the community.

 

“I am eight months pregnant and preparing to bring a child into the world,” Lake continued. “Legacy knows exactly what they’re doing. They are threatening to take away my healthcare at the very moment I need it most—not because they have to, but because they want to scare us. This decision was made by the highest-paid employees at Legacy and no healthcare system that claims to value patients would ever treat caregivers this way—especially someone who could give birth at any moment.”

 

Legacy’s stated mission is to provide “good health for our people.” It also frequently touts its commitment to “people-centered care” and celebrates its clinicians in public-facing marketing. Yet behind closed doors, decisions are being made by the highest-paid executives to punish the very workers who make patient care possible.

 

This intimidation tactic is the result of Legacy’s own choices and will likely damage the relationship between frontline caregivers and management long after the strike ends. It will not have the effect Legacy intends. Frontline providers remain united in their commitment to bargain in good faith and secure a fair contract, and in our demand for respect, fair treatment, and a healthcare system that puts patients and caregivers before profits.

 

Aurora Lake will be available for interviews at 11:30 a.m. at the Legacy Emanuel strike line.

 

 

Update on Mediation
Mediation on Thursday, December 18, did not result in any agreement, as Legacy management continues to play games at the bargaining table rather than engage in meaningful negotiations. Despite repeated efforts by ONA APPs to move talks forward and bargain around the clock, Legacy has failed to demonstrate good faith or a genuine commitment to resolving this dispute—delaying progress while escalating pressure tactics outside the mediation room.

 

The next mediation session is scheduled for Monday, December 22, when APPs once again hope Legacy will abandon delay tactics and come prepared to negotiate seriously.

 

In response to Legacy’s continued delays and threats against striking workers, solidarity among caregivers is growing. Approximately 80 APPs from Legacy GoHealth and Legacy Pediatrics will be joining the picket lines for solidarity strikes from Sunday, December 20 through Tuesday, December 22. Their participation underscores the deep concern across Legacy facilities about management’s approach and the shared commitment among caregivers to fight for safe, ethical, and sustainable healthcare.

 

###

Attached Media Files: ONA members Aurora Lake, a critical care nurse practitioner (left), and Rob Brookshire, a physician associate, are advanced practice providers (APPs) on strike at Legacy Health. Photo courtesy of ONA., Aurora Lake and Rob Brookshire, Critical care nurse practitioner and ONA member Aurora Lake on strike outside Legacy Emanuel Medical Center Dec. 17. Photo courtesy of ONA.,

Elected Officials Side With Striking APPs, Call Out Legacy (Photo) - 12/18/25

Legacy executives are under fire for refusing to meet and bargain in good faith with frontline healthcare providers. 

(Portland, Ore.) – Oregon elected officials are coming out in support of striking advanced practice providers (APPs) and urging Legacy executives to “work around the clock” to reach a fair agreement that addresses healthcare providers’ concerns and ends Oregon’s first APP strike.

 

The group of 10 Oregon representatives and a state senator shared their concerns in an open letter to Legacy CEO Dr. George Brown Dec. 17 saying:

 

“Oregonians cannot afford further delays, disruptions or missteps when it comes to their healthcare. Every day without an agreement adds stress to an already-fragile healthcare system. We are calling on Legacy to act responsibly and sit down with APPs immediately to resolve this dispute and ensure local healthcare is accessible, affordable and delivers on Legacy’s mission ...”

 

Legislators echoed APPs’ concerns about, “deteriorating working conditions, inequitable compensation, unpaid labor and repeated refusals by Legacy to engage in good faith bargaining” and reiterated the need to restore stability and affordability throughout the healthcare system.

The APPs, including nurse practitioners, physician associates and clinical nurse specialists at Legacy hospitals and clinics, began an open-ended strike Dec. 2 after Legacy executives refused to continue contract negotiations. APPs have offered to meet with Legacy executives every day since Nov. 20 in an effort to reach a fair agreement. But Legacy has refused to bargain until recently.

 

The only bargaining dates currently scheduled are Dec. 18 and 22.

 

Oregon’s elected leaders aren’t the only ones siding with striking APPs. Recently, two new groups of Legacy providers voted to join the strike. APPs at Legacy Go Health clinics will hold a two-day strike alongside striking hospital and clinic APPs on Dec. 21 and 22. Legacy Pediatric APPs will also hold a solidarity strike with their APP colleagues Dec. 22 and 23.

 

The expanding strike and support from elected leaders reflects widespread frustration with Legacy’s bargaining approach and with APPs' working conditions systemwide.

 

APPs at Legacy’s hospitals and clinics have been working for more than a year and a half to try to reach a contract agreement with Legacy executives. They are demanding a fair contract that raises standards for patients, gives frontline providers a voice in their workplace, and stems turnover through competitive compensation.

 

The 140 (APPs) at Legacy Health are represented by the Oregon Nurses Association (ONA). ONA represents more than 3,500 frontline healthcare providers at Legacy.

 

Strike lines are located at Legacy Good Samaritan and Legacy Emanuel hospitals from 8 a.m. to 4 p.m. Check ONA’s social media feed for the latest schedule updates.  

  

Community members can visit OregonRN.org/RespectAPPs to learn more about ongoing negotiations, sign a community petition in support of the APPs, and stay informed about the impact of the strike.  

  

A reminder to patients from APPs:   

If you are sick, please do not delay getting medical care. Patients who need hospital or clinical care immediately should go to receive care. We would prefer to provide your care ourselves, but Legacy executives’ refusal to continue meeting with APPs has forced us to strike to advocate for you, our communities, and our colleagues. Going into a hospital or clinic to get the care you need is NOT crossing our strike line. We invite you to come join us on the strike line after you've received the care you need.  

 

###  

Attached Media Files: Advanced practice providers (APPs) and supporters pack the picket line outside Legacy Emanuel Medical Center Dec. 17. APPs at Legacy hospitals and clinics in Oregon and Washington have been on strike since Dec. 2. Photo Courtesy of Kevin Mealy, ONA., ONA_APPPicket_2.jpg, ONA_APPPicket_3.jpg, ONA_APPPicket1.jpg,

Elected Officials Side With Striking APPs, Call Out Legacy (Photo) - 12/18/25

Legacy executives are under fire for refusing to meet and bargain in good faith with frontline healthcare providers. 

(Portland, Ore.) – Oregon elected officials are coming out in support of striking advanced practice providers (APPs) and urging Legacy executives to “work around the clock” to reach a fair agreement that addresses healthcare providers’ concerns and ends Oregon’s first APP strike.

 

The group of 10 Oregon representatives and a state senator shared their concerns in an open letter to Legacy CEO Dr. George Brown Dec. 17 saying:

 

“Oregonians cannot afford further delays, disruptions or missteps when it comes to their healthcare. Every day without an agreement adds stress to an already-fragile healthcare system. We are calling on Legacy to act responsibly and sit down with APPs immediately to resolve this dispute and ensure local healthcare is accessible, affordable and delivers on Legacy’s mission ...”

 

Legislators echoed APPs’ concerns about, “deteriorating working conditions, inequitable compensation, unpaid labor and repeated refusals by Legacy to engage in good faith bargaining” and reiterated the need to restore stability and affordability throughout the healthcare system.

The APPs, including nurse practitioners, physician associates and clinical nurse specialists at Legacy hospitals and clinics, began an open-ended strike Dec. 2 after Legacy executives refused to continue contract negotiations. APPs have offered to meet with Legacy executives every day since Nov. 20 in an effort to reach a fair agreement. But Legacy has refused to bargain until recently.

 

The only bargaining dates currently scheduled are Dec. 18 and 22.

 

Oregon’s elected leaders aren’t the only ones siding with striking APPs. Recently, two new groups of Legacy providers voted to join the strike. APPs at Legacy Go Health clinics will hold a two-day strike alongside striking hospital and clinic APPs on Dec. 21 and 22. Legacy Pediatric APPs will also hold a solidarity strike with their APP colleagues Dec. 22 and 23.

 

The expanding strike and support from elected leaders reflects widespread frustration with Legacy’s bargaining approach and with APPs' working conditions systemwide.

 

APPs at Legacy’s hospitals and clinics have been working for more than a year and a half to try to reach a contract agreement with Legacy executives. They are demanding a fair contract that raises standards for patients, gives frontline providers a voice in their workplace, and stems turnover through competitive compensation.

 

The 140 (APPs) at Legacy Health are represented by the Oregon Nurses Association (ONA). ONA represents more than 3,500 frontline healthcare providers at Legacy.

 

Strike lines are located at Legacy Good Samaritan and Legacy Emanuel hospitals from 8 a.m. to 4 p.m. Check ONA’s social media feed for the latest schedule updates.  

  

Community members can visit OregonRN.org/RespectAPPs to learn more about ongoing negotiations, sign a community petition in support of the APPs, and stay informed about the impact of the strike.  

  

A reminder to patients from APPs:   

If you are sick, please do not delay getting medical care. Patients who need hospital or clinical care immediately should go to receive care. We would prefer to provide your care ourselves, but Legacy executives’ refusal to continue meeting with APPs has forced us to strike to advocate for you, our communities, and our colleagues. Going into a hospital or clinic to get the care you need is NOT crossing our strike line. We invite you to come join us on the strike line after you've received the care you need.  

 

###  

Attached Media Files: Advanced practice providers (APPs) and supporters pack the picket line outside Legacy Emanuel Medical Center Dec. 17. APPs at Legacy hospitals and clinics in Oregon and Washington have been on strike since Dec. 2. Photo Courtesy of Kevin Mealy, ONA., ONA_APPPicket_2.jpg, ONA_APPPicket_3.jpg, ONA_APPPicket1.jpg,

Advanced Practice Providers From Legacy Go Health Clinics, Legacy Pediatrics Issue Formal Strike Notice - 12/12/25

The solidarity action will result in a total of 220 APPs striking during a busy holiday season

 

Portland, Ore. - Advanced practice providers (APPs) from Legacy Go Health clinics and Legacy Pediatrics gave notice to Legacy management that they will strike with the 140 APPs from Legacy’s hospitals and clinics already on strike. The 80 members launching the solidarity strikes are also represented by the Oregon Nurses Association (ONA). ONA member leaders say the expanding strike reflects widespread frustration with Legacy’s bargaining approach and with APPs' working conditions systemwide.

 

On Monday, December 8, Legacy management finally returned to the bargaining table but showed little interest in meaningful mediation and announced they would not meet again with striking APPs until December 18. Legacy has since agreed to additional mediation on December 15 and 22.

 

Members of Legacy Go Health will hold a two-day strike on Dec. 21 and 22, while Pediatric APPs will hold their strike on Dec. 22 and 23. The official strike notice was issued less than a week after the two bargaining units voted overwhelmingly to stand with their striking colleagues. 

 

Both groups cited concerns about patient care, staffing, equity across the healthcare system and Legacy management’s refusal to bargain fairly as key reasons for joining the strike line. 

 

“We didn’t take this vote lightly,” said Sara Lopez, a physician associate (PA) at Legacy Go Health clinics. “Our patients rely on us every day, but we also rely on a system that treats providers fairly and ensures care is safe and sustainable. Standing with our colleagues is the only way to move Legacy toward a solution that supports both providers and patients.” 

 

“APPs across Legacy provide excellent medical care to Legacy patients but many of us feel that our contributions go unrecognized. We unified to address compensation that is below market value, inadequate staffing, and workload demands that impact patient safety and provider well-being,” said Jordyn Luttrell, DNP, a Legacy Pediatrics APP. “We’re joining the strike because the problems affecting our colleagues today will affect all Legacy APPs tomorrow unless something changes.” 

 

Striking APPs at Legacy’s hospitals and clinics welcomed the show of unity from APPs at Go Health and Pediatrics. 

 

“This is what solidarity looks like,” said April Callister, a physician associate who is currently on strike. “Legacy has been counting on divisions between clinics and specialties to maintain the status quo. By standing together, we are sending a clear message: we want a fair contract, safe staffing, and a system that respects the work we do.” 

 

What is a solidarity strike? 
A solidarity strike is a legally-protected work stoppage in which a group of employees refuse to work in order to support another bargaining unit engaged in a labor dispute. 

 

Background
Legacy Go Health APPs won their NLRB election in January 2025. The ONA-represented bargaining unit includes about 50 nurse practitioners and physician associates working in immediate care clinics across the state. The Legacy Pediatric APP bargaining unit, which unionized in August 2025, represents about 30 nurse practitioners and physician associates delivering specialized pediatric care in the Portland area and SW Washington.

 

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.   

 

###

Advanced Practice Providers From Legacy Go Health Clinics, Legacy Pediatrics Issue Formal Strike Notice - 12/12/25

The solidarity action will result in a total of 220 APPs striking during a busy holiday season

 

Portland, Ore. - Advanced practice providers (APPs) from Legacy Go Health clinics and Legacy Pediatrics gave notice to Legacy management that they will strike with the 140 APPs from Legacy’s hospitals and clinics already on strike. The 80 members launching the solidarity strikes are also represented by the Oregon Nurses Association (ONA). ONA member leaders say the expanding strike reflects widespread frustration with Legacy’s bargaining approach and with APPs' working conditions systemwide.

 

On Monday, December 8, Legacy management finally returned to the bargaining table but showed little interest in meaningful mediation and announced they would not meet again with striking APPs until December 18. Legacy has since agreed to additional mediation on December 15 and 22.

 

Members of Legacy Go Health will hold a two-day strike on Dec. 21 and 22, while Pediatric APPs will hold their strike on Dec. 22 and 23. The official strike notice was issued less than a week after the two bargaining units voted overwhelmingly to stand with their striking colleagues. 

 

Both groups cited concerns about patient care, staffing, equity across the healthcare system and Legacy management’s refusal to bargain fairly as key reasons for joining the strike line. 

 

“We didn’t take this vote lightly,” said Sara Lopez, a physician associate (PA) at Legacy Go Health clinics. “Our patients rely on us every day, but we also rely on a system that treats providers fairly and ensures care is safe and sustainable. Standing with our colleagues is the only way to move Legacy toward a solution that supports both providers and patients.” 

 

“APPs across Legacy provide excellent medical care to Legacy patients but many of us feel that our contributions go unrecognized. We unified to address compensation that is below market value, inadequate staffing, and workload demands that impact patient safety and provider well-being,” said Jordyn Luttrell, DNP, a Legacy Pediatrics APP. “We’re joining the strike because the problems affecting our colleagues today will affect all Legacy APPs tomorrow unless something changes.” 

 

Striking APPs at Legacy’s hospitals and clinics welcomed the show of unity from APPs at Go Health and Pediatrics. 

 

“This is what solidarity looks like,” said April Callister, a physician associate who is currently on strike. “Legacy has been counting on divisions between clinics and specialties to maintain the status quo. By standing together, we are sending a clear message: we want a fair contract, safe staffing, and a system that respects the work we do.” 

 

What is a solidarity strike? 
A solidarity strike is a legally-protected work stoppage in which a group of employees refuse to work in order to support another bargaining unit engaged in a labor dispute. 

 

Background
Legacy Go Health APPs won their NLRB election in January 2025. The ONA-represented bargaining unit includes about 50 nurse practitioners and physician associates working in immediate care clinics across the state. The Legacy Pediatric APP bargaining unit, which unionized in August 2025, represents about 30 nurse practitioners and physician associates delivering specialized pediatric care in the Portland area and SW Washington.

 

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.   

 

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ONA Statement On ICE Presence At Legacy Emanuel Hospital - 12/11/25

Portland, Ore. - The Oregon Nurses Association (ONA) strongly condemns recent threats and actions by U.S. Immigration and Customs Enforcement (ICE) that jeopardize the safety, health, and well-being of immigrant communities across Oregon. Immigrants are vital members of our state and our healthcare system—serving as frontline nurses, providers, caregivers, and essential staff who keep our hospitals operating every day.

 

ICE’s behavior in targeting immigrants is wrong and fundamentally inconsistent with our values as Oregonians. These actions—whether carried out or threatened—create fear that keeps people from going to work, moving freely in their communities, and seeking medical care when they need it most. No person should fear accessing necessary care. That fear violates the most basic principles of being a frontline nurse, provider, or caregiver.

 

In recent months, ICE has been bringing detainees to Legacy Emanuel Medical Center for medical treatment. Frontline nurses and staff have raised serious concerns about the well-being of these patients and reported highly unusual ICE conduct, including inconsistent application of Legacy’s own policies—particularly when compared to the clear, established protocols used with other law-enforcement agencies. These discrepancies raise profound concerns about patient safety, legal compliance, and the protection of basic patient rights.

 

Nurses are also witnessing significant gaps between Legacy’s written policies and what is occurring in practice. Yesterday, the Oregon Nurses Association formally notified the President of Legacy Emanuel Medical Center of these issues and requested immediate, collaborative action with nurses, frontline staff, and ONA to correct them. Our letter also called for a meeting within the next 14 days to begin addressing these urgent concerns and ensure that all patients receive safe, lawful, and dignified care.

 

Additionally, we asked for immediate steps to protect patients, and staff, including:

  • Creating an ICE credential-verification log to ensure transparency, accountability, and legal compliance. 
  • Strengthening clinical documentation of all ICE-related encounters, including arrest circumstances, use of force, and agent behavior. 
  • Protecting patient rights by providing “Know Your Rights” information, connecting detainees with legal and social-support resources, and affirming that all patients—including those in custody—retain full HIPAA protections. 
  • Limiting officer presence in clinical areas and requiring agents to step out during sensitive exams when clinically appropriate. 
  • Centralizing all protected health information (PHI) disclosures and eliminating informal or bedside disclosures to law enforcement. 
  • Safeguarding clinical judgment by documenting any care interruptions requested by ICE and reaffirming that law enforcement is never the medical decisionmaker. 
  • Establishing a joint labor–management working group and guaranteeing non-retaliation for nurses who report concerns. 

ONA’s mission is clear: we are here to protect patient privacy, uphold human dignity, and provide compassionate, equitable care to every person who walks through the doors of the hospitals and clinics where we work. The more than 24,000 represented healthcare professionals of the Oregon Nurses Association are steadfast in ensuring that Oregon’s healthcare system remains a place of healing—never an extension of law enforcement—where all people, regardless of immigration status, can receive care without fear.

 

We call on healthcare executives and elected leaders to stand with us by defending patient rights, enforcing and strengthening transparent policies, and holding ICE accountable. Trust is foundational to effective health care, and we must ensure that every patient—without exception—feels safe seeking the care they need.

 

ONA will continue advocating for the rights, safety, and dignity of all patients—and for the healthcare workers who provide their care every day. We will not allow fear to take root in Oregon’s healthcare system.

###

 

ONA Statement On ICE Presence At Legacy Emanuel Hospital - 12/11/25

Portland, Ore. - The Oregon Nurses Association (ONA) strongly condemns recent threats and actions by U.S. Immigration and Customs Enforcement (ICE) that jeopardize the safety, health, and well-being of immigrant communities across Oregon. Immigrants are vital members of our state and our healthcare system—serving as frontline nurses, providers, caregivers, and essential staff who keep our hospitals operating every day.

 

ICE’s behavior in targeting immigrants is wrong and fundamentally inconsistent with our values as Oregonians. These actions—whether carried out or threatened—create fear that keeps people from going to work, moving freely in their communities, and seeking medical care when they need it most. No person should fear accessing necessary care. That fear violates the most basic principles of being a frontline nurse, provider, or caregiver.

 

In recent months, ICE has been bringing detainees to Legacy Emanuel Medical Center for medical treatment. Frontline nurses and staff have raised serious concerns about the well-being of these patients and reported highly unusual ICE conduct, including inconsistent application of Legacy’s own policies—particularly when compared to the clear, established protocols used with other law-enforcement agencies. These discrepancies raise profound concerns about patient safety, legal compliance, and the protection of basic patient rights.

 

Nurses are also witnessing significant gaps between Legacy’s written policies and what is occurring in practice. Yesterday, the Oregon Nurses Association formally notified the President of Legacy Emanuel Medical Center of these issues and requested immediate, collaborative action with nurses, frontline staff, and ONA to correct them. Our letter also called for a meeting within the next 14 days to begin addressing these urgent concerns and ensure that all patients receive safe, lawful, and dignified care.

 

Additionally, we asked for immediate steps to protect patients, and staff, including:

  • Creating an ICE credential-verification log to ensure transparency, accountability, and legal compliance. 
  • Strengthening clinical documentation of all ICE-related encounters, including arrest circumstances, use of force, and agent behavior. 
  • Protecting patient rights by providing “Know Your Rights” information, connecting detainees with legal and social-support resources, and affirming that all patients—including those in custody—retain full HIPAA protections. 
  • Limiting officer presence in clinical areas and requiring agents to step out during sensitive exams when clinically appropriate. 
  • Centralizing all protected health information (PHI) disclosures and eliminating informal or bedside disclosures to law enforcement. 
  • Safeguarding clinical judgment by documenting any care interruptions requested by ICE and reaffirming that law enforcement is never the medical decisionmaker. 
  • Establishing a joint labor–management working group and guaranteeing non-retaliation for nurses who report concerns. 

ONA’s mission is clear: we are here to protect patient privacy, uphold human dignity, and provide compassionate, equitable care to every person who walks through the doors of the hospitals and clinics where we work. The more than 24,000 represented healthcare professionals of the Oregon Nurses Association are steadfast in ensuring that Oregon’s healthcare system remains a place of healing—never an extension of law enforcement—where all people, regardless of immigration status, can receive care without fear.

 

We call on healthcare executives and elected leaders to stand with us by defending patient rights, enforcing and strengthening transparent policies, and holding ICE accountable. Trust is foundational to effective health care, and we must ensure that every patient—without exception—feels safe seeking the care they need.

 

ONA will continue advocating for the rights, safety, and dignity of all patients—and for the healthcare workers who provide their care every day. We will not allow fear to take root in Oregon’s healthcare system.

###

 

More Legacy APPs Announce Solidarity Strikes As Labor Unrest Grows Across Healthcare System (Photo) - 12/09/25

Two new groups of healthcare providers declare strikes against Legacy and pledge to join APPs on the picket line 

PORTLAND, Ore. — In a major escalation, advanced practice providers (APPs) from Legacy Go Health clinics and Legacy Pediatric have voted to launch solidarity strikes to join the 140 APPs from Legacy’s hospitals and clinics already on strike. The 80 members launching the solidarity strikes are also represented by the Oregon Nurses Association (ONA). 

 

Late last week, the two APP groups at Legacy Go Health and Legacy Pediatric APPs—representing nurse practitioners and physician associates across the Portland Metro area and SW Washington—voted overwhelmingly to stand with their striking colleagues. 

 

Both groups cited concerns about patient care, staffing, equity across the healthcare system and Legacy management’s refusal to bargain fairly as key reasons for joining the strike line. 

 

“We didn’t take this vote lightly,” said Sara Lopez, a physician associate (PA) at Legacy Go Health clinics. “Our patients rely on us every day, but we also rely on a system that treats providers fairly and ensures care is safe and sustainable. Standing with our colleagues is the only way to move Legacy toward a solution that supports both providers and patients.” 

 

“APPs across Legacy provide excellent medical care to Legacy patients but many of us feel that our contributions go unrecognized. We unified to address compensation that is below market value, inadequate staffing, and workload demands that impact patient safety and provider well-being,” said Jordyn Luttrell, DNP, a Legacy Pediatrics APP. “We’re joining the strike because the problems affecting our colleagues today will affect all Legacy APPs tomorrow unless something changes.” 

 

Striking APPs at Legacy’s hospitals and clinics welcomed the show of unity from APPs at Go Health and Pediatrics. 

 

“This is what solidarity looks like,” said April Callister, a physician associate who is currently on strike. “Legacy has been counting on divisions between clinics and specialties to maintain the status quo. By standing together, we are sending a clear message: we want a fair contract, safe staffing, and a system that respects the work we do.” 

 

What is a solidarity strike? 
A solidarity strike is a legally-protected work stoppage in which a group of employees refuse to work in order to support another bargaining unit engaged in a labor dispute. 

 

Background
Legacy Go Health APPs won their NLRB election in January 2025. The ONA-represented bargaining unit includes about 50 nurse practitioners and physician associates working in immediate care clinics across the state. The Legacy Pediatric APP bargaining unit, which unionized in August 2025, represents about 30 nurse practitioners and physician associates delivering specialized pediatric care in the Portland area and SW Washington.

 

ONA leaders say the expanding strike reflects widespread frustration with Legacy’s bargaining approach and with APPs' working conditions systemwide. When Legacy management finally returned to the bargaining table on Monday, December 8, they showed little interest in meaningful mediation and announced they would not meet again with striking APPs until December 18. 

 

No notice has been given, and the length of the strikes has not been determined. The work stoppages will coincide with the strike already underway by 140 APPs represented by the Oregon Nurses Association (ONA).

 

###

 

Interviews available upon request. 

Contact Peter Starzynski - 503-960-7989, starzynski@oregonrn.org to schedule interviews

Attached Media Files: ONA advanced practice providers (APPs) at Legacy Health hospitals and clinics gather in front of Legacy Emanuel hospital on the first day of their strike Dec. 2, 2025. Photo courtesy of Kevin Mealy, ONA,

More Legacy APPs Announce Solidarity Strikes As Labor Unrest Grows Across Healthcare System (Photo) - 12/09/25

Two new groups of healthcare providers declare strikes against Legacy and pledge to join APPs on the picket line 

PORTLAND, Ore. — In a major escalation, advanced practice providers (APPs) from Legacy Go Health clinics and Legacy Pediatric have voted to launch solidarity strikes to join the 140 APPs from Legacy’s hospitals and clinics already on strike. The 80 members launching the solidarity strikes are also represented by the Oregon Nurses Association (ONA). 

 

Late last week, the two APP groups at Legacy Go Health and Legacy Pediatric APPs—representing nurse practitioners and physician associates across the Portland Metro area and SW Washington—voted overwhelmingly to stand with their striking colleagues. 

 

Both groups cited concerns about patient care, staffing, equity across the healthcare system and Legacy management’s refusal to bargain fairly as key reasons for joining the strike line. 

 

“We didn’t take this vote lightly,” said Sara Lopez, a physician associate (PA) at Legacy Go Health clinics. “Our patients rely on us every day, but we also rely on a system that treats providers fairly and ensures care is safe and sustainable. Standing with our colleagues is the only way to move Legacy toward a solution that supports both providers and patients.” 

 

“APPs across Legacy provide excellent medical care to Legacy patients but many of us feel that our contributions go unrecognized. We unified to address compensation that is below market value, inadequate staffing, and workload demands that impact patient safety and provider well-being,” said Jordyn Luttrell, DNP, a Legacy Pediatrics APP. “We’re joining the strike because the problems affecting our colleagues today will affect all Legacy APPs tomorrow unless something changes.” 

 

Striking APPs at Legacy’s hospitals and clinics welcomed the show of unity from APPs at Go Health and Pediatrics. 

 

“This is what solidarity looks like,” said April Callister, a physician associate who is currently on strike. “Legacy has been counting on divisions between clinics and specialties to maintain the status quo. By standing together, we are sending a clear message: we want a fair contract, safe staffing, and a system that respects the work we do.” 

 

What is a solidarity strike? 
A solidarity strike is a legally-protected work stoppage in which a group of employees refuse to work in order to support another bargaining unit engaged in a labor dispute. 

 

Background
Legacy Go Health APPs won their NLRB election in January 2025. The ONA-represented bargaining unit includes about 50 nurse practitioners and physician associates working in immediate care clinics across the state. The Legacy Pediatric APP bargaining unit, which unionized in August 2025, represents about 30 nurse practitioners and physician associates delivering specialized pediatric care in the Portland area and SW Washington.

 

ONA leaders say the expanding strike reflects widespread frustration with Legacy’s bargaining approach and with APPs' working conditions systemwide. When Legacy management finally returned to the bargaining table on Monday, December 8, they showed little interest in meaningful mediation and announced they would not meet again with striking APPs until December 18. 

 

No notice has been given, and the length of the strikes has not been determined. The work stoppages will coincide with the strike already underway by 140 APPs represented by the Oregon Nurses Association (ONA).

 

###

 

Interviews available upon request. 

Contact Peter Starzynski - 503-960-7989, starzynski@oregonrn.org to schedule interviews

Attached Media Files: ONA advanced practice providers (APPs) at Legacy Health hospitals and clinics gather in front of Legacy Emanuel hospital on the first day of their strike Dec. 2, 2025. Photo courtesy of Kevin Mealy, ONA,

On The First Day Back At The Bargaining Table, Legacy Management Remains Unserious About Reaching A Fair Contract - 12/08/25

Portland, Ore. - On the first day back at the bargaining table in more than two weeks, Legacy management made one thing unmistakably clear: they are not serious about settling a fair contract or ending this strike. 

 

Since 140 ONA-represented Legacy APPs issued their strike notice on November 21, Legacy management has refused to bargain. After just four days on the strike line, they abruptly reversed course and agreed to return to mediation today, December 8. But once at the table, it became obvious they had no intention of moving this process forward. 

 

Legacy’s conduct in mediation showed they were not engaging in good faith. Instead of addressing the very issues that brought hundreds of nurses and APPs to the picket lines, Legacy refused to grapple with the realities their frontline workers face every day. 

 

While ONA arrived prepared to work—offering to meet every day until a fair contract is reached—Legacy flatly rejected that path. Their counteroffer? Refuse to return to the table until December 18 unless the strike ends. That is ten more days of unnecessary disruption, unsafe staffing, and uncertainty for patients and the workers who care for them. 

 

Legacy’s delay in bargaining dates is a choice. A choice to prolong this strike. A choice to dismiss the concerns of the people who keep their hospitals running. And a choice that prioritizes profits over patients. 

 

ONA APPs will continue to hold the line and remain ready to settle a fair contract. It’s time for Legacy management to show the same urgency and commitment. Our patients deserve better. Our community deserves better. And the workers who have held this system together deserve far better than the dismissive, unserious approach Legacy brought to mediation today. 

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

# # # 

On The First Day Back At The Bargaining Table, Legacy Management Remains Unserious About Reaching A Fair Contract - 12/08/25

Portland, Ore. - On the first day back at the bargaining table in more than two weeks, Legacy management made one thing unmistakably clear: they are not serious about settling a fair contract or ending this strike. 

 

Since 140 ONA-represented Legacy APPs issued their strike notice on November 21, Legacy management has refused to bargain. After just four days on the strike line, they abruptly reversed course and agreed to return to mediation today, December 8. But once at the table, it became obvious they had no intention of moving this process forward. 

 

Legacy’s conduct in mediation showed they were not engaging in good faith. Instead of addressing the very issues that brought hundreds of nurses and APPs to the picket lines, Legacy refused to grapple with the realities their frontline workers face every day. 

 

While ONA arrived prepared to work—offering to meet every day until a fair contract is reached—Legacy flatly rejected that path. Their counteroffer? Refuse to return to the table until December 18 unless the strike ends. That is ten more days of unnecessary disruption, unsafe staffing, and uncertainty for patients and the workers who care for them. 

 

Legacy’s delay in bargaining dates is a choice. A choice to prolong this strike. A choice to dismiss the concerns of the people who keep their hospitals running. And a choice that prioritizes profits over patients. 

 

ONA APPs will continue to hold the line and remain ready to settle a fair contract. It’s time for Legacy management to show the same urgency and commitment. Our patients deserve better. Our community deserves better. And the workers who have held this system together deserve far better than the dismissive, unserious approach Legacy brought to mediation today. 

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

# # # 

Legacy Advanced Practice Providers Hold Solidarity Rally From The Picket Line, Celebrate Return To Mediation (Photo) - 12/06/25

For a video of the rally, visit: https://www.dropbox.com/scl/fi/pohr59isilyqx0in2cr0y/Video-Dec-06-2025-Rally.mov?rlkey=mveankuf6f8n3cddup3n52y6t&st=qpqnpi2s&dl=0 

 

(Portland, Ore.) – The rain held off the morning of Saturday, December 6, 2025, long enough for striking advanced practice providers (APPs) to rally for a fair contract outside Legacy Good Samaritan in downtown Portland. The APPs were joined by members of other unions and ONA bargaining units, Portland City Councilor Sameer Kanal, State Representatives Rob Nosse and Lamar Wise, and other Portland activist groups.

 

After four days of striking, the Oregon Nurses Association (ONA) was informed by federal mediators on Friday that Legacy management had agreed to mediation and to returning to the bargaining table with advanced practice providers (APPs) at Legacy—a step they had previously declined. This is a huge step forward and a sign that the APP’s strike is working.

 

APPs from Legacy were encouraged by the news and hope Legacy will bring their best to the table. “Our message to Legacy Health is the same today as it has been for the last 2 weeks. We are right where we belong: at Legacy, on strike, advocating for our patients and our colleagues,” said Rob Brookshire, PA at Legacy Emanuel. “We are making progress—Legacy leadership has agreed to bargaining dates and we have opened communication to leadership to ensure our message is being heard, without any filters, by those making decisions.”

 

Portland City Councilor Sameer Kanal shared a word of caution to Legacy executives, saying, “You cannot maintain high quality healthcare if no one wants to work for you. If you’re not retaining the highly skilled healthcare workers that many of you are, burnout is going to drive experienced providers out of the profession.” Addressing the APPs on the line, he added, “And I don’t know about you, but I don’t think workers should have to wait a year and a half for their first contract, do you? I know you’d rather not be here on the picket line, you’d rather be inside because you want to be in there, you want to be in there taking care of your patients. You’re here outside because advocating for your profession is advocating for your patients.”  

 

APPs have consistently communicated their willingness to negotiate at any time to avoid a strike. Legacy management, however, had not previously accepted federal mediation and did not participate in bargaining during the 10-day notice period before the strike. The first day of mediation will be Monday, December 8. The strike will continue during mediation.

 

Community members can visit OregonRN.org/RespectAPPs to learn more about ongoing negotiations, sign a community petition in support of the APPs, and stay informed about the impact of the strike. 

 

A reminder to patients from APPs:  

If you are sick, please do not delay getting medical care. Patients who need hospital or clinical care immediately should go to receive care. We would prefer to provide your care ourselves, but Legacy executives’ refusal to continue meeting with APPs has forced us to strike to advocate for you, our communities, and our colleagues. Going into a hospital or clinic to get the care you need is NOT crossing our strike line. We invite you to come join us on the strike line after you've received the care you need.  

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

# # #

 

FOR MEDIA PLANNING PURPOSES ONLY: 

Schedules are subject to change. Please reach out to the identified ONA press contact for information about specific locations and events and to schedule interviews.  

 

MEDIA AVAILABILITY FOR SUNDAY, DEC. 7: 11 AM – 1 PM 

• Legacy Emanuel (501 N Graham St, Portland, OR 97227) 

Peter Starzynski, 503-960-7989, starzynski@oregonrn.org 

Attached Media Files: Rob Brookshire, PA at Legacy Emanuel, speaks during rally at Good Samaritan in Portland., Portland City Councilor Sameer Kanal speaks words of encouragement to striking APPs from Legacy., Supporters gather to hear speakers at rally for striking APPs., APPs gather around Dr. Ravichandran a surgeon at Legacy., April Callister, PA at Legacy, speaks to the crowd during a rally at Good Samaritan on Dec. 6, 2025.,

Legacy Advanced Practice Providers Hold Solidarity Rally From The Picket Line, Celebrate Return To Mediation (Photo) - 12/06/25

For a video of the rally, visit: https://www.dropbox.com/scl/fi/pohr59isilyqx0in2cr0y/Video-Dec-06-2025-Rally.mov?rlkey=mveankuf6f8n3cddup3n52y6t&st=qpqnpi2s&dl=0 

 

(Portland, Ore.) – The rain held off the morning of Saturday, December 6, 2025, long enough for striking advanced practice providers (APPs) to rally for a fair contract outside Legacy Good Samaritan in downtown Portland. The APPs were joined by members of other unions and ONA bargaining units, Portland City Councilor Sameer Kanal, State Representatives Rob Nosse and Lamar Wise, and other Portland activist groups.

 

After four days of striking, the Oregon Nurses Association (ONA) was informed by federal mediators on Friday that Legacy management had agreed to mediation and to returning to the bargaining table with advanced practice providers (APPs) at Legacy—a step they had previously declined. This is a huge step forward and a sign that the APP’s strike is working.

 

APPs from Legacy were encouraged by the news and hope Legacy will bring their best to the table. “Our message to Legacy Health is the same today as it has been for the last 2 weeks. We are right where we belong: at Legacy, on strike, advocating for our patients and our colleagues,” said Rob Brookshire, PA at Legacy Emanuel. “We are making progress—Legacy leadership has agreed to bargaining dates and we have opened communication to leadership to ensure our message is being heard, without any filters, by those making decisions.”

 

Portland City Councilor Sameer Kanal shared a word of caution to Legacy executives, saying, “You cannot maintain high quality healthcare if no one wants to work for you. If you’re not retaining the highly skilled healthcare workers that many of you are, burnout is going to drive experienced providers out of the profession.” Addressing the APPs on the line, he added, “And I don’t know about you, but I don’t think workers should have to wait a year and a half for their first contract, do you? I know you’d rather not be here on the picket line, you’d rather be inside because you want to be in there, you want to be in there taking care of your patients. You’re here outside because advocating for your profession is advocating for your patients.”  

 

APPs have consistently communicated their willingness to negotiate at any time to avoid a strike. Legacy management, however, had not previously accepted federal mediation and did not participate in bargaining during the 10-day notice period before the strike. The first day of mediation will be Monday, December 8. The strike will continue during mediation.

 

Community members can visit OregonRN.org/RespectAPPs to learn more about ongoing negotiations, sign a community petition in support of the APPs, and stay informed about the impact of the strike. 

 

A reminder to patients from APPs:  

If you are sick, please do not delay getting medical care. Patients who need hospital or clinical care immediately should go to receive care. We would prefer to provide your care ourselves, but Legacy executives’ refusal to continue meeting with APPs has forced us to strike to advocate for you, our communities, and our colleagues. Going into a hospital or clinic to get the care you need is NOT crossing our strike line. We invite you to come join us on the strike line after you've received the care you need.  

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

# # #

 

FOR MEDIA PLANNING PURPOSES ONLY: 

Schedules are subject to change. Please reach out to the identified ONA press contact for information about specific locations and events and to schedule interviews.  

 

MEDIA AVAILABILITY FOR SUNDAY, DEC. 7: 11 AM – 1 PM 

• Legacy Emanuel (501 N Graham St, Portland, OR 97227) 

Peter Starzynski, 503-960-7989, starzynski@oregonrn.org 

Attached Media Files: Rob Brookshire, PA at Legacy Emanuel, speaks during rally at Good Samaritan in Portland., Portland City Councilor Sameer Kanal speaks words of encouragement to striking APPs from Legacy., Supporters gather to hear speakers at rally for striking APPs., APPs gather around Dr. Ravichandran a surgeon at Legacy., April Callister, PA at Legacy, speaks to the crowd during a rally at Good Samaritan on Dec. 6, 2025.,

Today: Legacy Finally Agrees To Mediation; Striking APPs To Hold Rally At 11 A.m. - 12/06/25

(Portland, Ore.) - After four days of striking, the Oregon Nurses Association (ONA) was informed by federal mediators that Legacy management had agreed to mediation and to returning to the bargaining table — a step they had previously declined. The first day of mediation will be Monday, December 8. The strike will continue during mediation. 

 

APPs have consistently communicated their willingness to negotiate at any time to avoid a strike. Legacy management, however, had not previously accepted federal mediation and did not participate in bargaining during the 10-day notice period before the strike. 

 

We appreciate that Legacy is now prepared to take part in mediation, though this progress comes after significant delay. 

 

We encourage Legacy to engage constructively in the mediation process, negotiate in good faith, and work toward a contract that reflects the important contributions of APPs, recruits and retains APPs, and supports high-quality patient care. A timely contract will allow APPs to return to caring for their patients and communities. 

 

On the heels of this news, APPs from Legacy Health will hold a solidarity rally today at 11 a.m. Lawmakers and union siblings will join to express their solidarity with the APPs, who began their strike on Dec. 2.

 

When/Where: Saturday, December 6, 2025 at 11 a.m.

Legacy Good Samaritan, 1015 NW 22nd, Portland
At the intersection of NW 22nd and NW Marshall 

 

Why: APPs make up about a third of the providers with Legacy Medical Group but they have very little say in decision-making. They have worked for years to partner with Legacy leadership only to see their requests denied.

 

Like their RN colleagues, APPs in many departments are short-staffed and overworked making it difficult to retain existing caregivers or recruit new ones. Many APPs feel that they have not been provided with the right resources or support to do their jobs effectively. This has led to an increase in turnover and high levels of frustration.

 

Legacy Health is a private nonprofit health system that operates eight hospitals and more than 70 clinics in Oregon and Washington.

 

Strike lines at Good Samaritan and Emanuel will continue to run from 8 a.m. – 4 p.m. daily. 

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

# # #

Today: Legacy Finally Agrees To Mediation; Striking APPs To Hold Rally At 11 A.m. - 12/06/25

(Portland, Ore.) - After four days of striking, the Oregon Nurses Association (ONA) was informed by federal mediators that Legacy management had agreed to mediation and to returning to the bargaining table — a step they had previously declined. The first day of mediation will be Monday, December 8. The strike will continue during mediation. 

 

APPs have consistently communicated their willingness to negotiate at any time to avoid a strike. Legacy management, however, had not previously accepted federal mediation and did not participate in bargaining during the 10-day notice period before the strike. 

 

We appreciate that Legacy is now prepared to take part in mediation, though this progress comes after significant delay. 

 

We encourage Legacy to engage constructively in the mediation process, negotiate in good faith, and work toward a contract that reflects the important contributions of APPs, recruits and retains APPs, and supports high-quality patient care. A timely contract will allow APPs to return to caring for their patients and communities. 

 

On the heels of this news, APPs from Legacy Health will hold a solidarity rally today at 11 a.m. Lawmakers and union siblings will join to express their solidarity with the APPs, who began their strike on Dec. 2.

 

When/Where: Saturday, December 6, 2025 at 11 a.m.

Legacy Good Samaritan, 1015 NW 22nd, Portland
At the intersection of NW 22nd and NW Marshall 

 

Why: APPs make up about a third of the providers with Legacy Medical Group but they have very little say in decision-making. They have worked for years to partner with Legacy leadership only to see their requests denied.

 

Like their RN colleagues, APPs in many departments are short-staffed and overworked making it difficult to retain existing caregivers or recruit new ones. Many APPs feel that they have not been provided with the right resources or support to do their jobs effectively. This has led to an increase in turnover and high levels of frustration.

 

Legacy Health is a private nonprofit health system that operates eight hospitals and more than 70 clinics in Oregon and Washington.

 

Strike lines at Good Samaritan and Emanuel will continue to run from 8 a.m. – 4 p.m. daily. 

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

# # #

Media Advisory: Legacy Finally Agrees To Mediation As Striking Advanced Practice Providers Plan Saturday Rally At Good Samaritan - 12/05/25

What: After four days of striking, the Oregon Nurses Association (ONA) was informed by federal mediators that Legacy management has agreed to mediation and to returning to the bargaining table with advanced practice providers (APPs) at Legacy—a step they had previously declined. This is a significant step forward and a sign that APP’s strike is working.

 

On the heels of this news, APPs from Legacy Health will hold a solidarity rally tomorrow, Dec. 6 at 11 a.m. Lawmakers and union siblings will join to express their solidarity with the APPs, who began their strike on Dec. 2.

 

The APPs include nurse practitioners (NPs), physician associates (PAs), clinical nurse specialists (CNSs), and certified nurse midwives (CNMs) who have been working to reach a fair contract agreement with Legacy for nearly two years.

 

When/Where: Saturday, December 6, 2025, at 11 a.m.

Legacy Good Samaritan, 1015 NW 22nd, Portland
At the intersection of NW 22nd and NW Marshall

 

Who:

  • State Rep. Rob Nosse
  • State Rep. Lamar Wise
  • Portland City Councilor Sameer Kanal
  • Leigh Warsing, PA at Legacy
  • Rob Brookshire, PA at Legacy
  • Richard Botterill, RN at Providence Portland
  • Steph Funk, RN at Legacy Emanuel
  • April Callister, PA at Legacy


Why: APPs have consistently communicated their willingness to negotiate at any time to avoid a strike. Legacy management, however, had not previously accepted federal mediation and did not participate in bargaining during the 10-day notice period before the strike. The first day of mediation will be Monday, December 8. The strike will continue during mediation.

 

APPs make up about a third of the providers with Legacy Medical Group, but they have very little say in decision-making. They have worked for years to partner with Legacy leadership, only to see their requests denied.

 

Like their RN colleagues, APPs in many departments are short-staffed and overworked, making it difficult to retain existing caregivers or recruit new ones. Many APPs feel that they have not been provided with the right resources or support to do their jobs effectively. This has led to an increase in turnover and high levels of frustration.

 

Legacy Health is a private nonprofit health system that operates eight hospitals and more than 70 clinics in Oregon and Washington.

 

Strike lines at Good Samaritan and Emanuel will continue to run from 8 a.m. – 4 p.m. daily.

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

###

Media Advisory: Legacy Finally Agrees To Mediation As Striking Advanced Practice Providers Plan Saturday Rally At Good Samaritan - 12/05/25

What: After four days of striking, the Oregon Nurses Association (ONA) was informed by federal mediators that Legacy management has agreed to mediation and to returning to the bargaining table with advanced practice providers (APPs) at Legacy—a step they had previously declined. This is a significant step forward and a sign that APP’s strike is working.

 

On the heels of this news, APPs from Legacy Health will hold a solidarity rally tomorrow, Dec. 6 at 11 a.m. Lawmakers and union siblings will join to express their solidarity with the APPs, who began their strike on Dec. 2.

 

The APPs include nurse practitioners (NPs), physician associates (PAs), clinical nurse specialists (CNSs), and certified nurse midwives (CNMs) who have been working to reach a fair contract agreement with Legacy for nearly two years.

 

When/Where: Saturday, December 6, 2025, at 11 a.m.

Legacy Good Samaritan, 1015 NW 22nd, Portland
At the intersection of NW 22nd and NW Marshall

 

Who:

  • State Rep. Rob Nosse
  • State Rep. Lamar Wise
  • Portland City Councilor Sameer Kanal
  • Leigh Warsing, PA at Legacy
  • Rob Brookshire, PA at Legacy
  • Richard Botterill, RN at Providence Portland
  • Steph Funk, RN at Legacy Emanuel
  • April Callister, PA at Legacy


Why: APPs have consistently communicated their willingness to negotiate at any time to avoid a strike. Legacy management, however, had not previously accepted federal mediation and did not participate in bargaining during the 10-day notice period before the strike. The first day of mediation will be Monday, December 8. The strike will continue during mediation.

 

APPs make up about a third of the providers with Legacy Medical Group, but they have very little say in decision-making. They have worked for years to partner with Legacy leadership, only to see their requests denied.

 

Like their RN colleagues, APPs in many departments are short-staffed and overworked, making it difficult to retain existing caregivers or recruit new ones. Many APPs feel that they have not been provided with the right resources or support to do their jobs effectively. This has led to an increase in turnover and high levels of frustration.

 

Legacy Health is a private nonprofit health system that operates eight hospitals and more than 70 clinics in Oregon and Washington.

 

Strike lines at Good Samaritan and Emanuel will continue to run from 8 a.m. – 4 p.m. daily.

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

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