Legacy Health Nurses Strike Heads to Mediation Today as Walkout Enters Fourth Day in Oregon

As the Legacy Health nurses’ strike entered its fourth day, Legacy Health and the Oregon Nurses Association (ONA) agreed to mediation proceedings scheduled to begin on Monday.

 

Legacy Health Strike Moves To Mediation Phase

ONA is returning to the bargaining table after the health system declined federal mediation and did not engage in bargaining during the 10-day notice period before the strike. While the strike continues, the first mediation session will be held on Monday.

Despite the delay, ONA expressed appreciation for Legacy’s decision to mediate. In the meantime, Legacy Health indicated that, since the strike began on December 2, they have focused on clinical operations to ensure continuity of patient care.

Fiscal yearNet operating revenueIncome or loss from operations
2023$2.59B-$171.7M
2024$2.88B$16.5M
2025$2.97B-$94.6M

 

The healthcare provider said they are committed to reaching a fair agreement and offered an average 10% pay increase for all adult specialty advanced practice providers.

The model was based on market data, internal equity, and financial sustainability balanced by Legacy’s economic challenges as a safety-net health system.

Tidings Data Snapshot
Legacy FY2025 / Unreimbursed public program costs
Medicare and other government programs / $337.3M
Medicaid unreimbursed costs / $261.7M
Charity care cost / $62.3M

Source: Legacy Health Fiscal Year 2025 Financial Summary, community benefit breakdown
Dailytidings.com

Legacy Health’s Advanced Practice Providers (APPs), who constitute about 14% of Legacy Medical Group’s providers, are holding a solidarity rally today at 11 a.m. at Legacy Good Samaritan in Portland. Lawmakers and union members have indicated they will join the rally to support the APPs.

Tidings Timeline
  • Feb 2024 – Bargaining for first APP contract begins.
  • Nov 20 2025 – ONA issues 10-day strike notice.
  • Dec 2 2025 – About 135 APPs start open-ended strike.
  • Dec 8 2025 – First mediation session scheduled.
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