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Update: Legacy Health's Response to APP Strike Notification

Monday, Dec. 8, 2025

Attributed to Legacy Health 

Since the strike started on December 2, Legacy Health has been focused on clinical operations to ensure continuity of patient care. Now that patient care contingency plans are in place, at the request of a federal mediator, Legacy representatives are meeting Monday, December 8 morning with the mediator and ONA representatives to discuss a mediation process.  We will also be receptive to receive any new proposals that ONA has to present.
 
Our philosophy throughout this process remains unchanged: to reach a fair and market-aligned agreement that supports our employees and the long-term stability of our organization. Legacy Health has offered an average 10% pay increase for all adult specialty advanced practice providers. That means a first-year provider would be offered a salary range of between $151,500 to $165,000, depending on position. A provider with 10 years of experience would begin at between $180,000 and $196,000, depending on position. And the most experienced APPs would earn between $197,500 and $215,000, depending on position.  
 
We understand employees may compare our compensation to other local systems. Each health system operates within its own financial and economic environment. Legacy’s realities are not the same as others. Our compensation model is based on market data, internal equity and what is financially sustainable for our organization given our unique financial challenges. Because our health system financial ecosystems are different, the pay structures are not directly comparable. 
 
As a safety-net health system, our mission is to care for everyone in our community, including those who rely on Medicaid and other governmental programs. These payers represent a disproportionate share of our patient population, and governmental reimbursement does not cover the full cost of providing care.  
 
We deeply value our people and are committed to providing them with the resources and tools they need to do the important work they do each day and continue to grow and thrive in their health care careers. 
 

To learn more, please visit our Strike FAQ online.


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