After months of bargaining, we have reached a Tentative Agreement (TA) with Alameda Health System management. A summary of the agreement is below, and associated documentation is attached to this post.

Our next step will be to vote. The voting schedule is posted below. If you have questions, please reach out to Field Representative Shane Ruiz, your bargaining team member, or chapter officer.

Tentative Agreement Summary

Term: One year (through June 30, 2027)

Economic Wins

• COLA: 3% for Salaries, Call Back Pay, and SANs (retroactive to July 1st, 2026)
• 3% Pager Pay Market Adjustment for Specialties Under Market Rate 
• 1% Quality Bonus
• New: Potential 3% Productivity Bonus (1% for 50th Percentile, 2% for 55th Percentile, 3% for 60th Percentile)
• Salary Adjustments for specific divisions under market rate (Pediatrics, Hem/Onc, Anesthesia) (Retroactive to July 1st, 2026)

NOTE: There are No cuts to any existing benefits or pay

Other Wins:

• NEW: Severance in the case future layoffs
• NEW: Unpaid 6 months Parental Leave
• NEW: Bilingual Pay Parity with Nurses 

Wins and Protections: Management sought big takeaways and concessions, but we fought them off!

• Protected Non-Direct Patient Care Time
• New: Breast Section Chief Position
• Stopped attempts to tie productivity to salary 
• Stopped attempts to allow termination based on low productivity 
• Stopped attempts to cut administrative time