Press Release

Nurses vote overwhelmingly to approve new master contract covering 3,700 RNs at Tenet hospitals throughout California

Nurses outside hospital with signs: "Staff up for safe care, end crisis care now"

Registered nurses at Tenet hospitals throughout California voted overwhelmingly in favor of ratifying a new three-year contract winning protections to improve patient safety and nurse retention announced California Nurses Association/National Nurses United today.

“To improve the quality of care, we must improve staffing and stop the tremendous loss of nursing staff we’ve suffered over the past two years. We’re proud to have won a contract that ensures that Tenet uses their vast resources to rectify these problems,” said Patty Betschart, labor and delivery RN at Emanuel Medical Center. “We are also thrilled that the master contract now includes our colleagues at Doctors Hospital of Manteca. We look forward to working together to raise the quality of care at our hospitals.”

The master agreement covers 3,700 registered nurses at the following California hospitals:

  • Joshua Tree: Hi-Desert Medical Center
  • Los Alamitos: Los Alamitos Medical Center
  • Manteca: Doctors Hospital of Manteca
  • Modesto: Doctors Medical Center of Modesto
  • Palm Springs: Desert Regional Medical Center
  • San Luis Obispo: Sierra Vista Regional Med Center
  • San Ramon: San Ramon Regional Medical Center
  • Templeton: Twin Cities Community Hospital
  • Turlock: Emanuel Medical Center

Nurses reached agreement on the new pact after six months of negotiations. In April, RNs held public actions and pickets to alert the public to eroding conditions, including understaffing at their facilities caused by the hospital’s inability to retain and recruit experienced RNs. Poor retention of nursing staff is reflected in the high percentages of nurses that were hired at these Tenet hospitals between 2019 and 2021 and have since left due to unsustainable workplace conditions. Nurses say the new contract lays the groundwork for improving conditions through retaining and recruiting adequate nursing staff.  

Highlights of the contract include:

  • Health and safety: Provisions that guarantee adequate PPE (personal protective equipment), Covid-19 testing for nurses, cohorting of Covid-19 patients in isolation areas, and expansion of RN training and education that includes interactive as well as hands-on, face-to-face training.
  • Maintained pension and health care benefits.
  • Diversity, Equity, and Inclusion (DEI): An annual demographic report will be submitted to the RN retention committee to address racial and gender inequities.
  • Economic gains to retain and recruit experienced nurses: Wage increases from 11.4 percent to 21 percent with wage step increases during the life of the agreement and increases in on-call and night shift pay.
  • Recognition: Registered nurses at Doctors Hospital of Manteca will now be covered by the master agreement.

The new contract covers the period July 1, 2022 to June 30, 2025.

“As nurses, our highest priority is providing quality care to our patients, and the loss of nursing staff and chronic short staffing has deeply impacted our ability to do that. The new pact provides us with the tools we need to improve the retention and recruitment of seasoned nursing staff,” said Liz Membel, medical surgical RN at Doctors Hospital of Manteca. “We want our patients and the communities we serve throughout California to know that our advocacy for them doesn’t stop with a signed contract. We are celebrating this milestone today and committed to advocating for quality care tomorrow and every day.” 

The California Nurses Association/National Nurses United is the largest and fastest-growing union and professional association of registered nurses in the nation with 100,000 members in more than 200 facilities throughout California and more than 175,000 RNs nationwide.