Kaiser Permanente and its nurses reached a tentative contract agreement just days before a proposed strike.

The “Alliance of Healthcare Unions” and Kaiser are in talks of a four-year contract that would affect 50,000 Kaiser nurses, pharmacists, midwives, physical and occupational therapists, nurse practitioners and physician assistants.

“This landmark agreement positions Kaiser Permanente for a successful future focused on providing high-quality health care that is affordable and accessible for our more than 12 million members and the communities we serve,” Kaiser Permanente senior vice president Christian Meisner said in a statement. “It also underscores our unwavering commitment to our employees by maintaining industry-leading wages and benefits. These were challenging negotiations, but this tentative agreement demonstrates the strength of our Labor Management Partnership and the unique success it can achieve when we work together.”

The union workers were on the verge of striking Monday after giving Kaiser a 10-day notice, but the the tentative agreement was reached on Saturday, November 13, causing the unions to call it off.

“The Alliance of Health Care Unions fought to preserve a Kaiser Permanente where patients can count on excellent patient care and service,” Alliance of Health Care Unions director Hal Ruddick said in a statement. “This has guided our work for 24 years. This agreement will mean patients will continue to receive the best care, and Alliance members will have the best jobs.”

The terms of the agreement include retaining their health insurance plans, as well as retirement benefits and an annual wage increases until 2025.

The contract agreement will now be voted on by union members and if ratified, will have an effective date back to October 1.

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