OHSU and Legacy Health plan to join as one health care system called OHSU Health. We see this as a once-in-a-generation chance to expand access to quality care in every community. Together, we can better achieve our missions to serve the people of Oregon.

Read about why now is the time for this proposal.

How we're making commitments to:

Oregon law requires a review of the OHSU-Legacy proposal by the state’s Health Care Market Oversight program.

• Read our full HCMO filing.
• Read a fact sheet that sums up the HCMO filing.

This review includes a public comment period. See how to comment and read public comments so far. OHSU also is accepting comments. Email us at [email protected].

Uniting OHSU and Legacy Health is a win for our health care unions. In a public comment dated Feb. 10, 2025, three unions said OHSU’s agreement with them was “historic.”

Oregon AFSCME, Oregon Nurses Association and SEIU Local 49 represent more than 14,000 OHSU and Legacy employees. Here are highlights from their comment.

“OHSU voluntarily and proactively came to the table to meet with leaders from three different unions to hear their concerns and fears about what the deal would mean for them.”

“We know of no other healthcare acquisition where the acquiring party sat down with, listened to, and made such commitments to its current and future employees (as represented by their labor unions) as part of the development of the transaction.”

“OHSU has agreed to voluntarily honor all existing collective bargaining agreements (CBAs), which is not necessarily required in all cases. Using CBAs to establish binding commitments ensures the conditions will be in place much longer than any time frame set by the HCMO program.”

“OHSU has agreed that the pay and benefits of current OHSU and Legacy employees will be protected, if not improved. This includes protections from layoffs for 12 months and severance for Legacy employees if layoffs should occur between 12 and 24 months after the acquisition.”

“OHSU has pledged to devote $10 million annually to union education trusts that support frontline workers. Given OHSU’s long history as a teaching institution, their investment in career development and education will be uniquely positioned to help solve the short-staffing crisis our state faces by upskilling current staff and bringing new workers into the healthcare field.”

“OHSU has committed to provide training to prevent bias in hiring, evaluations, promotions, and discipline; as well as give the union access to diversity metrics that will enable us to monitor and address any disparities. The combined health system has also pledged to work with us to pursue DEIB (Diversity, Equity, Inclusion, Belonging) training for all staff and has agreed to honor the racial and immigration justice-related language in our current contracts.”

“There are other possible partners for Legacy to partner with, but we believe them to be inferior options for employees, patients, and communities alike.”

“OHSU’s public ownership means that the government and public have greater levels of access and influence over the system than any other potential acquirer.”

“OHSU led the way among health systems in advocating for the passage of a new law that will ensure low-income patients who are eligible for discounts on their hospital bills actually receive them.”

“Furthermore, OHSU has consistently provided financial assistance for patients, and in fiscal year 2022, spent more money on total community benefits than any other hospital or health system.”

“… OHSU invited and welcomed this in-depth public process. We also believe that OHSU’s application contains detail that is unrivaled compared with any other HCMO application on record.”