After much labor and management conflict, and over 25 unions created Today, it is considered a model of union and labor partnerships for the future of labor and management relations. This collaboration involved over 90,000 workers and changed the fabric of union and management relationships. Instead of being a competitive bargaining process, it became a collaborative partnership of mutual respect to a goal of mutual gains. The collaboration resulted in improved services (increased patient satisfaction), improved financial results, and happier employees. Many are encouraging this model to become a standard for future union and management negotiations.