Registered nurses at Kaiser Permanente San Diego conduct an early morning one-day informational picket outside one of the company’s three medical centers in San Diego, California, September 19, 2023.

The coalition of unions representing health-care workers at Kaiser Permanente said late on Saturday it is unlikely there will be a new agreement with the health-care provider, as their current contract expires and the unions prepare for strike action.

The Coalition of Kaiser Permanente Unions said it and the company remained far apart on important issues.