MASTER AGREEMENT - CWA Local 1168

1 MASTER AGREEMENTR eached by and betweenKaleida HealthCommunications Workers of America,AFL-CIOI nternational Union of Operating EngineersAFL-CIOS ervice Employees International Union/1199 Union Healthcare Workers EastJune 1, 2019 to May 31, 20221 MASTER AGREEMENT Table of Contents Article # Title Page # 1 AGREEMENT and Application 8 2 Responsible Relationship 8 3 Recognition 8 4 Non-Discrimination 24 5 Access to Premises for Union Representatives 24 6 Union Representation 25 7 Grievance Procedure 29 8 Probationary Period 32 9 Categories of Employees 32 10 Dual Status Employees 39 11 Flexible Employees 40 12 Per Diem Employees 42 13 Temporary Employees 45 14 Weekend Employees 45 15 Hours of Work and Work Schedules 46 16 Weekend Work 52 17 Shift Rotation 53 18 Temporary Downsizing

2 54 19 Floating 56 20 Shift Differential 58 21 On-Call Pay 59 22 Call-In Pay 61 23 Salaries 61 24 Recruitment, Incentive or Premium Pay Programs 62 25 Overtime 62 26 Paid Time Off 64 27 Paid Time Off Scheduling 73 2 28 Flexible Benefit Plan 110 29 Medical and Prescription Drug Benefits 112 30 Dental Benefits 118 31 Hospital Discounts 120 32 Life Insurance 123 33 Retirement Plan 124 34 Transitional Return to Work Program 129 35 Leave of Absence 131 36 Military Leave 142 37 Jury Duty 143 38 Bereavement Leave 144 39 Disability 145 40 Workers Compensation 149 41 Employee Assistance Program 153 42 Tuition Assistance 154 43 1199/SEIU League Training and Upgrading Fund 156 44 CWA Continuing Education Program 157 45 IUOE Training Fund 159 46

3 Nursing Preceptor Program 160 47 Training Program 160 48 Travel 161 49 Domestic Partner 162 50 Seniority 162 51 Layoff and Recall 164 52 Multi-Site Float Pool 244 53 Job Bidding and Transfers 245 54 Temporary Transfers Between Kaleida Health Sites 248 55 Merger, Consolidation, Transfer or Establishment 250 of Work within Kaleida Health 56 Selling and Closure of Business by Kaleida Health 260 3 57 Personnel Files 261 58 Job Descriptions 262 59 Scrub Apparel 262 60 Uniforms 263 61 Lounge and Locker Facilities 264 62 Progressive Discipline and Remediation 264 63 Time and Attendance 266 64 Attendance Bonus 270 65 Resignations/Terminations 271 66 Bargaining Unit Work 271 67 Contracting Out Work 272 68 Management Rights 272 69 Employer Policies 273 70 No Strike No Lockout 273 71 Successorship 274 72 Committees 274 73 Health and Safety Committee 275 74 Job Security/Committee 278 75 Parking Committee 279 76

4 Staffing and Productivity Committees 279 77 Workforce Training and Retraining/Committee 283 78 Access to Technology 284 79 Savings Clause 284 80 School Health Services Employees 284 81 Multi-Site On-Call Procedure 287 82 Holidays 288 83 Union Membership 297 84 Pharmacy Shift Rotation at the Buffalo General Hospital 298 85 Payroll Deduction of Union Dues 300 4 86 Political Action Committee Deductions 303 87 Labor Management Committees 304 88 Temporary Closure of Units/Departments 305 89 Security Technology 305 90 Health Information Technology 306 91 Float Pool Employees 306 92 Charge Nurse 308 93 Hours of Work Clerical Employees 309 94 Extended Shifts 309 95 Bulletin Boards 311 96 Nursing Clinical Progression 312 97 WCHOB Non-Nursing Functions 315 98 WCHOB Non Professional Functions 316 99 WCHOB Non-Technical Functions 316 100 Temporary Positions 316 101 Purchase of a Business by Kaleida Health 317 102 Parking 318 103 Drug Enforcement Administration (DEA)

5 Numbers 320 104 Salaried Employees 320 105 Duration 320 106 Administration of the ADA 321 107 Patient Staffing Plan 322 108 Workplace Violence 326 Appendix A Clerical Employee Salaries 328 Appendix B Maintenance Employee Salaries 336 Appendix C Professional Employee Salaries 340 Appendix D Registered Nurse Salaries 346 Appendix E Service Employee Salaries 352 Appendix F Technical Employee Salaries 358 5 Appendix G Skilled Nursing Employee Salaries 366 Appendix H Kaleida Health Bargaining Units 372 Appendix I Grievance Form 373 Letter Long-term Care Needs List Administration 375 Letter Healthcare Related Joint Ventures 377 Letter Staff Incentive Plan 378 Letter Uniforms 382 Letter SEIU Upstate Regional Labor Management Project Fund 383 Letter Temporary Downsizing on a Holiday 384 Letter Temporary Downsizing Rotating Wheel 385 MOU #1 DMH/TCCS Life Insurance 387 MOU #2 RNFAs Millard Fillmore 387 MOU #3 Health Insurance Grandfathering 387 MOU #4 Operating Room Service Leaders BGH, DMH and MFH 388 MOU #5 Holidays in the Operation Room at WCHOB for the 389 RN and Technical Bargaining Units MOU #6 Red Circled Employees 390 MOU #7 Maintenance Employee Allowances (SEIU1199/IUOE17)

6 390 MOU #8 Seasonal Employees 391 MOU #9 Special Projects 1199 SEIU/IUOE Local 17 391 MOU #10 Rotating Positions 392 MOU #11 Drop and Add Relative to FTE 394 MOU #12 Patient Management Social Workers at Buffalo General 394 Medical Center, Millard Fillmore Suburban Hospital and DeGraff Memorial Hospital MOU #13 Bulletin Boards 395 MOU #14 Contract Printing 399 MOU #15 MFH/RN Self Staffed/Closed Units 399 MOU #16 Operating Room and Multi-Specialty Procedure Area 399 (MPA) Service Leaders at WCHOB MOU #17 OCH Per Diem Employees Holiday Commitment 400 MOU #18 WCHOB RN Mandatory Overtime 400 6 MOU #19 WCHOB RN STAT Team 401 MOU #20 WCHOB RN Neonatal Transport Nurse 401 MOU #21 WCHOB RN & Technical ECMO Specialists 402 MOU #22 Paid Time Off Grandfathering 403 MOU #23 WCHOB RN/LPN Floating Grid 406 MOU #24 Hospital Certification / Designations 407 MOU #25 Uniform Colors - LTC and Hospital Setting Nursing Units 407 MOU #26 Adult Site RN & surgical Technologist Floating Grid 407 MOU #27 WCHOB Flexible Employees 409 MOU #28 BGMC Registered Nurse Self Staffed Closed Units 410 MOU #29 Vacant Position Tracking 410 MOU #30 DeGraff Social Worker 411 MOU #31 Clinical Pharmacy Coordinator Qualifications 411 MOU #32 Flint Road.

7 Endo-Diabetes Titles 412 MOU #33 DeGraff/Millard Clinical Nurse Educators 412 MOU #34 Women and Children s Hospital of Buffalo (WCHOB) Name 413 Change to John R. Oishei Children s Hospital (OCH) MOU #35 BGMC/CWA surgical Technologist Assignments 414 MOU #36 CWA/MFS On-Call Courier Assignment Flint Road Laboratory 415 (Carrying the Phone for On / Off Duty Courier Response) MOU #37 Adding BGMC MICU NP/PA Positions 10 Hour Shifts 416 MOU #38 Lead Nuclear Medicine Technologist 417 MOU #39 NFTA Public Transit Discount 419 MOU #40 Variable Start Time Process for 1199/SEIU Members 421 MOU #41 Millard Fillmore Suburban Procedure for Temporary 421 Closure of Units MOU #42 Service Employee International Union 422 1199 SEIU Labor Management Initiative 7 MOU #43 Contracting Out Work / Bargaining Unit Work 425 MOU #44 Quarterly Job Review Committee 425 MOU #45 Business Office Clerical Overtime at Larkin 426 MOU #46 Definition of Closed Unit 429 MOU #47 APP Security 429 MOU #48 Ratification Bonus 430 MOU #49 1199 SEIU Regional Pension Plan Additional 431 Pension Contribution MOU #50 Flint Road PSC and Phlebotomy

8 Services Cost Center 20751 431 MOU #51 APP On-Call 433 8 Article 1 AGREEMENT and Application Section 1. This MASTER AGREEMENT is entered into by and between Kaleida Health, hereinafter referred to as the Employer; 1199 SEIU United Healthcare Workers East, hereinafter referred to as SEIU and the Communications Workers of America, AFL-CIO, hereinafter referred to as CWA; and the International Union of Operating Engineers, Local 17S, AFL-CIO, hereinafter referred to as IUOE; or collectively as the Unions. Section 2. The provisions of this MASTER AGREEMENT shall supersede and replace the corresponding provisions of any existing bargaining unit AGREEMENT that deals with the same issues and shall be incorporated to the exclusion of any other provision referring to the same issues in any initial AGREEMENT for a new bargaining unit. Section 3. The terms and conditions of this MASTER AGREEMENT shall apply to the bargaining units listed in Appendix H and as specifically defined in their respective Local bargaining unit agreements with the Employer.

9 Article 2 Responsible Relationship The Employer and the Unions recognize that it is in the best interest of the parties, the employees, and the public that all dealings between them continue to be characterized by mutual responsibility and respect. To insure that this relationship continues and improves, the Employer and the Unions and their respective representatives at all levels will apply the terms of this contract fairly in accord with its intent and meaning and consistent with the Unions status as exclusive bargaining representatives of all employees covered by this contract. Each party shall bring to the attention of all employees in the units covered by this contract, including new hires, their purpose to conduct themselves in a spirit of responsibility and respect and of the measures they have agreed upon to insure adherence to this purpose. Article 3 Recognition FOR CWA Section 1.

10 The Employer hereby recognizes the Communications Workers of America, AFL-CIO as the exclusive collective bargaining representative for the purpose of collective bargaining with respect to rates of pay, wages, hours of employment, and other conditions of employment, for all of its employees in the collective bargaining units: a.) The Buffalo General Medical Center Professional Unit (Recognition is in accordance with the Effects MASTER AGREEMENT dated June 10, 1998, Section 7, Union Recognition): 9 Inclusions: All professional employees employed by Kaleida Health at Buffalo General Medical Center, 100 High Street; Gates Vascular Institute, 875 Ellicott Street; HighPointe on Michigan, 1031 Michigan Avenue; Larkin Building, 726 Exchange Street; Kaleida Family Planning Center, 1313 Main Street; Hertel-Elmwood Internal Medicine Center, 900 Hertel Avenue; North Buffalo Medical Park; 900 Hertel Avenue; 1026 Main Street; 1028 Main Street, will be included in the bargaining unit in the following job titles.