{"id":314535,"date":"2025-10-18T22:55:12","date_gmt":"2025-10-18T22:55:12","guid":{"rendered":"https:\/\/www.europesays.com\/us\/314535\/"},"modified":"2025-10-18T22:55:12","modified_gmt":"2025-10-18T22:55:12","slug":"as-kaiser-workers-strike-not-for-profit-is-sitting-on-67-billion","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/us\/314535\/","title":{"rendered":"As Kaiser Workers Strike, \u2018Not-for-Profit\u2019 Is Sitting on $67 Billion"},"content":{"rendered":"<p class=\"lead\">This article is published in partnership with the <a href=\"https:\/\/www.exposedbycmd.org\/\" target=\"_blank\" aria-label=\"Link opens in new window (None)\" rel=\"noopener\">Center for Media and Democracy<\/a>.<\/p>\n<p>Forty-five thousand workers at Kaiser Permanente\u2014ranging from nurses to therapists to pharmacists\u2014are on strike across the West Coast and Hawaii, in the country\u2019s largest labor action of 2025, and the largest strike in the U.S. since the October 2024 longshore workers strike. The five-day limited-duration strike comes as workers continue to face major <a href=\"https:\/\/capitalandmain.com\/five-day-strike-by-kaiser-permanente-workers-is-about-more-than-money\" target=\"_blank\" aria-label=\"Link opens in new window (short staffing)\" rel=\"noopener\">short staffing<\/a> and wage increases that have lagged behind inflation in some of the country\u2019s highest-cost-of-living areas.<\/p>\n<p>Kaiser Permanente is an Oakland, California\u2013headquartered integrated health care giant, with 300,000 employees, and a long track record of heavy union activity. While Kaiser is ostensibly a nonprofit, it in many ways acts like a for-profit\u2014its physicians groups are for-profit entities, the Board of Directors is for the most part composed of people from the private sector, and the system\u2019s executive compensation more resembles the private sector.<\/p>\n<p>Kaiser CEO Greg Adams <a href=\"https:\/\/projects.propublica.org\/nonprofits\/organizations\/941340523\/202433209349303463\/IRS990ScheduleJ\" target=\"_blank\" aria-label=\"Link opens in new window (made)\" rel=\"noopener\">made<\/a> nearly $13 million in 2023. Kaiser spent more than $72 million on total compensation for senior executives that year, with 12 executives besides Adams making over $2 million per year, and three besides Adams making over $4 million per year.<\/p>\n<p><a href=\"https:\/\/prospect.org\/topics\/matthew-cunningham-cook\/\" target=\"_blank\" rel=\"noopener\"><strong>More from Matthew Cunningham-Cook<\/strong><\/a><\/p>\n<p>Kaiser\u2019s care model has been celebrated for decades, and indeed, compared to UnitedHealth or the Hospital Corporation of America, Kaiser is a far better framework for health care delivery. Workers are striking not to upend the Kaiser model, they say, but to protect it against an encroaching for-profit orientation in health care and a national political environment that is utterly hostile to an ethos of patients before profits.<\/p>\n<p>Kaiser has <a href=\"https:\/\/about.kaiserpermanente.org\/who-we-are\/labor-relations\/alliance-national-bargaining\/media-statements\/our-statement-on-the-alliance-of-health-care-unions-strike\" target=\"_blank\" aria-label=\"Link opens in new window (claimed)\" rel=\"noopener\">claimed<\/a> that \u201cthe additional wage costs of the unions\u2019 demands would mean that more rate increases for Kaiser Permanente members and customers will be unavoidable.\u201d But Kaiser\u2019s own claims about its finances and ability to afford the cost of the strike raise questions\u2014Kaiser concedes that the unions and management are just $300 million annually apart at most in negotiations, and the company is sitting on $67.4 billion in reserves, up from $40 billion just four years ago. Kaiser recorded $5.5 billion in gains from investments, operating income, and other income in 2024, with $569 million of that in operating income.<\/p>\n<p>\u201cWe asked Kaiser to increase our pay by 5 percent during COVID,\u201d Liz Hernandez, a cath lab nurse at Kaiser Fontana outside of Los Angeles, told the Center for Media and Democracy (CMD), and Kaiser declined, saying that negotiations would need to wait until the next contract. \u201cInflation started going up. We stayed stagnant. In 2020, without hesitation, I spent $36,000 on high-quality N95 gel masks, so when Kaiser said no to increasing our pay back then it was like a slap in the face. We have sacrificed so much of our short lives for them on the front lines. It\u2019s time for us as nurses to stand firm and say, \u2018We\u2019re the ones providing high-quality care, making you look good. You are what you are because of us.\u2019\u201d<\/p>\n<p>Unions on strike include the United Nurses Associations of California\/Union of Health Care Professionals\u2013AFSCME (UNAC\/UHCP); the Oregon Federation of Nurses and Health Professionals\u2013AFT; United Steelworkers; and UNITE HERE.<\/p>\n<p>Due to the size of the strike\u2014<a href=\"https:\/\/capitalandmain.com\/five-day-strike-by-kaiser-permanente-workers-is-about-more-than-money\" target=\"_blank\" aria-label=\"Link opens in new window (impacting)\" rel=\"noopener\">impacting<\/a> the care of as many as 12.6 million people\u2014it has garnered extensive media coverage. Yet Kaiser\u2019s claim that it will need to increase prices has gone unchallenged in the media.<\/p>\n<p>A CMD analysis shows:<\/p>\n<ul>\n<li>From <a href=\"https:\/\/projects.propublica.org\/nonprofits\/display_audit\/2023-12-GSAFAC-0000043371\" target=\"_blank\" aria-label=\"Link opens in new window (December 31, 2023)\" rel=\"noopener\">December 31, 2023<\/a>, to <a href=\"https:\/\/emma.msrb.org\/P11879927-P11437597-P11882998.pdf\" target=\"_blank\" aria-label=\"Link opens in new window (June 30, 2025)\" rel=\"noopener\">June 30, 2025<\/a>, Kaiser pumped an additional $1.1 billion into hedge funds (which it refers to as \u201cabsolute return\u201d) and an additional $1.9 billion into private equity from its $67.4 billion investment portfolio. Hedge funds have been panned by the likes of <a href=\"https:\/\/www.bloomberg.com\/news\/articles\/2016-04-30\/buffett-says-hedge-funds-get-unbelievable-fees-for-bad-results\" target=\"_blank\" aria-label=\"Link opens in new window (Warren Buffett)\" rel=\"noopener\">Warren Buffett<\/a> as failing to deliver promised returns, and private equity suffers from <a href=\"https:\/\/www.institutionalinvestor.com\/article\/2dj2yfmbp85ay1lm1c8ow\/opinion\/with-20-trillion-in-private-markets-the-lack-of-transparency-is-no-longer-okay\" target=\"_blank\" aria-label=\"Link opens in new window (major transparency issues)\" rel=\"noopener\">major transparency issues<\/a> and <a href=\"https:\/\/www.aft.org\/press-release\/private-equity-delivers-high-risk-low-returns-and-costly-fees\" target=\"_blank\" aria-label=\"Link opens in new window (high fees)\" rel=\"noopener\">high fees<\/a>. The University of California, citing those concerns, <a href=\"https:\/\/www.ft.com\/content\/16744e1e-335a-477f-b24c-b07ee5573352\" target=\"_blank\" aria-label=\"Link opens in new window (divested)\" rel=\"noopener\">divested<\/a> from hedge funds earlier this year. The new investments raise questions about Kaiser\u2019s commitment to prioritizing care over money, given the problems inherent in hedge funds and private equity.<\/li>\n<p>&#13;\n<\/ul>\n<ul>\n<li>From <a href=\"https:\/\/projects.propublica.org\/nonprofits\/organizations\/941105628\/202013189349300041\/full\" target=\"_blank\" aria-label=\"Link opens in new window (2019)\" rel=\"noopener\">2019<\/a> to <a href=\"https:\/\/projects.propublica.org\/nonprofits\/organizations\/941105628\/202433209349302778\/full\" target=\"_blank\" aria-label=\"Link opens in new window (2023)\" rel=\"noopener\">2023<\/a> (the most recent year for which information is available), Kaiser nearly doubled its spending on outside staffing firms, from $600 million to $1.1 billion.<\/li>\n<p>&#13;\n<\/ul>\n<ul>\n<li>Kaiser <a href=\"https:\/\/projects.propublica.org\/nonprofits\/organizations\/941340523\/202433209349303463\/IRS990ScheduleJ\" target=\"_blank\" aria-label=\"Link opens in new window (provides)\" rel=\"noopener\">provides<\/a> first-class airfare to its senior executives and Board members, despite being a nonprofit exempt from income tax. It also provides airfare in certain cases to \u201ccompanions\u201d of senior executives and Board members.<\/li>\n<p>&#13;\n<\/ul>\n<p>The Center for Media and Democracy asked Kaiser for comment on the above, and did not receive a response as of press time.<\/p>\n<p>Steve Bazan, a nurse anesthetist based in Hawaii, said that Kaiser\u2019s executive leadership has adopted a for-profit mentality, but is not being supportive of its workers. Reinvesting its reserves into the labor force will pay dividends, he said. \u201cWe are what makes Kaiser successful and we will continue to make Kaiser successful if they come to the table and bargain in good faith.\u201d Bazan also pointed out that wages for health care workers in Hawaii are 20 to 30 percent below levels on the mainland.<\/p>\n<p>\u201cWe\u2019ve accepted the status quo for so long, but people are fed up,\u201d he said. \u201cHealth care professionals go into the medical field to care for people in their community. The corporate machine has made it very difficult for people to do that. Because of that, it moves the focus away from what really matters, which is the patients. I enjoy working for Kaiser, I believe in the system, but they need to step up their game and invest in their people.\u201d<\/p>\n<p>Jane Carter, the research director at UNAC\/UHCP, underscored that Kaiser had practices that on the whole were far better than other health care systems. Kaiser operates on a close labor-management partnership model, and adopts a neutral position toward unions seeking to organize in their system.<\/p>\n<p>\u201cKaiser is truly the best health care delivery model in the U.S.,\u201d said Carter. \u201cThe emphasis has been on partnership, but it has turned much more into a profit-driven model. The health care delivery model of Kaiser\u2014integrated care with a strong social justice orientation and labor-management partnership\u2014is what we should strive for.\u201d<\/p>\n<p>But beyond the economic justice issues in the strike, Carter pointed out, is anti-union animus on the part of current management. \u201cWe have organized three new bargaining units, physician assistants, nurse practitioners, nurse midwives, nurse anesthetists\u2014and in their proposals to us in bargaining, Kaiser is trying to take away benefits and wages that workers already have. In effect, they\u2019re punishing workers for joining a union,\u201d she said.<\/p>\n<p>Carter pointed out that Kaiser has reaped enormous profits since the pandemic. \u201cIn four years\u2019 time they\u2019ve amassed more than $20 billion in sheer profits. How did they get that profit? It\u2019s because our members were paid so insignificantly to give them these profits.\u201d<\/p>\n<p>Carter ascribed the anti-union attitude to members of the Board, some of whom have repeated anti-union talking points to UNAC members, and an overall Board composition that is weighted towards private business interests. (Board members\u2019 business interests include major venture capital firm Bessemer Venture Partners and private equity firm TowerBrook Capital Partners.)<\/p>\n<p>Carter pointed out that the CEO used to be a nurse, and that as a result, her analysis is that it is unlikely that any anti-union push is coming directly from him: \u201cHe\u2019s held the hands of dying patients, and been at the bedside, so I would hope that in his capacity as a nurse he would stand up for people still at the bedside.\u201d<\/p>\n<p>\u201cKaiser Permanente is a gold standard of health care delivery,\u201d Carter concluded. \u201cThe problem is that it\u2019s turned into a for-profit machine instead of [staying true to] its origins.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"This article is published in partnership with the Center for Media and Democracy. Forty-five thousand workers at Kaiser&hellip;\n","protected":false},"author":3,"featured_media":314536,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[121169,50844,92185,210,1227,1141,1142,606,121168,43805,1607,39749,67,132,68],"class_list":{"0":"post-314535","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health-care","8":"tag-center-for-media-and-democracy","9":"tag-corporate-governance","10":"tag-corporate-power","11":"tag-health","12":"tag-health-social-policy","13":"tag-health-care","14":"tag-healthcare","15":"tag-labor","16":"tag-matthew-cunningham-cook","17":"tag-nursing","18":"tag-strikes","19":"tag-unions","20":"tag-united-states","21":"tag-unitedstates","22":"tag-us"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@us\/115397638425063911","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts\/314535","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/comments?post=314535"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts\/314535\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/media\/314536"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/media?parent=314535"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/categories?post=314535"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/tags?post=314535"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}