Kaiser Permanente is the most recent well being system exhibiting indicators of wrestle amid rising prices.
Kaiser, an Oakland, California-based built-in nonprofit, on Friday reported a $4.47 billion web loss in 2022, in contrast with a $8.08 billion acquire in 2021.
Working income got here to $95.41 billion, a 2.4% improve from 2021. Bills rose 4.5% to $96.68 billion, pushed by elevated care quantity attributable to beforehand deferred procedures, greater prices of products and elevated spending on labor.
Kaiser misplaced $3.2 billion attributable to poor market efficiency on investments.
Pressures on labor prices shall be an ongoing issue for the system. Greater than 70% of Kaiser’s workforce is represented by labor unions. In late 2022, Kaiser and the California Nurses Affiliation ratified a brand new contract for greater than 21,000 staff after months of tense negotiations. The contract includes a 6% pay improve for 2 years, adopted by a 5.25% improve within the third and fourth years, stated Tom Meier, company treasurer.
Meier stated Kaiser’s contract labor prices have almost returned to regular ranges. He attributed the downward development to a extra streamlined recruiting course of and aggressive compensation packages.
Care and testing for COVID-19 was nonetheless a major price think about 2022, Meier stated.
“It hasn’t actually dropped off. The truth is, it [was] greater in 2022 than it was in 2021,” he stated. “While you take a look at the fourth quarter, it was impacted by extra flu and RSV and never as a lot by COVID, so hopefully we’re seeing an finish in sight.”
To assist get monetary savings, Kaiser re-evaluated the need of vacant positions, lower discretionary spending and labored to scale back administrative prices. However Meier stated the system nonetheless saved its 2022 capital spending regular with 2021 and elevated its group well being investments by about $200 million.