Kaiser Health earned 2.8 billion last year and immediately started construction on a new "World Headquarters" in Oakland, CA.  Cost 2.6 billion.  Kaiser: "Not for profit".  The Permanente in Kaiser Permanente was Henery J's wife's concrete business located on Permanente Creek, Redwood City, CA.  Kaiser does not build hospitals.  They build "fortresses".  Check 'em out.  "The easiest way to lower medical costs is to reduce the cost of the "plant" as much as possible".  Universal thought.