The potential and precariousness of partnership: The case of the Kaiser Permanente Labor Management Partnership

In 1997, the Kaiser Foundation Health Care and Hospitals, the Permanente Medical Federation, and a coalition of unions signed a national agreement creating one of the most ambitious labor management partnerships in U.S. history, initially covering some 58,000 employees. Based on field research and archival data, this paper analyzes the first eight years of this partnership in light of three strategic challenges-initiating, governing, and sustaining partnership-and the organizational challenge of partnership in a highly decentralized organization.