təɡˈɛðɚ, ðiːz fəsˈɪlᵻɾiz sˈɜːvd ðɪ ɛmplˈɔɪiːz ʌvðə kˈaɪzɚ ʃˈɪpjɑːɹdz hˌuː hæd sˈaɪnd ˌʌp fɚðə pˈɜːmənˌɛnt hˈɛlθ plˈæn kˈɑːmənli ɹᵻfˈɜːd tʊ æz ðə "kˈaɪzɚ plˈæn", wˈʌn ʌvðə kˈʌntɹiz fˈɜːst vˈɑːləntɚɹi pɹˈiːpˈeɪd mˈɛdɪkəl plˈænz, ænd ɐ dᵻɹˈɛkt pɹɪkˈɜːsɚ tə ðə hˈɛlθ mˈeɪntənəns ˌɔːɹɡɐnᵻzˈeɪʃənz ˈeɪtʃmˈɑːs dᵻfˈaɪnd baɪ ðə fˈɛdɚɹəl hˈɛlθ mˈeɪntənəns ˌɔːɹɡɐnᵻzˈeɪʃən ˈækt ʌv nˈaɪntiːnhˈʌndɹɪd sˈɛvənti θɹˈiː.
Together, these facilities served the employees of the Kaiser shipyards who had signed up for the Permanente Health Plan (commonly referred to as the "Kaiser Plan"), one of the country's first voluntary pre-paid medical plans, and a direct precursor to the Health Maintenance Organizations (HMOs) defined by the federal Health Maintenance Organization Act of 1973.