Alliance of Health Care Unions

Who We Are

48,000 Workers Across Kaiser Permanente


Twenty-two local unions formed an Alliance in 2018 with a deep commitment to each other and continuing partnership with Kaiser Permanente to improve patient care and make Kaiser the best place to work.

The Alliance includes locals of AFSCME, UFCW, USW, IBT, KPNAA, IUOE, OFNHP (AFT), UNITE HERE and ILWU. Together these unions represent over 45,000 members across hundreds of job classifications in nearly every geographic area where Kaiser Permanente has a presence.




Alliance member unions are individual signatories to the Labor Management Partnership and therefore have the right and responsibility to participate in all LMP work.

In addition, we are covered by the 2015-2018 National Agreement until its expiration on September 30, 2018.

The work of all Labor Management Partnership activities, including LMP Councils and unit-based teams, will continue for all Alliance member unions, as we are parties to the National Agreement.


Executive Board


Executive Director

Peter diCicco

Peter diCicco was a chief architect of the Labor-Management Partnership (LMP) between Kaiser and many of its unions. He negotiated the first national agreement in 2000.

Peter’s most recent accomplishment in a career spanning decades in top positions within the labor movement was to help develop the terms of merger for SAG and AFTRA, two of the biggest entertainment talent unions, now SAG/AFTRA.

His union activity began in 1964 as a shop steward at GE in Lynn, Massachusetts, where he worked as a machinist, power generator assembler and aircraft engine inspector. Over the decades since he rose from Executive Board member with IUE Local 501 during a 103-day national strike in 1969-70 national strike, to International Vice President for the IUE in 1970 and President of the AFL-CIO’s Industrial Union Department (IUD) in 1996, before founding the CKPU the following year.



Deputy Director

Hal Ruddick

Hal Ruddick has more than 30 years of labor leadership, starting with over a decade of organizing workers in Louisiana.  He previously served as president of SEIU Local 4, a nursing home local in Illinois; Secretary-Treasurer of HCII, a 80,000 member healthcare local in Illinois and Indiana; Director of the Hospital Division of SEIU-UHW; and most recently as Executive Director of the Coalition of Kaiser Permanente Unions from 2013 until early 2018. 

At the Coalition, he was the chief negotiator for successful 2015 national bargaining with Kaiser. In his four years at the Coalition he increased resources to support locals and members partnership participation, stepped up implementation of labor’s rights under the national agreement, established greater financial transparency, and expanded frontline leadership and training opportunities.





Kathleen Theobald

Kathleen Theobald serves as the Executive Director for the Kaiser Permanente Nurse Anesthetists Association (KPNAA), which represents the Certified Registered Nurse Anesthetists (CRNAs) employed at Kaiser Permanente facilities in Southern California.    A communications C-Level Professional with a reputation for vision casting and “delivering the goods,” creatively and logistically, Ms. Theobald provides innovative and intelligent guidance in multi-generational and multi-disciplinary negotiations, relationship development and management, crisis-management and facilitation as well as in the creation of strategies to strengthen and set a company apart from the crowd.

Ms. Theobald represents KPNAA and labor partner unions as the Chair of the Executive Board of The Alliance of Health Care Unions (AHCU), as well as on Regional and National Kaiser Permanente Councils and Committees, including: Jobs of the Future, Executive Labor Sponsor; Southern California Regional LMP Council, Labor Chair; and the Labor Management Partnership Strategy Group, to name a few.

Hiking, learning, wandering and exploring the world with her family and friends is what occupies Ms. Theobald’s time when she is not at work.



Vice Chair

Denise Duncan

UNAC/UHCP President Denise Duncan, RN, is a registered nurse and an expert on health care policy and workplace issues impacting health care professionals. Duncan has worked for UNAC/UHCP and union members for nearly three decades and currently serves as UNAC/UHCP President. She's been a registered nurse for over 35 years.

Duncan is an expert spokesperson for UNAC/UHCP on matters ranging from health care policy to workplace violence. She led UNAC/UHCP's fight for regulations to protect health care workers from patient violence on the job. Her work contributed to workplace violence prevention regulations released by Cal/OSHA in 2016.

She was a co-author on an innovation chapter in the nursing textbook Leadership for Evidence-Based Innovation in Nursing and Health Professions (2015). She served as co-researcher for “Nurse Perceptions of Medication Errors” in the Journal of Nursing Care Quality, the first-ever study to consult nurses about errors and their cause (2004).

Duncan is the Vice President of Nursing for NUHHCE, Vice President at Large for the California Federation of Labor, and an International Vice President for AFSCME.



Recording Secretary

Rosie Gonzalez

Rosie is eager to utilize her more than 30 years of experience as a union leader in her new role on the inaugural executive board of the Alliance of Health Care Unions. She has championed collaborative work between USW and KP, as well as between USW and other health care unions by serving in various leadership roles within the Partnership.  

She was first hired by KP as a Unit Secretary in Fontana Hospital’s Labor and Delivery wing and quickly got involved with local union 7600. Rosie dedicated herself to improving the lives of her coworkers and patients eventually worked her way to Local Union Vice President in 2001.  

After earning a scholarship to attend the four year USW International Leadership  Program and being appointed as the District 12 Women of Steel Coordinator, Rosie was hired as a staff representative in 2003.





Nate Bernstein

Nate Bernstein, JD, Treasurer of the Alliance of Health Care Unions also serves as the Healthcare Director for United Food and Commercial Workers, Local 7, representing over two thousand health care professionals in the Kaiser Permanente Colorado Region. Nate has a passion for social justice and representing workers with the ultimate goal of ensuring that professionals in health care have a voice in their work and can deliver safe, quality care. Nate grew up in Northwest New Jersey, and went to undergraduate and law school at Seattle University. He now lives south of Denver with his girlfriend, her daughter, and their dog.




Executive Board Member

Greg Chavez

Greg Chavez joined Kaiser in 1998 as a security officer. In 2004, he became an ILWU Local 28 union member and in 2005, he bargained the local contract for the Kaiser Permanente security officers and dispatchers in the Northwest region. Since 2005, he’s been a Chief Steward and the principal point of contact with Kaiser Permanente. Greg became Local 28 President in 2018..



Executive Board Member

Adrienne Enghouse

Adrienne Enghouse has been a registered nurse for 20 years. She sits on the Oregon State Board of Nursing, and is currently the president of the Oregon Federation of Nurses and Health Professionals, a 5800 member local representing nurses, techs, pros, dental hygienist, and lab pros in Oregon and SW Washington  
Adrienne has been a union steward and board member for the last 12 years and is dedicated to improving the working conditions, and getting contracts that are precedent setting and allow Alliance members to deliver the kind of care that they can be proud of.


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Executive Board Member

Eric Gill

Eric Gill is the Financial Secretary-Treasurer of UNITEHERE! Local 5, Hawaii’s hospitality, food service and healthcare workers union. A Local 5 member since 1976, Eric has led the 11,000-member union since 2000. In 2012, Eric and other Local 5 members joined with 90 community leaders to form AiKea, an alliance of community and civic organizations focused on building a social and political movement to improve the future of Hawai’i.



Executive Board Member

Sandra Flores

Sandra Flores is a Business Rep for the International of Union Operating Engineers (IUOE 501), for whom she has worked for eleven years. She's an organizer and a contract administrator. Sandra is skilled with training programs, familiar with Trust funds and implementing programs, and setting standards.

Prior to joining the labor movement, Sandra worked in a community-based non-profit work for 10 years.



IBT 166

Executive Board Member

Don Henley

I’m Don Henley, a proud Teamsters Local 166, for thirty one (31) years. As a Teamsters I understand and have always fought for what is right for our Membership, as a steward, trustee, and now a business representative for Kaiser Permanente in the San Bernardino/Riverside County. Being part of te Alliance of Health Care Unions (AHCU), I’m looking forward to finally working as a true Alliance that we will be looking out for our Union Brother and Sisters and membership of the AHCU.




Maureen Anderson

Julie Kwiek

Simone Zimmer

Christina Kaoh