Caring for Profit

Violations

Click here for individual Violation Tracker profiles of companies related to the 'Caring for Profit' Project.

Information in this section is drawn from the Violation Tracker database produced by the Corporate Research Project of Good Jobs First in Washington DC. It is the most comprehensive source of data on business violations of laws and regulations in the United States. For specific examples of misconduct, please click on the links.

Stories

Article Archive

UK: Privatisation Fails: Care Work

Published by
We Own It
|

In the last 20 years, care work and care homes have been privatised while council budgets have been slashed. The vast majority of both home care and residential care in England is now provided by private companies.

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France: How nursing homes became more profitable than supermarkets

Published by
Challenges
|
By
Laure Croiset
|

Dans le numéro de "Pièces à conviction" diffusé ce jeudi soir à 23h25 sur France 3, Xavier Deleu a mené une enquête révélant les secrets du juteux business des maisons de retraite. Dans son viseur: les groupes Korian et Les Opalines. 

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Videos & Podcasts
USA: Dialysis: Last Week Tonight with John Oliver (HBO)
France: Cash Investigation looks at the business of private nursing homes
France: Care homes, life insurance, tax evasion and state complicity
Spain: Capitalism Kills: The CIG Union Protests on World Day for Safety and Health in Labor
France: Retirement homes: behind the facade
Europe: Grey gold — The billion Euro business of elder care

 

Books

Activism

Recent & Ongoing Campaigns
Spain: Galicia: The staff of private nursing homes intensify protests and actions to make the strike visible

Confederación Intersindical Galega (CIG) | March 21, 2022

Since the start of the strike last Thursday the 17th, the staff of the residences have been taking the lead in protests to take to the streets a conflict that goes beyond being strictly labor, as it is a sector that fulfills an important social obligation, that is the care of the elderly.

Spain: CCOO union is protesting to demand a 6.5% pay rise as part of the dependency sector agreement

Marta Alonso | IFOMO | March 3, 2022

The union has announced that it will continue its efforts until it achieves an update of the salary adjustments for 2022, for the sake of improving the working and economic conditions of the workers "to get them out of the situation of precariousness and working poverty in which they find each other".

Portugal: Complaints of low wages in the private hospital sector

Confederação Geral dos Trabalhadores Portugueses | July 2, 2021

The protest and struggle for better wages and for the negotiation of collective bargaining in the private hospital sector was brought to the door of three institutions: Hospital da Luz, in Póvoa de Varzim, belonging to the Luz Saúde Group, Casa de Saúde São Lázaro, in Braga, and Hospital Lusíadas, of Grupo Lusíadas, also in Braga.

France: Day of strikes and demonstrations in the health sector

Info Chalon | June 15, 2021

A call to strike and to demonstrate was launched for all employees in the associations, The Safeguard 71, AMEC, Papillons Blancs, the Prado, the Bridge, ADFAAH, the PEP71... the French Red Cross, the private nursing homes of Korian, Domusvi, the public hospital services and all private health establishments.

Germany: Hospitals back into public hands!

Rosa Luxemburg Stiftung | June 8, 2021

Job cuts, outsourcing or wage cuts are part of everyday life here. For profit-oriented hospital groups, rather profits and dividend payouts to their shareholders are their top priority, as opposed to health care or good working conditions.

Protests and strikes by hospital workers in Germany

Markus Salzmann | World Socialist Web Site (WSWS) | May 17, 2021

While workers are threatened with layoffs, poor wages and working conditions, the health companies are posting record profits. For the big hospital operators like Helios or Asklepios, 2020 was extremely profitable.

Spain: Protest actions in Galicia against the privatization of care

Xaquín Pastoriza and Paula Quinteiro | Poder Popular | June 13, 2020

Under the name of Civic Marches, it was a tribute to all the victims who died in nursing homes in Galicia during the coronavirus crisis while denouncing the model of privatization of care (residences, day centers, care at home, dependency care) that exacerbated the health crisis.

French Nursing Homes Employees Protest Pay, Conditions

VOA | May 26, 2020

Employees of a major group of French nursing homes on Monday took part in protests across France to call for better pay amid the coronavirus crisis.

Spain: Workers from private residences in the Balearic Islands demonstrate to achieve better working conditions

Unión Sindical Obrera | April 12, 2019

Workers from private residences for the elderly in the Balearic Islands, from the Domusvi and Grupo 5 companies, demonstrated yesterday in front of the Can Carbonell nursing home, in the Mallorcan municipality of Marratxí, to demand improvements to their working conditions.

Germany: Nursing emergency: Hamburg wants a referendum for more staff

Heinz Willemsen | Marx 21 | May 18, 2018

Meike Saerbeck is a nurse at the private Asklepios Klinik St. Georg. Florian Stender works for a health insurance company. Both are active in the "Hamburg Alliance for More Staff".

Switzerland: Privatization of public hospitals: No way! Joint hospital group: Yes, but!

VPOD | August 16, 2016

Private hospital groups such as Genolier, Hirslanden or the German companies Fresenius, Rhön or Ameos are in the early stages of securing the profits of the healthcare system in Switzerland. The VPOD union demands that the two cantonal governments do not allow themselves to be turned into henchmen of private investors...

UK: NHS 'People's March' protests: Thousands join London's new 'jarrow march' in demonstrations against health cuts

Charlie Cooper and Serina Sandhu | The Independent | September 7, 2014

Only last week, three companies – Spire, Circle and Ramsay Health – announced large year-on-year increases in their NHS income. Spire, which has 35 clinics and hospitals which offer NHS-funded care, took £117m of NHS money in the first half of this year – up 29 per cent.


Campaign Groups

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Privatization
UK: NHS privatisation drive linked to rise in avoidable deaths, study suggests

Andrew Gregory | The Guardian | June 29, 2022

It shows the growth in health contracts being tendered to private companies has been associated with a drop in care quality and higher rates of treatable mortality – patient deaths considered avoidable with timely, effective healthcare.

The privatisation of the care home sector in Belgium

Maria Cecilia Trionfetti and Natalia Hirtz | European Network of Corporate Observatories (ENCO) | January 18, 2022

Since the 1990s, three decisive factors have led to a radically changed landscape: the for-profit sector’s encroachment on the public and non-profit sector; several major investment groups’ domination over the sector, to the detriment of smaller companies; the growing presence of property investment players and the injection of government funds into the for-profit sector.

UK: The Private Sector Will Destroy the NHS, Not Save It

Jatinder Hayre | Jacobin | January 16, 2022

NHS data shows that the private sector, under the 2020 deal, cared for just 0.08 percent of COVID-19 patients during the pandemic. On average, that means the entire private sector cared for eight COVID patients a day between March 2020 and March 2021. The NHS, meanwhile, averaged ten thousand a day.

In the midst of a pandemic, WHO is full of praises for the private for-profit healthcare sector

Rachel Knaebel | European Network of Corporate Observatories (ENCO) | October 14, 2021

"It becomes even more worrisome that it is issued during the Covid-19 pandemic, which has shown that well-financed public healthcare is the only bulwark for realising the right to health”, Baba Aye, Health & Social Services Officer at Public Services International, wrote in a statement on May, 27th, 2021.

The political connections behind the rise of privatised care ’champions’ in France

Olivier Petitjeun | European Network of Corporate Observatories (ENCO) | October 14, 2021

A slow process of privatisation and liberalisation, along with the ageing of the European population and the growing demand for elderly care, have opened up a new multi-billion euro market which is increasingly dominated by a handful of increasingly larger corporate groups.

UK government accelerates National Health Service privatisation under the cover of the pandemic

Sanya Perera | World Socialist Web Site | April 13, 2021

Having signed up to NHS England’s deals awarding an eyewatering £10 billion to private companies, Spire’s profits, along with more than 90 other providers, are guaranteed for the next four years.

Germany: The Covid-19 pandemic and the privatization of the healthcare system

Reinhard Jellen | Heise Online | March 29, 2021

Other private investors from Switzerland, France and the Netherlands such as Ardian, Orpea, Korian, Atos, Diaverum, Omnicare, Sanoptis, Synlab, Colosseum Dental Group, Alloheim, Linimed and Ameos bought specialist clinics, nursing homes, nursing services, medical practices and laboratory chains together across Europe.

Germany: The Privatization of Health Care: The "Hospital Monopoly" of Aging Patriarchs

Harald Weinberg | ND Aktuell | July 19, 2020

Now you have to understand that the structural change of the past few years has already led to the result that more than every third hospital is privately owned (37 percent). Since reunification, this share has more than doubled (1991: 15 percent, see chart).

The creeping privatisation of healthcare: Problematic EU policies and the corporate lobby push

Rachel Tansey | Corporate Europe Observatory (CEO) | June 2, 2017

Squeezing profits for shareholders out of health services risks deteriorating working conditions; worse pay, reduced staff levels, greater workloads, more stress, all of which negatively impact on safety and quality of care.

Catalonia: Concern in the Department of Health about the monopoly of private health

Àngels Gallardo | El Periódico | September 15, 2016

The situation of virtual monopoly created in the private health offer in Catalonia, until now in the hands of the IDC Salud group, previously in those of the QuironSalud group and, for a week, owned by the German group Fresenius Helios, worries those responsible in the Health Department...

'Fraud' and 'cover-up' exposed in failing semi-privatised Irish healthcare

Jo Murphy-Lawless | Open Democracy | August 19, 2014

The growth in unaccountable private hospitals, Big Pharma’s protected presence in Ireland, and a rapacious private health insurance industry, and the very best paid consultants and managers. All of these have benefitted from the supposedly ‘non-political’ structures set up in recent years to oversee health provision.

UK: Unhealthy Influence: The Rise of the NHS Partners Network

Andrew Robertson | Corporate Watch | March 21, 2013

The transformation of a small private healthcare trade association into a powerful and influential lobby group provides a clear indication of the direction the NHS has taken. Today the NHS Partners Network has some of the most powerful private healthcare companies as members and is a trustee on the NHS Confederation board.


Major Investigations
& Lawsuits
UK: Care homes: Following the money trail

James Melley and Alison Holt | BBC | December 6, 2021

Three of the UK's biggest care home groups are owned by private equity companies and are saddled with significant amounts of debt. BBC Panorama has been looking at what this means for people living and working in the homes run by two of those groups, and for the future of care in this country.

In Germany, founders of private hospital companies are bankrolling the pro-business party FDP

Rachel Knaebel | European Network of Corporate Observatories (ENCO) | October 10, 2021

In the past ten years, the FDP received significant amount of funding from men and companies who have played a key role in the emergence of large for-profit hospital groups in Germany.

Investigation: Care homes as profit machines for corporations and investors

Nico Schmidt and Harald Schumann | Investigate Europe | August 24, 2021

At the same time, the financial jugglers often only employ as many nursing staff as required by law. According to Alloheim, 60 percent of the income goes to the home staff. The company explains that this is “within the usual industry limits”.

Europe: Grey gold — The billion Euro business of elder care

Investigate Europe | July, 2021

The Covid-19 pandemic caused an escalation of the already dire circumstances in many countries. But while there is a shortage of care workers almost everywhere given the ever-growing number of people in need, international corporations and financial investors are making huge profits.

Belgium: Investigation: Do some nursing homes take advantage of our seniors' money?

Anne-Catherine Croufer | RTBF | January 26, 2021

They are mostly multinationals, generally listed on the stock exchange, held by pension or investment funds or even holding companies of large industrial families. The best known on the market are Korian, Senior Living Group, Orpea, Armonea, Vulpia, Le Noble Age, etc. Their goal: to make a profit.

USA: Kidney Dialysis Is a Booming Business—Is It Also a Rigged One?

Carrie Arnold and Larry C. Price | Scientific American | December 14, 2020

By gobbling up individual clinics, one by one, the companies could avoid federal oversight of corporate mergers, which generally only kick in when an acquisition is valued over a certain amount. Before 2001, that threshold was $15 million. Today, it sits at $94 million.

Spain: The other big business with residences: investment funds and real estate allocate hundreds of millions to buy nursing homes

Manuel Rico | Info Libre | May 11, 2020

But there is a second, less visible business that has grown strongly in the last three years: old people's homes. Real estate investment in the facilities where our elderly are cared for.

Spain: Who rules over the privatized health services in Madrid?

Miguel Mora | Contexto y Acción | May 10, 2020

Díaz Ayuso protects companies that do business with health since Aguirre dismantled the public system. Florentino Pérez, the German group Fresenius and the Dutch DIF are the great beneficiaries of this policy.

84% of care home beds in England owned by private firms

Denis Campbell | The Guardian | September 19, 2019

More than eight out of 10 care home beds are provided by profit-driven companies, including more than 50,000 by large operators owned by private equity firms, research reveals.

USA: Whistleblower alleges DaVita, Fresenius involved in kickback scheme

Shelby Livingston | Modern Healthcare | August 2, 2019

A whistleblower has alleged that DaVita Kidney Care and Fresenius and charity organization American Kidney Fund were involved in a years-long kickback scheme in which patients were incentivized to use only those dialysis providers who donated to the charity.

Portugal: "Impermissible promiscuity": Left Bloc asks for clarification on PPP hospitals in Cascais and Loures

Esquerda | May 16, 2019

The Left Bloc's request also refers to Hospital Beatriz Ângelo de Loures (HBA), from where it received complaints from "patients who are transferred from Hospital da Luz to the HBA after undergoing complicated surgeries or hospitalizations, in order to continue the treatments, once the limits of insurance were exhausted".

UK: Inadequate care at three luxury homes owned by high-end care providers Barchester, HC-One and Bupa

Sarah Whitebloom | Older Living Matters | November 27, 2018

Despite being owned by three of the best known care groups in the UK, the homes – HC-One’s Pytchley Court in Northampton, Barchester’s Sherwood Lodge in Preston and Bupa’s Battersea-based Meadbank - have each recently been awarded the worst possible rating of ‘Inadequate’ following investigations by teams of CQC inspectors.


Employment Practices
& Relations
France: Abuse in nursing homes: 140 complaints under examination against Orpea, Korian and Domusvi

West Observer | May 13, 2022

At least 140 complaints have been filed against the managers of Orpea, Korian and Domusvi nursing homes in ​​recent years and are still being examined to this day, according to the count made by franceinfo on Friday May 13.

France: After the Orpea affair, the model of lucrative private nursing homes called into question

Véronique Chocron | Le Monde | February 10, 2022

From the strengthening of state controls to the pure and simple disappearance of the for-profit sector, the proposals are multiplying.

USA: Complaint Alleges California Dialysis Providers—Including Fresenius—Discriminate Against Latino and Asian Patients

UNI Global Union | January 12, 2022

The complaint, submitted to the department’s Office for Civil Rights, details how the dialysis providers disproportionately subjected Latino and Asian American patients to unsafe and potentially lethal dialysis treatment at a rate approximately 50 per cent higher than that of their white counterparts.

How much money the UK’s four biggest care homes make and how much they pay their staff

Marc Shoffman | iNews | December 3, 2021

The four largest for-profit care home providers are owned either by private equity companies, hedge funds or offshore investment firms.

Portugal: "Greed and Profit Virus" dominates private health groups

Confederação Geral dos Trabalhadores Portugueses | October 19, 2021

The Employers' Association of Private Hospitalization (APHP), which represents, among others, Luz Saúde, CUF and the Lusíadas Group, continues to incessantly seek the withdrawal of workers' rights so that they have even more profits.

Portugal: The Directorate-General for Social Protection for Workers in the Public Sector (ADSE) Council calls exclusions announced by CUF and Luz Saúde "unethical"

Maria Caetano | Diário de Notícias | September 7, 2021

ADSE's General and Supervisory Board considers it "unacceptable and unethical" that the CUF and Luz Saúde groups exclude treatments and surgeries previously scheduled for dates after the entry into force of new price lists, which took place on September 1.

France: Korian, DomusVi: in nursing homes, anti-union repression is in full swing

Cécile Rousseau | L'Humanite | October 1, 2020

Employees of several nursing homes of the Korian and DomusVi groups call out union-busting tactics, which have gone as far as dismissals.

Spain: Privatized hospitals in Madrid force chronic patients to pay to send their medicines home

Sofía Pérez Mendoza | El Diario | April 11, 2020

Privatized hospitals in Madrid are forcing some chronic patients to pay to send their medications home if they decide not to go to the center to pick them up in order to avoid risks. The patients must hire the courier service themselves and bear the costs.

Australia's biggest private health insurers illegally rejected thousands of claims

Christopher Knaus | The Guardian | July 7, 2020

In 2016, another major insurer, Bupa, admitted it had rejected 7,740 claims without a doctor’s review in the five years before that date. The insurer had spent years falsely telling customers their rejections had been “determined by a medical practitioner”.

Spain: Slavery-like-conditions in 29 elder care homes, according to family members and workers

Galicia Press | June 28, 2019

The workers argue that they have denounced "cuts in labor rights or illegal practices" on several occasions to the Regional Government of Galicia. Given the administrative passivity, they denounce the "complicit" attitude with the "slave-owning" practices of the DomusVi emporium, whose headquarters in Spain are located in Vigo.

UK private care homes facing closure

Barry Mason | World Socialist Web Site (WSWS) | December 7, 2015

Private care home providers exist to make profit, not to fulfil a social need and if a profit cannot be made providers will withdraw. Between October 2014 and March 2015, for the first time in the UK, the number of closures exceeded the number of new openings of care homes with a net loss of 3,000 beds.


 
Covid-19
Private UK care homes’ profit margins soared in pandemic, research finds

Shanti Das | The Guardian | July 24, 2022

The UK’s biggest care home chains saw their profit margins jump by 18% on average during the pandemic, new research shows, while the highest paid director’s salary surged to £2.3m.

Portugal: Private hospitals continue to charge Covid fees, with rates reaching 150 euros

Beatriz Madaleno de Assunção | CNN Portugal | June 10, 2022

The Health Regulatory Authority (ERS) confirmed, in May 2020, the right of private healthcare providers to include the extra related to the price of personal protective equipment (PPE) in the costs charged to patients. However, two years have passed and the country is no longer in a state of emergency, but companies continue charging these fees.

Europe: Covid-19 didn’t cause the care crisis—privatisation did

Rosa Pavanelli | Social Europe | March 8, 2022

Across the world, public funding is extracted from our care systems and diverted into offshore bank accounts or transformed into massive dividends—while patients suffer and workers are left exhausted, under-resourced and unable to do their jobs properly.

Germany: "Divi-Gate": suspected fraud in hospitals still unsolved

MDR Aktuell | December 29, 2021

The Federal Audit Office even presented a report in June in which it supported the suspicion of fraud... Helios Kliniken in particular stands out: During the pandemic, almost 170 million euros flowed into the group’s 20 hospitals in central Germany, 31 million euros into the Helios clinic in Erfurt alone.

Australia: Competition watchdog puts profiting private health insurance funds on notice

Stephanie Dalzell | ABC News | December 9, 2021

Australia's competition watchdog has put private health insurers on notice, warning they must follow through on a promise to pay back any profits gained on the back of Covid-19 lockdowns and restrictions.

Top investors to call for improved working conditions in care homes

Elizabeth Howcroft | Reuters | March 31, 2021

A group of investors managing a collective $3 trillion in assets will call on operators of nursing homes to improve pay and working standards for care workers, noting the “devastating outcomes” of the Covid-19 pandemic on the industry.

Europe: Health privatization translates into more deaths from covid, according to report

Swiss Info | January 27, 2021

The gradual privatization of healthcare in the European Union (EU), accompanied by austerity policies, contributed to a higher number of deaths from covid-19, according to a new report published this Wednesday by the pressure group Corporate Europe Observatory (CEO).

Spain: A complaint of 19 relatives against six care homes in Madrid is on its way

Público | January 5, 2021

Relatives consider them responsible for alleged crimes of reckless homicide, reckless injuries, omission of the duty to help and prevarication for their management during the first state of alarm due to the coronavirus pandemic.

Portugal: Pregnant women who test positive for covid-19 are refused in private hospitals

Público | September 10, 2020

Hospital da Luz also only guarantees scheduled deliveries to infected women at the Lisbon unit.

In Spain, the tragedy of nursing homes is attributed to several French companies

Laura Guien | Sin Permiso | June 12, 2020

According to an investigation by our editorial partner infoLibre, the Orpea group appears on the black list of residences in Madrid. As of March 30, of the fifteen most affected nursing homes in the region, three belong to this group.

France to investigate elderly care homes after coronavirus deaths

Christina Okello | RFI | May 21, 2020

The probes come after several families filed complaints about the treatment provided to their loved ones during the coronavirus pandemic after four elderly residents died in care, adding to the mounting death toll in France's retirement homes.

Spain: The Ministry of Health orders intervention in the Oasis and DomusVi residences to contain the spread of COVID-19

Europa Press | April 11, 2020

As reported by the Minister of Health and Consumption, Patrícia Gómez, this decision has been adopted after verifying that the actions carried out by these centers in order to control the spread of the disease have been "insufficient" and a high number of both residents and workers have tested positive...

Financials

Tax Havens & Evasion
UK: Virgin Care among firms with lucrative NHS deals and a tax haven status

Daniel Boffey | The Guardian | March 21, 2015

"Although Spire has been reconstituted during 2014 as a UK stock exchange-quoted company, it is still controlled by a Guernsey-based private equity operation, while Bio Products Laboratory Holdings is owned from the Cayman Islands by Bain Capital, another private equity fund."

An Unhealthy Business: Major Healthcare Companies Use Tax Havens to Avoid Millions In UK Tax

Corporate Watch | March 17, 2012

Spire Healthcare, the UK’s second largest private healthcare company, is channelling £65m a year through a Luxembourg subsidiary of Cinven, its private equity owner, almost wiping out its taxable UK earnings.

Major Projects
UK: Unison warns against Hinchingbrooke franchise bidders

Hunts Post | November 1, 2020

Unison claims private companies delivering NHS healthcare have a history of failing to deliver the services they have been paid for.

French retirement home companies export to China

20 Minutes | June 7, 2014

DomusVi (number three in the sector in France) signed a partnership agreement with Hanfor, a Chinese investment fund, creating the company Duomei, in order to manage 100 retirement homes and 20 home healthcare agencies in China in five years time.

Procurement

Portugal: Private healthcare companies demand millions from the state for pandemic losses

Esquerda | February 2, 2022

According to Jornal de Notícias (JN), the Luz Saúde group has already submitted a request for financial rebalancing to the Regional Administration of Lisbon and Tagus Valley (ARS LVT). In the absence of a response, the private group will resort to the justice system.

Portugal: How public health feeds private health

Cláudia Marques Santos | Setenta e Quatro | December 17, 2021

In 2019, of the State Budget for Health for the purchase of goods and services, in the amount of 10.9 million euros, more than half (53%), that is 5.8 million, was destined for purchases to the private sector.

UK: Private hospitals get mega-bailout from the NHS

Solomon Hughes | Morning Star | September 20, 2020

The privateers facing a huge loss of business because of Covid-19 were happy to snaffle up a ‘cash positive’ deal thanks to block booking of beds, whether they were used or not.

Australia: The policy scandal of a $11b taxpayer subsidy to private health insurance.

John Menadue | Pearls and Irritations | January 15, 2016

Yet the government allows itself to be led by the nose by the rent-seekers in the PHI sector and private hospitals. Their case is threadbare, but their political clout is considerable. Ramsay Healthcare is a major donor to the Liberal Party. They secretly play to their political connections all the time. Ramsay paid its CEO $34m in 2014.

Europe: Even after the Covid pandemic, ever more public money for the private care sector?

Olivier Petitjean | European Network of Corporate Observatories (ENCO) | January 18, 2022

And yet – in spite of the infamous record of private elderly homes and of the widespread calls for new investment in public health systems – Europe’s private care giants might actually emerge stronger, richer and more powerful from the Covid pandemic.

UK: EXCLUSIVE: Private hospitals were paid over £1.5 billion during the pandemic

Good Law Project | November 3, 2021

Ramsay Health Care, which operates 34 UK hospitals and treatment centres, won contracts worth up to £380m. Its general counsel previously worked for the Department of Health and Social Care between 2008 and 2013.

UK: The privateers eating our health service

Solomon Hughes | Morning Star | April 27, 2017

So Ramsay, one of Britain’s larger private hospital firms, isn’t really private at all. Nearly four out of five patients actually come from the NHS, thanks to privatisation. Ramsay’s £422 million annual turnover relies on a huge injection of NHS cash — far more than private health insurance.

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