Kaiser Permanente denied the requests of thousands of employees to receive a religious exemption to the company's COVID-19 vaccine mandate, eventually terminating many employees. Kaiser Permanente scored a 95 out of 100 on the 2023-2024 Corporate Equality Index (CEI) from the Human Rights Campaign (HRC), a political stakeholder group. By complying with the HRC’s controversial demands, Kaiser Permanente increases the risk of dividing employees, alienating customers and harming shareholders. It also uses sex and gender ideology criteria in employee recruitment, vendor selection, marketing, and philanthropic support. Kaiser Permanente forces employees to undergo multiple ideological trainings and uses its reputation, corporate funds, and political influence to support controversial sex and gender ideologies, organizations, and legislation. The company provides a benefits package for employees which covers travel/lodging costs for an abortion and transgender medical procedures for covered employees and dependents, including children. Kaiser Permanente has demonstrated a clear ideological bias in its provision of medical care and provides puberty blockers to minors. The company's medical benefits cover puberty blockers (even if they are minors), hormone therapy treatment, and gender reassignment surgeries for its employees and their children. After the events of 2020, Kaiser Permanente published annual report on DEI that stated, "Kaiser Permanente reaffirmed our commitment to advance equity and address systemic racism for our members, communities, employees, and physicians." Kaiser Permanente signed an open letter in support of the Equality Act, a controversial bill and in 2019 ran an ad featuring a "Drag Queen Story Hour" attended by children. The company has published statements voicing support for transgender ideology and related medical treatments. Kaiser supports ESG within its business practices. The company states "We continue active engagement with our investment partners on ESG elements, and ESG dimensions are increasingly present in investment decision-making, which is done solely in the interest of participants and beneficiaries". The company's CEO is a member of the Business Roundtable. Kaiser Permanente signed the Health Sector Climate Pledge, committing itself to achieve net zero emissions by 2050. Signatories are expected to develop and release a climate resilience plan and appoint a corporate executive to oversee its implementation. The company's CEO, Greg A. Adams, signed the CEO Action for Diversity & Inclusion pledge, which includes a commitment to promote DEI through bias education training in the workplace. Kaiser Permanente has 4 medical centers which also received a perfect score on the HRC Healthcare Equality Index. This indicates, among other things, the medical centers "offer transgender-inclusive healthcare benefits to their employees", which includes coverage for hormone replacement therapy, puberty blockers (even for minors), and gender reassignment surgeries. The company dedicated $25 million in grant funding to nonprofits working to "dismantle discriminatory institutional practices, structures, and public policies". Kaiser Permanente has pledged support to Black Lives Matter and related causes. The company is a corporate partner of the NGLCC. Kaiser Permanente is a member of the MCCA, indicating its focus on recruiting, retaining, and promoting employees based on race. For these reasons, Kaiser Permanente receives a High Risk rating.