| Four hospitals are featured, three of which  remain: St Joseph’s Hospital, torn  down in the late 1970’s; SW Washington Medical Center; Vancouver   Memorial Hospital,  and Legacy Salmon   Creek Hospital.  The upper border features the logos of SW Washington Medical Center, Kaiser  Permanente and Legacy Health System. The portraits are of Henry Kaiser and  Sidney Garfield. In 1938 Henry Kaiser joined Garfield  and established a group-practice pre-payment plan that soon included the shipyard  workers in Vancouver and San    Francisco. In 1945 membership opened to community  enrollment and by the 1950’s enrollment had surpassed 250,000 and  reorganization created the framework and foundation for Kaiser Permanente’s  present structure. By 1996, enrollment exceeded 7.4 million. |