Kaiser Permanente is a large nonprofit health plan and health care provider serving 8.6 million members through 167,638 employees across 9 states and Washington D.C. It has 14,641 physicians, 40,451 nurses, 2,607 residents, and 36 hospitals. Kaiser Permanente uses social media like Twitter, blogs, YouTube and Facebook to protect and promote its brand, extend the reach of traditional media, and improve search engine results, with the goal of creating brand advocates.