The Permanente Federation Executive and Leadership Team

September, 2026

Leadership Overview

The Permanente Federation has 8 executives leading key functions including strategy, revenue, operations, administration, legal, and compliance.

Committed to advancing high-quality care, The Permanente Federation delivers integrated medical services to millions of members through a robust network of hospitals and clinics across the United States.

Leadership Roles at The Permanente Federation

  • Chief Executive Officer - Michelle Brochner
  • Research Chief Officer & Chief Revenue Officer - Douglas Corley
  • Director, Operations & Chief of Staff - Carly Marker
  • Associate Chief Administrative Officer - Keith Hoerman
  • Chief Legal Officer & Chief Compliance Officer - Katherine Saral
  • Associate Chief Administrative Officer - Heidi Crane
  • Associate Chief Administrative Officer & Registered, Nea-Bc Nurse - Kristina Flanagan
  • Support To Alexander Rakul Executive & Chief Administrative Officer - Mia Dorantes
  • Michelle Brochner - Chief Executive Officer

    Michelle Brochner, the Chief Executive Officer at The Permanente Federation, directs the overarching strategic vision for the entire healthcare network. Overseeing the delivery of Permanente Medicine, the Chief Executive Officer ensures that clinical excellence remains the primary focus across all member-facing operations. This leadership role involves constant collaboration with health plan partners to maintain high standards of patient care. By aligning organizational goals with the needs of 12.5 million members, Michelle Brochner drives sustainable growth and operational efficiency. The Chief Executive Officer manages complex relationships with hospital systems to guarantee seamless service delivery. Through rigorous oversight of medical standards, the Chief Executive Officer fosters a culture of innovation and accountability. Ultimately, the Chief Executive Officer secures the long-term viability of the healthcare system by prioritizing patient outcomes and clinical quality in every strategic decision made at the executive level.

    Douglas Corley - Research Chief Officer & Chief Revenue Officer

    Douglas Corley, the Research Chief Officer & Chief Revenue Officer at The Permanente Federation, manages the financial health and research initiatives of the organization. Overseeing revenue cycles and clinical research investments, the Research Chief Officer & Chief Revenue Officer ensures that fiscal resources support the expansion of medical capabilities. This leadership role involves analyzing market trends to optimize revenue streams while simultaneously advancing medical knowledge through data-driven research. By integrating financial planning with clinical research outcomes, Douglas Corley directly impacts the ability of the organization to provide cutting-edge care. The Research Chief Officer & Chief Revenue Officer coordinates with clinical leaders to ensure that research findings translate into improved patient services. Through careful management of fiscal assets, the Research Chief Officer & Chief Revenue Officer maintains the financial stability required to support a massive member base across diverse regional markets.

    Carly Marker - Director, Operations & Chief of Staff

    Carly Marker, the Director, Operations & Chief of Staff at The Permanente Federation, coordinates daily administrative functions and executive workflows. Overseeing operational efficiency, the Director, Operations & Chief of Staff ensures that internal processes align with the broader mission of delivering high-quality healthcare. This leadership role involves managing communication between the executive team and various clinical departments to streamline decision-making. By optimizing organizational workflows, Carly Marker supports the seamless execution of medical services across the entire network. The Director, Operations & Chief of Staff facilitates cross-functional projects that enhance operational agility in a competitive healthcare landscape. Through meticulous attention to detail, the Director, Operations & Chief of Staff maintains the structural integrity of the organization. This role remains vital for ensuring that executive directives translate into actionable improvements within the hospital and clinic systems, ultimately benefiting the millions of members served by the organization.

    Keith Hoerman - Associate Chief Administrative Officer

    Keith Hoerman, the Associate Chief Administrative Officer at The Permanente Federation, manages internal infrastructure and administrative support systems. Overseeing the logistical framework of the organization, the Associate Chief Administrative Officer ensures that clinical teams possess the necessary resources to deliver effective patient care. This leadership role involves streamlining administrative protocols to reduce overhead and improve service delivery speed. By focusing on internal process optimization, Keith Hoerman supports the broader goal of maintaining a high-performing healthcare environment. The Associate Chief Administrative Officer collaborates with department heads to identify bottlenecks and implement scalable solutions. Through the management of administrative workflows, the Associate Chief Administrative Officer drives efficiency across the network. This role ensures that the daily operations of the organization remain robust and responsive to the evolving needs of the healthcare system, thereby supporting the overall mission of providing superior medical care to all members.
    Katherine Saral, the Chief Legal Officer & Chief Compliance Officer at The Permanente Federation, directs all legal affairs and regulatory adherence protocols. Overseeing the complex landscape of healthcare law, the Chief Legal Officer & Chief Compliance Officer ensures that every clinical practice meets stringent national and state standards. This leadership role involves mitigating risk through proactive policy development and rigorous internal audits. By maintaining strict compliance, Katherine Saral protects the reputation and operational continuity of the organization. The Chief Legal Officer & Chief Compliance Officer advises the executive team on legal implications of strategic initiatives, ensuring that growth remains within regulatory boundaries. Through the implementation of robust compliance frameworks, the Chief Legal Officer & Chief Compliance Officer safeguards the interests of both the organization and the millions of members served. This role remains essential for navigating the legal complexities inherent in providing large-scale, integrated medical services.

    Heidi Crane - Associate Chief Administrative Officer

    Heidi Crane, the Associate Chief Administrative Officer at The Permanente Federation, manages human capital and organizational development initiatives. Overseeing workforce planning, the Associate Chief Administrative Officer ensures that the organization attracts and retains top-tier medical talent. This leadership role involves designing programs that foster professional growth and clinical excellence among staff members. By aligning human resources strategies with the mission of the organization, Heidi Crane drives a culture of high performance and patient-centered care. The Associate Chief Administrative Officer coordinates with clinical leadership to address staffing needs across the hospital network. Through the development of training and retention strategies, the Associate Chief Administrative Officer strengthens the internal capabilities of the organization. This role is critical for maintaining the high standards of Permanente Medicine, ensuring that the workforce remains equipped to handle the demands of a large and diverse patient population.

    Kristina Flanagan - Associate Chief Administrative Officer & Registered, Nea-Bc Nurse

    Kristina Flanagan, the Associate Chief Administrative Officer & Registered, Nea-Bc Nurse at The Permanente Federation, manages clinical nursing standards and patient care protocols. Overseeing the integration of nursing excellence into administrative policy, the Associate Chief Administrative Officer & Registered, Nea-Bc Nurse ensures that clinical practices reflect the highest standards of safety and efficacy. This leadership role involves bridging the gap between bedside care and executive strategy to improve patient outcomes. By leveraging clinical expertise, Kristina Flanagan drives initiatives that enhance the quality of care across the hospital network. The Associate Chief Administrative Officer & Registered, Nea-Bc Nurse collaborates with nursing leadership to standardize care delivery models. Through the application of clinical knowledge to administrative challenges, the Associate Chief Administrative Officer & Registered, Nea-Bc Nurse ensures that the organization remains a leader in patient-centered healthcare, ultimately supporting the health and well-being of millions of members.

    Mia Dorantes - Support To Alexander Rakul Executive & Chief Administrative Officer

    Mia Dorantes, the Support To Alexander Rakul Executive & Chief Administrative Officer at The Permanente Federation, manages executive communications and high-level administrative coordination. Overseeing the flow of information to the executive office, the Support To Alexander Rakul Executive & Chief Administrative Officer ensures that strategic priorities receive timely attention. This leadership role involves managing complex schedules and facilitating meetings that drive organizational progress. By maintaining clear lines of communication, Mia Dorantes supports the efficiency of the executive team. The Support To Alexander Rakul Executive & Chief Administrative Officer coordinates with various departments to ensure that administrative tasks align with the broader goals of the organization. Through the management of executive workflows, the Support To Alexander Rakul Executive & Chief Administrative Officer enables the leadership team to focus on critical strategic decisions. This role is essential for maintaining the operational rhythm of the organization, ensuring that executive objectives are met with precision and consistency.

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    Frequently Asked Questions Regarding The Permanente Federation Top Executives and Leadership Team

    Who leads The Permanente Federation?
    The Permanente Federation is led by Michelle Brochner (Chief Executive Officer), along with executives such as Douglas Corley (Research Chief Officer & Chief Revenue Officer) and Carly Marker (Director, Operations & Chief of Staff).
    Who is part of The Permanente Federation’s executive team?
    The executive team of The Permanente Federation includes leaders such as Michelle Brochner (Chief Executive Officer), Douglas Corley (Research Chief Officer & Chief Revenue Officer), Carly Marker (Director, Operations & Chief of Staff) and other senior executives.
    How many executives does The Permanente Federation have?
    The Permanente Federation has 8 executives leading key business areas.
    What roles are included in The Permanente Federation’s leadership team?
    The leadership team of The Permanente Federation includes roles such as Chief Executive Officer, Research Chief Officer & Chief Revenue Officer, Director, Operations & Chief of Staff, Associate Chief Administrative Officer, Chief Legal Officer & Chief Compliance Officer.