The Permanente Federation Executive and Leadership Team

August, 2026

Leadership Overview

The Permanente Federation has 10 executives leading key functions including strategy, financial oversight, operational management, administrative governance, and legal compliance.

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

Leadership Roles at The Permanente Federation

  • Chief Executive Officer - Michelle Brochner
  • Chief Financial Officer - Jennifer Valentine
  • Chief Operating Officer - Mary Giswold
  • Director, Operations & Chief of Staff - Carly Marker
  • Research Chief Officer & Chief Revenue Officer - Douglas Corley
  • Chief Administrative Officer - Martin Zerr
  • Chief Legal Officer & Chief Compliance Officer - Katherine Saral
  • Associate Chief Administrative Officer - Keith Hoerman
  • Support To Alexander Rakul Executive & Chief Administrative Officer - Mia Dorantes
  • Associate Chief Administrative Officer - Heidi Crane
  • 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. By aligning clinical excellence with organizational goals, the Chief Executive Officer ensures that Permanente Medicine remains the standard for patient-centered care across all regional markets. This leadership role involves constant collaboration with the Board to optimize health outcomes for over 12.5 million members. Michelle Brochner manages the complex intersection of medical practice and health plan administration, driving initiatives that enhance system-wide efficiency. Through rigorous oversight of clinical standards, the Chief Executive Officer maintains the integrity of the care delivery model. Brochner fosters a culture of innovation, ensuring that the organization adapts to evolving healthcare demands while maintaining the foundational mission of providing accessible, high-quality medical services to diverse populations throughout the country.

    Jennifer Valentine - Chief Financial Officer

    Jennifer Valentine, the Chief Financial Officer at The Permanente Federation, manages the fiscal health and long-term economic sustainability of the organization. Overseeing capital allocation and budgetary planning, the Chief Financial Officer ensures that resources support the delivery of Permanente Medicine to millions of members. This role requires precise financial modeling to balance the costs of hospital operations with the necessity of maintaining affordable health plans. Jennifer Valentine directs the financial reporting processes, providing transparency to stakeholders and the Board regarding the economic impact of clinical initiatives. By optimizing revenue cycles and controlling operational expenditures, the Chief Financial Officer strengthens the financial foundation of the entire system. Valentine executes strategies that mitigate fiscal risk while enabling investments in medical technology and infrastructure, ultimately securing the resources required to sustain the expansive healthcare network across all operational regions.
    Jennifer Valentine

    Mary Giswold - Chief Operating Officer

    Mary Giswold, the Chief Operating Officer at The Permanente Federation, architects the daily operational workflows that sustain the delivery of Permanente Medicine. By streamlining processes across the vast network of hospitals and clinics, the Chief Operating Officer ensures seamless coordination between medical staff and administrative support teams. This leadership role involves managing the logistics of patient care delivery to maintain high standards of efficiency and safety. Mary Giswold oversees the integration of clinical services with health plan requirements, ensuring that operational output aligns with the needs of 12.5 million members. Through the implementation of standardized protocols, the Chief Operating Officer drives performance improvements across all regional facilities. Giswold monitors operational metrics to identify bottlenecks, executing solutions that enhance the overall patient experience and support the long-term scalability of the healthcare system within the competitive national landscape.
    Mary Giswold

    Carly Marker - Director, Operations & Chief of Staff

    Carly Marker, the Director, Operations & Chief of Staff at The Permanente Federation, coordinates the executive office activities and facilitates cross-departmental communication. By managing the flow of information to the leadership team, the Director, Operations & Chief of Staff ensures that strategic priorities receive immediate attention and resources. This role involves overseeing operational projects that bridge the gap between administrative policy and clinical execution. Carly Marker supports the alignment of organizational goals, ensuring that all departments work in concert to deliver Permanente Medicine effectively. Through the management of high-level initiatives, the Director, Operations & Chief of Staff drives organizational agility and responsiveness. Marker facilitates decision-making processes for the executive suite, ensuring that complex operational challenges receive thorough analysis. By maintaining clear communication channels, Marker enables the leadership team to focus on the core mission of providing superior healthcare services to the entire member base.

    Douglas Corley - Research Chief Officer & Chief Revenue Officer

    Douglas Corley, the Research Chief Officer & Chief Revenue Officer at The Permanente Federation, directs the integration of clinical research findings into the revenue-generating strategies of the organization. By analyzing medical data, the Research Chief Officer & Chief Revenue Officer identifies opportunities to improve care outcomes while simultaneously optimizing the financial performance of the health system. This dual-focused role requires balancing scientific advancement with the economic realities of providing care to 12.5 million members. Douglas Corley oversees the research pipeline, ensuring that evidence-based practices inform the clinical services delivered across all hospitals. Through the strategic management of revenue streams, the Research Chief Officer & Chief Revenue Officer supports the funding of future medical innovations. Corley drives the development of data-driven models that enhance the value proposition of Permanente Medicine, ensuring that the organization remains at the forefront of both clinical research and financial sustainability.

    Martin Zerr - Chief Administrative Officer

    Martin Zerr, the Chief Administrative Officer at The Permanente Federation, manages the internal infrastructure and organizational systems that support the delivery of Permanente Medicine. By overseeing human resources, facilities management, and administrative policies, the Chief Administrative Officer ensures that the organization operates with maximum efficiency. This role involves creating a stable environment where medical professionals can focus entirely on patient care. Martin Zerr directs the implementation of administrative frameworks that standardize operations across the entire network of hospitals and clinics. Through the optimization of internal processes, the Chief Administrative Officer supports the scalability of the healthcare system. Zerr coordinates with other C-suite leaders to ensure that administrative support aligns with the broader strategic goals of the organization. By fostering a robust administrative foundation, Zerr enables the system to maintain high standards of service for 12.5 million members across all operational regions.
    Martin Zerr
    Katherine Saral, the Chief Legal Officer & Chief Compliance Officer at The Permanente Federation, directs the legal strategy and regulatory adherence for the entire healthcare system. By ensuring that all operations comply with complex healthcare laws, the Chief Legal Officer & Chief Compliance Officer protects the organization from risk while enabling the delivery of Permanente Medicine. This role involves overseeing the legal framework for hospital operations and health plan administration. Katherine Saral manages the internal compliance programs, ensuring that all staff adhere to the highest ethical and legal standards. Through the proactive identification of regulatory challenges, the Chief Legal Officer & Chief Compliance Officer supports the long-term stability of the organization. Saral provides critical guidance to the Board and executive team, ensuring that all strategic initiatives remain within the bounds of legal requirements. By maintaining rigorous oversight, Saral secures the integrity of the healthcare network for all members.

    Keith Hoerman - Associate Chief Administrative Officer

    Keith Hoerman, the Associate Chief Administrative Officer at The Permanente Federation, supports the administrative functions that underpin the delivery of Permanente Medicine. By focusing on the optimization of internal support services, the Associate Chief Administrative Officer ensures that clinical teams have the resources necessary to provide high-quality care. This role involves managing specific administrative projects that enhance the efficiency of hospital operations. Keith Hoerman coordinates with the broader administrative leadership to implement policies that streamline workflows across the network. Through the careful management of operational support, the Associate Chief Administrative Officer drives improvements in organizational performance. Hoerman monitors the effectiveness of administrative systems, executing adjustments that support the needs of 12.5 million members. By maintaining a focus on operational excellence, Hoerman contributes to the overall stability and success of the healthcare system, ensuring that administrative processes remain aligned with the core mission of the organization.

    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, facilitates the administrative operations and executive support functions for the leadership team. By managing the complex requirements of the executive office, the Support To Alexander Rakul Executive & Chief Administrative Officer ensures that administrative goals remain on track. This role involves coordinating the activities that support the delivery of Permanente Medicine across the network. Mia Dorantes directs the administrative workflows that allow the leadership team to focus on strategic decision-making. Through the management of executive priorities, the Support To Alexander Rakul Executive & Chief Administrative Officer drives organizational alignment. Dorantes monitors the progress of key administrative initiatives, ensuring that all tasks support the broader mission of the healthcare system. By providing essential support, Dorantes enables the leadership to maintain the high standards of care expected by 12.5 million members.

    Heidi Crane - Associate Chief Administrative Officer

    Heidi Crane, the Associate Chief Administrative Officer at The Permanente Federation, manages the administrative logistics that support the delivery of Permanente Medicine. By focusing on the integration of support services, the Associate Chief Administrative Officer ensures that the healthcare network operates with consistency and efficiency. This role involves overseeing the administrative systems that facilitate patient care across the vast network of hospitals and clinics. Heidi Crane directs the implementation of policies that improve the internal functioning of the organization. Through the management of administrative resources, the Associate Chief Administrative Officer supports the strategic goals of the leadership team. Crane coordinates with other departments to ensure that administrative support aligns with the needs of 12.5 million members. By maintaining a focus on operational excellence, Crane contributes to the overall stability of the healthcare system, ensuring that administrative processes remain effective and responsive to the evolving demands of the medical field.

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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 Jennifer Valentine (Chief Financial Officer) and Mary Giswold (Chief Operating Officer).
    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), Jennifer Valentine (Chief Financial Officer), Mary Giswold (Chief Operating Officer) and other senior executives.
    How many executives does The Permanente Federation have?
    The Permanente Federation has 10 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, Chief Financial Officer, Chief Operating Officer, Director, Operations & Chief of Staff, Research Chief Officer & Chief Revenue Officer.