The Permanente Federation Executive and Leadership Team

October, 2026

Leadership Overview

The Permanente Federation has 9 executives leading key functions including strategy, operations, revenue management, legal compliance, and administrative oversight.

Committed to advancing high-quality care, The Permanente Federation delivers Permanente Medicine to over 12.5 million members through a robust, integrated health system that prioritizes patient outcomes and clinical excellence.

Leadership Roles at The Permanente Federation

  • Chief Executive Officer - Michelle Brochner
  • Senior Director and Chief of Staff - Michaela Hoffman
  • Research Chief Officer & Chief Revenue Officer - Douglas Corley
  • Director, Operations & Chief of Staff - Carly Marker
  • Vice President, Chief Legal Officer - Betsy Vo
  • Associate Chief Administrative Officer - Heidi Crane
  • Associate Chief Administrative Officer - Keith Hoerman
  • Chief Legal Officer & Chief Compliance Officer - Katherine Saral
  • 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 Permanente Medicine network. Overseeing the integration of clinical practices across diverse regional markets, the Chief Executive Officer ensures that the health system maintains consistent standards of care for over 12.5 million members. This leadership role involves constant collaboration with the Kaiser Foundation Health Plans to align medical delivery with long-term organizational goals. By fostering innovation in patient-centered care models, Michelle Brochner drives the expansion of clinical capabilities throughout the United States. Brochner maintains a focus on operational efficiency and the sustainability of the medical group, ensuring that the organization remains a leader in the healthcare industry while navigating complex regulatory environments and evolving patient needs.

    Michaela Hoffman - Senior Director and Chief of Staff

    Michaela Hoffman, the Senior Director and Chief of Staff at The Permanente Federation, manages the daily execution of executive priorities and organizational workflows. Coordinating cross-functional initiatives, the Senior Director and Chief of Staff facilitates communication between leadership teams to ensure seamless operational alignment. This role involves synthesizing complex data into actionable insights that support the broader mission of delivering Permanente Medicine. Michaela Hoffman optimizes internal processes to enhance productivity across the federation, allowing the executive team to focus on high-impact clinical and administrative goals. By streamlining decision-making protocols, Hoffman strengthens the organizational structure, ensuring that resources are allocated effectively to support the health system's expansive member base. Hoffman remains dedicated to maintaining high standards of operational excellence throughout the entire enterprise.

    Douglas Corley - Research Chief Officer & Chief Revenue Officer

    Douglas Corley, the Research Chief Officer & Chief Revenue Officer at The Permanente Federation, architects the financial strategies that sustain the organization's clinical research and medical delivery systems. Overseeing revenue cycle management, the Research Chief Officer & Chief Revenue Officer ensures the fiscal health of the federation while simultaneously directing large-scale research initiatives that inform future medical practices. This dual-focus role requires balancing immediate financial performance with long-term investments in clinical innovation. Douglas Corley collaborates with regional leaders to optimize billing processes and funding models, directly impacting the ability of the system to provide high-quality care. By leveraging data-driven insights, Corley enhances the financial stability of the organization, ensuring that resources remain available for critical medical advancements that benefit the entire member population.

    Carly Marker - Director, Operations & Chief of Staff

    Carly Marker, the Director, Operations & Chief of Staff at The Permanente Federation, manages the tactical implementation of operational policies across the health system. Overseeing the coordination of administrative functions, the Director, Operations & Chief of Staff ensures that clinical teams possess the necessary support to deliver Permanente Medicine effectively. This role involves managing complex projects that span multiple regions, requiring precise attention to detail and strong organizational oversight. Carly Marker facilitates the alignment of operational goals with the broader mission of the federation, ensuring that all departments function in harmony. By refining internal workflows and communication channels, Marker improves the overall efficiency of the organization. Marker consistently drives improvements in service delivery, ensuring that the health system remains responsive to the needs of its 12.5 million members.
    Betsy Vo, the Vice President, Chief Legal Officer at The Permanente Federation, directs the legal strategy and risk management framework for the entire organization. Overseeing all corporate legal affairs, the Vice President, Chief Legal Officer ensures that the federation adheres to complex healthcare regulations while protecting the interests of the medical group. This role involves providing counsel on governance, contract negotiations, and liability mitigation to support the safe delivery of Permanente Medicine. Betsy Vo collaborates with executive leadership to navigate the legal landscape of the healthcare industry, ensuring that all initiatives remain compliant with federal and state laws. By establishing robust legal policies, Vo safeguards the reputation and operational integrity of the federation. Vo provides the necessary legal foundation for the organization to pursue its mission of providing high-quality care.

    Heidi Crane - Associate Chief Administrative Officer

    Heidi Crane, the Associate Chief Administrative Officer at The Permanente Federation, manages the administrative infrastructure supporting clinical operations. Overseeing the implementation of internal policies, the Associate Chief Administrative Officer focuses on optimizing the administrative support systems that enable physicians to provide care. This role involves managing resource allocation and personnel workflows to ensure that the federation operates with maximum efficiency. Heidi Crane collaborates with other administrative leaders to standardize processes across different regions, fostering a cohesive environment for medical staff. By streamlining administrative tasks, Crane reduces the burden on clinical teams, allowing for a greater focus on patient outcomes. Crane drives the development of administrative best practices that support the long-term growth and stability of the health system, ensuring that the organization remains well-positioned to serve its members.

    Keith Hoerman - Associate Chief Administrative Officer

    Keith Hoerman, the Associate Chief Administrative Officer at The Permanente Federation, directs the strategic planning of administrative services to enhance organizational performance. Overseeing the integration of technology and administrative support, the Associate Chief Administrative Officer ensures that the federation maintains a high level of operational readiness. This role involves managing the logistics of large-scale administrative projects that support the delivery of Permanente Medicine. Keith Hoerman works closely with regional leadership to identify opportunities for process improvement and cost-effective management. By implementing scalable administrative solutions, Hoerman supports the overall mission of the federation, ensuring that resources are utilized to improve the patient experience. Hoerman remains focused on building a resilient administrative framework that can adapt to the changing demands of the healthcare industry and the needs of the member base.
    Katherine Saral, the Chief Legal Officer & Chief Compliance Officer at The Permanente Federation, architects the compliance programs that ensure the organization meets all regulatory standards. Overseeing the intersection of legal requirements and clinical practice, the Chief Legal Officer & Chief Compliance Officer monitors adherence to healthcare laws and internal policies. This role involves conducting audits, managing risk assessments, and providing guidance on ethical standards to ensure the integrity of the medical group. Katherine Saral collaborates with the board and executive team to maintain a culture of compliance throughout the federation. By proactively addressing regulatory challenges, Saral protects the organization from legal exposure while supporting the delivery of high-quality care. Saral ensures that all operations align with the highest standards of professional conduct and legal accountability within the healthcare sector.

    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 the administrative coordination required for high-level executive decision-making. Overseeing the flow of information and project tracking for the Chief Administrative Officer, the Support To Alexander Rakul Executive & Chief Administrative Officer ensures that executive priorities receive the necessary attention and resources. This role involves managing complex schedules, facilitating communication between departments, and preparing documentation for strategic initiatives. Mia Dorantes optimizes the administrative support provided to the executive team, allowing for more effective leadership and faster response times to organizational needs. By maintaining a high level of organization and attention to detail, Dorantes supports the overall efficiency of the federation. Dorantes remains dedicated to ensuring that the administrative functions of the office align with the broader goals of the health system.

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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 Michaela Hoffman (Senior Director and Chief of Staff) and Douglas Corley (Research Chief Officer & Chief Revenue 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), Michaela Hoffman (Senior Director and Chief of Staff), Douglas Corley (Research Chief Officer & Chief Revenue Officer) and other senior executives.
    How many executives does The Permanente Federation have?
    The Permanente Federation has 9 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, Senior Director and Chief of Staff, Research Chief Officer & Chief Revenue Officer, Director, Operations & Chief of Staff, Vice President, Chief Legal Officer.