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Physician-led care that puts patients first

The Permanente Federation

The Permanente Medical Groups formed The Permanente Federation in 1997 to represent their shared interests. The Federation is the national leadership and consulting organization for these medical groups, which, together with the Kaiser Foundation Health Plans and Kaiser Foundation Hospitals, comprise Kaiser Permanente. 

We work on behalf of Permanente Medical Groups to optimize care delivery and spread Permanente Medicine — medicine that is person and family centered, compassionate, evidence based, technology enabled, culturally responsive, team delivered, and physician led. Based in Oakland, California, our mission is to serve and lead Permanente Medicine and the medical groups in support of Kaiser Permanente’s 12.4 million patients and members. We work to share new and better care practices and leading-edge protocols with other clinicians beyond our walls so that we can improve the health of all Americans. 

Leadership teams

National Permanente Executive Committee

The National Permanente Executive Committee serves as the national voice for the Permanente Medical Groups and develops priorities and strategic direction for the Federation. Each Permanente Medical Group is led by an executive medical director.

The committee comprises the executive medical directors of The Permanente Medical Group and the Southern California Permanente Medical Group, as well as the chief operating officer of the Federation.


Maria Ansari, MD, FACC
Co-CEO, The Permanente Federation

Ramin Davidoff, MD
Co-CEO, The Permanente Federation


Chris Grant
Executive Vice President and Chief Operating Officer

National Permanente Leadership Team 

Key leaders of the Federation and several Permanente Medical Groups form the National Permanente Leadership Team, which oversees the national work that supports the Permanente Medical Groups. 

Letitia Bridges, MD, MBA
Executive Vice President and Chief Quality Officer

Nolan Chang, MD
Executive Vice President of Strategy, Corporate Development, and Finance

Brian Hoberman, MD
Executive Vice President and Chief Information Officer

Stephen Parodi, MD
Executive Vice President of External Affairs, Communications, and Brand

Federation Leadership Team 

The Federation Leadership Team is comprised of leaders of corporate development, strategy, labor relations, clinical quality, social health, and external affairs, communications, and brand.  

Anne Cadwell
Chief Financial and Administrative Officer

Robin Cisneros
Vice President, External Affairs, Communications, and Brand 

Sarah MacDonald
Vice President, Strategy and Corporate Development

Jim Pruitt 
Vice President, Labor Management Partnership and Labor Relations 

Katherine Saral
Chief Legal Officer and Chief Compliance Officer

Nancy Taylor
Vice President, Quality, Social Health, Precision Medicine/Genomics

Scott Young 
Senior Medical Director, Clinical Quality 

Highlights of our work

Clinical quality and safety: We facilitate and support the sharing of evidence and best practices across the 8 Permanente Medical Groups, with the goal of delivering to all Kaiser Permanente members consistently high-quality care that meets the 6 Institute of Medicine aims: Safe, Timely, Effective, Efficient, Person-Centered, and Equitable. Learn more

Communications and brand: We advance the clinical accomplishments of the Permanente Medical Groups and strengthen their national reputation through strategic media relations, digital initiatives, internal communications, and issues management. Our efforts focus on elevating awareness of the quality and expertise of our physicians and physician leaders, distinguishing the Permanente Medicine integrated care delivery model, and fostering trust among physicians, patients, and the broader community. 

Corporate development: We support Kaiser Permanente’s long-term growth goals by engaging with other organizations and external parties and assessing potential relationships and transactions. We provide leadership in identifying, researching, analyzing, and executing transactions with external parties, including acquisitions, affiliations, joint ventures, and other long-term relationships.

Labor relations and management: The Permanente Federation supports the Permanente Medical Groups in labor relations and the Labor Management Partnership (LMP). This involves partnering with Kaiser Foundation Health Plan and Hospital leaders in collective bargaining and helping to guide all aspects of the LMP.

Leadership development: The Permanente Federation plays a pivotal role in cultivating physician leadership across the Permanente Medical Groups. The Federation co-designs and delivers evidence-based programs — such as the PMG-sponsored Medicine and Leadership Program and the jointly sponsored Executive Leadership Program — that reflect Permanente Medicine’s values and strategic priorities. Through training, coaching, and experiential learning, we equip leaders to guide teams, drive innovation, lead change, and elevate care delivery. By facilitating cross-PMG sharing of best practices, the Federation fosters a cohesive learning culture and supports system-wide alignment.

Public policy and government relations: Permanente physicians have an important voice in shaping the future of health care. We partner across the Permanente Medical Groups and with Kaiser Foundation Health Plan to ensure that Kaiser Permanente’s integrated care delivery model, high performance, and best practices are shared with policymakers, influencers, and industry peers to drive change that improves the care experience for our members and the communities we serve. Learn more

Technology and innovation: Our technology is designed to support the care our Permanente physicians provide and to promote patients’ individual health and community health. Our information technology team works with the PMGs and the Kaiser Foundation Health Plans to design technology strategies and implement technology that is appropriate for patients, based on evidence-based medicine, and able to function seamlessly across Kaiser Permanente. Through the National Product Council — comprised of multidisciplinary teams of physicians, clinicians, technology experts, and supply chain leaders — we provide comprehensive oversight and guidance in selecting, acquiring, and utilizing high-quality products that advance value-driven health care. Learn more

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