The Permanente Medical Groups are physician-led, independent medical groups that provide exclusive care to the patients and members of Kaiser Permanente. In 1997, the Permanente Medical Groups formed The Permanente Federation LLC to represent their shared interests in providing high quality, affordable care. The Federation serves as the key partner on behalf of the medical groups with Kaiser Foundation Health Plan and Kaiser Foundation Hospitals on initiatives that demonstrate how Permanente Medicine is the answer to health, health care, and wellness in America.