Precision Management

Principled Leadership

Physician Practice Management Services

Physician Practice Management Services

Management Services

For practices looking to maximize efficiency and growth.

Human Resource Management
Human Resource Management

Strategy, recruitment, retention, training, performance evaluations and salary evaluations.

Operations Management
Operations Management

Process improvement, budgeting, employment law, and project management. We also handle purchasing, asset management, and IT, as well as communications and marketing.

Financial Management
Financial Management

Accounting, budgeting, financial analysis and Revenue Cycle skills to support and improve your bottom line.

Recommendations from our affiliates

“I have worked with James for almost 10 years and have found him to be an exceptional physician practice leader and highly knowledgeable across multiple facets of healthcare.  I worked with him for several years in value-based care programs and his physician group was one of the top performers across the country.  He has a strong command of the strategic and operational needs to build solid value-based care systems and medical business management.  I would highly recommend James.”

Jim Gera,
Chairman Bridgepoint MD and CEO of Harmonic Health

Bridgepoint MD

“I’ve known James and Melanie Keil through SMLMA activities and initiatives for several years now.  I have always admired their commitment, integrity and principals. I am pleased to highly recommend the Principled Medical Management group for any practice management consulting project.  The Sonoma Mendocino Lake County Medical Association is pleased that they have agreed to partner with us and run our Practice Management Forum.  They are a delight to work with!”

Wendy Davies, Executive Director
Sonoma-Mendocino-Lake Medical Association


“I have worked very closely with James for many years while he was CEO of a large medical group.  His understanding of finance, compliance, operations and strategic growth during these very interesting times is quite unique.

I recommend him and his team wholeheartedly for any level of business management services.”

Judith M. Turner, VP Sales, Marketing, Operations
ProScan Reading Services

ProScan Imaging

Results from our work


growth in divisional revenue
over 4 years


growth in company revenue
over 4 years


growth in providers
& business locations

  • Implemented aggressive growth strategies and significant business development with patient experience results.

  • Restructured Real Estate holdings for current and future projects under new investment paradigm.

  • Continued, year over year, high-performing bundled care initiative since program inception.

  • Successfully negotiated IPA and CIN participation across multiple markets.

  • Instituted Bundled Payment Initiative with strong financial returns since the first operational quarter.

  • Built new alliances with key hospitals in the region, including financial support programs resulting in the recruiting of multiple new physicians to the region.

  • Built new systems for operational metrics across all divisions, resulting in key decision thresholds for staffing needs, provider recruiting and facilities optimization.

  • Launched new Mission, Vision, Values and Culture programs, along with a new customer service focus for the optimal patient experience

“On matters of style, swim with the current.

On matters of principle, stand like a rock.

– Thomas Jefferson

Custom solutions

Let’s help manage your business together

Mixed management solutions for modern medical businesses

We specialize in working alongside your management team, to construct the right solution for your particular needs.

The right blended solution for your business

Operations Management-wt
Operations Management

Risk and Compliance Management
Risk and Compliance Management

Human Resource Management
Human Resource Management