Our Company

Principled Medical Management is a company formed to serve physicians with more economical and experienced management services than has previously been available to small to medium-sized practices. With our Executive oversight, your practice is professionally managed by a seasoned medical group executive with extensive experience in private practice, hospitals, academic medicine, and publicly-held environments. We provide financial management, operations management, organizational governance, business development and marketing, human resource management, risk and compliance oversight, and strategic planning at a fraction of the cost of a medical group CEO or administrator. It is our mission to serve physicians so they can serve patients.

About Principled Medical Management

Our Difference

At Principled Medical Management, we believe the heart of independent practice is where physician ownership and leadership is properly supported with top management talent. It is our duty to you to provide our expertise as an extension of your practice to ensure your longevity and to be there to execute your goals. Unlike other models of management services such as MSOs and venture capital models, we are different by being your long-term management team, working with you to ensure your business is meeting your goals at lower cost and greater independence than other models that come and go with the trends.

By partnering with our dual-boarded, executive oversight, your business is managed professionally and economically to help you manage operations, human resources, financials, additional revenue streams, key performance indicators, human resources, governance agreements, medical real estate ownership, and ancillary arms of your practice. When the time comes for retirement or exit strategies, we can plan ahead with you for optimal goal achievement.

At Principled Medical Management, we are your management team.

Our Executive Team



Chief Executive Officer

James is a dual-boarded healthcare executive with more than 25 years of experience leading healthcare organizations in for-profit, non-profit, and publicly held environments. He has driven significant growth as a former CEO of multiple medical groups as well as a leader in hospital and academic physician organizations. He has written numerous articles and academic writings on such topics as Clinical Integration, Leading vs. Managing, and EMR Implementations. He has served as President of several professional societies and has also served in multiple positions on the boards of local, state, and national associations. James is passionate about growing and elevating the profession of healthcare administration as well as advocating for physicians and the value they bring to our nation’s healthcare delivery system. James has lived in multiple states and regions of the country, which has contributed dramatically to his understanding of healthcare being “local” but also enhances his knowledge of innovative payment models in varied environments.

James holds a Master of Business Administration degree in Health Services from the University of Tennessee and a Bachelor’s degree from the University of Minnesota. He is a Fellow of The American College of Medical Practice Executives and a Fellow of The American College of Healthcare Executives. He enjoys playing several musical instruments and was accepted to Berklee College of Music before graduating from high school, though he ultimately decided to keep music as a hobby instead of a profession. He also enjoys outdoor activities and spending quality time with his wife and children.