Apogee Physicians Executive and Leadership Team

August, 2026

Leadership Overview

Apogee Physicians has 7 executives leading key functions including strategy, financial oversight, clinical standards, and regional operations.

Committed to physician-led excellence, Apogee Physicians delivers high-quality hospitalist services across the nation while maintaining a unique model that prioritizes patient outcomes and clinical autonomy within diverse healthcare environments.

Leadership Roles at Apogee Physicians

  • Chief Executive Officer - Michael Gregory
  • Chief Financial Officer - Karen Harwell
  • Division President - Joshua Rosenberg
  • Division President - Garrett Shelton
  • President, Region 1 - Dennis Klein
  • Division 2 President - Jaime Upegui
  • Chief Medical Officer - Steven Cervi-Skinner
  • Michael Gregory - Chief Executive Officer

    Michael Gregory, the Chief Executive Officer at Apogee Physicians, directs the overarching strategic vision for this physician-owned hospitalist group. By overseeing hundreds of programs across the nation, the Chief Executive Officer ensures that clinical standards remain consistent with the mission of providing superior patient care. This leadership role involves constant collaboration with the Board to refine the operational model and expand the footprint of the organization. Michael Gregory drives growth by aligning internal resources with the evolving needs of hospital partners. Through the management of complex healthcare delivery systems, the Chief Executive Officer maintains the integrity of the physician-led structure. By fostering a culture of excellence, the Chief Executive Officer secures the long-term viability of the group. Ultimately, the Chief Executive Officer optimizes the organizational framework to support the delivery of high-quality internal medicine and hospitalist services in diverse regional markets.

    Karen Harwell - Chief Financial Officer

    Karen Harwell, the Chief Financial Officer at Apogee Physicians, manages the fiscal health and economic strategy of this national hospitalist group. Overseeing financial planning, budgeting, and resource allocation, the Chief Financial Officer ensures that the organization maintains the capital necessary to support hundreds of hospital programs. This leadership role involves analyzing market trends to drive sustainable growth while protecting the physician-owned business model. Karen Harwell executes financial policies that enhance operational efficiency across all internal medicine and nurse practitioner service lines. By collaborating with other C-suite leaders, the Chief Financial Officer mitigates fiscal risks associated with large-scale healthcare operations. Through rigorous oversight of revenue cycles and cost structures, the Chief Financial Officer supports the expansion of clinical services. Ultimately, the Chief Financial Officer secures the financial foundation required to deliver consistent, high-quality care to patients throughout the nation.
    Karen Harwell

    Joshua Rosenberg - Division President

    Joshua Rosenberg, the Division President at Apogee Physicians, directs operational performance and program development within a specific geographic portfolio. Overseeing the daily management of hospitalist teams, the Division President ensures that clinical services meet the rigorous requirements of partner hospitals. This leadership role involves scaling operations and optimizing the deployment of internal medicine and nurse practitioner staff. Joshua Rosenberg drives regional growth by fostering strong relationships with hospital administrators and medical directors. By coordinating with the executive team, the Division President implements strategies that improve patient throughput and clinical efficiency. Through the active management of regional resources, the Division President supports the expansion of the company footprint. Ultimately, the Division President ensures that the operational model remains effective and responsive to the unique needs of the healthcare facilities within the assigned division, maintaining the high standards of the organization.

    Garrett Shelton - Division President

    Garrett Shelton, the Division President at Apogee Physicians, architects the strategic execution of hospitalist programs across a distinct set of regional markets. Overseeing the recruitment and retention of high-caliber physicians and physician assistants, the Division President ensures that every program maintains optimal staffing levels. This leadership role involves managing the operational lifecycle of hospital partnerships, from initial implementation to ongoing performance optimization. Garrett Shelton drives efficiency by streamlining workflows and integrating best practices into the daily routines of clinical teams. By collaborating with the Chief Medical Officer, the Division President ensures that clinical quality remains the primary focus of all regional activities. Through the oversight of complex service delivery models, the Division President supports the overall mission of the organization. Ultimately, the Division President secures the success of hospital partnerships by delivering consistent, reliable, and high-quality medical care in every facility.

    Dennis Klein - President, Region 1

    Dennis Klein, the President, Region 1 at Apogee Physicians, directs the operational success of hospitalist programs within the first designated region. Overseeing the performance of internal medicine and nurse practitioner teams, the President, Region 1 ensures that all clinical services align with the overarching goals of the organization. This leadership role involves managing hospital relationships and addressing the specific operational challenges of the region. Dennis Klein drives the implementation of standardized care protocols to improve patient outcomes and hospital satisfaction. By coordinating with the executive leadership, the President, Region 1 ensures that regional resources are utilized effectively to support growth. Through the active supervision of clinical staff, the President, Region 1 maintains the high standards of the physician-owned group. Ultimately, the President, Region 1 secures the stability and expansion of the regional portfolio by delivering exceptional hospitalist services to every partner facility.

    Jaime Upegui - Division 2 President

    Jaime Upegui, the Division 2 President at Apogee Physicians, manages the strategic operations and clinical delivery within the second division. Overseeing the integration of hospitalist programs into diverse healthcare environments, the Division 2 President ensures that the physician-owned model thrives in every partner facility. This leadership role involves optimizing the deployment of internal medicine specialists and physician assistants to meet the demands of the division. Jaime Upegui drives operational excellence by refining processes and enhancing communication between clinical teams and hospital leadership. By collaborating with the executive team, the Division 2 President aligns regional objectives with the national mission of the organization. Through the oversight of performance metrics, the Division 2 President ensures that clinical quality remains at the forefront of all activities. Ultimately, the Division 2 President secures the long-term success of the division by providing consistent, high-quality care to patients.

    Steven Cervi-Skinner - Chief Medical Officer

    Steven Cervi-Skinner, the Chief Medical Officer at Apogee Physicians, architects the clinical standards and medical protocols for this physician-owned hospitalist group. Overseeing the quality of care provided by internal medicine specialists, nurse practitioners, and physician assistants, the Chief Medical Officer ensures adherence to evidence-based practices across all hospital programs. This leadership role involves mentoring clinical staff and establishing benchmarks for patient outcomes. Steven Cervi-Skinner drives the integration of clinical excellence into the daily operations of hundreds of facilities nationwide. By collaborating with the executive team, the Chief Medical Officer aligns medical strategy with the broader mission of the organization. Through the continuous evaluation of clinical performance, the Chief Medical Officer maintains the high standards expected by hospital partners. Ultimately, the Chief Medical Officer ensures that the clinical workforce remains equipped to provide superior care in every facility served by the group.

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    Frequently Asked Questions Regarding Apogee Physicians Top Executives and Leadership Team

    Who leads Apogee Physicians?
    Apogee Physicians is led by Michael Gregory (Chief Executive Officer), along with executives such as Karen Harwell (Chief Financial Officer) and Joshua Rosenberg (Division President).
    Who is part of Apogee Physicians’s executive team?
    The executive team of Apogee Physicians includes leaders such as Michael Gregory (Chief Executive Officer), Karen Harwell (Chief Financial Officer), Joshua Rosenberg (Division President) and other senior executives.
    How many executives does Apogee Physicians have?
    Apogee Physicians has 7 executives leading key business areas.
    What roles are included in Apogee Physicians’s leadership team?
    The leadership team of Apogee Physicians includes roles such as Chief Executive Officer, Chief Financial Officer, Division President, Division President, President, Region 1.