Apogee Physicians Executive and Leadership Team

September, 2026

Leadership Overview

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

Committed to excellence in patient care, Apogee Physicians maintains a physician-owned model that prioritizes high-quality hospitalist services across diverse medical specialties throughout the United States.

Leadership Roles at Apogee Physicians

  • Chief Executive Officer - Michael Gregory
  • Chief Financial Officer - Karen Harwell
  • Division 2 President - Jaime Upegui
  • Division President - Garrett Shelton
  • President, Region 1 - Dennis Klein
  • Division President - Joshua Rosenberg
  • 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. Overseeing the expansion of programs across the nation, the Chief Executive Officer ensures that internal medicine and hospitalist services meet rigorous quality benchmarks. This leadership role involves constant collaboration with the board to maintain the independence of the organization while scaling operations to meet the needs of hundreds of hospitals. By fostering a culture of clinical autonomy, Michael Gregory drives the long-term sustainability of the company. The Chief Executive Officer manages the integration of nurse practitioners and physician assistants into the broader care model, ensuring that every program delivers consistent results. Through this focus on operational excellence, the Chief Executive Officer secures the market position of the firm as a leader in hospital medicine, ultimately supporting the delivery of superior patient outcomes across all regional facilities.

    Karen Harwell - Chief Financial Officer

    Karen Harwell, the Chief Financial Officer at Apogee Physicians, manages the fiscal health and resource allocation for this extensive hospitalist network. Overseeing the financial planning for hundreds of programs, the Chief Financial Officer ensures that the physician-owned structure remains robust and profitable. This leadership role involves analyzing revenue cycles across various states to optimize the delivery of internal medicine and hospitalist services. By implementing rigorous cost-control measures, Karen Harwell supports the expansion of clinical teams, including nurse practitioners and physician assistants. The Chief Financial Officer coordinates with other executive leaders to align budgetary goals with the mission of providing high-quality care. Through precise financial modeling and risk management, the Chief Financial Officer maintains the stability of the organization. Harwell secures the necessary capital to invest in new hospital partnerships, ensuring that the company continues to grow its national footprint while maintaining fiscal discipline.
    Karen Harwell

    Jaime Upegui - Division 2 President

    Jaime Upegui, the Division 2 President at Apogee Physicians, directs the operational success of hospitalist programs within the designated second division. Overseeing the performance of internal medicine teams, the Division 2 President ensures that hospital partnerships receive consistent, high-quality support. This leadership role involves managing the deployment of nurse practitioners and physician assistants to meet the specific needs of regional healthcare facilities. By optimizing workflows and resource utilization, Jaime Upegui drives efficiency and clinical excellence across the division. The Division 2 President coordinates with the executive team to align regional activities with the broader corporate mission of physician-led care. Through proactive engagement with hospital administrators, the Division 2 President fosters strong, long-term relationships that support the growth of the company. Upegui ensures that the division meets all operational targets, contributing to the overall success of the organization in providing comprehensive hospitalist services.

    Garrett Shelton - Division President

    Garrett Shelton, the Division President at Apogee Physicians, manages the operational execution of hospitalist services within the assigned division. Overseeing the daily activities of internal medicine practitioners, the Division President ensures that clinical programs deliver exceptional value to partner hospitals. This leadership role involves scaling the presence of nurse practitioners and physician assistants to address the evolving demands of the healthcare market. By streamlining administrative processes, Garrett Shelton drives operational efficiency and supports the growth of the company. The Division President collaborates with other regional leaders to share best practices and maintain high standards of care across the nation. Through strategic oversight of hospital contracts, the Division President ensures that the organization meets its performance objectives. Shelton secures the operational stability of the division, fostering an environment where physician-led teams can thrive and provide consistent, high-quality medical care to patients in every facility.

    Dennis Klein - President, Region 1

    Dennis Klein, the President, Region 1 at Apogee Physicians, directs the strategic operations and clinical delivery for the first region. Overseeing the performance of hospitalist teams, the President, Region 1 ensures that internal medicine services align with the specific requirements of partner hospitals. This leadership role involves managing the integration of nurse practitioners and physician assistants to enhance the quality of patient care. By monitoring regional performance metrics, Dennis Klein drives continuous improvement and operational success. The President, Region 1 coordinates with the executive leadership team to implement corporate initiatives that support the physician-owned model. Through active management of hospital relationships, the President, Region 1 fosters a culture of excellence and accountability. Klein ensures that the region maintains a strong market presence, contributing to the overall growth and reputation of the company as a premier provider of hospitalist services across the nation.

    Joshua Rosenberg - Division President

    Joshua Rosenberg, the Division President at Apogee Physicians, leads the strategic development and operational oversight of hospitalist programs within the assigned division. Overseeing the deployment of internal medicine specialists, the Division President ensures that clinical teams provide high-quality care to patients in partner hospitals. This leadership role involves managing the recruitment and retention of nurse practitioners and physician assistants to support the expansion of services. By analyzing regional market trends, Joshua Rosenberg drives the growth of the company and strengthens its competitive position. The Division President collaborates with the executive team to ensure that all programs adhere to the physician-owned philosophy. Through effective communication with hospital leadership, the Division President secures the success of regional initiatives. Rosenberg ensures that the division operates efficiently, consistently meeting the needs of healthcare facilities and contributing to the long-term mission of providing superior hospitalist medicine.

    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-led organization. Overseeing the quality of care provided by hospitalists, nurse practitioners, and physician assistants, the Chief Medical Officer ensures that every program adheres to the highest medical benchmarks. This leadership role involves mentoring clinical staff and refining the internal medicine practices utilized across the national network. By standardizing patient care processes, Steven Cervi-Skinner drives improvements in hospital performance and patient satisfaction. The Chief Medical Officer collaborates with regional leadership to address complex clinical challenges and implement evidence-based solutions. Through the oversight of medical staff recruitment and training, the Chief Medical Officer maintains the integrity of the physician-owned model. Cervi-Skinner ensures that the company remains at the forefront of hospital medicine, consistently delivering superior clinical results in every facility served.

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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 Jaime Upegui (Division 2 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), Jaime Upegui (Division 2 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 2 President, Division President, President, Region 1.