HMG Executive and Leadership Team

September, 2026

Leadership Overview

HMG has 4 executives leading key functions including operations, financial strategy, technology security, and clinical medical oversight.

Dedicated to comprehensive patient care, HMG advances regional health outcomes through a robust network of family, pediatric, and geriatric specialty services across Tennessee.

Leadership Roles at HMG

  • Chief Financial Officer - Shawna Armstrong
  • Chief Operating Officer - Dorothy Sizemore
  • Chief Technology Officer & Chief Information Security Officer - Darren Ramsey
  • Chief Medical Officer & Medical Director - Samuel Breeding
  • Shawna Armstrong - Chief Financial Officer

    Shawna Armstrong, the Chief Financial Officer at HMG, manages the fiscal health and long-term economic strategy of the medical group. Overseeing capital investments and revenue cycle management, the Chief Financial Officer ensures financial stability for all specialty healthcare departments. This leadership role involves analyzing market trends to guide expansion efforts across the regional footprint. By implementing robust financial controls, Shawna Armstrong directly impacts the sustainability of the organization. Armstrong monitors budgetary performance to support the acquisition of advanced medical technology and facility upgrades. The Chief Financial Officer collaborates with executive leadership to secure funding for new clinical initiatives. Through precise financial forecasting, Armstrong mitigates economic risks while maximizing the resources available for patient care. This strategic management of assets ensures that the medical group remains a competitive force in the healthcare industry while maintaining fiscal responsibility.

    Dorothy Sizemore - Chief Operating Officer

    Dorothy Sizemore, the Chief Operating Officer at HMG, directs all internal clinical workflows and administrative efficiency across the medical group. Overseeing daily operations, the Chief Operating Officer ensures that family, pediatric, and geriatric clinics maintain high standards of patient throughput. This leadership role involves optimizing resource allocation to support the expansive healthcare network throughout the region. By streamlining administrative processes, Dorothy Sizemore directly impacts the quality of care delivered to patients. Sizemore manages the integration of specialty services into the broader organizational framework, ensuring operational consistency. The Chief Operating Officer coordinates with the board to align facility management with long-term growth objectives. Through rigorous oversight of clinical support staff, Sizemore maintains the operational integrity required for a large-scale medical provider. This focus on efficiency supports the overall mission of providing accessible, high-quality healthcare services to the community.

    Darren Ramsey - Chief Technology Officer & Chief Information Security Officer

    Darren Ramsey, the Chief Technology Officer & Chief Information Security Officer at HMG, architects the digital infrastructure and cybersecurity framework for the entire medical group. Overseeing data protection and health information systems, the Chief Technology Officer & Chief Information Security Officer ensures the privacy of patient records across all specialty clinics. This leadership role involves implementing advanced encryption protocols to defend against evolving digital threats. By modernizing the technological landscape, Darren Ramsey directly impacts the efficiency of clinical data management. Ramsey manages the integration of electronic health records to facilitate seamless communication between pediatric, geriatric, and family medicine providers. The Chief Technology Officer & Chief Information Security Officer coordinates with the board to align digital transformation with organizational security standards. Through continuous monitoring of network vulnerabilities, Ramsey secures the digital assets essential for modern healthcare delivery, ensuring reliable access to critical patient information.
    Darren Ramsey

    Samuel Breeding - Chief Medical Officer & Medical Director

    Samuel Breeding, the Chief Medical Officer & Medical Director at HMG, directs clinical standards and medical policy across the entire healthcare network. Overseeing physician performance and patient care protocols, the Chief Medical Officer & Medical Director ensures that family, pediatric, and geriatric services meet rigorous quality benchmarks. This leadership role involves mentoring medical staff to maintain excellence in specialty healthcare delivery. By standardizing clinical practices, Samuel Breeding directly impacts the health outcomes of the patient population. Breeding manages the implementation of evidence-based medicine to improve diagnostic accuracy and treatment efficacy. The Chief Medical Officer & Medical Director collaborates with other executives to integrate new medical advancements into the existing service model. Through active oversight of clinical governance, Breeding ensures that the medical group adheres to the highest standards of professional care, ultimately driving the organization toward superior patient satisfaction and clinical success.
    Samuel Breeding

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    Frequently Asked Questions Regarding HMG Top Executives and Leadership Team

    Who leads HMG?
    HMG is led by Shawna Armstrong (Chief Financial Officer), along with executives such as Dorothy Sizemore (Chief Operating Officer) and Darren Ramsey (Chief Technology Officer & Chief Information Security Officer).
    Who is part of HMG’s executive team?
    The executive team of HMG includes leaders such as Shawna Armstrong (Chief Financial Officer), Dorothy Sizemore (Chief Operating Officer), Darren Ramsey (Chief Technology Officer & Chief Information Security Officer) and other senior executives.
    How many executives does HMG have?
    HMG has 4 executives leading key business areas.
    What roles are included in HMG’s leadership team?
    The leadership team of HMG includes roles such as Chief Financial Officer, Chief Operating Officer, Chief Technology Officer & Chief Information Security Officer, Chief Medical Officer & Medical Director.