HMG Executive and Leadership Team

September, 2026

Leadership Overview

HMG has 4 executives leading key functions including operations, finance, technology, and clinical strategy.

Dedicated to comprehensive patient care, HMG advances medical excellence through a robust network of family, pediatric, and geriatric services across the region.

Leadership Roles at HMG

  • Chief Financial Officer - Shawna Armstrong
  • Chief Operating Officer - Samantha 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 the financial sustainability of diverse healthcare service lines. 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 ability of the organization to invest in advanced medical technology and facility upgrades. Armstrong coordinates with the board to align budgetary priorities with the mission of providing accessible family and specialty care. Through rigorous auditing and financial planning, the Chief Financial Officer secures the resources necessary for sustained growth. Armstrong monitors economic performance indicators to mitigate risks, ensuring that the medical group remains a stable and reliable provider of essential healthcare services.

    Samantha Sizemore - Chief Operating Officer

    Samantha Sizemore, the Chief Operating Officer at HMG, directs all internal clinical workflows and administrative efficiency. Overseeing the daily operations of the medical group, the Chief Operating Officer ensures that family, pediatric, and geriatric healthcare services meet rigorous quality standards. This leadership role involves optimizing resource allocation across the Tennessee network to support patient throughput and staff productivity. By streamlining complex medical processes, Samantha Sizemore directly impacts the operational scalability of the organization. Sizemore manages the integration of specialty healthcare services into existing clinic frameworks, ensuring consistent delivery of care. Through meticulous oversight of facility management and personnel coordination, the Chief Operating Officer maintains the high standards expected of a premier medical group. Sizemore drives continuous improvement initiatives that enhance the overall patient experience while maintaining fiscal responsibility within the operational budget.

    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 the protection of sensitive patient data, the Chief Technology Officer & Chief Information Security Officer ensures compliance with federal health privacy regulations. This leadership role involves deploying advanced electronic health record systems to improve clinical documentation and patient outcomes. By hardening network defenses against emerging digital threats, Darren Ramsey directly impacts the integrity of the healthcare delivery system. Ramsey manages the integration of telehealth platforms to expand access to specialty services across the regional market. Through the implementation of scalable cloud solutions, the Chief Technology Officer & Chief Information Security Officer supports the technological needs of pediatric and geriatric clinics. Ramsey drives innovation in data analytics to provide actionable insights for clinical decision-making.
    Darren Ramsey

    Samuel Breeding - Chief Medical Officer & Medical Director

    Samuel Breeding, the Chief Medical Officer & Medical Director at HMG, governs clinical standards and physician performance across all specialty departments. Overseeing the quality of care provided in family, pediatric, and geriatric settings, the Chief Medical Officer & Medical Director ensures alignment with evidence-based medical practices. This leadership role involves mentoring medical staff and establishing protocols that enhance patient safety and clinical outcomes. By fostering a culture of excellence, Samuel Breeding directly impacts the reputation of the medical group as a leader in regional healthcare. Breeding collaborates with other executives to integrate new medical advancements into the standard of care. Through the continuous evaluation of clinical performance metrics, the Chief Medical Officer & Medical Director identifies opportunities for service improvement. Breeding maintains rigorous oversight of medical staff credentials, ensuring that the organization delivers high-quality, compassionate care to every patient.
    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 Samantha 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), Samantha 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.