Meet the Team

Good people are the heart and soul of our business. We are proud to have seasoned medical group executives, physician leaders, talented analysts, and experts in operations, physician compensation, strategy, and organizational development support our clients on their respective engagements. As former medical group executives ourselves, we deeply understand the physician enterprise and have a passion for seeing our clients succeed. Our team will never take on an engagement simply to sell ancillary services or drive up retainer fees. We truly consider our team as part of your pack and will work tirelessly to make sure our engagements ultimately lead to your success.

Fred Horton, MHA-Image

Fred Horton, MHA


  • Former CEO of large groups and integrated health systems

  • 20+ years of healthcare leadership experience

  • Operations, compensation, strategy, finance, culture, governance, value-based care



Fred Horton, MHA, is president of AMGA Consulting. Fred is a dynamic healthcare advisor who possesses industry experience, market insight, exemplary capabilities managing diverse and challenging projects and the ability to create tangible results on behalf of his clients. Fred has over 20 years of experience working inside the healthcare industry, including serving as CEO of several large multispecialty medical groups and integrated health systems. He brings his operational, strategic, and financial acumen to his clients in order to create effective and market-sensitive solutions to their challenges. A sampling of his extensive variety of projects includes:

  • Developing and implementing operations improvement plans for system integrated medical groups

  • Managing start-up and turnaround plans for independent and system-integrated medical groups

  • Designing and implementing numerous single-specialty and multispecialty physician compensation plans that create strategic alignment of physicians’ efforts with organizational goals and objectives

  • Developing a strategic redesign of centralized physician recruitment services for regional healthcare systems

  • Assisting health organizations in negotiating various compensation arrangements (i.e., physician employment agreements, physician service agreements, income distribution plans, co-management agreements, and call coverage arrangements)

Fred holds a Bachelor of Arts degree in Healthcare/ Business Administration from Augustana College. He also holds a Master of Healthcare Administration degree from The University of Minnesota. Fred has authored numerous articles and is a frequent speaker on the topics of physician/hospital integration, governance of system based medical groups, medical group operational performance improvement, and physician compensation and physician recruitment.

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Mike Coppola, MBA-Image

Mike Coppola, MBA

Chief Operating Officer

  • Former executive in medical groups and integrated delivery systems

  • 30+ years of healthcare leadership experience

  • Operations, finance, strategy, physician engagement, leadership development

Chief Operating Officer

Mike Coppola, MBA, is chief operating officer at AMGA Consulting. Mr. Coppola has more than 30 years of healthcare industry experience, working with prominent health systems and medical groups across the country. He is a seasoned executive leader who has specialized in collaborating with physicians and executives to achieve financial and operational performance improvement throughout the physician enterprise. 

Prior to joining AMGA Consulting, Mr. Coppola was responsible for strategic medical group operations at several national consulting firms, and developed a one of a kind physician leadership program, used by several hospitals and health systems today. Mr. Coppola also served as an operations executive at Vanguard Health (Now Tenet) over their Chicago Market physician practice operations. 

Mr. Coppola earned his MBA with Distinction from North Park University, Chicago and a Bachelor of Science in Accounting from DePaul University in Chicago.  In his free time Mike enjoys travel and golf, as well as spending time with his three granddaughters.

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Rose Wagner, RN, MHS, FACMPE-Image

Rose Wagner, RN, MHS, FACMPE

Vice President

  • Former COO in private practices and integrated delivery systems

  • 25+ years of healthcare leadership experience

  • Operations, finance, clinical, patient access, executive recruitment

Vice President

Rose Wagner, RN, MHS, FACMPE, is a vice president at AMGA Consulting. Rose is recognized as a proven medical practice executive with years of experience working inside both private practice and integrated delivery systems. She possesses strategic and tactical expertise that results in successful financial, operational, and clinical outcomes. She is a collaborative leader and applies this style working with complex teams of internal and external stakeholders.

Rose has more than 25 years of experience providing leadership in the healthcare industry, including serving as Senior Vice President of Operations for a health system-sponsored medical group that was part of a large integrated health system in Kansas City, MO. Rose also has significant medical group consulting experience, working with numerous groups across the country including developing a comprehensive onboarding for a large medical group in Southern California. She has served as an interim President and CAO for a large employed medical group. She is responsible for leading physician practice management engagements to improve overall medical group performance and operational efficiencies.

Rose’s special qualifications include:

  • Medical group practice assessment, development and implementation of practice optimization plans to improve operational efficiency

  • Subject matter expert in patient access to care within medical groups

  • Operational process improvement

  • Physician and provider onboarding

  • Medical group best practice development

  • Physician/hospital alignment strategies

  • Executive recruitment

Rose received an undergraduate degree and a master’s degree in Health Services Management from Webster University in Kansas City, MO, in addition to an RN from St. Luke’s School of Nursing, Kansas City, MO She is also a Fellow in the American College of Medical Practice Executives and holds a Green Belt in Lean Six Sigma.

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Kevin McCune, MD-Image

Kevin McCune, MD

Chief Physician Executive

  • Former System VP and Chief Medical Officer of large, integrated system

  • 20+ years of clinical and leadership experience

  • Operations, finance, clinical, value-based care

Chief Physician Executive

Kevin McCune, MD, is the chief physician executive with AMGA Consulting. Previously, he served as System Vice President for Advocate Aurora Health and Chief Medical Officer Advocate Medical Group; and Senior Medical Director for Advocate Aurora Health at Home. Dr. McCune served in both governance and administrative roles during times of significant organizational growth, providing extensive leadership and change management to physicians and APCs for innumerable areas, including: 

  • Group practice acquisition, assimilation, reorganization, governance, and leadership

  • Physician recruitment, development, and retention, standards, engagement, and resilience

  • Compensation redesign, including volume to value programs and sustainable faculty compensation models

  • Development of quality, safety, and peer review programs

  • New facility design, and facility optimization with a focus on patient satisfaction, safety, and team member efficiency

Dr. McCune attended Northwestern University obtaining a combined bachelor and master’s degree in biochemistry, cell and molecular biology in the four year honors program, and earned his medical degree from the University of Illinois-Chicago College of Medicine. Dr. McCune brings more than 20 years of clinical experience to AMGA, along with extensive experience in hospice and palliative care. 

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Howard B. Graman, MD-Image

Howard B. Graman, MD

Vice President

  • Former leader in integrated delivery systems

  • 25+ years of leadership experience

  • Operations, finance, clinical, governance

Vice President

Howard B. Graman, MD, is a vice president with AMGA Consulting. He has spent the majority of his career as a physician executive with extensive experience in clinical transformational change and leadership in large, multispecialty physician practices. Prior to joining AMGA Consulting, he was CEO of PeaceHealth Medical Group, with more than 900 providers and over 100 practice locations. Additional roles included chair, Department of Primary Care and Regional Medicine, Carilion Clinic, and medical director of Carilion Medical Group, as well as executive director, Cleveland Clinic, and chair, Board of Directors, Cleveland Clinic Hospital (Weston, Florida).

Earlier in his career, he was professor of medicine at University of Vermont and was a commissioned officer in the National Health Service Corps. He has been actively involved in governance at AMGA and has been an invited speaker at leadership retreats for many member organizations. He completed undergraduate studies at City University of New York, his medical degree at SUNY – Downstate, and a residency in internal medicine at the University of Michigan.

Jill Powelson, DrPH, MPH, MBA, RN, CPC, CPPM-Image

Jill Powelson, DrPH, MPH, MBA, RN, CPC, CPPM

Principal, High-Performing Physician Enterprise Program

  • Former leader in healthcare delivery systems

  • 30+ years of leadership experience

  • Operations, clinical, value-based care, data analytics

Principal, High-Performing Physician Enterprise Program

Jill Powelson, DrPH, MPH, MBA, RN, CPC, CPPM, is a principal for the High-Performing Physician Enterprise Program at AMGA. Prior to joining AMGA, she was vice president for physician services at the University of Tennessee Medical Group and an executive director at Baptist Medical Group (both in Memphis, TN). She is an experienced administrator in medical group operations and quality leadership.

Prior to becoming a medical group administrator in the late 1990s, Jill spent 10 years as a consulting leader at a long-term care and senior living organization. Her total healthcare career spans 30+ years. Jill has undergraduate degrees in finance and nursing and began her career as a financial analyst before becoming a registered nurse. She has master’s degrees in business (University of Memphis) and public health (Johns Hopkins University), and a doctorate in public health from the University of North Carolina at Chapel Hill. Jill is also a certified professional coder and certified physician practice manager through the American Academy of Professional Coders. Since 2019, she has also taught MHA students at the University of Memphis on the subject of healthcare finance.

Will Holets, MBA, MHA-Image

Will Holets, MBA, MHA

Senior Director

  • Held various management and leadership positions with medical groups and integrated delivery systems

  • 10+ years of healthcare experience

  • Operations, compensation planning, strategic planning, data analytics

Senior Director

Will Holets, MBA, MHA, is a director with AMGA Consulting. His areas of expertise include compensation planning, , operational excellence, strategic planning, process improvement, and data analytics. Prior to joining AMGA Consulting, he held various management and leadership positions across the healthcare field in settings ranging from academic medical centers to for-profit integrated delivery systems. He received his MBA from the University of Iowa’s Tippie College of Business and his MHA from the College of Public Health at the University of Iowa. He holds a Bachelor of Science Degree in management from the University of Denver. 

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Kelsi O’Brien, MHSA-Image

Kelsi O’Brien, MHSA

Senior Director

  • Former director in academic medical center

  • 10+ years of healthcare experience

  • Operations, compensation planning, change management, data analytics

Senior Director

Kelsi O’Brien, MHSA, is a director with AMGA Consulting. Her areas of expertise include compensation plan design, operations optimization and improvement, change management, and provider utilization. Prior to consulting she held a director-level position with a major academic medical center. Kelsi brings over 10 years of healthcare experience to the team. She received her MHSA from the University of Kansas, School of Medicine. She also holds a bachelor’s degree in health information Management from the University of Kansas, School of Allied Health.

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Matthew Wells, PhD-Image

Matthew Wells, PhD


  • Former executive in a nationally known Health Insurer

  • 10+ years of healthcare leadership experience

  • Value-based compensation, pay equity and transparency, data analytics


Matthew Wells, PhD, is a Director with AMGA Consulting. Having worked with clients nationally from a care delivery perspective, and, most recently, leading compensation efforts for a nationally known Health Insurer, Matthew brings a unique perspective to the healthcare landscape. Matthew’s extensive background spans 10+ years in healthcare and includes supporting health systems, hospitals, medical groups, and other healthcare entities in operational, financial, and compensation/staffing initiatives.

Matthew’s areas of expertise include:

  • Compensation plans for value-based and FFS models
  • FMV assessment of individual, PSA, MSA, and other arrangements
  • Merger, acquisition, and integration strategies
  • Organizational effectiveness and staffing ratios
  • Pay equity and pay transparency
  • Data analytics and operational efficiencies
  • Broad-based experience with Physician, APC, staff, and executive compensation and benefits strategies

Matthew received dual undergraduate degrees in Mathematics and Statistics from Grand Valley State University in Allendale, Michigan, as well as his M.S. and Ph.D. in Mathematics from the University of Kentucky in Lexington, Kentucky. Matthew also earned certification as a CVA in 2017.

Jake Piper-Image

Jake Piper


  • Former leader in medical groups and academic medical centers

  • 12 years of healthcare experience

  • Finance, provider compensation planning, fair market value (FMV)


Jake Piper is a director with AMGA Consulting. His areas of expertise include fair market valuation (FMV) and provider compensation planning and redesign. Prior to joining AMGA’s consulting group, Jake held leadership positions within consulting firms, national medical groups, and academic medical centers. His experience has allowed him to create innovative provider compensation solutions across complex and unique settings.

Jake holds a Bachelor of Arts Degree in economics from Michigan State University. 

Dustin Gunderson, MBA-Image

Dustin Gunderson, MBA

Director of Business Development

  • Strong marketing background

  • 12+ years of experience with AMGA members

  • Operations, collaboration, culture

Director of Business Development

Dustin Gunderson, MBA, is the director of business development for AMGA Consulting and the AMGA High-Performing Physician Enterprise Program. He has supported members of AMGA for more than 12 years in various roles with the association. He helps amplify AMGA Consulting’s exemplary capabilities to organizations across the country. He holds a master’s degree in business administration from Marymount University and a bachelor’s degree in marketing from the George Mason University.

Danielle DuBord-Image

Danielle DuBord


  • 15+ years of analytical experience

  • Data analytics, surveys, benchmarking


Danielle DuBord is a consultant with AMGA Consulting. Since joining AMGA Consulting in 2015, her main area of expertise includes data analytics, survey development, and benchmarking. Danielle is responsible for conducting AMGA’s longest running survey, the Medical Group Compensation and Productivity Survey, a standard in the industry from more than 30 years.

Prior to joining AMGA’s consulting group, Danielle developed her keen analytic skills as systems analyst and planner for national and international retail operations. She brings with her 15+ years of experience in analytical problem-solving, operational planning/systems implementation, Lean and Six Sigma processes, and customer service. Danielle is a proven analytical thinker and holds a degree in psychology from Augsburg College.