Improve Care - Reduce Workload - Increase Profits
Get StartedWhat We Do
We bring over 45 years of physician practice medical and business experience to your practice. Our system allows practice owner’s to:
- Provide safer and higher quality patient care
- Achieve higher net profits
- Allow practice owners to spend less time at work
We understand that physician owners did not go to medical school to negotiate insurance contracts, implement and maintain electronic health records (EHR/EMR), track quality measures, negotiate with real estate giants or commercial contractors, and the like. Our focus is on enabling providers to do what they do best: see patients and keep them well.


Al Pizzica, MBA
Co-founder and CEO
Al brings over 15 years of medical practice strategy, management and design to APEM. Al has a business, engineering and operations background that includes work in nuclear power and submarine operations with the U.S Navy and sterile vaccine manufacturing at Merck.

Elana McDonald, MD, FAAP
Chief Medical Officer and Co-Founder
Dr. McDonald brings over 15 years of clinical experience, medical practice strategy and management to APEM. Dr. McDonald holds a Bachelor of Arts degree in Biology from Temple University and a Doctorate of Medicine from the Pennsylvania State University/Hersey Medical Center.

Denise Coulson, NCRMA, EMT-B
Senior Practice Administrator
Denise has over 25 years of clinical practice experience in multiple practice areas to include: Emergency Department, Internal Medicine, Family Medicine, Obstetrics and Gynecology, and Pediatric practices. 20 of these years of have been in clinical and senior management.

Our Mission
APEM LLC provides a range of services from one time consulting to an “everything but the practitioner” solution for medical practice management. Doctors, Nurse Practitioners, and Physician Assistants should be free to do what they set out to: see patients and get them on the road to wellness. APEM, with expertise in all areas of practice management, can do everything else.