Executive Leadership Team

Executive Leadership

James Mullen, MD, MBA, FACEP

Chief Executive Officer

Ex Oficio Member of the Board


Medical Specialty: Emergency Medicine

Medical School: University of Connecticut

Residency: University of Arizona

Master of Business Administration: University of Massachusetts - Isenberg School of Management

Undergraduate: Brown University


  • Prior President of Medical Staff for Mid Coast Hospital
  • Prior Chief of Emergency Services for Mid Coast Hospital
  • Fellow of the American College of Emergency Medicine

Dr. Mullen has deep family roots in Maine, yet, he was born and raised in the hills of Connecticut.  After training at Brown University in the arts of Political Science and Economics, Jay found his way to medicine.  While training to become a Wilderness EMT to join a Search and Rescue team in Colorado he fell in love with medicine and decided to make it his career.  Dr. Mullen attended medical school at the University of Connecticut, to then complete his residency in Emergency Medicine at the University of Arizona in Tucson.  Dr. Mullen also holds an MBA from the Isenberg School of Management, University of Massachusetts.

Dr. Mullen is a past President of the Medical Staff at Mid Coast Hospital as well as the Chief of Emergency Services. He successfully combined his love of medicine and the wilderness through relief work in Peru, Guatemala and Costa Rica.  Outside of medicine, Jay is blessed with a wonderful wife and two sons, who join him in skiing, kayaking, boating, biking and hiking around our great state.

Guy Nuki, MD, MBA

Chief Medical Officer / Chief Development Officer

Ex Oficio Member of the Board


Medical Specialty:  Emergency Medicine and Family Medicine

Medical School:  University of Connecticut School of Medicine

Residency:  Ventura County Medical Center Family Medicine

Master of Business Administration: Brandeis University - Heller School for Social Policy and Management

Undergraduate: University of Connecticut


  • Chief Medical Officer for Calais Regional Hospital
  • Fellow of the American Academy of Family Physicians; 2018
  • Beta Gamma Sigma; 2017
  • ACEP Workforce Section Chair; 2014-2016
  • Faculty of the Year:  Central Maine Medical Center FM Residency; 2003
  • Creator of an educational program for the Himalayan Health Exchange
  • Founder of MaineGeneral Emergency Medicine Fellowship

Dr. Nuki is the Chief Medical Officer of BlueWater Health. After graduating from his Family Medicine Residency in Ventura, CA he practiced both Family Medicine and Emergency Medicine for 6 years in rural Washington state.  Dr. Nuki’s clinical experience has been focused on emergency medicine since 2004, also including outpatient primary care, high risk obstetrics and hospitalist medicine.  During Dr. Nuki’s time as faculty at the Central Maine Medical Center’s Family Medicine Residency he established an educational program for the Himalayan Health Exchange. He later led teams of medical students, residents, and physicians through remote Himalayan regions of India.  He has lectured for the Global Health Education Consortium and has volunteered for Health Volunteers Oversees in Bhutan. Dr. Nuki was the founding director of the MaineGeneral Emergency Medicine Fellowship.  He has served as the Chair of the Workforce Section for the American College of Emergency Physicians and works as an Emergency Physician across Maine including work as the Chief Medical Officer for Calais Regional Hospital.


Ian Swihart, MBA

Chief Operating Officer 


Master of Business Administration: Louisiana State University

Undergraduate: University of San Diego

Lean Six Sigma Black Belt: Villanova University

Certified Project Management Professional (PMP)

Certified Lean Practitioner (CLP)

Ian is the Chief Operating Officer of BlueWater Health. Ian began his career supporting the Department of Defense (DoD) in San Diego as a technical engineer and program manager.  He eventually transitioned into program and project management within the healthcare industry in Central Oregon, which ultimately led to an executive leadership role within the regional health system's Medical Group.  Ian has spent the past 10+ years leading medical group practices within community based and regional health care system environments, in both the acute and ambulatory settings.  He's excited to be living in his wife's home state of Maine with their four children, exploring all of what northern New England has to offer.