With more than 12 years of experience in the operational accounting field, James brings a depth of knowledge, integrity and expertise to his position.  James spent over 8 years at Emeritus Senior Living, where he implemented new Anniversary Rate increases that directly added $13 million of revenues in 2010, and was an integral part of the team that implemented a company-wide centralized billing department. He received his Bachelor of Science in Accounting from Central Washington University, completed his MBA from the University of Washington, and is a licensed CPA.

In his spare time, James enjoys being an Adjunct Professor at Portland State University, golfing, and spending time with family.


Adrienne comes to Milestone, as the Senior VP of Finance for the East Division, from Compass Pointe Healthcare Systems. With over fifteen years of accounting and financial healthcare experience, Adrienne Crutch joined Compass Pointe Healthcare System in November 2014 as the Chief Financial Officer. Prior to working with Compass Pointe Healthcare System, Adrienne was the Chief Financial Officer for Capital Funding Group Home Health Services overseeing the financial operations of home health agencies located in Florida and Puerto Rico.

Adrienne worked for 10 years at Dixon Hughes Goodman (“DHG”), a large regional CPA firm. While working at DHG, Adrienne was a Senior Manager who specialized in auditing and consulting for healthcare providers with an emphasis on home health organizations, hospices, hospitals, ambulatory surgical centers and physician groups. Other specific experience while at DHG includes due diligence procedures associated with the acquisition of healthcare providers. 

Adrienne received her Master’s in Professional Accountancy, Bachelors of Science in Business Administration (Accounting) and Bachelors of Science (Animal & Veterinarian Science) from West Virginia University. Ms. Crutch is a certified public accountant licensed in the states of West Virginia, Florida, North Carolina, and Alabama.