A healthcare-focused design-build partner.
The Apex Group guides clinics, pharmacies, and tribal health systems from feasibility and design through construction, automation, and operational launch, as one accountable team.
Built around the way care is delivered.
The Apex Group is a commercial design-build developer with a healthcare focus. We bring development, design, and construction together under one roof so healthcare operators work with a single, accountable team, from first feasibility conversation to opening day.
With more than 20 combined years guiding owners from concept to completion, we have helped tribal nations and healthcare operators across the country stand up clinics and pharmacies, coordinating the planning, funding pathways, regulatory approvals, technology, and construction that a facility needs to open and run.
What working with us looks like.
One Accountable Team
Development, design, and construction under one roof, fewer handoffs and a single point of responsibility.
Schedule & Budget Discipline
Feasibility, value engineering, and procurement oversight focused on protecting your budget and timeline.
Built for Healthcare
Facilities designed around clinical workflow, compliance, and growth, not generic commercial space.
Tribal Partnership
Deep experience delivering for tribal nations, aligned with sovereignty, IHS funding, and community access.
Technology-Forward
Pharmacy automation, EMR, and IT infrastructure planned into the facility from day one.
Owner-Aligned
We represent your interests across vendors, contractors, and engineers throughout the project.
The people behind the work.
Kesler De Ruyter
Founder of The Apex Group and Vice President of Construction and Project Development for Aambe, Inc. With more than a decade in residential and commercial construction and economic development, Kesler leads projects that become catalysts for community growth, collaborating across government agencies, private entities, and tribal nations. Guided by faith and integrity, his focus is simple: operate with purpose, execute with excellence, and leave things better than he found them.
Katie Kraemer
Over 15 years of executive leadership and business development. Katie leads cross-functional teams, oversees complex operations, and implements SOPs and SOGs that improve efficiency and deliver results, aligning company vision with the tenacity to execute while holding the highest standards of professionalism, integrity, and service.
Let's build something that lasts.
Tell us about your clinic or pharmacy project. We'll map a clear, efficient path to delivery.