You need the full picture. And you get it with EPSi.

Healthcare systems face increasingly complex demands on their financial organizations. New market requirements are forcing organizations to analyze more data than ever. Hospitals need to address complicated business needs including bundled payments, accountable care organizations, value-based care, population health, increasing labor costs and integration across product lines.

It’s not business as usual anymore. In today’s market, a hospital’s financial, operational, and clinical leaders need to incorporate, analyze and utilize data across the entire episode of care to drive the organizational transformation required to succeed.

EPSi is the industry leader in integrated financial decision analyticsbudgeting, and planning solutions for the healthcare industry. More than 900 hospitals in the U.S., including nine of the top 10 rated hospitals, 128 IDN systems, and 40 global academic facilities rely on EPSi for data-driven insight into managing costs and improving their long-range financial performance.

Our Partnerships

RealCost is built from the ground up on the AWS cloud platform, the world’s most comprehensive and broadly adopted cloud platform, offering over 165 fully featured services from data centers globally. Millions of customers —including the fastest-growing startups, largest enterprises, and leading government agencies—trust AWS to power their infrastructure, become more agile, and lower costs. EPSi is an AWS Advanced Technology Partner.

EPSi is partnering with the Healthcare Financial Management Association on an ongoing research and content series focused on analytics. The “Return on Analytics” program will report on the results of research on how health systems utilize data to sustain operational excellence and address rising care expenses, including how to achieve the best possible return on their analytics investments and fuel the strategies that move them past the data connection chasm. The research will explore how providers plan to use data to achieve better results both clinically, operationally and financially.

Our partnership with Ilerasoft gives our clients additional capital budgeting capabilities and provides analytics that help improve operational efficiency around medical equipment use powered by Ilerasoft’s Efficiency Score.

Our Leadership

Ralph Keiser CEO EPSi

Ralph Keiser

Chief Executive Officer

EPSi Tim Rutledge Chief Product Strategist

Tim Rutledge

Chief Product Strategist

John Gragg COO EPSi Healthcare

John Gragg

Chief Operating Officer

Steve Sedlock

Chief Growth Officer

James Gain EPSi Hospital

James Gain

Chief Technology Officer

Scott Peterson EPSi Director Support

Scott Peterson

Director of Support

Mike Grimsley Development Director EPSi

Mike Grimsley

Director of Development

Ryan Self

Vice President of Professional Services

Ralph Keiser CEO

Ralph Keiser, Chief Executive Officer

Ralph leads the EPSi team. His 33-year industry track record as a healthcare information technology executive includes building and managing high-growth teams in public and private technology companies ranging from start-ups (EPSi, @Outcome, Synthesys) and private equity/venture capital owned corporate turnarounds to large public companies (Cerner, Eclipsys). In 2013, he joined Deloitte Consulting as a Director to help launch and lead their ConvergeHealth technology portfolio business.

As CEO, Ralph is responsible for the vision and direction of EPSi. He is renowned for his expansive knowledge of the industry and his wise counsel.

Standing out in a crowd

You’ll be able to pick Ralph out of the crowd because he’ll be the guy requesting all the Stevie Ray Vaughan songs.

Outside of work

Outside of business hours, Ralph gets up really early (which is his secret to staying five steps ahead of everyone else), listens to live music in his beloved Austin, TX and practices the art of Iaido. Because nothing brings focus like playing with a sharp blade.

EPSi - Tim Rutledge Chief Product Strategist

Tim Rutledge, Chief Product Strategist

Tim has over 35 years of Healthcare Decision Support expertise. He has operational experience with a major academic medical center, helped to build, sell and install budgeting and cost accounting applications with Price Waterhouse, and was a principal in two successful decision support startups. He was an original co-founder and CEO of EPSi and led the company to market leader status until he left in 2011 after EPSi was acquired by Eclipsys and, subsequently, Allscripts.

Tim then worked as an independent consultant with various companies on corporate strategy, product positioning/strategy and product development. Tim is now focused on bringing to market next generation product strategy and innovation at EPSi.

Standing out in a crowd

You’ll be able to pick Tim out of the crowd because he’s the one everyone is listening intently to.

Outside of work

Outside of business hours, Tim explores the oceans in search of his next great fly fishing experience, and photographs grizzly bears and other exotic wildlife.

John Gragg COO EPSi

John Gragg, Chief Operating Officer

John is an experienced healthcare consulting leader and a 30-year veteran of decision support systems and data warehousing/business intelligence for the healthcare provider market. His track record includes selling, directing, and managing several of the largest DSS rollouts in the industry (HCA and Sutter).

John pioneered leading-edge decision support practices in his consulting career, including product line budgeting, RVU development testing, and decision support balancing governance, and for four years was a managing director at Deloitte. John has held numerous, key senior executive positions for leading HIT and DSS vendors (HMS, Cerner, EPSi, Eclipsys) and played instrumental roles in their successes and growth.

At EPSi, John manages finance, operations, services, and solution delivery. John’s passionate about making an impact in this industry.

Standing out in a crowd

You’ll be able to pick John out of the crowd because he’s the one doing the listening.

Outside of work

Outside of business hours, John stays up late building and wiring his own computers.  When he’s not busy making sure his clients get the most value from their decision support implementations, you can find him tweaking his latest hardware creation.

Steve Sedlock, Chief Growth Officer

Steve is the sales, business development, and marketing leader at EPSi. With a successful track record spanning more than 25 years in healthcare technology, Steve consistently drives value creation, operational excellence and market leadership for the companies he serves. He has particular expertise in creating new revenue streams, capturing market share, and improving operational efficiency. While at Mediware Information Systems, he helped increase its stock price five-fold prior to the company being taken private; and increased annual revenues from $36 million to more than $200 million.

As CGO, Steve is responsible for setting the goals for the sales team, developing strong relationships with clients to assure maximum value and ROI, driving market strategy and creating new market opportunities for EPSi with strategic business partnerships.

Standing out in a crowd

You’ll be able to pick Steve out of a crowd because he’s the tall, curious one absorbing everything that’s happening.

Outside of work

When he’s not forecasting and creating value, Steve is at the basketball court, either watching or coaching his three children (middle school, high school and college-age) as they play to win.

James Gain, Chief Technology Officer

James is a seasoned, technology-focused builder and leader with deep experience building technology solutions, implementing new processes and building software products for Fortune 50 organizations in the healthcare, management consulting, and financial sectors. He comes to EPSi with a wealth of healthcare technology experience, most recently at PatientPoint, where he was CTO and CIO.
At PatientPoint, James built out a care coordination platform, interactive patient engagement solution for the exam room, and mobile products, while also focusing on enhancing and improving internal IT operations and processes. Prior to his tenure at PatientPoint, James spent almost seven years at Optum, where he started as an IT manager and advanced quickly to build teams, processes and products in the consumer, payer and provider, and government markets.

Standing out in a crowd

You’ll be able to pick James out of a crowd because of his ability to speak with enthusiasm and knowledge about topics ranging from the philosophy of The OA to astrology to religion to politics to baseball.

Outside of work

Outside of business hours, James claims to be the only Cubs fan in Minnesota. He also likes to run, although these days most of his running is after his three children on and off the golf course. He loves to stay busy and thrives on chaos.

Scott Peterson, Director of Support

Scott is the leader of the support team at EPSi. Most recently, he led the support organization at United Health Group’s OptumInsight. He spent nearly a decade at Target, where he focused on operational leadership. While there, he developed a corporate-wide initiative to ensure executives were aligned with property management teams to deliver world-class shopping experiences for Target customers.
Scott’s goal and vision for the EPSi support organization is to grow and strengthen our ability to deliver world-class service with a clear focus on our customers. A big believer in collaboration, Scott is focused on collaboration between support and development to inspire excellence and knowledge sharing between these two important organizations.

Standing out in a crowd

You’ll be able to pick Scott out of a crowd because of his fierce dedication to the official state sport of Minnesota: ice hockey.

Outside of work

Outside of business hours, literally every month of the year, you might find Scott on a golf course. He recently achieved his goal of golfing every month of the year in his home state of Minnesota.

EPSi - Mike Grimsley

Mike Grimsley, Director of Development

Mike leads the development team for EPSi. With deep experience as a consultant, developer and project leader, Mike developed the EPSi core system. He’s been with EPSi for 17 years and is the longest-tenured employee.

Mike has worked in many positions at EPSi and has extensive knowledge of the product, architecture and business domains. He builds on his experience in the finance and software field working for Edward Jones and Mitchell Humphrey Software and has consulted with AT&T/Southwestern Bell, MEMC and Express Scripts.

Standing out in a crowd

You’ll be able to pick Mike out of the crowd because he’s at both the Grateful Dead and the Pearl Jam shows.

Outside of work

When he’s not busy solving problems at work, Mike spends time seeking out adventures from fishing at a secluded (and secret) lake in Canada to perfecting his meat-smoking technique.

Ryan Self, Vice President of Professional Services

Ryan leads the EPSi professional services practice, including consulting and implementation. His main goal is to ensure that clients fully leverage their EPSi software by creating solutions to address their most pressing business challenges so they can get the most out of their investment. Since joining EPSi in 2016, Ryan has grown the management consulting team exponentially, reflecting the need our clients have to develop innovative solutions to ensure that they’re successful in controlling costs, guiding organizational strategy, and making sound financial decisions.

He joined the team from Deloitte Consulting, where he spent more than six years in the healthcare consulting practice managing work focused on margin improvement, strategic, and decision support. Clients benefit from his and his team’s experience at some of the most prestigious consulting firms in the industry, including Accenture, PWC, and Deloitte.

Standing out in a crowd

You’ll be able to pick Ryan out of a crowd because he’s the one laughing, sincerely, at everyone’s jokes.

Outside of work

Ryan enjoys traveling the world with his family on epic adventures, from climbing mountains in Nepal to scuba diving off the coast of New Zealand to wine tasting in South Africa to going on safaris in Tanzania – where he learned the correct pronunciation of “Tanzania.”

Find out why you need to, and how you can, transform your health system’s approach to cost containment.


Transformation is more than an industry buzzword. It’s a must for those organizations that intend to succeed. Learn the five key pillars you need to have in place to drive change and take control of your path to success and profitability.