About EPSi | EPSi Healthcare Financial Decision Support
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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.

Our Platform & Network Partners

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 Leadership

Ralph Keiser

Ralph Keiser

CEO

John Gragg

John Gragg

COO

Tim Rutledge

Tim Rutledge

Chief Product Strategist

Grant Gordon

Grant Gordon

Chief Technology Officer

Steve Sedlock

Steve Sedlock

Chief Growth Officer

Sandra Hendren

Sandra Hendren

Chief Data Scientist

Ryan Self

Ryan Self

Vice President of Professional Services

 

Sam Lee

Sam Lee

Director of Product

Mike Grimsley

Mike Grimsley

Director of Development

Rich Puyear

Rich Puyear

Director of Quality

 

Tim Nolan

Tim Nolan

Director of EPSi Learning

 

Scott Peterson

Scott Peterson

Director of Support

 

Sara Breuer

Sara Breuer

Marketing Director

A deeper look at our leadership.

Ralph Keiser, CEO

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.

John Gragg, COO

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.

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 lead 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.

Grant Gordon, Chief Technology Officer

As the leader of technology and engineering at EPSi, Grant’s 20 years’ experience building high-performance teams anchors the IT organization. His focus is the relentless pursuit of excellence in delivering innovative solutions that set the benchmark in healthcare technology. Grant’s leadership of the team creates the technology platform that provides value to clients through efficiency, reduction in costs and performance.

Grant has been the founder of two successful technology businesses with deep expertise in data, analytics and prescriptive outcomes leveraging cloud solutions. His executive IT leadership experience includes being at the helm of the region’s fastest-growing management consulting practice. He led the company’s IT consulting and analytics teams to award-winning growth across the healthcare, financial, government and technology sectors.

Standing out in a crowd

You’ll be able to pick Grant out of the crowd because he is the one making introductions and connecting people.

Outside of work

When not tethered to an electronic device, Grant is enjoying time traveling with his family and friends. Tennis and golf occupy most of the screen time during weekends.

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 excellent 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.

Sandra Hendren, Chief Data Scientist

Sandra leads EPSi’s big data and data science practices. She has guided many organizations in creating and developing data science and big data teams, products, and services.

Prior to joining EPSi, she was the Chief Data Scientist and Analytics Specialist for UnitedHealth Group’s Advanced Computations Lab responsible for conceptualizing, defining, designing, and managing the implementation of the analytics and predictive analytics portions of the future healthcare system. She was also a founder and managing director at PerformaMetrics, a strategic analytics firm that develops proprietary predictive models and SaaS applications by integrating external market data and companies’ internal performance data to predict, measure, and monitor market penetration, sales performance, and to forecast product demand. Sandra has also been an adjunct senior lecturer at Harvard University. 

Sandra holds both an M.S. in Psychometrics and a Master’s degree in Statistical Computing from the University of North Carolina at Chapel Hill.

Standing out in a crowd

You’ll be able to pick Sandra out of a crowd because she’s constantly looking for and discovering patterns and connections.

Outside of work

When she’s not dazzling people with her brilliant mind, Sandra leverages her background as a competitive horseback rider by volunteering with Windrush Farm, the oldest hippotherapy facility in the U.S.

Ryan Self, Vice President of Professional Services

Ryan leads the EPSi consulting practice. 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.”

Samuel Lee, Director of Product Management

Sam leads the Product Management group at EPSi, for both RealCost cloud and EPSi platforms. As Director of Product Management, he is responsible for developing, defining, and overseeing the RealCost and EPSi product roadmap throughout the product lifecycle, and for working with the entire product team to ensure that our software delivers and performs as promised. 

Same spent more than seven years with Deloitte prior to joining EPSi as a product manager in 2017. He earned his undergraduate degree at Emory University and his MBA at Emory University – Goizueta Business School.

Standing out in a crowd

Sam is often the tallest person in the room, literally towering over his colleagues and friends.

Outside of work

Sam is known for his intensively competitive approach to sports, so when he’s not transforming the EPSi vision into software, he’s relentlessly driving toward the hoop.

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.

Rich Puyear, Director of Quality 

Rich leads EPSi’s quality team, giving technical and professional guidance to assure EPSi’s software meets the highest quality standards. Rich joined EPSi after working with LPL Financial, an organization of independent financial advisors that provides services to more than 14,000 financial advisors and 700 financial institutions. Rich led an IT PMO Operations organization with multiple teams including IT Financial Management, Process Quality Assurance, Vendor Management, Business Intelligence, Enterprise Tools, Process Re-Engineering, Demand Management, Training, and Communications.

Before LPL, he was Vice President of Quality Engineering at Citi in St. Louis, MO. Citigroup is a diversified financial services holding company that provides various financial products and services for consumers, corporations, governments, and institutions in North America, Latin America, Asia, Europe, the Middle East, and Africa. Rich directed the quality engineering practice for Credit, Risk, Core Banking, and Statements products within Citibank.

Rich is a graduate of East Carolina University’s College of Business, where he received a BS in Management Information Systems.

Standing out in a crowd

You can always find Rich in a crowd because he will be with his family out on an adventure making friends wherever he goes.

Outside of work

Rich is an active volunteer at his church doing community outreach. He is also a big Cardinals and Blues fan. Rich spends most of his free time with his kids, plays golf when time allows, and catches an occasional movie night with his wife.

Tim Nolan, Director of EPSi Learning

In his role as the Director of EPSi University, Tim’s focus is on the learning and development of both client and internal EPSi teams to effectively deliver value from EPSi software and services and best practice decision support processes.

Prior to joining EPSi, Tim was a specialist leader with Deloitte Consulting for 14 years. At Deloitte Tim served as a senior project manager where he and his team conducted DSS assessments, implemented multiple decision support systems, and standardized best practice processes for budgeting and cost accounting. He delivered management reporting for some of the largest health care providers and academic health systems in the US. Additionally, Tim was responsible for developing client-specific training content and experience-based analytics learning.

Tim also worked for Northside Hospital in Atlanta for 15 years in multiple roles within the decision support and managed care departments. Tim earned his MBA and MHA from Georgia State University.

Standing out in a crowd

You’ll be able to pick Tim out of the crowd because he’s the one quietly observing how they are interacting so he can join the line that’s moving fastest.

Outside of work

When not searching for better ways to improve how clients experience EPSi’s solutions by providing world-class learning opportunities, Tim spends as much time as possible with his two sons, having fun and teaching them how to become great men.

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.

Sara Breuer, Marketing Director

Sara leads all marketing functions across EPSi’s software and services businesses. Her goal is to activate the marketplace, captivate our clients and prospects, and elevate the EPSi brand through engaging, meaningful, and relevant interactions with all stakeholders. 

With more than 20 years of experience, Sara focuses on enabling EPSi to deliver on its mission to use its innovation platform to address the growing healthcare crisis by improving operational efficiency, eliminating unnecessary cost, and helping clients deliver better outcomes. 

Prior to engaging with EPSi in 2016, Sara was a partner at Sol Marketing, where she worked with technology and media clients including Dell, Microsoft, and Allrecipes. She has also held marketing, strategy and business development leadership positions at Sapient and KLRU-TV. She was also Director of Public Information at the Texas Center for Rural Health Initiatives.

Standing out in a crowd

Sara’s known for her appreciation for a well-turned phrase, a clever portmanteau, and the highest-converting offer in a series of A/B tests.

Outside of work

When not figuring out EPSi’s ideal customer model, Sara spends her time gardening, pickling and canning, enjoying Austin’s cultural treasures like the Harry Ransom Center and the Mohawk Lounge, and going for night swims in her beloved Barton Springs Pool.