PPHM Executives


Jim Vandagrifft - President and CEO

Jim Vandagrifft is driven to discover innovative ways to improve processes and make positive impact in people’s lives. During college, Jim spent 2 years in the CIA. As an entrepreneur, Jim has started, grown or sold more than a dozen companies. His first consulting business began in 1990 and within two years had purchased and merged another company. That consulting operation expanded business revenues more than 24 times with markets throughout the US and China.

The need of friend led him to develop a process and facility to reclaim refuse coal into high grade coal product, thereby changing an environmental hazard into a desirable product and returning a significant return to the investors.

Jim ventured into the healthcare markets where he saw an opportunity to help baby boomers through healthcare. After merging with another healthcare services company, he grew the business more than five times. Jim and his wife Nora own and operate three healthcare organizations they collectively formed and have operated since 2001. Jim holds a B.S. from Indiana State University in Electronics Technology. He enjoys time with his 8 children, numerous non-profit organizations and resides in Indianapolis, Indiana.

Mary Boustani - Chief Operating Officer

With 26 years in the healthcare industry, Mary brings in-depth experience in healthcare operations and consulting to the PPHM team. Mary has served in various administrative positions, including Chief Executive Officer/Administrator in short-term and long-term acute care hospitals. She has experience working with for-profit and not-for-profit health systems, insurance companies and pharmaceutical companies with goals to improve quality, finances, operations and to improve the culture and patient experience.
Mary has multiple reasons to support the mission of Preferred Population Health Management to improve the quality of life for patients with Alzheimer's dementia and depression. Her parents suffer from dementia, therefore she understands what families and caregivers go through during the progression of a disease such as dementia. This opportunity provides a way for her to ensure more patients and caregivers receive the calm and hope they need and deserve.
Additionally, Mary is married to Dr. Malaz Boustani, an Indiana University Professor of Medicine, Adjunct Associate Professor in Public Health and Richard M. Fairbanks Professor in Aging Research. He is also the Founding Director of the Sandra Eskenazi Center for Brain Care Innovation at Eskenazi Health in Indianapolis. Through his various leadership roles, Dr. Boustani focuses on the rapid translation and implementation of research discoveries into clinical practice, utilizing the tools of implementation science, medical informatics and public health.

Mary is a graduate of Xavier University, where she received a Master in Hospital Administration with a concentration in long-term care. She is a fellow in the American College of Healthcare Executives. Mary enjoys travel, working out with friends and spending time with family and friends. She and Dr. Boustani reside in Carmel, Indiana and have two children.

Bharath B. Reddy Bynagari - Chief Innovation Officer

Bharath B. Reddy Bynagari is an experienced information technology professional who has led complex projects for entrepreneurial as well as publicly held companies. He was the inventor behind Diagnotes ( a mobile clinical communication platform. He created and developed the health information technology behind Diagnotes. He is the president, CEO and founder of MavenSphere Inc. (, a consulting services company with a mission to provide innovative solutions with a human touch since 2007.
Bharath is the chief architect of the enhanced electronic medical record for the advanced brain care (eMR-ABC) (  eMR-ABC provides clinicians with an automated decision support system to aid them in meeting the complex biospychosocial needs of patients suffering from dementia, as well as the patients’ caregivers. The eMR-ABC is being used at Eskenazi Hospital, IU Health Arnett and all 16 Area Agencies on Aging in the state of Indiana. The same software is being licensed to Preferred Population Health Management (PPHM) (

Bharath received a Master of Science in Computer Science from University of Texas.  He has more than 20 years of IT and healthcare experience. He lives in Carmel, Indiana with his wife and kids. He enjoys watching TV, listening to music and spending time with his family.

Doug Cook - Chief Legal Officer/Chief Financial Officer

K. Douglas Cook holds a Doctor of Jurisprudence Degree from Indiana University School of Law-Indianapolis (Magna Cum Laude) and a Bachelor of Science Degree from Ball State University-Muncie, IN (Cum Laude). Prior to starting his own practice, Doug held positions with Main Hurdman (now KPMG, LLP) and Ice Miller Donadio & Ryan. Doug limits his practice to corporate executives, small business, professionals and entertainers.

Doug is actively involved in his community. He is currently a USGA Committee Member on the Mid-AM Committee, is a golf rules official and is a member of St. Luke’s United Methodist Church. He is a member of Crooked Stick Golf Club, previously serving as president of the club and on many club committees. He was previously Chairman of the Fishers Economic & Community Development Commission, and served a Trustee for Ball State University.

Nick Starnes - Chief Technology Officer

Throughout his eighteen years in IT, Nick Starnes has dedicated himself to developing easy-to-use systems that address the needs of customers. From basic project consulting to the development of a complex systems infrastructure for a national service company, Nick is committed to providing technology services that are detailed and reliable. His first-hand experience with the ever-changing world of technology and the consequent challenges for a growing business are evident in the ease with which he recognizes needs, addresses concerns, and develops the necessary solutions to promote the success of his customers.

Nick received a Bachelor in Business Administration from Indiana University. When Nick is not immersed in the world of technology, he is typically enjoying time with his wife, coaching his son’s travel baseball team, or taking on the challenges of the golf course.

Charlie Deines - Director of Operations

Charlie has channeled his business and community energies into his own small business for the past 17 years. Prior he was Branch Manager for a nationwide company that sold, consulted, implemented and managed LAN infrastructure for the Fortune 500. He has a BS and MS in Ag Econ from the University of Arkansas, Fayetteville, which led to positions in the Farm Credit Services in St. Louis and Minneapolis working on tax leasing programs for banks throughout the country. Charlie and his wife Carolyn live in the old part of Noblesville, Indiana and enjoy walking access to the amenities of the downtown square.

Advisory Board

Mark Forsythe - Advisor

Mark Forsythe focus's his efforts on guiding and empowering a team to perform at their fullest potential. His 25 years of executive experience across a broad range of industries has taught him to encourage creative solutions using a “think outside the box” mentality. As the President of a rapidly growing national service company, he is responsible for ensuring that the appropriate people, processes and tools are in place to enable delivery of superior service and for building a culture of continuous improvement. Previously, Mark spent 13 years with Accenture providing large scale SAP projects and developing rapid implementation approaches.

Mark holds a Mechanical Engineering degree from Rose-Hulman Institute of Technology. He enjoys triathlons, mountain biking and snowboarding in his spare time and resides in Brownsburg, Indiana.

Samuel Odle - Advisor

Samuel L. Odle is a senior policy adviser for Bose Public Affairs Group. In this capacity, Odle works with clients on a variety of public policy issues involving health care and the life sciences.
Prior to joining Bose Public Affairs Group, Odle served as lead executive in the merger of Methodist Hospital of Indiana with the hospitals of the IU Medical Center in 1997. The merger required the creation of a new, not-for-profit 501c3 with employment of 9,000 FTEs on its first day of existence. This required the establishment of all operating procedures and personnel policies. The combined organization had a budget of $1.6 billion and included the full spectrum of tertiary services, including one of the state's largest trauma centers.
Odle has had executive responsibility for over a billion dollars in health care construction over the last 15 years. This has included the IU Simon Cancer Center, the West buil ding and East building expansion of Methodist Hospital (this included a new trauma center serving 100,000 visits annually), and the completely new West, North and Saxony Hospital of IU Health.

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Troy Reiff - Advisor

Troy has over 20 years experience in healthcare, achieving results on the clinical side of healthcare as well as administration. He specialized in coronary intensive care and long-term acute care nursing, along with building and overseeing start-up hospitals. Since 2002, Troy has served as COO for two St. Vincent Seton Specialty Hospitals located in Indianapolis and Lafayette, Indiana, which are member hospitals of Ascension Health and locally St. Vincent Health. He brings value in leading hospital operations and strategic initiatives, while maintaining an entrepreneurial vision towards delivering higher quality of care at a most cost-effective approach. Troy continues to be a resourceful contact for Ascension Health ventures, start-up and existing medical device companies, Indiana's 21st Century Fund, and funding sources on guidance of technology in healthcare settings along with development and strategic planning. He has a Bachelor of Science Degree in Healthcare Management and as Associate of Science in Nursing.

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