Our Story
Graphium began with practicing anesthesiologists who wanted to better understand the care they delivered. Working alongside software engineers, they built a way to turn everyday documentation into information that could help improve the surgical patient experience.
“I wanted to understand how the care I delivered compared with that of my peers, where I was doing well, and where I could improve. With our records on paper, those questions were difficult to answer. We needed a way to learn from the care we were already documenting.”
Our mission is to improve the surgical patient experience. We want to help teams improve outcomes, reduce costs, and make care more accessible by giving them a clearer understanding of the care they deliver and the experiences patients report.
In 2011, anesthesiologists Jeff Zavaleta, MD, and Samuel Kleinman, MD, began working toward a better way to learn from the care they delivered. Daniel Dura and Randy Barker joined as co-founders, bringing the engineering and business experience to turn that idea into a working platform.
That collaboration still shapes Graphium. Practicing clinicians bring the questions and everyday challenges. Our engineering team works alongside them to build tools that fit the work.
Anesthesia care moves quickly. Providers assess patients, administer medications, perform procedures, and respond to changes while documenting what happens. Software needs to support that pace and keep attention on the patient.
We started with forms providers already knew, preserving a familiar way to document care while capturing structured information. That information helps teams understand their clinical performance, support billing, and learn from patients’ experiences.
Fifteen years later, that's still the whole company. Graphium is in production at more than 500 anesthesia facilities across 40+ states. We are physician-owned, profitable, never acquired, and never venture-funded. We own the runway and we own the direction of growth. We reinvest roughly 40% of revenue into R&D, well above industry norms, all from operating cash flow. No venture capital required. Anesthesia is the only thing we do.
Co-founder · Chief Executive Officer
A career software engineer, Daniel worked at Macromedia and Adobe on the Flash, Flex, and AIR platforms and spoke to developer audiences around the world. He personally wrote much of Graphium's original platform, led engineering as CTO, and now leads the company as CEO.
Co-founder · Chief Medical Officer
A UT Southwestern graduate who trained at Parkland, Dr. Zavaleta has practiced pediatric anesthesia in Fort Worth since 2008 and still works cases every week. That daily practice is Graphium's product compass: every form, workflow, and report is built for the providers he stands beside.
Co-founder · Business Development
A serial technology entrepreneur, Randy built and sold Dallas software and business intelligence firms whose clients included American Airlines and Neiman Marcus. He served as Graphium's first CEO and now leads business development.
Co-founder
A board certified pediatric anesthesiologist in Fort Worth with a congenital cardiac focus and more than three decades in practice, Dr. Kleinman helped shape Graphium's earliest product from the perspective of a physician charting cases every day.
Chief Technology Officer
Matthew has helped build Graphium’s technology from the beginning, growing from data architect to Chief Technology Officer. His background includes healthcare data work at Baylor Health Care System. He works closely with our clinical leadership to translate care workflows into the platform’s forms, data model, and reporting capabilities.
VP of Sales
Frits brings extensive healthcare technology experience to Graphium. An early member of Health Catalyst’s sales organization, he served as VP of Sales and helped the company grow toward its IPO. At Graphium, he brings that understanding of healthcare data and hospital priorities to conversations with organizations working to improve anesthesia care.
VP of Customer Success
John leads customer success, helping groups get started with Graphium and make effective use of the platform as their needs evolve. He works closely with customers, clinicians, and engineers to resolve challenges, introduce new capabilities, and ensure customer feedback informs ongoing development.
Graphium grows through conversations with the people who deliver, support, and receive care. Tell us what your team struggles to understand, what gets in the way, and what would help you care for patients more effectively.
We welcome conversations with clinicians, hospital teams, and billing partners who share that goal.
