Principal-Led. Always.

Scott Decker

Founder & Managing Principal

Healthcare IT & AI Founder Advisory PE Advisory Board Leadership

A five-time CEO and President across the healthcare IT spectrum — including two founding roles that scaled to $40M ARR and executive leadership of enterprise EMR companies from $150M to $400M in revenue. That operating range spans acute, ambulatory, post-acute, payer, and RCM, at both founder velocity and enterprise discipline.

Computer Science foundation with hands-on AI development experience — including the design, architecture, and deployment of BluCascadia’s Intelligence Engine, a proprietary AI system continuously trained on healthcare IT market dynamics. IE2 is the current generation. IE3 is in active development.

Currently serving as Independent Board Member at Advanced RevCycle and Leading Reach, and as Strategic Advisor to early-stage digital health CEOs navigating AI integration and growth inflection.

The intersection of healthcare operations and AI is where the most consequential decisions in the industry are being made right now. BluCascadia exists to help operators, technology leaders, and investors navigate that intersection — with experience, intelligence, and a working AI system behind every engagement.

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