John Malcolm Toups

Healthcare Operations & Technology Executive
Chapel Hill, North Carolina

Thirty-five years building and running the delivery engines behind healthcare technology — co-founder, board director, and CTO of a nationally deployed clinical SaaS platform that clinicians have depended on every day since 2008.

100%platform availability,
14 of 18 years
7,200clinicians served
daily
17Manesthesia cases
collected
500+facilities
nationwide

Profile

I co-founded Medaxion in 2008 and have owned its technology operations ever since — a CEHRT-certified, HIPAA/SOC 2 electronic health record used daily in surgical and anesthesia care across the country, including by the nation’s largest hospital company and its largest independent anesthesia practice. Bootstrap to profitability to a successful private-equity close in 2023, with a board seat throughout.

My discipline is enterprise-grade delivery at startup leverage: know every job the company needs done, put the right people in those jobs, give them the tools and authority to succeed, and hold the service levels without compromise. The record above is what that discipline produces.

I design and architect hands-on — clinical data integration from scheduling and preassessment through billing, claims, and postoperative quality reporting; real-time data infrastructure; and HIPAA-compliant AI pipelines in production.

Career

2008 – Present

Medaxion Co-Founder, Board Director & Chief Technology Officer

National anesthesia EHR — full ownership of technology operations, platform architecture, client implementations, and security posture. CMS/ONC certified; U.S. Patent 8,326,651.

2009 – 2011

Geomagic Director, ITS & Innovation

Transformed global IT operations across the USA, EU, Russia, and China; helped shepherd acquisition by 3D Systems.

2004 – 2008

Safer Sleep Chief Technology Officer & VP Sales

Brought an international clinical-safety product to the US market as SaaS; drove the FDA 510(k) regulatory process to acceptance.

2000 – 2004

GHX / Medibuy / empactHealth Technology Director

Systems architecture and technology operations inside the world’s largest healthcare B2B exchange; performance engineering that saved purchasing organizations millions annually.

1998 – 2000

Vanderbilt University Medical Center Director, R&D

Designed a location-aware unified clinical desktop accelerating provider access to patient data across care sites.

Patent

U.S. Patent 8,326,651 (inclusive: 0305970, 0305971, 0305972, 0306858) — co-inventor of the systems and methods underlying the Medaxion clinical-documentation platform.