Purpose-Built Analytics Physicians Trust | d2i

A Healthcare Performance Improvement Company

A Note from Our Founders: Why We Make Data Matter

Transparency and trust are not just values at d2i – they are the bedrock of the friendship and the business that we, Jonathan Rothman and Scott Richards, have built. They are the foundation of d2i’s culture and how we show up for our clients every day.

d2i exists because of a fundamental challenge in healthcare. While leadership relies on high-level KPI reports that gloss over the true complexities of patient flow, acuity, and accountability, clinicians and departmental stakeholders are asked to drive change to improve patient care and operations without timely access to data they trust – data that actually captures the chaos of a 12-hour shift.

We get it.

It is not for the lack of data. The data is there. However, nobody brings it together. It lacks integrity, and it fails to impart clinical or operational intelligence. We knew that for data to be the foundation for anything, it first had to be unequivocally trusted. And it needed to be infused with domain-specific nuance to spark the right conversations, the kind that drives real change.

So, from day one, we built d2i with a data-integrity-first mindset. Our goal is simple: to provide clinicians and healthcare leaders with a “single source of truth” that mirrors real-world workflows, taking the complexity out of data and making it actionable.

This results in the clarity needed to enable transparent conversations and drive systemic improvement without the friction of “bad data.”  When clinicians and stakeholders trust the data, they own the outcomes. And when they own the outcomes, better care follows.

That is why we make data matter.

Scott Richards
Jonathan Rothman

See Your Data Differently

Discover how connected analytics for emergency and hospital medicine can strengthen quality, efficiency, and financial performance.

An Ongoing Healthcare Evolution

Our evolution reflects a deliberate focus on solving real problems in emergency and hospital medicine, guided by clinicians, grounded in data rigor, and built to drive action.

2000–2010

Purpose-built in emergency medicine

We founded d2i to deliver accurate, workflow-aware analytics for emergency departments, giving clinicians and leaders access to data that reflects how care is actually delivered.

2010–2015

Established leader in EM performance analytics

We became a trusted performance analytics partner for emergency medicine practices, delivering validated, clinician-level insights not available through traditional systems.

2016–2019

Scalable, high-fidelity data foundation

We invested in a flexible data architecture to support growth, new use cases, and expanded clinical, operational, and financial data without compromising trust or accuracy.

2020–2022

Daily data and new use cases

We began acquiring and processing data daily to support quality improvement, physician performance, and regulatory reporting — including MIPS — shifting from retrospective reporting to timely action.

2023–Today

Integrated acute care solutions

Today, we support physician groups and health systems across the U.S., helping leaders improve documentation accuracy, reduce unwarranted variation, and strengthen operational performance.

2026

April 2026: d2i is now part of ESO

This acquisition will accelerate emergency intelligence to drive performance and improve outcomes across fire, EMS and health systems. Read More

Hospital EHR Data Sources

Unique ED Patients in Our Warehouse

Patient Encounters Ingested Daily

Data Points in Our Warehouse

Vision

We see a future where trusted and transparent data removes barriers for those closest to care, giving them the clarity to lead change.

Mission

We make your data matter. We transform vast and complex healthcare data into trusted information that gives physicians, hospital leaders, and researchers meaningful insights that improve clinical and operational performance.

Our Values

Trust is earned through how you work, not what you claim.

Our values define how we partner with healthcare organizations, how we approach data, and how we stay grounded in the real-world realities of care delivery both internally and with our trusted partners.

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Team-parency

We build trust through openness, partnership, and shared accountability, working alongside our clients with the belief that when healthcare improves, everyone benefits.
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Passion meets purpose

We care deeply about healthcare and focus our energy on work that measurably improves care delivery, not just what is easiest to build or sell.
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Precision and data fidelity

We deliver analytics that accurately reflect real clinical workflows, ensuring that insights are contextual, defensible, and trusted by those who use them.
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Authenticity

We show up as we are — honest, direct, and grounded in reality — because trust is built through transparency, not polish or fluff.

Interested in Exploring Career Opportunities?

We’re a team of people who care about getting healthcare data right and doing the work with integrity. At d2i, you’ll collaborate with smart, grounded teammates on problems that matter, without the noise or ego. Visit our career page.

FAQ About Our Healthcare Performance Improvement Company

What kind of company is d2i?

d2i is a physician-led healthcare performance improvement company focused on emergency medicine, hospital medicine, and life sciences. We are not a generic BI tool or EHR reporting add-on. Instead, we partner with clinical and operational leaders to make complex data usable, actionable, and aligned with how care is actually delivered. Through embedded advisory services, we act as an extension of your team—helping you align, act, and improve.

When was d2i founded?

d2i was officially founded in 2010, building on earlier work in emergency medicine analytics that began in the early 2000s.

Who founded d2i?

d2i was founded by Jonathan Rothman and Scott Richards, healthcare data leaders who saw clinicians asked to improve care without meaningful, practice-level insight.

Anchor link to respective bios on page.

Who does d2i work with?

d2i partners with physician groups, hospitals, and health systems across the U.S., primarily in emergency medicine, hospital medicine, and acute care operations.

Why is trust so central to d2i?

Data only drives real change when it’s trusted. Transparency, accuracy, and fidelity guide how we build our analytics and how we work with clients. When clinicians trust the data, they engage with it, and improvement follows.

Is d2i right for every organization?

d2i is best suited for healthcare organizations that value transparency, collaboration, and data that supports honest conversations and measurable improvement. We partner best with teams willing to examine variation, align around shared goals, and act on insight. Explore our case studies to see how d2i delivers impact.

How is d2i different from dashboards or internal analytics?

Most dashboards show what happened. We focus on why it happened and what to do next. By rebuilding patient journey data to reflect real clinical workflows, we uncover root causes and performance drivers that teams can act on. Explore our solutions.

Does d2i replace existing systems or analytics teams?

No. d2i complements existing systems and internal teams. We extend their capabilities by delivering high-fidelity, workflow-aware analytics that add context and clarity, without duplicating effort or creating additional burden.

What industry partnerships does d2i have?

We collaborate with clinical experts, specialty organizations, and healthcare technology partners to ensure our analytics remain practical, credible, and relevant. The Sullivan Group is one of d2i’s partners. 

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