Our Team

People Behind Souture

Amy V. Laroche

Amy has over 15 years of experience leading improvements in revenue cycle management. She works with organizations to strengthen cash flow, improve margins, and build the operational foundation needed for sustainable growth.

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Richard A. Raphael

With more than 25 years of experience, Richard has helped organizations build and maintain strong compliance and performance practices. His focus is on aligning day-to-day operations with regulatory requirements and making sure systems actually work in practice.

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Founders’ Philosophy / Vision

Healthcare organizations perform best when complexity is managed with clarity and purpose. Souture bridges the gap between strategy and execution, delivering hands-on expertise, evidence-based approaches, and operational insight directly to small- and mid-sized organizations.

Services help clients move from chaos to performance through tailored guidance, embedded support, and scalable solutions. Decisions are grounded in improving outcomes, protecting resources, and building systems that grow with organizational needs.

Looking ahead, Souture is evolving to include managed services and software solutions that extend these capabilities, providing clients with scalable tools and ongoing operational support to further streamline processes and drive measurable performance.

Team Values and Approach

Solutions are grounded in evidence and shaped by hands-on experience on both organizational and vendor sides. Collaboration is practical and results-focused, ensuring guidance is actionable and aligned with client priorities. Transparency and accountability guide every engagement, building trust while improving operational and financial performance. Adaptability and foresight allow teams to anticipate challenges, implement scalable processes, and sustain improvements over time.