Barry Couch, CIC, ARM

Chair and Founder

Barry Couch is the Chair and Founder of HealthSure which specializes in insurance, risk and quality management programs for hospitals, medical groups and health systems and associations. Barry is a leader in the development and implementation of risk management strategies, processes and programs for healthcare and insurance providers. As a specialist in alternative risk financing strategies, Barry helps various self-insured organizations develop strategic direction dealing with the challenges of taking their company to the next level or simply reviewing new opportunities to address the complexities of the future. HealthSure was founded in 1998 and works with over 70 hospitals, Non-profit organizations, Risk Retention Groups, Captives, Trusts and self-insurance Pools.


Brant Couch, CPA, CIC


Brant is CEO of HealthSure and leads business development, programs and strategic account management. HealthSure is one of the largest specialized insurance brokerage and consulting firms in Texas. For over 15 years he has worked closely with healthcare clients and important groups such as Rural Hospital Insurance of America (RHIA), the Texas Organization of Rural and Community Hospitals (TORCH), the Texas Hospital Association (THA) and Texas Medical Group Administrators (TMGMA), to develop new and better ways to ensure the success of Texas healthcare providers.

Frequently published and a popular speaker, Brant previously was a recognized business development leader and auditor with Ernst & Young for eight years where he specialized in working with emerging growth companies across the country. Prior to that he held several positions with Central Texas Medical Center and the Texas State Senate. He holds a BBA in Accounting from Texas State University, is a CPA, and a member of the American Institute of Certified Public Accountants. Brant serves on a special committee of the Seton Fund in Austin known as The Fifty whose mission is to change healthcare and economic future of Central Texas. He also is a member of the advisory board of the Concordia University Healthcare Administration Program.


Jennifer Fudge, RPLU

Chief Operations Officer

Jennifer Fudge has spent most of her life in the insurance business; you could say it runs in the family as she is a third generation insurance agent. Jennifer started her career with Hobbs Group, specializing in large construction accounts. She then spent 13 years with Independent Insurance Agents of Texas, managing their professional liability division. Jennifer is a graduate of the University of Texas at Austin, with a degree in finance. She also has her Registered Professional Liability Underwriter (RPLU) designation. Jennifer has been a speaker on both professional liability topics as well as organizational management. Jennifer has also written articles on new professional liability products and market trends.


Krista Adamson, CIC, CISR

Practice Leader: Property and Casualty

Krista Adamson is the Property and Casualty Practice Leader for HealthSure and leads P&C service team in serving the unique and evolving needs of our healthcare clients. She has more than 15 years of experience in commercial lines insurance and customer service. Krista is committed to delivering an exceptional client experience through leadership, relationships and creativity. As your insurance and risk management advocate, she is skilled developing and delivering innovative solutions to exceed the expectations of hospital and physician group leaders. Krista has attained professional designations as a Certified Insurance Service Representative (CISR) and a Certified Insurance Counselor (CIC).


Dan Warden

Sales Practice Leader

Dan is a results-driven sales leader with over 20 years of experience in relationship building and strategic sales processes at mid-market and enterprise levels. He has a long history of success driving sales growth as well as building strong internal partnerships.


Heidi Hughes

Risk Advisor

Heidi is passionate about relationship-building. With over 15 years of success initiating, nurturing and strengthening relationships, Heidi knows what it takes to earn and sustain client loyalty.

An essential member in HealthSure’s business development team, Heidi brings a proven, creative talent for devising “outside the box” solutions that exceed client expectations and needs.

Heidi experience includes business development roles at high-profile payroll outsourcing and service firms. She holds Series 6 & 63 Security Licenses and is a licensed Personal & Casualty, Health / Life Insurance Agent. She is graduate of San Diego State (B.S. Business Admin), and continues to pursue her love of personal fitness as the owner of Mighty Fit in Austin, TX.


Jesse Garcia

Risk Advisor

Always be learning everywhere (ABLE) is Jesse’s motto. He enjoys learning about his clients and how he can help them. He loves to solve problems through new ideas and research. This helps Jesse build relationships with clients by being able to offer solutions tailored for them.

Jesse has his Batchelor of Science in Applied Learning and Development from the University of Texas Austin.


Michael Patti

Risk Advisor

Never stop learning. Never stop teaching. With a servant’s heart, Michael see each relationship as an opportunity to learn first, teach second.

His education in political science, Spanish and business administration coupled with career experience helping HR professionals in large public entities, is a solid foundation for growing with HealthSure.

When it comes to helping rural and community hospitals navigate and succeed in the complex world of risk and insurance, Michael says, “I can and will help our clients serve their employees well so they in turn can protect and nurture the health of the communities we all serve.”


Jennifer Bartley

Communications & IT Leader

Jennifer Bartley is the HealthSure’s Communications and IT Leader. For over 10 years, she has managed our administration, marketing, and IT. Jennifer is responsible for creating and executing HealthSure’s communications strategies and intellectual property. She oversees and continuously improves HealthSure’s sales and marketing systems, brands, and social media effectiveness. Her experience and insight into effective communications, branding and marketing assists our service team in the development and deployment of increasingly effective client communication capabilities. Jennifer received her B.A. from George Washington University.


Take the Community Hospital Insurance Coalition (CHIC) for example. With our expert support and management, more than 30 rural hospitals who have come together to own this medical stop-loss reinsurance company. They are paying less for their insurance, improving benefits program performance, and receiving their share of a significant annual surplus cash distribution (~$2.5 million since inception in 2018).