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Jeff Blankinship grew up in Plano, Texas, and graduated from Southern Methodist University in 1986. He started in healthcare in 1989, in Los Angeles, California, as he was a part of the group that started Pain Relief Network, a regional pain management facility covering Southern California and Arizona. In 1994, when moving back to Texas, he ran several home health companies before entering back into the ASC space. In 1996, he was hired by Amedisys, out of Baton Rouge, Louisiana, to run and develop an ambulatory surgery center in Houston. In 1999, he met his wife, who was a transcriptionist in Dallas; at that time, they created Surgical Notes, an integrated internet medical records service and software company, which grew organically and developed many useful applications such as ScanChart, SnCoder and SNChart.