About Us
Enabling Team Success With Proven Leadership Techniques
About THE 5Ps, LLC
THE 5Ps is a certified Service-Disabled, Veteran-Owned Small Business (SDVOSB) and leading health care consultancy specializing in business development, strategy, policy, information technology, and leadership development since 2009.
Driven by our mission to transform health care, we apply our expertise to provide commercial, academic, and government clients with advanced solutions to their toughest challenges. Our services include strategy and portfolio analysis, insights and industry trends in health care, leadership development, strategic and technical guidance, and best practices from military, federal, and commercial health care.


Major General (retired) Elder Granger MD, FACP, FACPE, CMQ
Founder and CEO
- Most Recent Assignment - Deputy Director, TRICARE Management Activity
- Office of the Assistant Secretary of Defense for Health Affairs
Major General Granger is currently the President and CEO of THE 5Ps, LLC, a health care, education, and leadership consulting organization, Centennial, CO 80015, since August 6, 2009. Before he retired from the U.S. Army on July 1, 2009, MG Granger served as the Deputy Director and Program Executive Officer of the TRICARE Management Activity, Office of the Assistant Secretary of Defense (Health Affairs), Washington, DC, from December 2005 to May 2009. In this role, he was the principal advisor to the Assistant Secretary of Defense (Health Affairs) on DOD health plan policy and performance.
In his role, leading MG Granger required establishing strong, value-based relationships with major insurers to serve as affiliates. These relationships necessitated clear guidelines for assessing and determining “best value.” A rigorous process was implemented to define precise requirements and criteria, ensuring these relationships were managed with measurable and accountable outcomes.
He oversaw the acquisition, operation, and integration of TRICARE/DOD’s managed care program within the Military Health System. Additionally, MG Granger led a staff of 1,800 in planning, budgeting, and executing a $22.5 Billion Defense Health Program and ensuring the effective and efficient provision of high-quality, accessible healthcare for 9.2 million Uniformed Service members, their families, retirees, and their families, and others located worldwide.
MG Granger has received numerous awards, decorations, and honors, including the Defense Superior Service Medal, the Legion of Merit with three oak leaf clusters, the Bronze Star Medal, the Meritorious Service Medal with four oak leaf clusters, and was honored by the National Association of Corporate Directors as a 2022 Top 100 Director.
He is board- certified by the American Board of Internal Medicine and the Board of Hematology and Oncology, Certified Physician Executive by the Certifying Commission in Medical Management, certified by the American College of Healthcare Executives, and Certified in Medical Quality by the American Board of Medical Quality. NACD- Certified Director, Certificate in Cybersecurity Oversight from Carnegie Mellon University, certified in Healthcare Compliance by HCCA, and certified Compliance Officer by AAPC.
His professional affiliations include Member of the National Association of Health Services Executives, National Medical Association, American Medical Association, the Interagency Institute for Federal Health Care Executives (Life Member) Governance Fellow, National Association of Corporate Directors, member and Fellow American College of Healthcare Executives, member, and laureate American College of Physicians, member (life member) and fellow of the American Association for Physician Leadership, member and fellow American College of Medical Quality, Board of Directors, Defense Logistic Health, Cigna, and Kaleo Pharmaceuticals. Meharry Medical College Institute of Computational Science and Data Analytics Advancement Council and University of Arkansas Medical Sciences Advancement Council.
He earned a Bachelor of Science degree from Arkansas State University in 1976 and a Doctor of Medicine degree from the University of Arkansas School of Medicine in 1980. MG Granger completed a residency in Internal Medicine in 1983 and a fellowship in Hematology-Oncology in 1986 at Fitzsimons Army Medical Center, Aurora, Colorado. In 2009, MG Granger received an honorary Doctor of Science Degree from Meharry Medical College.
Ms. Brenda W. Granger
Founder
Ms. Brenda Granger is a seasoned educator and co-founder of THE 5Ps, LLC, with over four decades of experience in teaching, school leadership, and educational consulting. She holds a Bachelor’s degree in Special Education, a Master’s degree in Education, and a Principal’s License. Throughout her career, she served as principal and administrator in diverse school systems across the U.S. and abroad, including Germany and Virginia. In addition to her extensive teaching and leadership roles, she has worked as a behavioral management consultant and was a volunteer trainer and advisor for several military and family readiness programs. Ms. Granger is a decorated civilian recipient of numerous Department of Defense and Army honors and is actively involved in multiple professional and service organizations. In 2024, she received an Honorary Doctorate of Humane Letters from Philander Smith University. She is also a proud mother of two graduates of the Department of Defense Schools, a physician, and an attorney.
Client Value Drivers
At THE 5Ps, LLC, we align our expertise with what matters most to our clients—performance, innovation, and lasting impact. Our value is grounded in the following drivers:
- Proven Expertise: Our seasoned professionals bring decades of real-world experience in healthcare, education, and business transformation.
- Innovation in Action: We use emerging technologies and evidence-based strategies to solve complex challenges.
- Tailored Solutions: We customize every engagement to the client’s goals, culture, and operational realities.
- Operational Efficiency: Our focus on process optimization, prevention, and productivity delivers cost-effective outcomes.
- Results That Matter: From advisory to implementation, we drive measurable improvements in quality, access, and performance.
Our Mission
Driving Sustainable Success. Since our establishment on August 6, 2009, THE 5Ps, LLC has been dedicated to providing strategic insights and practical solutions. We focus on:
- Strategic and Portfolio Analysis: Offering in-depth evaluations to guide decision-making.
- Healthcare and Education Transformation: Identifying trends and best practices to navigate evolving landscapes.
- Leadership Development: Promoting peer-to-peer coaching and guidance to foster effective leadership.
Contact Us Now and Get Strategic Solutions
Main Office Phone Number
+1 (303) 524-9476