How Clinical Systems Shape Capital Decisions
MedLevity is a research-driven practice focused on how upstream clinical mechanics quietly shape capital outcomes, valuation, and underwriting.
It sits where hospital throughput, payer friction, discharge routing, and lender risk models collide.
The work translates operational reality into financial understanding.
Developed From Inside the System
MedLevity was developed by Sarihn Franklin, a Clinical Systems Analyst with nearly a decade inside large hospital systems, including Cedars-Sinai, Keck USC, and Kaiser Permanente.
The lens comes from direct exposure to throughput demands, acuity modeling, discharge mechanics, and payer decision pathways, and how those upstream patterns later appear as "risk" to capital.


Access
The Frame
Writings are published publicly through the MedLevity Minute newsletter.
Some conversations begin privately.
A systems-level translation of health care operations into capital risk signals
A public body of writing and analysis
Focused on how upstream healthcare mechanics are interpreted by capital across asset types.
What MedLevity is Not
A marketing strategy. A placement channel. Operational consulting.
What MedLevity Is
Beyond the Analysis
MedLevity works with teams who can already operate, scale and secure approval without friction.
At this stage, the remaining costraint is how durability is read by capital — through structural dynamics that originate upstream and do not surface at the facility level.
Capital decisions are rarely lost because the numbers are wrong
Ethics
The "GAP"
They're lost because the signals don't land the way the operator expects.
Too much logic can create distance.
Too much precision can reduce trust.
Confidence is often shaped by what isn't explained.
MedLevity focuses on how operational and financial signals are received, not just what they contain.
MedLevity does not route patients, influence discharge decisions, or leverage clinical access for placement or referral.
The work remains interpretive and non-operational.

