“We track the money to the decimal. We spend the trust without a ledger.”
REHVÉAL™ Field Observation · No. 003
The question it changes
From “can we afford this?” to “have we earned enough to ask people to cross the bridge it requires?”
The assumption it dislodges
That transformation is a financing problem. It is a capital-allocation problem, and the decisive capital never appears on the balance sheet. It accrues slowly, one decision at a time, and is spent all at once.
Where it was observed
Transformation
Months of advisory conversations with health systems, founders, boards, and private equity teams.