Affirm Strategy home
Affirm Strategy home

Leadership

Larry Hanrahan and Randy Zarin first began working together in 2012, advising clients across the health sciences enterprise including universities, AMCs, clinical practices, health systems and related strategic partnerships. In 2026, they decided to launch Affirm Strategy as an independent, AI-native, domain-expert centered strategic advisory, allowing for accelerated insight for our clients in the U.S. and abroad.

Since 2012

Since 2012: the path to Affirm Strategy A timeline. Lawrence Hanrahan, MD, MBA, 35+ years, and Randall Zarin, MBA, MPH, CPA, 30+ years, converge in 2012, when they first worked together, and merge in 2026, when Affirm Strategy was founded. From there, lines fan out to 20+ areas of domain expertise. Clients across the U.S. and in over 12 countries. Lawrence Hanrahan, MD, MBA · 35+ years Randall Zarin, MBA, MPH, CPA · 30+ years 2012 First work together 2026 Affirm Strategy founded 20+ areas of domain expertise Clients across the U.S. and in over 12 countries
  1. Lawrence Hanrahan, MD, MBA · 35+ years
  2. Randall Zarin, MBA, MPH, CPA · 30+ years
  3. 2012 · First work together
  4. 2026 · Affirm Strategy founded
  5. 20+ areas of domain expertise

Clients across the U.S. and in over 12 countries

Our Domain Expertise Network

Affirm Strategy engages a network of senior domain experts across more than 20 areas of expertise, assembled around each client's decision.

20+ areas of domain expertise

  • Research Enterprise Research strategy, portfolio and infrastructure across the academic enterprise.
  • Accreditation Preparing schools and programs for accreditation and aligning to standards.
  • Client Needs & Engagement Understanding stakeholder needs and keeping them engaged through change.
  • Dentistry & Oral Health Dental schools, oral health programs and their clinical enterprises.
  • Digital & Mobile Health Digital front doors, mobile health and patient-facing technology.
  • Enterprise Information Technology Enterprise applications and the IT operating model behind them.
  • IT Infrastructure, Architecture & Cybersecurity Infrastructure, architecture and security for complex institutions.
  • Academic–Clinical Alignment & Funds Flow Aligning academic and clinical missions, and the funds flow between them.
  • Faculty Practice Plans & Physician Enterprise Faculty practice plan structure, performance and physician alignment.
  • Clinical Service Line Strategy Service line strategy, evaluation and growth priorities.
  • Population Health & Demographic Analytics Population, demographic and demand analysis to ground strategy in facts.
  • Market & Competitive Intelligence Market position, competitors and opportunity assessment.
  • Physician Supply & Demand Physician workforce needs, gaps and recruitment priorities.
  • Financial Modeling, ROI & Capital Planning Pro-forma models, ROI and IRR analysis, and capital allocation.
  • Partnerships, Affiliations & Transactions Affiliations, joint ventures, M&A support and partnership models.
  • Governance & Board Advisory Board-level assessments, decision rights and governance design.
  • Medical School & Health Sciences Education Strategy for medical, dental, nursing, pharmacy and other clinical schools.
  • Curriculum & Educational Model Integration Integrating curriculum and educational models with clinical partners.
  • Translational Science & Research Commercialization Moving discoveries toward translation, innovation and commercialization.
  • EMR, ERP & HIE Strategy Assessments and implementations of core clinical and business systems.
  • Virtual Health & Telehealth Virtual health use cases, business cases and roadmaps.
  • Medical Equipment Planning Equipment budgeting and planning for new and replacement facilities.
  • Facilities & Greenfield Planning Planning that enables new, greenfield and replacement facilities.
  • Supply Chain & Shared Services Supply chain strategy and shared-services operating models.
  • Data Center Growth & Location Strategy Where data center capacity should grow and be located.
  • Program Management (PMO) & Transformation Program management offices that carry transformation to completion.
  • AI & Data-Enabled Decision Support AI and analytics that help leaders see options and decide with evidence.

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