Our clients include nonprofit organizations, government agencies, healthcare systems and payors, and start-ups – and, of course, we are eager to work with any group that shares our enthusiasm for tackling tough social problems in a creative and thoughtful way.
We have particular subject matter expertise in: community health and community mental health; the intersection of healthcare and homelessness; the “lived experience” workforce; and Medicaid restructuring endeavors, especially those that aim to improve health and social outcomes for individuals with complex needs.

Featured Project
Launching the CalAIM PATH TA Marketplace
Designed and launched a statewide technical assistance marketplace enabling hundreds of community organizations to participate in California’s Medicaid delivery system under CalAIM.
Our Work
Our work comes together across three interconnected focus areas, each demanding rigor, creativity, and care.
Payment and Service Delivery Innovation
Workforce Development
Complex Initiatives
Our Clients
Our clients are mission-driven organizations doing meaningful, often difficult work—and we’re honored to support them.
“When I started with PFS I was homeless for around 8 years, in and out of jail, rehabs, and doing a lot of drugs. I was just in too deep with drugs, I lost all relations with my family. I needed real help.”
“Kim is great. She’s been there for me every step of the way. When I got out of jail the last time, she made sure I had a place to go right away. She picked me up from the jail, brought me sweatpants and shirts, and food before I got my food stamps. Wherever I had to go, she brought me to court, probation meetings, came there with me.”
