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About Affirm Strategy

Affirm Strategy was founded in 2026 with a clear mission: to build an AI-native strategic advisory firm purpose-built for the health sciences enterprise and led by seasoned industry experts.

Bigger Decisions. Bigger Impact.

  1. Innovation Fresh thinking. Real solutions.
  2. AI Enablement Smarter insights. Faster decisions.
  3. Data & Analytics Evidence-based. Outcome driven.
  4. Roadmap From vision to value.
  5. Implementation Turn strategy into results.
  6. Action Focused. Disciplined. Measurable.
  7. Health Sciences Focused Universities & colleges. Health systems. Faculty practice plans. Academic medical centers. Academic health centers.
  8. Deep Expertise Healthcare. Higher Education. Strategy. Advisory. Consulting.

Real Expertise AI-Powered Insights Actionable Strategies Lasting Impact

Eight capabilities behind every engagement, from innovation to action.

We did not take the traditional consulting model and add AI to it. We built Affirm Strategy from the ground up around the technologies, talent, and ways of working that will define the next generation of advisory.

That distinction matters.

Our leaders and professionals are not spending their time redesigning legacy processes, managing layers of infrastructure, or retrofitting an analog advisory model for a digital world. They are focused on our clients, bringing deep health sciences expertise, sophisticated analytics, AI-enabled insights, and practical strategic judgment to the decisions that will shape your future.

No legacy model to unwind. No outdated approach to reinvent. Just experienced advisors focused on helping clients make better decisions, move faster, and create lasting value.

Experience that informs strategy.

Affirm Strategy was created around a simple idea: Organizations facing complex decisions deserve experienced strategic advisors who understand both the question and the consequences of the answer.

Our team brings extensive advisory and consulting experience across healthcare and higher education, including work with the nation's leading health systems, academic medical centers, universities, and healthcare organizations across the U.S. and in over 12 countries.

  • We have sat on the client side of the table.
  • We have led organizations through transformation.
  • We have built business cases and investment strategies.
  • We have developed growth plans.
  • We have evaluated new schools and programs.
  • We have implemented enabling digital and enterprise technologies
  • We have helped boards and executive teams make consequential decisions.

That experience shapes how we advise our clients in the AI-informed world.

Our Perspective

We believe the best strategic advice is derived from five characteristics:

  1. It starts with the decision.

    We focus first on what leadership actually needs to decide, not simply what can be analyzed.

  2. It is grounded in evidence, accelerated with prudent use of artificial intelligence (AI).

    Facts, data, benchmarks, market dynamics, financial implications, and stakeholder perspectives provide the foundation.

  3. It recognizes trade-offs.

    Every strategic choice involves opportunity cost. We make those choices, and the expected outcomes, explicit.

  4. It connects strategy to economics.

    A compelling strategy must ultimately translate into financial and organizational sustainability and ROI.

  5. It leads to action.

    The output is not simply a recommendation, but rather a clear path forward with individual accountability.

Where we've worked

Over more than 35 years, our leaders have advised over 100 major organizations, including universities and over 50 academic medical centers, across the U.S. and in over 12 countries throughout the Americas, Asia, Europe, the Middle East and the Caribbean.

  • 65 U.S. cities
  • 26 States & D.C.
  • 18 International cities

Across the United States

Cities in the United States where we have worked A map of the United States marking 65 cities in 27 states and districts. The same cities are listed by state below the map. Houston, TX Austin, TX Dallas, TX San Antonio, TX Harlingen, TX Edinburg, TX Texarkana, TX Auburn, NY New York, NY Roanoke, VA Chicago, IL Wichita, KS Minneapolis, MN Las Vegas, NV El Paso, TX Galveston, TX Akron, OH Madison, WI Lubbock, TX Dalton, GA Ocoee, FL Tampa, FL Baltimore, MD The Woodlands, TX Springfield, OH Aberdeen, SD Philadelphia, PA South Bend, IN Amarillo, TX Tyler, TX Scranton, PA Frankfort, KY Madisonville, KY Augusta, ME Boston, MA Cleveland, OH Detroit, MI Santa Ana, CA Jacksonville, FL Cedar Rapids, IA Ridgewood, NJ Brooklyn, NY Lafayette, LA Newport Beach, CA St. Helena, CA San Diego, CA San Francisco, CA Davis, CA New Brunswick, NJ Newark, NJ Seattle, WA Louisville, KY New Orleans, LA Miami, FL Atlanta, GA Athens, GA Washington, DC Richmond, VA Suffolk, VA Cincinnati, OH Albuquerque, NM Indianapolis, IN Lake Charles, LA Los Angeles, CA Oklahoma City, OK

  • California

    • Davis
    • Los Angeles
    • Newport Beach
    • San Diego
    • San Francisco
    • Santa Ana
    • St. Helena

  • District of Columbia

    • Washington

  • Florida

    • Jacksonville
    • Miami
    • Ocoee
    • Tampa

  • Georgia

    • Athens
    • Atlanta
    • Dalton

  • Illinois

    • Chicago

  • Indiana

    • Indianapolis
    • South Bend

  • Iowa

    • Cedar Rapids

  • Kansas

    • Wichita

  • Kentucky

    • Frankfort
    • Louisville
    • Madisonville

  • Louisiana

    • Lafayette
    • Lake Charles
    • New Orleans

  • Maine

    • Augusta

  • Maryland

    • Baltimore

  • Massachusetts

    • Boston

  • Michigan

    • Detroit

  • Minnesota

    • Minneapolis

  • Nevada

    • Las Vegas

  • New Jersey

    • New Brunswick
    • Newark
    • Ridgewood

  • New Mexico

    • Albuquerque

  • New York

    • Auburn
    • Brooklyn
    • New York

  • Ohio

    • Akron
    • Cincinnati
    • Cleveland
    • Springfield

  • Oklahoma

    • Oklahoma City

  • Pennsylvania

    • Philadelphia
    • Scranton

  • South Dakota

    • Aberdeen

  • Texas

    • Amarillo
    • Austin
    • Dallas
    • Edinburg
    • El Paso
    • Galveston
    • Harlingen
    • Houston
    • Lubbock
    • San Antonio
    • Texarkana
    • The Woodlands
    • Tyler

  • Virginia

    • Richmond
    • Roanoke
    • Suffolk

  • Washington

    • Seattle

  • Wisconsin

    • Madison

Around the world

Cities outside the United States where we have worked A world map marking 18 cities outside the United States. The same cities are listed by region below the map. Bahia, Brazil Santiago, Chile Singapore, Singapore Dublin, Ireland Bridgetown, Barbados Manila, Philippines London, England Cardiff, Wales Charlotte Amalie, U.S. Virgin Islands Abu Dhabi, United Arab Emirates Madrid, Spain Seoul, South Korea Frankfurt, Germany Dubai, United Arab Emirates Al Ain, United Arab Emirates Halifax, Canada Ottawa, Canada Toronto, Canada

  • Americas

    • Bahia, Brazil
    • Santiago, Chile
    • Halifax, Canada
    • Ottawa, Canada
    • Toronto, Canada

  • Asia

    • Singapore, Singapore
    • Manila, Philippines
    • Seoul, South Korea

  • Europe

    • Dublin, Ireland
    • London, England
    • Cardiff, Wales
    • Madrid, Spain
    • Frankfurt, Germany

  • Middle East

    • Abu Dhabi, United Arab Emirates
    • Dubai, United Arab Emirates
    • Al Ain, United Arab Emirates

  • Caribbean

    • Bridgetown, Barbados
    • Charlotte Amalie, U.S. Virgin Islands

Client names are confidential; we show locations only.

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