About Alma Vista
Two Founders.
One Purpose.
Alma Vista was built at the intersection of executive strategy and clinical frontline experience — because we believe that's exactly where the best support for mission-driven organizations is born.
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Built From the Work.
Not From the Outside.
Alma Vista wasn't built in a boardroom. It was built from lived experience — from the inside of organizations doing difficult, meaningful work, where the gap between vision and execution is felt every single day.
As founders and directors, we built in parallel worlds: one leading executive strategy and operations within a rapidly growing healthcare organization, the other working on the clinical front lines supporting individuals and families through behavioral health. Though our roles were different, the challenges were universal — vision without infrastructure, growth without steady systems, mission-driven work carried without enough support.
We realized something simple: the organizations doing the most important work often have the least support. And the people leading them — brilliant, mission-driven, deeply committed — are frequently carrying far more than they should have to carry alone.
Alma Vista exists to change that. We step in as strategic partners, operational builders, and trusted advisors — so that leaders can lead, teams can thrive, and the people being served can receive the care they deserve.
The Founders
The People Behind the Work
Steven Oesterreich
Co-Founder
Steven brings extensive executive leadership experience, including serving as CEO of a rapidly scaling behavioral health organization. He has led large teams through periods of significant growth, operational transformation, and strategic change — developing a deep expertise in the systems, structures, and leadership dynamics that determine whether organizations thrive or stall.
At Alma Vista, Steven leads work in strategic planning, operations management, HR consulting, and executive leadership development. He is committed to building organizations that are not only operationally excellent, but genuinely good places to work — where people feel supported, valued, and aligned with a shared mission.
"Strong systems create clarity. Strong people create legacy. Alma Vista exists to help organizations build both."
Moriah
Co-Founder
Moriah comes to Alma Vista from the clinical front lines of behavioral health, where she spent years supporting individuals and families navigating some of life's most difficult moments. Her experience gives her an intimate understanding of the human side of this work — the resilience it requires, the compassion it demands, and the toll it can take on the people delivering it.
At Alma Vista, Moriah brings her clinical insight to the consulting room — ensuring that every strategy, system, and recommendation stays grounded in the realities of the people doing the work. She leads engagement in leadership coaching, HR consulting, and organizational wellbeing — with a steady belief that how organizations treat their people is inseparable from the quality of care those people provide.
"The best support for mission-driven organizations honors both the work and the people doing it."
What We Stand For
The Beliefs That
Guide Everything We Do
People First
Every strategy, system, and recommendation we make begins with a simple question: how does this serve the people involved? Operational excellence and human dignity are not in conflict — they reinforce each other.
Honest Partnership
We tell our clients what they need to hear, not just what they want to hear. Real partnership requires honesty — about gaps, about risk, and about the hard work ahead. We deliver that with care, not judgment.
Lived Experience
Our insights come from having been inside organizations like yours — not from watching from the outside. We bring practical, proven perspective to every engagement.
Sustainable Growth
We don't build for quick wins. We build for longevity — systems that scale, cultures that last, and leaders who grow without burning out in the process.
Mission Alignment
We believe the organizations doing the most meaningful work deserve the strongest foundations. Our consulting is designed to protect and amplify the mission — never to compromise it.
The Human Spirit
In everything we do, we honor the resilience, creativity, and capacity of people to create real change — and we build environments where that spirit can flourish.
Work With Us
Ready to Build Something
That Lasts?
Let's start with a conversation about where you are and where you want to go.