By admin 
The first thing you notice when you enter the office of MISI Community Solutions in Roseville are the number of languages being spoken. Overlapping conversations in Russian, Spanish, Romanian, Mandarin and Pashto — plus several others — bleed into the hallways in a cacophony reminiscent of an airport or embassy.
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The company’s 14 different language services are just one of the ways MISI Community Solutions helps connect Medi-Cal recipients to benefits and social support programs. The company assists clients in scheduling healthcare appointments, finding housing, connecting with doulas, finding local aid resources and a number of other services.
“A lot of them have fears. They don’t know how to connect with landlords, they’re scared of signing documents, they don’t have the funds that they need help with. And that is where our team comes in to assist,” said Alina Mukhopadhyay, the company’s CEO.
Mukhopadhyay, a Ukrainian immigrant, says that non-English speakers are not the only people MISI serves. They see many young parents, but also older adults on fixed incomes. Some of their clients lack financial literacy and have generally poor understandings of the healthcare system. Others have behavioral problems or have spent extended periods uninsured.
The company’s extraordinary growth is a reflection of the demand for its services. MISI ranked 55th overall in Inc. magazine’s recent list of the nation’s 5,000 fastest-growing private companies. With a three-year growth rate of 4,866% based on revenues from 2025, it is far-and-away the fastest-growing company in the Sacramento region. In comparison, the area’s second-fastest is Electro Scan Inc., ranked 926th overall, with a growth rate of 373%.
On last year’s Inc. list, the company ranked 235th nationally with a three-year growth rate of 1,635%. MISI’s continued rapid growth since then has been despite federal funding cuts to Medi-Cal and Medicare, in part due to the company’s success in recruiting new clients. The company says most people find them through word-of-mouth referrals or through community events.
“We didn’t plan to grow, we just really focused on helping the people,” said Mukhopadhyay.
MISI was founded in 2012 by Yelena Obutkova, who spent years managing a small handful of employees helping people enroll in Medi-Cal. Many of them were from Slavic or Eastern European backgrounds.
“To be honest, we started only with the Slavic community,” Obutkova said. “But right now, we’re so proud to have so many nationalities because they have the same needs.”
That change began in 2022, when the company was selected by the state to participate in the then-new California Advancing and Innovating Medi-Cal initiative, or CalAIM. Launched by the California Department of Health Care Services, CalAIM is a multi-year expansion of the state’s social security net, integrating more community and assistance services into the healthcare system. It includes the Enhanced Care Management and Community Supports programs, through which companies like MISI can help coordinate care and appointments for patients and provide housing navigation and support.
“What it meant for MISI Community Solutions was the opportunity to begin providing more services for clients and members,” Obutkova said. “We were already in front of those people, and we knew as much as they need health insurance they needed a roof, and they needed help to navigate in this new country. They don’t have any management, they don’t have any skills — they don’t have any clue of what the next day is going to be for them.”
Also in 2022, Obutkova brought in Mukhopadhyay as a co-founder and the company’s CEO, and they began hiring more staff to carry out the new CalAIM programs. The company has since grown from five employees to over 200. They moved from a single rented room in a shared space to their own office which takes up a large portion of their building’s second floor.
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MISI The company estimates it has around 6,000 active clients — or members — across its programs. Some members can receive active support for up to 18 months, depending on how long they need it. Its services are free of cost to their members; the company is compensated by the members’ managed care plans through their insurance.
Around 40 of the staff in the Roseville office are dedicated to providing housing support, according to Housing Navigation Supervisor Mohammed Bakshi. “The biggest [issue] is they’re not having enough income, which can be challenging and which makes our job a little harder to do, but still we try our best with landlords and property management who are a little lenient,” said Bakshi.
Of the approximately 1,600 MISI members seeking housing navigation support, Bakshi estimates that 55% to 60% are homeless or on the verge of homelessness. “With our unhoused community, we try to place them into shelters temporarily, then from there transition them into stable and sustaining housing,” Bakshi said.
Several clients have ended up returning to the company as employees, including Roseville Office Manager Milana Archakova. An immigrant from southern Russia, Archakova lived in a one-bedroom space with four others when she first arrived in California. After hearing about MISI from friends, she became a member in 2023.
“In the beginning, we did not believe that [someone] would help us just for free,” said Archakova. “[Friends] applied. They received some support, and we applied, and we started to receive some support.”
MISI helped Archakova look for less cramped housing, and got her financial assistance through CalAIM to pay for her security deposit and the first month of rent. She now lives in a two-bedroom, two-bath household. When the company was looking for housing navigation specialists in 2024, she saw it as an opportunity to help others. She was hired and later promoted to her current role in January of this year.
“I knew that other side, and I felt I could help people who are in the same situation as I was,” said Archakova. “This company helped me a lot to improve my life, not only [my] housing situation but overall, and it continues to help every other member.”
There are some typical growing pains. Several desks are shared, and parts of the workforce rotate in and out of the office on different days to free up space. The company has opened two other locations in Sacramento and Fresno, and they are ambitious about future plans. On the wall of one office is a map of California with around a half dozen stickers placed on prospective future sites in Los Angeles, Yolo, Sutter and Placer counties. They already provide remote services to clients in these areas.
But the company’s next big step is building housing for clients. They are hopeful that they can break ground in the next two years.
“I feel very humbled with the success that this company is growing, but at the same time, I feel like this is just the beginning. We can do much more,” Obutkova said.
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This story was originally published August 28, 2026 at 11:00 AM.