Element Care

What Element Care does

Element Care is a Massachusetts-based nonprofit healthcare organization founded in 1995 (originally as the Elder Service Plan of the North Shore) that operates the Program of All-Inclusive Care for the Elderly (PACE) for frail seniors age 55 and older. The organization coordinates all medical, behavioral, social, and long-term care services for dual-eligible (Medicare and MassHealth) participants through an interdisciplinary team model, with services delivered across seven adult day health centers and two alternate care settings covering Essex County, the Merrimack Valley, Greater Boston, and northeast Middlesex County. Element Care also provides delegated care management, utilization management, and transitions of care management for approximately 1,800 Commonwealth Care Alliance Senior Care Options (SCO) members under a relationship in place since 2004.

Element Care's revenue model is built on fixed monthly capitated payments from Medicare and Medicaid for each PACE participant, under which the organization bears full financial risk for all participant care needs. A secondary revenue stream comes from the CCA SCO delegated care management contract, and a small private-pay option exists for non-Medicaid-eligible seniors. Distribution is regional and physical: participants attend PACE adult day health centers for medical appointments, meals, activities, and social connection, complemented by in-home care services and a GrandPad-based telehealth platform deployed during COVID-19. The organization's go-to-market is referral-driven, sourcing participants through hospitals, primary care physicians, social workers, and family caregivers, supplemented by strategic housing partnerships with 2Life Communities and YWCA Greater Newburyport that embed Element Care services directly into affordable senior housing developments.

Element Care operates with 251-500 employees under a leadership team led by CEO Douglas Thompson (appointed September 2024), with recent executive additions including CFO Andrew Zamansky and CMO Dr. Anthony Zizza. The organization serves approximately 1,100-1,200 PACE participants and 1,800-1,850 SCO members (2,800+ total), is governed by a board that added former PACE Southeast Michigan CEO Mary Kummer Naber and geriatric medicine expert Alan Abrams in March 2026, and is actively expanding through the Solimine House housing development (150 units, 2027), YWCA Ingalls Court Phase 2, and continued geographic expansion within CMS-approved service areas.

Name

Element Care

Legal name

Element Care

Website

https://elementcare.org

Company type

Private

Founded year

1995

Operating status

Operating

Headcount range

251–500 employees

Short description

Element Care is a Massachusetts nonprofit PACE operator delivering all-inclusive coordinated medical, behavioral, and social care to approximately 1,100 dual-eligible seniors across seven adult day health centers, plus delegated care management for 1,800 Commonwealth Care Alliance SCO members, funded primarily through Medicare and MassHealth capitated payments.

Ownership category

akta.pro rank

Product category

Senior Healthcare Services (PACE Program)

NAICS

Services for the Elderly and Persons with Disabilities (624120), Home Health Care Services (62161), Nursing and Residential Care Facilities (623)

SIC

Services-Nursing & Personal Care Facilities (8050), Services-Home Health Care Services (8082), Services-Social Services (8300)

akta.pro primary industry

Care Coordination & Navigation (Multi-Provider) (HLADALAB)

akta.pro secondary industries

Care Navigation & Service Coordination (Medical, Social, Community) (HSABAIAB), Live-In Care (Single Caregiver, 24-Hour Presence) (HSABAHAB), Caregiver Support & Education Programs (Center-Based) (HSABANAN), Benefits, Insurance & Entitlement Navigation (Medicare/Medicaid/VA/LTC) (HSABAIAG)

Keywords

• PACE program services
• Senior healthcare coordination
• Adult day health centers
• Elderly home care services
• Geriatric care management

Headquarters

HQ city

Lynn

HQ country

United States

HQ region

North America

Offices8 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales

Revenue model

1. PACE Capitated Payments: Element Care receives fixed monthly capitated payments from Medicare and Medicaid (MassHealth) for each PACE participant, covering all medical, social, and long-term care services. The organization bears financial risk for all participant care needs.
2. Commonwealth Care Alliance SCO Contract: Delegated care management, utilization management, and transitions of care management for CCA SCO members (older adults qualifying for both Medicare and MassHealth).
3. Private Pay Premiums: For individuals who do not qualify for Medicaid (MassHealth) but want to enroll, there is a monthly premium option. Private pay participants cover the portion Medicaid would normally pay.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

Element Care delivers the PACE (Program of All-Inclusive Care for the Elderly) model to adults 55+ who qualify for nursing-home-level care, providing fully coordinated medical, behavioral, social, and long-term care services through an interdisciplinary team across seven adult day health centers and home-based care. The organization also provides delegated care management for Commonwealth Care Alliance Senior Care Options (SCO) members. Services include primary care, nursing, therapy, behavioral health, dental, vision, hearing, prescriptions, transportation, meals, social activities, and home care.

Product overview

Element Care is a nonprofit healthcare organization offering two main programs: the PACE (Program of All-Inclusive Care for the Elderly) program and Senior Care Options (SCO). PACE is the core product, providing comprehensive coordinated healthcare for adults 55+ through an interdisciplinary team model. SCO is a sub-brand partnership with Commonwealth Care Alliance for dual-eligible members. The PACE program operates seven adult day health centers across Massachusetts (Beverly, Brighton, Gloucester, Lowell, Lynn-Market, Lynn-Woodland, Methuen) plus one alternative care setting in Chelmsford. These centers serve as hubs for medical care, meals, activities, and transportation, complemented by telehealth services via GrandPad tablets and home care services. An EZ Net provider portal supports claims processing and eligibility verification. All services are designed to keep seniors living independently at home rather than in nursing facilities.

Differentiator

Problem solved

Functional benefit

Products and services

• PACE (Program of All-Inclusive Care for the Elderly) Comprehensive coordinated healthcare program for adults 55+ who qualify for nursing-home-level care but want to remain living at home and in the community. PACE delivers primary care, nursing, physical and occupational therapy, behavioral health, social day program, care coordination, vision, dental, hearing, prescriptions, meals, transportation, and personal care through an interdisciplinary team approach, fully funded by capitated Medicare and MassHealth payments.
• Senior Care Options (SCO) Care Management Delegated care management, utilization management, and transitions of care management services delivered to approximately 1,800 Commonwealth Care Alliance Senior Care Options members (older adults qualifying for both Medicare and MassHealth), coordinating healthcare services through a network of doctors, specialists, hospitals, and support services.
• Adult Day Health Centers Network of seven PACE adult day health centers (Cummings/Beverly, Chestnut Hill/Brighton, Emerson/Gloucester, Central/Lowell, Market/Lynn, Woodland/Lynn, Nevins/Methuen) plus one alternative care setting (Namaste/Chelmsford) that serve as hubs for medical appointments, therapy, meals, social activities, and supervised personal care, with transportation provided to and from participants' homes.
• Home Care Services In-home healthcare services for PACE participants who cannot attend centers or need home-based support, including home visits by nurses, primary care providers, home health aides, physical and occupational therapists, social workers, and dietitians, plus personal care specialists.
• Telehealth Services (GrandPad) Remote healthcare delivery via GrandPad tablets enabling video consultations, behavioral health sessions, physical therapy, nurse visits, nutritionist consultations, group activities, and video chats with family and friends, expanded significantly during COVID-19 to maintain care continuity when in-person center visits were not possible.

Quantifiable outcome

• PACE participants have lower COVID-19 case rates (19%) compared to nursing home residents (~60%)
• +2 more outcomes

Named customers1 record

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

AI capability2 records

Feature3 records

Partnerships

Six partnerships are on record, tiered core and minor.

• 2Life CommunitiescoreStrategic or Co-development Partner · 22 December 2025Public-private partnership for integrated senior housing and healthcare. Element Care provides on-site PACE healthcare services at 2Life affordable senior housing developments including Solimine House in Lynn (150-unit, scheduled 2027) and Brighton center opened 2024. Development partner David Solimine leads real estate development. Project located on former Union Hospital site.
• YWCA Greater NewburyportcoreStrategic or Co-development Partner · 19 August 2025Integrated affordable housing and PACE programming partnership at YWCA Residences at Ingalls Court in Methuen. Phase 1: 48 affordable housing units integrated with Element Care PACE center. Phase 2: Additional 48 units with covered bridge to PACE center. Designed to Passive Housing Standards.
• Commonwealth Care Alliance (CCA)coreStrategic or Co-development PartnerSince 2004, Element Care provides delegated care management, utilization management, and transitions of care management to CCA SCO members. SCO is a health plan for older adults qualifying for both Medicare and MassHealth.
• Lynn Community Health CentercoreStrategic or Co-development PartnerOriginal founding joint venture partner with Greater Lynn Senior Services in 1995 to establish Element Care's PACE program for seniors in the community.
• Greater Lynn Senior ServicescoreStrategic or Co-development PartnerOriginal founding joint venture partner with Lynn Community Health Center in 1995 to establish Element Care's PACE program.
• Nevins Nursing Home and Rehabilitation CentreminorStrategic or Co-development PartnerContributed land adjacent to property for YWCA Residences at Ingalls Court development including Element Care PACE center.

Scale indicators7 records

Recent moves15 records

Expansion highlights4 records

Others

• Lynn Community Health Center: Co-founding joint-venture partner (with Greater Lynn Senior Services) that established Element Care PACE in 1995. Federally qualified health center providing complementary primary care services.
• Greater Lynn Senior Services: Founding joint-venture partner of Element Care PACE in 1995 and aging services provider on the North Shore. Collaborates on senior services delivery but is not a direct PACE competitor.
• 2Life Communities: Strategic affordable senior housing partner operating the Brighton campus where Element Care's PACE center is embedded and developing Solimine House in Lynn. Not a competitor but core infrastructure partner for Element Care's housing-integrated model.

Broad incumbents

• InnovAge Holding Corp. Largest U.S. PACE operator (publicly traded on NASDAQ) running PACE centers across multiple states. Operates the same all-inclusive care model at significantly larger scale, providing competitive and structural benchmark for the PACE industry.
• Trinity Health PACE: National Catholic health system-affiliated PACE program operating multiple centers across multiple states. Comparable via same federal PACE framework and capitated revenue model.

Emerging players

• WelbeHealth: Tech-enabled PACE operator backed by private equity (Welsh Carson) operating in California and other states. Comparable via PACE model and growing adoption of telehealth and care coordination technology.

Direct peers

• Commonwealth Care Alliance (CCA): Partner and adjacent competitor in Massachusetts SCO market. CCA delegates care management for ~1,800 SCO members to Element Care, but also operates its own PACE program (CCA Senior Care Options), making it both customer and direct competitor in dual-eligible care.
• PACE Southeast Michigan: Direct PACE peer serving ~2,500 seniors in Southeast Michigan with the same capitation-based interdisciplinary model. Most relevant comparable given recent board addition of Mary Kummer Naber (former President/CEO) and Element Care's similar scale ambitions.
• Uphams Corner Health Center PACE: Another Massachusetts-based PACE program serving urban Boston dual-eligible seniors with the same interdisciplinary team and capitated payment structure.
• Boston Medical Center HealthNet Plan: Massachusetts SCO plan competing for dual-eligible seniors in overlapping Greater Boston service area. Operates similar managed care model for the same MassHealth/Medicare population.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCPCC0Lh-QsaaA-2TytoWovw?view_as=subscriber
• Facebookfacebook.com/elementcarepace
• LinkedInlinkedin.com/company/elementcare
• Xx.com/ElementCare

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 records

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Element Care