What GuideStar Eldercare does

GuideStar Eldercare, founded in 2003 as Vanguard Eldercare and rebranded in April 2021, is a privately held U.S. provider of neurobehavioral healthcare services for adult and geriatric residents of long-term care and post-acute facilities. The company is headquartered in Crown Point, Indiana, and contracts directly with skilled nursing facilities, memory care units, assisted living communities, and continuing care retirement communities in eight states (Indiana, Kansas, Kentucky, Michigan, Ohio, Pennsylvania, Tennessee, and Texas). Its service model is built around a neurology-forward philosophy that treats behavioral and psychological symptoms as manifestations of underlying neurological conditions rather than primary psychiatric disorders, integrating neurology, psychiatry, psychology, primary care, pharmacy, nursing, and social work into on-site care teams.

The company's core product portfolio consists of five clinical service lines delivered on-site at partner facilities: comprehensive LTC services (integrated psychiatric, neurological, geriatric, and psychological care), consultative bedside neurology performed by specially trained nurse practitioners with interdisciplinary consultation, a six-step Long-Term Care Antipsychotic Stewardship Program, psycho-diagnostic stewardship focused on identifying neurological drivers of behavior, and a Neurology-Forward Traumatic Brain Injury Program launched in March 2026. Supporting assets include a Clinical Resource Library, joint-accredited interprofessional continuing education (ACCME/ACPE/ANCC), and a Saint Mary's College doctoral pipeline in Geriatric Neuropsychiatry. Reported clinical outcomes include a 68% reduction in antipsychotic usage in pilot facilities (published in JAMDA), acute inpatient psychiatric admissions of 0.76 per 1,000 patient days versus a national average of 1.79, and a reduction in ED visits from 1.43 to 0.70 per 1,000 patient days.

Revenue is generated through professional-services contracts with long-term care facilities; pricing is negotiated on a contract basis and is not publicly disclosed. Go-to-market is an enterprise field sales motion with dedicated regional sales leadership, supported by content marketing, industry conferences (AAIC, PALTC, OHCA, KAHCF, AAGP), earned media (McKnight's Long-Term Care News), webinars, and association partnerships across each operating state. The company is founder-led, with founder Steven Posar, MD transitioning to Executive Chairman and Chief Medical Officer in September 2025 while Maureen Maloney was elevated to President and CEO; Stephanie Neely, RN was appointed COO in February 2026. No external institutional investors, private equity backing, or parent company are disclosed in the source material.

Name

GuideStar Eldercare

Legal name

GuideStar Eldercare

Website

https://guidestareldercare.com

Company type

Private

Founded year

2003

Operating status

Operating

Headcount range

11–50 employees

Short description

GuideStar Eldercare is a private, Indiana-based provider of on-site neurology-forward neurobehavioral healthcare services for adult and geriatric residents of long-term care and post-acute facilities across eight U.S. states, integrating psychiatry, neurology, and psychology into facility-embedded clinical teams.

Ownership category

akta.pro rank

Product category

Geriatric Behavioral Health Services

NAICS

Home Health Care Services (62161)

SIC

Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Dementia/Alzheimer’s Care Management & Behavioral Support (HLADALAF)

akta.pro secondary industries

Behavioral Health–Integrated Dementia Care Communities (Neuropsychiatric/BPSD Programs) (HLADACAE), Alzheimer’s Specialized Care (Mid/Late-Stage) (HSABAEAC)

Keywords

• Neurobehavioral healthcare
• Long-term care services
• Geriatric psychiatry
• Dementia care programs
• Behavioral health services

Headquarters

HQ city

Crown Point

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Healthcare Services Contracts: GuideStar Eldercare generates revenue by contracting directly with long-term care facilities to provide on-site neurobehavioral health services. Services include psychiatric care, neurological evaluations, psychological services, and medication management for residents with dementia and behavioral conditions.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels6 records

Core offering

GuideStar Eldercare provides integrated psychiatric, neurological, geriatric, and psychological healthcare services on-site at long-term care and post-acute care facilities. The company delivers a neurology-forward clinical model that treats behavioral and psychological symptoms of dementia (BPSD) as manifestations of underlying neurological conditions rather than primary psychiatric disorders. Services include consultative bedside neurology, antipsychotic stewardship, psycho-diagnostic stewardship, and a dedicated traumatic brain injury program, all delivered by interdisciplinary teams of board-certified neurologists, psychiatrists, psychologists, nurse practitioners, and social workers.

Product overview

GuideStar Eldercare is a provider of neurobehavioral health services for long-term care facilities, operating as a single unified service offering rather than a platform-plus-modules architecture. The core portfolio consists of five integrated clinical service lines: LTC Services (comprehensive integrated psychiatric, neurological, geriatric, and psychological care), Bedside Neurology (consultative neurology with nurse practitioner screening and interdisciplinary consultation), Antipsychotic Stewardship (a six-step protocol reducing antipsychotic usage through accurate diagnosis and pharmacotherapy), Psycho-Diagnostic Stewardship (diagnostic assessment identifying neurological underpinnings of behavioral symptoms), and the Traumatic Brain Injury Program (neurology-forward care for TBI in post-acute settings). The company also provides educational services through its Joint Accreditation for Interprofessional Continuing Education and a Clinical Resource Library. The clinical model emphasizes a neurology-forward approach, treating behavioral symptoms as manifestations of underlying neurological processes rather than primary psychiatric disorders.

Differentiator

Problem solved

Functional benefit

Products and services

• LTC Services Comprehensive long-term care services providing integrated psychiatric, neurological, geriatric, and psychological healthcare to adults with neurological and/or behavioral illness in long-term care and post-acute settings. Designed for skilled nursing facilities, nursing homes, and memory care units requiring on-site neurobehavioral health services for residents with dementia and mental illness.
• Bedside Neurology Consultative bedside neurology services delivered on-site by specially trained Nurse Practitioners with interdisciplinary consultation from board-certified neurologists and psychiatrists. Provides neurologic screening and advanced expertise in neurological and cognitive conditions including dementia for LTC residents.
• GSE LTC Antipsychotic Stewardship A six-step clinical protocol designed to help facilities safely reduce antipsychotic usage rates and polypharmacy while supporting regulatory and documentation compliance. Includes neurological/psychiatric/psychological diagnostic evaluation, pharmacology review, neurological pharmacotherapy initiation, reassessment, psychiatric treatment initiation, and ongoing frequent assessments.
• Psycho-Diagnostic Stewardship Diagnostic and assessment services focused on identifying neurological drivers of behavioral symptoms to enable precise care for complex neurobehavioral conditions in long-term care residents.
• Traumatic Brain Injury Program Neurology-forward clinical program supporting individuals with TBI in post-acute and long-term care settings, delivering integrated neuro-psychiatric care focused on improving functionality, safety, and quality of life using a neurology-forward philosophy.

Quantifiable outcome

• 68% reduction in antipsychotic usage in pilot facilities
• +3 more outcomes

Named customers1 record

Segments3 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

18 partnerships are on record, tiered core, strategic and minor.

• Saint Mary's College, Notre Dame, INcoreStrategic or Co-development Partner · 25 October 2021GuideStar Eldercare and Saint Mary's College Department of Nursing Science entered into an agreement to develop courses and share academic resources in a ground-breaking doctoral program focusing on Geriatric Neuropsychiatry for Advanced Practice Registered Nurses. Steven Posar, MD was appointed Clinical Professor of Geriatric Neuropsychiatry. GuideStar provided a gift establishing the GuideStar Eldercare Excellence in Nursing Geriatric Neuropsychiatry Education Fund.
• Age-Friendly Health Systems InitiativestrategicStrategic or Co-development Partner · 19 January 2021Vanguard/GuideStar joined the Age-Friendly Health Systems initiative led by The John A. Hartford Foundation, Institute for Healthcare Improvement, American Hospital Association, and Catholic Health Association to improve care for older adults using evidence-based interventions.
• VNA Hospice of Northwest IndianacoreStrategic or Co-development Partner · 1 October 2019Contract agreement for GuideStar to provide behavioral health care to VNA Hospice patients, demonstrating VNA's commitment to providing comprehensive care including knowledge and comfort for patients and families.
• Regenstrief InstitutestrategicStrategic or Co-development Partner · 29 September 2019Dialogue initiated with Regenstrief Institute, in close affiliation with Indiana University School of Medicine, regarding innovations in care for elderly patients with neurological and/or behavioral illness. Regenstrief is driven to ensure findings reach clinical practice quickly to benefit patients.
• Texas Health Care Association (TXHCA)minorOthersProfessional association affiliation supporting healthcare facilities in Texas.
• Kentucky Association of Health Care Facilities/Kentucky Center for Assisted Living (KAHCF/KCAL)minorOthersProfessional association affiliation supporting healthcare facilities in Kentucky.
• Tennessee Healthcare Association (THCA)minorOthersProfessional association affiliation supporting healthcare facilities in Tennessee.
• Ohio Health Care Association (OHCA)minorOthersProfessional association affiliation supporting healthcare facilities in Ohio.
• Indiana Health Care Association (IHCA/INCAL)minorOthersProfessional association affiliation supporting healthcare facilities in Indiana.
• Pennsylvania Health Care Association (PHCA)minorOthersProfessional association affiliation supporting healthcare facilities in Pennsylvania.
• Kansas Health Care AssociationminorOthersProfessional association affiliation supporting healthcare facilities in Kansas.
• The Society for Post-acute and Long-term Care Medicine (AMDA PALTC)minorOthersProfessional society affiliation for post-acute and long-term care medicine professionals.
• American Nurses Credentialing Center (ANCC)minorOthersAccreditation body for nursing continuing education.
• Age-Friendly Health SystemsstrategicOthersInitiative ensuring older adults receive high-quality care tailored to their goals and preferences.
• American Health Care Association/National Center for Assisted Living (AHCA/NCAL)minorOthersNational trade association representing long-term care providers.
• Joint Accreditation Interprofessional Continuing EducationcoreOthersJoint Accreditation status awarded by ACCME, ACPE, and ANCC for interprofessional continuing education.
• Regenstrief InstitutestrategicStrategic or Co-development PartnerHealthcare research organization in affiliation with Indiana University School of Medicine focused on innovations in care for elderly patients.
• Steven L. Posar MD Eldercare FoundationcoreOthersNon-profit foundation translating science to clinical care of patients with dementia through research, education, and advocacy.

Scale indicators5 records

Recent moves10 records

Expansion highlights5 records

Broad incumbents

• National HealthCare Corporation: NHC is a large, established operator of skilled nursing, assisted living, and post-acute care facilities across the US Southeast and Midwest — overlapping GuideStar's core geographies and customer base as a potential in-source competitor or anchor partner.
• Oak Street Health (CVS Health): Oak Street Health operates a large network of value-based primary care clinics for older adults with integrated behavioral health, addressing overlapping geriatric patient needs via a different (clinic-based) delivery model.
• CenterWell Senior Primary Care (Humana): CenterWell is Humana's senior-focused primary care and home care platform offering integrated behavioral and neurocognitive care for older adults, representing a scaled, payer-aligned competitor in geriatric clinical services.

Direct peers

• Curana Health: Curana Health operates value-based primary care, behavioral health, and specialty services across senior living, skilled nursing, and post-acute settings, competing with GuideStar in LTC-focused clinical services.
• US Behavioral Health (USBH): USBH provides mental and behavioral health services to residents of skilled nursing, assisted living, and other long-term care settings, operating in essentially the same LTC behavioral health service category as GuideStar.
• Achieve Behavioral Health: Achieve Behavioral Health provides psychiatric and behavioral health services to residents in skilled nursing and long-term care facilities, contracting directly with SNFs in a similar B2B on-site delivery model to GuideStar Eldercare.
• Empower Behavioral Health: Empower Behavioral Health delivers on-site psychiatric, psychological, and therapeutic services to long-term care and assisted living residents, directly overlapping with GuideStar's LTC neurobehavioral service line.
• Bluestone Physician Services: Bluestone provides on-site primary care, behavioral health, and post-acute care services to residents of skilled nursing facilities, assisted living, and senior housing — a closely comparable LTC clinical services delivery model.

Emerging players

• Caregility: Caregility offers a clinical collaboration and telehealth platform used by hospitals and post-acute facilities to extend specialty care (including behavioral) into the bedside, an alternative delivery model for the same LTC specialty-care gap.
• Aligned Telehealth: Aligned Telehealth provides behavioral health and psychiatric services to LTC and skilled nursing communities via telepsychiatry, addressing the same BPSD problem GuideStar solves but through a virtual delivery model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/guidestar-eldercare

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

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 GuideStar Eldercare