Community Care

What Community Care does

Community Care, Inc. is a nonprofit managed care organization headquartered in Brookfield, Wisconsin, founded in 1977 to help frail elders and adults with physical, intellectual, or developmental disabilities live as independently as possible in community settings. It is the only MCO in Wisconsin authorized to administer all three major long-term care programs—Family Care (Medicaid managed long-term care), Partnership (a Medicare Advantage Special Needs Plan for dual-eligibles), and PACE (Program of All-inclusive Care for the Elderly)—and serves more than 15,000 members across 23 Wisconsin counties through 18 regional offices and three certified adult day and health centers in Milwaukee, Racine, and Waukesha.

The organization operates a technology-enabled care coordination platform anchored by its proprietary Resource Allocation Decision (RAD) care-planning methodology, a member-facing MyHealth Record portal, Electronic Visit Verification (EVV) systems, and participation in the Wisconsin Statewide Health Information Network (WISHIN). Revenue is generated through capitation payments from Wisconsin Medicaid (Family Care), CMS Medicare (Partnership, PACE), and joint Medicare/Medicaid funding (PACE), with income-based member cost share; there are no copays or deductibles for most clinical services, and pricing is determined by functional and financial eligibility. Distribution is anchored by Wisconsin Aging and Disability Resource Centers (ADRCs) that serve as the enrollment gateway, supplemented by provider referrals, community health fairs, and member advisory committees.

In April 2026, Community Care completed an affiliation with CareSource, a Dayton, Ohio-based nonprofit MCO with over 2 million members nationwide, providing the organization with access to a larger parent platform while preserving its Wisconsin headquarters, employees, leadership team (CEO Kenneth Munson, the organization's second CEO in 46 years), and brand. Specialty programs serve religious congregations including the School Sisters of St. Francis, School Sisters of Notre Dame, and Sisters of St. Francis Assisi, alongside culturally tailored services for members of 12 federally recognized Wisconsin Tribal Nations.

Name

Community Care

Legal name

Community Care, Inc.

Website

https://communitycareinc.org

Company type

Private

Founded year

1977

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Community Care, Inc. is a Wisconsin-based nonprofit managed care organization serving 15,000+ frail elders and adults with disabilities across 23 counties through Medicaid-funded PACE, Family Care, and Partnership long-term care programs, now affiliated with CareSource.

Ownership category

akta.pro rank

Product category

Managed Long-Term Care Services

NAICS

Services for the Elderly and Persons with Disabilities (624120), Services for the Elderly and Persons with Disabilities (62412), Home Health Care Services (62161), Nursing and Residential Care Facilities (623)

SIC

Services-Health Services (8000), Services-Nursing & Personal Care Facilities (8050), Services-Social Services (8300)

akta.pro primary industry

Community-Based Senior Centers with Adult Day Services (HLADAIAJ)

akta.pro secondary industries

Social Adult Day Care (Non-Medical Supervision & Activities) (HSABANAA), Senior Social Clubs & Community-Based Day Programs (Non-Clinical) (HSABANAK), Special Needs Adult Day Programs (Developmental/Physical Disabilities, Seniors) (HLADAIAI), Caregiver Support & Education Programs (Center-Based) (HSABANAN)

Keywords

• Managed long-term care
• Medicaid managed care
• PACE program services
• Elderly care services
• Disability support services

Headquarters

HQ city

Brookfield

HQ country

United States

HQ region

North America

Offices18 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medicaid Managed Care: Community Care operates as a Medicaid managed care organization receiving capitated payments from Wisconsin Medicaid to provide long-term care services to eligible members. Revenue is based on per-member-per-month payments for care management and service coordination.
2. Medicare Advantage / PACE: PACE (Program of All-inclusive Care for the Elderly) is a joint Medicare/Medicaid program providing comprehensive medical and long-term care. Partnership includes Medicare Advantage Special Needs Plans for dual-eligible individuals.
3. Member Cost Sharing: Based on income, members may have monthly cost share or spend down requirements determined by the Income Maintenance Agency. Residential members may pay room and board.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

Community Care is a nonprofit managed care organization delivering long-term care services through three integrated programs—PACE (Program of All-inclusive Care for the Elderly), Family Care, and Partnership (Family Care Partnership)—for adults 18+ with physical, intellectual, or developmental disabilities and seniors aged 55+. Services coordinate medical care, long-term care supports, prescription drugs, transportation, and adult day health services, with member care teams, primary care physicians, and self-directed support options.

Product overview

Community Care is a nonprofit managed care organization offering three integrated long-term care programs: PACE (Program of All-inclusive Care for the Elderly), Family Care, and Partnership (Family Care Partnership). PACE provides comprehensive Medicare/Medicaid-covered care for seniors 55+ with adult day center access and interdisciplinary care teams. Family Care is a Medicaid managed care program serving elders and adults with disabilities. Partnership combines Medicare Advantage Special Needs Plan benefits with long-term care. Additional services include Adult Day Centers with on-site clinics, the MyHealth Record member portal, and Self-Directed Supports for member-controlled care. Community Care serves 23 Wisconsin counties and operates three adult day centers in Milwaukee, Racine, and Waukesha.

Differentiator

Problem solved

Functional benefit

Products and services

• PACE (Program of All-inclusive Care for the Elderly) A joint Medicare/Medicaid program providing comprehensive medical care, long-term care, and prescription drugs for adults aged 55 and older who qualify for nursing home care. Features interdisciplinary care teams, adult day center services with on-site clinics, transportation, and an employed staff of primary care physicians. No copays or deductibles apply for eligible participants.
• Family Care A Wisconsin Medicaid managed care program serving elders aged 65+ and adults aged 18+ with physical, intellectual, or developmental disabilities who are Medicaid-eligible. Provides care coordination, personal care, therapy, durable medical equipment, residential services, and employment supports across 23 Wisconsin counties.
• Partnership (Family Care Partnership) A Medicare Advantage Special Needs Plan for people who have both Medicaid and Medicare, combining medical care, long-term care, and prescription drug coverage. Also available to those eligible for Medicaid only. Members may choose their own physician and can opt into Self-Directed Supports. No copays or deductibles apply for eligible dual-eligible members.
• Adult Day Centers Three certified adult day and health centers operating in Milwaukee, Racine, and Waukesha counties. Provide therapeutic activities, meals, social interaction, and on-site clinic services including primary care, lab work, and rehabilitation for PACE, Partnership, and Family Care members.

Quantifiable outcome

• Over 15,000 members served across 23 Wisconsin counties
• +2 more outcomes

Named customers5 records

Segments4 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

Feature3 records

Partnerships

Three partnerships are on record, tiered core.

• CareSourcecoreStrategic or Co-development Partner · 1 April 2026CareSource, a nonprofit nationally recognized managed care organization with over 2 million members, affiliated with Community Care to strengthen long-term care services for older adults and adults with disabilities across Wisconsin. The partnership combines the expertise of two mission-driven, nonprofit MCOs. Community Care maintains its headquarters and employees in Wisconsin with no disruption to member coverage or services.
• United Community Center (UCC)coreStrategic or Co-development Partner · 1 January 2015Community Care partnered with United Community Center to begin offering day center services to members in 2015, expanding services to the Latino community and increasing access to adult day services.
• Wisconsin Aging and Disability Resource Centers (ADRCs)coreChannel Partner/ Reseller/ DistributorCommunity Care works with Aging and Disability Resource Centers throughout Wisconsin as the enrollment gateway for long-term care programs. ADRCs help individuals apply for programs and determine functional and financial eligibility.

Scale indicators5 records

Recent moves13 records

Expansion highlights6 records

Direct peers

• WelbeHealth: California-based PACE operator serving frail elderly through capitated Medicare/Medicaid funding. Comparable to Community Care's PACE model with adult day centers, transportation, and integrated primary care.
• InnovAge Holding Corp. Public PACE operator providing all-inclusive care for elderly across multiple states. Comparable to Community Care's PACE program in serving dual-eligible seniors through interdisciplinary teams and adult day centers.
• iCare (Independent Care Health Plan): Wisconsin-based nonprofit MCO serving Medicaid SSI and long-term care members in southeast Wisconsin. Competes directly with Community Care for Family Care and Partnership contracts in overlapping counties.
• My Choice Wisconsin: Wisconsin-based nonprofit managed care organization offering Family Care, Partnership, and Medicare Advantage programs. Direct competitor in Wisconsin's Medicaid long-term care market with overlapping service areas and similar member populations.

Regional players

• Trinity Health PACE: Catholic health system's PACE programs operating across multiple states including the Midwest. Comparable in mission-driven nonprofit PACE model and elderly care coordination, though geographically distributed rather than Wisconsin-concentrated.

Broad incumbents

• UnitedHealth Group (UnitedHealthcare): Diversified healthcare giant with significant Medicaid managed care and dual-eligible Special Needs Plan presence nationally. Operates at vastly larger scale with broader capabilities, indirectly competing for Wisconsin contracts.
• Molina Healthcare: Major Medicaid managed care organization serving low-income and dual-eligible populations. Comparable LTSS and dual-eligible focus, though at much larger scale across multiple states including potential Wisconsin footprint.
• Centene Corporation: Large publicly-traded managed care company focused on Medicaid and government-sponsored healthcare. Competes indirectly through its WellCare and other subsidiaries serving Medicaid LTSS populations in multiple states.
• CareSource: Nonprofit managed care organization serving 2M+ members across multiple states. Direct parent/affiliate of Community Care following April 2026 affiliation. Comparable in Medicaid managed care model and mission-driven nonprofit structure, with significantly broader geographic and product footprint.

Others

• National PACE Association: Industry trade association representing PACE programs nationally. Comparable ecosystem connection - Community Care's leadership has served on its board, and it represents the broader category of organizations with similar operating models.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/communitycareinc
• LinkedInlinkedin.com/company/community-care-inc
• Xx.com/CCIdahoInc

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

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 Community Care