Skill Creations

What Skill Creations does

Skill Creations, Inc. is a North Carolina-based nonprofit human services agency founded in 1984 that operates three service divisions serving individuals with intellectual and developmental disabilities (IDD). The Intermediate Care Facility (ICF) division provides long-term residential care to 191 individuals across 15 towns in North Carolina, operating facilities that range in size from 5-bed to 15-bed models with 24/7 awake staffing, medication management, and person-centered support plans. The Community Operations division delivers residential and non-residential services including Alternative Family Living (AFL)/host family placements, supported living, personal support, respite care, day programs, and community employment services, delivered through a network of regional offices in Hudson (Community Operations Home Office), Asheville (Mountain Regional Office), and Morganton, plus multiple group homes spanning eastern and western North Carolina. The Child Development division operates Creative Academy Early Learning Center and Creative Academy School Age Program in Goldsboro, serving children from infants to age 12 with a STEM-focused curriculum.

The organization is funded primarily through North Carolina Medicaid and Managed Care Organization (MCO) State Funding Allocations. All ICF admissions require Medicaid eligibility, and all community-based services require MCO prior authorization and an approved level of care. Skill Creations holds CARF Gold Accreditation and operates with no proprietary technology platform, relying instead on third-party systems including Medisked for care management, Relias Learning for staff training, AL Cloudcare, and Greenshades for payroll/HR. The intake process is community-referral driven, with Executive Directors of Admissions coordinating Western North Carolina (Jason Lewis) and Eastern North Carolina (Mary Katherine Hackmann) regions.

The business model is operations-heavy and labor-intensive, with all services delivered directly by Skill Creations employees across physical facilities. Pricing is governed by Medicaid daily rates and MCO-approved fee schedules, with limited private-pay availability at the Medicaid rate. Geographic operations are concentrated entirely within North Carolina, with headquarters in Goldsboro and a multi-site footprint spanning 15 towns. Distribution is direct-to-beneficiary with no resellers or third-party channel partners. Marketing and outreach rely on the company website, a YouTube training channel, and professional affiliations with the North Carolina Providers Network (NCPC Best Quality Provider designation), the Center for Integrative Health (i2i Friend 2025), and Rubicon as a technology affiliate. The organization is a private nonprofit with no parent company, no funding rounds, and no mergers or acquisitions disclosed.

Name

Skill Creations

Legal name

Skill Creations Inc.

Website

https://skillcreations.com

Company type

Private

Founded year

1984

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Skill Creations is a North Carolina nonprofit human services agency operating three divisions—ICF residential care, Community Operations, and Child Development—to support individuals with intellectual and developmental disabilities across 15 towns, funded primarily through Medicaid and MCO authorizations.

Ownership category

akta.pro rank

Product category

Disability and Human Services (Intellectual and Developmental Disability Services)

NAICS

Residential Intellectual and Developmental Disability Facilities (62321), Residential Intellectual and Developmental Disability Facilities (623210), Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities (6232), Educational Support Services (611710)

SIC

Services-Skilled Nursing Care Facilities (8051), Services-Child Day Care Services (8351)

akta.pro primary industry

Specialized Assisted Living for Developmental/Intellectual Disabilities (Adult) (HLADABAJ)

akta.pro secondary industries

Intellectual & Developmental Disabilities (IDD) Schools & Life Skills Programs (EDAKAAAD), Youth-to-Adult Transition & Life Skills (Independent Living, Soft Skills) (EDAAAFAN)

Keywords

• Developmental disability services
• ICF/IID residential care
• Community-based support services
• Child development programs
• Supported employment services

Headquarters

HQ city

Goldsboro

HQ country

United States

HQ region

North America

Offices17 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medicaid State Funding: Primary funding source for ICF/IID services and Innovations Waiver services. All candidates for admission must be eligible for Medicaid program.
2. MCO State Funding Allocations: Managed Care Organization funding for community-based services including Innovations and State Funded services. Fees approved by the MCO.
3. Private Pay: Some services may be privately funded at the current Medicaid daily rate when Medicaid eligibility is not available.

Pricing tiers

Go-to-market motion2 records

Distribution channels2 records

Marketing channels4 records

Core offering

Skill Creations is a nonprofit human services agency operating three service divisions for individuals with intellectual and developmental disabilities (IDD) in North Carolina: ICF long-term residential care serving 191 individuals across 15 towns, Child Development via Creative Academy early learning and school-age programs in Goldsboro, and Community Operations delivering housing, day programs, employment supports, personal support, supported living, host family/shared living (AFL), and respite services.

Product overview

Skill Creations is a human services agency operating three service divisions (ICF, Child Development, and Community Operations) that provides support and care promoting independence for individuals with intellectual and developmental disabilities in North Carolina. The ICF division offers long-term residential care to 191 individuals across 15 towns. The Child Development division operates Creative Academy early learning and school-age programs in Goldsboro. Community Operations provides residential services (housing, AFL, supported living, ICF-IID) and non-residential services (employment, day programs, personal support, respite, community integration) through a network of offices and facilities across Western and Eastern North Carolina.

Differentiator

Problem solved

Functional benefit

Brands

• Creative Academy: Child development division with two locations in Goldsboro, NC, offering early learning center services for infants and children up to five years, and school age program for ages 5-12 with STEM experiences and educational growth through hands-on activities

Products and services

• Intermediate Care Facility (ICF) Division Long-term residential care division providing 24/7 awake-staff housing and daily supports to 191 individuals with intellectual and developmental disabilities across 15 towns in North Carolina. Funding primarily through Medicaid ICF/IID daily rate.
• Child Development Division (Creative Academy Early Learning Center) Exceptional child care and preschool services for infants and children up to five years of age, operated by Skill Creations' Child Development division at the Creative Academy Early Learning Center in Goldsboro, NC.
• Child Development Division (Creative Academy School Age Program) After-school care and summer camp for ages 5-12, focused on STEM experiences and overall educational growth through hands-on activities and outings at the Goldsboro, NC location.
• Community Operations Division Residential and non-residential services delivered within individuals' home communities, customizing development-focused programs to meet each individual's unique needs, funded through MCO-authorized Innovations and State Funded services.
• Community Employment Services Job development and supported employment services helping adults with intellectual developmental disabilities obtain and maintain competitive employment in their communities under Innovations Waiver and State Funded programs.
• Community Housing (ICF/IID and DDA Residential) Safe residential housing services for individuals with IDD across multiple facility models — 15-bed homes, two adjacent 6-bed homes, a single 6-bed home, and a single 5-bed home — with 24-hour awake staff and person-centered supports.
• Community Integration (Day Programs / Day Activity) Day program services at four North Carolina sites (Morganton, Warsaw, Wilson, Goldsboro) providing Innovations Day Supports, State Funded Day Supports, and Day Activity Services with transportation, community trips, physical activities, and self-help skills development.
• Host Family / Shared Living Supports (AFLs) Alternative Family Living (AFL) host family/shared living arrangements providing 24-hour care in private community homes under Innovations Waiver Residential Supports and State Funded Family Living Services.
• Personal Support Services Community-based Innovations and State Funded Periodic Services assisting individuals with personal care, communication, self-help, independent living, and behavior needs in their own homes, staff homes, or community settings.
• Supported Living Services Innovations Supported Living Supports enabling adults with IDD to live independently in individual homes, apartments, or community residential settings with staff support tailored to each individual's needs.
• Respite Care Services Community and facility-based respite care providing primary caregivers temporary relief, delivered at the Morganton regional respite center, Skill Creations staff homes, or individuals' homes, with medication management as needed.

Quantifiable outcome

• 191 individuals receiving long-term residential care
• +2 more outcomes

Named customers2 records

Segments5 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Three partnerships are on record, tiered minor and core.

• North Carolina Providers NetworkminorOthersOrganizational membership and affiliation with NCPC, recognized as best quality provider. Active participation in provider network throughout North Carolina for industry collaboration and best practice sharing.
• Center for Integrative HealthminorOthersPartnership with Center for Integrative Health, designated as i2i Friend 2025. Collaborative relationship for integrative health approaches in service delivery to individuals with disabilities.
• MCOs (Managed Care Organizations)coreOthersCore funding and authorization partners. All community-based services require MCO approval for funding. MCOs authorize referrals and determine eligibility for services including Innovations Waiver and State Funded services. This is a critical payer and regulatory partnership for operations.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Emerging players

• Autism Society of North Carolina: The Autism Society of NC provides specialized services and advocacy for individuals with autism and related developmental disabilities in NC. Overlaps with Skill Creations in mission and geography, with a more narrowly defined population focus.

Broad incumbents

• Sevita (formerly The MENTOR Network): Sevita is a national provider of home- and community-based services for individuals with intellectual and developmental disabilities. Comparable in service lines (ICF, group homes, supported employment, day services) though operating at much greater scale across many states.
• BrightSpring Health Services: BrightSpring is a large, diversified home and community-based provider including IDD services at national scale. Compared with Skill Creations as a much larger incumbent in the same IDD/HCBS services category.
• Trillium Health Resources: Trillium is a managed care organization (LME/MCO) that authorizes and funds many of the services Skill Creations delivers under NC Medicaid waivers. It is not a direct services competitor but the dominant payer-counterparty for Skill Creations' catchment, making its contracting decisions critical.
• Vaya Health: Vaya Health is a NC managed care organization covering a large western NC catchment that overlaps with Skill Creations' service area. As a payer rather than provider, it is a peer in the sense of being the principal funding counterpart and governance partner.

Direct peers

• RHA Health Services: RHA Health Services operates ICF/IID, group homes, supported employment, and community-based behavioral health services primarily in the Carolinas and surrounding states. Comparable to Skill Creations as a regional non-profit IDD provider with similar Medicaid-funded service lines and residential footprints.
• Monarch: Monarch is one of North Carolina's largest non-profit providers of services for individuals with intellectual and developmental disabilities, operating residential, supported living, employment, and day programs across the state. Directly comparable to Skill Creations in mission, geography (NC), service mix, and Medicaid/MCO funding model.
• The Arc of North Carolina: The Arc of NC provides advocacy and direct services (residential, day, employment) for individuals with IDD across the state. Shares the NC-only geographic focus, IDD specialization, and non-profit structure with Skill Creations.
• Easterseals PORTICO: Easterseals PORTICO provides residential, vocational, and community-based services to individuals with intellectual and developmental disabilities in North Carolina. Comparable in mission, NC footprint, and service portfolio.
• LifeBridge (in NC/VA): LifeBridge operates residential, day, and supported employment programs for individuals with IDD in the Carolinas, with a person-centered service model directly aligned with Skill Creations' approach.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/@skillcreationsvideos

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 records

Subsidiaries2 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 Skill Creations