Appalachian Agency for Senior Citizens

What Appalachian Agency for Senior Citizens does

Appalachian Agency for Senior Citizens (AASC) is a private non-profit organization founded in 1975 and designated as one of 25 Area Agencies on Aging in Virginia under the Older Americans Act. Headquartered in Cedar Bluff, Virginia, AASC serves Planning and Service Area 2 covering Buchanan, Dickenson, Russell, and Tazewell counties in Southwest Virginia, with its PACE programs additionally extending to Bland, Smyth, Wythe, Washington, and the city of Bristol. The organization operates a portfolio of more than 30 programs and services including two Program of All-inclusive Care for the Elderly (PACE) centers under the brands AllCARE for Seniors and Mount Rogers PACE, home-delivered meals across eight congregate nutrition sites, in-home personal care and homemaker services, public guardianship, ombudsman advocacy, the Generations Intergenerational Day Center, the Senior Living Community mobile home park, Virginia Insurance Counseling and Assistance Program (VICAP), Senior Medicare Patrol, and a wholly-owned transit subsidiary branded Four County Transit. With 101-250 employees and a 12-site facility footprint including PACE centers, nutrition sites, day centers, and offices, AASC delivers services under multiple brands (AASC, AllCARE for Seniors, Mount Rogers PACE, Four County Transit).

Name

Appalachian Agency for Senior Citizens

Legal name

Appalachian Agency for Senior Citizens

Website

https://aasc.org

Company type

Private

Founded year

1975

Operating status

Operating

Headcount range

101–250 employees

Short description

Appalachian Agency for Senior Citizens is a Southwest Virginia non-profit Area Agency on Aging, founded in 1975, that delivers 30+ programs including two PACE centers, Meals on Wheels, in-home care, public transit, and senior housing to seniors across an eight-county catchment.

Ownership category

akta.pro rank

Product category

Senior Services and Aging Care

NAICS

Services for the Elderly and Persons with Disabilities (624120), Nursing and Residential Care Facilities (623), Community Food Services (62421), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (6233)

SIC

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

akta.pro primary industry

Elder Services & Aging Support (BPAGAEAF)

akta.pro secondary industries

Community-Based Senior Centers with Adult Day Services (HLADAIAJ), Social, Community & Senior Center Outings Transport (HSABAOAG), Affordable/Subsidized Independent Living (HUD/LIHTC) Communities (HLADAAAB), Caregiver Support & Education Programs (Center-Based) (HSABANAN)

Keywords

• Aging services
• Senior care programs
• PACE programs
• Home-delivered meals
• Community transportation

Headquarters

HQ city

Cedar Bluff

HQ country

United States

HQ region

North America

Offices12 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Government Contracts (Medicare, Medicaid): PACE programs are funded through contracts with Medicare and Medicaid. Participants with both Medicare and Medicaid have no deductibles or co-payments. Those with Medicare only or neither Medicaid nor Medicare pay monthly premiums.
2. Federal and State Grants: AASC receives grant funding from multiple sources including Meals on Wheels America ($149,000 in 2026), Virginia Department for the Aging, Virginia Department of Rail and Public Transit, and other federal/state programs to support various programs and services.
3. Private Pay: PACE participants who have neither Medicare nor Medicaid must pay full monthly premium. Some services like homemaker programs charge fees based on federal poverty guidelines.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels7 records

Core offering

Appalachian Agency for Senior Citizens delivers a portfolio of aging services to older adults and disabled individuals in Southwest Virginia through PACE programs, home-delivered meals, congregate nutrition, public transportation, in-home personal care and homemaker services, intergenerational adult daycare, public guardianship, senior housing, and Medicare/Medicaid counseling. Services are funded primarily through Medicare/Medicaid contracts, federal and state grants, and private donations, with PACE participants paying variable monthly premiums based on coverage status.

Product overview

Appalachian Agency for Senior Citizens offers a comprehensive portfolio of aging services through multiple distinct programs rather than a unified software product. The core offerings include two PACE (Program of All-inclusive Care for the Elderly) programs: AllCARE for Seniors serving Buchanan, Dickenson, Russell, and Tazewell counties, and Mount Rogers PACE serving Bland, Wythe, Smyth, Washington, and Bristol. Supporting these are nutrition services (Home Delivered Meals and Congregate Nutrition Sites), transportation (Four County Transit and Veterans Transport), in-home care (Personal Care and Homemaker Services), and care coordination services including VICAP and Senior Medicare Patrol. Additional services include the Generations Intergenerational Day Center, Ombudsman advocacy, Guardianship, Senior Living Community housing, and AASC Cares for Pets. The organization operates as a private non-profit established in 1975 under the Older Americans Act.

Differentiator

Problem solved

Functional benefit

Brands

• AllCARE for Seniors: A PACE (Program of All-inclusive Care for the Elderly) program serving Buchanan, Dickenson, Russell and Tazewell counties for adults 55+ who need nursing home-level care.
• Mount Rogers PACE
• Four County Transit

Products and services

• AllCARE for Seniors Program of All-inclusive Care for the Elderly (PACE) serving adults 55+ who need nursing home-level care but can live safely in the community. Provides comprehensive medical care, social services, transportation, and daily support through an interdisciplinary team. Serves Buchanan, Dickenson, Russell, and Tazewell counties.
• Mount Rogers PACE PACE program serving Bland, Wythe, Smyth, Washington counties and the city of Bristol. Provides health care, social services, transportation, and support for adults 55+ who qualify for nursing home-level care.
• Bristol PACE Center Third PACE center location featuring a full-service medical clinic, physical and occupational therapy areas, and a day center, expanding Mount Rogers PACE service delivery into the Bristol market.
• Home Delivered Meals Nutrition program providing frozen or canned meals to eligible homebound senior citizens aged 60+. Frozen meals delivered every 14 days (one nutritious meal per day). Targets low-income homebound seniors in Buchanan, Dickenson, Russell, and Tazewell counties.
• Congregate Nutrition Sites Eight community central nutrition sites offering meals, socialization, exercise, health programs, health screenings, and nutrition counseling with a registered dietitian for active adults 60+. Locations include Grundy, Falls Mills, Tazewell, Swords Creek, Dante, Clintwood, Clinchco, and Richlands.
• Four County Transit Public transit division providing deviated fixed-route transportation for Buchanan, Dickenson, Russell, and Tazewell counties. Currently operates fare-free with specified stops and times, accommodating requests up to 3/4-mile off route.
• In-Home Care Services Personal care services for Medicaid-eligible individuals in Buchanan, Dickenson, Russell, and Tazewell counties who meet nursing home placement requirements. Certified aides assist with bathing, dressing, toileting, ambulation, and activities of daily living under registered nurse supervision.
• Homemaker Services Grant-funded program for individuals 60+ meeting eligibility criteria, with priority to low-income individuals. Tasks include light housekeeping, meals, shopping, and laundry to promote independence and prevent institutionalization.
• Care Coordination Links older people with appropriate long-term care services through outreach, assessment, and care planning. Includes CARES (Caregiver Assistance), Options Counseling, Emergency Home Repair, VICAP, PACE intake, and coordination with Clinch Valley Medical Center.
• Ombudsman Advocacy service ensuring older adults have voice in their care, quality standards are met in nursing homes and assisted living facilities, and residents are treated with dignity and respect. Also helps with Medicaid managed care benefits and elder abuse education.
• Guardianship Public guardianship services for incapacitated, indigent individuals with no suitable guardian. Funded by Virginia Department for the Aging, serving Buchanan, Dickenson, Russell, and Tazewell counties. Space limited to 40 individuals.
• Senior Living Community Mobile home park adjacent to central office in Cedar Bluff providing housing for seniors 55+ and adults 18+ with disabilities. Most units reserved for low- and very-low-income seniors.
• Generations Intergenerational Day Center State-licensed multi-service intergenerational daycare center in Cedar Bluff providing daytime care for adults with dementia, post-stroke disability, or impairments. Also includes child daycare for ages 6 weeks to 12, integrating elderly wisdom with children's energy. Adult day centers also operate in Falls Mills and Haysi.
• AASC Cares for Pets Program providing pet food, supplies, veterinary care, temporary boarding, and grooming services for home-delivered meals clients. Supports the bond between socially isolated seniors and their companion animals. Funded by Meals on Wheels and PetSmart Charities.
• Virginia Insurance Counseling and Assistance Program (VICAP) Medicare counseling service helping beneficiaries understand various plan costs, coverages, and benefits. Counselors are trained and certified to assist with filing for benefits and comparing insurance plans without selling insurance.
• Senior Medicare Patrol Program educating the community about Medicare and Medicaid fraud through outreach, counseling, and education. Works with local Area Agencies on Aging and volunteers to empower beneficiaries to prevent, detect, and report healthcare fraud.
• Veterans Transport Transportation service to two VA hospitals at no charge for veterans in Russell and Tazewell counties. Transport to Salem on Tuesdays and Mountain Home (Johnson City, TN) on Thursdays. Van holds up to 7 passengers including 2 wheelchair clients.
• Farm Market Fresh Senior Farmers' Market Nutrition Program helping low-income seniors obtain free fresh produce. Seniors 60+ in Buchanan, Dickenson, Russell, and Tazewell counties receive $50 in benefits to spend at participating farmers' market vendors.

Quantifiable outcome

• Eliminates 55-person waiting list for home-delivered meals through $149,000 Meals on Wheels grant
• +2 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Seven partnerships are on record, tiered major, core and supporting.

• Meals on Wheels AmericamajorGTM or Marketing Partner · 27 April 2026Meals on Wheels America provides grant funding through initiatives like Meeting Unmet Need. AASC received $149,000 in 2026 to eliminate home-delivered meals waiting list. Also provides funding through Helping Homebound Heroes program for veteran home repairs ($25,000). Partnership enables AASC to expand nutrition services and reach more seniors.
• Meridian PACE Solutions (MPS)coreTechnology or Integration · 1 April 2025Effective May 2025, Meridian PACE Solutions became the new third-party administrator for AllCARE for Seniors and Mount Rogers PACE. Handles claims processing, EDI submissions, and provider payment. Payer ID: MPSAB. Located in Roseburg, OR.
• Southwest Virginia Legal Aid SocietysupportingStrategic or Co-development PartnerAASC's ombudsman works with Southwest Virginia Legal Aid Society on legal issues for older people, providing comprehensive support services for long-term care residents.
• National Aging and Disability Transportation Center (NADTC)supportingStrategic or Co-development PartnerAASC was one of five organizations chosen for pilot project sponsored by NADTC and USAging. Received $10,000 stipend to develop transportation and promotion campaign through Every Ride Counts initiative, working with The Hatcher Group.
• The Hatcher GroupsupportingImplementation/ SI/ Consulting PartnerProfessional communications firm paired with AASC and Four County Transit for Every Ride Counts Campaign. Develops transportation messaging and delivery approaches tailored to region's unique challenges.
• Clinch Valley Medical CentersupportingStrategic or Co-development PartnerAASC coordinates Bridge and Link Programs with Clinch Valley Medical Center for care coordination and referral services.
• VA Hospitals (Salem and Mountain Home)supportingChannel Partner/ Reseller/ DistributorFour County Transit provides free transportation to Salem VA Hospital (Tuesdays) and Mountain Home VA Hospital in Johnson City, TN (Thursdays) for veterans in Russell and Tazewell counties.

Scale indicators9 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Bay Aging: Virginia Area Agency on Aging serving the Middle Peninsula, Northern Neck, and Rappahannock area. Comparable non-profit AAA operating a similar integrated services model including PACE, transit, in-home care, and nutrition programs.
• Riverside PACE: Virginia-based PACE program operated by Riverside Health System on the Peninsula. Direct PACE provider comparable to AllCARE for Seniors and Mount Rogers PACE in serving dual-eligible seniors 55+ who qualify for nursing home-level care.
• Mountain Empire Older Citizens: Adjacent Virginia Area Agency on Aging serving Lee, Scott, and Wise counties in Southwest Virginia. Directly comparable as a non-profit AAA offering meals, transit, in-home care, caregiver support, and senior services in the same rural Appalachian region as AASC.
• District Three Senior Services: Virginia Area Agency on Aging (Planning District 3) serving a multi-county area in western Virginia. Comparable non-profit AAA providing nutrition, transportation, in-home services, and care coordination to seniors.
• Senior Connections (Capital Area Agency on Aging): Virginia Area Agency on Aging serving the Richmond metropolitan region. Comparable non-profit AAA with a similar integrated services model focused on helping seniors age in place.
• Lake Country Area Agency on Aging: Virginia Area Agency on Aging serving Southside Virginia counties. Comparable non-profit AAA providing meals, transportation, in-home care, and caregiver support services.
• Shenandoah Area Agency on Aging: Virginia Area Agency on Aging serving the Lord Fairfax Planning District. Comparable non-profit AAA providing a similar range of senior services including meals, transportation, and care coordination.
• New River Valley Agency on Aging: Virginia Area Agency on Aging serving Floyd, Giles, Montgomery, Pulaski, and Radford. Closely comparable non-profit AAA in Southwest Virginia offering similar aging services portfolio (meals, in-home, transit, caregiver support).

Others

• Meals on Wheels America: National non-profit association that funds and supports local Meals on Wheels providers like AASC. Comparable as the national umbrella organization and major grant funding source referenced throughout AASC's operations and expansion (e.g., $149K 2026 Meeting Unmet Need grant).

Broad incumbents

• InnovAge Holding Corp. National PACE operator and publicly traded provider with the largest PACE center footprint in the United States. Broad incumbent in the same PACE category as AllCARE and Mount Rogers PACE, providing a benchmark for unit economics and national scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/appalachian-agency-for-senior-citizens

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Subsidiaries1 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 Appalachian Agency for Senior Citizens