Lifetime Living

What Lifetime Living does

Lifetime Living, Inc. is a privately held Texas provider of home and community-based services (HCBS) for individuals with intellectual and developmental disabilities (IDD), incorporated in December 2007 and headquartered in San Antonio. The company operates eight office locations spanning Central and South Texas and is certified to deliver services under all four major Texas Medicaid IDD waiver programs: the Home and Community-based Services (HCS) waiver, the Texas Home Living (TxHmL) waiver, the Community Living and Support Services (CLASS) waiver, and the General Revenue Program. Its core offering is waiver-funded residential, community, and case management support delivered by in-house direct-care staff, QIDPs, and service coordinators; the company has no proprietary technology platform, no AI components, and operates on a reimbursement-driven services model.

The business model is a fee-for-service Medicaid reimbursement model: Lifetime Living is paid per unit of service delivered to an enrolled waiver client, with the Texas Health and Human Services Commission (HHSC) acting as the single ultimate payer, typically routed through Managed Care Organizations and Local Intellectual and Developmental Disability Authorities (LIDDAs). The company does not disclose pricing, headcount growth, or financial figures; firmographic data places it at 51-100 employees. The end-customers are individual IDD clients and their legal guardians, and Lifetime Living's value proposition is local, in-person waiver case management and attendant care across a multi-county regional footprint.

The company is founder/management-led under a stable executive bench that has not, on the available evidence, pursued acquisitions, outside capital, geographic expansion beyond Texas, or product extension outside HCBS. Strategic activity is limited to organic maintenance of the eight-site network, ongoing participation in all four Texas waiver programs, and operational governance under a co-executive director structure (Gary Alexander as CEO/Co-Executive Director; Manuel Flores as Co-Executive Director for South Texas), with Luisa Adames as CFO, Janie Flores as VP/Secretary, and Crystal Gaytan as Office Coordinator. There are no documented funding events, M&A activity, or disclosed revenue figures.

Name

Lifetime Living

Legal name

Lifetime Living, Inc.

Website

https://lifetimelivinginc.com

Company type

Private

Founded year

2007

Operating status

Operating

Headcount range

51–100 employees

Short description

Lifetime Living, Inc. is a privately held San Antonio-based provider of Texas Medicaid home and community-based services for individuals with intellectual and developmental disabilities, operating eight offices across Central and South Texas under all four major Texas IDD waiver programs.

Ownership category

akta.pro rank

Headquarters

HQ city

San Antonio

HQ country

United States

HQ region

North America

Offices8 records

Markets served

GTM type

B2C

Offering type

Services

Revenue model

1. Medicaid waiver program services (HCS, TxHmL, CLASS, General Revenue): Reimbursement-driven revenue from Texas Health and Human Services Commission (HHSC) for delivery of four home and community-based Medicaid waiver programs serving individuals with intellectual and developmental disabilities. Consumers must be assessed through Local Intellectual Disability Authorities (LIDAs) and determined eligible by HHSC.
2. Professional / direct support services (nursing, therapies, respite, supported employment, day habilitation): Recurring professional service delivery (RN/LVN nursing, counseling and therapies, supported employment, day habilitation, respite, community support) bundled within the waiver programs and reimbursed through state Medicaid funding.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

Lifetime Living, Inc. delivers home, community-based, and community-living assistance support services to individuals with intellectual and developmental disabilities in Texas. The company operates four Texas Medicaid waiver programs (HCS, TxHmL, CLASS, and General Revenue Program) plus Day Habilitation, providing case management, residential assistance, nursing, therapies, supported employment, respite, and adaptive aids delivered in consumers' homes, family homes, and community settings.

Product overview

Lifetime Living, Inc. delivers a portfolio of Texas Medicaid waiver and community-based programs serving individuals with intellectual and developmental disabilities rather than a single unified software product. The portfolio comprises four program offerings — HCS (Home and Community-Based Services), TxHmL (Texas Home Living), CLASS (Community Living Assistance and Support Services), and the General Revenue Program (GRP) — together with Day Habilitation as a cross-program day service. These programs share administrative infrastructure across Corporate, Admin, and ISS offices in San Antonio, McAllen, New Braunfels, Harlingen, and Uvalde, and are delivered by a unified staff including program managers, coordination specialists, and licensed nursing personnel.

Differentiator

Problem solved

Functional benefit

Products and services

• HCS (Home and Community-Based Services) Program
• TxHmL (Texas Home Living Program)
• CLASS (Community Living Assistance and Support Services)
• General Revenue Program (GRP)
• Day Habilitation

Quantifiable outcome

• Operates four Texas Medicaid waiver programs (HCS, TxHmL, CLASS, General Revenue) concurrently across Central and South Texas
• +1 more outcomes

Segments4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

Four partnerships are on record, tiered flagship and minor.

• Texas Health and Human Services (HHS) / Texas Health and Human Services Commission (HHSC)flagshipStrategic or Co-development PartnerTexas HHS/HHSC is the state regulatory and funding authority. Financial eligibility for HCS, TxHmL, CLASS, and General Revenue Program is determined by HHSC; consumers must be assessed through LIDAs and determined eligible by HHSC. Lifetime Living operates as a contracted/credentialed provider under these waiver programs.
• AACOG (Alamo Area Council of Governments) IDD ServicesminorImplementation/ SI/ Consulting PartnerLinked as a resource for IDD services in the AACOG region; functions as a Local Intellectual Disability Authority (LIDA) and intake/referral pathway referenced in the Links page.
• Texas Workforce Commission (Vocational Rehabilitation Program)minorStrategic or Co-development PartnerReferenced as a resource on the Links page; supports the employment assistance and supported employment services Lifetime Living offers to consumers.
• Texas STAR Medicaid Managed Care ProgramminorStrategic or Co-development PartnerLinked on the Links page as the entry point for checking Medicaid and medical assistance program eligibility, which is a prerequisite for Lifetime Living's waiver services.

Scale indicators4 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• Sevita Health (formerly The MENTOR Network): One of the largest U.S. providers of home and community-based services for individuals with intellectual and developmental disabilities, operating across multiple states. Comparable to Lifetime Living because both deliver HCBS waiver-funded IDD services with in-home, day, and supported employment components under Medicaid reimbursement.
• Help at Home: Leading U.S. provider of personal care and HCBS services primarily for Medicaid-eligible seniors and individuals with IDD. Directly comparable to Lifetime Living as a Medicaid waiver-funded, in-home direct-care services organization serving IDD populations.
• Mosaic: National nonprofit provider of services for people with intellectual disabilities, including residential, day, employment, and HCBS supports. Comparable to Lifetime Living in mission, IDD focus, and reliance on Medicaid HCBS waiver reimbursement across multiple states.
• RHA Health Services: Multi-state provider of behavioral health and IDD services, including HCBS waiver programs, residential supports, and supported employment. Comparable to Lifetime Living as a credentialed HCBS provider serving individuals with intellectual and developmental disabilities under state Medicaid waivers.
• Caregivers America / Caregiver Inc. Provider of home and community-based services for individuals with intellectual and developmental disabilities across multiple U.S. states. Comparable to Lifetime Living as an IDD-focused HCBS operator delivering residential, day, and supported employment services under state Medicaid waivers.

Broad incumbents

• BrightSpring Health Services: Diversified home and community health platform whose Provider Services segment includes IDD HCBS, home health, and pharmacy. Comparable as a multi-state HCBS and IDD services operator with significantly greater scale, technology infrastructure, and managed-care contracting leverage than Lifetime Living.
• Aveanna Healthcare: Large diversified home health and private-duty nursing operator with a pediatric and adult home-care portfolio that overlaps with HCBS-eligible populations. Comparable to Lifetime Living through shared in-home, Medicaid-funded service delivery and a workforce-heavy care model, though broader in scope.
• Maxim Healthcare Services: National provider of home health, behavioral services, and personal care supports, including services for individuals with intellectual and developmental disabilities. Comparable to Lifetime Living through Medicaid-funded in-home and community-based service delivery to IDD populations.

Others

• Texas Health and Human Services Commission (HHSC): Texas state agency that administers and funds the HCS, TxHmL, CLASS, and General Revenue waiver programs on which Lifetime Living depends. Relevant as the payer, regulator, and credentialing authority — not a competitor, but a critical ecosystem participant determining the company's economic ceiling.
• The Arc of Texas: Statewide advocacy organization for Texans with intellectual and developmental disabilities, including intake, LIDA-related navigation, and family support. Adjacent to Lifetime Living through shared IDD mission and family-referral pathways but operates as an advocacy nonprofit, not a service provider.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

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Revenue estimate

Valuation estimate

Number of profiles

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 Lifetime Living