ESCCI

What ESCCI does

Elder Services of Cape Cod and the Islands (ESCCI) is a Massachusetts-incorporated 501(c)(3) nonprofit organization founded in 1972, federally designated as an Area Agency on Aging (AAA) and state-designated as an Aging Service Access Point (ASAP) for Barnstable, Dukes (excluding Gosnold), and Nantucket counties. It operates as a no-wrong-door entry point for aging and disability services in a region with approximately 232,500 residents, of whom roughly 80,000 are age 65 or older. The organization employs 149 full-time staff supported by 1,300+ volunteers across three offices (South Dennis, Oak Bluffs, Nantucket) and delivers an integrated portfolio of services including information and referral, home care, senior nutrition (Meals on Wheels at 1,200 meals daily and senior dining centers), protective services and a 24/7 elder abuse hotline, long-term care ombudsman advocacy, options counseling, family caregiver support, money management, congregate housing at Hansen Village, the Community Transitions Liaison Program, and managed care coordination for Senior Care Options and One Care enrollees.

ESCCI's core technology footprint is operational rather than productized: case management, care coordination, and referral intake run through staff-driven systems accessible via phone, online referral forms, and in-person intake. The organization does not develop proprietary software products and has no public APIs, AI/ML systems, or developer-facing platforms. Distribution is direct and community-embedded, combining in-house program staff, a contracted vendor network of 30+ in-home and community-based service providers (including Attentive, BAYADA, Home Instead, and the Visiting Nurse Association of Cape Cod), and five senior dining center sites operated through local Councils on Aging.

Revenue is a mix of federal Older Americans Act Title III funding, state Executive Office of Aging & Independence contracts, municipal and local foundation grants, individual and corporate donations (including stock gifts and planned giving), modest income-adjusted client co-payments on the Home Care Program, and a suggested $4 per-meal donation for Meals on Wheels. Approximately $127,000 in FY2026 Title III pass-through grants flow outward to partner agencies. The organization holds a Candid Platinum Transparency Seal and is a member of Mass Aging Access and USAging. ESCCI is governed by a Board of Directors (President Susan Marancik) and led by CEO Maryanne Ryan.

Name

ESCCI

Legal name

Elder Services of Cape Cod and the Islands, Inc.

Website

https://escci.org

Company type

Private

Founded year

1972

Operating status

Operating

Headcount range

51–100 employees

Short description

ESCCI is a 501(c)(3) nonprofit Area Agency on Aging serving Barnstable, Dukes, and Nantucket counties in Massachusetts, delivering integrated aging and disability services — including home care, Meals on Wheels, protective services, and care management — to approximately 80,000 older adults through 149 staff and 1,300 volunteers.

Ownership category

akta.pro rank

Product category

Aging and Disability Services

NAICS

Services for the Elderly and Persons with Disabilities (62412), Services for the Elderly and Persons with Disabilities (624120), Continuing Care Retirement Communities (623311)

SIC

Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Benefits, Insurance & Entitlement Navigation (Medicare/Medicaid/VA/LTC) (HSABAIAG)

akta.pro secondary industries

Elder Services & Aging Support (BPAGAEAF), In-Home Respite Care (Hourly/Short-Shift) (HSABAGAA), Errand, Shopping & Personal Appointment Escort (HSABAOAF)

Keywords

• Aging services
• Home care programs
• Senior nutrition
• Elder abuse prevention
• Caregiver support

Headquarters

HQ city

South Dennis

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Infrastructure, Others

Revenue model

1. Federal Older Americans Act (Title III) Funding: ESCCI receives federal funds under the Older Americans Act as a designated Area Agency on Aging. These funds support delivery of services including information and referral, supportive services, elder abuse prevention, and nutrition programs.
2. State Executive Office of Aging & Independence Funding: As a state-designated Aging Service Access Point (ASAP), ESCCI receives state funding through the Executive Office of Aging & Independence to provide information and referral, clinical eligibility determinations, the state home care program, protective services, and other aging-related services.
3. Town and Local Foundation Grants: ESCCI supplements federal and state funding with grants from the towns it serves as well as local foundations and individual gifts.
4. Individual and Corporate Donations: The organization accepts donations from individuals, businesses, and organizations via online donation portal, stock gifts, legacy/planned gifts, and memorial donations. These fill gaps in government-funded services.
5. Client Co-payments for Home Care Services: The Home Care Program may involve a monthly co-payment based on the client's income (not assets). Individuals with very low incomes are not charged a co-payment. This co-payment model represents a partial cost-recovery stream.
6. Meals on Wheels Suggested Donation: A suggested donation of $4.00 per meal is requested for Meals on Wheels deliveries, though no one is denied a meal for inability to donate.

Pricing tiers

Go-to-market motion3 records

Distribution channels9 records

Marketing channels9 records

Core offering

ESCCI is a nonprofit Area Agency on Aging and state-designated Aging Service Access Point that delivers information and referrals, home care, senior nutrition (Meals on Wheels and dining centers), protective services, caregiver support, options counseling, long-term care screening, money management, and community transition programs to older adults (age 60+) and people with disabilities across Barnstable, Dukes, and Nantucket counties in Massachusetts. Services are funded primarily through federal Older Americans Act funds and state Executive Office of Aging & Independence contracts, with delivery carried out by 149 staff and 1,300+ volunteers.

Product overview

Elder Services of Cape Cod and the Islands (ESCCI) is a nonprofit Area Agency on Aging providing a comprehensive portfolio of senior and disability services across Barnstable, Dukes, and Nantucket counties. The organization operates as a single integrated service delivery platform rather than a modular product architecture, offering core services including Information & Referrals, Home Care Program, Senior Nutrition Programs (Meals-on-Wheels and Senior Dining Centers), Elder Abuse Prevention (Protective Services and Long-Term Care Ombudsman), Family Caregiver Support, Money Management, Options Counseling, Long-Term Care Screening, Congregate Housing, and Community Transition Liaison Program. ESCCI also administers government programs including Senior Care Options (SCO) and One Care managed care plans, plus specialized offerings like the GUIDE dementia program and Osteo Exercise Classes. These services are delivered through a network of over 140 staff and 1,300+ volunteers, with contracts from multiple provider agencies.

Differentiator

Problem solved

Functional benefit

Products and services

• Information & Referrals Connects individuals and families with aging and disability resources in the region through knowledgeable referral specialists who provide free guidance and connect callers to appropriate programs and services.
• Home Care Program Provides eligible elders with supportive services including meal preparation, shopping, homemaking, personal care, emergency response systems, or adult day care to enable safe and independent living at home; services may carry an income-based monthly co-payment.
• Senior Nutrition Programs Offers both Senior Dining Centers and Meals-on-Wheels programs for individuals age 60 and older, providing home-delivered meals (1,200 per weekday) and congregate dining options at multiple senior centers; suggested donation of $4.00 per meal for home delivery.
• Long Term Care Screening Provides required clinical screening for individuals seeking Medicaid-reimbursed services such as nursing home care, adult day health programs, or other community-based long-term services; free for Medicaid applicants, fee-based for private-pay individuals.
• Options Counseling Short-term decision support counseling to help adults age 60+ or individuals with disabilities make informed choices about long-term services, supports, and care settings.
• Family Caregiver Support Program Advocates for and supports caregivers through education, connections to community resources, in-home and telephone assessments, counseling, and referrals to caregiver support groups.
• Money Management Program Assists income-eligible adults aged 60+ who may be at risk of losing independence due to failure to pay bills on time; trained volunteer bill payers help with budgeting and bill payment (free to income-eligible, small fee for others).
• Congregate Housing at Hansen Village Affordable and supportive shared living arrangements for adults over 60 or living with disabilities as an alternative to premature nursing or rest home placement, operated in conjunction with Sandwich Housing Authority and the Executive Office of Aging & Independence.
• Senior Care Options (SCO) A MassHealth managed care program covering all services reimbursable under Medicare and MassHealth through a senior care organization, with $0 out-of-pocket costs for eligible members; ESCCI provides Geriatric Social Support Coordination within network partner plans.
• One Care MassHealth program bridging Medicare and MassHealth benefits for adults aged 21-64, providing coordinated care through a care team including an ESCCI Long-Term Support Services Coordinator.
• Community Transition Liaison Program (CTLP) Supports nursing facility residents age 22 or older in transitioning back to the community through assistance with discharge planning, housing applications, and public benefits access.
• Protective Services Provides 24/7 assistance through the state-mandated elder abuse hotline (1-800-922-2275) for anyone 60 or older who has been abused, neglected, financially exploited, or is at risk due to self-neglect.
• Long-Term Care Ombudsman Program Trained advocates who make weekly unannounced visits to nursing and rest homes to monitor conditions and address residents' concerns about their care and treatment.
• GUIDE (Guiding an Improved Dementia Experience) Federal program for Medicare dementia clients and their caregivers offering increased support, education, personalized care plans, and up to $2,563 annually for in-home or adult day center respite.
• Farmers' Market Coupons $25 coupons distributed to low-income seniors age 60+ for purchase of fresh produce at local farmers' markets, funded by a federal Department of Agriculture grant.

Quantifiable outcome

• 1,200 meals delivered every weekday via Meals on Wheels volunteers
• +3 more outcomes

Named customers12 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

22 partnerships are on record, tiered core and supporting.

• Mass Aging AccesscoreStrategic or Co-development PartnerESCCI is a member of Mass Aging Access, the nonprofit trade association representing Massachusetts' network of 28 Aging Services Access Points (ASAPs) and Area Agencies on Aging (AAAs). This statewide network coordinates care delivery to over 60,000 individuals per month with over $600 million per year in services. ESCCI participates in advocacy, best practice sharing, and coordinated service delivery through this network.
• USAgingcoreStrategic or Co-development PartnerESCCI is a member of USAging, the national association representing and supporting the network of 655 Area Agencies on Aging across the United States and advocating for Title VI Native American Aging Programs. Membership provides national advocacy representation and access to resources and best practices.
• Cape and Islands Aging and Disability Resource Consortium (ADRC)coreStrategic or Co-development PartnerESCCI is a member of the Cape and Islands regional ADRC, collaborating with CORD (Cape Organization for the Rights of the Disabled) to provide consumers with information and referral, options counseling, and assistance with decision support and service planning. ADRCs serve individuals of all ages living with a disability, striving to ensure a 'no wrong door' experience.
• Massachusetts Executive Office of Aging & IndependencecoreStrategic or Co-development PartnerESCCI receives state funding through the Executive Office of Aging & Independence as a state-designated Aging Service Access Point (ASAP). This funding supports information and referral, clinical eligibility determinations, the state home care program, protective services, and other aging-related services. ESCCI also collaborates on congregate housing at Hansen Village.
• National Association of Area Agencies on Aging (n4A)coreStrategic or Co-development PartnerESCCI is a member of n4A, the umbrella organization for the 655 AAAs in the United States, providing access to national advocacy, resources, and peer networks for area agencies on aging.
• CORD (Cape Organization for the Rights of the Disabled)coreStrategic or Co-development PartnerCORD collaborates with ESCCI as co-lead of the Cape and Islands Aging and Disability Resource Consortium (ADRC). Together they organize events such as the annual Legislative Breakfast. CORD's focus areas include housing advocacy, home modification programs, and disability rights.
• Mass General Brigham (Senior Care Options Plan)supportingStrategic or Co-development PartnerESCCI provides Geriatric Social Support Coordination for Mass General Brigham's Senior Care Options (SCO) managed care plan members age 65+, working within the plan's network of medical and other professionals.
• Fallon Community Health Plan (Senior Care Options Plan)supportingStrategic or Co-development PartnerESCCI provides Geriatric Social Support Coordination for Fallon Community Health Plan's Senior Care Options (SCO) managed care plan members, coordinating care within the plan's network.
• Tufts Health Plan (Senior Care Options Plan)supportingStrategic or Co-development PartnerESCCI provides Geriatric Social Support Coordination for Tufts Health Plan's Senior Care Options (SCO) managed care plan members, coordinating care within the plan's network.
• Commonwealth Care Alliance (One Care)supportingStrategic or Co-development PartnerESCCI provides Long-Term Support Services Coordination for Commonwealth Care Alliance's One Care program members (adults age 21-64 enrolled in MassHealth and Medicare), working with care teams to coordinate each member's care plan.
• Attentive Health Care ServicessupportingChannel Partner/ Reseller/ DistributorOne of over 30 contracted in-home and community-based service provider agencies in ESCCI's vendor network, providing direct services to ESCCI consumers.
• BAYADA Home Health CaresupportingChannel Partner/ Reseller/ DistributorContracted in-home health care provider in ESCCI's vendor network for home care program services.
• Home InsteadsupportingChannel Partner/ Reseller/ DistributorContracted in-home care provider in ESCCI's vendor network providing home care services to ESCCI clients.
• Visiting Nurse Association of Cape CodsupportingChannel Partner/ Reseller/ DistributorContracted home health and nursing services provider in ESCCI's vendor network.
• Rapport InternationalsupportingTechnology or IntegrationProvides interpretation services for ESCCI to serve clients with limited English proficiency, supporting the organization's commitment to multilingual and multicultural accessibility.
• Spaulding RehabilitationsupportingStrategic or Co-development PartnerSpaulding Rehabilitation clinicians trained ESCCI's volunteer Osteo Exercise class instructors. These classes are designed to help those with a diagnosis of Osteoporosis or Osteopenia prevent worsening of their condition and are offered free of charge at multiple locations.
• Healthy Aging Martha's Vineyard (GoGo Grandparent)supportingStrategic or Co-development PartnerFY2026 Title III grantee ($6,500) operating the GoGo Grandparent concierge-based transportation system, providing free on-demand rides for non-emergent medical, enrichment, and community-based appointments to 75-100 seniors weekly.
• Barnstable Council on AgingsupportingStrategic or Co-development PartnerFY2026 Title III grantee ($10,000) using grant to expand transportation services from 3 days a week to 5 days a week, serving 90+ elders.
• South Coastal Counties Legal Services, Inc.supportingStrategic or Co-development PartnerFY2026 Title III grantee ($72,000) providing free civil legal services and representation to low-income seniors on the Cape and Islands through direct service, referrals, community outreach, and education.
• DonateStocksupportingTechnology or IntegrationAn online platform that makes donating appreciated stock easier for donors, allowing everyday investors to donate stock in minutes. ESCCI joined DonateStock to facilitate stock donations as a tax-advantaged giving option.
• Healthy Aging Cape CodsupportingStrategic or Co-development PartnerESCCI participates in Healthy Aging Cape Cod, a regional collaborative effort (with governance from Barnstable County Department of Human Services) to make Barnstable County age- and dementia-friendly, aligned with AARP's Age-Friendly and Dementia-Friendly frameworks.
• Sandwich Housing AuthoritysupportingStrategic or Co-development PartnerOperates Hansen Village congregate housing complex in conjunction with the Executive Office of Aging & Independence, where ESCCI provides congregate housing services for adults over 60 or living with a disability.

Scale indicators10 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Springwell: Massachusetts Aging Services Access Point (ASAP) serving communities west and south of Boston. Operates under the same federal Older Americans Act Title III / state Executive Office of Aging & Independence funding model as ESCCI, providing care management, home care, nutrition, and protective services to elders and adults with disabilities.
• Mystic Valley Elder Services: Massachusetts ASAP serving 11 communities north of Boston. Directly comparable to ESCCI as a designated AAA/ASAP delivering information & referral, care management, home care, and nutrition programs to elders under the same state regulatory framework.
• Coastline Elderly Services: Massachusetts ASAP serving the Greater New Bedford area with comparable information & referral, home care, nutrition, and protective service programs. Operates under identical Older Americans Act Title III funding and Massachusetts Executive Office of Aging & Independence oversight as ESCCI.
• SeniorCare Inc. Massachusetts ASAP serving Cape Ann (Gloucester, Rockport, Essex, Manchester-by-the-Sea, Ipswich). Comparable to ESCCI as a designated ASAP delivering information & referral, options counseling, home care, and protective services under the same regulatory framework.
• Elder Services of the Merrimack Valley: Massachusetts ASAP serving the Merrimack Valley region with the same AAA designation, funding model, and core service portfolio (home care, nutrition, protective services, caregiver support) as ESCCI.

Broad incumbents

• USAging: National association representing the 655 Area Agencies on Aging across the United States. ESCCI is a member; provides national advocacy, policy representation, and resources that support the broader AAA infrastructure in which ESCCI operates.
• Mass Aging Access: Statewide trade association representing all 28 Massachusetts ASAPs and AAAs, of which ESCCI is a member. Coordinates advocacy, best-practice sharing, and policy across the network that delivers over $600M in services annually to 60,000+ individuals per month.

Others

• AARP: Nation's largest nonprofit organization dedicated to empowering people 50+. Sets the Age-Friendly framework that ESCCI's Healthy Aging Cape Cod initiative aligns to; not a direct competitor but a major policy and brand presence in the elder services ecosystem.
• National Council on Aging: National nonprofit advocacy and service organization focused on improving the lives of older adults. Adjacent peer in elder services advocacy, programs, and policy work; not a direct operating competitor but a thought leader whose initiatives shape the AAA ecosystem ESCCI operates in.
• Meals on Wheels America: National umbrella organization supporting the Meals on Wheels network of 5,000+ community-based programs. ESCCI operates one of these local Meals on Wheels programs; comparable through shared mission and beneficiary population though not a direct operating peer.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/ESCCI
• LinkedInlinkedin.com/company/escc-cape-cod
• Xx.com/eldercod

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Funding overview

Funding rounds1 record

Investors1 record

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M&A

Investments

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Frequently asked questions about ESCCI