LifeScape LLC

Name

LifeScape LLC

Legal name

Children's Care Hospital and School

Website

https://lifescapesd.org

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

LifeScape is an independent South Dakota-based nonprofit providing comprehensive inpatient, outpatient, educational, and residential services for children and adults with disabilities, serving over 5,000 patients annually across eight states.

Ownership category

akta.pro rank

Product category

Disability and Rehabilitation Services

NAICS

Residential Intellectual and Developmental Disability Facilities (623210), Offices of Physical, Occupational and Speech Therapists, and Audiologists (621340), Home Health Care Services (6216), Outpatient Mental Health and Substance Abuse Centers (621420), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Nursing & Personal Care Facilities (8050), Services-Health Services (8000), Services-Home Health Care Services (8082)

akta.pro primary industry

Adult Day Rehabilitation & Therapy Programs (PT/OT/SLP) (HLADAIAD)

akta.pro secondary industries

Live-In Care (Single Caregiver, 24-Hour Presence) (HSABAHAB), Post-Acute / Post-Surgical In-Home Rehab (HSABADAD), Home-Based Primary Care / Medical House Call Practices (HLAFAEAI)

Keywords

• Pediatric rehabilitation
• Disability services
• Outpatient therapy
• Residential care
• Special education

Headquarters

HQ city

Sioux Falls

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medicaid Program Funding: Primary funding source is the state Medicaid program, which funds the majority of services for children and adults with disabilities and medical rehabilitation needs.
2. Insurance Reimbursement: Services are billed to insurance carriers including Medicare, Medicaid, and private insurers. The organization accepts numerous insurance carriers and works with patients on billing and collections.
3. Donations and Foundation Support: LifeScape Foundation raises funds through events like MallWalk, Hamsters USA, and corporate partnerships. Donations support the Wish List for needs with no other funding source including equipment, activities, and emergency support.
4. Service Fees: Fees for services provided including outpatient therapy, residential services, and specialty programs. Financial assistance available for uninsured or underinsured patients up to 175% of Federal Poverty Guideline.
5. Grants and Government Partnerships: Funding through partnerships with South Dakota Housing Development Authority and Department of Human Services for residential housing projects.

Pricing tiers

Go-to-market motion1 record

Distribution channels6 records

Marketing channels9 records

Core offering

LifeScape is an independent nonprofit organization delivering a comprehensive continuum of disability and medical rehabilitation services for children and adults, including a Children's Specialty Hospital, special education schools, residential programs, outpatient therapy (PT, OT, Speech, ABA, Clinical Psychology), durable medical equipment through RISE Custom Solutions, and adult day/employment services. Services are delivered across two South Dakota campuses and through community-based outreach reaching patients from eight states.

Product overview

LifeScape is an independent, non-profit healthcare organization providing a comprehensive range of services for children and adults with disabilities and medical rehabilitation needs. The organization operates as a multi-service platform offering inpatient hospital care (Children's Specialty Hospital with Medically Complex Program and Inpatient Rehabilitation Program), educational services (LifeScape Schools including Specialty School and Pathways to Life School), residential services for both children and adults, and extensive outpatient therapy services. Outpatient offerings include Occupational Therapy, Physical Therapy, Speech-Language Pathology, Clinical Psychology, Autism Services (including ABA therapy), Assistive Technology, Feeding/Swallowing/Nutritional Therapy, and specialty programs like Go Baby Go and Intensify. The organization also operates RISE Custom Solutions for orthotics, prosthetics, and wheelchair/mobility solutions. Services are delivered through facilities in Sioux Falls and Rapid City, South Dakota, with outreach programs extending across multiple states. A major initiative, the Journey of Hope campaign, is funding construction of a new children's campus expected to open in fall 2026.

Differentiator

Problem solved

Functional benefit

Products and services

• Children's Specialty Hospital Inpatient hospital services for children with medically complex conditions and rehabilitation needs, including the Medically Complex Program and Inpatient Rehabilitation Program, serving children referred for intensive therapy and complex medical care.
• LifeScape Schools Educational services including the Specialty School for children with special educational needs and the Pathways to Life School focused on transition and life skills.
• Adult Residential Services Supported residential living for adults with intellectual and developmental disabilities across 39 Sioux Falls-area homes, including five newer duplexes with 24/7 Virtual Support Services.
• Community Life / Day Services Day programs and community engagement activities for adults with disabilities, providing structured daytime programming, life skills building, and community participation.
• Conflict-Free Case Management Independent case management services for adults with disabilities, helping them access state Medicaid HCBS waiver services and coordinate community-based supports.
• Supported Employment Job coaching and supported employment services for adults with disabilities, helping them obtain and maintain competitive integrated employment.
• Children's Residential Services Residential care and 24/7 support services for children with disabilities who require out-of-home placement.
• School-Based Contract Services Therapy, behavioral, and assistive technology services delivered within K-12 public schools under contract with South Dakota school districts.
• Outpatient Physical Therapy Outpatient physical therapy for children and adults, including gait training, post-surgical rehabilitation, and therapy for conditions such as spina bifida, cerebral palsy, and cancer recovery.
• Outpatient Occupational Therapy Outpatient occupational therapy services for children and adults with developmental, sensory, or physical disabilities.
• Speech-Language Pathology Speech, language, and communication therapy including the Scottish Rite Children's Clinic for Communication Disorders in Rapid City, communication device training, and feeding therapy.
• Autism Services Specialized autism evaluation and Applied Behavior Analysis (ABA) therapy for individuals with autism spectrum disorders, including ESDM for young children, with current waitlists of 492 families.
• Clinical Psychology Psychological assessment and therapy services for individuals of all ages, including Rapid City-based psychological services.
• Feeding, Swallowing & Nutritional Therapy Specialized therapy addressing pediatric and adult feeding difficulties, swallowing disorders, and nutritional needs, including feeding clinics and nutritional support.
• Assistive Technology Technology solutions and equipment assessments helping individuals with disabilities increase independence and quality of life, provided by a Certified RESNA Assistive Technology Specialist with 30+ years of experience.
• RISE Custom Solutions Custom orthotics, prosthetics, and wheelchair/mobility solutions as a one-stop shop for durable medical equipment, provided by expert prosthetists and orthotists within LifeScape.
• Intensify Intensive therapy program for children requiring concentrated, episodic rehabilitation services.
• Go Baby Go Program providing modified ride-on cars for children with disabilities to promote early mobility, independence, and socialization.
• Physician Services Medical director and physician services delivered across rehabilitation, medically complex, and outpatient programs.
• Center for the Arts Arts-based programming and creative activities for individuals with disabilities, providing therapeutic and community outlets through visual and performing arts.
• Family Support 360 Comprehensive family support services including the Surrogate Parent Program, advocacy, and care coordination for families caring for individuals with disabilities.
• LifeScape+ Resource coordination and support services connecting individuals and families to internal and external resources.
• Transportation Services Transportation support for individuals accessing LifeScape services across the region.
• Virtual Support Services Technology-enabled 24/7 support services for adult residential homes including Virtual Support Specialists, command center operations, and interactive engagement and safety features.
• Pediatric Aquatic Therapy Program Aquatic therapy led by the state's only Pediatric Aquaticist (also an occupational therapist and board-certified behavior analyst), utilizing a specialized therapy pool with adjustable buoyancy, hydrostatic pressure, resistance, temperature, and turbulence.

Quantifiable outcome

• 71% growth in outpatient services demand since 1999
• +4 more outcomes

Named customers7 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

Feature4 records

Partnerships

Nine partnerships are on record, tiered supporting and core.

• Lloyd CompaniessupportingStrategic or Co-development Partner · 1 January 2025Community partner that worked tirelessly behind the scenes to support the mission of building new adult residential duplexes.
• Furniture MartsupportingStrategic or Co-development Partner · 1 January 2025Community partner supporting the adult residential home building initiative through in-kind contributions for furnishing new duplex homes.
• First PREMIER Bank/PREMIER BankcardcoreGTM or Marketing Partner · 1 January 2025Corporate sponsor for MallWalk annual fundraiser for 14 consecutive years, with PREMIER Walkers team raising funds and staff member Sandy Schoenbeck serving on LifeScape Foundation Board of Directors.
• Koch Hazard ArchitectssupportingTechnology or Integration · 1 January 2024Designed the duplex home layout for adult residential homes, with lot requirements of at least 15,000 square feet within Sioux Falls city limits.
• Rapid City Rush Hockey TeamsupportingGTM or Marketing Partner · 1 January 2024Sensory-friendly Hockey-for-All game for LifeScape with $7 per ticket going back to LifeScape, plus Chuck-a-Puck charitable program with half the pot supporting LifeScape.
• REACH LiteracysupportingStrategic or Co-development Partner · 1 January 2024Workplace literacy program providing English classes twice weekly for 12 weeks to non-native English speaking LifeScape staff, funded by donor and helping address staffing challenges.
• Hamsters USAcoreGTM or Marketing Partner · 1 January 2022International motorcycle group that has raised over $4 million for LifeScape Rapid City over 17 years through annual meetings, auctions, and fundraising events during the Sturgis Motorcycle Rally. Latest gift of $503,000 in 2022 supports physical, occupational, speech, and behavioral therapies for children in the Black Hills.
• South Dakota Housing Development AuthoritycoreStrategic or Co-development Partner · 1 January 2020Partnership to fund adult residential housing projects through the 'five new houses in five years' initiative. SDHDA provides funding through grant formulas while LifeScape Foundation covers owner equity costs. Over $1.4 million invested per duplex home, with partnership enabling homes for 40 individuals with disabilities over five years.
• South Dakota Department of Human ServicescoreStrategic or Co-development Partner · 1 January 2020Funding partnership for adult residential housing enabling the strategic initiative to open five new adult homes in five years, providing stable, accessible housing for individuals with complex needs.

Scale indicators29 records

Recent moves14 records

Expansion highlights6 records

Direct peers

• Gillette Children's Specialty Healthcare: Minnesota-based nonprofit pediatric specialty hospital and rehabilitation provider serving children with complex neurological, orthopedic, and developmental conditions. Highly comparable in mission, patient mix, and service breadth to LifeScape's Children's Specialty Hospital and therapy programs.
• Judson Center: Michigan-based nonprofit serving children, adults, and families with autism, behavioral health, and developmental disability needs across the lifespan. Comparable integrated pediatric-to-adult disability services and ABA therapy offerings.
• AbilityFirst: California-based nonprofit providing lifespan services for children and adults with developmental disabilities, including residential, day, and therapy programs. Highly comparable integrated lifespan disability services model to LifeScape.
• Children's Specialized Hospital: New Jersey-based nonprofit provider of inpatient and outpatient pediatric rehabilitation, therapy, and behavioral health services. Direct peer given similar mix of specialty hospital, outpatient therapy, and autism services for children with disabilities.

Broad incumbents

• The Arc: National nonprofit network providing advocacy, residential, day, and case management services for individuals with intellectual and developmental disabilities. Comparable in adult disability residential and advocacy services, but at a federated scale.
• Shriners Children's: National network of nonprofit pediatric specialty hospitals focused on orthopedics, burns, spinal cord injuries, and cleft care. Comparable in pediatric specialty hospital model, nonprofit funding, and orthotics/prosthetics offerings that overlap with LifeScape's RISE Custom Solutions.
• Easterseals: National nonprofit federation providing disability services including therapy, residential support, autism services, and adult day programs. Comparable lifespan disability services model, though operating as a federation of affiliates rather than a single integrated provider.

Regional players

• Sanford Health: Large regional health system headquartered in Sioux Falls, South Dakota. Competes for patients, clinical staff, and Medicaid-funded referrals in LifeScape's primary service area, though its focus is broader acute care rather than disability specialty services.
• Avera Health: Regional Catholic health system serving South Dakota and surrounding states with hospitals, clinics, and therapy services. Competes regionally for therapy and rehabilitation patients in the same geography as LifeScape.

Emerging players

• Catalight: California-based nonprofit operating Easterseals Bay Area, focused on autism and behavioral health services with growing care models. Comparable on autism/ABA service focus and tech-enabled care delivery.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/LifeScapeSD
• YouTubeyoutube.com/channel/UCn__ybS6RajTrM2WEEVT1WA
• Facebookfacebook.com/lifescapesd
• LinkedInlinkedin.com/company/lifescapesd
• Instagraminstagram.com/lifescape_sd

Revenue estimate

Valuation estimate

Number of profiles

Profiles17 records

Subsidiaries3 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about LifeScape LLC