Carolina SeniorCare

Name

Carolina SeniorCare

Legal name

EveryAge

Website

https://carolinaseniorcare.org

Company type

Private

Founded year

1961

Operating status

Operating

Headcount range

1–10 employees

Ownership category

akta.pro rank

Product category

PACE senior healthcare services

NAICS

Services for the Elderly and Persons with Disabilities (624120), Continuing Care Retirement Communities (623311), Nursing and Residential Care Facilities (623)

SIC

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

akta.pro primary industry

Medicaid Waiver / PACE-Partnered Adult Day Programs (HLADAIAM)

akta.pro secondary industries

Community-Based Senior Centers with Adult Day Services (HLADAIAJ), Assisted Living with Enhanced Care / High-Acuity (Aging-in-Place) (HLADABAC)

Keywords

• Senior healthcare services
• PACE program provider
• Elderly care coordination
• Medicare Medicaid services
• Adult day health services

Headquarters

HQ city

Lexington

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, Marketing or Sales, Technology or R&D

Revenue model

1. PACE Program Revenue - Medicare/Medicaid: Carolina SeniorCare operates as a Medicare and Medicaid-approved health plan. Revenue is generated through capitated payments from Medicare and Medicaid for enrolled participants. If participants qualify for Medicare only, they pay a set monthly fee. If they qualify for both Medicare and Medicaid, they may have a small monthly payment or pay nothing for the long-term care portion. Participants with income over Medicaid thresholds pay a premium or Patient Monthly Liability determined by Medicaid based on assets and income.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

Carolina SeniorCare delivers the Program of All-inclusive Care for the Elderly (PACE), an integrated Medicare/Medicaid-approved health plan for adults aged 55+ who qualify for nursing facility-level of care. It provides primary and specialty medical care, prescription drugs, rehabilitation therapy, vision/dental/audiology/podiatry, behavioral health, and in-home and adult day health services through an interdisciplinary team, with 24-hour on-call care and transportation to and from the PACE Center.

Product overview

Carolina SeniorCare is a non-profit provider of PACE (Program of All-inclusive Care for the Elderly) services sponsored by EveryAge. The organization operates two PACE Centers—one in Lexington and one in New Bern, North Carolina. The core PACE program provides comprehensive healthcare and supportive services to seniors aged 55+ who wish to remain in their community. Services include medical care (primary care, specialty care, nursing, dental, vision, podiatry, therapy, prescription drugs), non-medical care (recreational activities, social services, nutrition, transportation, caregiver respite), a Social Center/Day Center for daily activities and socialization, and in-home services for participants. The interdisciplinary team coordinates all care to help participants remain independent in their homes.

Differentiator

Problem solved

Functional benefit

Products and services

• PACE (Program of All-inclusive Care for the Elderly) A comprehensive health care program designed to address the desires of elders who wish to remain in their community while receiving needed medical and supportive services. PACE offers a continuum of care to seniors with chronic care needs while encouraging independence in their own homes for as long as possible.
• Medical Care Services Comprehensive medical services for enrolled PACE participants including primary medical care, specialty medical care (cardiology, nephrology, orthopedic surgery), nursing care, vision care, dental care, audiology, podiatry, psychiatric care, physical/occupational/speech rehabilitation therapy, prescription drugs, durable medical equipment, laboratory services, diagnostic testing, emergency services, ambulance services, hospital inpatient care, and nursing home care.
• Non-Medical Care Services Supportive services for PACE participants including recreational activities, social services, nutritional counseling and meals, transportation, caregiver respite, home health care, personal care, and end-of-life care.
• Social Center (Day Center) Services A day center open five days a week serving as the main hub of activity for PACE participants, providing medical support, meals/snacks, social activities, quiet areas, bathing assistance, and laundry facilities, with transportation to and from the center provided as part of the care plan.
• In-Home Care Services Health care, personal care, and routine chores provided directly in the participant's home to help them remain at home safely. Includes vital health care, personal care, and routine chores tailored to the individual's care plan.

Quantifiable outcome

• 94% of PACE participants are able to continue living in their communities (national PACE statistic)
• +2 more outcomes

Named customers4 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

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

• EveryAge FoundationmajorStrategic or Co-development Partner · 10 April 2023The EveryAge Foundation provides benevolent support for people in need and funds programs that enrich the lives of EveryAge family members. The Foundation hosts annual benefit golf tournaments and manages various funds for benevolence, innovation, campus enrichment, employee assistance, and spiritual life. Proceeds support programs including the Grant a Dream program.
• EveryAgecoreOthersEveryAge is the parent organization and sponsor of Carolina SeniorCare. Based in Newton, NC, EveryAge is a not-for-profit ministry offering senior housing and services for over 45 years. Carolina SeniorCare is affiliated with and operated by EveryAge. EveryAge provides oversight, administrative support, and strategic direction for the PACE program.
• National PACE Association (NPA)coreStrategic or Co-development PartnerNational PACE Association is a membership organization representing PACE programs across the United States. NPA works with federal and state policy-makers to expand PACE and streamline the PACE enrollment process. Carolina SeniorCare is a member of NPA and operates under the PACE model developed by On Lok in San Francisco over 55 years ago.
• Centers for Medicare and Medicaid Services (CMS)coreStrategic or Co-development PartnerCMS is the federal agency that oversees Medicare and works with state Medicaid agencies to support the PACE program. PACE programs receive capitated payments from Medicare and Medicaid through CMS oversight and must comply with federal regulations.
• North Carolina Department of Health and Human Services (NCDHHS)coreStrategic or Co-development PartnerNCDHHS is the state agency that administers North Carolina's Medicaid program and determines nursing home level of care eligibility. PACE programs must be approved by and comply with state Medicaid agency requirements for participant eligibility determinations.
• ElderhausminorOthersElderhaus is another PACE program operated by EveryAge, located in Wilmington, NC. Harriet Forney previously served as Quality Compliance Manager for Elderhaus before being promoted to Director of Quality and Compliance for all EveryAge PACE programs, overseeing both Elderhaus and Carolina SeniorCare.
• On LokminorStrategic or Co-development PartnerOn Lok introduced the PACE model 55 years ago in San Francisco, CA. The PACE model was pioneered by On Lok, which developed this integrated, person-centered alternative to institutional care for seniors.

Scale indicators3 records

Recent moves8 records

Expansion highlights5 records

Direct peers

• WelbeHealth: Privately held PACE operator primarily serving California seniors. Uses the same interdisciplinary PACE model and capitated Medicare/Medicaid payment structure, and represents a direct competitor archetype for value-based senior care.
• Trinity Health PACE: Nonprofit Catholic-system PACE programs operated by Trinity Health in multiple states. Same PACE model, capitated payment structure, and frail-elderly target population, with the additional backing of a large nonprofit health system.
• LIFE Pittsburgh (Lutheran SeniorLife): Pennsylvania LIFE/PACE program operated by a faith-based nonprofit. Same capitated PACE model serving nursing-home-eligible seniors in their homes, with comparable nonprofit governance and community-based mission.
• Elderhaus: Sister PACE program operated by EveryAge in Wilmington, NC. Operates the same PACE model with the same parent organization, sharing compliance and quality leadership; the most directly comparable entity to Carolina SeniorCare.

Emerging players

• ConcertoCare: Value-based care provider offering PACE programs alongside in-home primary care for seniors with complex needs. Uses a similar interdisciplinary, capitated approach but with a stronger technology-enabled home-care overlay.

Broad incumbents

• CenterWell Senior Primary Care (Humana): Humana's senior-focused care division that operates PACE programs alongside its broader primary care and home care services. A scaled, capital-rich incumbent offering an overlapping PACE product to a similar dual-eligible population.
• InnovAge Holding Corp: Largest U.S. PACE operator with centers across multiple states (NASDAQ: INNV). Operates the same PACE capitated-care model as Carolina SeniorCare, but at significantly greater scale and with public-market capital access.

Regional players

• PACE of the Triad: PACE program serving the Greensboro, NC region. Operates the same PACE model as Carolina SeniorCare and represents a nearby regional competitor for North Carolina dual-eligible seniors.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/CarolinaSeniorCare
• LinkedInlinkedin.com/company/carolina-assisted-care
• Xx.com/CSeniorCare

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Subsidiaries3 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 Carolina SeniorCare