Elder Options

What Elder Options does

Elder Options, Inc. is a privately held, founder/family-owned home care and care management company headquartered in Placerville, California, operating since May 1988. The company provides care-managed, non-medical in-home services to older adults, individuals with chronic health conditions, and neurodiverse children and adults across the Sacramento region, El Dorado County, South Lake Tahoe, and Carson City, Nevada. Its service portfolio spans six integrated lines — Care Management, Home Care, Alzheimer's and Dementia Care, the Medi-Cal Assisted Living Waiver Program (ALWP), Respite Care, and Veterans Home Care — unified by a credentialed care manager oversight model that follows Aging Life Care Association (ALCA) Standards of Practice.

The business is not a technology company; its platform is a credentialed clinical workforce of Aging Life Care Managers (CMC, RN) and W-2 caregivers supported by back-office administrative and staffing staff. Service delivery is direct-to-client in homes and assisted living communities, with revenue generated through six distinct payment streams: private pay, long-term care insurance billing, VA/TriWest contracts, Medi-Cal ALWP fixed-fee coordination, Alta California Regional Center vendor agreements, and county-funded MSSP/FCSP/Area Agency on Aging programs. Distribution relies on referrals from a network of regional hospitals, hospice agencies, elder law attorneys, and community partners, supplemented by content marketing and community education.

The company is co-owned by founder Carol Heape (retired) and Chief Operating Officer Elizabeth (Liz) Heape-Caldwell, with no disclosed institutional investment, parent company, or M&A activity. Elder Options has remained independent for 37+ years, positioning itself against national franchise competitors on continuity of care, local reputation, and government-program credentials including its CCA status for Sacramento County's ALWP since 2006.

Name

Elder Options

Legal name

Elder Options, Inc.

Website

https://elderoptionsca.com

Company type

Private

Founded year

1988

Operating status

Operating

Headcount range

51–100 employees

Short description

Elder Options is a privately held, founder-owned home care and care management company in California's Sacramento region, providing credentialed, ALCA-standards-based in-home care, dementia care, ALWP coordination, respite services, and veteran home care across six integrated service lines to older adults, neurodiverse individuals, and veterans.

Ownership category

akta.pro rank

Product category

Senior Home Care and Care Management Services

NAICS

Services for the Elderly and Persons with Disabilities (624120), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Home Health Care Services (8082)

akta.pro industry

PRIMARYBPAGAEAF

Elder Services & Aging Support

Business & Public Services/Nonprofit, NGO & Social Services/Social Services & Community Support (Food, Housing, Family)

SECONDARYHSABAIAL

Housing & Placement Coordination (Assisted Living, Memory Care, SNF)

Home & Personal Services/Elder Care & In-Home Care Services/Care Coordination & Geriatric Care Management

SECONDARYHSABAGAF

Dementia & Alzheimer’s Respite Care

Home & Personal Services/Elder Care & In-Home Care Services/Respite Care Services

SECONDARYHSABAEAB

Dementia Personal Care (ADLs) Support

Home & Personal Services/Elder Care & In-Home Care Services/Dementia & Alzheimer’s In-Home Care

SECONDARYHLADABAC

Assisted Living with Enhanced Care / High-Acuity (Aging-in-Place)

Healthcare & Life Sciences/Elder Care & Long-Term Care/Assisted Living Facilities

Keywords

• Senior home care
• Care management services
• In-home caregiving
• Assisted living coordination
• Elder care planning

Headquarters

HQ city

Placerville

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Private Pay / Out-of-Pocket: For clients without insurance coverage, Elder Options offers private pay options for all services including non-medical in-home care assistance, respite care services, care management consultations, and personalized senior care planning. Flexible scheduling and customized care plans are available to fit client budgets.
2. Long-Term Care Insurance: Elder Options works with long-term care insurance providers to cover care managed in-home care assistance, respite care, care management services, and assisted living coordination. The company assists with coverage review, claims submission, documentation, and direct billing to LTC insurance providers.
3. VA Healthcare Services: Contracted provider with Northern California VA/TriWest Community Care Network providing Home Health Aide and Respite services to eligible veterans. Services are available at no cost to qualified individuals based on VA needs assessment.
4. Medi-Cal / DHCS Programs: As an approved Care Coordination Agency (CCA) for Sacramento County, Elder Options provides care coordination through the Assisted Living Waiver Program (ALWP) for Medi-Cal eligible adults. The Department of Health Care Services sets fixed fees based on level of care required.
5. Alta California Regional Center (Respite): Vendor-approved provider offering respite care for children and young adults through Alta California Regional Center. Services provided at no cost when approved by the regional center.
6. County-Funded Programs: Partnership with El Dorado County's Family Caregiver Support Program (FCSP) and Multipurpose Senior Services Program (MSSP) providing in-home care at no cost for eligible seniors. Also includes MSSP, FCSP, Area Agency on Aging, and Public Guardian Services through El Dorado County Health & Human Services.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

Elder Options provides care-managed in-home care services for older adults and families in the Sacramento region. Every client receives oversight from credentialed Aging Life Care Managers who develop personalized care plans, match caregivers to client needs, supervise ongoing care, and coordinate with healthcare providers. The company also delivers Alzheimer's and dementia care, respite care, Assisted Living Waiver Program coordination, and veterans home care services through direct employees.

Product overview

Elder Options provides a unified care-managed home care service model centered on credentialed Aging Life Care Managers who oversee all client care. The core portfolio consists of six integrated service lines: Care Management (oversight and coordination), Home Care (in-home assistance), Alzheimer's & Dementia Care (specialized memory support), Assisted Living Waiver Program (Medi-Cal transition coordination), Respite Care (family caregiver relief), and Veterans Home Care (VA-funded services). These services are supported by a network of professional healthcare partnerships. All services are delivered through direct employees supervised by certified care managers following Aging Life Care Association Standards of Practice.

Differentiator

Problem solved

Functional benefit

Products and services

• Care Management Life Care Management services providing expert guidance and support for older adults and families through credentialed Aging Life Care Managers who offer personalized care plans, coordination of care, liaison services, resource navigation, long-term planning, advocacy and education, and caregiver support.
• Home Care Non-medical in-home care providing customized assistance including daily living activities, personal care support, transportation, medication reminders, companionship, and respite care for family caregivers.
• Alzheimer's & Dementia Care Specialized memory care and respite services for individuals with Alzheimer's or dementia, providing personalized assistance with daily routines, safety support, and cognitive engagement activities.
• Assisted Living Waiver Program (ALWP) Medi-Cal Assisted Living Waiver Program coordination helping eligible individuals transition from skilled nursing facilities to approved assisted living communities with financial assistance through California's Department of Health Care Services.
• Respite Care Temporary relief services for family caregivers providing one-on-one socialization, recreational activities, daily life skills support, safety supervision, and personal care for children or adults with special needs through Alta California Regional Center.
• Veterans Home Care No-cost and discounted home care services for veterans and their spouses through the VA Community Care Network, TriWest Healthcare Alliance, and grant-funded Short-Term Homemaker Services program.
• Vital Link Emergency Response System 24/7 medical alert emergency response system provided in partnership at $20/month with no installation fee for eligible veterans, with U.S.-based monitoring center.

Quantifiable outcome

• 96% Care Management rating (4.8 star rating out of 5 stars)
• +3 more outcomes

Named customers7 records

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

Partnerships

Twelve partnerships are on record, tiered core and minor.

• California Department of Health Care Services (DHCS)coreStrategic or Co-development PartnerElder Options is an approved Care Coordination Agency (CCA) for Sacramento County in the Medi-Cal Assisted Living Waiver Program (ALWP) since its inception in 2006. The company provides initial assessments, eligibility verification, assisted living placement assistance, and ongoing monthly face-to-face care coordination for eligible Medi-Cal recipients.
• Alta California Regional CentercoreStrategic or Co-development PartnerVendor-approved provider offering respite care for neurodiverse children and adults in El Dorado County, South Lake Tahoe, and Sacramento County. Services include socialization, recreational activities, daily living skills support, supervision, and personal care assistance at no cost when approved by the regional center.
• El Dorado County Health & Human Services & The Health CollaborativecoreStrategic or Co-development PartnerPartnership providing MSSP, FCSP, Area Agency on Aging, and Public Guardian Services for eligible clients. The Family Caregiver Support Program (FCSP) and Multipurpose Senior Services Program (MSSP) provide in-home care at no cost for eligible seniors.
• Northern California Veterans Administration / TriWest Community Care NetworkcoreChannel Partner/ Reseller/ DistributorContracted provider with Northern California VA/TriWest Community Care Network providing Home Health Aide and Respite services to eligible veterans at no cost based on VA needs assessment. Services include personal care, meal preparation, housekeeping, supervision, and respite care.
• Sierra Nevada Veterans AdministrationcoreChannel Partner/ Reseller/ DistributorProvides Home Health Aide and Respite Services to veterans authorized through Sierra Nevada VA Healthcare Center.
• Vital LinkminorStrategic or Co-development PartnerPartnership to offer discounted emergency response systems ($20/month with no installation fee) for veterans using VA Homemaker Services. Features 24/7 medical alert monitoring with U.S.-based monitoring center.
• Barton HospitalminorStrategic or Co-development PartnerHospital referral partner in the Elder Options professional network for patient care coordination.
• Marshall HospitalminorStrategic or Co-development PartnerHospital referral partner in the Elder Options professional network for patient care coordination.
• Mercy Hospital FolsomminorStrategic or Co-development PartnerHospital referral partner in the Elder Options professional network for patient care coordination.
• U.C. Davis HospitalminorStrategic or Co-development PartnerHospital referral partner in the Elder Options professional network for patient care coordination.
• Kaiser Hospital SystemminorStrategic or Co-development PartnerHospital referral partner in the Elder Options professional network for patient care coordination.
• Aging Life Care Association (ALCA)coreStrategic or Co-development PartnerNational association with Care Managers throughout the U.S. Elder Options care managers follow ALCA Standards of Practice and are members of the association. Liz Heape-Caldwell serves as President of the Western Regional Chapter in 2026.

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Home Instead: Largest franchise network of non-medical in-home care services for seniors, with very similar service mix (personal care, companionship, dementia support) and similar referral-based GTM. Directly comparable on service model, customer segment, and competitive set in the Sacramento region.
• 24 Hour Home Care: Regional in-home care provider offering non-medical personal care, dementia care, and respite across California, with offices in the broader Northern California market. Direct competition for Sacramento-area private-pay and hospital-discharge clients.
• Right at Home: Franchise network providing in-home care and assistance for seniors and adults with disabilities, including personal care, companionship, and specialty dementia programs. Directly comparable in service mix and senior-care customer base.
• Senior Helpers: Franchise operator of in-home senior care services with dedicated Alzheimer's, dementia, and Parkinson's care programs. Overlaps with Elder Options' home care, dementia care, and respite offerings.
• Synergy HomeCare: Franchise providing non-medical home care, personal care, and companionship for seniors. Competes in the same local markets with a similar service portfolio and referral-based GTM motion.
• Comfort Keepers: Franchised in-home care provider offering personal care, companionship, respite, and specialized dementia care. Closely overlaps with Elder Options' core home care and Alzheimer's service lines.
• Visiting Angels: National franchise providing non-medical senior home care including personal care, respite, and dementia support. Operates locally in the Sacramento area and competes for the same private-pay and family-referral clients as Elder Options.
• BrightStar Care: Franchise combining non-medical home care with skilled nursing and medical staffing, serving seniors and families in local markets. Comparable on care-managed in-home services and private-duty care positioning.

Others

• A Place for Mom: Largest senior care referral platform connecting families with assisted living, memory care, and home care providers. Not a direct care provider but a meaningful channel partner and indirect competitor for client acquisition in the Sacramento market.

Broad incumbents

• WellPath / WellSky (WellSky Personal Care): Large, established software and care management vendor serving home care, hospice, and senior living providers. Represents the broader incumbent ecosystem of care management technology and services that Elder Options' traditional model must increasingly interface with or compete against.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/elderoptionsca
• Facebookfacebook.com/elderoptionsinc
• Instagraminstagram.com/elder_options
• Pinterestpinterest.com/elderoptionsinc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 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 Elder Options