What BalancedCare does

BalancedCare (legal name: Balanced Care Community Services) is a New York nonprofit agency founded in 2013 and headquartered in Rochester that administers pooled supplemental needs trusts, Social Security Representative Payee services, and Department of Veterans Affairs Fiduciary services for seniors and people with disabilities across New York State. Its core product, the Community Pooled Trust, allows individuals whose monthly income exceeds the New York Medicaid limit (cited at $1,800/month for individuals) to deposit excess income into a pooled trust, reducing countable income to preserve Medicaid, SSI, and other public benefit eligibility while retaining funds for living expenses. The Representative Payee service, certified by the Social Security Administration, manages SSI, SSD, and SSDI benefit disbursement on behalf of beneficiaries who cannot manage their own finances, with funds loaded onto debit cards rather than distributed by check. The VA Fiduciary service, approved by the Department of Veterans Affairs Fiduciary office, performs analogous duties for veterans and beneficiaries requiring benefit management.

The underlying technology is a web-based client portal (portal.balanced-care.org) and trust management system that supports pooled trust administration, automated bill payment to landlords and utilities, direct deposit processing, and 24/7 online account access for both clients and referring case workers. A public-facing Pooled Trust Savings Calculator on the website allows prospective clients to estimate monthly income savings using current Medicaid limits, functioning as a lead-generation and education tool. The organization emphasizes ease-of-use and transparency features — including case worker visibility into client account activity — as its primary technology differentiators, with no disclosed AI/ML, mobile app, or API integrations.

BalancedCare is a subsidiary of the nonprofit foundation Capability Builders Alliance. Revenue derives from recurring monthly fees for trust administration, rep payee, and VA fiduciary services; the company explicitly advertises some of the lowest fees in the industry and imposes no minimum balance requirement, positioning on cost and accessibility rather than feature depth. Go-to-market is sales-led and referral-driven, relying on case workers, family attorneys, county Medicaid offices, and healthcare facilities — with existing clients cited as the #1 source of new referrals — supplemented by website content, the savings calculator, and phone-based consultation. The company is restricted to serving New York State residents only.

Name

BalancedCare

Legal name

Balanced Care Community Services

Website

https://balanced-care.org

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

1–10 employees

Short description

BalancedCare is a New York nonprofit, founded in 2013 and headquartered in Rochester, that administers pooled supplemental needs trusts, SSA Representative Payee services, and VA Fiduciary services for New York State seniors and people with disabilities seeking to qualify for Medicaid and other public benefits.

Ownership category

akta.pro rank

Headquarters

HQ city

Rochester

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Pooled Trust Administration Fees: As a nonprofit pooled trust administrator, BalancedCare charges fees for trust administration services. The company states they maintain some of the lowest industry fees due to their nonprofit status. Fees are detailed in their Trust Fee Schedule document.
2. Representative Payee Service Fees: Fees charged for managing Social Security, SSI, and SSD benefits on behalf of Representative Payee clients. Services include budget management, fund disbursement, and regular reporting to SSA.
3. VA Fiduciary Service Fees: Fees for managing VA benefit payments for veterans and beneficiaries who are unable to manage their personal finances, as an approved VA Fiduciary.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

BalancedCare is a New York nonprofit that administers Pooled (Community) Supplemental Needs Trusts for persons with disabilities, manages Social Security Representative Payee (SSI/SSD) benefits, and serves as an approved VA Fiduciary for veterans. Services preserve monthly income for living expenses while clients qualify for Medicaid and other public benefits, supported by a 24/7 online portal, automated bill pay and direct deposit, and debit card disbursements.

Product overview

BalancedCare is a non-profit organization offering three core financial services for seniors and people with disabilities: Pooled Trust (Community Pooled Trust), Rep Payee Services, and VA Fiduciary Services. The Pooled Trust is a Supplemental Needs Trust that helps individuals preserve monthly income while qualifying for Medicaid, SSI, and public benefits. Rep Payee Services manage Social Security payments (SSI, SSD) with funds disbursed via debit cards. VA Fiduciary Services manage Department of Veterans Affairs benefits. The company also provides client-facing online portals (Client Portal and Case Worker Portal) for 24/7 account monitoring, plus a Pooled Trust Calculator tool.

Differentiator

Problem solved

Functional benefit

Products and services

• Pooled Trust (Community Pooled Trust) A Supplemental Needs Trust administered by BalancedCare for persons with disabilities, designed to preserve monthly income for living expenses while the beneficiary remains eligible for Medicaid, SSI, and other public benefits. The trust receives excess monthly income (the Medicaid spenddown) and disburses funds directly to third parties for eligible living expenses.
• Representative Payee (Rep Payee) Services SSA-certified Representative Payee service that manages SSI, SSD, and Social Security Disability payments on behalf of clients who cannot manage their own finances. Includes budgeting and disbursement of funds for housing, utilities, food, medical expenses, personal care, and clothing, with funds distributed via debit card instead of traditional checks.
• VA Fiduciary Services Approved VA Fiduciary service working with the Department of Veterans Affairs Fiduciary office to manage and disburse VA benefit payments for veterans and beneficiaries who are unable to manage their personal finances.
• Client Portal (Trust Client Account Access) 24/7 secure web portal at portal.balanced-care.org that allows trust clients to view account activity, review payments, deposits, and monitor trust disbursements in real time.
• Case Worker Portal Secure web portal accessible to case workers at yourtrustportal.balanced-care.org, allowing them to view their clients' account activity and monitor how funds are being managed and disbursed.

Quantifiable outcome

• Medicaid income limit in New York State: $1,800 for individual (subject to yearly changes)

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Scale indicators2 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• AHRC New York City: Large NY-based disability services nonprofit that administers pooled trust services for individuals with intellectual and developmental disabilities. Comparable in geography and core pooled trust offering.
• MileStone Royal Trust: Pooled trust administrator serving individuals with disabilities, including in the NY region. Directly comparable to BalancedCare's core Pooled Trust offering on service model and target population.
• Community Options: Nonprofit operating across the NY/NJ region delivering disability services including pooled trust administration and case management. Comparable in geography, mission, and pooled trust service.
• National Plan Administrators (NPA): Provides Representative Payee and fiduciary financial management services to Social Security and VA beneficiaries. Directly comparable to BalancedCare's Rep Payee and VA Fiduciary service lines.
• Liberty Pooled Trust: Nonprofit pooled trust provider for individuals with disabilities seeking Medicaid eligibility. Directly comparable service and customer profile.
• American Pooled Trust Services: Nonprofit pooled trust administrator helping disabled individuals preserve income while qualifying for Medicaid. Closely comparable to BalancedCare's primary Community Pooled Trust product.
• Compass: Provides financial management, representative payee, and benefits navigation services for people with disabilities. Comparable in service mix and target population.

Broad incumbents

• The Arc of the United States: National disability advocacy organization whose state and local chapters (e.g., Arc of Monroe, AHRC) operate pooled trust programs. Overlaps with BalancedCare's mission and service lines but operates much more broadly.
• BNY Mellon Corporate Trust: Large institutional corporate trustee that supports certain pooled trust programs. Competes indirectly for trust administration mandates through scale and brand, though not specialized to disability populations.

Others

• Social Security Administration (Representative Payee Program): Government program that designates and oversees Representative Payees — the direct regulatory counterpart and ecosystem gatekeeper for BalancedCare's Rep Payee service line.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

Compliance2 records

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 BalancedCare