Access II Independent Living Center

What Access II Independent Living Center does

Access II Independent Living Center is a 501(c)(3) nonprofit Center for Independent Living headquartered in Gallatin, Missouri, with a secondary office in Saint Joseph. The organization delivers the five federally mandated core independent living services (Information & Referral, Peer Counseling, Advocacy, Independent Living Skills Training, and Transitions) plus a broad portfolio of programs for persons with disabilities and seniors across seventeen counties in northwestern Missouri. Core disability programs include the Consumer Directed Services (CDS) program (a MO HealthNet Medicaid-funded personal care attendant model in which Access II serves as fiscal administrator), In-Home Services for seniors and people with disabilities, the Transitions program supporting institutional-to-community reintegration, Employment Services, Benefits Planning (with referral to CLAIM Medicare counseling), and ADA Training and Low Vision Center support.

The operational stack includes a QR code-based Electronic Clock In/Out system for CDS time tracking and a GymMaster-powered A-II Fitness member portal, both of which are standard commercial platforms rather than proprietary technology. The commercial portfolio extends beyond Medicaid into adjacent consumer-paid offerings: A-II Fitness, a 24/7 universally designed gym facility (developed with Reeve Foundation support); Access II Wellness, a Direct Primary Care center offering tiered memberships ($25-$140/month), lab panels ($135-$500), IV therapy ($60-$135), allergy and red light therapy, and a $550 weight loss package; Accessible Van rentals ($75/day); TAP adaptive telephones; and a Durable Medical Equipment loan program. Strategic partnerships include MO HealthNet and the Missouri Division of Health and Senior Services (Medicaid administration), Missouri Assistive Technology (TAP), Show Me Loans (adaptive equipment financing), the Dana and Christopher Reeve Foundation, and the MOCIL statewide network of 22 Centers for Independent Living.

Revenue is generated through a blended model: Medicaid reimbursement as fiscal administrator for CDS and In-Home Services, recurring consumer subscriptions for fitness and wellness memberships, per-unit pricing for labs, IV therapy, injections, and van rentals, donations and private fundraising (notably for the Accessible Vans transportation program), and ancillary facility rentals via A-II Event Center. The organization holds CARF 3-year accreditation and is led by Executive Director Heather Swymeler, COO Jen Miller, and CFO Adrian Woods, with an 11-50 employee staff. Geographic reach is limited to a single state (Missouri) and 17 contiguous counties, with no evidence of digital or out-of-state expansion.

Name

Access II Independent Living Center

Legal name

Access II Independent Living Center

Website

https://accessii.org

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

Access II Independent Living Center is a Missouri-based 501(c)(3) Center for Independent Living serving persons with disabilities and seniors across 17 northwestern counties. It delivers Medicaid-funded Consumer Directed Services, In-Home Services, Employment and Transitions programs, and operates A-II Fitness and Access II Wellness consumer-paid offerings.

Ownership category

akta.pro rank

Product category

Disability and Senior Independent Living Services

NAICS

Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Companion Care & Social Support (non-clinical) (HLADAGAB)

Keywords

• Independent living services
• Consumer directed services
• In-home personal care
• Disability support programs
• Accessible transportation services

Headquarters

HQ city

Gallatin

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Supply Chain, Others

Revenue model

1. MO HealthNet (Medicaid) Reimbursement: CDS program is funded by MO HealthNet (Medicaid) with Access II serving as fiscal administrator. Services include personal care attendant services billed to Medicaid.
2. Fitness Memberships: A-II Fitness facility generates recurring membership revenue at $53 upfront plus $33/month, with membership assistance programs available.
3. Wellness Memberships: Access II Wellness offers tiered memberships: Kids $25/month, Adults $65/month, Adults 65+ $45/month, Family $140/month, with one-time $50 enrollment fee.
4. Accessible Van Rental: Wheelchair-accessible van rental at $75/day with $200 deposit, including 150 miles; overage charged at $0.60/mile.
5. DME Loan Program: Durable Medical Equipment loan program offering equipment at no cost with possible deposit requirement, supporting independence for people with disabilities.
6. Wellness Services and Labs: Additional wellness services including lab panels ($135-$500), IV therapy ($60-$135), DOT physicals, allergy therapy, red light therapy, and weight loss packages.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

Access II Independent Living Center is a nonprofit Center for Independent Living that provides programs and services to help persons with disabilities and seniors live independently, including Consumer Directed Services (Medicaid-funded personal care), In-Home Services, accessible transportation, durable medical equipment loans, employment services, benefits planning, and transition support. The organization also operates A-II Fitness, a universally designed 24/7 fitness facility, and Access II Wellness, a direct primary care wellness center with membership plans.

Product overview

Access II Independent Living Center is a non-profit organization offering a comprehensive suite of programs and services to help people with disabilities achieve greater independence. The organization provides both core disability services and health/wellness offerings. Core products include Consumer Directed Services (CDS) for personal care attendants, In-Home Services, TAP Telephones for adaptive communication, DME Loan Program for medical equipment, Accessible Vans for transportation, Employment Services, and the Transitions Program for community reintegration. The Five Core Services (Information & Referral, Peer Counseling, Advocacy, Independent Living Skills Training, and Transitions) form the foundational Independent Living framework. Additionally, Access II operates A-II Fitness (a 24-7 accessible fitness facility) and Access II Wellness (a Direct Primary Care wellness center offering lab panels, IV therapy, allergy treatment, and weight management programs). The portfolio includes Event & Meeting Space rentals and an Emotional Support Animal program. Services are primarily funded through MO HealthNet (Medicaid) with additional support from donations and private fundraising.

Differentiator

Problem solved

Functional benefit

Brands

• A-II Fitness: A 24-7 fitness facility designed for everyone with universally designed equipment to assist people with all physical abilities, funded by the Dana and Christopher Reeve Foundation.
• Access II Wellness

Products and services

• Consumer Directed Services (CDS) A MO HealthNet (Medicaid) based program providing personal care attendant services that enable individuals with disabilities to live independently by hiring and managing their own attendants.
• In-Home Services Provides in-home aides to assist with activities of daily living including personal care, homemaker care, chore services, and nursing services for seniors and people with disabilities.
• TAP Telephones Missouri's Telecommunication Access Program providing adaptive phone equipment and devices to individuals with disabilities affecting phone use, including T.A.P. for Telephone and T.A.P. for Internet programs.
• DME Loan Program Durable Medical Equipment loan program offering mobility aids and assistive devices with a 30-day loan period to enhance the daily lives of individuals in need.
• Accessible Vans Wheelchair lift-equipped van transportation service for individuals with disabilities within Missouri, available for medical appointments, recreational use, and training/seminar transportation.
• A-II Fitness 24-7 fitness facility with universally designed equipment to assist people with all physical abilities, featuring cycles, ellipticals, leg press, wheelchair treadmill, and free weights.
• Access II Wellness Direct Primary Care wellness center offering lab testing panels, IV therapy, injectable options, DOT physicals, allergy therapy, red light therapy, and weight loss programs.
• Wellness Memberships Membership plans providing extended office visits, annual physicals, chronic care management, virtual visits, in-office testing, and various medical procedures, with Kids, Adults, Senior, and Family options.
• Wellness Lab Panels Health assessment panels including Ultimate Health Panel ($500), Women's Vitality Panel ($325), Men's Endurance Panel ($250), and Basic Wellness Profile ($135).
• IV Therapy Services IV solutions including Migraine Relief, Immune Recharge, Overall Wellness, Weekend Recovery, Get Up & Go, Hydrate/Refuel, and Hair, Skin & Beauty options in various bag sizes.
• Benefits Planning Program SSA disability benefits assistance providing information on work incentives, help with application processes, and connections to CLAIM counselors for Medicare health insurance.
• Employment Services Job readiness services including resume writing, interview preparation, career exploration, career networking, job coaching, and transitional services for students.
• Transitions Program Transition assistance for individuals moving from institutional settings back to the community, through the Money Follows the Person (MFP) grant and Section Q.
• Emotional Support Animal Application Program Application process for donated emotional support animals (currently a kitten), with requirements including willingness to travel to Gallatin office and financial commitment of up to $2,000 per year.
• Event & Meeting Space Rental Rental spaces including community room and classrooms available for weddings, birthday parties, graduation parties, baby showers, business meetings, and community events.
• Five Core Independent Living Services Foundational Independent Living services including Information & Referral, Peer Counseling, Advocacy (Individual and Systemic), Independent Living Skills Training, and Transitions.
• ADA Training Americans with Disabilities Act education, compliance consulting, ADA compliance surveys, and technical assistance for organizations.
• Low Vision Center Devices and aids available for loan to assist visually impaired residents age 55 and older.

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

Six partnerships are on record, tiered core and minor.

• Show Me LoanscoreStrategic or Co-development PartnerShow Me Loans offers low-interest loans (2%-4% based on income) for adaptive equipment and assistive technology. Partners with Access II to serve Missouri residents with disabilities or age-related changes needing financing for equipment such as hearing aids, vehicle modifications, smart home devices, and durable medical equipment.
• Missouri Assistive TechnologycoreStrategic or Co-development PartnerMissouri Assistive Technology administers the Telecommunication Access Program (TAP). Access II serves as a TAP certified demonstration site with TAP-T and TAP-I certified agents to provide adaptive phone equipment and internet access equipment to qualifying Missouri residents with disabilities.
• Dana and Christopher Reeve FoundationminorOthersThe Dana and Christopher Reeve Foundation supported the development of A-II Fitness with universally designed equipment to assist people with all physical abilities.
• MO HealthNet (Missouri Medicaid)coreOthersMO HealthNet (Missouri Medicaid) funds the Consumer Directed Services (CDS) program and In-Home Services. Access II serves as fiscal administrator, ensuring compliance with federal and state guidelines for handling Medicaid dollars.
• Missouri Division of Health and Senior Services (DHSS)coreOthersDHSS establishes guidelines for CDS program administration. Access II administers CDS in accordance with guidelines established by MO HealthNet and DHSS.
• CLAIM (Medicare Counseling)minorStrategic or Co-development PartnerAccess II can refer individuals to CLAIM (Community Leaders Assisting the Insured of Missouri) counselors to assist with Medicare health insurance benefits, enrollment, plan comparisons, and cost savings programs.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Help at Home: Help at Home is a large national provider of personal care and home care services funded primarily through Medicaid — directly comparable to Access II's CDS and In-Home Services revenue model but operating at far greater scale across multiple states.
• Easterseals Midwest: Easterseals Midwest is a large, established nonprofit disability-services provider offering employment, therapy, and community living programs across Missouri and neighboring states — a broader incumbent operating adjacent services with greater scale and brand recognition.
• The Arc of the United States: The Arc is a national nonprofit providing advocacy, employment support, and community-based services for people with intellectual and developmental disabilities — comparable in mission space but operating at significantly greater scale and geographic breadth than Access II.

Direct peers

• Paraquad: Paraquad is a St. Louis-based disability services nonprofit providing independent living services, employment support, and benefits planning — directly comparable to Access II's five core CIL services and Missouri-based disability advocacy model.
• The Whole Person: The Whole Person is a Kansas City-based Center for Independent Living delivering independent living skills training, advocacy, employment, and in-home support services for people with disabilities — a direct operational peer to Access II's CIL model within Missouri.
• Aging Best: Aging Best is a mid-Missouri nonprofit providing in-home services, caregiver support, and care management for seniors and adults with disabilities — closely comparable to Access II's CDS and In-Home Services portfolio in mission, funding mix (Medicaid), and rural-Missouri geography.
• Southwest Center for Independent Living (SCIL): SCIL is a Springfield, Missouri-based Center for Independent Living providing the five core CIL services, including independent living skills training, advocacy, peer counseling, and transition services — directly comparable to Access II's CIL service portfolio within the same state.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/accessii

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 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 Access II Independent Living Center