Seniors Care Network

What Seniors Care Network does

Seniors Care Network is the regional planning, coordination, and governance body for Specialized Geriatric Services (SGS) in the Central East Region of Ontario Health East, operating from Cobourg, Ontario under a public funding mandate from Ontario Health. The organization plans, designs, implements, evaluates, and performance-monitors a portfolio of regional geriatric programs including the Geriatric Assessment and Intervention Network (GAIN), the Geriatric Emergency Management (GEM) Nurse Program across nine hospital locations, Behavioural Support Ontario, Memory Clinics, community paramedicine frailty pathways, and Nurse-Led Outreach Teams. It also convenes all 17 Central East Adult Day Program providers and supports Ontario Health Teams through subject-matter expertise and standardized frailty pathways (Primary Care, Community, Emergency Department, Chronic Disease Management).

The core technology stack consists of standardized care-pathway frameworks, Comprehensive Geriatric Assessment (CGA) templates (including an adapted version for vulnerably housed older adults), the Central East Cognition Referral Pathway, and the provincial PGLO Older Adult Experience Survey (OAES) and Care Partner Experience Survey (CPES) measurement instruments. The organization produces an extensive library of free, downloadable guidance documents, toolkits, evaluation reports, infographics, and ROI studies, and disseminates them via its website, peer-reviewed publications (Canadian Geriatrics Journal, Journal of the American Geriatrics Society, Healthcare Management Forum, Canadian Journal on Aging), and conferences (ICIC 2026, AFHTO 2025). No software platform, API, or mobile application is offered; resources are distributed as PDFs and web content.

The business model is non-commercial: Seniors Care Network does not charge for any of its resources, does not sell products or services, and has no disclosed revenue. Operating funding is provided by Ontario Health, supplemented by project-specific research grants (e.g., from the Canadian Frailty Network via the Networks of Centres of Excellence program). The customer base consists of Ontario Health Teams, hospitals (9 GEM sites), 17 Adult Day Program providers, primary care teams, community paramedicine providers, and caregivers — none of whom pay for access to the organization's deliverables. Headcount is reported at 1–10 direct employees, with the broader regional service delivery executed through partner organizations.

Name

Seniors Care Network

Legal name

Seniors Care Network

Website

https://seniorscarenetwork.ca

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

1–10 employees

Short description

Seniors Care Network is a publicly funded Ontario Health planning body that coordinates Specialized Geriatric Services across the Central East Region, delivering standardized frailty pathways, CGA toolkits, and ROI evaluations to Ontario Health Teams, hospitals, primary care, and community providers.

Ownership category

akta.pro rank

Product category

Geriatric Healthcare Services Coordination

NAICS

Services for the Elderly and Persons with Disabilities (624120), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (62331), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (6233), Nursing Care Facilities (Skilled Nursing Facilities) (62311)

SIC

Services-Skilled Nursing Care Facilities (8051), Services-Nursing & Personal Care Facilities (8050), Services-Home Health Care Services (8082), Services-Social Services (8300)

akta.pro primary industry

Chronic Disease & Complex Care Management (Geriatrics) (HLADALAC)

akta.pro secondary industries

Elder Services & Aging Support (BPAGAEAF), Chronic Care & Complex Care Management (HSABAIAD)

Keywords

• Specialized geriatric services
• Frailty care coordination
• Geriatric assessment programs
• Senior-friendly care frameworks
• Community paramedicine pathways

Headquarters

HQ city

Port Hope

HQ country

Canada

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Ontario Health Government Funding: Seniors Care Network is publicly funded by Ontario Health (formerly the Central East LHIN), as indicated by 'Funded by: Ontario Health' across the website. The organization plans, designs, implements, evaluates, and monitors specialized geriatric services across the Central East Region under this public funding model.
2. Research Grant Funding: Project-specific research funding from external sponsors, including the Canadian Frailty Network (Technology Evaluation in the Elderly Network), which is supported by the Government of Canada through the Networks of Centres of Excellence (NCE) program.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels7 records

Core offering

Seniors Care Network is the publicly funded regional planning, coordination, and governance body for Specialized Geriatric Services (SGS) in the Central East Region of Ontario Health East. It plans, designs, implements, evaluates, and performance-monitors SGS programs (including GAIN, GEM Nurse, and Community Paramedicine Frailty Pathway), produces free evidence-informed guidance documents, toolkits, surveys, and evaluation reports, and provides subject-matter expertise to Ontario Health Teams and partner organizations.

Product overview

Seniors Care Network is a regional healthcare planning, coordination, and applied-research organization, not a single unified software product. Its portfolio is structured around a core mandate (the coordination of Specialized Geriatric Services in Ontario Health East's Central East Region) plus a family of named programs, guidance documents, toolkits, surveys, evaluation reports, and conference publications. Core programs include the Geriatric Assessment and Intervention Network (GAIN), the Geriatric Emergency Management (GEM) Nurse Program, and the Community Paramedicine Frailty Pathway. Modular guidance documents and toolkits include the Central East Cognition Referral Pathway, Frailty Screening & Management toolkits (Primary Care, Community, Emergency Department), the Integrating Frailty into Chronic Disease Management guidance document, Adapted Comprehensive Geriatric Assessments for Vulnerable Older Adults, the CGA Toolkit, the AGS Cognitive Screening Toolkit, the ALC Prevention / Leading Practices Guide, and the Falls Prevention and Management in the Community toolkit. Survey instruments include the PGLO Older Adult Experience Survey (OAES) and PGLO Care Partner Experience Survey (CPES). Evaluation reports include the 2025 GAIN ROI Evaluation Report, GEM ROI Report, Dimensions of Teamwork (DTEAM) Evaluation Report, Central East Provider Experience Evaluation, and Intra-COVID Hybrid ADP Model Evaluation Report. Conference deliverables include four ICIC 2026 presentations/posters. The product_overview also captures cross-linked frameworks such as A Framework for Addressing Racism in SGS, the SfCare Framework, and Adult Day Program Guidelines (Central East 2020, Intra-COVID Hybrid, and Ontario Health East), which together form the organization's resource ecosystem rather than a single integrated software platform.

Differentiator

Problem solved

Functional benefit

Products and services

• Specialized Geriatric Services (SGS) Coordination Overarching mandate and service for the planning, design, implementation, evaluation, quality improvement, and performance monitoring of Specialized Geriatric Services (SGS) in the Central East Region, plus applied health research and subject-matter expertise to Ontario Health Teams.
• Geriatric Assessment and Intervention Network (GAIN) A regionally coordinated program that provides specialized, interprofessional care for older adults living with frailty and dementia across the Central East Region. GAIN teams assess, diagnose, and provide interventions to older adults and their care partners.
• Geriatric Emergency Management (GEM) Nurse Program A specialized geriatric emergency service delivered in hospital Emergency Departments by GEM nurses or nurse practitioners with advanced training in gerontology, targeting the older adult demographic with the greatest illness complexity, admission rates, lengths of stay, and functional decline risk.
• Community Paramedicine Frailty Pathway A standardized, stepwise decision-tree pathway for community paramedics to support coordinated care through early frailty identification, risk stratification, targeted interventions, and proactive service connections, facilitating timely referrals to SGS, rehabilitation, and community supports.
• Central East Cognition Referral Pathway Guidance Document An evidence-informed resource for primary care providers and SGS that supports early identification of cognitive concerns and timely access to appropriate services, with structured screening and referral decision-making incorporating cognitive and frailty considerations.
• Adapted Comprehensive Geriatric Assessment (CGA) for Vulnerable Older Adults An adapted CGA template and Guidance document that incorporates trauma-informed approaches and evaluates structural barriers such as medication access, nutrition, and hygiene for vulnerably housed and homeless older adults, enabling interprofessional teams to distinguish medical conditions from social contributors to decline.
• Frailty Screening & Management in Primary Care Primary Care Guidance Document developed with Ontario Collaborative for Aging Well to help providers implement standardized frailty screening and management (frailty pathways) at their practices, including customizable templates and implementation presentation.
• Frailty Screening & Management in the Community Guidance Document developed with Ontario Collaborative for Aging Well to help community providers implement standardized frailty screening and management pathways, with customizable templates and a short implementation presentation.
• Frailty Screening & Management in Emergency Department Guidance Document and customizable Post ED Frailty Pathway template supporting proactive frailty screening and management in hospital Emergency Departments for adults 65+, using frailty status to inform care, flow, and transition decisions.
• Integrating Frailty into Chronic Disease Management Guidance document detailing a practical 4-step approach for integrating frailty-informed care into Chronic Disease Management for older adults with COPD, Congestive Heart Failure, Diabetes Mellitus, and related conditions, enabling primary care and specialty teams to tailor care plans and mobilize appropriate supports.
• Falls Prevention and Management in the Community Resource guiding proactive falls screening and management for older adults across community settings, community services, outpatient and outreach clinics, and hospital ambulatory services, with a 4-step evidence-based approach emphasizing early detection and connection to specialized services.
• Caregiver Needs Assessment and Support in Primary Care Guidance Document Guidance Document developed with the Ontario Caregiver Organization that outlines a 4-step holistic approach to identifying and supporting caregivers of older adults in Primary Care settings, with a decision-tree to guide connections with supports and interventions.
• Caregiver Needs Assessment & Support in Community SGS Guidance Document Guidance Document that builds on the Primary Care version and supports Specialized Geriatric Services in addressing the needs of caregivers of older adults living with frailty, with a holistic assessment tool using a risk-based lens.
• PGLO Older Adult Experience Survey (OAES) An evidence-informed, collaboratively developed experience survey designed specifically for appointment-based Specialized Geriatric Services (SGS) programs and clinics, intended for patients typically over 65 with complex co-morbid age-related conditions.
• PGLO Care Partner Experience Survey (CPES) A measure, collaboratively developed with caregivers and care partners, to better understand the experience of caregivers or care partners who support older adults accessing Specialized Geriatric Services (SGS), supporting quality improvement at program, regional, and provincial levels.
• CGA Toolkit A toolkit that aggregates the CGA Self-Assessment Tool (Interprofessional) and links to the Interprofessional Comprehensive Geriatric Assessment (CGA) competency framework hosted on geriatricsontario.ca, supporting standardized CGA delivery across interprofessional teams.
• AGS Cognitive Screening Toolkit An American Geriatrics Society (AGS) Cognitive Screening Toolkit referenced from geriatricscareonline.org, providing information about and links to free, open-access cognitive screening tests recommended by the USPSTF.
• ALC Prevention in the Community

Quantifiable outcome

• GAIN program ROI of ~150% with more than $23 million in annual system benefits
• +3 more outcomes

Named customers6 records

Segments7 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature7 records

Partnerships

16 partnerships are on record, tiered core, moderate and minor.

• Northumberland Hills HospitalcoreStrategic or Co-development PartnerHosts the Seniors Care Network mailing address at 1000 DePalma Drive, Cobourg, Ontario K9A 5W6. Acts as an operational host site and program partner (e.g., home of GAIN team and the 2021 Pandemic Champion Award recipient Amy Ludolph).
• Ontario Collaborative for Aging WellcoreStrategic or Co-development PartnerCo-development partner with Seniors Care Network on frailty screening and management guidance documents for primary care, community, and chronic disease management settings.
• Ontario Caregiver OrganizationcoreStrategic or Co-development PartnerCo-developed the Caregiver Needs Assessment & Support Guidance Documents for Primary Care and Community Specialized Geriatric Services; provides tools and supports for caregivers linked from the Seniors Care Network resource library.
• Ontario Tech University (University of Ontario Institute of Technology)coreStrategic or Co-development PartnerResearch partnership; Stacey A. Hawkins (Director of Research and Evaluation, Seniors Care Network) is a PhD Student and Adjunct Professor in the Faculty of Health Sciences at Ontario Tech University. Principal Investigator Dr. Winnie Sun is based at Ontario Tech. Research Ethics Board approvals obtained from Ontario Tech University.
• Provincial Geriatrics Leadership Ontario (PGLO)coreStrategic or Co-development PartnerPartner on frailty prevalence estimates by Ontario census division and Ontario Health Region, the PGLO Older Adult Experience Survey (OAES) and Care Partner Experience Survey (CPES), and ALC Leading Practices guides. PGLO developed the consensus statement on care for older adults with complex health conditions reframing frailty in Ontario.
• Regional Geriatric Program of TorontocoreStrategic or Co-development PartnerCo-developed position statement on the Need for Expert Clinical Geriatric Care in Ontario Health Teams; hosts the SfCare Framework linked from the Seniors Care Network resource library.
• Victoria Order of Nurses (VON)moderateStrategic or Co-development PartnerCollaborated with the Champlain ADP Providers Service Network and Seniors Care Network beginning June 2024 to develop the Ontario Health East Region Adult Day Program Guidelines.
• Champlain ADP Providers Service NetworkmoderateStrategic or Co-development PartnerPartner in the co-development of the Ontario Health East Region Adult Day Program Guidelines, adapted from the Central East ADP Guidelines 2020.
• Kawartha Lakes Haliburton Ontario Health TeammoderateStrategic or Co-development PartnerCollaborated on the AFHTO 2025 Conference Poster featuring the Haliburton Highlands Family Health Team as an early adopter of the Seniors Care Network Primary Care Frailty Pathway.
• American Geriatrics Society (AGS)moderateTechnology or IntegrationResource integration via the AGS Cognitive Screening Toolkit, which provides links to free, open access cognitive screening tests recommended by the USPSTF, available through geriatricscareonline.org.
• GeriMedRiskmoderateTechnology or IntegrationReferral/resource integration via gerimedrisk.com, an interdisciplinary geriatric clinical pharmacology consultation service linked from the Seniors Care Network resource library.
• Ontario Caregiver Organization (OCO)moderateGTM or Marketing PartnerCross-promotion of caregiver supports and tools via ontariocaregiver.ca, linked from the Seniors Care Network resource library for older adults and care partners.
• 26th International Conference for Integrated Care (ICIC) 2026moderateStrategic or Co-development PartnerSeniors Care Network is presenting multiple posters and oral talks at the 26th International Conference for Integrated Care (ICIC) 2026 in Birmingham, United Kingdom, on topics including GEM Nurse ROI, Workforce Capacity, Frailty Pathways, and SGS Provider Experience Evaluation.
• Ontario ALC Leading Practices Working GroupmoderateStrategic or Co-development PartnerDeveloped the ALC Leading Practices Guide for preventing hospitalization and extended stays for older adults; collaborated on community ALC prevention resources for Ontario Health Teams.
• Dr. David P. Ryan (Regional Geriatric Program of Toronto)minorStrategic or Co-development PartnerDr. David P. Ryan developed and implemented the validated Dimensions of Teamwork (DTEAM) tool used in the 2014 evaluation of interprofessional teamwork among 10 Geriatric Assessment and Intervention Network (GAIN) teams (Ryan & Cott, 1994).
• Canadian Consortium on Neurodegeneration and Aging (CCNA) Team 19 / ROSA StudyminorStrategic or Co-development PartnerSeniors Care Network's ROSA-LHIN Extension Study was designed as an extension of the Research on Organization of Healthcare Services for Alzheimer's (ROSA) Study (Bergman & Vedel) assessing care models in primary health care for persons with Alzheimer's disease and related disorders.

Scale indicators8 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Champlain ADP Providers Service Network: The Champlain ADP network partnered with SCN to adapt the Central East ADP Guidelines 2020 into the Ontario Health East Adult Day Program Guidelines. It operates the same Adult Day Program coordination model as SCN but in the Champlain sub-region.
• Regional Geriatric Program of Toronto: RGPT is one of Ontario's Regional Geriatric Programs serving the Toronto region. It co-developed the SfCare Framework and the position statement on expert clinical geriatric care in OHTs with SCN, and is functionally the same model of regional SGS planning applied to a different geography.
• Provincial Geriatrics Leadership Ontario (PGLO): PGLO is the provincial umbrella for specialized geriatric services in Ontario. It co-developed the OAES and CPES survey instruments with SCN and published the consensus statement reframing frailty in Ontario. Operates at the provincial tier rather than SCN's regional tier, but the mandate and tooling are directly comparable.
• Behavioural Support Ontario (BSO): BSO coordinates specialized behavioural support services for older adults across Ontario, including within SCN's region. It shares the same publicly funded coordination-and-governance model and overlaps on dementia and responsive-behaviour programming for the same frail-senior population.

Emerging players

• Canadian Frailty Network (CFN): CFN is a federally funded research network that funds SCN-led studies and informs the frailty definitions SCN uses. While research-focused rather than a regional coordination body, CFN operates in the same frailty and older-adult care space and is a direct funder and definitional source for SCN's work.
• Ontario Caregiver Organization: OCO co-developed the Caregiver Needs Assessment guidance documents with SCN. It provides tools and supports to caregivers across Ontario and overlaps directly with SCN's caregiver-assessment work, though OCO's mandate is broader (caregivers of all ages).

Broad incumbents

• Baycrest Health Sciences: Baycrest is a major academic health sciences centre specializing in geriatric care, dementia, and aging brain health. It is a much larger institution than SCN but operates in the same specialized geriatric services space and serves as a clinical, research, and education hub that complements regional SGS planning.
• Sinai Health (Reitman Centre for Alzheimer's Caregiver Support): Sinai Health operates the Reitman Centre for Alzheimer's Caregiver Support and broader geriatric medicine programs. It is a hospital-based academic centre whose caregiver-support and dementia-assessment offerings overlap with SCN's caregiver guidance documents and CGA toolkit, though at a different scale and delivery model.

Regional players

• Regional Geriatric Program of Eastern Ontario (RGP EO): RGP EO is one of Ontario's Regional Geriatric Programs serving the Champlain/Eastern region. It applies the same regional SGS planning model as SCN but in a different geography, with overlapping frailty pathways and interprofessional team structures.
• VON Canada (Victoria Order of Nurses): VON collaborated with SCN and the Champlain ADP Providers Service Network to develop the Ontario Health East Adult Day Program Guidelines. Operates nationally and delivers home and community care services that intersect with SCN's community frailty and ADP coordination work.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCupQrq-UpZdJmsx-YQIWt7A
• LinkedInlinkedin.com/company/seniorscarenetwork
• Instagraminstagram.com/seniorscarenetwork
• Xx.com/SeniorsCareNet
• Facebookfacebook.com/61574982030585

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about Seniors Care Network