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TOTAL SENIOR CARE INC

Allegany, NY · EIN 261346241 · Form 990 · FY2025 · NTEE E90 · Health Care · Large ($10M-$50M) · totalseniorcare.org
revenue
$14.8M
expenses
$12.5M
net assets
$17.5M
employees
38
program ratio
95%
mission · from form 990

To provide a comprehensive array of services including case management, physician, hospital and nursing home care to adults age 55 and older who are medically eligible for nursing home care

profile · synthesized from sources

Total Senior Care Inc is a Program of All-Inclusive Care for the Elderly (PACE) serving adults aged 55 and older who are medically eligible for nursing home care. The organization provides comprehensive medical, social, and long-term care services to help participants live safely in their communities. Services are delivered through a care team model at centers in western New York, with transportation, home care, and specialized support included.

named programs · 6 · from sources

What they call their work

Comprehensive Medical Care
Includes nursing, rehabilitation, social work, home health aides, durable medical equipment, supplies, and Consumer Directed Personal Assistance Services
DayBreak Program
Adult day program offering therapeutic recreation, socialization, meals, personal care assistance, and respite for caregivers; includes specialized dementia care
Outpatient Medical Services
Specialty medical services including dental care, mental health, eye care, foot care, hearing exams and aids, substance abuse services, and diagnostic testing
Prescription Drug Coverage
Full coverage of all authorized prescription and over-the-counter medications with no Part D donut hole or co-pays, delivered via Day Center or pharmacy
TSC Center Services
Team-based care including physician services, nursing, rehabilitation therapies, social work, nutritional services, personal care, recreational activities, and transport to and from the Center
Transportation Services
Round-trip transportation to and from medical appointments and the Total Senior Care Center
activities · 5 groups

What they do

  • Union and Association Benefit Funds 1 activity
    • Covers hospital, emergency, and prescription medication needs
      Provides comprehensive hospital inpatient and emergency services for enrolled members and supplies all medically necessary prescription medications and certain over-the-counter drugs through the Day Center or pharmacy.
  • Non-Emergency Medical & Essential Transportation 1 activity
    • Offers transportation and respite care services
      Provides transportation to and from medical appointments and the TSC Center, along with respite care that enables family caregivers to return to work or attend to personal responsibilities while their loved one receives supervised care.
  • Caregiver Support for Dementia and Aging 1 activity
    • Operates adult day health program with therapeutic and social services
      Runs an adult day program at the TSC Center in Olean, NY, offering therapeutic recreational activities, socialization, nutritious meals, and specialized dementia care in a supervised environment staffed by trained professionals. Flexible attendance options include one to five days per week and full or half-day schedules based on participant needs.
  • Comprehensive Care Management Services 1 activity
    • Provides PACE model long-term care services for seniors aged 55+
      Delivers comprehensive medical and long-term care services through the Program of All-Inclusive Care for the Elderly (PACE) model to support aging in place for adults aged 55 and older who are medically eligible for nursing home care. Services include interdisciplinary clinical assessments, individualized care planning, and a single point of access for medically necessary needs.
  • Home Care Services for Elderly and Disabled 1 activity
    • Provides in-home and community-based medical and support services
      Delivers a range of in-home and community-based services including nursing, therapy, social work, home health aide support, durable medical equipment, home-delivered meals, home modifications, emergency transportation, Personal Emergency Response Systems, and outpatient medical care such as dental, vision, hearing, mental health, substance abuse treatment, and diagnostic testing.
financials · form 990 · fy2025
revenue
Total revenue$14.76M
Contributions & grants$52K0%
Program service revenue$14.03M95%
Investment income$666K5%
Other revenue$7K
expenses
Total expenses$12.50M
Program expenses95%
Admin / overhead5%
Fundraising0%
Salaries & benefits$1.24M
Grants paid out$0
Largest expense lineProfessional Fees
balance sheet
Total assets$23.68M
Cash$21.66M
Investments$0
Liabilities$6.15M
Net assets$17.53M
Liquid reserves20.8 mo
6 years on record · 2020–2025 · YoY revenue -8.3%
leadership · form 990 part vii · fy2025

Who runs it

paid leadership · 4
NameTitleHours/wkCompensation
MELISSA SULLIVAN CHIEF EXECUTIVE OFFICER 0 $177K
SUSAN SILVIS NURSE PRACTITIONER 0 $112K
CHAD KIRK CHIEF FINANCIAL OFFICER 0 $93K
NIKKI WISEMAN CHIEF NURSING OFFICER 0 $87K
board members · 5
  • DR PIERRE DIONNE — Chairman
  • DR PUNEET CHAHAL — Director
  • DR THOMAS DELANEY — Director
  • MICHAEL MACWILLIAMS — Director
  • SR MIRIAM NATALE — Director
relationships · 5

Who they work with

  • Centers for Medicare and Medicaid Services (CMS) Government — Federal agency funding the PACE program through a contract with Total Senior Care.
  • Maximus Partner — Partner organization conducting independent clinical evaluations for eligibility determination through its Conflict-Free Evaluation and Enrollment Center (CFEEC).
  • New York State Department of Health Government — State agency co-funding the PACE program through a contract with Total Senior Care.
  • Pace Center Partner — Pace Center is a care site location where Total Senior Care delivers services.
  • Total Senior Care Provider Network Network — Network of carefully chosen, reliable providers delivering services under the Total Senior Care program.
strategies · 3

How they approach the work

Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.

  • Geographically Targeted Access Model
    methodology: geographically targeted service model
    By focusing service delivery on rural counties in New York with limited long-term care access, we improve enrollment and care continuity for underserved older adults, because proximity and community-specific outreach increase engagement.
  • Objective Dual Eligibility Assessment
    methodology: conflict-free dual evaluation
    By using two independent in-home clinical evaluations—one by an external conflict-free entity and one by our own team—we ensure more accurate and unbiased eligibility determinations, because dual validation reduces referral bias and strengthens care planning.
  • PACE Model for Aging in Place
    methodology: PACE model
    By integrating comprehensive medical and social services through the PACE model, we enable frail seniors to remain in their communities rather than entering institutional care, because coordinated, holistic care reduces the need for nursing home placement.