ALT Legacy Care Initiative (ALCI)
Building Systems That Dignity Demands
ALT Legacy Care Initiative (ALCI) is a developing nonprofit focused on reducing structural barriers for underserved communities, beginning with low-income older adults in affordable senior housing. We design systems that deliver access, connection, and dignity.
The Problem
Across the country, older adults in low-income housing face systems that weren’t built for them:
- Transportation is unreliable or inaccessible.
- Services exist but are fragmented and hard to navigate.
- Digital tools assume access and literacy many residents don’t have.
- Community engagement is limited or culturally disconnected.
These gaps lead to preventable social isolation, a Social Determinant of Health linked to poor physical and mental outcomes, lower healthcare adherence, and diminished quality of life.
These are systemic failures, not individual ones, and they are solvable.
Who We Serve
ALCI develops community-informed programs for underserved populations facing systemic access barriers.
- ALT Dignity: Our inaugural program focuses on low-income older adults in Connecticut’s affordable senior housing.
- Future Programs: As ALCI grows, we will expand to other underserved communities, using the same systems-first, community-informed approach.
Our First Program: ALT Dignity
ALT Dignity Phase I is a 6-month research and systems mapping initiative. We believe you can’t design solutions without first listening to the people you intend to serve.
Phase I Activities:
- Resident focus groups and individual interviews
- Stakeholder interviews (housing staff, aging service providers, transportation partners)
- Inventory of existing mobility and engagement services
- Systems mapping and barrier analysis
- Phase I Findings Report
Phase I Outputs:
- Resident Listening Summary
- Stakeholder Insight Summary
- Ecosystem Service Map
- Barrier and Gap Analysis
- Phase I Final Report
- Data-informed Phase II Pilot Framework
Our Approach
- Community-informed: Residents and stakeholders guide design.
- Equity-centered: Every decision prioritizes fairness and accessibility.
- Impact-measured: We track outcomes to ensure programs truly work.
- Responsible growth: Transparent operations and deliberate scaling.
ALCI is pursuing independent 501(c)(3) status and will be seeking fiscal sponsorship as development progresses.
Our Foundation
Founded by Keayona Thomas, who also leads ALT Legacy consulting, ALCI benefits from deep expertise in:
- Medicaid transportation systems
- Accessibility compliance
- Operational infrastructure for mission-driven organizations
Keayona’s experience across nonprofit managed care and transportation brokerage systems ensures research design, stakeholder engagement, and program strategy are grounded in real-world insight.
ALCI embodies the vision that sustainable systems create sustainable access, giving underserved communities both the infrastructure and services they deserve.
About the Structure
- ALCI: Parent nonprofit building systemic solutions.
- ALT Dignity: Phase I program for older adults in Connecticut.
- Future Programs: Expanding impact to other underserved populations informed by lessons from ALT Dignity.
Get Involved
We are seeking mission-aligned partners:
- Fiscal Sponsors: Support Phase I operations. Ideal for organizations focused on aging, health equity, housing, or Social Determinants of Health.
- Pilot Housing Partners: One affordable senior housing property in Connecticut for ALT Dignity Phase I.
- Funders & Grant Partners: Community foundations, aging philanthropies, and individual donors.
- Community Stakeholders: Area Agencies on Aging, senior service providers, transportation partners, and community health organizations for stakeholder participation.
[Contact Us to Get Involved →]
Where We Are
ALCI is in early development:
- Building deliberately, transparently, and aligned with communities.
- Not yet accepting program enrollments or direct service requests.
- For immediate support, older adults or family members should contact their local Area Agency on Aging.