Your trusted senior care consultant in Greater Boston

Since 1993, we've helped Greater Boston families turn overwhelming aging challenges into clear paths forward with compassionate expertise and hands-on support. 

Woman and young boy laughing together on porch chair, representing family-centered care and intergenerational connection.
Older man and woman sitting with two young children on a bed, smiling at camera in a warm family moment.
Adult holding smiling toddler at wooden table, depicting multi-generational family care and bonding.
Smiling couple in vintage 1960s attire standing beside classic convertible car outdoors.
Four people posing together indoors with red decorative banners in background, including woman, two men, and young child.
Older man holding infant while sitting with older woman on couch near sunny window and potted plants.
Older man with two young children smiling in bed together in a cozy home setting.
5,000
Families helped
Older man with two young children smiling in bed together in a cozy home setting.
15 yrs
Of average life care manager experience
Older man holding infant while sitting with older woman on couch near sunny window and potted plants.

Who We Are

For over 30 years, our team of experienced social workers and nurses has helped families navigate the complexities of aging with compassion, clarity, and hands-on support.
Smiling couple in vintage 1960s attire standing beside classic convertible car outdoors.
4.5/5
Average customer rating
Four people posing together indoors with red decorative banners in background, including woman, two men, and young child.
30+
Years of service
5,000

Families helped

15 yrs

Of average life care manager experience

4.5/5

Average customer rating

30+

Years of service

A Legacy of Care

Kate Granigan, LICSW, C-ASWCM, a national authority in aging life care, brings deep expertise to her clinical leadership role at Alder. With 25 years as a geriatric social worker, Kate has dedicated her career to transforming how families experience aging support.

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As Past President of the Aging Life Care Association (ALCA), the nation's largest professional organization for life care managers, Kate has helped shape industry standards that benefit families nationwide. Her extensive leadership means you're benefiting from connections and insights developed at the highest levels of the profession.

  • Master's in Social Work, Boston College
  • Licensed Independent Clinical Social Worker (LICSW), Massachusetts
  • Current Board of Directors, Aging Life Care Association (ALCA)
  • Advisory Board Member, Massachusetts Guardianship Association (MGA)
  • Past Board Member and Secretary/Treasurer, National Academy of Certified Case Managers
  • Past President, New England Chapter of the Aging Life Care Association
  • Member, National Association of Social Workers

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Susan Keating, CMC has been working in the field of aging services since 2001. She was the Founder and President of Honora Care Management & Consulting, based in Mamaroneck, NY, which has now partnered with Alder. Providing professional, unbiased, and objective advice is the cornerstone of Susan’s approach.She is a Certified Care Manager and an Advanced Professional member of the Aging Life Care Association — the professional gold standard of care management.

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In addition to her work at Honora CMC and Alder, Susan is the President Emerita of Aging Life Care Association’s NY Chapter. She has served on the board of At Home on the Sound, an aging-in-place village for Larchmont/Mamaroneck, and the Westchester Professional Advisory Council. Susan is currently a member of the Business Council Westchester, has been a guest lecturer at Hunter College’s Brookdale Center for Healthy Aging, and presents at a variety of professional and community-based forums.

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  • B.S. in Social Work from Adelphi University
  • Advanced Certificate in Long Term Care from Long Island University
  • Care Manager Certified (CMC) from the National Academy of Certified Care Managers
  • President Emerita of Aging Life Care Association’s NY Chapter
  • Advanced Professional member of the Aging Life Care Association
  • Member, Business Council Westchester
  • Past board member, Westchester Professional Advisory Council
  • Past board member, At Home on the Sound
About Us

Our Care Management Team

Our aging life care managers hold master's degrees in social work, nursing, or occupational therapy and maintain the highest level of care management licensure. The typical Alder care manager has 15+ years of experience guiding families through aging transitions.

Experience matters because it allows us to anticipate likely challenges and address them before small concerns become crises.
what makes alder different

The Alder advantage

Homecare Companies
Aging Advisors / Consultants
Team Credentials
Social workers and nurses with extensive aging experience
Non-clinical aides or CNAs
Often non-clinical, may lack geriatric training
Implementation
We coordinate and execute care plans
Limited to in-home tasks only
Provide lists or suggestions only
Medical Support
Attend appointments, interpret, advocate
Rarely, without clinical context
Not involved in direct support
Crisis Response
Immediate, scalable expert intervention
Limited or reactive only
Usually unavailable in real-time
Local Network
30+ years of deep Greater Boston partnerships
Limited vendor relationships
May lack strong local integration
Goal
Preserve independence, reduce burden, improve life quality
Maintain safety at home
Provide direction or planning advice