San Diego County's first PACE provider and a nonprofit operating since 1960, St. Paul's Senior Services runs its corporate office from 328 Maple St in Hillcrest. The organization coordinates independent living, assisted living, and memory care placements across communities such as Merrill Gardens at Bankers Hill in the broader Hillcrest district. Four PACE medical clinics throughout the county deliver primary care, physical therapy, medication management, transportation, and home care to qualifying seniors. In-home support services extend through referral partners like Golden Years Home Care San Diego for participants aging in place. The organization is completing a $12 million expansion of its downtown PACE Reasner Center, incorporating telehealth triage, remote patient monitoring, and a model apartment for post-hospitalization independence assessments.