Italy is one of the fastest aging countries in the world. This aging population is putting a strain on the Italian healthcare system, which is already struggling to cope with the demand for care. ‘Sereni Orizzonti’ is a leading provider of residential care for the elderly in Italy. The company is committed to providing high-quality care, and it is also committed to sustainability. The company’s sell and lease-back strategy has been successful, and it is a model that could be used by other companies in the residential care sector. ‘Sereni Orizzonti’ is well-positioned to succeed in the growing market for residential care for the elderly. The article contributes to the literature on the aging population in Italy by providing a case study of a leading provider of residential care for the elderly. The article highlights the challenges and opportunities facing the Italian healthcare system as it seeks to meet the needs of an aging population. The article also discusses the role of private-public partnerships in providing long-term care services. The article suggests several areas for further research, including the factors that are driving the growth of the residential care market in Italy, the impact of public-private partnerships on the quality and cost of long-term care services, and the challenges and opportunities facing Sereni Orizzonti as it expands its operations into new markets.