Rates of mortality at 1, 2, and 3 years after enrollment were 13%, 24%, and 33% for African American patients and 16%, 29%, 39% for White patients (HR for African American patients = 0.76; 95% CI 0.66 ± 0.88). After adjustment for PACE site, age, gender, education, caregiver support, ADL function, presence of dementia and other comorbid conditions, African American patients continued to have a lower rate of mortality than White patients (HR = 0.79; 95% CI 0.66 ± 0.95). CONCLUSION: In a system providing equal access to comprehensive medical and long-term care services to frail elders, African American patients have substantially lower rates of mortality than White patients after adjustment for age, comorbidity, and ADL function on enrollment.