Few studies have examined long-term care (LTC) use among sexual and gender minority (SGM) older adults. Guided by Andersen’s Healthcare Utilization Model, we identified predisposing, enabling, and need factors associated with informal (caregiving) and formal (homecare, long-term/continuing care, hospice care) LTC use in a community-based sample of SGM older adults (n=210), mean age 59.6. Nearly 20% used informal or formal care in the past year and 10% used both. Informal LTC use was associated with identifying as female (OR:8.8; 95%CI:2.2–35.2), HIV positive (OR:8.5; 95%CI:2.0–35.1), having one or more instrumental activities of daily living (ADL) impairments (OR:5.2; 95% CI:2.0–13.2), and having greater service needs (OR:1.4; 95% CI:1.2–1.7). Formal LTC use was associated with access to Medicare (OR:4.2; 95% CI:1.7–10.9) and comorbidities (OR:1.3; 95%CI:1.1–1.6). A greater understanding of LTC needs of SGM older adults is necessary for developing policies and services aimed at improving care and quality of life for this population.