By The Bay Health

What By The Bay Health does

By The Bay Health (formerly Hospice of Marin and later Hospice by the Bay) is a California-originated 501(c)(3) nonprofit that operates the largest independent nonprofit hospice network in Northern California. Founded in 1975 as the state's first nonprofit community-based hospice, the organization delivered end-of-life, palliative, pediatric, skilled home health, and bereavement care to 1,100+ patients per day across Marin, San Francisco, San Mateo, Sonoma, and Alameda counties plus American Canyon, Napa, and Vallejo as of late 2023. Services are delivered by a trans-disciplinary team of physicians, registered nurses, social workers, spiritual counselors, home health aides, and therapists, alongside 500+ community volunteers and supported by two residential hospice facilities — The Grove in Mill Valley (12-suite inpatient hospice center) and Mission House on the San Francisco Peninsula. The organization is a nonprofit affiliate of UCSF Health and combines clinical service delivery with a workforce development agenda anchored by the 2025 Pathways to Care Careers initiative.

The business model is a hybrid of Medicare/Medicaid reimbursement (predominantly Medicare Part A hospice and home health) and philanthropic funding. Hospice services are reimbursed under standard Medicare per-diem rates with minimal out-of-pocket cost to eligible patients; the Hodgepodge thrift stores in San Rafael and Novato contributed $740,000 in 2019 as supplemental unrestricted revenue. Distribution is primarily referral-driven via an in-house Provider Relations team and partner relationships with health systems such as Kaiser Permanente and academic institutions including UCSF Health, Dominican University, and College of Marin. Non-clinical revenue is generated through an annual fundraising gala, dedicated donor portals (Stripe-powered giving), a legacy giving program (btbhlegacy.org), and the Pathways to Care Careers fund.

The portfolio was substantially restructured through a November 2023 triple merger with Mission Hospice & Home Care and Hope Hospice, which extended geographic reach into the South Bay, East Bay, and Tri-Valley regions. No proprietary technology platform is disclosed; organizational technology footprint is limited to consumer-facing tools (VR goggles for patient experience, repurposed iPads for video visits) and standard nonprofit operating tools (Stripe donations, Better Impact for volunteer management). The organization holds five registered trademarks and has won regional recognition including the 2020 Marin IJ Reader's Choice Award and the 2026 Golden Bell Honoree for the Pathways to Care Careers initiative.

Name

By The Bay Health

Legal name

By the Bay Health

Website

https://bythebayhealth.org

Company type

Private

Founded year

1975

Operating status

Operating

Headcount range

251–500 employees

Short description

By The Bay Health is a 501(c)(3) nonprofit hospice, palliative, pediatric, skilled home health, and grief support provider formed via a 2023 triple merger, serving 1,100+ patients daily across six Northern California counties as the region's largest independent nonprofit hospice network.

Ownership category

akta.pro rank

Product category

Hospice and Palliative Care Services

NAICS

Home Health Care Services (6216), Home Health Care Services (62161), Nursing and Residential Care Facilities (623), Other Residential Care Facilities (6239), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (62331)

SIC

Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050), Services-Health Services (8000)

akta.pro primary industry

Home Hospice Agencies (HLAFAEAC)

akta.pro secondary industries

In-Home Hospice Nursing Visits (RN/LPN) (HSABAFAL), In-Home Hospice Physician / Nurse Practitioner Visits (HSABAFAM), Non-Hospice Serious-Illness / Community-Based Palliative Care (In-Home) (HSABAFAF), Residential Hospice / Hospice House (Facility-Based) (HLADAHAC), Hospice Care in Assisted Living / Residential Care Facilities (HLADAHAE), Bereavement, Grief & Family Support Services (Hospice-Linked) (HLAFAEAO), Palliative Care, Hospice & Serious Illness Support (BPAGACAK)

Keywords

• Hospice care services
• Palliative care
• Home health nursing
• Pediatric palliative care
• Bereavement support

Headquarters

HQ city

Larkspur

HQ country

United States

HQ region

North America

Offices6 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Supply Chain

Revenue model

1. Medicare/Medicaid Reimbursement: Healthcare services are primarily reimbursed through Medicare Part A for hospice care and other government healthcare programs. Services covered include doctor and nursing care, medications for pain relief, medical equipment, emotional and spiritual support, respite care, and bereavement support.
2. Donations and Philanthropy: As a nonprofit organization, By the Bay Health relies on community donations and philanthropic support. Annual fundraising galas and the Pathways to Care Careers initiative raise funds for patient care and workforce development programs.
3. Hodgepodge Thrift Stores: Revenue-generating thrift stores in San Rafael and Novato support hospice programs. Combined revenue was $740,000 in 2019.
4. Grants: Hope Hospice receives donations and grants that ensure bereavement care and caregiver programs are available to the local public at no charge.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels6 records

Core offering

By The Bay Health is a nonprofit hospice and home-based care organization that delivers hospice, palliative, pediatric, and skilled home health care to terminally and chronically ill patients across Northern California, supported by bereavement counseling, community education, and volunteer programs. The organization also operates two inpatient/residential hospice facilities (The Grove in Mill Valley and Mission House on the San Francisco Peninsula) and runs Hodgepodge thrift stores that subsidize patient programs.

Product overview

By the Bay Health is a nonprofit hospice and home-based care organization offering an integrated portfolio of services across hospice care, skilled home health care, palliative care, pediatric care, and grief support. Following a 2023 triple merger with Mission Hospice & Home Care and Hope Hospice, the organization became the largest independent nonprofit hospice network in Northern California. The portfolio includes residential facilities (The Grove inpatient hospice center, Mission House), community-based programs (Transitions Program, dementia caregiver resources), and youth grief support (By the Bay Camp). All services are delivered through a trans-disciplinary team approach including physicians, nurses, social workers, spiritual support counselors, home health aides, and therapists.

Differentiator

Problem solved

Functional benefit

Products and services

• Hospice Care End-of-life care for individuals with a terminal illness and a life expectancy of six months or less, focused on comfort, pain management, and emotional and spiritual support for patients and their families; Medicare Part A covers the benefit for eligible patients.
• Skilled Home Health Care Home-based skilled nursing and rehabilitation services including physical therapy, occupational therapy, wound care, and medication management to support recovery, independence, and chronic disease management at home following hospitalization or for ongoing conditions.
• Palliative Care Specialized medical care for patients with chronic, progressive, or life-limiting illness that focuses on relieving symptoms, pain, and stress to improve quality of life alongside ongoing curative treatment.
• Pediatric Care Comprehensive care programs for children with chronic and serious illness, including medical, emotional, and family support, plus respite care, delivered through developmentally appropriate pediatric clinical teams.
• Grief Support Services Bereavement counseling, individual and group support, community education, and By the Bay Camp — a summer grief-support camp for youth and teens who have experienced the loss of a loved one.
• The Grove Inpatient Hospice and Comfort Care Center Marin County's first dedicated inpatient hospice and comfort care center, operated in partnership with The Redwoods Seniors Community in Mill Valley, offering 12 fully appointed suites for hospice patients who cannot remain in their own homes.
• Mission House Residential Hospice The only residential hospice house on the San Francisco Peninsula, providing homelike end-of-life care as a partnership program of By The Bay Health following the Mission Hospice & Home Care merger.
• By the Bay Camp Summer bereavement camp for youth and teens who have experienced the loss of a loved one, providing therapeutic activities, peer connection, and grief-coping support.
• Transitions Program Transitional care program designed to help patients move between levels of care, providing continuity and support during transitions from curative to comfort-focused or palliative to hospice care.
• Hodgepodge Thrift Stores Two retail thrift stores operating in San Rafael and Novato whose combined revenue (approximately $740,000 in 2019) supports By The Bay Health hospice and community programs.
• Dementia Caregiver Resources Specialized support services and educational resources addressing the unique challenges of caregivers supporting patients with dementia within the hospice and palliative care context.

Quantifiable outcome

• Serves 1,100+ patients per day
• +2 more outcomes

Named customers4 records

Segments6 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Nine partnerships are on record, tiered flagship and core.

• Marin County Office of EducationflagshipStrategic or Co-development Partner · 3 December 2024Strategic workforce initiative launching Career Technical Education course at San Marin High School to address healthcare talent shortage. Part of Pathways to Care Careers initiative to develop future healthcare workforce.
• Novato Unified School DistrictflagshipStrategic or Co-development Partner · 3 December 2024Partnership to pilot Introduction to World of Healthcare CTE course at San Marin High School starting Spring 2025. Course covers healthcare professions, medical ethics, communication, public health, and emerging trends.
• Mission Hospice & Home CarecoreStrategic or Co-development Partner · 30 November 2023Triple merger completed November 2023 to form largest independent nonprofit hospice network in Northern California. Mission Hospice, founded in 1979, served San Francisco Peninsula and South Bay. Combined organization serves 1,100+ patients daily with 600 staff and 500+ volunteers.
• Hope HospicecoreStrategic or Co-development Partner · 30 November 2023Triple merger completed November 2023. Hope Hospice, founded in 1980, served Tri-Valley and East Bay with approximately 750 hospice patients annually plus palliative care and dementia education services.
• UCSF HealthcoreStrategic or Co-development PartnerBy the Bay Health is a nonprofit affiliate of UCSF Health, recognized worldwide for innovative patient care, advanced technologies, and pioneering research. This affiliation provides academic medical center integration and access to latest medical knowledge.
• Dominican University of CaliforniacoreStrategic or Co-development PartnerInternship program at Dominican University's School of Nursing Program as part of Pathways to Care Careers initiative to create healthcare career pathways.
• College of MarincoreStrategic or Co-development PartnerExploration of nursing careers ladder program as part of Pathways to Care Careers initiative to develop healthcare workforce.
• The Redwoods Seniors CommunitycoreStrategic or Co-development PartnerPartnership to operate The Grove - Marin County's first and only dedicated inpatient hospice and comfort care center with 12 fully appointed suites in Mill Valley.
• Kaiser PermanentecoreStrategic or Co-development PartnerHealthcare system partnership providing continuum of care for seriously ill patients and families throughout Bay Area.

Scale indicators9 records

Recent moves11 records

Expansion highlights5 records

Broad incumbents

• VITAS Healthcare (Chemed Corporation): Largest hospice provider in the United States and a division of Chemed Corporation. Directly comparable hospice and palliative care service model, but operates nationally as part of a much larger, publicly traded, for-profit enterprise.
• Encompass Health: Large publicly traded provider offering home health and hospice services alongside inpatient rehabilitation. Comparable home health and hospice lines with broader healthcare portfolio.

Direct peers

• Amedisys: Major hospice and home health provider with overlapping service lines (hospice, palliative, home health). Publicly traded for-profit that competes for referral relationships and clinical staff in overlapping geographies.
• Gentiva: National hospice and palliative care provider formed from the home health divestiture of Kindred at Home. Closely comparable core offering of hospice and palliative services with similar patient populations and referral-driven model.
• Compassus: National hospice, palliative, and home health provider operating in a similar not-for-profit affiliated model in some markets. Directly comparable across service mix and patient populations.
• HopeHealth: Nonprofit hospice and palliative care organization serving Massachusetts and Rhode Island with a similar mission-driven, multi-site community hospice model and integrated grief support programming.
• Hospice of the Valley (Arizona): One of the largest nonprofit hospice providers in the U.S. serving the Phoenix metro area. Highly comparable in mission, multi-service model (hospice, palliative, home health, grief support), and nonprofit community-based structure.
• Chapters Health System: Nonprofit hospice and palliative care network operating in Florida. Similar community-based nonprofit model with integrated hospice, palliative, and grief support services across a multi-county footprint.
• Ohio's Hospice: Nonprofit collaborative hospice network serving Ohio. Comparable multi-organization partnership model, similar mission-driven hospice and palliative service portfolio, and geographic concentration in a single state.

Regional players

• Sutter Care at Home: Northern California-based home health, hospice, and palliative care provider affiliated with Sutter Health. Directly comparable hospice/palliative service model in overlapping Bay Area geography, with a health-system affiliation rather than independent nonprofit structure.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xx.com/ByTheBayHealth

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about By The Bay Health