Institute on Aging

What Institute on Aging does

Institute on Aging (IOA) is a San Francisco-based 501(c)(3) nonprofit organization founded in 1985 (with roots to a 1975 Mount Zion Hospital initiative that created the nation's first adult day health center in a US community hospital) that delivers a comprehensive portfolio of aging and disability support services to older adults, family caregivers, veterans, and adults with disabilities across the San Francisco Bay Area and 13+ California counties. Its core offerings include Support at Home (hourly to 24/7 in-home personal and dementia care), Compania (a bundled comprehensive dementia care program), the Enrichment Center (a dementia-specific adult day program at the Presidio), On Lok PACE (Program of All-Inclusive Care for the Elderly), Care Management services including CalAIM Enhanced Care Management, a 24/7 multilingual Friendship Line crisis and emotional support hotline (the only accredited senior crisis line in the US), a Veterans Benefits Protection Project, and Elder Abuse Prevention — delivered through 20+ integrated programs accessed via a single CONNECT call center gateway. The organization serves more than 67,000 individuals annually and fields over 11,000 Friendship Line calls per month in eight languages.

IOA operates a hybrid revenue model: government contracts and grants (Medi-Cal waivers, VA benefits, SF Department of Disability and Aging Services, California Department of Aging), private-pay in-home care (hourly, overnight, 24/7 live-in, with long-term care insurance accepted but Medicare/Medi-Cal not billed for Support at Home), and philanthropic donations from individuals, foundations, and corporate sponsors (including a first-ever exclusive presenting sponsor, Sutter Health, for its 2026 annual gala). Service delivery is regional, direct, and labor-intensive — caregivers, care managers, PACE teams, and crisis-line staff serve clients in homes, at the Enrichment Center, at PACE sites, and via phone — supplemented by a digital content and community-event marketing layer (website, blog, social channels, annual gala, Cable Car Caroling). The organization is governed by an independent board, led by President & CEO J. Thomas Briody, and recognized with consecutive Home Care Pulse Best of Home Care awards every year since 2021 and the 2026 Candid Platinum Seal of Transparency.

Name

Institute on Aging

Legal name

Institute on Aging

Website

https://ioaging.org

Company type

Private

Founded year

1985

Operating status

Operating

Headcount range

51–100 employees

Short description

Institute on Aging is a San Francisco 501(c)(3) nonprofit delivering integrated in-home care, dementia programs, PACE services, care management, and a 24/7 senior crisis line to older adults, caregivers, and veterans across the Bay Area and 13+ California counties, serving more than 67,000 individuals annually.

Ownership category

akta.pro rank

Product category

Senior Care and Aging Services

NAICS

Services for the Elderly and Persons with Disabilities (624120), Services for the Elderly and Persons with Disabilities (62412), Nursing and Residential Care Facilities (623), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (62331)

SIC

Services-Social Services (8300), Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050), Services-Health Services (8000)

akta.pro industry

PRIMARYBPAGAEAF

Elder Services & Aging Support

Business & Public Services/Nonprofit, NGO & Social Services/Social Services & Community Support (Food, Housing, Family)

SECONDARYHLADAIAJ

Community-Based Senior Centers with Adult Day Services

Healthcare & Life Sciences/Elder Care & Long-Term Care/Adult Day Health Care & Senior Day Care

SECONDARYHSABANAK

Senior Social Clubs & Community-Based Day Programs (Non-Clinical)

Home & Personal Services/Elder Care & In-Home Care Services/Adult Day Care & Senior Day Programs

SECONDARYHLADABAC

Assisted Living with Enhanced Care / High-Acuity (Aging-in-Place)

Healthcare & Life Sciences/Elder Care & Long-Term Care/Assisted Living Facilities

SECONDARYEDAAAMAB

Community & Senior Center Lifelong Learning Programs

Education/Adult & Continuing Education/Adult Learning for Seniors (Third Age / Lifelong Learning Institutes)

Keywords

• Aging support services
• In-home caregiving
• Dementia care programs
• Care management
• Senior emotional support

Headquarters

HQ city

Milano

HQ country

Italy

HQ region

Europe

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Others

Revenue model

1. Government Contracts and Grants: IOA receives funding from government sources including Medi-Cal waivers, VA benefits billing, and city/county departments for services like Elder Abuse Prevention and Temporary Respite Caregiver Support. Services are often billed directly through VA or public programs.
2. Private Pay Services: Support at Home in-home care services are paid privately by families. The organization helps families navigate long-term care insurance, HSAs, and private payment options.
3. Donations and Philanthropy: As a 501(c)(3) nonprofit, IOA relies on charitable donations from individuals, foundations, and corporate sponsors. The annual gala and events raise funds for programs and services.

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels12 records

Core offering

Institute on Aging is a 501(c)(3) nonprofit that delivers comprehensive aging support services to older adults and adults with disabilities, including in-home personal care (Support at Home), comprehensive dementia care (Compania), adult day programming (Enrichment Center), 24/7 multilingual emotional support (Friendship Line), Program of All-Inclusive Care for the Elderly (On Lok PACE), care management across California counties, caregiver coaching, and elder abuse prevention, accessed through a single CONNECT gateway.

Product overview

Institute on Aging operates as a nonprofit organization offering a comprehensive portfolio of aging support services rather than a single unified software product. The core offerings include Support at Home (personalized in-home caregiving), Compania (comprehensive dementia care combining in-home care, enrichment programs, and caregiver coaching), The Enrichment Center (dementia-specific day program), Friendship Line (24/7 emotional support hotline in 8 languages), On Lok PACE (all-inclusive elderly care), Care Management (multi-county coordination), Community Programs (20+ aging support programs), Veterans Benefits services, and Elder Abuse Prevention. The organization serves the San Francisco Bay Area and broader California through direct care delivery rather than a technology platform.

Differentiator

Problem solved

Functional benefit

Brands

• Compania: Comprehensive dementia care program that combines in-home care, structured daily enrichment programs, caregiver coaching, and ongoing care management for older adults and their caregivers in the San Francisco Bay Area.

Products and services

• Support at Home In-home caregiving services providing personalized assistance with daily routines, personal care, mobility, medication management, companionship, and specialized dementia care available hourly, overnight, or 24/7 throughout the San Francisco Bay Area.
• Compania Comprehensive dementia care program combining in-home care, structured daily enrichment programs, caregiver coaching, and ongoing care management led by dementia-trained professionals for older adults and their families in the San Francisco Bay Area.
• The Enrichment Center Dementia-specific day program located in San Francisco's Presidio offering daily cognitive engagement, social connection, group exercise, creative arts, outdoor excursions, and caregiver respite in a supervised setting with transportation for San Francisco and Marin clients.
• Friendship Line 24/7 toll-free emotional support hotline (888.670.1360) offering confidential counseling, crisis intervention, grief support, and ongoing outreach calls for older adults, seniors, caregivers, and adults with disabilities. Available in 8 languages including English, Spanish, Cantonese, Mandarin, Korean, Tagalog, Vietnamese, and Russian. Accredited by the American Association of Suicidology.
• On Lok PACE Program of All-Inclusive Care for the Elderly providing comprehensive medical care, home care, transportation, meals, and social services to help seniors age in the community instead of nursing homes. Partnership with On Lok, which founded PACE.
• Care Management Care coordination services including Community Living Fund, CalAIM Enhanced Care Management, AAA Care Management, and Community Living Connection providing intensive to moderate care management for vulnerable older adults and those with disabilities across multiple California counties.
• Community Programs Portfolio of over 20 programs including Aging and Disability Resource Centers, Community Based Alternative Services, Elder Abuse Prevention, Support in Independent Living, and Temporary Respite Caregiver Support.
• Veterans Benefits Services VA-covered in-home support and daytime programs for veterans including up to 16 hours per week of non-medical in-home care (24 hours for hospice veterans) and coordination with VA care teams.
• San Francisco Veterans Benefits Protection Project Program helping veterans and their families access and maintain VA benefits while protecting against financial scams targeting veterans. Partnership with CANHR, California Department of Insurance, California Office of the Attorney General, SF Department of Disability and Aging Services, SF Adult Protective Services, SF County Veterans Services Office, SF Ombudsman, SF Veterans Affairs Commission, and Swords to Plowshares.
• Temporary Respite Caregiver Support Short-term grants for in-home respite care and Adult Day program services funded by the San Francisco Department of Disability and Aging Services.
• Elder Abuse Prevention Program

Quantifiable outcome

• 91% of clients would recommend IOA programs
• +4 more outcomes

Named customers9 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

16 partnerships are on record, tiered flagship, core and minor.

• Sutter HealthflagshipGTM or Marketing Partner · 12 May 2026Sutter Health is IOA's first exclusive presenting sponsor for the annual Joining Hearts, Changing Lives gala. This partnership reflects the strength of IOA's relationships and shared belief in expanding access to care and support for aging adults.
• On LokcoreStrategic or Co-development PartnerOn Lok founded the Program of All-Inclusive Care for the Elderly (PACE) and has successfully contracted with IOA to offer On Lok PACE at IOA locations. This partnership provides comprehensive healthcare and senior services to help adults age with dignity in the community.
• California Advocates for Nursing Home Reform (CANHR)coreStrategic or Co-development PartnerPartner in the San Francisco Veterans Benefits Protection Project, focused on detecting fraud, responding effectively to complaints, and stopping scammers targeting veterans.
• California Department of InsurancecoreStrategic or Co-development PartnerPartner in the San Francisco Veterans Benefits Protection Project addressing veteran benefit scams and fraud prevention.
• California Office of the Attorney GeneralcoreStrategic or Co-development PartnerPartner in the San Francisco Veterans Benefits Protection Project addressing veteran benefit scams and fraud prevention.
• San Francisco Department of Disability and Aging ServicescoreStrategic or Co-development PartnerPrimary government partner funding programs including Temporary Respite Caregiver Support grants. Coordinates elder services and protections throughout San Francisco.
• San Francisco Adult Protective ServicescoreStrategic or Co-development PartnerPartner in the San Francisco Veterans Benefits Protection Project focused on protecting veterans from financial exploitation and fraud.
• San Francisco County Veterans Services Office (CVSO)coreStrategic or Co-development PartnerPartner in helping veterans access and maintain VA benefits, including fiduciary and advocacy support. CVSO can help file PACT Act related claims.
• San Francisco OmbudsmanminorStrategic or Co-development PartnerPartner in the San Francisco Veterans Benefits Protection Project addressing veteran welfare and protection.
• San Francisco Veterans Affairs CommissionminorStrategic or Co-development PartnerPartner in the San Francisco Veterans Benefits Protection Project addressing veteran benefits and services.
• Swords to PlowsharescoreStrategic or Co-development PartnerVeterans' services organization partner in the San Francisco Veterans Benefits Protection Project providing advocacy and support for veterans.
• UCSF Medical CentercoreStrategic or Co-development PartnerLong-standing partnership with UCSF for geriatric education, research, and clinical training. IOA is a community partner in UCSF's Northern California Geriatric Education Center.
• Mount Zion HospitalcoreStrategic or Co-development PartnerHistorical partnership dating to 1975 when Mount Zion opened the nation's first adult day health center. IOA originated under Mount Zion's umbrella before becoming independent in 1985.
• California Pacific Medical CentercoreStrategic or Co-development PartnerHealthcare partner in providing integrated aging services and care coordination for older adults in the Bay Area.
• SF Department of Aging and Adult ServicescoreStrategic or Co-development PartnerCity government partner coordinating aging services and elder abuse prevention programs in San Francisco.
• Dick Levy (Individual Honoree)coreOthersDick Levy's leadership helped shape healthcare and aging services in the community. His early support of the Acute Care Transition (ACT) pilot led to care managers being embedded in SF emergency departments.

Scale indicators9 records

Recent moves8 records

Expansion highlights5 records

Direct peers

• On Lok: Bay Area-based nonprofit that founded the Program of All-Inclusive Care for the Elderly (PACE) and operates a comprehensive medical, social, and daily-living model for frail seniors. On Lok is a direct co-delivery partner of IOA at IOA locations, making it the closest comparable in mission, geography, and service mix.
• Family Caregiver Alliance: San Francisco-based nonprofit providing caregiver support, care planning, and education for families caring for adults with chronic conditions or aging-related disabilities. Directly comparable in Bay Area nonprofit status, caregiver coaching focus, and aging/disability population served.
• Visiting Angels: National franchised network providing non-medical in-home care services (companionship, personal care, dementia care) to seniors. Directly comparable to IOA's Support at Home service in offering, customer (older adults and family caregivers), and hourly/overnight/24-7 care delivery model.
• Senior Helpers: National in-home senior care franchise offering personal care, companionship, and dementia and Alzheimer's care. Closely comparable to IOA Support at Home and Compania dementia-focused offerings, serving a similar older-adult persona with similar service cadence.
• Comfort Keepers: Franchised provider of in-home care, including personal care, companionship, and specialized dementia and Alzheimer's support. Comparable to IOA in targeting older adults aging in place with non-medical and personal care services across multiple US markets.
• Right at Home: International in-home care franchise providing personal care, companionship, and specialized senior services including dementia and Parkinson's care. Directly comparable to IOA Support at Home in service portfolio and senior care customer base.
• Help at Home: Large US provider of personal care services to elderly and disabled clients in their homes, often funded through Medicaid waivers. Closely comparable to IOA Support at Home in service type, payer mix (Medi-Cal/Medicaid equivalent), and target population.

Broad incumbents

• Amedisys: Large publicly traded home health and hospice provider offering skilled nursing, therapy, and personal care across the US. Overlaps with IOA Support at Home on home-based care delivery but operates as a broad incumbent at significantly larger scale.
• BrightSpring Health Services: Diversified home and community health platform providing pharmacy, home health, hospice, and personal care services. Comparable to IOA on community-based elder services delivery but operates as a broad, scaled incumbent with multiple service lines.

Emerging players

• Alzheimer's Association: National nonprofit providing dementia education, care consultation, support groups, and a 24/7 helpline. Comparable to IOA on dementia caregiver support and emotional-support services (similar in concept to Friendship Line), but focuses on national advocacy and information rather than in-home service delivery.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/IOASFBAY
• YouTubeyoutube.com/@InstituteonAging
• Facebookfacebook.com/IOASFBAY
• LinkedInlinkedin.com/company/monster-italia-srl
• Instagraminstagram.com/ioaging

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds1 record

Investors1 record

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M&A

Investments

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

Frequently asked questions about Institute on Aging