Pathways Home Health and Hospice

What Pathways Home Health and Hospice does

Pathways Home Health and Hospice is a California-based, nonprofit home health and hospice provider founded circa 1977 that operates as part of the CommonSpirit Health at Home network under the larger CommonSpirit Health system. The company delivers four core service lines from its headquarters at 585 North Mary Avenue in Sunnyvale: home health care (skilled nursing, wound care, rehabilitation, chronic disease management), hospice care (pain and symptom management, 24/7 nursing, pharmacy review, vigil volunteers, dementia care), bereavement support (counseling, support groups, memorial services, holiday programming for families up to 13 months post-loss), and specialized veterans services delivered through the We Honor Veterans program and partnerships with local VA facilities. Care is delivered across five Bay Area locations in Sunnyvale, San Francisco, and Alameda, supplemented by telehealth and remote video visit capabilities that allow daily vital-sign capture via tablet or smartphone and secure nurse communications.

The business model combines fee-for-service reimbursement from Medicare (hospice benefit covering medications, equipment, and supplies for terminal diagnoses; home health benefit for homebound skilled-care patients), Medi-Cal, senior HMOs, regular HMOs, and private insurance with philanthropic revenue channeled through the Pathways Foundation sub-brand (charitable gifts, grants, planned giving, and stock gifts processed via Wells Fargo Advisors). Specific pricing is not publicly disclosed because rates are negotiated individually with payers; an online donation portal (GiveDirect) and brokerage account are the principal philanthropic intake channels. Go-to-market is primarily referral-led: physicians, hospitals, and discharge planners drive the bulk of patient acquisition, supplemented by direct patient/family inquiry via an 888 number and online referral form, and by community programming that includes the annual One from the Heart Awards Breakfast, seasonal memorial services, and a volunteer corps that serves as community ambassadors.

Pathways employs 101-250 staff and is ACHC-accredited (the same body that accredits hospitals) plus HIPAA-compliant. The technology stack is intentionally modest, centered on telehealth delivery, a comprehensive home-delivered medication management program, Patient Notebook for billing, Better Impact for volunteer management, and Zoom for grief counseling rather than on proprietary AI/ML or a proprietary clinical platform. Core competitive differentiators include being one of the nation's first hospice providers, a 24/7 nurse hotline, an embedded pharmacy medication-review team, and an unusually extensive bereavement and memorial programming footprint.

Name

Pathways Home Health and Hospice

Legal name

Pathways Home Health and Hospice

Website

https://pathwayshealth.org

Company type

Private

Founded year

1977

Operating status

Operating

Headcount range

101–250 employees

Short description

Pathways Home Health and Hospice is a California nonprofit providing home health, hospice, bereavement, and veteran services across the San Francisco Bay Area as part of the CommonSpirit Health at Home network, funded through Medicare/Medi-Cal reimbursement and the Pathways Foundation.

Ownership category

akta.pro rank

Product category

Home Health and Hospice Care

NAICS

Home Health Care Services (6216)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Skilled Home Health (Medicare-Certified) Agencies (HLAFAEAA)

akta.pro secondary industries

Home Hospice Agencies (HLAFAEAC), In-Home Hospice Nursing Visits (RN/LPN) (HSABAFAL), In-Home Hospice Physician / Nurse Practitioner Visits (HSABAFAM), End-of-Life Emotional & Spiritual Support (Chaplaincy/Counseling) In-Home (HSABAFAH), End-of-Life 24/7 In-Home Care (Hospice Support) (HSABAHAG), Community-Based Palliative Care (Home-Based Non-Hospice) (HLADAHAH)

Keywords

• Home health care
• Hospice care services
• Palliative care
• Bereavement support
• Telehealth monitoring

Headquarters

HQ city

Sunnyvale

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medicare Reimbursement: Hospice is a benefit covered under Medicare. Medicare pays for medications, medical equipment and supplies related to the life-threatening disease. Home health services are covered when ordered by a doctor for homebound patients requiring skilled care.
2. Medi-Cal Reimbursement: California Medicaid program covering home health and hospice services for eligible patients.
3. Private Insurance / HMO: Hospice and home health covered under senior HMOs, regular HMOs and private insurance plans. Staff determines coverage and completes necessary paperwork.
4. Charitable Donations: Pathways Foundation generates vital funding through charitable gifts, grants, and community partnerships. Donations support services for un/underinsured individuals, 24/7 Dream Team, Bereavement Support Program, We Honor Veterans, and Advanced Care Planning.

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

Pathways Home Health and Hospice delivers in-home skilled nursing, hospice, and bereavement care to patients across the California Bay Area, with locations in Sunnyvale, San Francisco, and Alameda. The organization operates as part of the CommonSpirit Health at Home network and provides specialized programs including telehealth-based remote monitoring, veteran-focused care through the We Honor Veterans program, and a Pathways Foundation that funds services for un/underinsured individuals.

Product overview

Pathways Home Health and Hospice offers a coordinated suite of home-based health care services centered around four core offerings: Home Health Care, Hospice Care, Grief Support, and Veterans Services. The Home Health Care and Hospice Care services form the primary care delivery platform, while Grief Support and Veterans Services provide specialized population-focused programs. Additional offerings include Telehealth and Remote Video Visits for virtual care delivery, a comprehensive Medication Management Program, and an extensive Volunteer Program. The Pathways Foundation supports operations through charitable giving and planned giving programs. The organization is part of CommonSpirit Health at Home and is accredited by ACHC.

Differentiator

Problem solved

Functional benefit

Brands

• Pathways Foundation: Generates vital funding for programs and services at Pathways through charitable gifts, grants, and community partnerships.

Products and services

• Home Health Care Services Medical treatment and skilled care delivered in patients' homes for those recovering from illness, injury, or surgery, managing chronic disease, or coping with life-threatening conditions. Includes specialized programs for heart failure, COPD, pneumonia, wound care, diabetic education, stroke recovery, and fracture/joint rehabilitation. Covered by Medicare, Medi-Cal, and private insurance when ordered by a physician for homebound patients with a skilled need.
• Hospice Care Services End-of-life care for patients with life-limiting illness and a prognosis of 6 months or less, providing physical, emotional, and spiritual support. Includes pain and symptom management, 24/7 nursing availability, vigil volunteers during final hours, pharmacy review to minimize medication side effects, a specialized dementia program, and care for cancer, emphysema, Alzheimer's, heart failure, kidney disease, COPD, and Parkinson's patients. Covered under Medicare for medications, medical equipment, and supplies related to the terminal diagnosis.
• Grief Support Services Bereavement services including individual grief counseling, grief support groups, memorial services, workshops, and the Pathways Through the Holidays program. Available to Pathways hospice families and to any community member who has experienced a death within the past 13 months at no cost.
• Veterans Services Specialized hospice and home health care for veterans addressing military-service-related health risks including PTSD, traumatic injuries, and chemical exposures. Includes veteran pinning ceremonies, certificate presentations, assistance navigating VA benefits, trauma-informed care, and coordination with local VA facilities for optimal care.

Quantifiable outcome

• Research shows that people who have hospice generally live longer than people with the same conditions who do not have hospice.

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

Feature4 records

Partnerships

Six partnerships are on record, tiered core and minor.

• Skylawn Funeral Home and Memorial ParkcoreStrategic or Co-development PartnerCo-sponsor of the Afternoon of Remembrance Memorial Service held annually at Skylawn Memorial Park. The partnership creates a shared experience of readings, reflections, music, and flower arrangements for grieving families in the community.
• Shiva.comminorGTM or Marketing PartnerProvides information about Jewish mourning traditions, Shiva customs and planning. Offered as a resource on Pathways' grief support page to help families with Jewish mourning practices.
• CommonSpirit Health at HomecoreStrategic or Co-development PartnerParent organization part of CommonSpirit Health, one of the largest healthcare systems in the United States. Pathways operates as part of the CommonSpirit Health at Home network, providing alignment with a major healthcare system and access to resources and best practices.
• Local VA FacilitiescoreStrategic or Co-development PartnerPathways partners with local VA facilities to coordinate optimal care for veteran patients. Staff trained in special needs of veterans and knowledgeable about factors determining eligibility for specialized VA services.
• We Honor Veterans ProgramcoreStrategic or Co-development PartnerNational program that Pathways participates in to provide specialized care to veterans. Includes pinning ceremonies recognizing veterans' service, certificate presentations, and education about veteran benefits.
• Wells Fargo AdvisorsminorOthersBrokerage account used for receiving stock gifts. Contact: Ashkahn Moayedi at Wells Fargo Advisors, 1950 University Avenue, Ste. 300, East Palo Alto, CA.

Scale indicators2 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• VITAS Healthcare: VITAS Healthcare is the largest hospice provider in the United States, offering routine home hospice care, palliative care, and 24/7 clinical support across multiple states. Directly comparable to Pathways on hospice service line, interdisciplinary care model, and Medicare reimbursement model.
• Amedisys: Amedisys is a leading home health, hospice, and high-acuity care provider operating across the U.S. with a similar combined home health and hospice service model to Pathways. Recently entered into a merger agreement with UnitedHealth Group/Optum, reflecting industry consolidation pressure that also bears on Pathways' parent CommonSpirit.
• Compassus: Compassus operates home health, hospice, palliative care, and home infusion programs across more than 30 states with an interdisciplinary clinical model. Its combined home health and hospice offering and similar referral-driven GTM make it a close direct peer to Pathways.
• Gentiva (formerly Kindred at Home): Gentiva is a national hospice and home health provider operating across the U.S. after spinning out of Humana. Directly competes with Pathways in hospice and palliative care delivery with a similar Medicare-reimbursement-driven revenue model and interdisciplinary team structure.
• Encompass Health: Encompass Health is a national post-acute provider offering inpatient rehabilitation and a home health and hospice segment (recently separated as Enhabit). Its skilled home health operations and Medicare-certified model closely mirror Pathways' clinical scope and referral-driven GTM.
• LHC Group (now part of Optum): LHC Group is a large national home health and hospice operator, now part of Optum/UnitedHealth Group. Comparable to Pathways on skilled home health service delivery, hospice offering, and physician-referral-based GTM, though at significantly larger national scale.
• By the Bay Health: By the Bay Health (formerly Hospice by the Bay) is a Bay Area-based non-profit hospice and home health provider founded in 1975 — a near-pioneer peer to Pathways operating in overlapping Sunnyvale, San Francisco, and Marin geographies with a similar mission-driven non-profit model and bereavement program.
• Addus HomeCare: Addus HomeCare provides personal care, home health, and hospice services across the U.S., including California. Comparable to Pathways on home and community-based service delivery and Medicaid/Medicare reimbursement exposure, though with a heavier personal care mix.

Regional players

• Sutter Care at Home: Sutter Care at Home is the home health and hospice affiliate of Sutter Health, a major Northern California integrated delivery network. Operates in overlapping Bay Area geographies with Pathways and competes directly for hospital system referrals, though backed by a different parent health system.

Broad incumbents

• Brookdale Hospice: Brookdale Senior Living operates one of the largest senior living platforms in the U.S. and includes Brookdale Hospice as part of its home-based care continuum. Comparable to Pathways on hospice service delivery and senior-focused care, though as a much larger diversified senior housing incumbent.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/PathwysHealth

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

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 Pathways Home Health and Hospice