What Bailey-Boushay House does

Bailey-Boushay House is a Seattle-based 501(c)(3) non-profit healthcare organization that serves people living with HIV/AIDS. Founded in 1992 with $6.3 million raised from more than 6,000 donors, the organization opened as a 35-bed inpatient skilled nursing facility and simultaneously launched the first HIV Outpatient Program in the Pacific Northwest. The facility is operated by Virginia Mason Medical Center under a partnership established at founding, with the Virginia Mason team having contributed more than $3 million since 1994, including $300,000 from 500+ team members in 2018 alone.

The organization's service portfolio spans the clinical-to-social continuum: inpatient skilled nursing, outpatient HIV specialty care, chemical dependency outreach, and since 2018 a 50-bed HIV-exclusive homeless shelter - the first facility of its kind in the region - and a Food Bag Program addressing food insecurity. Revenue is generated through a mix of federal and state healthcare reimbursements (notably Medicaid), municipal contracts (City of Seattle for the shelter), foundation grants (including an initial Robert Wood Johnson Foundation grant), and individual philanthropy. Economically, the organization is a single-site, single-mission provider; there is no signal of geographic expansion beyond the Seattle metropolitan area.

The underlying care model is labor-intensive rather than technology-intensive, anchored by the highest nurse-to-patient ratio in Washington State, and differentiated by the integration of clinical, behavioral health, and housing services within one campus. With reportedly 501-1,000 staff and a 35-bed inpatient unit plus 50-bed shelter plus outpatient program, the organization operates at meaningful scale relative to its specialized mission, supported by a durable institutional anchor (Virginia Mason) and a long-tenured donor base.

Name

Bailey-Boushay House

Legal name

Bailey-Boushay House

Website

https://baileyboushay.org

Company type

Private

Founded year

1992

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Bailey-Boushay House is a Seattle-based non-profit healthcare organization serving people living with HIV/AIDS through inpatient skilled nursing, outpatient care, chemical dependency programs, and a 50-bed HIV-exclusive homeless shelter.

Ownership category

akta.pro rank

Product category

Specialty HIV/AIDS and end-of-life healthcare services

NAICS

Other Residential Care Facilities (62399), Temporary Shelters (624221), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Skilled Nursing Care Facilities (8051), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Nursing Homes (Non-SNF) (HLAFAFAC)

akta.pro secondary industries

Facility-Based Respite (Assisted Living/SNF/Memory Care Short Stays) (HLADAKAB), Adult Day Health Care (ADHC) / Medical Model Day Programs (HSABANAB), Housing Assistance & Homeless Services (BPAGAEAB)

Keywords

• HIV/AIDS care
• Skilled nursing facility
• End-of-life care
• Homeless shelter services
• Outpatient day program

Headquarters

HQ city

Seattle

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Others

Revenue model

1. Donations and Philanthropy: Bailey-Boushay House is almost entirely funded by donations. The organization was originally funded by over 6,000 donors who raised $6.3 million at founding. Virginia Mason team members have donated $3 million since opening in 1994, with 500+ team members donating $300,000 in 2018 alone.
2. Government Healthcare Programs: Medicaid coverage for skilled nursing care. The organization also administers federal rental assistance programs for homeless clients with HIV.
3. Private Pay: Private payment option available for inpatient care at a daily rate for those without insurance coverage.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels5 records

Core offering

Bailey-Boushay House operates a 35-bed inpatient skilled nursing facility and an outpatient day program providing medical care, medication management, and support services for individuals with HIV/AIDS. The organization also runs the first and only homeless shelter exclusively for people with HIV in the country, alongside end-of-life care for ALS, Huntington's disease, and cancer patients, and a harm-reduction chemical dependency outreach program.

Product overview

Bailey-Boushay House operates as a comprehensive care organization offering a portfolio of interconnected programs for people with HIV/AIDS and related complex conditions. The core offerings include a 35-bed inpatient skilled nursing facility providing complex medical care and end-of-life services, an HIV Outpatient Program with medication management and mental health support, and a Chemical Dependency Outreach Program using harm-reduction approaches. Supporting services include a 50-bed homeless shelter exclusively for people with HIV, a Housing Stability Project with federal rental assistance and life skills training, Complementary Therapies (massage, music, art), and a Nutrition Program. These programs work together to address the multifaceted needs of marginalized clients, providing medical care, shelter, food, mental health support, and housing assistance in a coordinated, dignity-focused approach.

Differentiator

Problem solved

Functional benefit

Products and services

• Inpatient Complex Care Program A 35-bed licensed skilled nursing home providing around-the-clock complex medical care for people with HIV/AIDS, including end-of-life care for patients with HIV, ALS, Huntington's disease, and cancer with a life expectancy of less than six months.
• HIV Outpatient Program Comprehensive outpatient services for people with HIV including medication management, nursing care, hot meals, mental health services, and a structured day program supporting medication adherence with a 90% adherence rate.
• Chemical Dependency Outreach Program Harm-reduction based one-on-one chemical dependency counseling and emotional support for people with HIV who cannot succeed in traditional abstinence-based programs, meeting clients wherever they feel safe.
• Medication Management Individualized medication packets with separate doses labeled by day and time, prescription transfer services through Kelley-Ross Pharmacy, and support for medication adherence to achieve viral suppression.
• Homeless Shelter A 50-bed overnight shelter exclusively for homeless people with HIV, the first and only shelter of its kind in the country, providing cots, blankets, privacy dividers, and a safe environment for the most vulnerable clients.
• Housing Stability Project Federal rental assistance program combined with life skills curriculum including housing plans, rental applications, stress management, conflict resolution, and counseling to transition homeless clients into permanent housing.

Quantifiable outcome

• 90% medication adherence rate compared to 20% national average for people who are mentally ill, chemically dependent, or homeless
• +2 more outcomes

Named customers3 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

Partnerships

Three partnerships are on record, tiered core and minor.

• Virginia Mason Medical CentercoreStrategic or Co-development Partner · 1 January 1992Virginia Mason operates Bailey-Boushay House as a not-for-profit facility. When other hospitals backed out during BBH's founding, Virginia Mason stepped forward to operate the facility and continues to do so today. BBH employees are paid as Virginia Mason hospital employees with competitive pay and benefits.
• City of SeattlecoreOthersThe City of Seattle provides funding for Bailey-Boushay House's homeless shelter, which serves as the first and only shelter in the country exclusively for people with HIV.
• African American Reach and Teach Health (AARTH)minorStrategic or Co-development PartnerBBH partners with AARTH to describe and measure healthcare disparities in the region. AARTH is a Seattle-based organization that works to bridge gaps in healthcare by providing health education and training to organizations serving people of African descent.

Scale indicators10 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Howard Brown Health: Chicago-based LGBTQ-focused community health center providing primary care, behavioral health, and specialized HIV/AIDS services. Comparable as a multi-disciplinary nonprofit health center addressing HIV care and vulnerable populations.
• Housing Works: NYC nonprofit operating integrated HIV/AIDS healthcare clinics and supportive housing for people living with HIV/AIDS. Highly comparable to BBH's combined medical care and housing stability mission.
• Harlem United: NYC-based nonprofit providing integrated HIV/AIDS healthcare, housing, and supportive services to vulnerable populations. Closely matches BBH's model of combining clinical care, housing, and wraparound services for HIV+ individuals.

Regional players

• EvergreenHealth: Seattle-area health system providing HIV specialty care and infectious disease services. Comparable geographic market and HIV clinical services, though not focused on residential or housing services for the HIV+ population.

Emerging players

• San Francisco AIDS Foundation: Provides HIV prevention, testing, and care navigation services in San Francisco. Comparable mission but focuses on community-based services rather than residential skilled nursing or shelter operations.
• HealthRIGHT 360: California-based nonprofit providing integrated medical, mental health, and substance use treatment including HIV care. Overlaps with BBH's harm reduction and HIV services for vulnerable populations, though focuses less on skilled nursing.
• Lyon-Martin Community Health Services: San Francisco community clinic now part of HealthRIGHT 360 providing primary care, mental health, and transgender/HIV specialty services. Comparable as a nonprofit community health provider serving HIV+ and other vulnerable populations.

Broad incumbents

• AIDS Healthcare Foundation: Largest global HIV/AIDS healthcare organization, operating outpatient clinics, pharmacies, and direct care sites. Directly comparable to BBH's HIV specialized care mission, though AHF operates at global scale while BBH is single-site.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/BaileyBoushay
• LinkedInlinkedin.com/company/bailey-boushay-house

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 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 Bailey-Boushay House