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By the Bay Health

Choose your health care option

hospice care

Compassionate care emphasizes quality-of-life during difficult transitions.

Palliative Care

Pain and symptom management ease the stress of life-limiting illness.

Skilled Home Health Care

Specialists help you recover from surgery or manage chronic illness at home.

Pediatric Care

Palliative and hospice care that is uniquely designed for younger patients.

Grief Support

Individual and group counseling are available to the community at-large.

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Help us ensure that no one is ever turned away for inability to pay.

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Explore rewarding job opportunities in a variety of mission-driven medical and administrative fields.

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Contact us anytime to begin your home-based health care journey.

stay informed

On May 13, 2024

LARKSPUR, Calif., May 13, 2024 – Skelly Wingard, RN, MSN and Chief Executive Officer of By the Bay Health, the largest independent nonprofit hospice organization in Northern California, joins the Board of Directors of the Marin County Office of Education’s (MCOE) School to Career (STC) Partnership. The School to Career Partnership is a public-private initiative to provide high school students in the County with direct support to engage in work-based learning experience and career exploration, leading to high-demand, high-wages jobs.

On November 30, 2023

Newly combined organization aims to transform serious illness and end-of-life care with equitable access to high-quality, comprehensive, and integrated services across palliative, hospice, and home health care.

On July 20, 2023

When facing a terminal illness, hospice care can provide essential support and comfort to both patients and their families. It focuses on improving the quality of life during the final stages of an illness, offering pain management, emotional and spiritual support, and assistance with daily activities.

On May 25, 2023

By the Bay Health has announced the appointment of Skelly Wingard, RN, MSN as Chief Executive Officer for the organization. The appointment, which will be effective June 19, follows a nationwide search for a new leader to fill the role currently held by Kitty Whitaker, who announced her retirement in February of 2022.

Newly combined organization aims to transform serious illness and end-of-life care with equitable access to high-quality, comprehensive, and integrated services across palliative, hospice, and home health care.

Xavier was born with a genetic immune deficiency and a prognosis of no more than two years. Through the efforts of the BTBH Pediatric Palliative Care program he has now made it to nine.

Miguel has struggled has with repeated respiratory problems since birth. The BTBH Pediatric Palliative Care team has supported Miguel and his family with compassionate care for more than four years


What’s the difference between hospice, palliative, and home health care?
  • Hospice is for patients who are facing a terminal prognosis of six months or less, if their disease follows its expected course.
  • Palliative care meets the needs of patients who don’t have a terminal diagnosis, but are still facing a serious, challenging, or life-threatening illness. 
  • Skilled home health care helps homebound patients who are recovering from surgery or learning to cope with long-term medical challenges such as heart disease, COPD, or diabetes.
How do I know which type of care is right for me?

Each of the sections on our website under Patient Care provides more detail on eligibility, insurance coverage, and admission. You may then consult with your primary physician or give us a call.

How do I know it’s really time for hospice?

Some of the key indicators that it may be time to consider hospice are when:

  • Treatments meant to cure or slow the disease are no longer working
  • Frequent hospital visits are used to control pain and symptoms
  • There is an unexplained drop in weight
  • The patient spends most of the day lying down
  • The patient experiences shortness of breath while resting
Does my doctor need to make a referral to By the Bay Health for me to use your services?

No. Anyone may refer a patient to our care, in order to start the admission process. However, a By the Bay Health physician, in consultation with your primary physician or specialist, will determine your eligibility for you to access our services.

Will my insurance cover the cost?

Insurance coverage varies for each service option. Some are almost fully covered by Medicare, while others rely on a growing list of contracted insurers. We can help you determine your options.

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