CChapters Health System runs a nationwide nonprofit network focused on chronic illness care, offering hospice, PACE, value-based care (like CareNu), managed services, technology solutions, advanced illness programs, and consulting. Its care model coordinates services across patients, families, and caregivers through an integrated system that supports end-to-end needs from hospice to tech-enabled support. It differentiates itself by combining a large nonprofit, mission-driven footprint with a broad, integrated portfolio that spans care delivery, technology, and support services. Its goal is to improve access and quality of life for people with chronic illness by providing coordinated, compassionate care across the continuum nationwide.
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Nurses and other employees at Hospice East Bay begin weeklong strike. Union laments planned layoffs, alleges labor law violations by new parent company based in Florida Dozens of unionized health care workers at Pleasant Hill-based Hospice East Bay started a weeklong strike on Monday amid what they say are service reductions and "severe" layoffs. The strike at Hospice East Bay headquarters on Buskirk Avenue involves about 70 employees in various positions who are members of the National Union of Healthcare Workers. They called the seven-day strike to protest the planned layoffs of 21 full-time employees - including the facility's executive director - and what they allege are several labor law violations by Chapters Health System Inc. A nonprofit hospice care network based in Florida, Chapters Health System took over operations at Hospice East Bay in October 2025. The home care facility in Pleasant Hill will remain operating during the strike, with contingency plans in place to maintain normal service, according to a statement from Hospice East Bay. The organization also operates the Bruns House in Alamo. Among the union's complaints are accusations that Chapters leadership stalled bargaining sessions since taking over, and withheld merit raises. The union also filed a complaint with the National Labor Relations Board alleging that Chapters Health System leadership laid off two employees from union positions and offered to rehire them for the same roles without union protection. "We're about to be down to only two counselors, which means we can't offer all the services we know help those in grief," said Dawn Torre, a bereavement counselor at the hospice. "It's painful to know that we won't have the capacity to help families cope with the loss of a loved one. It's not fair to anyone, and there's no excuse for it." A spokesperson for Chapters Health System did not respond to press inquiries Monday. East Bay Hospice will operate with a contingency team of clinicians who can provide necessary care, facilitate daily operations, and admit new patients, according to a statement from the organization last week ahead of the strike. Administrative staff and physicians will be on call for any immediate care needs, and volunteer services will remain unaffected. "As a nonprofit, patient-focused hospice provider, we are deeply disappointed by the National Union of Healthcare Workers' plan to strike," said Tonya Lyons, regional clinical director at Hospice East Bay. "The Hospice East Bay team continues to bargain in good faith and remains committed to reaching a fair agreement that will lay the groundwork for long-term sustainability and ensure the ability to grow into the future." The roughly 70 unionized employees work in positions including nurses, social workers, pharmacists, chaplains and bereavement counselors. They joined the National Union of Healthcare Workers in 2023 and have yet to secure a contract since becoming members, according to the union. The impending layoffs will leave the hospice facility with two bereavement counselors to serve roughly 1,200 patients and family members of patients under Hospice East Bay's care. "We've lost local control of the hospice, and now we're about to lose caregivers who help people through some of the hardest moments of their lives," said Claire Eustice, a chaplain at the hospice. "This is a critical moment, and we're taking a stand to protect a program that has served generations of East Bay families." The layoffs will be effective on Oct. 16, according to the union. The union said Chapters Health System leadership was proposing a 2.5% raise with the ability to increase health insurance premiums for employees at any time, something the union objected to. When Chapters Health Systems took over operations at Hospice East Bay, it folded the facility into a newly formed regional hospice network that included another in California - Hospice of Santa Cruz County - and others in Nevada and Oregon, according to the state Attorney General's Office. The union alleged that the organization was planning to replace Hospice East Bay's executive director with a regional director that would oversee all facilities in the network. The Attorney General's Office was tasked with reviewing and approving the partnership formation under a state law that requires nonprofit hospice entities to receive extra scrutiny when changing their operating structure. The regional network was approved in August 2025, with several stipulations, including that the facilities continue to operate as nonprofit hospice care homes certified by the Centers for Medicare and Medicaid Services, and that Chapters leadership "Offer employment to staff in good standing and honor existing employment agreements, as well as provide for appropriate staffing levels required for hospice licensure and certification." Chapters was also required to maintain certain levels of care and specialized programs and make annual reports on compliance to the Attorney General's Office. - Story by Thomas Hughes, Bay City News Service
Workers at Hospice East Bay begin weeklong strike. Posted: Oct 6, 2026 / 06:09 AM PDT Updated: Oct 6, 2026 / 06:09 AM PDT (BCN) - Dozens of unionized health care workers at a Pleasant Hill hospice care home started a weeklong strike on Monday amid what they say are service reductions and "severe" layoffs. The strike at Hospice East Bay, on Buskirk Avenue, involves about 70 employees in various positions who are members of the National Union of Healthcare Workers. They called the seven-day strike to protest the planned layoffs of 21 full-time employees - including the facility's executive director - and what they allege are several labor law violations by Chapters Health System Inc. A nonprofit hospice care network based in Florida, Chapters Health System took over operations at Hospice East Bay in October 2025. The facility will remain operating during the strike, with contingency plans in place to maintain normal service, according to a statement from Hospice East Bay. Among the union's complaints are accusations that Chapters' leadership stalled bargaining sessions since taking over, and withheld merit raises. The union also filed a complaint with the National Labor Relations Board alleging that Chapters Health System leadership laid off two employees from union positions and offered to rehire them for the same roles without union protection. "We're about to be down to only two counselors, which means we can't offer all the services we know help those in grief," said Dawn Torre, a bereavement counselor at the hospice. "It's painful to know that we won't have the capacity to help families cope with the loss of a loved one. It's not fair to anyone, and there's no excuse for it." A spokesperson for Chapters Health System did not respond to press inquiries Monday. East Bay Hospice will operate with a contingency team of clinicians who can provide necessary care, facilitate daily operations, and admit new patients, according to a statement from the organization last week ahead of the strike. Administrative staff and physicians will be on call for any immediate care needs, and volunteer services will remain unaffected. "As a nonprofit, patient-focused hospice provider, we are deeply disappointed by the National Union of Healthcare Workers' plan to strike," said Tonya Lyons, Regional Clinical Director at Hospice East Bay. "The Hospice East Bay team continues to bargain in good faith and remains committed to reaching a fair agreement that will lay the groundwork for long-term sustainability and ensure the ability to grow into the future." The roughly 70 unionized employees work in positions including nurses, social workers, pharmacists, chaplains and bereavement counselors. They joined the National Union of Healthcare Workers in 2023 and have yet to secure a contract since becoming members, according to the union. The impending layoffs will leave the hospice facility with two bereavement counselors to serve roughly 1,200 patients and family members of patients under Hospice East Bay's care. "We've lost local control of the hospice, and now we're about to lose caregivers who help people through some of the hardest moments of their lives," said Claire Eustice, a chaplain at the hospice. "This is a critical moment, and we're taking a stand to protect a program that has served generations of East Bay families." The layoffs will be effective on Oct. 16, according to the union. The union said Chapters Health System leadership was proposing a 2.5% raise with the ability to increase health insurance premiums for employees at any time, something the union objected to. When Chapters Health Systems took over operations at Hospice East Bay, it folded the facility into a newly formed regional hospice network that included another in California - Hospice of Santa Cruz County - and others in Nevada and Oregon, according to the state Attorney General's Office. The union alleged that the organization was planning to replace Hospice East Bay's executive director with a regional director who would oversee all facilities in the network. The attorney general's office was tasked with reviewing and approving the partnership formation under a state law that requires nonprofit hospice entities to receive extra scrutiny when changing their operating structure. The regional network was approved in August 2025, with several stipulations, including that the facilities continue to operate as nonprofit hospice care homes certified by the Centers for Medicare and Medicaid Services, and that Chapters' leadership "Offer employment to staff in good standing and honor existing employment agreements, as well as provide for appropriate staffing levels required for hospice licensure and certification." Chapters was also required to maintain certain levels of care and specialized programs and make annual reports on compliance to the attorney general's office.
Pleasant Hill hospice workers to start 7-day strike Oct. 5. Caregivers at Hospice East Bay to protest new Florida-based owner imposing severe layoffs, service reductions. By Matthew Artz, Assistant Communications Director, National Union of Healthcare Workers PLEASANT HILL, Calif. - Three years after becoming among the first Northern California hospice workers to form a union, caregivers at one of the Bay Area's oldest hospice providers are launching a 7-day Unfair Labor Practice strike, starting at 6 a.m., Monday, Oct. 5. "We've lost local control of the hospice, and now we're about to lose caregivers who help people through some of the hardest moments of their lives," said Claire Eustice, a chaplain at the hospice. "This is a critical moment, and we're taking a stand to protect a program that has served generations of East Bay families." Dozens of hospice workers will be striking Hospice East Bay headquarters alongside elected leaders and community supporters from 6 a.m. to 2 p.m., Monday, Oct. 5 and from 8 a.m. to 2 p.m. Tuesday, Oct. 6 to Sunday, Oct. 11, 3470 Buskirk Ave., Pleasant Hill. The approximately 70 nurses, social workers, pharmacists, chaplains and bereavement counselors at Hospice East Bay made statewide headlines in November 2023 when they joined the National Union of Healthcare Workers. They are still seeking their first contract after nearly three years of negotiations. During that period, Hospice East Bay, which was founded in 1977 and remains the second-largest hospice provider serving Alameda, Contra Costa and Solano counties, surrendered local control and turned over operations to Chapters Health System, a national hospice chain based in Florida, whose CEO, Andrew Molosky, was paid over $2.5 million in 2024, the last year for which records are publicly available. Since Chapters took over last October, contract bargaining has stagnated, and staffing has declined. After a smaller layoff last year, Chapters is now set to lay off the equivalent of 21 full-time workers effective Oct. 16, including top executives, non-union nurses and four union members: two chaplains, a psychosocial resource specialist and a bereavement counselor. Following the layoffs, the hospice will have just two bereavement counselors for a census of 1,200 patients and immediate family members, precluding it from offering all its traditional services to help grieving family members, including peer support groups, one-on-one counseling sessions and in-home counseling for clients with mobility issues. The hospice already eliminated a program two years ago for school-aged children who lost a parent. "We're about to be down to only two counselors, which means we can't offer all the services we know help those in grief," said Dawn Torre, a bereavement counselor at the hospice. "It's painful to know that we won't have the capacity to help families cope with the loss of a loved one. It's not fair to anyone, and there's no excuse for it." Hospice unionization and consolidation are increasing throughout the Bay Area. Since 2022, more than 400 hospice workers in Northern California have joined NUHW, including at two hospices in Sonoma County whose operations were recently taken over by Compassus, a private equity-backed company. Although Chapters is not a for-profit operator, it touts a reputation for helping its member hospices to "maximize administrative resources and minimize expenses." Among those set to be laid off on Aug. 16 is Hospice East Bay Executive Director Chris Falley. Rather than replace Falley, Chapters is planning to appoint a new executive to oversee Hospice East Bay and four other Chapters hospice programs in the western United States. The chain went months without holding any negotiating sessions with workers despite conditions placed by Attorney General Rob Bonta on Chapters' acquisition of Hospice East Bay requiring that the national chain to "collectively bargain in good faith." Chapters also laid off three workers last year and withheld merit raises until the National Labor Relations Board ordered it to provide the wage increases while negotiations continued. In contract negotiations, the chain is insisting on being able to increase health care premiums at any time, while offering only a 2.5 percent raise over the next year. Chapters is also demanding that workers effectively waive the right to ever sue Chapters and accept employment arbitration to settle disputes. "It's clear to us that Chapters is trying to break our union and defund our services," said Marie Yang, a chaplain at the hospice. "Their strategy seems to be to drag this out until we give up - but that won't happen. We're defending a community institution, and we are committed to being able to provide our patients with the compassion they deserve." Workers have filed several Unfair Labor Practice charges against Hospice East Bay. There are currently two outstanding charges citing Chapters for unilaterally changing employee health insurance and refusing to bargain over it, eliminating two union job titles, and then offering to rehire the union workers into non-union job titles, but still doing the same job. The National Union of Healthcare Workers is a member-led movement that represents 19,000 healthcare workers in California and Hawaii, including more than 400 hospice workers.
Chapters Health System, America's largest nonprofit hospice provider, has launched a joint venture with Preferred Care to expand hospice services in Southwest Florida. The partnership creates Preferred Care Hospice, which received state approval to offer hospice care in Collier County. The collaboration combines Preferred Care's local expertise with Chapters Health System's infrastructure support. Preferred Care, founded in 2004, has been providing home health care in Southwest Florida for nearly two decades and was recently recognised by Newsweek as one of America's Best Home Health Agencies in 2026. The new offering aims to meet growing demand for hospice services in Collier County by providing a continuum of care across home health and hospice services for residents and their families.
Chapters Health System, America's largest nonprofit hospice provider, has received a certificate of need to expand its hospice programme into Sarasota County, Florida. The Temple Terrace-based organisation currently provides hospice care to more than 21,000 individuals annually across Florida. The expansion will bring Chapters Health's comprehensive care model to Sarasota, including grief support, spiritual care, medical social work, and volunteer services. Through its foundation, the organisation provides more than $10 million in charitable and uncompensated care yearly. Founded in 1983, Chapters Health operates over 30 healthcare companies and programmes, including hospice services, PACE, value-based care, Medicare Advantage plans, and technology solutions.
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Industries
Company Size
201-500
Company Stage
N/A
Total Funding
N/A
Headquarters
Temple Terrace, FL
Founded
N/A
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We update Chapters Health System's jobs every few hours, so check again soon!Browse all jobs