Chapters Health System

What Chapters Health System does

Chapters Health System is a nonprofit, community-centered hospice and palliative care organization founded in 1983 and headquartered in Temple Terrace, Florida. It operates as the largest nonprofit hospice provider in the United States, running 14 hospices and a network of more than 30 affiliated programs and companies across 20 or more states. The organization serves approximately 21,000 individuals annually, cares for more than 6,000 hospice patients on a typical day, and provides over $10 million in charitable care each year, with a workforce of more than 4,500 employees.

Its service portfolio spans hospice, palliative care, home health, PACE programs, grief support, and pediatric care, supplemented by an in-house pharmacy, a foundation, a federal contracting subsidiary, and the CareNu Medicare Advantage offering. The technology backbone centers on the HITRUST-certified CareCentrium Enterprise Data Warehouse, telehealth-based remote monitoring, and analytics/AI used for quality improvement, reporting, and administrative efficiency. Camp Brave Heart, a children's bereavement program, was rebranded in 2026 alongside the launch of Chapters Kids, a dedicated pediatric service line.

Revenue is generated primarily through Medicare, Medicaid, and Tricare reimbursement for hospice and palliative services, supplemented by commercial payors, philanthropic contributions, and capitation-like revenue from Medicare Advantage and PACE. Go-to-market is primarily referral-driven, working with hospitals, physicians, and community partners; the growth model combines organic densification in existing markets with programmatic affiliations such as Capital Caring Health (2023), Hospice East Bay and Hospice of Santa Cruz County (2025), and Housecall Providers (2026).

Name

Chapters Health System

Legal name

Chapters Health System, Inc.

Website

https://chaptershealth.org

Company type

Private

Founded year

1983

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Chapters Health System is the largest nonprofit hospice provider in the U.S., operating 14 hospices and 30+ affiliated programs across 20+ states, serving roughly 21,000 individuals annually through hospice, palliative, home health, PACE, and pediatric care.

Ownership category

akta.pro rank

Product category

Hospice and Palliative Care

NAICS

Home Health Care Services (621610), Home Health Care Services (6216), Other Individual and Family Services (624190), Social Assistance (624)

SIC

Services-Home Health Care Services (8082), Services-Health Services (8000), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Home Hospice Agencies (HLAFAEAC)

akta.pro secondary industries

Routine In-Home Hospice Care (HSABAFAA), Continuous Home Care (Crisis Hospice) (HSABAFAB), Non-Hospice Serious-Illness / Community-Based Palliative Care (In-Home) (HSABAFAF), Bereavement, Grief & Family Support Services (Hospice-Linked) (HLAFAEAO), In-Home Hospice Nursing Visits (RN/LPN) (HSABAFAL), Palliative Care, Hospice & Serious Illness Support (BPAGACAK)

Keywords

• Hospice care services
• Palliative medicine
• Home health care
• Grief support services
• PACE programs

Headquarters

HQ city

Brandon

HQ country

United States

HQ region

North America

Offices10 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Others, Marketing or Sales

Revenue model

1. Government Healthcare Programs: Primary revenue from Medicare and Medicaid hospice benefits. Services covered under Medicare hospice benefit (all-inclusive), Medicaid, and Tricare. Under these programs, hospice is an all-inclusive benefit covering all services, medications, home medical equipment and medical supplies related to the patient's illness.
2. Private Insurance: Accepts most private insurances alongside Medicare, Medicaid, and Tricare for hospice and palliative care services.
3. Charitable Care: Provides over $10 million in charitable care each year to extend services to communities regardless of ability to pay.
4. Foundation and Donations: Chapters Health Foundation supports grief support camps for children at no cost to families. Personal giving, planned gifts, corporate giving, and monthly giving programs.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels7 records

Core offering

Chapters Health System delivers hospice, palliative medicine, home health, grief support, and PACE programs to patients with chronic or advanced illness through a network of affiliated nonprofit providers across more than 20 states. The organization supplements direct care delivery with value-based offerings such as the CareNu Medicare Advantage plan, pediatric hospice (Chapters Kids), veterans services (Valor Program), and the Chapters Health Foundation for charitable fundraising.

Product overview

Chapters Health System is a comprehensive nonprofit healthcare organization providing a continuum of care services for chronic illness and end-of-life care. The organization operates as a platform of multiple affiliated brands and programs including hospice care, palliative medicine, grief services, PACE (Programs of All-Inclusive Care for the Elderly), home health care, pediatric programs (Chapters Kids), and veterans support (Chapters Health Valor Program). Key affiliated brands include Capital Caring Health, LifePath Hospice, Cornerstone Hospice, Good Shepherd Hospice, HPH Hospice, Hospice of Okeechobee, Nathan Adelson Hospice, Housecall Providers, Hospice East Bay, Hospice of Santa Cruz County, and Willamette Vital Health. The system also includes CareNu (Medicare Advantage plan), Hope PACE, and the Chapters Health Foundation for fundraising and community support. Established in 1983 and headquartered in Temple Terrace, Florida, it is the nation's largest nonprofit hospice provider with services across more than 20 states.

Differentiator

Problem solved

Functional benefit

Brands

• Capital Caring Health: Hospice and advanced illness care services in the mid-Atlantic region
• CareNu
• Cornerstone Hospice
• Hope PACE
• Good Shepherd Hospice
• HPH Hospice
• Hope Healthcare
• LifePath Hospice
• Nathan Adelson Hospice
• Willamette Vital Health
• Hospice East Bay
• Hospice of Santa Cruz County
• Hospice of Okeechobee
• Chapters Kids
• Camp Brave Heart
• Chapters Health Foundation
• Life's Treasures Thrift Stores

Products and services

• Hospice Care End-of-life care services for patients with terminal illnesses, focusing on comfort, quality of life, and family support, covered as an all-inclusive Medicare, Medicaid, or Tricare hospice benefit.
• Palliative Medicine Symptom management and relief services for patients with serious chronic illnesses, provided alongside curative treatments.
• Grief Services Bereavement support services for families and individuals dealing with loss, including individual and group therapy sessions and grief camps for children.
• Hope PACE Programs of All-Inclusive Care for the Elderly (PACE) providing comprehensive medical and social services to older adults allowing them to remain in their communities.
• Chapters Health Home Care Home-based healthcare services providing medical care and support in patients' residences.
• Chapters Kids System-wide pediatric hospice and palliative care program creating the nation's largest unified nonprofit hospice network for children, uniting services from five affiliates across multiple states.
• Camp Brave Heart Grief support camps for children offered at no cost to families, providing bereavement support through weekend grief camps and various therapeutic activities.
• Chapters Health Valor Program Veterans support services providing specialized care and recognition for military veterans receiving hospice or palliative services.
• Pet Peace of Mind Program keeping hospice patients and their pets together by providing support and resources for pet care during end-of-life care.
• Emotional and Spiritual Care Holistic support addressing the emotional and spiritual needs of patients and their families throughout the care journey.
• CareNu Medicare Advantage Plan Medicare Advantage plan and value-based care offering under the Chapters Health System umbrella for members with chronic and advanced illness.
• Chapters Health Foundation Nonprofit foundation supporting Chapters Health System through personal giving, planned gifts, monthly giving, corporate and institutional giving, and thrift store operations.
• Life's Treasures Thrift Stores Thrift stores operated by Chapters Health Foundation to raise funds in support of hospice care and community programs.

Quantifiable outcome

• Serves over 21,000 individuals annually
• +3 more outcomes

Named customers8 records

Segments6 records

Ideal customer profiles6 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability1 record

Feature2 records

Partnerships

Eight partnerships are on record, tiered core and minor.

• Housecall ProviderscoreStrategic or Co-development Partner · 4 August 2026Definitive agreement finalized for Housecall Providers to become part of Chapters Health System, creating a major nonprofit chronic illness care provider in the Pacific Northwest. Affiliation expands Housecall Providers' in-home primary care, palliative care, and hospice services throughout Oregon while strengthening Chapters Health's value-based care offerings. Both organizations are nonprofit healthcare providers committed to serving seriously ill and homebound individuals.
• Oregon Health AuthorityminorImplementation/ SI/ Consulting Partner · 24 February 2026Regulatory body reviewing the affiliation agreement between Housecall Providers and Chapters Health System for approval.
• Hospice East BaycoreStrategic or Co-development Partner · 2 October 2025Finalization of affiliation agreement making Hospice East Bay the fourth hospice organization to join Chapters Health West division. Founded in 1977, Hospice East Bay cared for more than 1,300 patients in 2024 and provided over $308,000 in charitable care. Affiliation aims to expand programs and services while maintaining nonprofit mission.
• Hospice of Santa Cruz CountycoreStrategic or Co-development Partner · 30 September 2025Finalization of affiliation expanding Chapters Health West division in California. Established in 1978, the organization provided over 42,000 hours of care to more than 1,100 patients in 2024. Affiliation intended to preserve and enhance community-based hospice care on the Central Coast of California.
• CareOregoncoreStrategic or Co-development PartnerParent company of Housecall Providers whose Board of Directors approved the definitive agreement for Housecall Providers to join Chapters Health System. Partnership pending Oregon Health Authority review.
• HITRUST AllianceminorOthersHITRUST provides the risk-based, two-year certification program that validates Chapters Health's information security posture and compliance with key regulations and industry requirements.
• Wolf & Company P.C.minorOthersIndependent audit firm that carried out the HITRUST certification audit for Chapters Health's CareCentrium Environment.
• Chapters Health FoundationcoreStrategic or Co-development PartnerFoundation arm of Chapters Health System hosting the National Conversation on Advanced Illness and End-of-Life Care event. Brings together national and international thought leaders including Nobel Laureate Dr. Venki Ramakrishnan and AMA CEO Dr. John Whyte.

Scale indicators14 records

Recent moves11 records

Expansion highlights6 records

Direct peers

• VITAS Healthcare (Chemed Corporation): Largest hospice provider in the United States and a subsidiary of Chemed Corporation (which also owns Roto-Rooter). VITAS is a direct competitor offering hospice and palliative care services nationally, with comparable scale and service model to Chapters Health.
• Enhabit: Public home health and hospice provider spun off from Encompass Health in 2022. Enhabit operates hospice and home health services across multiple states with a comparable provider-network model to Chapters Health.
• Compassus: National hospice, palliative, and home health provider jointly owned by TowerBrook Capital Partners and the Carmelite Sisters. Compassus operates a multi-site hospice and palliative care platform with comparable service mix and geographic dispersion to Chapters Health.
• The Pennant Group: Public home health, hospice, and senior living operator with a decentralized affiliation-driven model across the Western and Southern US. Pennant's home health and hospice services overlap with Chapters' core offerings and geographic footprint.
• Addus HomeCare: Public provider of personal care, hospice, and home health services with a focus on Medicaid and dual-eligible populations. Addus operates hospice and home health services in multiple states overlapping with Chapters' geographic and clinical coverage.
• Gentiva Hospice: Major for-profit hospice provider owned by Clayton, Dubilier & Rice. Gentiva is one of the largest hospice platforms in the country after acquiring multiple hospice agencies, directly competing with Chapters Health for hospice referrals, affiliations, and clinical talent.

Broad incumbents

• LHC Group: Large home health, hospice, and facility-based services provider, also acquired by UnitedHealth Group/Optum. LHC Group offers an overlapping hospice/home health footprint and broad clinical platform comparable to Chapters' services.
• Amedisys: Major home health and hospice provider now owned by UnitedHealth Group's Optum. Amedisys competes with Chapters across both hospice and home health lines and represents the scaled, capital-backed incumbent Chapters increasingly competes with for affiliations.
• BrightSpring Health Services: Public diversified home and community-based health services platform including hospice, home health, and pharmacy services, owned in part by KKR. BrightSpring offers overlapping hospice and home health capabilities and represents a large, scaled competitor to Chapters Health.

Emerging players

• Aveanna Healthcare: Public home health, medical solutions, and pediatric home care provider. Aveanna's pediatric focus and private-duty nursing capabilities overlap meaningfully with Chapters Health's newly launched Chapters Kids pediatric hospice/palliative program.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/ChaptersHealth
• YouTubeyoutube.com/channel/UCLykotZ60UGJwL7MHdeDbLQ
• Facebookfacebook.com/ChaptersHealth
• LinkedInlinkedin.com/company/chapters-health-system
• Instagraminstagram.com/chaptershealthsystem
• Pinterestpinterest.com/chaptershealth/_created
• TikToktiktok.com/@chaptershealthsystem

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Subsidiaries21 records

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments

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

Frequently asked questions about Chapters Health System