Chapters Health System Inc
Public records show a registered, tax-exempt organization in good standing.
What it says it does
Chapters Health System, Inc. (CHS), through its affiliates, provides support and care for people in our community with or affected by advanced illnesses by offering a wide variety of compassionate healthcare choices. CHS also works to promote an understanding of the needs of persons with serious or life-limiting illnesses as well as the needs of its families and caregivers. CHS provides significant management duties, including without limitation, financial and accounting services, human resources, legal services, marketing services and information technology services, to its subsidiaries and wholly owned LLC's via a written management agreement.
- Income
- $145.5 million
- Spending
- $137.7 million
- Spent on programs
- 78%
- Reserves
- 8.3 months of spending
- Largest source of income
- fees for its services, 91%
- Employees
- 886
- Volunteers
- 22
- Highest pay
- $2.3 million, president/ceo/vice chair
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Good: 89 out of 100. Higher than 89% of charities in its peer group (human services, over $100m).
Reserves
28 of 35Spendable reserves would cover 8.3 months of spending.
Debt
16 of 20It owes 27% of what it owns.
Living within its means
15 of 15Income exceeded spending by 5% of income.
Income trend
15 of 15Income rose 38% on the year before.
Spending floor
15 of 1578% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 100 out of 100. Higher than 29% of charities in its peer group (human services, over $100m).
Independent board
25 of 2520 of 24 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $106.7 million spent. A. Chapters Health System, Inc. provides hospice care and services to patients and families through its hospice affiliates - LifePath Hospice, Inc., Good Shepherd Hospice, Inc., Hernando-Pasco Hospice, Inc., Hospice of Okeechobee, Inc., Cornerstone Hospice and Palliative Care Inc., Capital Hospice dba Capital Caring, and Hope Hospice and Community Service, Inc. All are not-for-profit hospice programs certified by the Federal Medicare Program and provide a wide range of palliative and supportive care services to help terminally ill patients, their families, and their loved ones. In addition, Chapters Health System is the sole member and operates three additional LLC's - Chapters Health Palliative Care, LLC; Chapters Health Pharmacy, LLC, and Chapters Health Staffing, LLC. Chapters Health System provides significant management duties, including without limitation, financial and accounting services, human resources, legal and marketing services, information technology services, to its subsidiaries and wholly owned LLC's via a written Management Agreement. The amount of these services is reflected in the statement of revenue as Shared Services Revenue and Management Fee Income. (Continued from Part III) B. LifePath Hospice, Inc. is a Medicare-certified agency that provides end-of-life care in Hillsborough County, Florida. During the year, Lifepath Hospice served 6,417 patients in its communities and maintains 61.7% market share in the counties it serves. The company has 142 trained volunteers whose donated time is valued at $607,964. Lifepath provided $2.047M in charity care. C. Good Shepherd Hospice, Inc. is a Medicare-certified agency that provides end-of-life care in Polk, Highlands, Monroe, and Hardee counties in Florida. During the year, Good Shepherd Hospice served 4,848 patients in its communities and maintains 29.0% market share in the counties it serves. The company has 94 trained volunteers whose donated time is valued at $510,662. Good Shepherd Hospice provided $1.363M in charity care. D. Hernando-Pasco Hospice, Inc. is a Medicare-certified agency that provides end-of-life care in Hernando, Pasco, Citrus, Alachua, and Pinellas counties in Florida. During the year, Hernando-Pasco Hospice served 4,850 patients in its communities and maintains 56.4% market share in the counties it serves. The company has 107 trained volunteers whose donated time is valued at $307,084. Hernando-Pasco Hospice provided $971.6K in charity care. E. Hospice of Okeechobee, Inc. is a Medicare-certified agency that provides end-of-life care in Okeechobee, Martin, and St. Lucie counties in Florida. During the year, Hospice of Okeechobee served 320 patients in its communities and maintains 5.1% market share in the counties it serves. The company has 20 trained volunteers whose donated time is valued at $12,463. Hospice of Okeechobee provided $153.3K in charity care. F. Cornerstone Hospice & Palliative Care, Inc. is a Medicare-certified agency that provides end-of-life care in Marion, Lake, Sumter, Orange, and Osceola counties in Florida and some counties in Northern Georgia. During the year, Cornerstone Hospice served 8,139 patients in its communities and maintains 33.4% market share in the counties it serves. The company has 300 trained volunteers whose donated time is valued at $848,884. Cornerstone Hospice provided $3.304M in charity care. G. Capital Hospice dba Capital Caring is a Medicare-certified agency that provides end-of-life care in Virginia, Maryland, and Washington DC. During the year, Capital Caring Hospice served 6,680 patients in its communities and maintains 36.7% market share in the counties it serves. The company has 341 trained volunteers whose donated time is valued at $593,683. Capital Caring Hospice provided $773K in charity care. H. Hope Hospice and Community Services, Inc. is a Medicare-certified agency that provides end-of-life care in Lee, Collier, Charlotte, Glades, and Hendry counties in Florida. During the year, Hope Hospice served 5,702 patients in its communities and maintains 74.6% market share in the counties it serves. The company has 127 trained volunteers whose donated time is valued at $297,557. Hope Hospice provided $158.8K in charity care. I. Chapters Health Palliative Care, LLC provides pain and palliative care consults in hospitals and other facilities in the service area. During the year, the program provided 14,217 patient visits, which included 3,520 new palliative care consults. J. Chapters Health Pharmacy, LLC is a not-for-profit subsidiary that provides medications for the hospice affiliates. Chapters Health Pharmacy improved staff efficiency with electronic medication orders, filling 99,080 prescriptions during the year. K. Chapters Health Staffing, LLC. operates a licensed health care services pool. This company provides temporary staffing of healthcare personnel to other Chapters Health System subsidiaries and enables Chapters Health System to centralize the management of clinical staff whose duties cross between multiple subsidiaries. Chapters Health Staffing staff includes physicians, nurses, respiratory therapists and managers for the oncology program, medical staff and infusion services. L. Chapters Health Foundation is the fundraising entity of Chapters Health System. Through community events and fundraising activities, the Foundation raises funds to support the unfunded programs of the Affiliates which include charity care, community grief support and medical student education. During the year, a total of 7,203 donors contributed $5.918M to the Chapters Heath Foundation through capital campaigns, memorials, realized planned gifts, special events and other gifts.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated November 6, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending December 2024.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since June 1983.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated November 4, 2026.
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