Chapters Health System

Legal name: Chapters Health System Inc

Nonprofit profile at a glance

EIN
592264957
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Temple Terrace, FL, USA
Phone
1.866.204.8611
Rating
81
Verdict
STRONG
Rating confidence
Moderate
Sector
Fund Raising and Fund Distribution

Official website

Reported finances

Revenue
$145,461,525
Expenses
$137,720,826
Assets
$254,389,388
Liabilities
$68,375,972

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

40 people listed

Executive titles in this filing

  • Andrew Molosky (PRESIDENT/CEO/VICE CHAIR)
  • Tom Koutsoumpas (Former PRESIDENT & CEO of Capital Caring / BOARD MEMBER)
  • Jason D'Auria (Senior Vice President, Operations)
  • Jill Fitzpatrick (Vice President, Finance)
  • Marwa El-Menshawi (Vice President, Clinical Transformation)
  • STEWART Wayne STEIN MD (Vice President, Medical Services)

Highest reported compensation

  • Andrew Molosky (PRESIDENT/CEO/VICE CHAIR): $2,257,453 total reported compensation
  • Tara Friedman (Chief Medical Officer): $759,617 total reported compensation
  • Paola Delp (Chief Business Development Officer): $728,573 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Taking care of patients, or taking care of those who do.

What it reported doing in 2024

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.

Operating model

Revenue model
Other-operating. 96% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - The filed numbers largely add up and a large share of available resources goes toward mission work. Expenses are high relative to revenue and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 69
  • Transparency & Controls: 96
  • Accountability: 86
  • Sustainability: 53
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 78.2%; rating input score 78
  • Program expense ratio: 77.5%; rating input score 78
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 83.3%; rating input score 83; 31st percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 5.3%; rating input score 58; 58th percentile among comparable filings
  • Total-asset coverage ratio: 1.85; rating input score 60; 60th percentile among comparable filings
  • Liabilities to assets ratio: 0.27; rating input score 59; 59th percentile among comparable filings
  • Officer compensation ratio: 6.8%; rating input score 8; 8th percentile among comparable filings

Growth

  • Program expense growth: 9.8% per year; rating input score 100; 73rd percentile among comparable filings
  • Revenue growth: 8.2% per year; rating input score 100; 68th percentile among comparable filings
  • Asset growth: 4.2% per year; rating input score 100; 29th percentile among comparable filings

Details

  • What they do: 8 programs and campaigns described on the official site
  • Where the money goes: 78.2% of revenue deployed · 77.5% of spending went to programs
  • Governance: 20 of 24 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $106.7M in reported program spending
  • Leadership: top reported pay $2.3M · 40 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $9.6M reported
  • Consistency: 37 of 37 current checks pass
  • Schedules: 10 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 17 filed money-flow records
  • Related organizations: 20 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Sustainability: Operating margin scored 58/100.
  • Review — Accountability: Governance controls: Other executive compensation review process not reported.
  • High — Sustainability: Officer compensation ratio scored 8/100.
  • Review — Sustainability: Liabilities to assets ratio scored 59/100.