Attorney General Bonta conducts first-ever review of proposed hospice affiliations, conditionally approves transactions to ensure continued access to hospice services

Attorney General Bonta conducts first-ever review of proposed hospice affiliations, conditionally approves transactions to ensure continued access to hospice services 
California Department of Justice, Rob Bonta - Attorney General, Oakland, CA; Press Release; 8/20/25
California Attorney General Rob Bonta today announced conditionally approving the affiliations of Chapters Health System, Inc., a Florida not-for-profit hospice provider, with two nonprofit hospice providers in California. Chapters Health System, Inc. is seeking to expand its current operations, which are largely based on the East Coast, through the creation of “Chapters West Region,” a nonprofit hospice network covering California, Nevada, and Oregon. Specifically, in California, Chapters Health System, Inc. proposed affiliations with East Bay Integrated Care, Inc. (doing business as Hospice East Bay) and Hospice of Santa Cruz County. Both Hospice East Bay and Hospice of Santa Cruz County are longstanding providers of hospice and palliative care in their respective communities. Under California law, any transaction involving the sale, or transfer of control and governance of a nonprofit health facility, must secure the approval of the Attorney General’s Office. Today’s conditional approval represents the first-ever review involving nonprofit hospice providers by the Attorney General’s Office; the overwhelming majority of hospice providers are for-profit entities.