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June 8, 2026 11 mins

As a progressive leader and premier healthcare organization, Chapters Health System is dedicated to delivering innovative care throughout chronic illness progression and beyond. Since 1983 as a community-based, not-for-profit organization, Chapters Health has provided choices, education and guidance through its managed affiliates throughout the Southeast and Mid-Atlantic regions of the United States. Chapters Health is certified as a great workplace in the Aging Services category by the Great Place to Work® Institute, and recipient of Top Workplaces USA for 2023 and Top Culture Excellence awards for Work-Life Flexibility and Purpose and Values.

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Speaker 1 (00:00):
Time now for our CEO spotlight here on the Ryan
Gorman Show. And joining me in studio right now, I
have Andrew Mulaski, President and CEO of Chapters Health System,
which you can learn more about at chaptershealth dot org. Andrew,
thanks so much for coming in and let's start with
a quick overview of the work you do at Chapters
Health System.

Speaker 2 (00:18):
Yeah, well, thank you for the opportunity to be here today, Ryan.
You know, it's obviously something I'm extremely proud of. I
had the privilege of serving in a leadership role at
Chapters Health and as you've kindly alluded to, we really
focus on taking care of the chronically ill and the
frail elders in our community. Right and to get a
little more specific, which I'm sure we will, you know,
we have a number of service lines, but as a
as a proud leader in the Tampa community now having

(00:40):
grown nationally, we focus on end of life and chronic
illness and all the family and patient needs that come
along with that.

Speaker 1 (00:47):
And that's a huge responsibility. And you're also operating in
the state that's getting older. Is the state prepared for
the wave of chronic illness and you know, need for
the servi services that you provide over the course of
the next couple of years.

Speaker 2 (01:03):
You know, one of the things that I've learned to
and have these opportunities is you never want to come
off on the negative side. So let's not say we're
let's not say that we're ready. Let's say that we're
really well positioned about that. Right when you look at
the reality that one in five Americans is going to
be over sixty five in early twenty thirty, you know,
very few people are actually truly prepared. But the great

(01:24):
news about Florida being as resourced as it is, having
as many seniors in an ecosystem and a community built
by seniors as they have, you know, it's a very
warm embrace for what we do. Right, we have a platform,
folks like yourself are so kind to give us an
audience that may not know what we do. So I
think Florida is positioned very well to thrive in this environment.
But part of our responsibility and doing so is to

(01:44):
set a great example for other states or other environments
that maybe haven't quite gotten up to speed. And so
Florida has very often looked at as kind of that
paragon of if it works there, it's going to work here,
and so we take that responsibility seriously.

Speaker 1 (01:56):
And I think it's interesting the different services you provide,
they really all kind of work together in a sense.
Correct tell us about that.

Speaker 2 (02:04):
Yeah, And I really like how you queue that up
for me, because sometimes it's difficult for the average listener
to know the intricacies, and just as I would struggle
to know someone else's business models. Ultimately, you know, we
have things like hospice and palliative care, and some folks
may have experienced those with their loved ones, but we
support the PACE organization. We have primary care in the home.
We work with the Medicare advantage plans, so we have

(02:25):
a number of facets. But the simple way of putting
all this together is when we look at a patient,
a family, a community member, we want to be able
to say yes, if you have some sort of life
afflicting or life limiting illness, we want to be your answer.
We don't want you to have to worry about your
payer source. We don't have to worry about your clinical
condition or whether we'll cooperate with your insurance company or physician.

(02:45):
We've built our ecosystem an organization to look you dead
in the eye and say we're here to help, don't
worry about the details, right, And so that mission kind
of supersedes into the individual business models. But like a
good organization, if you put another formats together, you can
gen we speaking say yes to almost everybody, and that's
a key goal.

Speaker 1 (03:02):
And how much the ability to provide all those different
types of services and help in the way that you do.
And again we're joined by Andrew Malowski, President and CEO
of Chapters Health System. How much does that help, especially
you know, the loved ones of the person who's in
need of care. It could be very confusing and come
off as a very daunting challenge trying to get all

(03:25):
of this organized because you want the best for your
loved one, But navigating healthcare. I not to tell you this,
it can be difficult.

Speaker 2 (03:32):
Absolutely right, And you've afforded me a really great opportunity
to speak confidently about what makes our organization special with
never casting stones at anyone else. Certain parts of healthcare
have to operate a certain way, and we respect it
and we certainly get them kudos. But we have a
different platform, right, and we will use lines like this
consistently within our culture that we believe strongly. And you know,

(03:53):
it's not a patient, right. A person is a story,
it's a soul, it's a life. It's not the sum
of a bunch of diagnostic parts or code and parts
of medicine address people that way. We like to think
of a family unit as a decision making unit. They
have goals and ambitions. We want to see our daughter graduate,
we want to see our son get married, we want
our grandchild to have one more summer with us, whatever

(04:14):
that might look like. And so when you approach healthcare
from that perspective, you really involve the family a different way.
You start to think of things a different way. You
resource it different, you plan different, you communicate different. And
that's been a hallmark of what made our business special.
But more importantly, it really shows that family that we're
there well beyond just the patient and the bedside. We

(04:34):
want this whole home, we want this whole community, this
whole faith, church, whatever you might be talking about, to
benefit from our involvement. So it's a right from the
get go. It's a different kind of approach.

Speaker 1 (04:44):
And then, of course, with some of the issues that
you're dealing with hospice care, there has to be a
very important focus. I'm assuming on the way you handle that,
the way you communicate that, and and how you deal
with the families because they're going through obviously a very
tough time.

Speaker 2 (05:03):
That's right. And even the fundamental concept of how we
render care is different than the rest of the I'll say,
the health care system, right, and we can have a
little fun. Life's already tough enough when I have some laughs.
When you have broken your leg and you go to
the physical therapist, that physical therapist is going to say,
get up and walk your right ran across the room,
you know, And that's that right, That's that is appropriate.
That makes sense when we go into a home when

(05:25):
someone's dealing with a terminal illness or a very very
difficult life condition, and the family is distressed and the
neighbors are distressed and the estranged loved one has shown
up out of nowhere. That's a very different set of circumstances.
And your you know, your propensity to try to have
a one size fits all is how a lot of
healthcare is written. We have to think very artistically. We
have to think about the family unit and the ability

(05:47):
to do that in a creative way. An artistic way.
You know, when you know the likely outcome is probably
going to be someone passing away. When you go to
physical therapy, the likely outcome is they're back to work
next week. Our likely outcome is very different. So the
manner in which we treat and approach things has to
be very different.

Speaker 1 (06:03):
Also, we're joined by Andrew Malowski, President and CEO of
Chapters Health System. You can learn more about the work
they do at chaptershealth dot org. So that's the human
side of this. What about technology and AI and integrating
all of that, especially into end of life for or

(06:23):
chronic illness care? What are you seeing in that part
of your field? Yeah?

Speaker 2 (06:28):
I laugh whenever we have the opportunity to talk about AI,
because I think by the time this has finally aired,
things will have changed just that quickly. Right. I think
we can all agree that there's a rapidly advancing landscape.
But I can give you sort of the ethos or
sort of the punchline on how we view AI and
other technological advancements. Healthcare is not a place to play around, right.
If I want to order a sweater and AI make

(06:50):
messes it up, I'll get another sweater. It's not the
end of the world. But when someone has one opportunity
to experience it, it has to be right every time.
So we embrace technology to the fullest. Believe that enables
our workforce. We believe it enables better productivity. It creates
the margin that we, as the nation's largest nonprofit reinvest
into our patient care. But it has to be just right,

(07:10):
and so we approach it from a how do you
upgrade paper? Right? If something is boring and bland and
wrote and benign and not really that much fun, can
we interject some life and some humor and some pleasure
into it via ANAI model? Can we free up a
nurse or a talented physicians time to better spend with
a patient. It's not about replacing that person, it's about

(07:31):
enabling to perform their art form that no machine can replicate,
more than the simple, mundane tasks that we would be
comfortable giving to a machine. So I'd like to think
that it's the right application for healthcare. Certainly we're willing
to embrace it as early adopters, maybe not the first adopters.
But when you have such an important task as we have,
you have to get it right every time. There's no

(07:51):
room to mess around.

Speaker 1 (07:52):
On the workforce part of all of this. We hear
a lot about caregiver shortages and things like that, needing
more nurses, AIDS, caregivers. What are you experiencing at Chapter's
health when it comes to that important part of this
broader equation.

Speaker 2 (08:09):
Yeah, And I don't know if I got lucky you
asked that question, or if you really really just doing
me a big favor, But it's my absolute favorite subject
to speak of. So let's just be open and transparent.
There is no business in the world who has a
plethora of applicants that are just turning away because they
can't find they have too much good staff. It's just
kind of an anomaly in the world. It doesn't happen.
Healthcare is very much in that space. But what I

(08:30):
would say to you is the well run businesses, not
just in healthcare, have realized that that is the key
to their success. And we would take great pride in
suggesting two things. First, we have been recognized and have
a patent trademark around the phrase there's only two jobs
at our company, and that's to be taking care of
patients or taking care of those who do right. A
fundamental principle is if the stack of work on your

(08:53):
desk can't apply to one of those two pieces, taking
care of patients or taking care of the staff who do,
maybe it's the wrong focus when you do that well.
We have received numerous accolades from Fortune Magazine and USA
Today and Modern Healthcare around being a great workplace, and
that has allowed us to attract, to retain, to develop
top talent. And it's like any well oiled machine once

(09:16):
you get going and it's self sustaining. You know, the
culture is great, the ethos is great, the reputation is great,
and the great staff who are out there probably driving
in their cars right now listening to mediam Oran, they're
the ones doing the good work. So if you happen
to hear this, thank your caregiver, thank your administrative professional today,
because they're what makes our company go around.

Speaker 1 (09:35):
And that's got to be a difficult job too, you know,
doing what they're doing and seeing what they're seeing day
in and day.

Speaker 2 (09:42):
Yeah, we try to keep it light because we make
the same statement, this is a job that is it
can be thankless and it will take all you're willing
to give it. Right, We don't work in stand up
comedy as much as we might wish we did. So
we have to be there for each other. We have
to be supportive, We have to work with the families
and focus on taking that time. And that's so health
care and that wellness that is so often missing. And

(10:02):
if you get into the annals of what our awards
are about, you'll notice that work life balance is a
big part of what we focus on, because you're right,
you know, it's a work hard, play hard life many times,
but maybe no much, no more so than for some
of our staff.

Speaker 1 (10:15):
Last thing I want to ask you about and again
more Joe by Andrew Malowski, President and CEO of Chapters
Health System. You can learn more about the work they
do and the services they provide at chaptershealth dot org
being based out of here in Florida, especially as Chapters
Health has grown so much. How has that helped you, because,

(10:36):
like we were talking about at the beginning of this conversation,
Florida really is kind of the center of gravity for
the need that you're providing answers for.

Speaker 2 (10:46):
Yeah, so you know, I give you the statistics nobody
nobody likes just pure conjecture. So sometimes a few facts
to back up your statements gives you credibility. You know,
our organization has the good privilege of saying we've grown
in the last four years four hundred and seventy seven
percent in terms of our employment. It's a lot, right,
and if you look at that, that's about a fifty
five percent give or take compound at annual growth rate
compared to a national norm of two to three percent.

(11:07):
So something is working right. And there's the old adage
of sometimes you can keep it just that simple focus
on your staff, what do they need? When they're at
their best, patient care and family care will be at
its best. And if you stick with a simple mantra
and you're completely dedicated to it, you too can see
those kinds of numbers and turn around. So yes to
anyone within the listening audience, you know we have some

(11:28):
of the best caregivers available doing the best work available.
But even if you're not in the healthcare business, we
would love for you to hear the message on take
good care your people and your business will thrive.

Speaker 1 (11:37):
It's incredible, an incredible success story. Andrew Malowski, president and
CEO of Chapters Health System, which again you can learn
more about at chaptershealth dot org. Andrew, thanks so much
for coming in today. Really appreciate it.

Speaker 2 (11:47):
Privileges mind, Thanks for having me
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