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MONDAY: East Bay hospice workers to start 7-day strike

Hospice Strike to Start 6 a.m. Monday, October 5

Caregivers at Hospice East Bay to launch 7-day strike as new Florida-based owner imposes severe layoffs and service reductions

PLEASANT HILL, CA —Three years after becoming among the first Northern California hospice workers to form a union, caregivers at one of the Bay Area’s oldest hospice providers are launching a 7-day Unfair Labor Practice strike, starting at 6 a.m., Monday, Oct. 5.

“We’ve lost local control of the hospice, and now we’re about to lose caregivers who help people through some of the hardest moments of their lives,” said Claire Eustice, a chaplain at the hospice. “This is a critical moment, and we’re taking a stand to protect a program that has served generations of East Bay families.” 

WHO/WHAT: Dozens of hospice workers striking Hospice East Bay headquarters alongside elected leaders and community supporters.

WHEN/WHERE: 6 a.m. to 2 p.m., Monday, October 5. Workers will be available for interviews at 5:40 a.m. on the first day of the strike; 8 a.m. to 2 p.m. Tuesday, Oct. 6 to Sunday, Oct. 11, Hospice East Bay, 3470 Buskirk Avenue, Pleasant Hill.

The approximately 70 nurses, social workers, pharmacists, chaplains and bereavement counselors at Hospice East Bay made statewide headlines in November 2023 when they joined the National Union of Healthcare Workers. They are still seeking their first contract after nearly three years of negotiations. During that period, Hospice East Bay, which was founded in 1977 and remains the second-largest hospice provider serving Alameda, Contra Costa and Solano counties, surrendered local control and turned over operations to Chapters Health System, a national hospice chain based in Florida, whose CEO, Andrew Molosky, was paid over $2.5 million in 2024, the last year for which records are publicly available.

Since Chapters took over last October, contract bargaining has stagnated, and staffing has declined. After a smaller layoff last year, Chapters is now set to lay off the equivalent of 21 full-time workers effective Oct. 16, including top executives, non-union nurses and four union members: two chaplains, a psychosocial resource specialist and a bereavement counselor. 

Following the layoffs, the hospice will have just two bereavement counselors for a census of 1,200 patients and immediate family members, precluding it from offering all its traditional services to help grieving family members, including peer support groups, one-on-one counseling sessions and in-home counseling for clients with mobility issues. The hospice already eliminated a program two years ago for school-aged children who lost a parent.

“We’re about to be down to only two counselors, which means we can’t offer all the services we know help those in grief,” said Dawn Torre, a bereavement counselor at the hospice. “It’s painful to know that we won’t have the capacity to help families cope with the loss of a loved one.  It’s not fair to anyone, and there’s no excuse for it.” 

Hospice unionization and consolidation are increasing throughout the Bay Area. Since 2022, more than 400 hospice workers in Northern California have joined NUHW, including at two hospices in Sonoma County whose operations were recently taken over by Compassus, a private equity-backed company.

Although Chapters is not a for-profit operator, it touts a reputation for helping its member hospices to “maximize administrative resources and minimize expenses.” Among those set to be laid off on Aug. 16 is Hospice East Bay Executive Director Chris Falley. Rather than replace Falley, Chapters is planning to appoint a new executive to oversee Hospice East Bay and four other Chapters hospice programs in the western United States.

The chain went months without holding any negotiating sessions with workers despite conditions placed by Attorney General Rob Bonta on Chapters’ acquisition of Hospice East Bay requiring that the national chain to “collectively bargain in good faith.” Chapters also laid off three workers last year and withheld merit raises until the National Labor Relations Board ordered it to provide the wage increases while negotiations continued.

In contract negotiations, the chain is insisting on being able to increase health care premiums at any time, while offering only a 2.5 percent raise over the next year. Chapters is also demanding that workers effectively waive the right to ever sue Chapters and accept employment arbitration to settle disputes.

“It’s clear to us that Chapters is trying to break our union and defund our services,” said Marie Yang, a chaplain at the hospice. “Their strategy seems to be to drag this out until we give up — but that won’t happen. We’re defending a community institution, and we are committed to being able to provide our patients with the compassion they deserve.”

Workers have filed several Unfair Labor Practice charges against Hospice East Bay. There are currently two outstanding charges citing Chapters for unilaterally changing employee health insurance and refusing to bargain over it, eliminating two union job titles, and then offering to rehire the union workers into non-union job titles, but still doing the same job.

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The National Union of Healthcare Workers is a member-led movement that represents 19,000 healthcare workers in California, Hawai’i, Pennsylvania, and Wisconsin, including more than 400 hospice workers.

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