Spiritually integrated care that includes collaborations among chaplains, psychologists, and other health care professionals can have a profound effect on people’s lives. To facilitate this care, scholars and policy makers need to understand where chaplains work and how they are (or are not) formally a part of institutions, particularly those funded by the state and federal government. This article offers a short history of chaplaincy and provides snapshots about where chaplains work as federal and state employees in three sample states: Massachusetts, Illinois, and California. This institutional perspective is integral to understanding where and how chaplains are staffed and where collaborations are possible.