Civic Intelligence

Stratum Health System Inc

EIN 47-2508009 • 501(c)3 • Lakewood Ranch, FL

Profile

Stratum health system was created to establish a comprehensive system enabling access to post-acute health care services, benefiting the community and other health care organizations.

6310 Capital DriveLakewood Ranch, FL 34202

www.empathhealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

36th percentile

0.15x

Higher debt load relative to assets than 36% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

56th percentile

0.52x

Higher debt load relative to revenue than 56% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

80th percentile

25%

Higher net margin than 80% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

73rd percentile

$876,727

Higher top officer pay than 73% of similar nonprofits.

Top officer pay equals 1.9% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

81st percentile

17%

Faster asset growth than 81% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

85th percentile

33%

Faster revenue growth than 85% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$159,497,930

Up $22,977,535 (+17%) from 2023

Liabilities

Up

$24,308,721

Up $15,500,232 (+176%) from 2023

Net Assets

Up

$135,189,209

Up $7,477,303 (+5.9%) from 2023

Revenue

Up

$46,332,558

Up $11,613,937 (+33%) from 2023

Expenses

Down

$34,926,443

Down $4,341,402 (-11%) from 2023

Net Income

Up

$11,406,115

Up $15,955,339 (+351%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300M$200M$100M$0Assets 2016: $136,835,279Liabilities 2016: $3,880,951Net Assets 2016: $132,954,3282016Assets 2017: $155,504,436Liabilities 2017: $3,936,158Net Assets 2017: $151,568,2782017Assets 2018: $174,118,809Liabilities 2018: $4,981,149Net Assets 2018: $169,137,6602018Assets 2019: $175,614,117Liabilities 2019: $6,192,834Net Assets 2019: $169,421,2832019Assets 2020: $204,934,383Liabilities 2020: $15,810,376Net Assets 2020: $189,124,0072020Assets 2021: $159,197,888Liabilities 2021: $10,389,039Net Assets 2021: $148,808,8492021Assets 2022: $149,098,432Liabilities 2022: $24,488,580Net Assets 2022: $124,609,8522022Assets 2023: $136,520,395Liabilities 2023: $8,808,489Net Assets 2023: $127,711,9062023Assets 2024: $159,497,930Liabilities 2024: $24,308,721Net Assets 2024: $135,189,2092024

Highlighted filing

2024

Assets$159,497,930
Liabilities$24,308,721
Net Assets$135,189,209

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$100M$50M$0-$50MRevenue 2016: $22,017,287Expenses 2016: $15,503,513Net Income 2016: $6,513,7742016Revenue 2017: $26,346,247Expenses 2017: $16,261,052Net Income 2017: $10,085,1952017Revenue 2018: $28,607,805Expenses 2018: $16,946,722Net Income 2018: $11,661,0832018Revenue 2019: $26,189,336Expenses 2019: $24,859,061Net Income 2019: $1,330,2752019Revenue 2020: $46,132,974Expenses 2020: $44,236,737Net Income 2020: $1,896,2372020Revenue 2021: $60,285,912Expenses 2021: $92,079,620Net Income 2021: -$31,793,7082021Revenue 2022: $64,895,933Expenses 2022: $70,534,759Net Income 2022: -$5,638,8262022Revenue 2023: $34,718,621Expenses 2023: $39,267,845Net Income 2023: -$4,549,2242023Revenue 2024: $46,332,558Expenses 2024: $34,926,443Net Income 2024: $11,406,1152024

Highlighted filing

2024

Revenue$46,332,558
Expenses$34,926,443
Net Income$11,406,115

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 14, 2025
Return Version
2023v6.0
Gross Receipts
$46,333,097
Mission and Program Overview

Mission

Stratum health system was created to establish a comprehensive system enabling access to post-acute health care services, benefiting the community and other health care organizations.

Stratum health systems helps patients manage their health care need wherever they live.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Program Related$76,644,812$100,552,281▲ $23,907,469
Land, Buildings, and Equipment, Net$38,738,021$38,469,075▼ $268,946
Intangible Assets$11,368,777$11,368,777→ $0
Accounts Receivable$6,145,459$7,242,709▲ $1,097,250
Savings and Temporary Cash Investments$3,271,890$1,159,646▼ $2,112,244
Prepaid Expenses and Deferred Charges$89,693$51,894▼ $37,799
Cash and Non-Interest-Bearing Accounts$0--
Other Notes and Loans Receivable, Net$0--
Pledges and Grants Receivable$0--
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Pd in Cap Srpls Land Bldg Eqp Fund$0--
Rtn Earn Endowment Incm Other Fnds$0--
Cap Stk Tr Prin Current Funds$0--
Inventories for Sale or Use$0--
Loans From Officers Directors$0$0→ $0
Total Assets$136,520,395$159,497,930▲ $22,977,535
Other Assets Total$261,743$653,548▲ $391,805
Liabilities
Other Liabilities$2,640,092$17,287,229▲ $14,647,137
Mortgage Notes Payable Secured by Investment Property$4,578,657$4,563,956▼ $14,701
Accounts Payable and Accrued Expenses$218,092$1,677,890▲ $1,459,798
Deferred Revenue$821,652$779,646▼ $42,006
Unsecured Notes Loans Payable$549,996--
Grants Payable$0--
Escrow Account Liability$0--
Tax Exempt Bond Liabilities$0--
Total Liabilities$8,808,489$24,308,721▲ $15,500,232
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$127,711,906$135,189,209▲ $7,477,303
Net Assets With Donor Restrictions$0--
Total Net Assets Fund Balance$127,711,906$135,189,209▲ $7,477,303
Total Liabilities and Net Assets / Fund Balance$136,520,395$159,497,930▲ $22,977,535

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$31,072,830$24,166,515$55,239,345
Land$6,539,829-$6,539,829
Other Land Buildings$247,205$833,051$1,080,256
Equipment$609,211$319,211$928,422
Leasehold Improvements$0$10,864$10,864
Investment Program Related Org$100,552,281--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jonathan FleecePresident/CEOPT$624,933$251,794$876,727
Jennifer M DawesProfessional Development LiasonFT$567,236$26,897$594,133
Erica D RellProfessional Development LiasonFT$458,339$27,674$486,013
Saida BouhamidCFOPT$447,125$38,556$485,681
Charles JohnsonFormer Chief Mission People OfficerFT$318,819$165,021$483,840
Christy HendricksChief Legal OfficerFT$376,908$42,055$418,963
Pauline MaileyChief Nursing OfficerFT$241,483$28,948$270,431
Cecille RiggsSVP Home HealthFT$229,231$36,949$266,180
Jacqueline a BikCx - Primary Care PhysicFT$234,075$27,311$261,386
Taylor D MeeksHh Territory ManagerFT$239,417$14,365$253,782
Christopher MerrittSVP Business Development - Home HealthFT$166,177$3,015$169,192

Board Members and Trustees

NameTitle
Jan MillerChair
Rafael J SciulloFormer President
Debra a MasonFormer President Tidewell Foundation
Thomas StuhleyVice Chair
Linda De MelloDirector
Michael UseltonDirector
Kevin LoganSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$2,000,000
Program Service Revenue
$32,402,550
Investment Income
$11,721,130
Other Revenue
$208,878
Change in Net Assets
$11,406,115
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$26,618,845
Other Expenses$8,307,598
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$15,846,679$3,347,602-$19,194,281
Current Officers, Directors, Trustees, and Key Employees$2,457,577$519,162-$2,976,739
Other Employee Benefits$2,090,033$450,548-$2,540,581
Depreciation Depletion$1,078,283$737,217-$1,815,500
Occupancy$971,415$606,668-$1,578,083
Payroll Taxes$1,251,231$227,022-$1,478,253
Fees for Services Other$955,215$155,910$0$1,111,125
Office Expenses$582,812$279,854-$862,666
Insurance$273,114$252,209-$525,323
Pension Plan Contributions$414,904$14,087-$428,991
Fees for Service Investment Mgmnt Fees-$257,854-$257,854
All Other Expenses$21,931$126,750$0$148,681
Other Expenses$62,329$46,423-$108,752
Interest$98,033--$98,033
Fees for Services Legal-$15,979-$15,979
Fees for Services Accounting-$6,800-$6,800
Advertising$500$5,616-$6,116
Conferences and Meetings$211$49-$260
Total Functional Expenses$27,115,727$7,810,716$0$34,926,443
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$16,755,113
Other Current Liabilities$532,116
Right-of-use Lease Obligations-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENSATION

The organization's top management official is the president and ceo of empath-stratum, inc. (esi), a related organization. The ceo's compensation is determined by and paid for by esi. The executive committee of the esi board meets annually to review and approve the compensation of the president and ceo. The executive committee's review of ceo compensation includes information provided in the most recent external compensation review. The compensation of the organization's other officers is also determined by esi. The compensation of other officers is reviewed on an annual basis by the ceo of esi. After reviewing officer compensation, the ceo's recommendations are then approved by esi's board of directors. These reviews are documented in each employee's file. The review of other officers' compensation includes information provided in the most recent external compensation review. External compensation reviews are performed according to the following process: every 3-5 years human resources will employ a well-recognized, independent compensation consultant to review the market ranges for the ceo of esi. The review will include a national comparison of similar jobs at similarly situated companies in order to make certain that these key employees are paid within a reasonable and appropriate range. The resulting recommendations will be reviewed by the executive committee to recommend any market-based changes or to ensure that the current compensation of these individuals are correct. During this review, human resources will also give the executive committee a broad overview of the structure of the full organization's compensation system, including the philosophy and systems set in place to manage it.

Form 990, Part VI, Line 2 Family/business relationships amongst interested persons

SANDY BUCHANAN AND KIMBERLIE BUCHANAN - Family relationship

Form 990, Part VI, Line 6 Classes of members or stockholders

Purusant to the organization's governing documents, the sole voting member of stratum health system, inc. Shall be empath-stratum, inc., a related tax-exempt organization. As the organization's sole corporate member, empath-stratum, inc. Has the right to participate in the organization's governance.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

Pursuant to the organization's governing documents, the sole corporate member has the right to elect, appoint, or remove any director of the organization without cause at any time.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

The sole member has the right to approve, consent and ratify certain transactions and management decisions of the organization as specified in the bylaws.

Form 990, Part VI, Line 11B Review of form 990 by governing body

The form 990 is reviewed in detail by management. It is also provided to the audit committee for review, and a copy is distributed to every member of the governing body prior to filing.

Form 990, Part VI, Line 12C Conflict of interest policy

All officers, directors, trustees, key employees, and highest paid employees (interested persons) of the organization have a duty to avoid conflicts of interest, both real and perceived, which may negatively impact the organization or those it serves. The organization's interested persons are to be guided by the organization's mission, vision and values, and to serve patients, families, and the general public without need for any personal favor or gain. The organization's ethics and compliance plan emphasizes the duty interested persons have to disclose any actual or potential conflicts of interest that may benefit their private interests or result in a possible excess benefit transaction. Conflicts are disclosed annually on a conflict of interest questionnaire that is distributed to the officers, directors, key employees, and highest compensated employees. In the event of any actual or potential conflicts of interest, interested persons must disclose the existence of their financial interest and disclose all material facts to the board chair, ceo, or other designated persons. If it is determined that an actual conflict of interest exists between the organization and an interested person, the party with a conflict of interest but abstain from any discussion or voting on the transaction or arrangement involving the conflict of interest. At each board meeting, board members are reminded that they have signed a conflict of interest disclosure and are asked to review the agenda. At that time, for the record, they are to disclose any items with which they may have a conflict of interest.

Form 990, Part VI, Line 19 Required documents available to the public

Stratum health system makes its financial statements, governing documents, and conflict of interest policy available to the public upon request. Each request is evaluated by the cfo and a copy of the requested document is made and mailed to the requester.

Filing and Contact Details

Filer

Filer Name
Stratum Health System Inc
EIN
47-2508009
Phone
9415525900
Address
6310 CAPITAL DRIVE, LAKEWOOD RANCH, FL 34202

Signing Officer

Name
Jonathan Fleece
Title
President/CEO
Phone
9415525900
Signed
2025-08-14
Discuss with paid preparer
Yes

Organization Details

Formed
2014
Legal Domicile
Fl
Voting Board Members
6
Independent Board Members
5
Employees
459
Volunteers
210

Preparer

Firm
Forvis Mazars Llp
Address
120 E Palmetto Park Road Suite 403, Boca Raton, FL 33432
Preparer
April Arnold
Phone
5612991820
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A-4C Description of program services

(Expenses $ 829,526 including grants of $ 0)(Revenue $ 1,388,051) CONNEXIS MEDICAL SERVICES, LLC EXISTS TO HELP EXPAND ACCESS TO QUALITY HEALTH CARE AND RELATED COMMUNITY SERVICES. THE PHILOSOPHY IS THAT ALL PEOPLE SHOULD HAVE ACCESS TO QUALITY CARE AND SERVICES THROUGHOUT THE CONTINUUM OF LIFE. PHYSICIAN CARE SERVICES WERE PROVIDED DURING FY24 WITH OVER 12,260 VISITS MADE TO HOMES, ASSISTED LIVING FACILITIES AND NURSING FACILITIES, COMPLEMENTING THE SERVICES OFFERED BY OTHER ENTITIES IN THE STRATUM SYSTEM.

Form 990, Part V, Line 2A FORM W-2 REPORTING

Forms w-2 are issued on the organization's behalf by empath payroll services, llc (ein: 30-1156190) a disregarded entity of empath health, inc., a related organization.

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Net asset transfer - -24764996; change in investment in affiliates - 18438851;

Form 990, Part XII, Line 2C Change of oversight process or selection process

The board of directors is responsible for the oversight of the organization's financial statements and selection of an independent accountant. There was no change in this process from the prior year.

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

With the exception of solutions which has no current operations, all the empath health entities are exempt from income taxes on income from activities in furtherance of their charitable missions under section 501(c)(3) and 501(c)(2) of the u.s. Internal revenue code and corresponding state tax law. Empath health has received determination letters from the internal revenue service ("irs") that it is exempt from federal income tax as described in section 501(c)(3) of the internal revenue code ("irc"). It is also exempt from state income tax pursuant to florida law. Further, empath health is not a private foundation for federal tax purposes and qualifies for the charitable contribution deduction under irc section 170 as well as tax deductible bequests, devises, transfers or gifts under section 2055, 2106, or 2522. Empath health is annually required to file returns of organizations exempt from income tax (form 990) with the irs. In addition, empath health is potentially subject to income tax on net income derived from activities that are unrelated to its exempt purposes, if any. Empath health had no unrelated business income tax during the years ended september 30, 2024 and 2023. Solutions has a significant net operating loss carryforward, and the resulting deferred tax asset has been fully reserved as it is unlikely to ever be realized. Accordingly, these financial statements include no provision or liability for federal and state income taxes.

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IRS990/Desc0STRATUM HEALTH SYSTEM PROVIDES MANAGEMENT & ADMINISTRATIVE SUPPORT SERVICES TO THE HEALTH CARE OPERATIONS OF ITS RELATED HEALTHCARE ORGANIZATIONS: TIDEWELL HOSPICE, INC., TIDEWELL HOME HEALTH, LLC DBA APPROVED HOME HEALTH, KB HEALTH SOLUTIONS, LLC AND CORPAS HOME HEALTH CARE, TOGETHER DBA AVIDITY HOME HEALTH, AND CONNEXIS MEDICAL SERVICES, LLC AS WELL AS OTHER RELATED ENTITIES. TIDEWELL HOSPICE, INC. PROVIDES A FULL SPECTRUM OF PROGRAMS AND SERVICES DESIGNED TO RESPOND TO THE NEEDS OF PATIENTS AND FAMILIES THAT ARE LIVING WITH ADVANCED ILLNESS. TIDEWELL HOSPICE'S MISSION IS HELPING PEOPLE LIVE WELL BY PROVIDING CARE, COMFORT AND COMPASSION. TIDEWELL HOSPICE PROVIDED 433,839 PATIENT DAYS OF HOSPICE CARE TO PATIENTS AND THEIR FAMILIES THROUGHOUT SARASOTA, MANATEE, CHARLOTTE AND DESOTO COUNTIES. STRATUM PROVIDES MANAGEMENT, ADMINISTRATIVE AND TECHNICAL SUPPORT SERVICES RELATED TO QUALITY, COMPLIANCE, MEDICAL RECORDS, TECHNOLOGY, HUMAN RESOURCES, BILLING, FINANCIAL SERVICES, CONSULTING AND OTHER AREAS AS NEEDED TO SUPPORT THE PATIENT CARE OPERATIONS.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0CHIEF LEGAL OFFICER
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IRS990/Form990PartVIISectionAGrp/TitleTxt8CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt9SVP HOME HEALTH
IRS990/Form990PartVIISectionAGrp/TitleTxt10SVP BUSINESS DEVELOPMENT - HOME HEALTH
IRS990/Form990PartVIISectionAGrp/TitleTxt11PROFESSIONAL DEVELOPMENT LIASON
IRS990/Form990PartVIISectionAGrp/TitleTxt12CX - PRIMARY CARE PHYSIC
IRS990/Form990PartVIISectionAGrp/TitleTxt13PROFESSIONAL DEVELOPMENT LIASON
IRS990/Form990PartVIISectionAGrp/TitleTxt14HH TERRITORY MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt15FORMER CHIEF MISSION PEOPLE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt16FORMER PRESIDENT TIDEWELL FOUNDATION
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IRS990/MissionDesc0STRATUM HEALTH SYSTEM WAS CREATED TO ESTABLISH A COMPREHENSIVE SYSTEM ENABLING ACCESS TO POST-ACUTE HEALTH CARE SERVICES, BENEFITING THE COMMUNITY AND OTHER HEALTH CARE ORGANIZATIONS.
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IRS990/ProgSrvcAccomActy2Grp/Desc0KB HEALTH SOLUTIONS, LLC AND CORPAS HOME HEALTH CARE, LLC OPERATE TOGETHER DOING BUSINESS AS EMPATH HOME HEALTH. EMPATH HOME HEALTH IS A MEDICARE-CERTIFIED HOME HEALTH AGENCY THAT SERVES SOUTHWEST FLORIDA. THE AGENCY FOCUSES ON DELIVERING HOME HEALTHCARE SOLUTIONS WITH THE MISSION OF DELIVERING COMPASSIONATE CARE WITH EXCELLENCE. EMPATH HOME HEALTH PROVIDES SKILLED NURSING CARE SUCH AS WOUND CARE, POST-SURGICAL CARE AND PATIENT EDUCATION, AS WELL AS PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES AND OTHER RELATED SERVICES. AVIDITY SERVED OVER 8,102 PATIENTS IN FY24 PROVIDING OVER 147,754 PATIENT CARE VISITS.
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IRS990/ProgSrvcAccomActy3Grp/Desc0EMPATH PERSONAL CARE, LLC DBA APPROVED HOME HEALTH PROVIDES PRIVATE DUTY HOME HEALTH SERVICES TO PATIENTS IN SARASOTA, MANATEE, AND CHARLOTTE COUNTIES. PRIVATE DUTY SERVICES INCLUDE MAINLY ASSISTANCE WITH ACTIVITIES OF DAILY LIVING SUCH AS ASSISTANCE WITH BATHING, EATING, DRESSING AND TRANSFERRING, ALLOWING PATIENTS TO REMAIN IN THEIR HOMES. ALSO PROVIDED IS SKILLED NURSING CARE THAT ALLOWS PATIENTS TO RECEIVE ASSISTANCE WITH NEEDS SUCH AS MEDICATION MANAGEMENT OR DRESSING CHANGES. THE MISSION OF APPROVED HOME HEALTH IS TO HELP PEOPLE SAFELY REMAIN IN THEIR HOMES BY PROVIDING PROFESSIONAL QUALITY CARE. THE ORGANIZATION HAS BEEN IN OPERATION FOR 33 YEARS AND SERVED MORE THAN 94 NEW CLIENTS DURING FY24 AND PROVIDED IN EXCESS OF 56,207 HOURS OF CARE.
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