Civic Intelligence

Stratum Health System Inc.

990 • Fiscal year 2019 • EIN 47-2508009

Oct 01, 2018 to Sep 30, 2019 • Filed on Aug 12, 2020

5955 Rand BlvdSarasota, FL 34238

(941) 552-7500

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

16th percentile

0.04x

Higher debt load relative to assets than 16% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Liabilities / Revenue

30th percentile

0.24x

Higher debt load relative to revenue than 30% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Net Margin

54th percentile

5.1%

Higher net margin than 54% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Top Officer Pay

56th percentile

$538,089

Higher top officer pay than 56% of similar nonprofits.

Top officer pay equals 2.1% of source-year revenue.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Asset Growth

32nd percentile

0.9%

Faster asset growth than 32% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2018 to 2019

Revenue Growth

20th percentile

-8.5%

Faster revenue growth than 20% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2018 to 2019

Assets

Up

$175,614,117

Up $1,495,308 (+0.9%) from 2018

Net Assets

Up

$169,421,283

Up $283,623 (+0.2%) from 2018

Liabilities

Up

$6,192,834

Up $1,211,685 (+24%) from 2018

Revenue

Down

$26,189,336

Down $2,418,469 (-8.5%) from 2018

Expenses

Up

$24,859,061

Up $7,912,339 (+47%) from 2018

Net Income

Down

$1,330,275

Down $10,330,808 (-89%) from 2018

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2019

Assets$175,614,117
Liabilities$6,192,834
Net Assets$169,421,283

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2019

Revenue$26,189,336
Expenses$24,859,061
Net Income$1,330,275
Jump To
Filing Snapshot
Filing Period
Oct 1, 2018 to Sep 30, 2019
Signed
Aug 12, 2020
Return Version
2018v3.2
Gross Receipts
$82,115,819
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 system helps patients manage their health care needs wherever they live.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$109,350,719$109,505,543▲ $154,824
Land, Buildings, and Equipment, Net$39,315,447$40,439,489▲ $1,124,042
Savings and Temporary Cash Investments$6,777,826$5,495,330▼ $1,282,496
Intangible Assets$1,931,508$1,738,357▼ $193,151
Prepaid Expenses and Deferred Charges$615,157$597,550▼ $17,607
Accounts Receivable$362,285$494,869▲ $132,584
Cash and Non-Interest-Bearing Accounts$1,722$5,351▲ $3,629
Total Assets$174,118,809$175,614,117▲ $1,495,308
Other Assets Total$15,764,145$17,337,628▲ $1,573,483
Liabilities
Other Liabilities$2,604,061$3,649,940▲ $1,045,879
Accounts Payable and Accrued Expenses$2,373,354$2,539,397▲ $166,043
Deferred Revenue$3,734$3,497▼ $237
Total Liabilities$4,981,149$6,192,834▲ $1,211,685
Net Assets / Fund Balance
Unrestricted Net Assets$169,137,660$169,421,283▲ $283,623
Total Net Assets Fund Balance$169,137,660$169,421,283▲ $283,623
Total Liabilities and Net Assets / Fund Balance$174,118,809$175,614,117▲ $1,495,308

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$31,877,458$18,008,301$49,885,759
Land$6,809,448-$6,809,448
Equipment$946,598$5,133,881$6,080,479
Other Land Buildings$802,120$2,995,573$3,797,693
Leasehold Improvements$3,865$86,645$90,510
Other Assets Org$11,655,000--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Gerard RadfordPresident/CEO Thru 12/31/2018FT$419,575$118,514$538,089
Neville SarkariEvp Chief Medical OfficerFT$388,999$98,183$487,182
Asdollah LivaniAssoc. Medical DirectorFT$333,631$25,057$358,688
Saida BouhamidCFO / COOFT$279,672$71,807$351,479
Julie SchilsonEvp Chief Hr OfficerFT$240,289$85,942$326,231
Denise PopeEvp Chief Philanthropy Officer Thru May 2019FT$239,109$36,383$275,492
Denise PopeEvp Chief Philanthropy Officer Thru-$211,845$63,647$275,492
Jacqueline BikAssoc. Medical DirectorFT$215,149$48,625$263,774
David LaffertyEvp Chief Information OffiFT$201,503$59,773$261,276
Anthony MontanaroAssoc. Medical DirectorFT$220,265$24,521$244,786
Pauline MaileyChief Nursing OfficerFT$149,791$62,347$212,138
Theresa NolanEvp Compliance & QualityFT$138,543$52,293$190,836
Rob CoseoVP of Business DevelopmentFT$119,672$32,836$152,508
Roger OverbyVP of Information TechnoloFT$119,935$16,439$136,374
Jonathan D Fleece EsqPresident/CEO Eff. 1/1/2019FT$106,230$4,126$110,356

Board Members and Trustees

NameTitle
Thomas T StuhleyChair
Michael UseltonFormer Chair
Steve HallVice Chair
Linda De MelloTrustee
Sandy BuchananTrustee
Scott GassettEvp Chief Innovation & Bus. Dev. Officer June 2019
Jan MillerSecretary
Steven RoskampTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Willis A Smith Construction INCGeneral Contractor Services5001 LAKEWOOD RANCH BLVD N, Sarasota, FL 34240$1,954,658
Revenue and Support

Revenue Composition

Contributions and Grants
$3,899,434
Program Service Revenue
$17,670,132
Investment Income
$4,613,306
Other Revenue
$6,464
All Other Contributions
$10,434
Change in Net Assets
$1,330,275

Audited Revenue Reconciliation

Revenue per Audited Statements
$9,249,150
Revenue Not Reported on Financial Statements
$16,940,186
Revenue Not Reported on Form 990
$109,273,320
Other Revenue Adjustments
$16,591,703
Total Revenue per Audited Statements
$118,522,470
Total Revenue per Form 990
$26,189,336
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$11,350,985
Other Expenses$7,393,076
Grants and Similar Amounts Paid$6,115,000
Total Fundraising Expense$452,875
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,719,427$4,089,451$20,965$6,829,843
Grants to Domestic Orgs$6,115,000--$6,115,000
Current Officers, Directors, Trustees, and Key Employees$820,280$1,776,893$370,799$2,967,972
Other Employee Benefits$505,845$1,006,207$41,118$1,553,170
Occupancy$1,073,392$311,810$6,471$1,391,673
Fees for Services Other$328,304$873,333-$1,201,637
Depreciation Depletion$601,068$385,925$4,001$990,994
Advertising$18,535$441,151-$459,686
All Other Expenses$37,471$384,847$9$422,327
Fees for Service Investment Mgmnt Fees-$348,483-$348,483
Office Expenses$24,922$315,403-$340,325
Insurance$114,054$35,122$729$149,905
Fees for Services Legal-$148,211-$148,211
Conferences and Meetings$16,476$124,802-$141,278
Travel$22,774$116,401$1,161$140,336
Fees for Services Accounting-$61,800-$61,800
Other Expenses$3,852$53,868$917$3,852
Total Functional Expenses$13,556,035$10,850,151$452,875$24,859,061

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$111,825,410
Expenses Not Reported on Form 990$109,104,816
Total Expenses per Form 990$24,859,061
Expenses Not Reported on Financial Statements$22,138,467
Other Expense Adjustments$21,789,984
Expenses per Audited Statements$2,720,594
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Tidewell Hospice IncSarasota, FL501(c)(3)Transfer of Funds to Supported Organization$6,115,000
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
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Entities$3,649,940
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
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
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Sandy buchanan, stratum health system trustee and kimberlie buchanan, tidewell hospice trustee are sister in-laws steve hall, stratum health system and tidewell hospice trustee is the nephew of lori dengler, tidewell hospice arnp (not key employee)

Form 990, Part VI, Section A, Line 4

On april 8, 2019 the board of trustees approved the organization's sixth amended and restated bylaws, which were then superseded on august 29, 2019 by the organization's seventh amended and restated bylaws. The following language was added to article 6.3, term of officers: notwithstanding the foregoing, in the event of a material change in leadership (as hereafter defined) occurring in the second year of the then current chair's term, the chair may serve for an additional one (1) year period at the discretion of the board. For purposes of this section 6.3, a "material change in leadership" shall mean: (i) any change in the identity of the individual serving as the chief executive officer of stratum health system; (ii) the temporary or permanent disability of the chief executive officer of stratum health system; or (iii) the occurrence of a change of control (as hereafter defined). For purposes of this section 6.3, a "change of control" means: (a) the sale or other disposition of substantially all of the assets of stratum health system and/or tidewell hospice, inc. ("tidewell") whether by merger, consolidation or sale of assets to any individual, entity, or group, including, but not limited to, another hospice or hospice-related organization; (b) a transaction in which stratum health system, tidwell and/or a related employer (as such term is defined in section 414 of the internal revenue code of 1986, as amended) emerges no longer as the dominant entity; (c) the occurrence of a change in which any person or entity achieves the ability, directly or indirectly, to appoint 50% or more of the board of trustees of stratum health system and/or tidewell; or (d) a change in the management or control of stratum health system and/or tidewell by way of an agreement entered into by stratum health system and/or tidewell with another organization to provide management services to stratum health system, tidewell or any successor organization. In the organization's seventh amended and restated bylaws, the finance committee was renamed as the finance and investment committee.

Form 990, Part VI, Section B, Line 11B

Upon completion and before submission, the form 990 is provided to each board member along with a summary of important highlights, noting the page numbers and lines for items of particular importance to review.

Form 990, Part VI, Section B, Line 12C

All board of trustees and key employees sign a conflict of interest disclosure statement. Board members sign a statement annually. Possible conflicts are reviewed or resolved by non-interested parties of the board of trustees.

Form 990, Part VI, Section B, Line 15

Each year a market analysis is performed. Analysis is crossed referenced with national compensation publication for validation. The information derived from this process is presented to the personnel committee, a subcommittee of the board of trustees. Full board of trustees' approval is required in order to adjust compensation.

Form 990, Part VI, Section C, Line 19

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
9415527500
Address
5955 RAND BLVD, SARASOTA, FL 34238

Signing Officer

Name
Saida Bouhamid
Title
CFO/COO
Phone
9415527500
Signed
2020-08-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Saida Bouhamid
Formed
2014
Legal Domicile
Fl
Voting Board Members
7
Independent Board Members
7
Employees
254
Volunteers
276

Preparer

Firm
Kerkering Barberio & Co
Address
PO BOX 49348, SARASOTA, FL 34230-6348
Preparer
Rebecca U Stoner
Phone
9413654617
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 6 Volunteers

Volunteers perform a number of administrative tasks throughout the organization. There are also many volunteers collecting and sorting donated items, preparing them for the sales floor and staffing treasures resale shop on a daily basis. Additionally, all board members are volunteers.

Form 990, Part XII, Line 2C Audit Review Process

There was no change to the audit review process over the prior year.

Financial Statement Notes

PART X, LINE 2:

Under the income taxes topic of the fasb accounting standards codification, the organization has reviewed and evaluated the relevant technical merits of each of its tax positions in accordance with accounting principles generally accepted in the united states of america for accounting for uncertainty in income taxes, and determined that there are no uncertain tax positions that would have a material impact on the consolidated financial statements of the organization.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Revenues reported separately on tidewell hospice, inc. - fein 59-1911861 98,010,897. Revenues reported separately ambassador health solutions llc-fein 27-3215073 14,535,075. Intercompany grants reported in 990 functional expenses -2,226,000.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Contributions from related entity 3,889,000. Rental expenses included in expenses on financial statements -2,870,974. Management fees included in expenses on financial statements -101,307. Intercompany eliminations 15,674,984.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Rental expenses included in expenses on financial statements 2,870,974. Management fees included in expenses on financial statements 101,307. Expenses reported separately on tidewell hospice, inc. - fein 59-1911861 90,368,329. Expenses reported separately ambassador health solutions llc-fein 27-3215073 15,764,206.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Intercompany eliminations 15,674,984. Intercompany grants netted against revenues per fs 6,115,000.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0TRUSTEE
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IRS990/Form990PartVIISectionAGrp/TitleTxt3CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt4VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt5TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt6SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt7PRESIDENT/CEO THRU 12/31/2018
IRS990/Form990PartVIISectionAGrp/TitleTxt8CFO / COO
IRS990/Form990PartVIISectionAGrp/TitleTxt9PRESIDENT/CEO EFF. 1/1/2019
IRS990/Form990PartVIISectionAGrp/TitleTxt10EVP CHIEF PHILANTHROPY OFFICER THRU MAY 2019
IRS990/Form990PartVIISectionAGrp/TitleTxt11EVP CHIEF MEDICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt12EVP CHIEF INFORMATION OFFI
IRS990/Form990PartVIISectionAGrp/TitleTxt13EVP CHIEF HR OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt14EVP COMPLIANCE & QUALITY
IRS990/Form990PartVIISectionAGrp/TitleTxt15EVP CHIEF INNOVATION & BUS. DEV. OFFICER JUNE 2019
IRS990/Form990PartVIISectionAGrp/TitleTxt16CHIEF NURSING OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt17ASSOC. MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt18ASSOC. MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt19VP OF INFORMATION TECHNOLO
IRS990/Form990PartVIISectionAGrp/TitleTxt20ASSOC. MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt21VP OF BUSINESS DEVELOPMENT
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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/ProgramServiceRevenueGrp/Desc0MANAGEMENT SERVICE FEES, NET
IRS990/ProgramServiceRevenueGrp/Desc1MEDICARE/MEDICAID PAYMENTS
IRS990/ProgramServiceRevenueGrp/Desc2HOME HEALTH CONTRACT REVENUE
IRS990/ProgramServiceRevenueGrp/Desc3TIDEWELL TREASURES
IRS990/ProgramServiceRevenueGrp/Desc4PRIVATE PAYMENTS
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IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt21040799
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt3590754
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt4485599
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IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt12303465
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IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt3590754
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt4485599
IRS990/ProgSrvcAccomActy2Grp/Desc0TIDEWELL HOME HEALTH, 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 30 YEARS AND SERVED MORE THAN 240 NEW CLIENTS DURING FY19 AND PROVIDED IN EXCESS OF 100,000 HOURS OF CARE.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt01813990

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