Civic Intelligence

Tidewell Hospice Inc

EIN 59-1911861 • 501(c)3 • Lakewood Ranch, FL

Profile

Tidewell hospice's mission is helping people live well by providing care, comfort and compassion.

6310 Capital DriveLakewood Ranch, FL 34202

tidewellhospice.org

Siviq Scores

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

Liabilities / Assets

43rd percentile

0.21x

Higher debt load relative to assets than 43% of similar nonprofits.

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

Liabilities / Revenue

13th percentile

0.07x

Higher debt load relative to revenue than 13% of similar nonprofits.

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

Net Margin

51st percentile

4.6%

Higher net margin than 51% of similar nonprofits.

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

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

89th percentile

28%

Faster asset growth than 89% of similar nonprofits.

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

Revenue Growth

41st percentile

4.1%

Faster revenue growth than 41% of similar nonprofits.

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

Assets

Up

$34,892,546

Up $7,553,681 (+28%) from 2023

Liabilities

Up

$7,416,635

Up $1,250,477 (+20%) from 2023

Net Assets

Up

$27,475,911

Up $6,303,204 (+30%) from 2023

Revenue

Up

$111,360,554

Up $4,349,709 (+4.1%) from 2023

Expenses

Down

$106,218,899

Down $1,442,190 (-1.3%) from 2023

Net Income

Up

$5,141,655

Up $5,791,899 (+891%) from 2023

Trend Graphs

Balance Sheet Trend

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

$200M$150M$100M$50M$0Assets 2011: $115,274,255Liabilities 2011: $7,855,287Net Assets 2011: $107,418,9682011Assets 2012: $119,517,119Liabilities 2012: $6,364,160Net Assets 2012: $113,152,9592012Assets 2013: $129,582,928Liabilities 2013: $6,027,859Net Assets 2013: $123,555,0692013Assets 2014: $148,831,068Liabilities 2014: $8,196,799Net Assets 2014: $140,634,2692014Assets 2015: $160,334,711Liabilities 2015: $9,284,382Net Assets 2015: $151,050,3292015Assets 2016: $33,274,068Liabilities 2016: $9,811,234Net Assets 2016: $23,462,8342016Assets 2017: $33,190,615Liabilities 2017: $8,528,130Net Assets 2017: $24,662,4852017Assets 2018: $35,409,504Liabilities 2018: $7,607,083Net Assets 2018: $27,802,4212018Assets 2019: $43,554,211Liabilities 2019: $8,109,222Net Assets 2019: $35,444,9892019Assets 2020: $31,413,440Liabilities 2020: $10,955,642Net Assets 2020: $20,457,7982020Assets 2021: $30,737,381Liabilities 2021: $7,992,221Net Assets 2021: $22,745,1602021Assets 2022: $29,135,309Liabilities 2022: $7,723,779Net Assets 2022: $21,411,5302022Assets 2023: $27,338,865Liabilities 2023: $6,166,158Net Assets 2023: $21,172,7072023Assets 2024: $34,892,546Liabilities 2024: $7,416,635Net Assets 2024: $27,475,9112024

Highlighted filing

2024

Assets$34,892,546
Liabilities$7,416,635
Net Assets$27,475,911

Operations Trend

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

$150M$100M$50M$0-$50MExpenses 2011: $92,716,8862011Expenses 2012: $92,211,7562012Expenses 2013: $81,775,0092013Revenue 2014: $90,904,583Expenses 2014: $81,415,130Net Income 2014: $9,489,4532014Revenue 2015: $95,363,921Expenses 2015: $83,235,327Net Income 2015: $12,128,5942015Revenue 2016: $88,069,013Expenses 2016: $83,211,874Net Income 2016: $4,857,1392016Revenue 2017: $87,152,291Expenses 2017: $86,990,824Net Income 2017: $161,4672017Revenue 2018: $88,732,593Expenses 2018: $86,359,354Net Income 2018: $2,373,2392018Revenue 2019: $101,436,014Expenses 2019: $94,083,933Net Income 2019: $7,352,0812019Revenue 2020: $108,526,597Expenses 2020: $124,087,798Net Income 2020: -$15,561,2012020Revenue 2021: $110,856,744Expenses 2021: $109,083,279Net Income 2021: $1,773,4652021Revenue 2022: $113,593,985Expenses 2022: $113,221,689Net Income 2022: $372,2962022Revenue 2023: $107,010,845Expenses 2023: $107,661,089Net Income 2023: -$650,2442023Revenue 2024: $111,360,554Expenses 2024: $106,218,899Net Income 2024: $5,141,6552024

Highlighted filing

2024

Revenue$111,360,554
Expenses$106,218,899
Net Income$5,141,655

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$34.9$7.42$27.5$111$106$5.14
2023Summary only. Only limited summary data is available for this year.$27.3$6.17$21.2$107$108$0.65
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$29.1$7.72$21.4$114$113$0.37
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$30.7$7.99$22.7$111$109$1.77
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$31.4$11.0$20.5$109$124$15.6
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$43.6$8.11$35.4$101$94.1$7.35
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$35.4$7.61$27.8$88.7$86.4$2.37
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$33.2$8.53$24.7$87.2$87.0$0.16
2016Detailed filing. Detailed filing data is available for this year.$33.3$9.81$23.5$88.1$83.2$4.86
2015Detailed filing. Detailed filing data is available for this year.$160$9.28$151$95.4$83.2$12.1
2014Detailed filing. Detailed filing data is available for this year.$149$8.20$141$90.9$81.4$9.49
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$130$6.03$124$81.8
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$120$6.36$113$92.2
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$115$7.86$107$92.7
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 15, 2025
Return Version
2023v6.0
Gross Receipts
$111,401,095
Mission and Program Overview

Mission

Tidewell hospice's mission is helping people live well by providing care, comfort and compassion. While honoring human dignity and personal choice, tidewell treats the whole person through quality en-of-life programs that fulfill physical, emotional and spiritual needs.

Tidewell hospice's mission is helping people live well by providing care, comfort and compassion.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$5,441,473$7,305,921▲ $1,864,448
Land, Buildings, and Equipment, Net$3,407,928$2,830,249▼ $577,679
Savings and Temporary Cash Investments$3,492,440$2,000,000▼ $1,492,440
Investments Other Securities$226,984$226,984→ $0
Prepaid Expenses and Deferred Charges$166,444$102,040▼ $64,404
Cash and Non-Interest-Bearing Accounts$2,489$2,488▼ $1
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$27,338,865$34,892,546▲ $7,553,681
Other Assets Total$14,601,107$22,424,864▲ $7,823,757
Liabilities
Accounts Payable and Accrued Expenses$4,243,010$6,184,424▲ $1,941,414
Other Liabilities$1,923,148$1,232,211▼ $690,937
Total Liabilities$6,166,158$7,416,635▲ $1,250,477
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$14,476,922$19,542,939▲ $5,066,017
Net Assets With Donor Restrictions$6,695,785$7,932,972▲ $1,237,187
Total Net Assets Fund Balance$21,172,707$27,475,911▲ $6,303,204
Total Liabilities and Net Assets / Fund Balance$27,338,865$34,892,546▲ $7,553,681

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$2,820,766$6,519,281$9,340,047
Leasehold Improvements$6,612$56,862$63,474
Other Land Buildings$2,871-$2,871
Other Assets Org$1,211,664--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
James ValentiAssociate Medical DirectorFT$269,132$27,846$296,978
Karen RayPhysicianFT$254,565$34,373$288,938
Susan DrukmanResource PhysicianFT$215,764$41,581$257,345
Braden VanderwallPhysicianFT$212,169$41,728$253,897
Richard L DiamondPhysicianFT$222,471-$222,471
Esther L WylenPhysicianFT$195,510$15,574$211,084

Board Members and Trustees

NameTitle
Matt MayperChair
Rafael J SciulloFormer President
Jonathan FleecePresident/CEO
Mindy RyalsVice Chair
Daniel Deems Md PhdDirector
Fermin MirandaDirector
Jake SorgDirector
James Florica MdDirector
Karen FordhamDirector
Kevin LoganDirector
Margaret MaistoDirector
Saida BouhamidCFO
Christy HendricksChief Legal Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
Empath Health INCManagement Services6310 CAPITAL DRIVE, Lakewood Ranch, FL 34202$15,383,446
Intella Triage LLCMedical And Health Care8011 BROOKS CHAPEL ROAD SUITE 1687, Brentwood, TN 37027$741,709
Core Medical GroupMedical And Health CarePO BOX 306478, Nashville, TN 37230$516,636
Apollo Medical TransportMedical Transportation Services1302 WHITFIELD AVE, Sarasota, FL 34243$248,944
Imagefirst Healthcare Laundry Specialists LLCHealthcare Laundry Services925E INDUSTRIAL CIRCLE UNITS12, Cape Coral, FL 33909$198,613
Revenue and Support

Revenue Composition

Contributions and Grants
$3,567,499
Program Service Revenue
$107,618,463
Investment Income
$98,957
Other Revenue
$75,635
All Other Contributions
$67,499
Change in Net Assets
$5,141,655

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Real Estate Other1$67,499Other - LAND LEASE VALUATION
Total Noncash Contributions1$67,499-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$57,920,986
Other Expenses$48,282,091
Total Fundraising Expense$67,499
Grants and Similar Amounts Paid$15,822
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$43,328,207$2,098,537-$45,426,744
Fees for Services Other$17,839,696$838,671$0$18,678,367
Fees for Services Management-$16,170,310-$16,170,310
Other Employee Benefits$7,441,193$377,515-$7,818,708
Occupancy$2,817,577$2,039,122$67,499$4,924,198
Payroll Taxes$3,167,335$173,093-$3,340,428
Pension Plan Contributions$1,108,701$1,650-$1,110,351
Office Expenses$340,010$595,889-$935,899
Depreciation Depletion$566,266$186,544-$752,810
Other Expenses$956,046$447,250-$447,250
All Other Expenses$329,417$57,066$0$386,483
Insurance$64,406$224,336-$288,742
Current Officers, Directors, Trustees, and Key Employees$214,372$10,383-$224,755
Fees for Services Accounting-$48,400-$48,400
Grants to Domestic Orgs$15,822--$15,822
Fees for Services Legal-$14,976-$14,976
Conferences and Meetings$10,895--$10,895
Fees for Service Investment Mgmnt Fees-$9,645-$9,645
Travel$7,085--$7,085
Advertising$324--$324
Total Functional Expenses$82,846,865$23,304,535$67,499$106,218,899
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
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
Right-of-use Lease Obligations$1,232,211
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 6 Classes of members or stockholders

Pursuant to the organization's governing documents, the sole voting member of tidewell hospice, inc. Shall be stratum health system, inc., a related tax-exempt organization. As the organization's sole corporate member, ehi 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, stratum health system, inc., has the right to elect, appoint, or remove any director of tidewell hospice, inc. Without cause at any time.

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

The sole corporate member, stratum health system, inc., has the right to approve or ratify significant decisions of the organization's governing body. The board of directors of tidewell hospice, inc. Shall not have the authority to make significant decisions without the approval of the stratum health system, inc. Board. Significant decisions include, but are not limited to: the right to amend, repeal or alter their governing documents; sell, lease or otherwise dispose of substantially all of the organization's assets; and merge or consolidate the organization with another organization.

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

Tidewell hospice 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
Tidewell Hospice Inc
EIN
59-1911861
Phone
9415525900
Address
6310 CAPITAL DRIVE, LAKEWOOD RANCH, FL 34202

Signing Officer

Name
Jonathan Fleece
Title
President/CEO
Phone
9415525900
Signed
2025-08-15
Discuss with paid preparer
Yes

Organization Details

Formed
1979
Legal Domicile
Fl
Voting Board Members
9
Independent Board Members
9
Employees
818
Volunteers
718

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 $ 338,204 including grants of $ 0)(Revenue $ 0) COMPLEMENTARY SERVICES USED TOGETHER WITH CONVENTIONAL MEDICINE, THESE THERAPIES REDUCE STRESS, RELIEVE PAIN AND CREATE DISTRACTION AND OPPORTUNITIES FOR JOY. PROGRAMS INCLUDE: EXPRESSIVE ART, A TYPE OF ART THAT IS NOT CONCERNED WITH THE END RESULT, BUT RATHER WITH THE CREATIVE PROCESS. IT DIVERTS THE PATIENT'S ATTENTION FROM STRESSFUL SYMPTOMS. MUSIC THERAPY BRINGS THE BODY INTO HARMONY AND ENCOURAGES A RELEASE OF ENDORPHINS WHICH HELP STOP PAIN. HORTICULTURAL ACTIVITIES USES PLANTS AND GARDENING ACTIVITIES TO REDUCE STRESS AND DISCOMFORT, ALLEVIATE DEPRESSION AND FEELINGS OF BOREDOM AND LONELINESS. PET THERAPY BRINGS BACK MEMORIES OF FAVORITE PETS AND TRIGGERS DISCUSSION. TIDEWELL'S CLOWNS VISIT AREA NURSING HOMES AND ASSISTED LIVING FACILITIES TO BRING CHEER AND LAUGHTER. AROMATHERAPY USES ESSENTIAL OILS TO BENEFIT THE MIND, BODY AND SPIRIT. THEY CAN BE CALMING, ANTISEPTIC, STIMULATING AND MEDITATIVE. THERAPEUTIC MASSAGE, REIKI AND CARING TOUCH CONTRIBUTE TO PAIN AND STRESS MANAGEMENT AND EVOKE RELAXATION.

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 IX, Line 11G Other Fees

CONSULTING - Total Expense: 20170, Program Service Expense: 20170, Management and General Expenses: , Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 1066392, Program Service Expense: 227721, Management and General Expenses: 838671, Fundraising Expenses: ; MEDICAL TRANSPORTATION - Total Expense: 756375, Program Service Expense: 756375, Management and General Expenses: , Fundraising Expenses: ; PATIENT CARE - Total Expense: 3766622, Program Service Expense: 3766622, Management and General Expenses: , Fundraising Expenses: ; ROOM AND BOARD - Total Expense: 13068808, Program Service Expense: 13068808, Management and General Expenses: , Fundraising Expenses: ;

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

Change in assets held by others - 1237184; schedule k-1 income/loss - -75635;

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

The organization's sole member, stratum health systems inc., 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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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1INTELLA TRIAGE LLC
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt2CORE MEDICAL GROUP
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt3APOLLO MEDICAL TRANSPORT
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt4IMAGEFIRST HEALTHCARE LAUNDRY SPECIALISTS LLC
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