MORSELIFE HOSPICE INSTITUTE INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- MORSELIFE HOSPICE INSTITUTE INC (EIN 80-0730376)
- Tax period
- 2023-06-01 to 2024-05-31
- Filed
- 2025-04-07
- IRS object ID
- 202500979349301400
- Schema version
- 2023v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-04-07T10:12:28-05:00 | ReturnTs |
| Tax Period End | 2024-05-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS MAZARS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 255 S ORANGE AVENUE SUITE 600 | AddressLine1Txt |
| City | ORLANDO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-06-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800730376 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MORSELIFE HOSPICE INSTITUTE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MORS | BusinessNameControlTxt |
| Phone | 5614715111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4847 DAVID S MACK DRIVE | AddressLine1Txt |
| City | WEST PALM BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33417 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RANDY WOLAN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5616875753 | PhoneNum |
| Signature | 2025-04-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PETER C GUBLER | PreparerPersonNm |
| PTIN | P00190185 | PTIN |
| Phone | 4077405400 | PhoneNum |
| Preparation | 2025-04-07 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KEITH A MYERS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4847 DAVID S MACK DRIVE | AddressLine1Txt |
| City | WEST PALM BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33417 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,224,615 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MORSELIFE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES HOSPICE SERVICES TO JOSEPH L. MORSE HEALTH CENTER AND AFFILIATED ORGANIZATIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 67 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $489,356 | PYContributionsGrantsAmt |
| CY Contributions Grants | $295,773 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,696,333 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,928,701 | CYProgramServiceRevenueAmt |
| PY Investment Income | $17 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,906 | PYOtherRevenueAmt |
| CY Other Revenue | $141 | CYOtherRevenueAmt |
| PY Total Revenue | $4,190,612 | PYTotalRevenueAmt |
| CY Total Revenue | $6,224,615 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,458,331 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,169,405 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,505,156 | PYOtherExpensesAmt |
| CY Other Expenses | $3,843,543 | CYOtherExpensesAmt |
| PY Total Expenses | $4,963,487 | PYTotalExpensesAmt |
| CY Total Expenses | $8,012,948 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$772,875 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,788,333 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,307,687 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,159,327 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,463,756 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $696,429 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$5,156,069 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,462,898 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE FILING ORGANIZATION'S MISSION IS TO PROVIDE OUTSTANDING, DIGNIFIED CARE FOR TERMINALLY ILL PATIENTS BY MINIMIZING THEIR SUFFERING, ENHANCING THEIR COMFORT, AND SUPPORTING FAMILIES WHILE UPHOLDING HOSPICE'S LIFE-CELEBRATING VALUES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,557,724 | ExpenseAmt |
| Revenue | $5,928,842 | RevenueAmt |
| Desc | MORSELIFE HOSPICE INSTITUTE, INC. PROVIDES PHYSICAL, EMOTIONAL, AND SPIRITUAL SUPPORT TO TERMINALLY ILL PATIENTS AS WELL AS THEIR FAMILIES AND LOVED ONES. THE HOSPICE PROGRAM IS CERTIFIED BY CMS (CENTERS FOR MEDICARE AND MEDICAID SERVICES). SERVICES INCLUDE CLINICAL MONITORING, COMPASSIONATE CARE AND MEDICATION MANAGEMENT, NURSING CARE, BEREAVEMENT, SPIRITUAL COUNSELING, AND CARE COORDINATION. SERVICES ARE AVAILABLE UP TO A YEAR AFTER A PATIENT EXPIRES. | Desc |
| Total Program Service Expenses | $4,557,724 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 67 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LUSCHKA DELGADO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5612096108 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4847 DAVID S MACK DRIVE | AddressLine1Txt |
| City | WEST PALM BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33417 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| RANDY WOLAN | |||||||||
| CFO | 2.00 | 56.00 | Yes (X) | Yes (X) | $0 | $171,042 | $6,461 | ||
| KEITH A MYERS | |||||||||
| PRESIDENT/CEO | 2.00 | 18.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TERRI C SRIBERG | |||||||||
| CHAIRMAN | 2.00 | 16.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| VICKI LORING | |||||||||
| TREASURER/SECRETARY | 2.00 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RICHARD COMITER | |||||||||
| DIRECTOR | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| MARILYN KATZ | |||||||||
| DIRECTOR | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| STANLEY KATZ | |||||||||
| DIRECTOR | 2.00 | 16.00 | Yes (X) | $0 | $0 | $0 | |||
| ARTHUR S LORING | |||||||||
| DIRECTOR | 2.00 | 12.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID MOSCOW | |||||||||
| DIRECTOR | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| DEAN ROSENBACH | |||||||||
| DIRECTOR | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| ANDREW SANKIN | |||||||||
| DIRECTOR | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| CYNTHIA HIRSCH | |||||||||
| DIRECTOR | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| FRANCINE KITTREDGE | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| BETH GOLDBERG | |||||||||
| DIRECTOR | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN LEVIN | |||||||||
| DIRECTOR | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| DEBORAH ROBBINS | |||||||||
| DIRECTOR | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| JUDITH SCHLAGER | |||||||||
| DIRECTOR | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| SHEILA APPLESTEIN | |||||||||
| DIRECTOR | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| EILEEN BERMAN | |||||||||
| DIRECTOR | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| HEIDI HOROWITZ | |||||||||
| DIRECTOR | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| WENDY LEVY | |||||||||
| DIRECTOR | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| PAOLA POUPONNEAU-NISBETT | |||||||||
| SR. VP OF COMMUNITY | 10.00 | 40.00 | Yes (X) | $0 | $342,091 | $23,396 | |||
| THOMAS SWOPE | |||||||||
| HOSPICE OPERATIONS DIRECTO | 40.00 | $258,446 | $0 | $12,629 | Yes (X) | ||||
| VICTOR ARVIZU BECERRA | |||||||||
| NURSE PRACTITIONER | 40.00 | $124,908 | $0 | $5,004 | Yes (X) | ||||
| SORINA GALIMBA | |||||||||
| NURSE PRACTITIONER | 40.00 | $115,001 | $0 | $4,744 | Yes (X) | ||||
| MELISSA FERNANDEZ | |||||||||
| DIRECTOR OF HOUSING MARKET | 40.00 | $112,084 | $0 | $6,479 | Yes (X) | ||||
| ALAN SADOWSKY | |||||||||
| FORMER SR. VP OF COMMUNITY | 10.00 | 40.00 | $0 | $275,420 | $7,700 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $610,439 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $788,553 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $66,413 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| JOSEPH L MORSE HEALTH CENTER INC | |||||
| 4847 DAVID S MACK DRIVE | WEST PALM BEACH | FL | 33417 | FACILITY FEE | $678,266 |
| ABILITY MEDICAL HEALTH AND WELLNESS | |||||
| 12040 SOUTH JOG ROAD SUITE 1 | BOYNTON BEACH | FL | 33437 | MEDICAL SUPPLIES | $292,979 |
| BETTERRX LLC | |||||
| 299 S MAIN STREET SUITE 1300 PMB 9 | SALT LAKE CITY | UT | 84111 | PHARMACY | $143,124 |
| LOUIS BUTERA DO LLC | |||||
| 8596 LINEYARD CAY | WEST PALM BEACH | FL | 33411 | MEDICAL DIRECTOR | $138,750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $295,773 | RelatedOrganizationsAmt |
| Total Contributions | $295,773 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HOSPICE SERVICE REVENU | 900099 | $4,132,227 | $4,132,227 |
| NET CLIENT SERVICE REV | 900099 | $1,796,474 | $1,796,474 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,928,701 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $141 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $141 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $141 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,224,615 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,928,842 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,753,408 | TotalAmt |
| Program Services | $2,281,669 | ProgramServicesAmt |
| Management And General | $1,471,739 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,479 | TotalAmt |
| Management And General | $5,479 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,829 | TotalAmt |
| Program Services | $77,327 | ProgramServicesAmt |
| Management And General | $62,502 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $270,689 | TotalAmt |
| Program Services | $174,756 | ProgramServicesAmt |
| Management And General | $95,933 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $529,071 | TotalAmt |
| Program Services | $74,070 | ProgramServicesAmt |
| Management And General | $455,001 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148 | TotalAmt |
| Management And General | $148 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $608,556 | TotalAmt |
| Program Services | $262,226 | ProgramServicesAmt |
| Management And General | $346,330 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,495 | TotalAmt |
| Program Services | $3,505 | ProgramServicesAmt |
| Management And General | $146,990 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,155 | TotalAmt |
| Program Services | $3,220 | ProgramServicesAmt |
| Management And General | $65,935 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,872 | TotalAmt |
| Program Services | $170,872 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,975 | TotalAmt |
| Program Services | $31,968 | ProgramServicesAmt |
| Management And General | $259,007 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,041 | TotalAmt |
| Program Services | $89,953 | ProgramServicesAmt |
| Management And General | $26,088 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,569 | TotalAmt |
| Program Services | $1,460 | ProgramServicesAmt |
| Management And General | $109 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $404,404 | TotalAmt |
| Management And General | $404,404 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,707 | TotalAmt |
| Program Services | $54,160 | ProgramServicesAmt |
| Management And General | $547 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,282 | TotalAmt |
| Management And General | $71,282 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| INPATIENT CARE | $646,372 | $646,372 | |
| MEDICAL CLAIM EXPENSE | $472,723 | $472,723 | |
| MEDICAL SUPPLIES | $171,401 | $171,401 | |
| RECRUITING | $41,591 | $456 | $41,135 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,181 | TotalAmt |
| Program Services | $41,586 | ProgramServicesAmt |
| Management And General | $2,595 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,012,948 | TotalAmt |
| Program Services | $4,557,724 | ProgramServicesAmt |
| Management And General | $3,455,224 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,490 | BOYAmt |
| EOY | $97,832 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $566,923 | BOYAmt |
| EOY | $1,295,008 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,181 | BOYAmt |
| EOY | $123,738 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $518,397 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $265,556 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $271,122 | BOYAmt |
| EOY | $252,841 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,323,971 | BOYAmt |
| EOY | $3,389,908 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,307,687 | BOYAmt |
| EOY | $5,159,327 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $479,385 | BOYAmt |
| EOY | $623,577 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,882,196 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,175 | BOYAmt |
| EOY | $72,852 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,463,756 | BOYAmt |
| EOY | $696,429 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$5,156,069 | BOYAmt |
| EOY | $4,462,898 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$5,156,069 | BOYAmt |
| EOY | $4,462,898 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,307,687 | BOYAmt |
| EOY | $5,159,327 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,788,333 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $11,407,300 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $73,828 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $75,214 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $489,356 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $295,773 | CurrentTaxYearAmt |
| Total | $934,171 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $689,371 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,526,402 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,138,639 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,696,333 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,928,701 | CurrentTaxYearAmt |
| Total | $16,979,446 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $689,371 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,600,230 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,213,853 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,185,689 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,224,474 | CurrentTaxYearAmt |
| Total | $17,913,617 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $17,913,617 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $17 | CurrentTaxYearMinus1YearAmt |
| Total | $17 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $17 | CurrentTaxYearMinus1YearAmt |
| Total | $17 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $4,906 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $141 | CurrentTaxYearAmt |
| Total | $5,047 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $689,371 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,600,230 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,213,853 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,190,612 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,224,615 | CurrentTaxYearAmt |
| Total | $17,918,681 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99970 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99960 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,304 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,116 | DepreciationAmt |
| Book Value | $1,188 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $493,093 | OtherCostOrOtherBasisAmt |
| Depreciation | $241,440 | DepreciationAmt |
| Book Value | $251,653 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $252,841 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LICENSURE APPLICATION FEES | Desc |
| Book Value | $3,389,908 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,389,908 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED PARTY | Desc |
| Amt | $72,852 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $72,852 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MORSELIFE HOSPICE INSTITUTE IS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS WITH MORSELIFE HOME CARE, INC. THE CONSOLIDATED FINANCIAL STATEMENTS CONTAIN THE FOLLOWING FOOTNOTE: THE INTERNAL REVENUE SERVICE ("IRS") HAS DETERMINED THAT THE HOME CARE AND HOSPICE ARE EXEMPT FROM FEDERAL INCOME TAXES AND ARE QUALIFIED AS TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE"). ACCORDINGLY, THESE CONSOLIDATED FINANCIAL STATEMENTS INCLUDE NO PROVISION OR LIABILITY FOR INCOME TAXES FOR THESE ENTITIES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAOLA POUPONNEAU-NISBETT | ||||||||||||||
| SR. VP OF COMMUNITY | $0 | $304,158 | $0 | $31,983 | $0 | $5,950 | $0 | $10,572 | $0 | $12,824 | $0 | $365,487 | $0 | $0 |
| ALAN SADOWSKY | ||||||||||||||
| FORMER SR. VP OF COMMUNITY | $0 | $12,462 | $0 | $0 | $0 | $262,958 | $0 | $0 | $0 | $7,700 | $0 | $283,120 | $0 | $0 |
| THOMAS SWOPE | ||||||||||||||
| HOSPICE OPERATIONS DIRECTO | $258,246 | $0 | $200 | $0 | $0 | $0 | $0 | $0 | $12,629 | $0 | $271,075 | $0 | $0 | $0 |
| RANDY WOLAN | ||||||||||||||
| CFO | $0 | $154,856 | $0 | $0 | $0 | $16,186 | $0 | $0 | $0 | $6,461 | $0 | $177,503 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | MORSELIFE HOME CARE, INC., A RELATED ORGANIZATION, MAINTAINS A NONQUALIFIED EMPLOYEE DEFERRED COMPENSATION PLAN OPEN TO CERTAIN KEY EMPLOYEES UNDER INTERNAL REVENUE CODE 457(B) AND SECTION 457(F) (COLLECTIVELY, THE 457 PLANS). THE 457 PLANS PROVIDE, AMONG OTHER THINGS, FOR VOLUNTARY CONTRIBUTIONS TO BE MADE BY ELIGIBLE PARTICIPANTS. THESE FUNDS REMAIN THE PROPERTY OF MORSELIFE HEALTH SYSTEM, INC. AND SUBSIDIARIES. MORSELIFE HEALTH SYSTEM, INC. AND SUBSIDIARIES HAVE A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS. MORSELIFE HOME CARE, INC. MADE CONTRIBUTIONS ON BEHALF OF THE FOLLOWING LISTED EMPLOYEE(S) THAT PARTICIPATED IN THE DEFERRED COMPENSATION PLAN UNDER IRC. SEC. 457(B): POUPONNEAU-NISBETT, PAOLA - $10,572 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | THE FILING ORGANIZATION'S CEO, KEITH MYERS, AND CFO, RANDY WOLAN ARE BUSINESS PARTNERS AS THEY ARE OWNERS OF AMPLIFII MANAGEMENT, LLC. |
| FORM 990, PART VI, SECTION A, LINE 3 | AS OF JANUARY 1, 2019, THE AGENCY ENTERED INTO A MANAGEMENT AGREEMENT ("AGREEMENT") WITH AMPLIFII MANAGEMENT, LLC ("AMPLIFII"), AN UNRELATED, FOR-PROFIT ENTITY, TO PROVIDE SPECIFICALLY DESCRIBED CONSULTING SERVICES WHICH ENCOMPASS RECOMMENDATIONS, SUPPORT, GUIDANCE AND OVERSIGHT WITH RESPECT TO THE OVERALL BUSINESS OPERATIONS AND DEVELOPMENT ACTIVITIES OF THE AGENCY THAT ARE ALSO CLOSELY ALIGNED WITH AMPLIFII'S CONSULTING SERVICES AS PROVIDED TO OTHER RELATED HEALTH CARE FACILITIES. THE INITIAL TERM OF THE AGREEMENT IS FOR A PERIOD OF FIVE (5) YEARS AND MAY BE EXTENDED FOR AN ADDITIONAL PERIOD OF FIVE (5) YEARS AS AGREED. THE AGREEMENT PROVIDES FOR THE PAYMENT OF CONSULTING FEES TO AMPLIFII BASED ON A DEFINED PERCENTAGE OF THE AGENCY'S ADJUSTED GROSS REVENUES. AMPLIFII IS SOLELY RESPONSIBLE FOR ALL ITS OPERATING EXPENSES INCURRED IN PROVIDING THE CONSULTING SERVICES DEFINED IN THE AGREEMENT WITH THE AGENCY, WITHOUT PROVISION FOR REIMBURSEMENT. |
| FORM 990, PART VI, SECTION A, LINE 6 | MORSELIFE HOME CARE INC. IS THE SOLE SHAREHOLDER OF THE ORGANIZATION. MORSELIFE HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF MORSELIFE HOME CARE INC. THEREFORE, MORSELIFE HEALTH SYSTEM, INC. IS THE INDIRECT SOLE MEMBER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE INDIRECT SOLE MEMBER, MORSELIFE HEALTH SYSTEM, INC., SHALL ELECT BOARD MEMBERS AND AT ANY TIME IN ITS SOLE DISCRETION, REMOVE AND NAME A REPLACEMENT FOR ANY BOARD MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | MORSELIFE HEALTH SYSTEM, INC. IS THE INDIRECT SOLE MEMBER OF MORSELIFE HOSPICE INSTITUTE, INC. AND, AS SUCH, ELECTS THE BOARD OF DIRECTORS AND HAS ULTIMATE VOTING AND VETO AUTHORITY OVER THE AGENCY'S BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE COMMITTEE, COMPOSED OF THE CHAIRPERSON OF THE BOARD OF DIRECTORS FROM EACH OF THE MORSELIFE RELATED ORGANIZATIONS AND THE SENIOR VICE PRESIDENT OF FINANCE, IS RESPONSIBLE FOR THE REVIEW OF THE FORM 990. THE CHAIRPERSON OF MORSELIFE HEALTH SYSTEM, INC. IS THE CHAIRPERSON OF THE COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES ALL BOARD MEMBERS TO SUBMIT A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. THE STATEMENTS, WHEN COMPLETED AND RETURNED, ARE REVIEWED BY THE PRESIDENT TO ENSURE THAT THERE ARE NO INADVERTENT CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | NET ASSET TRANSFER 11,407,300. |
| FORM 990, PART XII, LINE 2C | OVERSIGHT OF AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT: THE ORGANIZATION'S AUDIT, COMPLIANCE AND ETHICS COMMITTEE IS RESPONSIBLE FOR THE SELECTION, MONITORING AND EVALUATION OF AN INDEPENDENT ACCOUNTING FIRM AND OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MORSELIFE FOUNDATION INC | |||||||||||
| 4847 DAVID S MACK DRIVE | WEST PALM BEACH | FL | 33417 | 592774476 | PROVIDES FUNDING TO AFFILIATED TAX-EXEMPT ENTITIES | FL | 501(C)(3) | LINE 7 | MORSELIFE HEALTH SYSTEM INC | 0 | |
| LOLA & SAUL KRAMER SENIOR SERVICES AGENCY INC | |||||||||||
| 4847 DAVID S MACK DRIVE | WEST PALM BEACH | FL | 33417 | 900730105 | PROVIDES COMMUNITY-BASED SERVICES TO SENIORS | FL | 501(C)(3) | LINE 10 | MORSELIFE HEALTH SYSTEM INC | 0 | |
| NEARLY NEW THRIFT SHOP OF MORSE GERIATRIC INC | |||||||||||
| 4847 DAVID S MACK DRIVE | WEST PALM BEACH | FL | 33417 | 592533256 | RAISES FUNDS TO SUPPORT AFFILIATED TAX-EXEMPT ENTITIES | FL | 501(C)(3) | LINE 12B, II | MORSELIFE HEALTH SYSTEM INC | 0 | |
| MORSELIFE HEALTH SYSTEM INC | |||||||||||
| 4847 DAVID S MACK DRIVE | WEST PALM BEACH | FL | 33417 | 650018299 | PROVIDES HEALTH CARE, HOUSING AND SUPPORT SERVICES TO SENIORS | FL | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | |
| FRIENDS OF MORSELIFE INC | |||||||||||
| 4847 DAVID S MACK DRIVE | WEST PALM BEACH | FL | 33417 | 650329966 | RAISES FUNDS TO SUPPORT AFFILIATED TAX-EXEMPT ENTITIES | FL | 501(C)(3) | LINE 7 | MORSELIFE FOUNDATION INC | 0 | |
| MORSELIFE HOUSING CORPORATION INC | |||||||||||
| 4847 DAVID S MACK DRIVE | WEST PALM BEACH | FL | 33417 | 650888855 | OPERATES A SENIOR LIVING COMMUNITY WITH FULL HEALTH SERVICES | FL | 501(C)(3) | LINE 10 | MORSELIFE HEALTH SYSTEM INC | 0 | |
| MORSELIFE HOME CARE INC | |||||||||||
| 4847 DAVID S MACK DRIVE | WEST PALM BEACH | FL | 33417 | 592753822 | PROVIDES HOME HEALTH AND OTHER SERVICES TO SENIORS | FL | 501(C)(3) | LINE 10 | MORSELIFE HEALTH SYSTEM INC | 0 | |
| JOSEPH L MORSE HEALTH CENTER INC | |||||||||||
| 4847 DAVID S MACK DRIVE | WEST PALM BEACH | FL | 33417 | 592120896 | OWNS AND OPERATES A SKILLED NURSING FACILITY | FL | 501(C)(3) | LINE 10 | MORSELIFE HEALTH SYSTEM INC | 0 | |
| NEXT GENERATIONS OF HOLOCAUST SURVIVORS INC | |||||||||||
| 4847 DAVID S MACK DRIVE | WEST PALM BEACH | FL | 33417 | 263902517 | PROVIDES LEARNING OPPORTUNITIES THROUGH LESSONS LEARNED FROM THE HOLOCAUST | FL | 501(C)(3) | LINE 10 | LOLA & SAUL KRAMER SENIOR SERVICES AGENCY INC | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |