2022-04-15T15:16:28-05:00 2021-05-31 593070669 MSL PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2020-06-01 800730376 MORSELIFE HOSPICE INSTITUTE INC MORS 5614715111 4847 DAVID S MACK DRIVE WEST PALM BEACH FL 33417 HONG CHAE SENIOR VICE PRESIDENT/CFO 5616875753 2022-04-15 1 HONG CHAE 999009999 VICKI L HINZ CPA P00356696 4077405400 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z KEITH A MYERS 4847 DAVID S MACK DRIVE WEST PALM BEACH FL 33417 3600230 0 X WWW.MORSELIFE.ORG X 2011 FL PROVIDES HOSPICE SERVICES TO JOSEPH L. MORSE HEALTH CENTER AND AFFILIATED ORGANIZATIONS. 21 21 41 26 0 0 0 73828 689371 3526402 0 0 0 0 689371 3600230 0 0 0 0 1273892 1757581 0 0 0 946755 2945136 2220647 4702717 -1531276 -1102487 8467719 1352095 11108276 4250608 -2640557 -2898513 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. 0 0 3265172 3526402 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. SERVICE ARE AVAILABLE UP TO A YEAR AFTER A PATIENT EXPIRES. 3265172 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 6 0 1 41 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 21 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X X RANDY T WOLAN 5612096108 4847 DAVID S MACK DRIVE WEST PALM BEACH FL 33417 X TERRI C SRIBERG CHAIRMAN 2.00 14.00 X X 0 0 0 JEFFREY S FARBER MD SECRETARY 2.00 4.00 X X 0 0 0 VICKI LORING TREASURER 2.00 6.00 X X 0 0 0 MARILYN ZELNICK BERMAN DIRECTOR EMERITUS 2.00 8.00 X 0 0 0 LARRY BEYER DIRECTOR EMERITUS 2.00 4.00 X 0 0 0 RICHARD COMITER DIRECTOR 2.00 4.00 X 0 0 0 BONNIE DWARES DIRECTOR 2.00 4.00 X 0 0 0 CYNTHIA HIRSCH DIRECTOR 2.00 4.00 X 0 0 0 MARILYN KATZ DIRECTOR 2.00 8.00 X 0 0 0 STANLEY KATZ DIRECTOR 2.00 12.00 X 0 0 0 FRANCINE KITTREDGE DIRECTOR 2.00 8.00 X 0 0 0 SUZANNE LEVINE DIRECTOR 2.00 6.00 X 0 0 0 ARTHUR S LORING DIRECTOR 2.00 12.00 X 0 0 0 DAVID MOSCOW DIRECTOR 2.00 8.00 X 0 0 0 DEAN ROSENBACH DIRECTOR 2.00 4.00 X 0 0 0 ANDREW SANKIN DIRECTOR 2.00 4.00 X 0 0 0 LARRY SOSNOW DIRECTOR 2.00 4.00 X 0 0 0 HANK STRAUSS DIRECTOR EMERITUS 2.00 4.00 X 0 0 0 ELLEN SUSSMAN DIRECTOR 2.00 6.00 X 0 0 0 BETH GOLDBERG DIRECTOR 2.00 6.00 X 0 0 0 ANDREA STARK DIRECTOR 2.00 8.00 X 0 0 0 HONG CHAE CHIEF FINANCIAL OFFICER 1.00 47.00 X 0 0 0 KEITH A MYERS PRESIDENT/CEO 2.00 46.00 X 0 0 0 ALAN SADOWSKY SR. VP OF COMMUNITY-BASED SERVICES 10.00 40.00 X 0 575785 27976 THOMAS SWOPE HOSPICE OPERATIONS DIRECTOR 40.00 0.00 X 228269 0 25710 228269 575785 53686 1 0 1 0 MORSELIFE HEALTH SYSTEMS INC 4847 DAVID S MACK DRIVE WEST PALM BEACH FL 33417 MANAGEMENT SERVICES 316358 1 73828 73828 HOSPICE SERVICE REVENU 900099 3526402 3526402 3526402 3600230 3526402 0 0 1558968 989292 569676 6615 803 5812 67456 41700 25756 124542 94435 30107 316358 316358 153958 153958 236605 94800 141805 49850 584 49266 34459 1344 33115 69847 69847 84350 32356 51994 18517 16209 2308 39537 39537 59936 59337 599 51469 46322 5147 RESIDENT EXPENSES 1818271 1818143 128 EMPLOYEE EXPENSES 11979 11979 4702717 3265172 1437545 0 70237 18543 689371 413047 42627 47390 268712 124687 542139 144025 7123345 729090 8467719 1352095 320957 398022 6496397 0 3181684 3787338 1109238 65248 11108276 4250608 X -2640557 -2898513 -2640557 -2898513 8467719 1352095 X -1102487 844531 X X 0 1 X 1 0 X 73828 73828 82403 689371 3526402 4298176 82403 689371 3600230 4372004 0 0 0 4372004 940217 940217 1022620 689371 3600230 5312221 0.82300 0.49130 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25304 9061 16243 243408 115626 127782 144025 LICENSURE APPLICATION FEES 729090 729090 DUE TO RELATED PARTY 39887 OTHER LONG-TERM LIABILITIES 25361 65248 X PART X, LINE 2: 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. 0 1 0 0 0 0 0 0 0 ALAN SADOWSKY SR. VP OF COMMUNITY-BASED SERVICES 0 575785 0 0 0 0 0 9920 0 18056 0 603761 0 0 THOMAS SWOPE HOSPICE OPERATIONS DIRECTOR 227719 0 550 0 0 0 0 0 25710 0 253979 0 0 0 PART I, LINE 4B 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): SADOWSKY, ALAN - $9,920 FORM 990, PART VI, SECTION A, LINE 2 THE FILING ORGANIZATION'S CEO, KEITH MYERS, AND CFO, HONG CHAE 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 ALINED 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 PROVIDNG THE CONSUTLING SERVICES DEFIND 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: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 632,867. TRANSFER OF NET ASSETS 211,664. 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. 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 N/A 0 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 0 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0