2021-01-11T07:47:24-06:00 2020-05-31 593070669 MSL PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2019-06-01 800730376 MORSELIFE HOSPICE INSTITUTE INC MORS 5614715111 4847 DAVID S MACK DRIVE WEST PALM BEACH FL 33417 HONG CHAE SENIOR VICE PRESIDENT/CFO 5616875753 2021-01-11 1 VICKI L HINZ CPA P00356696 4077405400 2019 2022-09-23 18:48:47Z KEITH A MYERS 4847 DAVID S MACK DRIVE WEST PALM BEACH FL 33417 689371 0 X WWW.MORSELIFE.ORG X 2011 FL PROVIDES HOSPICE SERVICES TO THE RESIDENTS OF JOSEPH L. MORSE HEALTH CENTER AND ALL AFFILIATED ORGANIZATIONS IN THE WEST PALM BEACH AREA. 22 22 32 16 0 0 0 0 0 689371 0 0 0 0 0 689371 0 0 0 0 195773 1273892 0 0 0 68977 946755 264750 2220647 -264750 -1531276 982516 8467719 1247266 11108276 -264750 -2640557 X TO PROVIDE HOSPICE SERVICES TO THE RESIDENTS OF JOSEPH L. MORSE HEALTH CENTER AND OTHERS IN THE WEST PALM BEACH AREA. 1 0 1140599 689371 MORSELIFE HOSPICE INSTITUTE, INC. IS TO PROVIDE 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. 1140599 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 9 0 1 32 1 0 0 0 0 0 0 0 0 0 0 0 0 X 22 22 0 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 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 2.00 6.00 X 0 0 0 LARRY BEYER DIRECTOR 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 10.00 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 2.00 4.00 X 0 0 0 ELLEN SUSSMAN DIRECTOR 2.00 6.00 X 0 0 0 BARBARA KAY DIRECTOR 2.00 4.00 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 394383 2689 KEITH A MYERS PRESIDENT/CEO 2.00 46.00 X 0 1425589 51707 THOMAS SWOPE HOSPICE OPERATIONS DIRECTOR 40.00 0.00 X 220458 0 24872 ALAN SADOWSKY SR. VP OF COMMUNITY-BASED 10.00 40.00 X 0 523351 38153 220458 2343323 117421 1 0 1 0 0 RESIDENT REVENUE 900099 689371 689371 689371 689371 689371 0 0 274022 274022 867917 266257 601660 8280 322 7958 33983 22536 11447 89690 53986 35704 43043 43043 790 790 178447 147092 31355 107552 107552 26552 275 26277 61382 61382 51048 2512 48536 7393 5086 2307 2934 2934 82720 82720 51973 49374 2599 37301 34501 2800 INPATIENT CARE - CONTRA 227809 227809 CLAIMS EXPENSE 32771 32771 SUPPLIES 19904 19904 RECRUITING AND SELECTIO 7368 7368 7768 4152 3616 2220647 1140599 1080048 0 36980 70237 689371 767467 42627 606890 64751 178069 542139 0 7123345 982516 8467719 33901 320957 6496397 1148964 3181684 64401 1109238 1247266 11108276 X -264750 -2640557 -264750 -2640557 982516 8467719 X -1531276 -844531 X X 0 1 X 1 0 X 136138 82403 0 0 689371 907912 136138 82403 689371 907912 0 0 0 907912 940217 940217 136138 1022620 689371 1848129 0.49130 0.22860 0.00000 X 25304 4000 21304 156309 54998 101311 425277 5753 419524 542139 PROJECT FUND - HOSPICE BUILDING 6394255 LICENSURE APPLICATION FEES 729090 7123345 DUE TO RELATED PARTY 253266 OTHER LONG-TERM LIABILITIES 11441 INTEREST RATE SWAP LIABILITY 844531 1109238 0 1 0 0 0 0 0 1 0 HONG CHAE CHIEF FINANCIAL OFFICER 0 23365 0 0 0 371018 0 2689 0 0 0 397072 0 0 KEITH A MYERS PRESIDENT/CEO 0 87423 0 1300000 0 38166 0 51707 0 0 0 1477296 0 0 THOMAS SWOPE HOSPICE OPERATIONS DIRECTOR 220408 0 50 0 0 0 0 0 24872 0 245330 0 0 0 ALAN SADOWSKY SR. VP OF COMMUNITY-BASED 0 516216 0 1050 0 6085 0 20473 0 17680 0 561504 0 0 PART I, LINE 3 MORSELIFE HOSPICE INSTITUTE, INC.'S KEY PERSONNEL ARE EMPLOYED BY MORSELIFE HEALTH SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION. THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH COMPENSATION FOR MORSELIFE HOSPICE INSTITUTE, INC.'S KEY PERSONNEL: COMPENSATION COMMITTEE; FORM 990 OF OTHER ORGANIZATIONS; WRITTEN EMPLOYMENT CONTRACT; COMPENSATION SURVEY OR STUDY; APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. KEY EXECUTIVE, KEITH MYERS, PARTICIPATES IN THE DEFERRED COMPENSATION PLAN UNDER IRC SEC. 457(F). JOSEPH L. MORSE HEALTH CENTER, INC. MADE CONTRIBUTIONS ON BEHALF OF KEITH MYERS TO THE PLAN IN THE AMOUNT OF $50,501 FOR THE YEAR ENDED DECEMBER 31, 2019. JOSEPH L. MORSE HEALTH CENTER, INC. MADE CONTRIBUTIONS ON BEHALF OF THE FOLLOWING LISTED EMPLOYEES THAT PARTICIPATED IN THE DEFERRED COMPENSATION PLAN UNDER IRC SEC. 457(B). CHAE, HONG - $2,689 MYERS, KEITH - $1,206 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 - $9,972 PART I, LINE 4B MORSELIFE HEALTH SYSTEM, INC. MAINTAINS TWO NONQUALIFIED EMPLOYEE DEFERRED COMPENSATION PLANS 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. PART I, LINE 7 KEITH MYERS, PRESIDENT AND CEO, HAS AN INCENTIVE/BONUS CLAUSE IN HIS EMPLOYMENT AGREEMENT WITH MORSELIFE HEALTH SYSTEM, INC. (A RELATED ORGANIZATION). THE INCENTIVE/BONUS IS BASED ON INDIVIDUAL PERFORMANCE, AS APPROVED BY THE BOARD OF DIRECTORS. A PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY 521297506 696507UP5 2019-08-01 180075000 SEE SUPPLMENTAL INFO. 0 0 0 A 6532723 35083 6497640 1 0 1 1 A 0 0 0 0 0 0 0 A 1 0 0 0 0 0 SCHEDULE K PART I COLUMN (F) THE PROCEEDS OF THE SERIES 2019 BONDS WERE USED TO (A) REFINANCE PREVIOUSLY ISSUED BONDS AND OTHER DEBT HELD BY MEMBERS OF THE OBLIGATED GROUP, (B) FUND THE COSTS OF PLANNED CONSTRUCTION PROJECTS AND, (C) TO PAY THE COSTS OF ISSUANCE. SCHEDULE K PART II COLUMN A THE BONDS REPORTED ON SCHEDULE K WERE ISSUED TO FOUR OF THE ENTITIES WITHIN THE MORSELIFE OBLIGATED GROUP. AMOUNTS REPORTED ON SCHEDULE K, PART II, COLUMN A REPRESENT THE PORTION OF THE BONDS ALLOCATED TO THE FILING ENTITY. SCHEDULE K PART III THE BONDS REPORTED ON SCHEDULE K WERE ISSUED TO FOUR OF THE ENTITIES WITHIN THE MORSELIFE OBLIGATED GROUP. AMOUNTS REPORTED ON SCHEDULE K, PART III REPRESENT THE PORTION OF THE BONDS ALLOCATED TO THE FILING ENTITY. FORM 990, PART III, LINE 2 THE HOSPICE AND PALLIATIVE CARE INSTITUTE PROVIDES PHYSICAL, EMOTIONAL, AND SPIRITUAL SUPPORT TO TERMINALLY ILL PATIENTS AS WELL AS THEIR FAMILIES AND LOVED ONES. FORM 990, PART VI, SECTION A, LINE 3 AS OF JANUARY 1, 2019, THE ORGANIZATION ENTERED INTO AN ADDITIONAL MANAGEMENT AND CONSULTANT AGREEMENT WITH A TERM OF 5 YEARS WITH, AMPLIFII MANAGEMENT, LLC ("AMPLIFII"), A MANAGEMENT AND CONSULTING GROUP THAT HAS ENTERED INTO A SIMILAR AGREEMENT WITH THE ORGANIZATION'S AFFILIATES. 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: UNREALIZED (GAIN) / LOSS ON SWAP -844,531. 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 11 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 12C, III-FI 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 12D, III-O 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 11 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 11 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 11 MORSELIFE HEALTH SYSTEM INC 0 0 0 0 1 1 0 0 0 0 0 1 0 1 1 1 1 0 0 0