2025-04-07T10:12:28-05:00 2024-05-31 440160260 FORVIS MAZARS LLP 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2023-06-01 800730376 MORSELIFE HOSPICE INSTITUTE INC MORS 5614715111 4847 DAVID S MACK DRIVE WEST PALM BEACH FL 33417 RANDY WOLAN CFO 5616875753 2025-04-07 1 1 PETER C GUBLER P00190185 4077405400 2025-04-07 2023 2025-03-06 01:10:19Z KEITH A MYERS 4847 DAVID S MACK DRIVE WEST PALM BEACH FL 33417 6224615 0 X WWW.MORSELIFE.ORG X 2011 FL PROVIDES HOSPICE SERVICES TO JOSEPH L. MORSE HEALTH CENTER AND AFFILIATED ORGANIZATIONS. 21 19 67 30 0 0 489356 295773 3696333 5928701 17 0 4906 141 4190612 6224615 0 0 0 0 2458331 4169405 0 0 0 2505156 3843543 4963487 8012948 -772875 -1788333 4307687 5159327 9463756 696429 -5156069 4462898 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 4557724 5928842 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. 4557724 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 14 0 1 67 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 19 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X X LUSCHKA DELGADO 5612096108 4847 DAVID S MACK DRIVE WEST PALM BEACH FL 33417 RANDY WOLAN CFO 2.00 56.00 X X 0 171042 6461 KEITH A MYERS PRESIDENT/CEO 2.00 18.00 X X 0 0 0 TERRI C SRIBERG CHAIRMAN 2.00 16.00 X X 0 0 0 VICKI LORING TREASURER/SECRETARY 2.00 6.00 X X 0 0 0 RICHARD COMITER DIRECTOR 2.00 6.00 X 0 0 0 MARILYN KATZ DIRECTOR 2.00 8.00 X 0 0 0 STANLEY KATZ DIRECTOR 2.00 16.00 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 6.00 X 0 0 0 ANDREW SANKIN DIRECTOR 2.00 6.00 X 0 0 0 CYNTHIA HIRSCH DIRECTOR 2.00 6.00 X 0 0 0 FRANCINE KITTREDGE DIRECTOR 2.00 10.00 X 0 0 0 BETH GOLDBERG DIRECTOR 2.00 6.00 X 0 0 0 JOHN LEVIN DIRECTOR 2.00 4.00 X 0 0 0 DEBORAH ROBBINS DIRECTOR 2.00 6.00 X 0 0 0 JUDITH SCHLAGER DIRECTOR 2.00 4.00 X 0 0 0 SHEILA APPLESTEIN DIRECTOR 2.00 6.00 X 0 0 0 EILEEN BERMAN DIRECTOR 2.00 6.00 X 0 0 0 HEIDI HOROWITZ DIRECTOR 2.00 6.00 X 0 0 0 WENDY LEVY DIRECTOR 2.00 6.00 X 0 0 0 PAOLA POUPONNEAU-NISBETT SR. VP OF COMMUNITY 10.00 40.00 X 0 342091 23396 THOMAS SWOPE HOSPICE OPERATIONS DIRECTO 40.00 X 258446 0 12629 VICTOR ARVIZU BECERRA NURSE PRACTITIONER 40.00 X 124908 0 5004 SORINA GALIMBA NURSE PRACTITIONER 40.00 X 115001 0 4744 MELISSA FERNANDEZ DIRECTOR OF HOUSING MARKET 40.00 X 112084 0 6479 ALAN SADOWSKY FORMER SR. VP OF COMMUNITY 10.00 40.00 X 0 275420 7700 610439 788553 66413 5 1 1 0 JOSEPH L MORSE HEALTH CENTER INC 4847 DAVID S MACK DRIVE WEST PALM BEACH FL 33417 FACILITY FEE 678266 ABILITY MEDICAL HEALTH AND WELLNESS 12040 SOUTH JOG ROAD SUITE 1 BOYNTON BEACH FL 33437 MEDICAL SUPPLIES 292979 BETTERRX LLC 299 S MAIN STREET SUITE 1300 PMB 9 SALT LAKE CITY UT 84111 PHARMACY 143124 LOUIS BUTERA DO LLC 8596 LINEYARD CAY WEST PALM BEACH FL 33411 MEDICAL DIRECTOR 138750 4 295773 295773 HOSPICE SERVICE REVENU 900099 4132227 4132227 NET CLIENT SERVICE REV 900099 1796474 1796474 5928701 MISCELLANEOUS REVENUE 900099 141 141 141 6224615 5928842 0 0 3753408 2281669 1471739 5479 5479 139829 77327 62502 270689 174756 95933 529071 74070 455001 148 148 608556 262226 346330 150495 3505 146990 69155 3220 65935 170872 170872 290975 31968 259007 116041 89953 26088 1569 1460 109 404404 404404 54707 54160 547 71282 71282 INPATIENT CARE 646372 646372 MEDICAL CLAIM EXPENSE 472723 472723 MEDICAL SUPPLIES 171401 171401 RECRUITING 41591 456 41135 44181 41586 2595 8012948 4557724 3455224 0 100490 97832 566923 1295008 45181 123738 518397 265556 271122 252841 3323971 3389908 4307687 5159327 479385 623577 8882196 102175 72852 9463756 696429 X -5156069 4462898 -5156069 4462898 4307687 5159327 X -1788333 11407300 X X 0 1 X 1 0 X 73828 75214 489356 295773 934171 689371 3526402 3138639 3696333 5928701 16979446 689371 3600230 3213853 4185689 6224474 17913617 0 0 0 17913617 17 17 17 17 4906 141 5047 689371 3600230 3213853 4190612 6224615 17918681 0.99970 0.99960 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25304 24116 1188 493093 241440 251653 252841 LICENSURE APPLICATION FEES 3389908 3389908 DUE TO RELATED PARTY 72852 72852 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 PAOLA POUPONNEAU-NISBETT SR. VP OF COMMUNITY 0 304158 0 31983 0 5950 0 10572 0 12824 0 365487 0 0 ALAN SADOWSKY FORMER SR. VP OF COMMUNITY 0 12462 0 0 0 262958 0 0 0 7700 0 283120 0 0 THOMAS SWOPE HOSPICE OPERATIONS DIRECTO 258246 0 200 0 0 0 0 0 12629 0 271075 0 0 0 RANDY WOLAN CFO 0 154856 0 0 0 16186 0 0 0 6461 0 177503 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): POUPONNEAU-NISBETT, PAOLA - $10,572 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. 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 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 0 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0