2025-04-07T10:06:45-05:00 2024-05-31 440160260 FORVIS MAZARS LLP 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2023-06-01 650018299 MORSELIFE HEALTH SYSTEM INC MORS 5614715111 4847 DAVID S MACK DRIVE WEST PALM BEACH FL 33417 RANDY WOLAN CFO 5614715111 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 17397800 0 X WWW.MORSELIFE.ORG X 1987 FL TO PROVIDE HEALTHCARE, HOUSING AND SUPPORT SERVICES FOR SENIORS IN PALM BEACH COUNTY. 14 14 64 14 0 0 3000 800 14660896 17042678 309258 354322 0 0 14973154 17397800 0 0 0 0 3659360 4113646 0 0 0 10331909 11367769 13991269 15481415 981885 1916385 11392684 9190797 975767 1359004 10416917 7831793 DEDICATED TO ENHANCING SENIOR LIVING IN THE SPIRIT OF JEWISH TRADITION. 0 0 5369481 17042678 THE PALM BEACH SENIOR CARE HEALTH MANAGEMENT COMPANY, LLC WAS FORMED ON SEPTEMBER 30, 2013. IT IS A DISREGARDED ENTITY THAT PROVIDES MANAGEMENT SERVICES TO THE AFFILIATED COMPANIES OF MORSELIFE HEALTH SYSTEM, INC. 5369481 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 58 0 1 64 1 0 0 0 0 0 0 0 0 0 0 1 0 X 14 14 1 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 1 0 X X LUSCHKA DELGADO 5612096108 4847 DAVID S MACK DRIVE WEST PALM BEACH FL 33417 RANDY WOLAN CFO 40.00 18.00 X X 171042 0 6461 KEITH A MYERS PRESIDENT/CHIEF EXECUTIVE 2.00 18.00 X X 0 0 0 DAVID S MACK CHAIRMAN 2.00 6.00 X X 0 0 0 TERRI C SRIBERG VICE CHAIRMAN 2.00 16.00 X X 0 0 0 JEAN SHARF VICE CHAIRMAN 2.00 X X 0 0 0 MICHAEL MARGOLIS VICE CHAIRMAN 2.00 4.00 X X 0 0 0 CAROL CRAWFORD TREASURER AND SECRETARY 2.00 2.00 X X 0 0 0 STANLEY M KATZ DIRECTOR 2.00 16.00 X 0 0 0 ARTHUR S LORING DIRECTOR 2.00 12.00 X 0 0 0 STEPHEN A LEVIN DIRECTOR 2.00 X 0 0 0 MITCHELL RUBENSTEIN DIRECTOR 2.00 X 0 0 0 JOSEPH JACOBS DIRECTOR 2.00 4.00 X 0 0 0 ROBERT JAFFE DIRECTOR 2.00 X 0 0 0 EDWARD PANTZER DIRECTOR 2.00 X 0 0 0 SANFORD SIRULNICK DIRECTOR 2.00 2.00 X 0 0 0 PENNI WEINBERG DIRECTOR 2.00 X 0 0 0 ANTOINETTE THEODOSSAKOS ESOPAKIS SVP, DEI, CLO, AND CORPORA 40.00 X 429484 0 18750 MICHAEL SCHULTZ DIRECTOR OF IT 40.00 X 180667 0 5587 TIFFANY THOMPSON DIRECTOR OF HUMAN RESOURCE 40.00 X 172339 0 8138 SANDRA SCHELKOPF MGR, SENIOR TREASURY 40.00 X 140948 0 5264 SHANNIAN PALMER SR ADVISOR,HR 40.00 X 127398 0 4744 SYIEDA POTTER SR ADVISOR,HR 40.00 X 125143 0 4744 1347021 0 53688 13 0 1 0 AMPLIFII MANAGEMENT LLC PO BOX 223506 WEST PALM BEACH FL 33422 MANAGEMENT SERVICES 10288184 UKG KRONOS SYSTEMS LLC 900 CHELMSFORD STREET LOWELL MA 01851 HR SERVICES 201582 INSIGHT DIRECT USA INC 6820 S HARL AVENUE TEMPE AZ 85283 IT SERVICES 173944 MATRIXCARE PO BOX 1414 MINNEAPOLIS MN 55480 IT SERVICES 153960 URGENT CARE OF THE PALM BEACHES 11951 US HWY 1 SUITE 108 NORTH PALM BEACH FL 33408 NEW HIRE SCREENINGS 139377 7 800 800 MANAGEMENT FEE INCOME 541610 17042678 17042678 17042678 354322 354322 17397800 17042678 0 354322 475639 475639 3101465 2014435 1087030 25000 25000 138496 75651 62845 373046 155173 217873 10426261 2897935 7528326 110751 110751 14750 8604 6146 174079 174079 300 300 77765 32630 45135 94455 94286 169 105268 6540 98728 74085 20821 53264 14388 3182 11206 1922 1922 82082 47762 34320 89286 89286 RECRUITMENT AND RETENTI 69885 2881 67004 MEALS AND ENTERTAINEMEN 27057 6172 20885 UNIFORMS 3935 3109 826 ADMINISTRATIVE GRANTS 1500 1500 15481415 5369481 10111934 0 857700 1079755 8543771 5596585 294674 257597 681880 408286 253851 273594 1573 1441115 1983266 11392684 9190797 975767 1359004 975767 1359004 X 10416917 7831793 10416917 7831793 11392684 9190797 X 1916385 -4501509 X X 0 1 X 1 0 X X 7 MORSELIFE FOUNDATION INC 592774476 7 1 0 0 LOLA & SAUL KRAMER SENIOR SERVICES AGENCY INC 900730105 10 1 0 0 JOSEPH L MORSE HEALTH CENTER INC 592120896 10 1 0 0 MORSELIFE HOUSING CORPORATION 650888855 10 1 0 0 FRIENDS OF MORSELIFE INC 650329966 7 0 0 0 MORSELIFE HOME CARE INC 592753822 10 0 0 0 MORSELIFE HOSPICE INSTITUTE INC 800730376 10 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 X 1 1 FORM 990 SCHEDULE A, PART IV, SECTION E, LINE 3A MORSELIFE HEALTH SYSTEMS, INC. IS THE SOLE MEMBER OF ITS SUPPORTED ORGANIZATIONS AND, AS SUCH, ELECTS THE BOARD OF DIRECTORS AND HAS ULTIMATE VOTING POWER AND VETO AUTHORITY OVER BOARD DECISIONS. FORM 990 SCHEDULE A, PART IV, SECTION E, LINE 3B MORSELIFE HEALTH SYSTEMS, INC. IS THE SOLE MEMBER OF ITS SUPPORTED ORGANIZATIONS AND, AS SUCH, ELECTS THE BOARD OF DIRECTORS AND HAS ULTIMATE VOTING POWER AND VETO AUTHORITY OVER BOARD DECISIONS. SCHEDULE A, PART IV, LINE 1 MORSELIFE HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF ITS SUPPORTED ORGANIZATIONS AND HAS HAD A HISTORIC AND CONTINUING RELATIONSHIP SINCE INCORPORATION IN ACCORDANCE WITH ITS BYLAWS. 641265 408286 232979 40615 40615 273594 DUE TO/FROM AFFILIATES 1963416 OTHER RECEIVABLES 19850 1983266 X PART X, LINE 2: MORSELIFE HEALTH SYSTEM, INC. IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF MORSELIFE HEALTH SYSTEMS, INC. AND SUBSIDIARIES. THE CONSOLIDATED FINANCIALS INCLUDE THE FOLLOWING FOOTNOTE: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE MEMBERS OF THE SYSTEM 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. 0 1 0 0 0 0 0 0 0 ANTOINETTE THEODOSSAKOS ESOPAKIS SVP, DEI, CLO, AND CORPORA 427307 0 2177 0 0 0 18750 0 0 0 448234 0 0 0 MICHAEL SCHULTZ DIRECTOR OF IT 180667 0 0 0 0 0 0 0 5587 0 186254 0 0 0 TIFFANY THOMPSON DIRECTOR OF HUMAN RESOURCE 167967 0 1199 0 3173 0 0 0 8138 0 180477 0 0 0 RANDY WOLAN CFO 154856 0 0 0 16186 0 0 0 6461 0 177503 0 0 0 PART I, LINE 4B MORSELIFE HEALTH SYSTEM, INC. MAINTAINS ONE 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. AMPLIFII MANAGEMENT LLC ENTITY MORE THAN 35% OWNED BY KEITH MYERS, CEO 10426261 INDEPENDENT CONTRACTOR COMPENSATION 0 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 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 8B THE GOVERNING BODY DOES NOT HAVE ANY COMMITTEE THAT HAS AUTHORITY TO ACT ON ITS BEHALF. 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 B, LINE 15B THE PRESIDENT & CEO OF THE ORGANIZATION IS RESPONSIBLE FOR THE COMPENSATION OF THE MEMBERS OF THE EXECUTIVE TEAM, INCLUDING THE SR. VICE PRESIDENTS AND CHIEF FINANCIAL OFFICER. ANNUAL INCREASES AND BASE SALARY AMOUNTS ARE COMPARED TO THE COMPENSATION PACKAGES FOR SIMILAR POSITIONS UTILIZING OTHER SIMILAR ENTITIES' PUBLISHED IRS FORM 990. IN ADDITION, INDEPENDENT SALARY SURVEYS CONDUCTED BY NATIONAL ASSOCIATIONS & OTHER PROVIDER ENTITIES ARE UTILIZED TO ENSURE COMPARABILITY AND APPROPRIATENESS. THE PRESIDENT & CEO REPORTS ON THE ANNUAL INCREASE, SALARY ADJUSTMENT, AND/OR CHANGE IN BENEFIT PACKAGE FOR THE EXECUTIVE TEAM MEMBERS TO THE COMPENSATION COMMITTEE MADE UP OF THE BOARD OF DIRECTORS. 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 -4,501,509. 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. THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR. PALM BEACH SENIOR CARE HEALTH MANAGEMENT LLC 4847 DAVID S MACK DRIVE WEST PALM BEACH FL 33417 463793477 MANAGEMENT COMPANY FL 17397800 9190797 MORSELIFE HEALTH SYSTEM INC 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 1 LOLA & SAUL KRAMER SENIOR SERVICES AGENCY INC 4847 DAVID S MACK DRIVE WEST PALM BEACH FL 33417 900730105 PROVIDES HOME AND COMMUNITY-BASED SERVICES TO SENIORS FL 501 (C)(3) LINE 10 MORSELIFE HEALTH SYSTEM INC 1 NEARLY NEW THRIFT SHOP OF MORSE GERIATRIC CENTER 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 1 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 1 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 1 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 HOME CARE INC 4847 DAVID S MACK DRIVE WEST PALM BEACH FL 33417 592753822 PROVIDES HOME HEALTH, PACE, AND OTHER SERVICES TO SENIORS FL 501 (C)(3) LINE 10 MORSELIFE HEALTH SYSTEM INC 1 MORSELIFE HOSPICE INSTITUTE INC 4847 DAVID S MACK DRIVE WEST PALM BEACH FL 33417 800730376 PROVIDES HOSPICE AND PALLIATIVE CARE SERVICES FL 501 (C)(3) LINE 10 MORSELIFE HOME CARE 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 1 0 1 1 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 MORSELIFE FOUNDATION INC A 354322 FAIR MARKET VALUE JOSEPH L MORSE HEALTH CENTER INC D 484606 FAIR MARKET VALUE MORSELIFE HOUSING CORPORATION INC E 62089 FAIR MARKET VALUE MORSELIFE FOUNDATION INC E 2947186 FAIR MARKET VALUE JOSEPH L MORSE HEALTH CENTER INC K 89116 FAIR MARKET VALUE JOSEPH L MORSE HEALTH CENTER INC L 3508512 FAIR MARKET VALUE MORSELIFE HOUSING CORPORATION INC L 2605784 FAIR MARKET VALUE LOLA AND SAUL KRAMER SENIOR SERVICES INC L 177488 FAIR MARKET VALUE MORSELIFE HOME CARE INC L 9126898 FAIR MARKET VALUE MORSELIFE FOUNDATION INC L 886286 FAIR MARKET VALUE NEARLY NEW SHOP L 69388 FAIR MARKET VALUE