2018-11-15T16:09:02-06:00 2017-12-31 340677006 MALONEY NOVOTNY LLC 1111 SUPERIOR AVE SUITE 700 CLEVELAND OH 441142540 990 2017-01-01 237158458 MURTIS TAYLOR HUMAN SERVICES SYSTEM MURT 2162834400 13422 KINSMAN ROAD CLEVELAND OH 44120 MARTHA MUHAMMAD VICE PRESIDENT & CFO 2162834400 2018-11-15 1 ALLEN C WADDLE JR P00437640 2163630100 209.116.109.2 2018-11-15 13:00:37 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 34F15A1E57D14FDCA2271EC8547C559A386063E6 2017 2019-02-21 02:37:17Z MARTHA MUHAMMAD 13422 KINSMAN ROAD CLEVELAND OH 44120 25150192 0 X WWW.MURTISTAYLOR.INFO X 1948 OH ITS MISSION IS TO SUPPORT, EMPOWER AND STRENGTHEN INDIVIDUALS, FAMILIES AND COMMUNITIES TO BECOME HEALTHY AND PRODUCTIVE THROUGH EFFECTIVE, INTEGRATED HEALTH AND HUMAN SERVICES. 21 21 423 27 0 0 1900988 2150541 23383407 22572155 37 73 79748 427423 25364180 25150192 331214 238868 0 0 17123960 17673936 0 0 28035 7905826 7522033 25361000 25434837 3180 -284645 5804958 5114052 4558991 4152730 1245967 961322 X THE MISSION OF MURTIS TAYLOR HUMAN SERVICES SYSTEM IS TO SUPPORT, EMPOWER AND STRENGTHEN INDIVIDUALS, FAMILIES AND COMMUNITIES TO BECOME HEALTHY AND PRODUCTIVE THROUGH EFFECTIVE, INTEGRATED HEALTH AND HUMAN SERVICES. 0 0 6241403 25571 7145336 COMMUNITY SUPPORT - ADULTS: CPST SERVICES FOR ADULTS ARE DESIGNEDTO ASSIST INDIVIDUALS TO SUCCEED IN THE COMMUNITY, IDENTIFY &ACCESS NEEDED SERVICES, AND SHOW IMPROVEMENT IN SCHOOL, WORK,FAMILY & COMMUNITY. 4890514 2866 5064886 AMERIWELL PHARMACY- TO PROVIDE AND FOSTER EMOTIONAL, MENTAL AND PHYSICAL WELLNESS THROUGH THE DELIVERY OF HUMAN SERVICES AND PRODUCTS, DIRECTLY AND THROUGH COLLABORATION, TO ADULTS, CHILDREN AND FAMILIES IN NEED. 4109183 4887 4494161 BEHAVIORAL HEALTH - CHILDREN: TO IMPROVE SOCIAL, EMOTIONAL ANDADAPTIVE FUNCTIONING. GOALS ARE TO IMPROVE ACADEMIC, EDUCATIONALAND VOCATIONAL FUNCTIONING THROUGH COUNSELING. 1325992 40438 1611588 PARTIAL HOSPITALIZATION ADULTS 713259 60995 FAMILY TO FAMILY PARENT ADVOCACY 1464960 35646 1600730 RESIDENTIAL THERAPEUTIC COMMUNITY 210876 2444 YOUTH MENTORING 523616 41619 376204 CHILDCARE PROGRAM 217464 7952 119551 SENIOR MEALS & TRANSPORTATION 225044 555530 ALCOHOL AND DRUG TREATMENT PROGRAM 2654418 16450 2031592 OUTPATIENT SERVICES 7335629 205544 6295195 22576729 1 1 0 0 0 0 0 0 1 0 1 0 0 0 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 0 0 1 19 0 1 423 1 0 0 0 0 0 0 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 OH X MARTHA MUHAMMAD 2162834400 13422 KINSMAN RD CLEVELAND OH 44120 JANET WILLIAMS BOARD MEMBER 1.00 X 0 0 0 JOYCE A DIXON BOARD CHAIRMAN 1.00 X X 0 0 0 NAJMA ABDUR RAHIM BOARD TREASURER 1.00 X X 0 0 0 DAVID COLEMAN BOARD MEMBER 1.00 X 0 0 0 ANNETTA L FISHER BOARD MEMBER 1.00 X 0 0 0 DR PAMALA MURPHY MD BOARD MEMBER 1.00 X 0 0 0 MUQIT A SABUR BOARD MEMBER 1.00 X 0 0 0 DIANE E RICHARDSON BOARD MEMBER 1.00 X 0 0 0 LESTER W FULTZ BOARD MEMBER 1.00 X 0 0 0 CYNTHIA L SULLIVAN BOARD MEMBER 1.00 X 0 0 0 JOSEPH JASPER JR ESQ BOARD VICE CHAIRMAN 1.00 X X 0 0 0 SARAH A SMITH BOARD SECRETARY 1.00 X X 0 0 0 DEBORAH N ABDULRAHIM PHD BOARD MEMBER 1.00 X 0 0 0 BRANDI N DOBBS BOARD MEMBER 1.00 X 0 0 0 KIMBERLY H EDWARDS BOARD MEMBER 1.00 X 0 0 0 RACHEL K OWENS BOARD MEMBER 1.00 X 0 0 0 RETANIO A RUCKER BOARD MEMBER 1.00 X 0 0 0 ALLISON FLOYD BOARD MEMBER 1.00 X 0 0 0 VERONICA HOLLOWAY BOARD MEMBER 1.00 X 0 0 0 IVELIZ LOPEZ BOARD MEMBER 1.00 X 0 0 0 AVERY MCCAULEY BOARD MEMBER 1.00 X 0 0 0 JOHN CHAN SR VICE PRESIDENT & CFO 38.00 X 127575 0 4965 LOVELL J CUSTARD CEO 38.00 X 209929 0 26103 DAVID BROWN EXECUTIVE VP & COO 38.00 X 106788 0 15737 MANUAL GORDILLO MEDICAL DIRECTOR 38.00 X 220042 0 9565 JEFFREY SIMS DIRECTOR OF NURSING 38.00 X 138162 0 7076 BONNIE KAPUT ADVANCE PRACTICE NURSE 38.00 X 103059 0 4113 RAY MURPHY PHARMACY DIRECTOR 38.00 X 116255 0 14404 ELLEN ALAIMO ADVANCE PRACTICE NURSE 38.00 X 100811 0 14000 1122621 0 95963 8 0 1 0 R-CAP SECURITY PO BOX 10167 CLEVELAND OH 44110 SECURITY 320962 SAROJ BRAR 28340 RED RAVEN ROAD PEPPER PIKE OH 44124 PSYCHIATRY 222575 IRENE SHULGA 2729 EDGE HILL CLEVELAND HEIGHTS OH 44106 PSYCHIATRY 148601 DANIEL E SCHWIED 32 SUGAR BUSH LANE CHAGRIN FALLS OH 44022 PSYCHIATRY 117700 4 254800 1775141 120600 4711 2150541 COMMUNITY SUPPORT-ADULTS 624100 7013214 7013214 AMERIWELL PHARMACY 624100 5064886 5064886 BEHAVIORAL HEALTH-CHILDREN 624100 4494161 4494161 OUTPATIENT SERVICES-ADULTS 624100 2031592 2031592 PARTIAL HOSPITALIZATION-ADULTS 624100 1611588 1611588 2356714 2356714 22572155 73 73 19598 0 19598 19598 19598 FORGIVENESS OF DEBT 624100 265232 265232 MISCELLANEOUS 624100 142593 142593 407825 25150192 22999578 0 73 238868 238868 720704 638910 80605 1189 13730375 12172094 1535638 22643 365325 322070 42960 295 1640882 1446325 193282 1275 1216650 1072598 141959 2093 47579 37989 9590 141037 112610 28427 436083 201005 235078 338572 289064 48968 540 225551 170258 55293 954396 831492 122904 443443 406176 37267 22058 9212 12846 106513 78371 28142 204365 153021 51344 117674 27205 90469 COGS- PHARMACY 4265312 4265312 EQUIP. RENTAL & REPAIR 90606 68394 22212 MISCELLANEOUS 75186 17383 57803 ORG./MEMBERSHIP DUES 49292 18372 30920 4366 4366 25434837 22576729 2830073 28035 5842 694 787001 892987 127402 127400 1893192 1407108 272140 177274 122199 98731 7201388 4791530 2597182 2409858 5804958 5114052 1738555 1515749 628002 686177 2192434 1950804 4558991 4152730 X 1111456 830922 134511 130400 1245967 961322 5804958 5114052 -284645 0 X 0 1 X 1 0 X 1685167 1659662 1771759 1900988 2150541 9168117 19032545 19558154 20038921 23383407 22572155 104585182 20717712 21217816 21810680 25284395 24722696 113753299 0 0 0 113753299 33908 33214 28625 27966 19671 143384 33908 33214 28625 27966 19671 143384 179596 173913 133150 51819 407825 946303 20931216 21424943 21972455 25364180 25150192 114842986 0.99050 0.99340 0.00120 0.00150 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2013 AMOUNT: $ 24,000. 2014 AMOUNT: $ 173,913. 2015 AMOUNT: $ 133,150. 2016 AMOUNT: $ 51,819. 2017 AMOUNT: $ 142,593. BUREAU OF WORKERS COMP REFUND - 2013 AMOUNT: $ 155,596. FORGIVENESS OF DEBT - 2017 AMOUNT: $ 265,232. 0 1 X 495928 495928 5562544 3687942 1874602 1142916 1103588 39328 2409858 25150192 0 25150192 0 25150192 25434837 0 25434837 0 25434837 PART IV, LINE 2B: ASSETS HELD IN CUSTODY FOR OTHERS: THESE ASSETS CONSIST OF FUNDS RECEIVED BY MURTIS TAYLOR HUMAN SERVICES SYSTEM (MTHSS) AS A FISCAL AGENT FOR CERTAIN CLIENTS OF MTHSS AND TWO OTHER ENTITIES. THE PURPOSE OF THIS ARRANGEMENT WITH THE CLIENTS IS TO ENHANCE THEIR MONEY MANAGEMENT SKILLS. MTHSS IS ACTING AS THE FISCAL AGENT FOR TWO OTHER ENTITIES. THE RECORDED LIABILITY REPRESENTS MTHSS'S LIABILITY TO THESE CLIENTS AND THE OTHER ENTITIES FOR THE FUNDS DEPOSITED. 1 TO DISADVANTAGED PERSONS FOR EMERGENCY NEEDS 571 81133 TO DISADVANTAGED PERSONS FOR TRAVEL 6645 26712 TO DISADVANTAGED PERSONS FOR MEALS 26577 131023 MONITORING USE OF GRANT FUNDS: THE ORGANIZATION MONITORS THE CASH ASSISTANCE PROVIDED TO ITS CLIENTS. THE MONITORING PROCESS INCLUDES THE USE OF MONTHLY BUDGETS, THE REVIEW OF ACTUAL INVOICES AND PAYMENTS DIRECTLY TO THE CLIENT'S VENDORS. X 0 0 X X 0 1 0 0 0 0 0 0 0 LOVELL J CUSTARD CEO 202729 0 0 0 7200 0 0 0 26103 0 236032 0 0 0 MANUAL GORDILLO MEDICAL DIRECTOR 220042 0 0 0 0 0 0 0 9565 0 229607 0 0 0 PART I, LINES 1A & 1B - DISCRETIONARY SPENDING ACCOUNT INFORMATION: THE DISCRETIONARY SPENDING ACCOUNT REPRESENTS AN AUTOMOBILE ALLOWANCE OF $7,200. THIS AMOUNT IS REPORTED AS TAXABLE COMPENSATION. A WRITTEN POLICY AND PRIOR SUBSTANTIATION OF THIS AMOUNT IS NOT REQUIRED AS THE AMOUNT HAS BEEN APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS. PART I, LINE 4B - NONQUALIFIED DEFERRED COMPENSATION PLAN: LOVELL CUSTARD, THE ORGANIZATION'S CEO, PARTICIPATED IN A SECTION 457(F) PLAN. A CONTRIBUION OF $18,000 WAS MADE TO THE PLAN DURING 2017. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW: THE BOARD OF DIRECTORS REVIEWED AND APPROVED THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF CONFLICT POLICY: THE ORGANIZATION'S CONFLICT POLICY IS DISCUSSED DURING THE ANNUAL CORPORATE COMPLIANCE TRAINING. ALL STAFF ARE REQUIRED TO REPORT POTENTIAL CONFLICT ISSUES TO THE CORPORATE COMPLIANCE STAFF. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION REVIEW: THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION OF THE CEO AND BASES THE DECISION OF DETERMINING COMPENSATION ON A NUMBER OF CRITERIA INCLUDING COMPENSATION OF CEO'S IN SIMILAR ORGANIZATIONS. THE COMPENSATION IS ALSO BASED ON JOB PERFORMANCE PER GUIDELINES SET BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: COPIES OF THE CONFLICT POLICY AND CLIENT'S RIGHTS ARE GIVEN TO CONSUMERS. CLIENT'S RIGHTS ARE POSTED ON WALLS AND PEOPLE CAN FILE COMPLAINTS WITH THE CLIENT'S RIGHTS OFFICER. GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE FOR ON-SITE REVIEW BY THE PUBLIC UPON REQUEST.