2022-05-13T11:44:23-05:00 2021-06-30 521197902 MULLEN SONDBERG WIMBISH & STONE PA 888 BESTGATE ROAD SUITE 310 ANNAPOLIS MD 21401 990 2020-07-01 521479917 MEDSOURCE COMMUNITY SERVICES INC MEDS 3013713775 101 SUMMIT AVE HAGERSTOWN MD 21740 JAY BALINT EXECUTIVE DIRECTOR 3018460214 2022-05-13 1 JAY BALINT 999009999 JOHN G WILAND CPA P01357234 4102244920 2022-05-13 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JAY BALINT 101 SUMMIT AVE HAGERSTOWN MD 21740 27792215 0 X WWW.MEDSOURCESERVICES.ORG X 1986 MD HEALTH CARE PROVIDER 7 7 157 0 0 0 26370 409990 24109952 26268745 56393 210298 5654 0 24198369 26889033 12988794 13643544 0 0 8057142 9223559 0 0 0 2192014 2285193 23237950 25152296 960419 1736737 12994816 16249443 8676942 10008840 4317874 6240603 X MEDSOURCE COMMUNITY SERVICES, INC. IS A PUBLIC NON-PROFIT ORGANIZATION THAT ASSISTS INDIVIDUALS WITH INTELLECTUAL DISABILITIES. MEDSOURCE PROVIDES SEVERAL RESIDENTIAL CHOICES TO MEET THE RESIDENTIAL NEEDS OF INDIVIDUALS WITH INTELLECTUAL DISABILITIES AS WELL AS OFFERING FISCAL MANAGEMENT SERVICES TO INDIVIDUALS USING SELF DIRECTED SERVICES. MEDSOURCE OPERATES WITH THE VISION THAT EACH INDIVIDUAL HAS THE RIGHT TO CHOICE AND TO INDIVIDUALLY DIRECT THEIR LIVES, PERSONAL GOALS AND DETERMINE THEIR OUTCOMES. MEDSOURCE IS RESPONSIBLE FOR ASSISTING EACH INDIVIDUAL WITH THE DESIGN AND SUPPORTS THEY NEED AND ARE FEASIBLY AVAILABLE TO THEM IN THE COMMUNITY WHILE ACKNOWLEDGING THAT THE INDIVIDUAL HAS THE ULTIMATE DECISION REGARDING THEIR CHOICE AND DESTINY. 0 0 9487933 11183184 RESIDENTIAL - PROVIDED SUPPORT TO OVER 100 PEOPLE WITH DEVELOPMENTAL DISABILITIES IN AN INTEGRATED ENVIRONMENT. 14176806 13643544 14477003 FISCAL MANAGEMENT SERVICES(FMS) - MANAGED FINANCIAL SERVICES FOR 254 PEOPLE TO MANAGE THEIR OWN SERVICES. 426546 565755 PERSONAL SUPPORTS - PROVIDING NECESSARY SUPPORT FOR INDIVIDUALS TO LIVE IN THEIR OWN FAMILY HOME. 84855 42803 OTHER PROGRAM SERVICES INCLUDES BEHAVIORAL SUPPORT SERVICES. 84855 42803 24176140 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 94 0 1 157 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X THE ORGANIZATION 3013713775 101 SUMMIT AVENUE HAGERSTOWN MD 21740 REV JOHN JICHA CHAIRPERSON 1.00 X X 0 0 0 STEVE HUMMEL TREASURER 1.00 X X 0 0 0 ALETA BAER DIRECTOR 1.00 X 0 0 0 TINA CARTER DIRECTOR 1.00 X 0 0 0 GREG HANNIGAN DIRECTOR 1.00 X 0 0 0 MELISSA HENSEL VICE CHAIRPERSON 1.00 X 0 0 0 CYNTHIA PERINI DIRECTOR 1.00 X 0 0 0 MELINDA MALOTT DIRECTOR 1.00 X 0 0 0 JAY BALINT EXECUTIVE DIRECTOR 40.00 X 172586 0 769 SHELLY TAVENNER SECRETARY 40.00 X 77408 0 8077 LESLIE KARCHER CHIEF FINANCIAL OFFICER 40.00 X 87622 0 7937 BEULAH BOWLING RESIDENTIAL ASSISTANT 40.00 X 107957 0 5917 REBECCA GUILDAY PROGRAM MANAGER 40.00 X 109724 0 9229 EVELYN MILLER-WOOD PROGRAM MANAGER 40.00 X 105512 0 27906 660809 0 59835 4 0 1 0 ACCESSABILITY MEDCARE LLC 15729 CRABBS BRANCH WAY DERWOOD MD 20855 MEDICAL SERVICES 212196 SUPPORTING SERVICES INTEGRATION LLC 7167 MILL RUN DRIVE DERWOOD MD 20855 PERSONAL SUPPORT FOR INDIVIDUALS IN SELF 170951 DBA HEART OF HANDS HOMECARE LLC 437 HIDDEN MEADOW LN SUMMERVILLE SC 29486 HOMECARE SERVICES 161545 BRIAN THOMAS 317 57TH ST NE WASHINGTON DC 20019 MAINTENANCE 133350 MARIC CARE SERVICES INC 2702 BAGNELL CT EDGEWOOD MD 21040 NON-MEDICAL HOME CARE 119751 6 406918 3072 409990 FISCAL MANAGEMENT FEES 900099 14477003 14477003 RESIDENTIAL 900099 11183184 11183184 PERSONAL SUPPORTS 900099 565755 565755 OTHER FEES 900099 42803 42803 26268745 42687 42687 1060881 9912 898034 5148 162847 4764 167611 167611 26889033 26268745 0 210298 13643544 13643544 745122 323193 421929 7199156 7069315 129841 81937 76246 5691 623887 580555 43332 573457 533628 39829 6676 6676 157571 101819 55752 112960 112960 342600 272962 69638 59135 59135 630736 556569 74167 61137 42187 18950 4885 4885 76065 76065 290330 288259 2071 88346 76032 12314 FOOD 348003 348003 EMERGENCY EXPENSE 46882 44225 2657 EQUIPMENT RENTAL 27707 4024 23683 EMPLOYEE RECRUITMENT 16196 16196 15964 10358 5606 25152296 24176140 976156 0 899734 1655716 608389 7537676 5631154 458578 33600 48033 8965323 4760763 3870134 4204560 1785617 2171462 166188 173418 12994816 16249443 1357675 1055696 1017535 982082 6301732 7971062 8676942 10008840 X 4317874 6240603 4317874 6240603 12994816 16249443 1736737 206490 -20498 0 X X 0 1 X 1 0 X 1487 333 1468 26370 409990 439648 16524788 19374627 21357088 24109952 26268745 107635200 16526275 19374960 21358556 24136322 26678735 108074848 0 0 0 108074848 -161017 32459 53245 65061 42687 32435 -161017 32459 53245 65061 42687 32435 2826 444 19344 5654 28268 16368084 19407863 21431145 24207037 26721422 108135551 0.99940 0.99920 0.00030 0.00040 X 1782239 1782239 6501155 4501960 1999195 26979 18849 8130 634051 239954 394097 20899 20899 4204560 DUE TO STATE OF MARYLAND 7086143 PARTICIPATION LIABILITY 295619 CAPITAL LEASE OBLIGATIONS 339300 NOTE PAYABLE - PAYCHECK PROTECTION PROGRAM 250000 7971062 X 13431481 206490 206490 13224991 20498 13643544 13664042 26889033 11508752 0 11508752 13643544 13643544 25152296 PART X, LINE 2: THE ORGANIZATION FOLLOWS THE GUIDANCE OF ASC 740-10, "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES" WHICH CLARIFIES THE ACCOUNTING FOR THE RECOGNITION AND MEASUREMENT OF THE BENEFITS OF INDIVIDUAL TAX POSITIONS IN THE FINANCIAL STATEMENTS, INCLUDING THOSE OF NON-PROFIT ORGANIZATIONS. TAX POSITIONS MUST MEET A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT IN ORDER FOR THE BENEFIT OF THOSE TAX POSITIONS TO BE RECOGNIZED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION ANALYZES TAX POSITIONS TAKEN, INCLUDING THOSE RELATED TO THE REQUIREMENTS SET FORTH IN IRC SEC. 501(C) TO QUALIFY AS A TAX EXEMPT ORGANIZATION, ACTIVITIES PERFORMED BY VOLUNTEERS AND BOARD MEMBERS, THE REPORTING OR UNRELATED BUSINESS INCOME, AND ITS STATUS AS A TAX-EXEMPT ORGANIZATION UNDER MARYLAND STATE STATUTE. THE ORGANIZATION DOES NOT KNOW OF ANY TAX BENEFITS ARISING FROM UNCERTAIN TAX POSITIONS AND THERE WAS NO EFFECT ON THE ORGANIZATIONS FINANCIAL POSITION OR CHANGES IN NET ASSETS AS A RESULT OF ANALYZING ITS TAX POSITIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: FISCAL MANAGEMENT SERVICES EXPENSES NETTED WITH REVENUE PART XII, LINE 4B - OTHER ADJUSTMENTS: FISCAL MANAGEMENT SERVICES EXPENSES NETTED WITH REVENUE PART X LINE 1(4) IN 2020, AN UNUSUAL POTENTIAL FORGIVABLE LOAN WAS RECEIVED FROM THE SMALL BUSINESS ADMINISTRATION AS A RESULT OF THE CARES ACT. THE ORGANIZATION HAS RECOGNIZED THE $250,000 AS A NOTE PAYABLE. SUBSEQUENT TO YEAR END, THE ORGANIZATION WAS NOTIFIED THAT THE ORGANIZATION MET ALL REQUIREMENTS STIPULATED UNDER THE TERMS OF THE LOAN FOR FULL FORGIVENESS. 1 FISCAL MANAGEMENT SERVICES 282 13643544 PART I, LINE 2 MEDSOURCE COMMUNITY SERVICES, INC. MONITORS THE USE OF THE GRANTS AND MAINTAINS CONTACT WITH EACH GRANT RECIPIENT THROUGHOUT THE YEAR. X X X X X 0 0 0 0 0 0 0 0 0 JAY BALINT EXECUTIVE DIRECTOR 172586 0 0 0 0 0 0 0 769 0 173355 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A DRAFT FORM 990 IS PROVIDED TO ALL BOARD MEMBERS FOR REVIEW AND APPROVAL. ONCE THE BOARD MEMBERS HAVED APPROVED THE DRAFT FORM 990, THE FINAL FORM 990 IS SUBMITTED TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN ANNUAL DISCLOSURE STATEMENTS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION LEVELS ARE DETERMINED BY A COMPENSATION COMMITTEE AND APPROVED BY THE BOARD OF DIRECTORS. COMPARABLE DATA WAS OBTAINED FROM GUIDESTAR.ORG FROM SIMILAR ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 18 FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATIONS PRINCIPAL PLACE OF BUSINESS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. PART XII, LINE 2C THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.