2013-05-13T16:15:03-05:00 2012-06-30 521197902 MULLEN SONDBERG WIMBISH & STONE PA 2553 HOUSLEY ROAD SUITE 200 ANNAPOLIS MD 214016751 990 2011-07-01 521479917 MEDSOURCE COMMUNITY SERVICES INC MEDS 3013713775 308 WEST MAIN STREET MIDDLETOWN MD 21769 JAY BALINT 3018460214 2013-05-13 1 MARY K STONE CPA P00440644 4102244920 2011 2016-02-24 21:20:13Z JAY BALINT 308 WEST MAIN STREET MIDDLETOWN MD 21769 13672694 0 X WWW.MEDSOURCESERVICES.ORG X 1986 MD HEALTH CARE PROVIDER 8 8 193 0 0 0 12456 3045 13057346 13503194 60542 66641 69667 30078 13200011 13602958 2964854 3237485 0 0 8186432 8220922 0 0 0 2082821 2103619 13234107 13562026 -34096 40932 10230182 8210425 7089547 5051352 3140635 3159073 X MEDSOURCE COMMUNITY SERVICES, INC. IS A PRIVATE NON-PROFIT PROVIDER OF THE HIGHEST QUALITY HEALTH AND HUMAN SERVICES. MEDSOURCE DESIGNS SUPPORTS THROUGH PERSON CENTERED PLANS, WHICH PROMOTE PERSONAL GROWTH, OPPORTUNITIES FOR INCREASED INDEPENDENCE, AND DEVELOPMENT OF RELATIONSHIPS. MEDSOURCE'S SUPPORT ENHANCES DIGNITY, RIGHTS, SAFETY, HEALTH, CHOICES, COMMUNITY MEMBERSHIP AND ECONOMIC SECURITY. 0 0 6731295 7273932 RESIDENTIAL - PROVIDED SUPPORT TO OVER 110 PEOPLE WITH DEVELOPMENTAL DISABILITIES IN AN INTEGRATED ENVIRONMENT. 3390194 3428183 FISCAL MANAGEMENT SERVICES(FMS) - MANAGED FINANCIAL SERVICES FOR OVER 50 PEOPLE, EMPOWERING THEM TO MANAGE THEIR OWN SERVICES AND SUPPORTS. 1244727 1284610 SENIOR HOME CARE(SHC) - PROVIDED SERVICES FOR AGED PARTICIPANTS TO LIVE IN THEIR OWN HOME VERSUS A FACILITY. 1393575 1546547 OTHER PROGRAM SERVICES INCLUDE - FSS, ISS AND CSLA. 1393575 1546547 12759791 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 79 0 1 193 1 0 0 0 0 0 0 0 0 0 0 X 8 8 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 308 WEST MAIN ST MIDDLETOWN MD 21769 SPENCER PRYOR 1.00 X X 0 0 0 JOHN ROCK 1.00 X X 0 0 0 ALETA BAER 1.00 X 0 0 0 ALVERNA BAER 1.00 X 0 0 0 TINA CARTER 1.00 X 0 0 0 MELISSA HENSEL 1.00 X 0 0 0 FREDA MCINTYRE 1.00 X 0 0 0 STEVE HUMMEL 1.00 X 0 0 0 ROBERT CLAXTON 40.00 X 146558 0 1104 JAY BALINT 40.00 X 114117 0 1502 HAROLD BRANDENBURG 40.00 X 76778 0 1198 337453 0 3804 2 0 0 0 JARVIS & ASSOCIATES LLC 24615 WINDFIELD ROAD DAMASCUS MD 20872 DIRECT CARE 141503 BETTER DAYS HOME CARE LLC PO BOX 29 BOWIE MD 20719 HOME CARE 131454 2 3045 3045 RESIDENTIAL 900099 7273932 7273932 FISCAL MANAGEMENT FEES 900099 3428183 3428183 OTHER GOVERNMENT FEES 900099 1516469 1516469 SENIOR HOME CARE 900099 1284610 1284610 13503194 10455 10455 125922 69736 56186 56186 56186 OTHER 900099 17950 17950 SERVICE FEES 900099 12128 12128 30078 13602958 13533272 0 66641 3237485 3237485 341256 174041 167215 6621345 6340129 281216 27322 26548 774 661455 619555 41900 569544 532995 36549 20476 8547 11929 43346 18093 25253 157410 139100 18310 241935 156074 85861 729575 692822 36753 138295 122030 16265 6909 2481 4428 311042 280618 30424 53988 42887 11101 FOOD 309724 309724 PROGRAM ACTIVITIES 42969 42969 TRAINING 26604 9121 17483 EMPLOYEE RECRUITMENT 21346 4572 16774 13562026 12759791 802235 0 138989 875488 3363616 493214 565642 527749 92128 84109 8923731 3411844 5459321 5511887 468912 569082 141574 148896 10230182 8210425 778413 818548 6943 2814319 2894546 3496815 1331315 7089547 5051352 X 3140635 3159073 3140635 3159073 10230182 8210425 X 40932 -22494 X X 0 1 1 X 0 X 3100 1585 1850 12456 3045 22036 11932993 13075098 12996724 13057346 13503194 64565355 11936093 13076683 12998574 13069802 13506239 64587391 0 0 0 64587391 65494 70474 7779 60542 66641 270930 65494 70474 7779 60542 66641 270930 102888 135597 99719 69667 30078 437949 12104475 13282754 13106072 13200011 13602958 65296270 0.98910 0.98720 0.00410 0.00410 X 1873688 1873688 6480720 2969708 3511012 261491 200054 61437 307832 242082 65750 5511887 MUTUAL FUNDS 569082 F 569082 DUE TO STATE OF MARYLAND 1112053 PARTICIPATION LIABILITY 216406 DEPOSITS 2856 1331315 13602958 13562026 40932 -22494 -22494 18438 10342979 -22494 -22494 10365473 3237485 3237485 13602958 10324541 0 10324541 3237485 3237485 13562026 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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. FISCAL YEARS ENDING ON OR AFTER JUNE 30, 2009 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. PART XII, LINE 4B - OTHER ADJUSTMENTS: THIRD PARTY REIMBURSEMENT PART XIII, LINE 4B - OTHER ADJUSTMENTS: THIRD PARTY REIMBURSEMENT 1 FISCAL MANAGEMENT SERVICES 57 3237485 X X X 0 0 0 0 0 0 0 0 0 ROBERT CLAXTON FORMER PRESIDENT AND EXECUTIVE DIRECTOR MANAGEMENT SERVICES - ROBERT CLAXTON WAS THE PRESIDENT OF THE BOARD OF DIRECTORS AND CONTRACTED PRESIDENT OF FAMILY SERVICE FOUNDATION, INC. HE WAS ALSO THE EXECUTIVE DIRECTOR OF MEDSOURCE COMMUNITY SERVICES, INC. FAMILY SERVICE FOUNDATION, INC. PAID MEDSOURCE COMMUNITY SERVICES, INC. $2,000 A MONTH AS MANAGEMENT FEES FOR THE CONTRACTED CEO POSITION THROUGH NOVEMBER 2011. MEDSOURCE COMMUNITY SERVICES, INC. IN TURN PAID ROBERT CLAXTON $1,000 A MONTH, WHICH IS INCLUDED ON HIS ANNUAL W-2. 0 FORM 990, PART VI, SECTION B, LINE 11 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -22,494. FINANCIAL STATEMENTS 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.