2012-03-21T16:07:54-05:00 2011-06-30 MULLEN SONDBERG WIMBISH & STONE PA 2553 HOUSLEY ROAD SUITE 200 ANNAPOLIS MD 214016751 990 2010-07-01 521479917 MEDSOURCE COMMUNITY SERVICES INC MEDS 3018460214 308 WEST MAIN STREET MIDDLETOWN MD 21769 JAY BILANT 3018460214 2012-03-14 1 MARY K STONE CPA 4102244920 2010 2016-02-24 21:20:13Z JOHN BALINT 308 WEST MAIN STREET MIDDLETOWN MD 21769 13257950 0 X N/A X 1986 MD HEALTH CARE PROVIDER 8 8 201 0 0 0 1850 12456 12996724 13057346 7779 60542 99719 69667 13106072 13200011 2735194 2964854 0 0 8148601 8186432 0 0 0 2085130 2082821 12968925 13234107 137147 -34096 9879374 10230182 6794196 7089547 3085178 3140635 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 6607150 6961330 RESIDENTIAL - PROVIDED SUPPORT TO OVER 110 PEOPLE WITH DEVELOPMENTAL DISABILITIES IN AN INTEGRATED ENVIRONMENT. 2964854 2964854 3147030 FISCAL MANAGEMENT SERVICES(FMS) - MANAGED FINANCIAL SERVICES FOR OVER 50 PEOPLE TO MANAGE THEIR OWN SERVICES. 1303283 1359684 SENIOR HOME CARE(SHC) - PROVIDED SERVICES FOR AGED PARTICIPANTS TO LIVE IN THEIR OWN HOME VERSUS A FACILITY. 1590179 1658969 OTHER PROGRAM SERVICES INCLUDE - FSS, ISS AND CSLA. 1590179 1658969 12465466 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 1 67 0 201 1 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 3018460214 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 X 163558 0 574 JOHN BALINT 40.00 X 101842 0 1399 HAROLD BRANDENBURG 40.00 X 76784 0 1199 SUSANNE POOLE 40.00 X 0 0 0 342184 0 3172 2 0 1 0 ROYAL ELECTRIC SERVICE INC 6910 BOWERS RD FREDERICK MD 21702 MAINTENANCE/BUILDER 346392 JARVIS & ASSOCIATES LLC 24615 WINDFIELD ROAD DAMASCUS MD 20872 DIRECT CARE 145483 2 12456 12456 RESIDENTIAL 900099 6961330 6961330 FISCAL MANAGEMENT FEES 900099 3147030 3147030 OTHER GOVERNMENT FEES 900099 1589302 1589302 SENIOR HOME CARE 900099 1359684 1359684 13057346 18521 18521 99960 57939 42021 42021 42021 SERVICE FEES 900099 69667 69667 69667 13200011 13127013 0 60542 2964854 2964854 345356 175875 169481 6622133 6354361 267772 25585 21610 3975 628514 592543 35971 564844 529481 35363 14806 2239 12567 43831 6861 36970 155663 155663 196888 142919 53969 754153 716427 37726 116863 103128 13735 6973 3124 3849 319265 288130 31135 61113 45486 15627 FOOD 306457 306457 PROGRAM ACTIVITIES 33442 33442 TRAINING 28595 9235 19360 MICELLANEOUS 24306 7063 17243 EMPLOYEE RECRUITMENT 10330 4072 6258 10136 2496 7640 13234107 12465466 768641 0 219853 138989 3746374 3363616 525179 565642 91311 92128 8648660 3189339 4909508 5459321 251395 468912 135754 141574 9879374 10230182 851474 778413 2431318 2814319 3511404 3496815 6794196 7089547 X 3085178 3140635 3085178 3140635 9879374 10230182 X -34096 89553 X X 0 1 1 X 0 X 1350 3100 1585 1850 12456 20341 10660220 11932993 13075098 12996724 13057346 61722381 10661570 11936093 13076683 12998574 13069802 61742722 0 0 0 61742722 54800 65494 70474 7779 60542 259089 54800 65494 70474 7779 60542 259089 131964 102888 135597 99719 69667 539835 10848334 12104475 13282754 13106072 13200011 62541646 0.98720 0.98540 0.00410 0.00370 X 1828890 1828890 6278784 2778232 3500552 250779 186023 64756 290207 225084 65123 5459321 DUE TO STATE OF MARYLAND 614999 REFUNDABLE ADVANCE 2462706 PARTICIPATION LIABILITY 419110 3496815 13200011 13234107 -34096 89553 89553 55457 10324710 89553 89553 10235157 2964854 2964854 13200011 10269253 0 10269253 2964854 2964854 13234107 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, 2008 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: UNREALIZED GAIN (LOSS) ON INVESTMENTS PART XII, LINE 4B - OTHER ADJUSTMENTS: THIRD PARTY REIMBURSEMENT PART XIII, LINE 4B - OTHER ADJUSTMENTS: THIRD PARTY REIMBURSEMENT 1 FISCAL MANAGEMENT SERVICES 55 2964854 X X X 0 0 0 0 0 0 0 0 0 ROBERT CLAXTON 130558 0 0 0 33000 0 0 0 574 0 164132 0 172493 0 ROBERT CLAXTON PRESIDENT MANAGEMENT SERVICES - ROBERT CLAXTON IS THE PRESIDENT OF THE BOARD OF DIRECTORS AND CONTRACTED PRESIDENT OF FAMILY SERVICE FOUNDATION, INC. HE IS ALSO THE EXECUTIVE DIRECTOR OF MEDSOURCE COMMUNITY SERVICES, INC. FAMILY SERVICE FOUNDATION, INC. PAID MEDSOURCE COMMUNITY SERVICES, INC. $8,000 A MONTH AS MANAGEMENT FEES FOR THE CONTRACTED CEO POSITION THROUGH JANUARY 2011, THE FEE WAS REDUCED TO $2,000 A MONTH BEGINNING IN FEBRUARY 2011. MEDSOURCE COMMUNITY SERVICES, INC. IN TURN PAID ROBERT CLAXTON $4,000 A MONTH THROUGH JANUARY 2011 AND $1,000 A MONTH BEGINNING IN FEBRUARY 2011, 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: UNREALIZED GAIN (LOSS) ON INVESTMENTS 89,553. TOTAL TO FORM 990, PART XI, LINE 5: 89,553. 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.