STRATEGY STUDIO / PUBLIC DATA EXPLORER

MEDSOURCE COMMUNITY SERVICES INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MEDSOURCE COMMUNITY SERVICES INC (EIN 52-1479917)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-11
IRS object ID
201120429349301517
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-02-11T15:45:19-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MULLEN SONDBERG WIMBISH & STONE PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12553 HOUSLEY ROAD SUITE 200AddressLine1
CityANNAPOLISCity
StateMDState
ZIP Code214016751ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521479917EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEDSOURCE COMMUNITY SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMEDSNameControl
Phone3018460214Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1308 WEST MAIN STREETAddressLine1
CityMIDDLETOWNCity
StateMDState
ZIP Code21769ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT CLAXTONName
TitleEXECUTIVE DIRECTORTitle
Phone3018460214Phone
Date Signed2011-02-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARY K STONE CPAName
Phone4102244920Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT CLAXTONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1308 WEST MAIN STREETAddressLine1
CityMIDDLETOWNCity
StateMDState
ZIP Code21769ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13106393GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionHEALTH CARE PROVIDERActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees211TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1585ContributionsGrantsPriorYear
Contributions Grants Current Year1850ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13074793ProgramServiceRevenuePriorYear
Program Service Revenue CY12996724ProgramServiceRevenueCY
Investment Income Prior Year70474InvestmentIncomePriorYear
Investment Income Current Year7779InvestmentIncomeCurrentYear
Other Revenue Prior Year135902OtherRevenuePriorYear
Other Revenue Current Year99719OtherRevenueCurrentYear
Total Revenue Prior Year13282754TotalRevenuePriorYear
Total Revenue Current Year13106072TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2287965GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2735194GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8435361SalariesEtcPriorYear
Salaries Etc Current Year8148601SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2176382OtherExpensePriorYear
Other Expenses Current Year2085130OtherExpensesCurrentYear
Total Expenses Prior Year12899708TotalExpensesPriorYear
Total Expenses Current Year12968925TotalExpensesCurrentYear
Revenues Less Expenses Prior Year383046RevenuesLessExpensesPriorYear
Revenues Less Expenses CY137147RevenuesLessExpensesCY
Total Assets BOY9846930TotalAssetsBOY
Total Assets EOY9879374TotalAssetsEOY
Total Liabilities BOY6912950TotalLiabilitiesBOY
Total Liabilities EOY6794196TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2933980NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3085178NetAssetsOrFundBalancesEOY
Mission DescriptionMEDSOURCE 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 ENHANCE DIGNITY, RIGHTS, SAFETY, HEALTH, CHOICES, COMMUNITY MEMBERSHIP AND ECONOMIC SECURITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6349662Expense
Revenue6929692Revenue
DescriptionRESIDENTIAL - PROVIDED SUPPORT TO OVER 110 PEOPLE WITH DEVELOPMENTAL DISABILITIES IN AN INTEGRATED ENVIRONMENT.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2735194Expense
Revenue2895724Revenue
DescriptionFISCAL MANAGEMENT SERVICES(FMS) - MANAGED FINANCIAL SERVICES FOR OVER 50 PEOPLE TO MANAGE THEIR OWN SERVICES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1308712Expense
Revenue1389808Revenue
DescriptionSENIOR HOME CARE(SHC) - PROVIDED SERVICES FOR AGED PARTICIPANTS TO LIVE IN THEIR OWN VERSUS A FACILITY.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense1786783Expense
Revenue1881219Revenue
DescriptionOTHER PROGRAM SERVICES INCLUDE - FSS, ISS AND CSLA.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1786783TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev1881219TotalOfOtherProgramServiceRev
Total Program Service Expense12180351TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109664NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees211NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3018460214TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1308 WEST MAIN STAddressLine1
CityMIDDLETOWNCity
StateMDState
ZIP Code21769ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
SPENCER PRYOR
chairman1.00XX000
john rock
treasurer1.00XX000
ALETA BAER
DIRECTOR1.00X000
ALVERNA BAER
DIRECTOR1.00X000
TINA CARTER
DIRECTOR1.00X000
MELISSA HENSEL
DIRECTOR1.00X000
FREDA MCINTYRE
DIRECTOR1.00X000
ROBERT CLAXTON
EXECUTIVE DIRECTOR40.00X16755804935X
susanne poole NON-VOTIN
SECRETARY40.00X44051019925
HAROLD BRANDENBURG
CHIEF FINANCIAL OFFICER40.00X7528403296
FieldValueIRS element (for citing)
Total Reportable Comp From Org286893TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation28156TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ROYAL ELECTRIC SERVICE INC
6910 BOWERS RDFREDRICKMD21702MAINTENANCE/BUILDER222398
JARVIS & ASSOCIATES LLC
24615 WINDFIELD ROADDAMASCUSMD20872DIRECT CARE136620
WORLD B FREE USA INC
6900 BOCK ROADFORT WASHINGTONMD20744DIRECT CARE114838
SHARED SUPPORT MARYLAND INC
5115 EDMONDSON AVENUEBALTIMOREMD21229DIRECT CARE101236
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions1850AllOtherContributions
Total Contributions1850TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENTIAL90009969296926929692
FISCAL MANAGEMENT FEES90009928957242895724
OTHER GOVERNMENT FEES90009917815001781500
SENIOR HOME CARE90009913898081389808
FieldValueIRS element (for citing)
Total Program Service Revenue12996724TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8100TotalRevenueColumn
Exclusion$8,100ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other321Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-321Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-321TotalRevenueColumn
Exclusion-$321ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
Descriptionservice feesDescription
Business Code900099BusinessCode
Total Revenue Column99719TotalRevenueColumn
Related Or Exempt Function Income99719RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue99719TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13106072TotalRevenueColumn
Related Or Exempt Function Income13096443RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$7,779ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total2735194Total
Program Services2735194ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total286893Total
Program Services116904ProgramServices
Management And General169989ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6645678Total
Program Services6342126ProgramServices
Management And General303552ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total26448Total
Program Services24597ProgramServices
Management And General1851ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total637681Total
Program Services594163ProgramServices
Management And General43518ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total551901Total
Program Services514203ProgramServices
Management And General37698ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1088Total
Management And General1088ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total51255Total
Program Services9941ProgramServices
Management And General41314ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total166093Total
Program Services166093ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total202149Total
Program Services145277ProgramServices
Management And General56872ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total796125Total
Program Services753141ProgramServices
Management And General42984ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total112299Total
Program Services104094ProgramServices
Management And General8205ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6857Total
Program Services2381ProgramServices
Management And General4476ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total299741Total
Program Services268737ProgramServices
Management And General31004ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total60961Total
Program Services47766ProgramServices
Management And General13195ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
food302616302616
PROGRAM ACTIVITIES3881938819
TRAINING1145859645494
EMPLOYEE RECRUITMENT1068918708819
DUES AND SUBSCRIPTIONS104307509680

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total14550Total
Program Services5715ProgramServices
Management And General8835ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12968925Total
Program Services12180351ProgramServices
Management And General788574ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY64682BOY
EOY219853EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3892187BOY
EOY3746374EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY435911BOY
EOY525179EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY81892BOY
EOY91311EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7913158LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3003650LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5110717BOY
EOY4909508EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY133016BOY
EOY251395EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY128525BOY
EOY135754EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9846930BOY
EOY9879374EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY825350BOY
EOY851474EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2628571BOY
EOY2431318EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3459029BOY
EOY3511404EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6912950BOY
EOY6794196EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2933980BOY
EOY3085178EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2933980BOY
EOY3085178EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9846930BOY
EOY9879374EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1650CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1350CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3100CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1585CurrentTaxYearMinus1Year
Current Tax Year1850CurrentTaxYear
Total9535Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8947350CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10660220CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11932993CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13075098CurrentTaxYearMinus1Year
Current Tax Year12996724CurrentTaxYear
Total57612385Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8949000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10661570CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11936093CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13076683CurrentTaxYearMinus1Year
Current Tax Year12998574CurrentTaxYear
Total57621920Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50957621920PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20117CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54800CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years65494CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year70474CurrentTaxYearMinus1Year
Current Tax Year7779CurrentTaxYear
Total218664Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20117CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54800CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years65494CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year70474CurrentTaxYearMinus1Year
Current Tax Year7779CurrentTaxYear
Total218664Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years166323CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years131964CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years102888CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year135597CurrentTaxYearMinus1Year
Current Tax Year99719CurrentTaxYear
Total636491Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9135440CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10848334CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12104475CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13282754CurrentTaxYearMinus1Year
Current Tax Year13106072CurrentTaxYear
Total58477075Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98540PublicSupportPercentage509
Prior Year Support Percentage0.98390PriorYearSupportPercentage
Investment Income Percentage0.00370InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00410PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1584740OtherCostOrOtherBasis
Book Value1584740BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5743668OtherCostOrOtherBasis
Depreciation2546653Depreciation
Book Value3197015BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis37135OtherCostOrOtherBasis
Depreciation33632Depreciation
Book Value3503BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis247199OtherCostOrOtherBasis
Depreciation172673Depreciation
Book Value74526BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis300416OtherCostOrOtherBasis
Depreciation250692Depreciation
Book Value49724BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4909508TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Due to State of MARYLAND$646,674
REFUNDABLE ADVANCE$2,435,778
PARTICIPATION LIABILITY$428,952
FieldValueIRS element (for citing)
Total Of Amounts3511404TotalOfAmounts
Total Revenue13106072TotalRevenue
Total Expenses12968925TotalExpenses
Excess Or Deficit For Year137147ExcessOrDeficitForYear
Other$14,051OtherAmount
Total Adjustments14051TotalAdjustments
Excess Or Deficit Per FS151198ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt10384929TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments14051NetUnrealizedGainsInvestments
Other Revenues-2735194OtherRevenues
Revenue Not Rptd F990-2721143RevenueNotRptdF990
Revenue Subtotal13106072RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99013106072TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10233731TotExpensesEtcAuditedFinclStmt
Other Expenses Included-2735194OtherExpensesIncluded
Expenses Not Rptd F990-2735194ExpensesNotRptdF990
Expenses Subtotal12968925ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012968925TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 8 - Other Adjustments:UNREALIZED GAIN (LOSS) ON INVESTMENTS
Part XII, Line 2d - Other Adjustments:THIRD PARTY REIMBURSEMENT
Part XIII, Line 2d - Other Adjustments:THIRD PARTY REIMBURSEMENT

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantFISCAL MANAGEMENT SERVICESTypeOfGrant
Number Of Recipients45NumberOfRecipients
Amount Of Cash Grant2735194AmountOfCashGrant

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ROBERT CLAXTONBusinessNameLine1
FieldValueIRS element (for citing)
Base Compensation Filing Org119558BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org48000OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org4935NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org172493TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonROBERT CLAXTONNamePerson
FieldValueIRS element (for citing)
RelationshipPRESIDENTRelationship
Description Of TransactionMANAGEMENT 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. PAYS MEDSOURCE COMMUNITY SERVICES, INC. $8,000 A MONTH AS MANAGEMENT FEES FOR THE CONTRACTED CEO POSITION. MEDSOURCE COMMUNITY SERVICES, INC. IN TURN PAYS ROBERT CLAXTON $4,000 A MONTH WHICH IS INCLUDED ON HIS ANNUAL W-2.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11THE 990 IS DISTRIBUTED TO MEMBERS AND DISCUSSED AT A MEETING.
Form 990, Part VI, Section B, line 12cTHE 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 15COMPENSATION 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 18FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATIONS PRINCIPAL PLACE OF BUSINESS AND ON GUIDESTAR.ORG.
Form 990, Part VI, Section C, line 19THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST AND ON GUIDESTAR.ORG.
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.