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        <State>MD</State>
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      <ActivityOrMissionDescription>TO CONTINUALLY IMPROVE THE PROVISION OF MENTAL HEALTH SERVICES FOR RESIDENTS OF CAROLINE, DORCHESTER, KENT, QUEEN ANNE'S AND TALBOT COUNTIES THROUGH EFFECTIVE COORDINATION OF SERVICES IN COLLABORATION WITH CONSUMERS, FAMILY MEMBERS, PROVIDERS AND COMMUNITY LEADERS. WE BELIEVE THAT THE MENTAL HEALTH SYSTEM SHOULD ASSURE QUALITY, COST EFFECTIVE SERVICES TO MEET THE NEEDS OF CONSUMERS AND THE COMMUNITY.</ActivityOrMissionDescription>
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      <Description>MID-SHORE MENTAL HEALTH SYSTEMS, INC (MSMHS) IS THE PUBLIC MENTAL HEALTH AUTHORITY FOR 5 COUNTIES ON MARYLAND'S EASTERN SHORE. MSMHS DESIGNS AND MANAGES COMPREHENSIVE PROGRAMS TO SUPPORT PUBLIC MENTAL HEALTH CONSUMERS WITH INNOVATIVE MODELS OF SERVICE DELIVERY WITH AN EMPHASIS ON ROCOVERY, RESILIENCY AND COMMUNITY SUPPORTS. THE THREE LARGEST PROGRAMS FROM AN EXPENSE STANDPOINT MANAGED BY MSMHS ARE CRISIS RESPONSE SYSTEM (HELPLINE AND MOBILE CRISIS TEAMS), PEER SUPPORT WELLNESS AND RECOVERY SERVICES, AND MARYLAND COMMUNITY CRIMINAL JUSTICE TREATMENT PROGRAMS IN LOCAL COUNTY DETENTION CENTERS. MSMHS' MAIN SOURCE OF REVENUE IS MARYLAND'S MENTAL HYGIENE ADMINISTRATION (MHA) WITH AWARDS FOR THE PROCUREMENT OF COMMUNITY BASED SERVICES NOT FUNDED THROUGH THE FEE-FOR-SERVICE MEDICAID STRUCTURE. MSMHS ALSO MANAGES GRANTS FROM THE DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD) FOR THE CONTINUUM OF CARE (ROUNDTABLE ON HOMELESSNESS) AND SHELTER PLUS CARE HOUSING SUBSIDY, THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) FOR TELEPSYCHIATRY NETWORK DEVELOPMENT, AND MARYLAND'S COMMUNITY HEALTH RESOURCES COMMISSION (MCHRC) FOR THE BRIDGE TO HOPE PROJECT. MSMHS IS ONE OF THE FEW MENTAL HEALTH AUTHORITIES IN MARYLAND THAT SERVES AS LEAD AGENCY FOR THE CONTINUUM OF CARE, PROVIDING LEADERSHIP IN UNDERSTANDING AND ADDRESSING THE NEEDS OF HOMELESS INDIVIDUALS AND FAMILIES IN THE MID-SHORE REGION. MSMHS MANAGE A TOTAL 35 SHELTER PLUS CARE HOUSING SUBSIDY UNITS, 19 AWARDED DIRECTLY FROM HUD AND 16 THROUGH MARYLAND'S MENTAL HYGIENE ADMINISTRATION. TELEPSYCHIATRY NETWORK DEVELOPMENT: NOVEMBER 2008, MHA, THE UNIVERSITY OF MARYLAND AND THREE CORE SERIVCE AGENCIES (INCLUDING MSMHS) PARTNERED TO OFFER PSYCHIATRIC CARE IN SEVEN RURAL MARYLAND COUNTY LOCATIONS. THE PURPOSE OF THE TELEPSYCHIATRY PROGRAM IS TO IMPORIVE QUALITY AND INCREASE ACCESS TO PSYCHIATRY SERVICES IN RURAL AREAS. BRIDGE TO HOPE: THIS PROJECT IS IN ITS SECOND OF THREE YEARS OF OPERATION. THIS PROJECT SEEKS TO PROMOTE SEAMLESS TRANISTION OF YOUTH WITH CO-OCCURRING MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS BETWEEN COMMUNITY-BASED SUPPORTS (FAMILY, EDUCATION, MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT PROVIDER AND THE DEPARTMENT OF JUENILE SERVICES) ON THE ENTIRE EASTERN SHORE OF MARYLAND TO INPATIENT SUBSTANCE ABUSE SERVICES IN ALLEGANY COUNTY'S HEALTH DEPARTMENTS JACKSON UNIT, THROUGH THE USE OF TELECONFERENCING EQUIPMENT. THE GRANT ORGINIALLY COVERED ON THE MIDSHORE COUNTIES. HOWEVER, RECENT GRANT MODIFICATION APPROVAL OPENED PARTICIPATION TO ALL NINE COUNTIES OF THE EASTERN SHORE.</Description>
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        <Total>32264</Total>
        <ProgramServices>24843</ProgramServices>
        <ManagementAndGeneral>7421</ManagementAndGeneral>
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        <Total>70717</Total>
        <ProgramServices>54452</ProgramServices>
        <ManagementAndGeneral>16265</ManagementAndGeneral>
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        <Total>76740</Total>
        <ProgramServices>59090</ProgramServices>
        <ManagementAndGeneral>17650</ManagementAndGeneral>
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      <FeesForServicesLegal>
        <Total>450</Total>
        <ManagementAndGeneral>450</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>10663</Total>
        <ManagementAndGeneral>10663</ManagementAndGeneral>
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        <Total>82045</Total>
        <ProgramServices>58690</ProgramServices>
        <ManagementAndGeneral>23355</ManagementAndGeneral>
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        <ProgramServices>77366</ProgramServices>
        <ManagementAndGeneral>41627</ManagementAndGeneral>
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        <ProgramServices>51625</ProgramServices>
        <ManagementAndGeneral>30319</ManagementAndGeneral>
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        <ProgramServices>21973</ProgramServices>
        <ManagementAndGeneral>12904</ManagementAndGeneral>
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        <ProgramServices>3528</ProgramServices>
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        <ProgramServices>8515</ProgramServices>
        <ManagementAndGeneral>5001</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>PURCHASE OF SERVICES</Description>
        <Total>2118022</Total>
        <ProgramServices>2118022</ProgramServices>
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      <OtherExpenses>
        <Description>SHELTER PLUS CARE SERVICE</Description>
        <Total>217591</Total>
        <ProgramServices>217591</ProgramServices>
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      <OtherExpenses>
        <Description>PROGRAM EQUIPMENT</Description>
        <Total>31725</Total>
        <ProgramServices>27677</ProgramServices>
        <ManagementAndGeneral>4048</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>TRAINING</Description>
        <Total>8612</Total>
        <ProgramServices>5426</ProgramServices>
        <ManagementAndGeneral>3186</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>136</Total>
        <ManagementAndGeneral>136</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>3723136</Total>
        <ProgramServices>3361208</ProgramServices>
        <ManagementAndGeneral>361928</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
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        <EOY>1710176</EOY>
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        <EOY>30643</EOY>
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        <EOY>324368</EOY>
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      <PrepaidExpensesDeferredCharges>
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        <EOY>29178</EOY>
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      <LandBuildingsEquipmentBasis>81994</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>81994</LandBldgEquipmentAccumDeprec>
      <InvestmentsOtherSecurities>
        <BOY>35482</BOY>
        <EOY>39838</EOY>
      </InvestmentsOtherSecurities>
      <TotalAssets>
        <BOY>1947379</BOY>
        <EOY>2134203</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>627793</BOY>
        <EOY>403237</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>959274</BOY>
        <EOY>1327072</EOY>
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      <OtherLiabilities>
        <BOY>78748</BOY>
        <EOY>34761</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1665815</BOY>
        <EOY>1765070</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>281564</BOY>
        <EOY>369133</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>281564</BOY>
        <EOY>369133</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>1947379</BOY>
        <EOY>2134203</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1">
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      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>1786088</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1902302</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2273615</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3334190</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3798346</CurrentTaxYear>
        <Total>13094541</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>1786088</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1902302</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2273615</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3334190</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3798346</CurrentTaxYear>
        <Total>13094541</Total>
      </Total170>
      <PublicSupportTotal170>13094541</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>5961</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>7159</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3573</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>815</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5723</CurrentTaxYear>
        <Total>23231</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYear>2771</CurrentTaxYear>
        <Total>2771</Total>
      </OtherIncome170>
      <TotalSupport>13120543</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>2771</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.99800</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.99830</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
      <DisclosedOrgsLegalControl>false</DisclosedOrgsLegalControl>
      <DisclosedForCharitablePurposes>false</DisclosedForCharitablePurposes>
      <WrittenPolicyMonitoring>false</WrittenPolicyMonitoring>
      <Sect170hRequirementsSatisfied>false</Sect170hRequirementsSatisfied>
      <SolicitedAssetsForSale>false</SolicitedAssetsForSale>
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>false</IncludedOnFS>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Equipment>
        <OtherCostOrOtherBasis>81994</OtherCostOrOtherBasis>
        <Depreciation>81994</Depreciation>
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      <OtherLiabilities>
        <Description>CAPITAL LEASE</Description>
        <Amount>34761</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>34761</TotalOfAmounts>
      <TotalRevenue>3806840</TotalRevenue>
      <TotalExpenses>3723136</TotalExpenses>
      <ExcessOrDeficitForYear>83704</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>3865</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>3865</TotalAdjustments>
      <ExcessOrDeficitPerFS>87569</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>3810705</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>3865</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>3865</RevenueNotRptdF990>
      <RevenueSubtotal>3806840</RevenueSubtotal>
      <TotalRevenuePerForm990>3806840</TotalRevenuePerForm990>
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      <ExpensesSubtotal>3723136</ExpensesSubtotal>
      <TotalExpensesPerForm990>3723136</TotalExpensesPerForm990>
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    <IRS990ScheduleO documentId="RetDoc4">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION</Identifier>
        <ReturnReference>FORM 990 - ORGANIZATION'S MISSION</ReturnReference>
        <Explanation>TO CONTINUALLY IMPROVE THE PROVISION OF MENTAL HEALTH SERVICES FOR RESIDENTS OF CAROLINE, DORCHESTER, KENT, QUEEN ANNE'S AND TALBOT COUNTIES THROUGH EFFECTIVE COORDINATION OF SERVICES IN COLLABORATION WITH CONSUMERS, FAMILY MEMBERS, PROVIDERS AND COMMUNITY LEADERS. WE BELIEVE THAT THE MENTAL HEALTH SYSTEM SHOULD ASSURE QUALITY, COST EFFECTIVE SERVICES TO MEET THE NEEDS OF CONSUMERS AND THE COMMUNITY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FIRST ACHIEVEMENT DESCRIPTION</Identifier>
        <ReturnReference>FORM 990, PAGE 2, PART III, LINE 4A</ReturnReference>
        <Explanation>(MHA) WITH AWARDS FOR THE PROCUREMENT OF COMMUNITY BASED SERVICES NOT FUNDED THROUGH THE FEE-FOR-SERVICE MEDICAID STRUCTURE. MSMHS ALSO MANAGES GRANTS FROM THE DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD) FOR THE CONTINUUM OF CARE (ROUNDTABLE ON HOMELESSNESS) AND SHELTER PLUS CARE HOUSING SUBSIDY, THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) FOR TELEPSYCHIATRY NETWORK DEVELOPMENT, AND MARYLAND'S COMMUNITY HEALTH RESOURCES COMMISSION (MCHRC) FOR THE BRIDGE TO HOPE PROJECT. MSMHS IS ONE OF THE FEW MENTAL HEALTH AUTHORITIES IN MARYLAND THAT SERVES AS LEAD AGENCY FOR THE CONTINUUM OF CARE, PROVIDING LEADERSHIP IN UNDERSTANDING AND ADDRESSING THE NEEDS OF HOMELESS INDIVIDUALS AND FAMILIES IN THE MID-SHORE REGION. MSMHS MANAGE A TOTAL 35 SHELTER PLUS CARE HOUSING SUBSIDY UNITS, 19 AWARDED DIRECTLY FROM HUD AND 16 THROUGH MARYLAND'S MENTAL HYGIENE ADMINISTRATION. TELEPSYCHIATRY NETWORK DEVELOPMENT: NOVEMBER 2008, MHA, THE UNIVERSITY OF MARYLAND AND THREE CORE SERIVCE AGENCIES (INCLUDING MSMHS) PARTNERED TO OFFER PSYCHIATRIC CARE IN SEVEN RURAL MARYLAND COUNTY LOCATIONS. THE PURPOSE OF THE TELEPSYCHIATRY PROGRAM IS TO IMPORIVE QUALITY AND INCREASE ACCESS TO PSYCHIATRY SERVICES IN RURAL AREAS. BRIDGE TO HOPE: THIS PROJECT IS IN ITS SECOND OF THREE YEARS OF OPERATION. THIS PROJECT SEEKS TO PROMOTE SEAMLESS TRANISTION OF YOUTH WITH CO-OCCURRING MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS BETWEEN COMMUNITY-BASED SUPPORTS (FAMILY, EDUCATION, MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT PROVIDER AND THE DEPARTMENT OF JUENILE SERVICES) ON THE ENTIRE EASTERN SHORE OF MARYLAND TO INPATIENT SUBSTANCE ABUSE SERVICES IN ALLEGANY COUNTY'S HEALTH DEPARTMENTS JACKSON UNIT, THROUGH THE USE OF TELECONFERENCING EQUIPMENT. THE GRANT ORGINIALLY COVERED ON THE MIDSHORE COUNTIES. HOWEVER, RECENT GRANT MODIFICATION APPROVAL OPENED PARTICIPATION TO ALL NINE COUNTIES OF THE EASTERN SHORE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11</ReturnReference>
        <Explanation>A DISTRIBUTION BY EMAIL TO THE EXECUTIVE COMMITTEE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>OFFICERS/DIRECTORS/KEY EMPLOYEES ARE REQUIRED TO SELF REPORT ANY POTENTIAL CONFLICTS. ALL MEMBERS OF THE BOARD AND STAFF OF MID-SHORE MENTAL HEALTH SYSTEMS, INC. SIGN THE CONFLICT OF INTEREST STATEMENT INDICATING UNDERSTANDING AND AGREEMENT TO THIS POLICY AND AGREE TO COMPLETE ANNUALLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15A</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS ESTABLISHES THE DIRECTOR'S SALARY AND OTHER COMPENSATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>THE GOVERNING DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>