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HEALTHSOURCE INTEGRATED SOLUTIONS INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
HEALTHSOURCE INTEGRATED SOLUTIONS INC (EIN 20-8498601)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-14
IRS object ID
202401359349309055
Schema version
2022v5.0
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)
Return2024-05-14T14:35:19-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN481066439PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BT&CO PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14301 SW HUNTOON STAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66604ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN208498601EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTHSOURCE INTEGRATED SOLUTIONS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone7852342423PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12121 SW CHELSEA DRIVEAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66614ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKENNETH C JOHNSONPersonNm
Person TitleCEOPersonTitleTxt
Phone7852342423PhoneNum
Signature2024-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKENNETHPersonFirstNm
Person LastJOHNSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonREBECCA SHAWPreparerPersonNm
PTINP01275425PTIN
Phone7852343427PhoneNum
Preparation2024-05-09PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKENNETH C JOHNSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12121 SW CHELSEA DRIVEAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66614ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$10,736,381GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressHTTP://WWW.HEALTHSRC.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionHEALTHSOURCE INTEGRATED SOLUTIONS' PURPOSE IS TO FUNCTION AS AN ADMINISTRATIVE SUPPORT ORGANIZATION, PROVIDING ESSENTIAL ADMINISTRATIVE AND EMPLOYER SUPPORTED SERVICES TO COMMUNITY MENTAL HEALTH CENTERS, GOVERNMENTAL PARTNERS AND PRIVATE ORGANIZATIONS.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee64TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$230,075TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$41,912NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$200,000PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$9,176,499PYProgramServiceRevenueAmt
CY Program Service Revenue$10,506,049CYProgramServiceRevenueAmt
PY Investment Income$378PYInvestmentIncomeAmt
CY Investment Income$257CYInvestmentIncomeAmt
PY Other Revenue$205,107PYOtherRevenueAmt
CY Other Revenue$230,075CYOtherRevenueAmt
PY Total Revenue$9,581,984PYTotalRevenueAmt
CY Total Revenue$10,736,381CYTotalRevenueAmt
PY Grants And Similar Paid$200,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,561,488PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,959,994CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,959,322PYOtherExpensesAmt
CY Other Expenses$7,881,474CYOtherExpensesAmt
PY Total Expenses$8,720,810PYTotalExpensesAmt
CY Total Expenses$10,841,468CYTotalExpensesAmt
PY Revenues Less Expenses$861,174PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$105,087CYRevenuesLessExpensesAmt
Total Assets BOY$4,668,040TotalAssetsBOYAmt
Total Assets EOY$5,031,329TotalAssetsEOYAmt
Total Liabilities BOY$2,561,339TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,138,182TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,106,701NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,893,147NetAssetsOrFundBalancesEOYAmt
MissionHEALTHSOURCE INTEGRATED SOLUTIONS' PURPOSE IS TO FUNCTION AS AN ADMINISTRATIVE SUPPORT ORGANIZATION, PROVIDING ESSENTIAL ADMINISTRATIVE AND EMPLOYER SUPPORTED SERVICES TO COMMUNITY MENTAL HEALTH CENTERS, GOVERNMENTAL PARTNERS AND PRIVATE ORGANIZATIONS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$9,914,696ExpenseAmt
Revenue$10,506,049RevenueAmt
DescHEALTHSOURCE INTEGRATED SOLUTIONS, INC. WAS ORIGINALLY FORMED AS A NOT-FOR-PROFIT ORGANIZATION WHOSE PURPOSE IS FULFILLING THE FUNCTIONS AND OBLIGATIONS OF MANAGING A STATEWIDE SYSTEM OF BEHAVIORAL HEALTH SERVICES, AND OTHERWISE FUNCTIONING IN A MANNER COMPATIBLE WITH THE VALUES, MISSIONS AND GOALS OF THE MEMBERS OF ITS PARENT ORGANIZATION, THE ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTERS OF KANSAS, INC. H.I.S. PROVIDES SUPPORT, ADMINISTRATIVE, AND IT SERVICES TO EMPLOYERS AND CLINICAL PROVIDERS ACROSS THE UNITED STATES OF AMERICA. THESE INTEGRATED SERVICES INCLUDE BEHAVIORAL HEALTHCARE MANAGEMENT, CRISIS HELPLINE SUPPORT, EMPLOYEE ASSISTANCE PROGRAMS, AND TECHNOLOGY MANAGED SERVICES.Desc
Total Program Service Expenses$9,914,696TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document60IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee64EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSUSAN L SMITHPersonNm
Phone7852919632PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12121 SW CHELSEA DRIVEAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66614ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerInd
ROBERT EKLOFE
MEMBER AT LARGE4.00Yes (X)$0$0$0
KATHY MOSHER
CMHC DIRECTOR4.00Yes (X)$0$0$01.10
KEITH RICKARD
CMHC DIRECTOR4.00Yes (X)$0$0$01.00
KYLE KESSLER
OWNER REPRESENTATIVE, EX-O4.00Yes (X)$0$215,864$37,84840.10
NATHAN FAWSON
VICE-CHAIR/SECRETARY4.00Yes (X)$0$0$01.00Yes (X)
JULIE KRAMP
CHAIR/TREASURER4.00Yes (X)$0$0$01.00Yes (X)
KENNETH C JOHNSON
CEO40.00$138,670$0$28,160Yes (X)
SUSAN SMITH
DIR OF HR & FINANCE40.00$85,234$0$4,161Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$223,904TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$215,864TotReportableCompRltdOrgAmt
Total Other Compensation$70,169TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
COTTONWOOD SPRINGS LLC
6153 SOLUTIONS CENTERCHICAGOIL606776153SIA HOSPITAL PAYMENT$3,196,800
PRAIRIE VIEW INC
PO BOX 467NEWTONKS671140467SIA HOSPITAL PAYMENT$647,826
VIA CHIRSTI ASCENCION
PO BOX 47887WICHITAKS67201SIA HOSPITAL PAYMENT$354,739
KVCCAMBER
21350 W 153RD STOLATHEKS66061SIA HOSPITAL PAYMENT$316,000
RELIAS LEARNING LLC
PO BOX 74008620CHICAGOIL606748620LEARNING MANAGEMENT EXPENSES$284,902
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSUPPORT SERVICESDesc
Business621400BusinessCd
Total Revenue Column$10,506,049TotalRevenueColumnAmt
Related Or Exempt Func Income$10,506,049RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$10,506,049TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$257TotalRevenueColumnAmt
Exclusion$257ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$230,075RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$230,075RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$230,075TotalRevenueColumnAmt
Unrelated Business Revenue$230,075UnrelatedBusinessRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,736,381TotalRevenueColumnAmt
Related Or Exempt Func Income$10,506,049RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$230,075UnrelatedBusinessRevenueAmt
Exclusion$257ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$259,850TotalAmt
Program Services$228,864ProgramServicesAmt
Management And General$30,986ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,227,914TotalAmt
Program Services$1,975,191ProgramServicesAmt
Management And General$252,723ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$255,417TotalAmt
Program Services$211,393ProgramServicesAmt
Management And General$44,024ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$216,813TotalAmt
Program Services$193,609ProgramServicesAmt
Management And General$23,204ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,218TotalAmt
Program Services$2,691ProgramServicesAmt
Management And General$527ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$31,490TotalAmt
Program Services$26,334ProgramServicesAmt
Management And General$5,156ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,189,673TotalAmt
Program Services$7,143,931ProgramServicesAmt
Management And General$45,742ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$9,969TotalAmt
Management And General$9,969ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$51,373TotalAmt
Program Services$31,248ProgramServicesAmt
Management And General$20,125ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$53,878TotalAmt
Program Services$36,380ProgramServicesAmt
Management And General$17,498ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$227,004TotalAmt
Management And General$227,004ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,737TotalAmt
Program Services$7,005ProgramServicesAmt
Management And General$6,732ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$48,197TotalAmt
Management And General$48,197ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$145,988TotalAmt
Management And General$145,988ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$67,990TotalAmt
Program Services$37,726ProgramServicesAmt
Management And General$30,264ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
TRAINING & DEVELOPMENT$20,177$15,138$5,039
UBIT$9,820$9,820
MISCELLANEOUS$8,960$5,186$3,774

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,841,468TotalAmt
Program Services$9,914,696ProgramServicesAmt
Management And General$926,772ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$450,230BOYAmt
EOY$1,110,510EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$207,207BOYAmt
EOY$158,486EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,026,424BOYAmt
EOY$1,012,438EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$89,041BOYAmt
EOY$106,150EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,979,238LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,482,831LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,639,333BOYAmt
EOY$1,496,407EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,255,805BOYAmt
EOY$1,147,338EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,668,040BOYAmt
EOY$5,031,329EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,350,812BOYAmt
EOY$2,050,385EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$85,200BOYAmt
EOY$5,216EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,125,327BOYAmt
EOY$1,082,581EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,561,339BOYAmt
EOY$3,138,182EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,106,701BOYAmt
EOY$1,893,147EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,106,701BOYAmt
EOY$1,893,147EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,668,040BOYAmt
EOY$5,031,329EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$105,087ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$108,467OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,566,767OtherCostOrOtherBasisAmt
Depreciation$244,211DepreciationAmt
Book Value$1,322,556BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$204,147OtherCostOrOtherBasisAmt
Depreciation$175,676DepreciationAmt
Book Value$28,471BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,208,324OtherCostOrOtherBasisAmt
Depreciation$1,062,944DepreciationAmt
Book Value$145,380BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,496,407TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$1,147,338BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$1,147,338TotalBookValueSecuritiesAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KYLE KESSLER
OWNER REPRESENTATIVE, EX-O$0$190,864$0$25,000$0$0$0$6,118$0$31,730$0$253,712$0$0
KENNETH C JOHNSON
CEO$128,670$0$10,000$0$0$0$5,815$0$22,345$0$166,830$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTERS OF KANSAS, INC (ACMHCKS), A KANSAS NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER OF HEALTHSOURCE INTEGRATED SOLUTIONS, INC.
FORM 990, PART VI, SECTION A, LINE 7AACMHCKS, THE SOLE MEMBER OF HEALTHSOURCE INTEGRATED SOLUTIONS, INC HAS THE RIGHT TO APPOINT THE BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BTHE OPERATING AGREEMENT OF HEALTHSOURCE INTEGRATED SOLUTIONS, INC REQUIRES APPROVAL BY ACMHCKS, THE SOLE MEMBER, FOR THE FOLLOWING: (1) A MERGER, DISSOLUTION, SALE, TRANSFER, EXCHANGE, OR OTHER CONVEYANCE OF A SUBSTANTIAL PORTION (MORE THAN 50%) OF THE ASSETS OF THE COMPANY; (2) ANY FINANCIAL DECISIONS INVOLVING A DOLLAR AMOUNT IN EXCESS OF THAT SPECIFIED BY THE MEMBER; AND (3) ANY OTHER DECISION OF THE TYPE SPECIFIED IN ADVANCE BY THE MEMBER IN WRITING TO THE COMPANY.
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS REVIEWED BY THE CFO PRIOR TO FILING. THE 990 IS PREPARED BY AN OUTSIDE CPA FIRM.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION SENDS OUT QUESTIONNAIRES ON AN ANNUAL BASIS TO IDENTIFY CONFLICTS TO ALL BOARD OF DIRECTORS, MEMBERS, OFFICERS, AND EMPLOYEES. IF THE HEALTHSOURCE INTEGRATED SOLUTIONS, INC COMPLIANCE OFFICER DETERMINES A CONFLICT OF INTEREST EXISTS, THE PARTY INVOLVED ABSTAINS FROM THE VOTE.
FORM 990, PART VI, SECTION B, LINE 15ATHE COMPENSATION OF THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS. AN AD HOC COMMITTEE REVIEWS THE CEO'S CONTRACT ANNUALLY AT ITS MAY MEETING AND THAT COMMITTEE NEGOTIATES WITH THE CEO. THE COMMITTEE USES COMPARABLE DATA TO EVALUATE THE COMPENSATION LEVEL. THIS PROCESS IS NOTED IN THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE MINUTES. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS NOT REVIEWED BY THE BOARD OF DIRECTORS. THE COMPANY'S HUMAN RESOURCES DEPARTMENT, IN CONJUNCTION WITH THE CEO, IS RESPONSIBLE FOR SETTING COMPENSATION RANGE. THIS IS DONE THROUGH YEARLY REVIEW AND USAGE OF SALARY ASSESSOR SOFTWARE. ANY SALARY INCREASES ARE DONE WITH SUPERVISOR INPUT BASED ON PERFORMANCE AND WITH FINAL APPROVAL BY THE CEO.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GPAYROLL FEES, SHREDDING & OTHER: PROGRAM SERVICE EXPENSES 36,570. MANAGEMENT AND GENERAL EXPENSES 7,069. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,639. IT SERVICES: PROGRAM SERVICE EXPENSES 458,848. MANAGEMENT AND GENERAL EXPENSES 34,130. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 492,978. CALL CENTER: PROGRAM SERVICE EXPENSES 550,329. MANAGEMENT AND GENERAL EXPENSES 4,543. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 554,872. SIA PROGRAM: PROGRAM SERVICE EXPENSES 6,098,184. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,098,184.
FORM 990, PART XI, LINE 9:CHANGE IN INVESTMENT IN SUBSIDIARY 91,533. DIVIDEND TO PARENT COMPANY -200,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTERS OF KANSAS INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1222 SW 7TH ST STE 330AddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66603ZIPCd
FieldValueIRS element (for citing)
EIN480876205EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateKSLegalDomicileStateCd
Exempt Code Section501(C)(4)ExemptCodeSectionTxt
Public Charity StatusN/APublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
COMPLIANCEONE INC
2121 SW CHELSEA DRIVETOPEKAKS66614208115687DRUG/ALCOHOL TESTING & EMPLOYEE ASSISTANCEKSC$20,946$1,334,4041.000000
WHEAT STATE HEALTHCARE INC
222 SW 7TH STREETTOPEKAKS66603854333476BEHAVIORAL HEALTH MANAGEMENTKSC0N/A
WHEAT STATE REAL ESTATE LLC
222 SW 7TH STREETTOPEKAKS66603873663372PROPERTY MANAGEMENTKSC0N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTERS OF KANSAS INC
B$200,000CASH
ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTERS OF KANSAS INC
E$50,000CASH
COMPLIANCEONE INC
C$200,000CASH
COMPLIANCEONE INC
A$81,900CASH
COMPLIANCEONE INC
L$241,099CASH
COMPLIANCEONE INC
E$81,800

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