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HEALTHSOURCE INTEGRATED SOLUTIONS INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HEALTHSOURCE INTEGRATED SOLUTIONS INC (EIN 20-8498601)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-12
IRS object ID
202221329349301917
Schema version
2020v4.2
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)
Return2022-05-12T08:39:50-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

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 Begin2020-07-01TaxPeriodBeginDt

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 DRAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66614ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKENNETH C JOHNSONPersonNm
Person TitleCEOPersonTitleTxt
Phone7852342423PhoneNum
Signature2022-05-10SignatureDt
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

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonREBECCA SHAWPreparerPersonNm
PTINP01275425PTIN
Phone7852343427PhoneNum
Preparation2022-05-09PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKENNETH C JOHNSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12121 SW CHELSEA DRAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66614ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,172,413GrossReceiptsAmt
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 Body7VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee57TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$205,975TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$41,473NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$5,003,252PYProgramServiceRevenueAmt
CY Program Service Revenue$6,965,387CYProgramServiceRevenueAmt
PY Investment Income$9,523PYInvestmentIncomeAmt
CY Investment Income$1,919CYInvestmentIncomeAmt
PY Other Revenue$203,304PYOtherRevenueAmt
CY Other Revenue$205,107CYOtherRevenueAmt
PY Total Revenue$5,216,079PYTotalRevenueAmt
CY Total Revenue$7,172,413CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,616,241PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,879,833CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,521,232PYOtherExpensesAmt
CY Other Expenses$5,372,194CYOtherExpensesAmt
PY Total Expenses$5,137,473PYTotalExpensesAmt
CY Total Expenses$7,252,027CYTotalExpensesAmt
PY Revenues Less Expenses$78,606PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$79,614CYRevenuesLessExpensesAmt
Total Assets BOY$5,233,635TotalAssetsBOYAmt
Total Assets EOY$4,984,468TotalAssetsEOYAmt
Total Liabilities BOY$3,829,457TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,483,467TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,404,178NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,501,001NetAssetsOrFundBalancesEOYAmt
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$6,879,641ExpenseAmt
Revenue$6,965,387RevenueAmt
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$6,879,641TotalProgramServiceExpensesAmt
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 Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
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 Document79IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee57EmployeeCnt
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 Members7GoverningBodyVotingMembersCnt
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 (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerInd
COLIN THOMASSET
MEMBER AT LARGE4.00Yes (X)$0$0$0
C PATRICK WOODS
MEMBER AT LARGE4.00Yes (X)$0$0$0
MATT ATTEBERRY
CMHC DIRECTOR4.00Yes (X)$0$0$01.10
KEITH RICKARD
CMHC DIRECTOR4.00Yes (X)$0$0$01.00
KYLE KESSLER
OWNER REPRESENTATIVE, EX-OFFICIO4.00Yes (X)$0$177,988$34,63341.00
NATHAN FAWSON
VICE-CHAIR/SECRETARY4.00Yes (X)$0$0$02.00Yes (X)
JULIE KRAMP
CHAIR/TREASURER4.00Yes (X)$0$0$02.00Yes (X)
KENNETH C JOHNSON
CEO40.00$144,060$0$25,312Yes (X)
SUSAN SMITH
DIR OF HR & FINANCE40.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$144,060TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$177,988TotReportableCompRltdOrgAmt
Total Other Compensation$59,945TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSUPPORT SERVICESDesc
Business900099BusinessCd
Total Revenue Column$6,965,387TotalRevenueColumnAmt
Related Or Exempt Func Income$6,965,387RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$6,965,387TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,919TotalRevenueColumnAmt
Unrelated Business Revenue$868UnrelatedBusinessRevenueAmt
Exclusion$1,051ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$205,107RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$205,107RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$205,107TotalRevenueColumnAmt
Unrelated Business Revenue$205,107UnrelatedBusinessRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,172,413TotalRevenueColumnAmt
Related Or Exempt Func Income$6,965,387RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$205,975UnrelatedBusinessRevenueAmt
Exclusion$1,051ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$148,863TotalAmt
Program Services$138,858ProgramServicesAmt
Management And General$10,005ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,351,020TotalAmt
Program Services$1,261,806ProgramServicesAmt
Management And General$89,214ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$229,804TotalAmt
Program Services$212,505ProgramServicesAmt
Management And General$17,299ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$150,146TotalAmt
Program Services$141,742ProgramServicesAmt
Management And General$8,404ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,645TotalAmt
Program Services$3,207ProgramServicesAmt
Management And General$438ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$56,044TotalAmt
Program Services$49,313ProgramServicesAmt
Management And General$6,731ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,329,079TotalAmt
Program Services$4,308,092ProgramServicesAmt
Management And General$20,987ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$13,211TotalAmt
Program Services$8,807ProgramServicesAmt
Management And General$4,404ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$35,171TotalAmt
Program Services$28,365ProgramServicesAmt
Management And General$6,806ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$94,752TotalAmt
Program Services$90,876ProgramServicesAmt
Management And General$3,876ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$192,122TotalAmt
Program Services$128,081ProgramServicesAmt
Management And General$64,041ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,153TotalAmt
Program Services$2,695ProgramServicesAmt
Management And General$458ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,664TotalAmt
Program Services$1,816ProgramServicesAmt
Management And General$848ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$53,321TotalAmt
Program Services$35,547ProgramServicesAmt
Management And General$17,774ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$150,000TotalAmt
Program Services$150,000ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$123,996TotalAmt
Program Services$82,664ProgramServicesAmt
Management And General$41,332ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$37,376TotalAmt
Program Services$31,232ProgramServicesAmt
Management And General$6,144ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
ESSENTIAL LEARNING$201,368$134,245$67,123
COMMUNICATIONS & TELEPH$59,137$54,879$4,258
LANGUAGE LINE$13,024$13,024
UBIT$1,791$1,791

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,340TotalAmt
Program Services$1,887ProgramServicesAmt
Management And General$453ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,252,027TotalAmt
Program Services$6,879,641ProgramServicesAmt
Management And General$372,386ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$829,568EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,228,689BOYAmt
EOY$291,654EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$756,868BOYAmt
EOY$449,030EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$30,167BOYAmt
EOY$5,573EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$103,905BOYAmt
EOY$107,657EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,962,871LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,173,164LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,779,164BOYAmt
EOY$1,789,707EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,334,842BOYAmt
EOY$1,511,279EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,233,635BOYAmt
EOY$4,984,468EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,593,763BOYAmt
EOY$2,235,732EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$31,191BOYAmt
EOY$80,466EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,204,503BOYAmt
EOY$1,167,269EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,829,457BOYAmt
EOY$3,483,467EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,404,178BOYAmt
EOY$1,501,001EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,404,178BOYAmt
EOY$1,501,001EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,233,635BOYAmt
EOY$4,984,468EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$79,614ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$176,437OtherChangesInNetAssetsAmt
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$163,864DepreciationAmt
Book Value$1,402,903BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$204,147OtherCostOrOtherBasisAmt
Depreciation$164,496DepreciationAmt
Book Value$39,651BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,191,957OtherCostOrOtherBasisAmt
Depreciation$844,804DepreciationAmt
Book Value$347,153BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,789,707TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescINVESTMENT IN SUBSIDIARYDesc
Book Value$1,511,279BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,511,279TotalBookValueOtherAssetsAmt

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-OFFICIO$0$169,498$0$8,490$0$0$0$7,535$0$27,098$0$212,621$0$0
KENNETH C JOHNSON
CEO$133,900$0$10,160$0$0$0$2,738$0$22,574$0$169,372$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 27,643. MANAGEMENT AND GENERAL EXPENSES 3,773. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,416. IT SERVICES: PROGRAM SERVICE EXPENSES 459,320. MANAGEMENT AND GENERAL EXPENSES 6,710. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 466,030. CALL CENTER: PROGRAM SERVICE EXPENSES 211,329. MANAGEMENT AND GENERAL EXPENSES 10,504. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 221,833. OSH PROGRAM: PROGRAM SERVICE EXPENSES 3,609,800. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,609,800.
FORM 990, PART XI, LINE 9:CHANGE IN INVESTMENT IN SUBSIDIARY 176,437.

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
Controlled Organization0ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1COMPLIANCEONE INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12121 SW CHELSEA DRIVEAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66614ZIPCd
FieldValueIRS element (for citing)
EIN208115687EIN
Primary ActivitiesDRUG/ALCOHOL TESTING & EMPLOYEE ASSISTANCEPrimaryActivitiesTxt
Legal Domicile StateKSLegalDomicileStateCd
Entity TypeCEntityTypeTxt
Share Of Total Income$176,437ShareOfTotalIncomeAmt
Share Of EOY Assets$1,607,269ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled Organization0ControlledOrganizationInd
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 (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTERS OF KANSAS INC
B$200,000FMV
COMPLIANCEONE INC
C$50,000FMV
ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTERS OF KANSAS INC
L$18,310FMV
ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTERS OF KANSAS INC
E$50,000FMV
COMPLIANCEONE INC
L$169,540FMV
COMPLIANCEONE INC
A$81,900FMV
COMPLIANCEONE INC
D$2,126FMV

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