2022-05-12T08:39:50-05:00 2021-06-30 481066439 BT&CO PA 4301 SW HUNTOON ST TOPEKA KS 66604 990 2020-07-01 208498601 HEALTHSOURCE INTEGRATED SOLUTIONS INC HEAL 7852342423 2121 SW CHELSEA DR TOPEKA KS 66614 KENNETH C JOHNSON CEO 7852342423 2022-05-10 1 KENNETH JOHNSON 999009999 REBECCA SHAW P01275425 7852343427 2022-05-09 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z KENNETH C JOHNSON 2121 SW CHELSEA DR TOPEKA KS 66614 7172413 0 X HTTP://WWW.HEALTHSRC.ORG/ X 2007 KS HEALTHSOURCE 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. 7 6 57 6 205975 41473 0 0 5003252 6965387 9523 1919 203304 205107 5216079 7172413 0 0 0 0 1616241 1879833 0 0 0 3521232 5372194 5137473 7252027 78606 -79614 5233635 4984468 3829457 3483467 1404178 1501001 HEALTHSOURCE 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. 0 0 6879641 6965387 HEALTHSOURCE 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. 6879641 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 79 0 1 57 1 1 1 0 0 0 0 0 0 0 X 7 6 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 X SUSAN L SMITH 7852919632 2121 SW CHELSEA DRIVE TOPEKA KS 66614 COLIN THOMASSET MEMBER AT LARGE 4.00 X 0 0 0 C PATRICK WOODS MEMBER AT LARGE 4.00 X 0 0 0 MATT ATTEBERRY CMHC DIRECTOR 4.00 1.10 X 0 0 0 KEITH RICKARD CMHC DIRECTOR 4.00 1.00 X 0 0 0 KYLE KESSLER OWNER REPRESENTATIVE, EX-OFFICIO 4.00 41.00 X 0 177988 34633 NATHAN FAWSON VICE-CHAIR/SECRETARY 4.00 2.00 X X 0 0 0 JULIE KRAMP CHAIR/TREASURER 4.00 2.00 X X 0 0 0 KENNETH C JOHNSON CEO 40.00 X 144060 0 25312 SUSAN SMITH DIR OF HR & FINANCE 40.00 X 0 0 0 144060 177988 59945 1 0 1 0 0 SUPPORT SERVICES 900099 6965387 6965387 6965387 1919 868 1051 205107 0 205107 205107 205107 7172413 6965387 205975 1051 X 148863 138858 10005 1351020 1261806 89214 229804 212505 17299 150146 141742 8404 3645 3207 438 56044 49313 6731 4329079 4308092 20987 13211 8807 4404 35171 28365 6806 94752 90876 3876 192122 128081 64041 3153 2695 458 2664 1816 848 53321 35547 17774 150000 150000 123996 82664 41332 37376 31232 6144 ESSENTIAL LEARNING 201368 134245 67123 COMMUNICATIONS & TELEPH 59137 54879 4258 LANGUAGE LINE 13024 13024 UBIT 1791 1791 2340 1887 453 7252027 6879641 372386 0 829568 1228689 291654 756868 449030 30167 5573 103905 107657 2962871 1173164 1779164 1789707 1334842 1511279 5233635 4984468 2593763 2235732 31191 80466 1204503 1167269 3829457 3483467 X 1404178 1501001 1404178 1501001 5233635 4984468 X -79614 176437 X 0 1 X 1 0 1566767 163864 1402903 204147 164496 39651 1191957 844804 347153 1789707 INVESTMENT IN SUBSIDIARY 1511279 1511279 X 0 0 0 0 0 0 0 0 0 KYLE KESSLER OWNER REPRESENTATIVE, EX-OFFICIO 0 169498 0 8490 0 0 0 7535 0 27098 0 212621 0 0 KENNETH C JOHNSON CEO 133900 0 10160 0 0 0 2738 0 22574 0 169372 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE 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 7A ACMHCKS, THE SOLE MEMBER OF HEALTHSOURCE INTEGRATED SOLUTIONS, INC HAS THE RIGHT TO APPOINT THE BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE 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 11B THE 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 12C THE 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 15A THE 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 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PAYROLL 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. ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTERS OF KANSAS INC 222 SW 7TH ST STE 330 TOPEKA KS 66603 480876205 HEALTHCARE KS 501(C)(4) 0 COMPLIANCEONE INC 2121 SW CHELSEA DRIVE TOPEKA KS 66614 208115687 DRUG/ALCOHOL TESTING & EMPLOYEE ASSISTANCE KS C 176437 1607269 1.00000 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTERS OF KANSAS INC B 200000 FMV COMPLIANCEONE INC C 50000 FMV ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTERS OF KANSAS INC L 18310 FMV ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTERS OF KANSAS INC E 50000 FMV COMPLIANCEONE INC L 169540 FMV COMPLIANCEONE INC A 81900 FMV COMPLIANCEONE INC D 2126 FMV