2021-05-13T08:14:52-05:00 2020-06-30 481066439 BT&CO PA 4301 SW HUNTOON ST TOPEKA KS 66604 990 2019-07-01 208498601 HEALTHSOURCE INTEGRATED SOLUTIONS INC HEAL 7852342423 2121 SW CHELSEA DR TOPEKA KS 66614 KENNETH JOHNSON CEO 7852342423 2021-05-10 1 MORGAN PADGETT P00635687 7852343427 2021-05-10 2019 2022-09-23 18:48:47Z KENNETH JOHNSON 2121 SW CHELSEA DR TOPEKA KS 66614 5216079 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. 6 6 47 6 203304 8842 0 0 4556257 5003252 2503 9523 212275 203304 4771035 5216079 0 0 0 0 1700946 1616241 0 0 0 3219401 3521232 4920347 5137473 -149312 78606 6014797 5233635 4760735 3829457 1254062 1404178 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 4848957 5003252 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. 4848957 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 87 0 1 47 1 1 1 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 X SUSAN SMITH 7852919632 2121 SW CHELSEA DRIVE TOPEKA KS 66614 COLIN THOMASSET MEMBER AT LARGE 4.00 X 0 0 0 NATHAN FAWSON CMHC DIRECTOR 4.00 X 0 0 0 RANDY CALLSTROM CMHC DIRECTOR 4.00 X 0 0 0 JULIE KRAMP CMHC DIRECTOR 4.00 X 0 0 0 KYLE KESSLER OWNER REPRESENTATIVE, EX-O 4.00 40.00 X 0 177988 29682 KEITH RICKARD CHAIRMAN 4.00 X X 0 0 0 PATRICK YANCEY CEO 40.00 X 115633 0 19671 115633 177988 49353 1 0 1 0 0 SUPPORT SERVICES 900099 5003252 5003252 5003252 9523 9523 203304 0 203304 203304 203304 5216079 5003252 203304 9523 X 106828 102281 4547 1209734 1157134 52600 172479 166633 5846 127200 121980 5220 8180 7603 577 26470 24602 1868 2560651 2535705 24946 2718 1812 906 28386 22195 6191 70712 68367 2345 211908 141272 70636 7409 6866 543 1523 1015 508 43669 29113 14556 88843 59229 29614 30286 25068 5218 DISTRIBUTION TO PARENT 200000 200000 ESSENTIAL LEARNING 155635 103757 51878 COMMUNICATIONS & TELEPH 57062 52814 4248 LANGUAGE LINE 12173 12173 15607 9338 6269 5137473 4848957 288516 0 2888682 1228689 324160 756868 47743 30167 102299 103905 2828332 1049168 1388582 1779164 1263331 1334842 6014797 5233635 3711516 2593763 24828 31191 1024391 1204503 4760735 3829457 X 1254062 1404178 1254062 1404178 6014797 5233635 X 78606 71510 X 0 1 X 1 0 1303660 122567 1181093 467254 159951 307303 1057418 766650 290768 1779164 INVESTMENT IN SUBSIDIARY 1334842 1334842 X 0 0 0 0 0 0 0 0 0 KYLE KESSLER OWNER REPRESENTATIVE, EX-O 0 157979 0 20009 0 0 0 5333 0 24349 0 207670 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 67,355. MANAGEMENT AND GENERAL EXPENSES 5,115. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,470. IT SERVICES: PROGRAM SERVICE EXPENSES 261,137. MANAGEMENT AND GENERAL EXPENSES 19,831. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 280,968. CALL CENTER: PROGRAM SERVICE EXPENSES 263,245. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 263,245. OSH PROGRAM: PROGRAM SERVICE EXPENSES 1,943,968. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,943,968. FORM 990, PART XI, LINE 9: CHANGE IN INVESTMENT IN SUBSIDIARY 71,510. ASSOCIATION OF COMMUNITY MENTAL HEALTH OF KS 534 S KANSAS AVE 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 1226129 1537310 1.00000 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 ASSOC OF COMMUNITY MENTAL HEALTH OF KS B 200000 FMV COMPLIANCEONE INC L 160701 FMV COMPLIANCEONE INC J 81900 FMV