2019-05-14T09:46:59-05:00 2018-06-30 481066439 BERBERICH TRAHAN & CO PA 990 SW FAIRLAWN ROAD TOPEKA KS 66606 990 2017-07-01 208498601 HEALTHSOURCE INTEGRATED SOLUTIONS INC HEAL 7852342423 2121 SW CHELSEA DR TOPEKA KS 66614 PATRICK YANCEY CEO 7852342423 2019-05-13 1 MORGAN PADGETT P00635687 7852723176 70.184.229.195 2019-05-13 09:05:39 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A6DBD3F414A49F7489B033F1810171C4467117A3 2017 2019-02-21 02:37:17Z PATRICK YANCEY 2121 SW CHELSEA DR TOPEKA KS 66614 3841994 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 48 6 0 0 0 0 4255826 3841994 -651 0 0 0 4255175 3841994 0 0 0 0 977555 1525772 0 0 0 3670802 2709679 4648357 4235451 -393182 -393457 4931150 5555717 3257432 4275456 1673718 1280261 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 3503143 3841994 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. 3503143 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 72 0 1 48 1 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 KS X BRAD WOLTJE 7852919122 2121 SW CHELSEA DRIVE TOPEKA KS 66614 GREG HENNEN MEMBER AT LARGE 4.00 X 0 0 0 SHERMAN WES COLE MEMBER AT LARGE 4.00 X 0 0 0 DR LESLIE BJORK CMHC DIRECTOR 4.00 X X 0 0 0 LAURA HOWARD VICE-CHAIR 4.00 X X 0 0 0 KYLE KESSLER OWNER REPRESENTATIVE, EX-OFFICIO 4.00 X X 0 158396 45119 KEITH RICKARD CHAIRMAN 4.00 X X 0 0 0 PATRICK YANCEY CEO 40.00 X 119634 0 21866 119634 158396 66985 1 0 1 0 RELIAS LEARNING DEPT CH 16894 PALATINE IL 60055 ONLINE TRAINING SERVICE 150100 FREEDOM BEHAVIORAL HOSPITAL 1334 SW BUCHANAN ST TOPEKA KS 66604 MENTAL HEALTH SERVICES PROVIDER 145600 COTTONWOOD SPRINGS 13351 S ARAPAHO DR OLATHE KS 66062 MENTAL HEALTH SERVICES PROVIDER 136800 3 SUPPORT SERVICES 900099 3826455 3826455 15539 15539 3841994 3841994 3841994 0 0 X 117832 110750 7082 1127040 1064045 62995 139798 127673 12125 141102 133602 7500 17703 1797 15906 5725 581 5144 1677600 1488136 189464 11494 7663 3831 137865 127070 10795 42311 40590 1721 232413 154942 77471 20938 19483 1455 1576 1051 525 47211 47211 77590 51727 25863 72004 62672 9332 DISTRIBUTION TO PARENT 200000 200000 ESSENTIAL LEARNING 150100 100067 50033 LANGUAGE LINE 9633 9633 SALES AND USE TAX 3028 3028 2488 1661 827 4235451 3503143 732308 0 1778273 2533816 447499 299953 85907 67301 91868 105925 2299950 891445 1469792 1408505 1057811 1140217 4931150 5555717 3257432 4275456 3257432 4275456 X 1673718 1280261 1673718 1280261 4931150 5555717 -393457 0 X 0 1 X 1 0 1303661 55712 1247949 192494 141087 51407 803795 694646 109149 1408505 INVESTMENT IN SUBSIDIARY 1140217 1140217 X 0 0 0 0 0 0 0 0 0 KYLE KESSLER OWNER REPRESENTATIVE, EX-OFFICIO 0 141479 0 16917 0 0 0 7445 0 37674 0 203515 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, SHREDDING & OTHER: PROGRAM SERVICE EXPENSES 7,400. MANAGEMENT AND GENERAL EXPENSES 65,494. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,894. IT SERVICES: PROGRAM SERVICE EXPENSES 14,007. MANAGEMENT AND GENERAL EXPENSES 123,970. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 137,977. CALL CENTER: PROGRAM SERVICE EXPENSES 154,679. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 154,679. OSH PROGRAM: PROGRAM SERVICE EXPENSES 1,312,050. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,312,050. ASSOCIATION OF COMMUNITY MENTAL HEALTH OF KS 720 SE JACKSON TOPEKA KS 66603 480876205 HEALTHCARE KS 501(C)(4) N/A N/A 0 COMPLIANCEONE INC 515 S KANSAS AVE STE 301 TOPEKA KS 66603 208115687 DRUG/ALCOHOL TESTING & EMPLOYEE ASSISTANCE KS N/A C 132416 1252714 1.00000 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ASSOC OF COMMUNITY MENTAL HEALTH OF KS B 200000 FMV