2017-05-15T09:04:31-05:00 2016-06-30 341857238 CBIZ MHM LLC 990 SW FAIRLAWN ROAD TOPEKA KS 66606 990 2015-07-01 208498601 KANSAS HEALTH SOLUTIONS INC KANS 7852342423 2121 SW CHELSEA DR TOPEKA KS 66614 PATRICK YANCEY CEO 7852342423 2017-05-11 1 DOUGLAS W GLENN P00451425 7852723176 2015 2021-01-29 14:40:06Z PATRICK YANCEY 2121 SW CHELSEA DR TOPEKA KS 66614 6817715 0 X WWW.KANSASHEALTHSOLUTIONS.ORG X 2007 KS KANSAS HEALTH 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 7 26 7 0 0 0 0 4060113 6817715 0 0 0 0 4060113 6817715 0 0 0 0 980751 908385 0 0 0 10572137 6376015 11552888 7284400 -7492775 -466685 3006269 2959773 476407 892873 2529862 2066900 KANSAS HEALTH 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 6787482 6817715 KANSAS HEALTH 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. KHS PROVIDES SUPPORT AND ADMINISTRATIVE 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. 6787482 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 55 0 1 26 1 0 0 0 0 0 0 X 7 7 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 SHERMAN COLE MEMBER AT LARGE 4.00 X 0 0 0 BILLY PERSINGER MEMBER AT LARGE 4.00 X 0 0 0 BRENDA SHARPE MEMBER AT LARGE 4.00 X 0 0 0 KYLE KESSLER OWNER REPRESENTATIVE, EX-OFFICIO 4.00 X 0 140291 19709 DAVID LEROY ELSBURY VICE-CHAIR 4.00 X X 0 0 0 KEITH RICKARD CHAIRMAN 4.00 X X 0 0 0 MATTHEW ATTEBERRY SECRETARY/TREASURER 4.00 X X 0 0 0 PATRICK YANCEY CEO 40.00 X 116195 0 16263 116195 140291 35972 1 0 1 0 NETSMART TECHNOLOGIES 4950 COLLEGE BLVD LEAWOOD KS 66211 SOFTWARE SUPPORT 440015 RELIAS LEARNING DEPT CH 16894 PALATINE IL 60055 ONLINE TRAINING 144087 2 SUPPORT SERVICES 900099 6813625 6813625 4090 4090 6817715 6817715 6817715 0 0 113587 113587 632790 580599 52191 82263 71142 11121 79745 74985 4760 10405 10405 4013 3210 803 101024 93902 7122 739426 634171 105255 80156 75197 4959 3135 2634 501 10536 9569 967 73808 59046 14762 60041 55929 4112 OSH PROGRAM 3939276 3939276 SCREENS PROGRAM 742185 742185 CALL CENTER PROGRAM 211902 211902 DISTRIBUTION TO PARENT 200000 200000 200108 120148 79960 7284400 6787482 496918 0 656280 0 623610 1304668 392474 511991 117101 65510 239821 85409 848352 761663 150820 86689 826163 905506 3006269 2959773 476407 892873 476407 892873 X 2529862 2066900 2529862 2066900 3006269 2959773 -466685 3723 0 X 0 1 X 1 0 145590 145590 0 702762 616073 86689 86689 INVESTMENT IN SUBSIDIARY 905506 905506 X 0 0 0 0 0 0 0 0 0 KYLE KESSLER OWNER REPRESENTATIVE, EX-OFFICIO 0 135291 0 5000 0 0 0 4750 0 14959 0 160000 0 0 SCHEDULE J, PART I, LINE 3: COMPENSATION OF THE RELATED ORGANIZATION'S EXECUTIVE DIRECTOR IS SUBJECT TO APPROVAL BY ITS BOARD MEMBERS. AN ANALYSIS IS COMPLETED BY LOOKING AT 990 RETURNS OF SIMILAR ORGANIZATIONS AS WELL AS NATIONAL, REGIONAL AND LOCAL SALARY SURVEYS. 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 KANSAS HEALTH SOLUTIONS, INC. FORM 990, PART VI, SECTION A, LINE 7A ACMHCKS, THE SOLE MEMBER OF KANSAS HEALTH SOLUTIONS, INC. HAS THE RIGHT TO APPOINT THE BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE OPERATING AGREEMENT OF KANSAS HEALTH 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 11 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 KANSAS HEALTH SOLUTIONS, LLC 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 PART VI, SECTION A, LINE 4 IN JANUARY OF 2017, THE NAME OF KANSAS HEALTH SOLUTIONS, INC. WAS CHANGED TO HEALTHSOURCE INTEGRATED SOLUTIONS, INC. ASSOCIATION OF COMMUNITY MENTAL HEALTH OF KS 720 SE JACKSON TOPEKA KS 66603 480876205 HEALTHCARE KS 501(C)(4) N/A N/A 0 TMHC SERVICES INC 515 S KANSAS AVE STE 301 TOPEKA KS 66603 208115687 DRUG/ALCOHOL TESTING & EMPLOYEE ASSISTANCE KS N/A C 194148 1137652 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