ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTER OF KS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTER OF KS INC (EIN 48-0876205)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201401359349304595
Schema version
2012v2.1
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)
Timestamp2014-05-15T11:47:21-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN341857238EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1990 SW FAIRLAWN ROADAddressLine1
CityTOPEKACity
StateKSState
ZIP Code66606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN480876205EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ASSOCIATION OF COMMUNITY MENTAL HEALTHBusinessNameLine1
Business Name Line2CENTERS OF KANSAS INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlASSONameControl
Phone7852344773Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1534 S KANSAS AVE NO 330AddressLine1
CityTOPEKACity
StateKSState
ZIP Code66603ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKYLE KESSLERName
TitleEXECUTIVE DIRECTORTitle
Phone7852344773Phone
Date Signed2014-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDOUG GLENNName
PTINP00451425PTIN
Phone7852723176Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKYLE KESSLERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1534 S KANSAS AVEAddressLine1
CityTOPEKACity
StateKSState
ZIP Code66603ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1049552GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.ACMHCK.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1964YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionTO PROMOTE A FULLY RESOURCED SYSTEM THAT DELIVERS EFFICIENT, EFFECTIVE AND ACCOUNTABLE BEHAVIORAL HEALTHCARE ACCESSIBLE TO ALL KANSANS THROUGH LOCALLY GOVERNED COMMUNITY MENTAL HEALTH CENTERS, SUBSIDIARIES AND STRATEGIC PARTNERS.ActivityOrMissionDescription
Nbr Voting Members Governing Body27NbrVotingMembersGoverningBody
Nbr Independent Voting Members27NbrIndependentVotingMembers
Total Nbr Employees5TotalNbrEmployees
Total Nbr Volunteers27TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year681024ContributionsGrantsPriorYear
Contributions Grants Current Year285056ContributionsGrantsCurrentYear
Program Service Revenue Prior Year222025ProgramServiceRevenuePriorYear
Program Service Revenue CY738866ProgramServiceRevenueCY
Investment Income Prior Year2674InvestmentIncomePriorYear
Investment Income Current Year727InvestmentIncomeCurrentYear
Other Revenue Prior Year25069OtherRevenuePriorYear
Other Revenue Current Year24903OtherRevenueCurrentYear
Total Revenue Prior Year930792TotalRevenuePriorYear
Total Revenue Current Year1049552TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY36217GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year535181SalariesEtcPriorYear
Salaries Etc Current Year544541SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year353869OtherExpensePriorYear
Other Expenses Current Year597389OtherExpensesCurrentYear
Total Expenses Prior Year889050TotalExpensesPriorYear
Total Expenses Current Year1178147TotalExpensesCurrentYear
Revenues Less Expenses Prior Year41742RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-128595RevenuesLessExpensesCY
Total Assets BOY913070TotalAssetsBOY
Total Assets EOY782148TotalAssetsEOY
Total Liabilities BOY539572TotalLiabilitiesBOY
Total Liabilities EOY537245TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY373498NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY244903NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROMOTE A FULLY RESOURCED SYSTEM THAT DELIVERS EFFICIENT, EFFECTIVE AND ACCOUNTABLE BEHAVIORAL HEALTHCARE ACCESSIBLE TO ALL KANSANS THROUGH LOCALLY GOVERNED COMMUNITY MENTAL HEALTH CENTERS, SUBSIDIARIES AND STRATEGIC PARTNERS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense174008Expense
DescriptionLEGISLATIVE PROGRAM-PROVIDE INFORMATION & OPINIONS TO STATELEGISLATURE INCLUDING ORGANIZATION'S LEGISLATIVE AGENDA, TRACKLEGISLATION & OUTCOMES, REPORT TO MEMBER AGENCIES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense413724Expense
Grants36217Grants
Revenue281465Revenue
DescriptionANNUAL CONFERENCES & TRAINING-BRINGS TOGETHER MANAGEMENT, STAFF,GOVERNING BODIES & MEMBERS TO EDUCATE ON CURRENT TOPICS & PROVIDEREQUIRED CONTINUING EDUCATION OPPORTUNITIES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense176004Expense
Revenue4095Revenue
DescriptionMEETING & NETWORKING-THE FULL BOARD & STANDING COMMITTEE MEETREGULARLY. HANDOUTS ARE PROVIDED, AGENDAS ARE COORDINATED &MINUTES RECORDED.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense262080Expense
Revenue478209Revenue
DescriptionCOMMUNITY OUTREACH - MENTAL HEALTH ADVOCACY DAY - INFORMING CONSTITUENTS OF PROGRAMS, PUBLIC INTEREST ITEMS AND CONCERNS. OFFERING ORGANIZATION SERVICES TO OTHER PUBLIC INTEREST GROUPS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp262080TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev478209TotalOfOtherProgramServiceRev
Total Program Service Expense1025816TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities1PoliticalActivities
Subject To Proxy Tax1SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees5NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members27NbrVotingGoverningBodyMembers
Number Independent Voting Members27NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GINNY HOGANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7852344773TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1534 S KANSAS AVE SUITE 330AddressLine1
CityTOPEKACity
StateKSState
ZIP Code66603ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
DAVID JOHNSON
DIRECTOR1.00X000
KATHY MOSHER
DIRECTOR1.00X000
RICK PFEIFFER
DIRECTOR1.00X000
MARILYN COOK
DIRECTOR1.00X000
BRENDA BROWN
DIRECTOR1.00X000
DIANE DRAKE
DIRECTOR1.00X000
SCOTT JACKSON
DIRECTOR1.00X000
WALT HILL
DIRECTOR1.00X000
SHELDON CARPENTER
DIRECTOR1.00X000
MAUREEN WOMACK
DIRECTOR1.00X000
MATTEW ATTEBERRY
DIRECTOR1.00X000
BILL PERSINGER
DIRECTOR1.00X000
ROBBIN COLE
DIRECTOR1.00X000
DAN RICE
DIRECTOR1.00X000
ROBERT CHASE
DIRECTOR1.00X000
LESLIE BISSELL
DIRECTOR1.00X000
GREG OLSON
DIRECTOR1.00X000
KEITH RICKARD
DIRECTOR1.00X000
GLEA ASHLEY
DIRECTOR1.00X000
PETE ZEVENBERGEN
DIRECTOR1.00X000
RIC DALKE
PRESIDENT1.00X000X
DWIGHT YOUNG
VICE PRESIDENT1.00X000X
MIKE GARRETT
PRESIDENT-ELECT1.00X000X
JESSIE KAYE
PAST PRESIDENT1.00X000X
GREG HENNEN
SECRETARY1.00X000X
BRENDA MILLS
TREASURER1.00X000X
DAVID ELSBURY
MEMBER AT LARGE1.00X000X
MIKE HAMMOND
EXECUTIVE DIRECTOR40.00158200021346X
FieldValueIRS element (for citing)
Total Reportable Comp From Org158200TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation21346TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants85537GovernmentGrants
All Other Contributions199519AllOtherContributions
Total Contributions285056TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEMBERSHIP DUES900099478209478209
ANNUAL CONFERENCE & WO900099162506162506
KS HEALTH SOLUTIONS MA5416108015180151
KS HEALTH SOLUTIONS MA5416101800018000
FieldValueIRS element (for citing)
Total Program Service Revenue738866TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column727TotalRevenueColumn
Exclusion$727ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REIMBURSEMENT INCOME9000992080820808
LEGAL MANUAL90009940954095
FieldValueIRS element (for citing)
Total Other Revenue24903TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1049552TotalRevenueColumn
Related Or Exempt Function Income763769RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$727ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total36217Total
Program Services36217ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total188794Total
Program Services153017ProgramServices
Management And General35777ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total269367Total
Program Services220157ProgramServices
Management And General49210ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total14963Total
Program Services12270ProgramServices
Management And General2693ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total44660Total
Program Services36621ProgramServices
Management And General8039ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total26757Total
Program Services21941ProgramServices
Management And General4816ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5335Total
Program Services5335ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total8000Total
Management And General8000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total185840Total
Program Services185840ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total4945Total
Program Services3956ProgramServices
Management And General989ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5560Total
Program Services4448ProgramServices
Management And General1112ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total39455Total
Program Services31564ProgramServices
Management And General7891ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total52597Total
Program Services42078ProgramServices
Management And General10519ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total133175Total
Program Services129048ProgramServices
Management And General4127ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6332Total
Program Services5066ProgramServices
Management And General1266ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total5691Total
Program Services4553ProgramServices
Management And General1138ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
TRAINING3682436824
MISCELLANEOUS EXPENSE27496219965500
COMMUNICATIONS16924135393385
MENTAL HEALTH ADVOCACY1577215772

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total53443Total
Program Services45574ProgramServices
Management And General7869ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1178147Total
Program Services1025816ProgramServices
Management And General152331ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY549163BOY
EOY648393EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY62181BOY
EOY89725EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4877BOY
EOY4205EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis82657LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec42832LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY44099BOY
EOY39825EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY252750BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY913070BOY
EOY782148EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY68613BOY
EOY66286EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY470959BOY
EOY470959EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY539572BOY
EOY537245EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY373498BOY
EOY244903EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY373498BOY
EOY244903EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY913070BOY
EOY782148EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-128595ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Political Expenditures25063PoliticalExpenditures
Amt Of Internal Funds Contributed25063AmtOfInternalFundsContributed
Total Exmpt Function Expenditures25063TotalExmptFunctionExpenditures
Form1120 Pol Filed0Form1120PolFiled

Sec527 Pol Orgs Sec527PolOrgs

Name Of527 Organization NameOf527Organization

FieldValueIRS element (for citing)
Business Name Line1KANSANS FOR QUALITY MENTAL HEALTH SRVCSBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111116 SLOAN AVENUEAddressLine1
CityKANSAS CITYCity
StateKSState
ZIP Code66109ZIPCode
FieldValueIRS element (for citing)
EIN320212503EIN
Amt Pd From Internal Funds25063AmtPdFromInternalFunds
FieldValueIRS element (for citing)
Substantially All Dues Nondeduct1SubstantiallyAllDuesNondeduct
Only In House Lobbying0OnlyInHouseLobbying
Agree To Carryover Prior Year0AgreeToCarryoverPriorYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART IV, SUPPLEMENTAL INFORMATION:Identifier
ExplanationEXPENSE IS USED FOR STATEWIDE ELECTED OFFICES AND STATE LEGISLATURES ONLY.Explanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2464OtherCostOrOtherBasis
Depreciation1291Depreciation
Book Value1173BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis80193OtherCostOrOtherBasis
Depreciation41541Depreciation
Book Value38652BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings39825TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt1049552TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal1049552RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9901049552TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1178147TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal1178147ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901178147TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE ASSOCIATION IS EXEMPT FROM STATE AND FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE 501(C)(4). THE ASSOCIATION IS SUBJECT TO TAX ON UNRELATED BUSINESS INCOME ARISING FROM TAXABLE ACTIVITIES. THERE HAS BEEN NO INTEREST OR PENALTIES RECOGNIZED NEITHER IN THE STATEMENT OF ACTIVITIES NOR IN THE STATEMENT OF FINANCIAL POSITION RELATED TO UNCERTAIN TAX POSITIONS. IN ADDITION, NO TAX POSITIONS EXIST FOR WHICH IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL SIGNIFICANTLY INCREASE OR DECREASE WITHIN THE NEXT TWELVE MONTHS. TAX YEARS WITH OPEN STATUTES OF LIMITATIONS ARE 2009 AND FORWARD.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1VALEO BEHAVIORAL HEALTHCARE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15401 SW 7TH STREETAddressLine1
CityTOPEKACity
StateKSState
ZIP Code66606ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient480730326EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant9750AmountOfCashGrant
Purpose Of GrantTO PROVIDE FUNDING FOR TRAININGPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonMIKE HAMMONDNamePerson
TitleEXECUTIVE DIRECTORTitle
Base Compensation Filing Org150700BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org7500BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org10960DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org10386NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org179546TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE 27 MENTAL HEALTH CENTERS IN KANSAS COMPRISE THE MEMBERSHIP OF THE ASSOCIATION. EACH MEMBER ORGANIZATION HAS ONE REPRESENTATIVE ON THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS OF THE ASSOCIATION ELECT OFFICERS ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 11AN INDEPENDENT ACCOUNTING FIRM PREPARES THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE 990 IS THEN REVIEWED BY THE FINANCE COMMITTEE BEFORE BEING FILED. AN ELECTRONIC VERSION IS EMAILED TO THE BOARD AFTER THE RETURN IS FILED.
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.
FORM 990, PART VI, SECTION B, LINE 15AA SALARY ANALYSIS IS COMPLETED BY LOOKING AT 990 RETURNS OF SIMILAR ORGANIZATIONS AS WELL AS NATIONAL, REGIONAL AND LOCAL SALARY SURVEYS. THE EXECUTIVE DIRECTOR COMPENSATION IS APPROVED BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19THE ASSOCIATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ASSOCIATION'S OFFICE.
FORM 990, PART IX, LINE 11GCONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 185,840. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 185,840.OTHER FEES

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1KANSAS HEALTH SOLUTIONS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1534 S KANSAS AVE SUITE 510AddressLine1
CityTOPEKACity
StateKSState
ZIP Code66603ZIPCode
FieldValueIRS element (for citing)
Primary ActivitiesHC SERVICESPrimaryActivities
Legal Domicile StateKSLegalDomicileState
Exempt Code Section501(C)(4)ExemptCodeSection
Public Charity StatusN/APublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
KANSAS HEALTH SOLUTIONS LLC
C183519FAIR MARKET VALUE
KANSAS HEALTH SOLUTIONS LLC
Q98151FAIR MARKET VALUE

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