2014-05-15T14:15:42-05:00 2013-06-30 341857238 CBIZ MHM LLC 990 SW FAIRLAWN ROAD TOPEKA KS 66606 990 2012-07-01 208498601 KANSAS HEALTH SOLUTIONS LLC KANS 7852919122 2121 SW CHELSEA DR TOPEKA KS 66614 PATRICK YANCEY 7852919122 2014-05-15 1 DOUGLAS W GLENN P00451425 7852723176 2012 2015-11-30 17:44:51Z X PATRICK YANCEY 2121 SW CHELSEA DR TOPEKA KS 66614 99473828 0 X WWW.KANSASHEALTHSOLUTIONS.ORG X SMLLC 2007 KS TO FUNCTION AS A PREPAID AMBULATORY HEALTH PLAN FOR PEOPLE WITH MEDICAID NEEDING MENTAL HEALTH SERVICES. WE ARE COMMITTED TO DELIVERING SERVICES THAT MEET OR EXCEED COMMUNITY STANDARDS OF ACCESSIBILITY, ACCEPTABILITY, VALUE, IMPACT, AND CULTURAL SENSITIVITY. 13 13 103 13 296750 -37513 0 0 196810243 99162513 178434 13671 296750 296750 197285427 99472934 0 0 0 0 6352000 3449678 0 0 0 187044034 90610287 193396034 94059965 3889393 5412969 36178043 26564003 30937430 15908645 5240613 10655358 TO FUNCTION AS A PREPAID AMBULATORY HEALTH PLAN FOR PEOPLE WITH MEDICAID NEEDING MENTAL HEALTH SERVICES. WE ARE COMMITTED TO DELIVERING SERVICES THAT MEET OR EXCEED COMMUNITY STANDARDS OF ACCESSIBILITY, ACCEPTABILITY, VALUE, IMPACT, AND CULTURAL SENSITIVITY. 0 0 92959066 99162513 KANSAS HEALTH SOLUTIONS, LLC (KHS) IS A NOT-FOR-PROFIT ORGANIZATION FOR THE PURPOSE OF FULFILLING THE FUNCTIONS AND OBLIGATIONS OF A PREPAID HEALTH PLAN, MANAGING A STATEWIDE SYSTEM AS TO BEHAVIORAL HEALTH SERVICES AND OTHERWISE FUNCTIONING IN A MANNER COMPATIBLE WITH THE VALUES, MISSIONS, AND GOALS OF THE MEMBERS OF THE ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTERS OF KANSAS, INC. 92959066 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 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 1 497 0 1 103 1 1 1 0 0 0 0 0 X 13 13 0 1 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 KS X BRAD WOLTJE ACCOUNTING MANAGER 7852919122 2121 SW CHELSEA DR TOPEKA KS 66614 SHERMAN COLE 4.00 X 0 0 0 MARILYN COOK 4.00 X 0 0 0 DOLORES FURTADO 4.00 X 0 0 0 KERRY MILLER 4.00 X 0 0 0 MICHAEL HAMMOND 4.00 X 0 165700 21346 LARRY GARRETT 4.00 X 0 0 0 DAVID JOHNSON 4.00 X 0 0 0 BILLY PERSINGER 4.00 X 0 0 0 ROBBIN COLE 4.00 X X 0 0 0 ROBERT JACKSON 4.00 X X 0 0 0 KEITH RICKARD 4.00 X X 0 0 0 MYRON UNRUH 40.00 X 0 0 0 ANITA STEFANICH 40.00 X 0 0 0 PETER WEBB 40.00 X 0 0 0 WILL WOODELL 40.00 X 0 0 0 PATRICK YANCEY 65.00 X 0 0 0 0 165700 21346 0 0 1 0 VALUEOPTIONS 100 SE 9TH STREET STE 510 TOPEKA KS 66612 MANAGEMENT SERVICES 820000 INFOMC INC 101 WEST ELM ST SUITE G10 CONSHOHOCKEN PA 19428 SOFTWARE SUPPORT 633075 PRICE WATERHOUSE COOPERS 1100 WALNUT ST KANSAS CITY MO 64106 AUDITING 356853 SECURITY NATIONAL PROPERTIES 3050 WESTFORK DR BATON ROUGE LA 70816 PROPERT RENT 287515 4 ADMINISTRATIVE SERVICES 561000 96450410 96450410 MISCELLANEOUS 900099 2712103 2712103 99162513 13571 13571 994 894 100 100 100 MANAGEMENT FEES 541610 296750 296750 296750 99472934 99162513 296750 13671 67874 67874 2533913 2533913 55873 55873 474330 474330 317688 317688 82317 82317 390500 390500 1181773 80874 1100899 6135 6135 850437 850437 750437 750437 347250 347250 32482 32482 8219 8219 229232 229232 57337 57337 MEDICAL EXPENSE 84034249 84034249 PAHP SCREENS 2217329 2217329 NON-PAHP SCREENS 1620000 1620000 CBST CODES 362115 362115 -1559525 -1559525 94059965 92959066 1100899 0 8224420 23030376 22259069 149545 3183607 894082 254028 2766471 2476082 514307 290389 1996640 1945583 36178043 26564003 29885627 15952088 1051803 -43443 30937430 15908645 X 4021455 9432736 1219158 1222622 5240613 10655358 36178043 26564003 5412969 1776 0 X 0 1 X 1 0 212172 212172 0 2554299 2263910 290389 290389 A/R PROVIDER & OTHER 679 INVESTMENT IN SUBSIDIARY 682228 OTHER ASSETS 40054 ASSETS LIMITED AS TO USE 1222622 1945583 LIABILITIES UNDER SRS CONTRACT -43443 -43443 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THERE HAS BEEN NO INTEREST OR PENALTIES RECOGNIZED NEITHER IN THE STATEMENT OF OPERATIONS NOR IN THE BALANCE SHEET 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. X 0 0 0 0 0 0 0 0 0 MICHAEL HAMMOND 0 158200 0 7500 0 0 0 10960 0 10386 0 187046 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ACTING CFO AND CEO WERE EMPLOYED BY A MANAGEMENT COMPANY FOR A PORTION OF FISCAL YEAR ENDING JUNE 30, 2013. 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, LLC. FORM 990, PART VI, SECTION A, LINE 7A ACMHCKS, THE SOLE MEMBER OF KANSAS HEALTH SOLUTIONS, LLC HAS THE RIGHT TO APPOINT THE BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE OPERATING AGREEMENT OF KANSAS HEALTH SOLUTIONS, LLC 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 INTERES 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 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 198375 790216 1.00000 1 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 TMHC SERVICES L 296750 FMV