2013-05-15T15:57:45-05:00 2012-06-30 341857238 CBIZ MHM LLC 990 SW FAIRLAWN ROAD TOPEKA KS 66606 990 2011-07-01 208498601 KANSAS HEALTH SOLUTIONS LLC KANS 7852342423 534 S KANSAS AVE NO 510 TOPEKA KS 66603 MYRON UNRUH 7852342423 2013-05-09 1 LORI DOWNING P00625053 7852723176 2011 2016-02-25 16:41:14Z MYRON UNRUH 534 S KANSAS AVE NO 510 TOPEKA KS 66603 197285427 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 0 296750 -416276 0 0 12231899 196810243 39240 178434 296750 296750 12567889 197285427 0 0 0 0 6910768 6352000 0 0 0 6945495 187044034 13856263 193396034 -1288374 3889393 23700506 36178043 22349286 30937430 1351220 5240613 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 192787622 196810243 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. 192787622 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 1 504 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 SYLVIA OBAYA 7852342423 534 S KANSAS AVE STE 510 TOPEKA KS 66603 SHERMAN COLE 4.00 X 0 0 0 MARILYN COOK 4.00 X 0 0 0 JULIE DEJEAN 4.00 X 0 0 0 DOLORES FURTADO 4.00 X 0 0 0 KERRY MILLER 4.00 X 0 0 0 SHERRI LUTHE 4.00 X 0 0 0 MICHAEL HAMMOND 4.00 X 0 145600 17399 RICHARD DALKE 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 0 145600 17399 0 0 1 0 VALUEOPTIONS INC 100 SE 9TH STREET STE 501 TOPEKA KS 66612 MANAGEMENT SERVICES 560000 PRICE WATERHOUSE COOPERS LLP 1100 WALNUT STREET STE 1300 KANSAS CITY MO 64106 AUDITING 309353 ASSOCIATION OF CMHCS OF KS INC 534 S KANSAS STE 330 TOPEKA KS 66603 MANAGEMENT SERVICES 147803 ESSSENTIAL LEARNING LLC 107 EDINBURGH DRIVE SOUTH STE 206 CARY NC 27511 SOFTWARE TRAINING PROGRAM 125664 FOULSTON SIEFKIN 534 S KANSAS AVE TOPEKA KS 66603 LEGAL SERVICES 101506 5 ADMINISTRATIVE SERVICE 561000 195761470 195761470 MISCELLANEOUS 900099 1048773 1048773 196810243 178434 178434 MANAGEMENT FEES 541610 296750 296750 296750 197285427 196810243 296750 178434 4945934 4945934 90180 90180 906939 906939 408947 408947 264000 158400 105600 152927 152927 307353 307353 15800 15800 29633 29633 1351892 1351892 333558 333558 75619 75619 38290 38290 302196 302196 42532 42532 MEDICAL EXPENSE 175998545 175998545 PAHP SCREENS 3751169 3751169 STAFF TRAINING & RETENT 1143953 1143953 VALUE OPTIONS ADMINISTR 960002 960002 2276565 2276565 193396034 192787622 608412 0 2912640 8224420 16871240 22259069 1367562 3183607 2763419 2249112 753666 514307 1795398 1996640 23700506 36178043 3556066 29885627 18793220 1051803 22349286 30937430 X 141744 4021455 1209476 1219158 1351220 5240613 23700506 36178043 3889393 0 X 0 1 1 X 0 212172 212172 0 2551247 2036940 514307 514307 A/R PROVIDER & OTHER 132 INVESTMENT IN SUBSIDIARY 559869 OTHER ASSETS 217481 ASSETS LIMITED AS TO USE 1219158 1996640 LIABILITIES UNDER SRS CONTRACT 1051803 1051803 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE COMPANY EVALUATES UNCERTAIN TAX POSITIONS ON AN ONGOING BASIS AND RECORDS A LIABILITY WHEN, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES AND THE LIABILITY WOULD BE INCURRED. THE COMPANY HAS CONCLUDED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT REQUIRE A LIABILITY TO BE RECORDED. 0 0 0 0 0 0 0 0 0 MICHAEL HAMMOND 0 138000 0 7600 0 0 0 5480 0 11919 0 162999 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ACTING CFO AND CEO WERE EMPLOYED BY A MANAGEMENT COMPANY. 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 211650 696507 1.00000 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 TMHC SERVICES K 296750 FMV