ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTER OF KS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTER OF KS INC (EIN 48-0876205)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201221369349305602
Schema version
2010v3.7
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)
Timestamp2012-05-15T14:39:38-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Code666062384ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

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 AveAddressLine1
CityTopekaCity
StateKSState
ZIP Code66603ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMike HammondName
TitleExecutive DirectorTitle
Date Signed2012-05-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameDOUGLAS W GLENNName
Phone7852723176Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMike HammondNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1534 S KANSAS AVE SUITE 330AddressLine1
CityTOPEKACity
StateKSState
ZIP Code66603ZIPCode
FieldValueIRS element (for citing)
Gross Receipts962697GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.ACMHCK.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1964YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionTo promote a consumer/family driven mental health system of high quality, cost effective, efficient, community-based network of care accessible to all KS citizens through community mental health centersActivityOrMissionDescription
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 Year594379ContributionsGrantsPriorYear
Contributions Grants Current Year615134ContributionsGrantsCurrentYear
Program Service Revenue Prior Year296217ProgramServiceRevenuePriorYear
Program Service Revenue CY324592ProgramServiceRevenueCY
Investment Income Prior Year-12977InvestmentIncomePriorYear
Investment Income Current Year530InvestmentIncomeCurrentYear
Other Revenue Prior Year22357OtherRevenuePriorYear
Other Revenue Current Year22441OtherRevenueCurrentYear
Total Revenue Prior Year899976TotalRevenuePriorYear
Total Revenue Current Year962697TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year523506SalariesEtcPriorYear
Salaries Etc Current Year511853SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year325108OtherExpensePriorYear
Other Expenses Current Year478637OtherExpensesCurrentYear
Total Expenses Prior Year848614TotalExpensesPriorYear
Total Expenses Current Year990490TotalExpensesCurrentYear
Revenues Less Expenses Prior Year51362RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-27793RevenuesLessExpensesCY
Total Assets BOY875861TotalAssetsBOY
Total Assets EOY836107TotalAssetsEOY
Total Liabilities BOY516312TotalLiabilitiesBOY
Total Liabilities EOY504351TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY359549NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY331756NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF THE ASSOCIATION IS TO PROMOTE A CONSUMER/FAMILY DRIVEN MENTAL HEALTH SYSTEM OF HIGH QUALITY, COST EFFECTIVE, EFFICIENT, COMMUNITY-BASED NETWORK OF CARE THAT IS ACCESSIBLE TO ALL KANSAS CITIZENS THROUGH LICENSED AND LOCALLY GOVERNED COMMUNITY MENTAL HEALTH CENTERS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense144361Expense
DescriptionLEGISLATIVE PROGRAM-PROVIDE INFORMATION & OPINIONS TO STATE LEGISLATURE INCLUDING ORGANIZATION'S LEGISLATIVE AGENDA, TRACK LEGISLATION & OUTCOMES, REPORT TO MEMBER AGENCIES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense343233Expense
DescriptionANNUAL CONFERENCES & TRAINING-BRINGS TOGETHER MANAGEMENT, STAFF, GOVERNING BODIES & MEMBERS TO EDUCATE ON CURRENT TOPICS & PROVIDE REQUIRED CONTINUING EDUCATION OPPORTUNITIES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense146017Expense
DescriptionMEETING & NETWORKING-THE FULL BOARD & STANDING COMMITTEE MEET REGULARLY. HANDOUTS ARE PROVIDED, AGENDAS ARE COORDINATED & MINUTES RECORDED.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp217426TotalOfOtherProgramServiceExp
Total Program Service Expense851037TotalProgramServiceExpense
Described In501 C3falseDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiestruePoliticalActivities
Subject To Proxy TaxtrueSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109625NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees5NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members27NbrVotingGoverningBodyMembers
Number Independent Voting Members27NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonGINNY HOGANNamePerson
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
Keith Rickard
Director1.0X569800
David Johnson
Director1.0X000
Patricia Murray
Director1.0X000
Rick Pfeiffer
Director1.0X000
Marilyn Cook
Director1.0X000
Linda Young
Director1.0X000
Diane Drake
Director1.0X000
Scott Jackson
Director1.0X000
Greg Hennen
Director1.0X000
Sheldon Carpenter
Director1.0X000
David Wiebe
Director1.0X150000
David Elsbury
Director1.0X000
Bill Persinger
Director1.0X000
Robbin Cole
Director1.0X000
Dan Rice
Director1.0X000
Robert Chase
Director1.0X000
James Karlan
Director1.0X000
Greg Olson
Director1.0X000
Glea Ashley
Director1.0X000
Pete Zevenbergen
Director1.0X000
Michael Garrett
Director1.0X000
Matthew Atteberry
Secretary1.0X000X
Jessie Kaye
President1.0X000X
Dwight Young
Vice President1.0X000X
Walt Hill
Previous President1.0X000X
Brenda Mills
Treasurer1.0X538000X
Ric Dalke
President-Elect1.0X112300X
Mike Hammond
Executive Director40.0162000019584X
FieldValueIRS element (for citing)
Total Reportable Comp From Org175701TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation19584TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonNANamePerson
FieldValueIRS element (for citing)
Address Of ContractorAddressOfContractor
FieldValueIRS element (for citing)
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Membership Dues481209MembershipDues
Government Grants42500GovernmentGrants
All Other Contributions91425AllOtherContributions
Total Contributions615134TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ANNUAL CONFERENCE & WORKSHOP900099154342154342
KS HEALTH SOLUTIONS MANAGEMENT CONTRACT541610152250152250
KS HEALTH SOLUTIONS MARKETING CONTRACT5416101800018000
FieldValueIRS element (for citing)
Total Program Service Revenue324592TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column530TotalRevenueColumn
Related Or Exempt Function Income530RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REIMBURSEMENT INCOME9000992243622436
IC SYSTEM PROGRAM90009955
FieldValueIRS element (for citing)
Total Other Revenue22441TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column962697TotalRevenueColumn
Related Or Exempt Function Income347563RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total163434Total
Program Services130747ProgramServices
Management And General32687ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total286758Total
Program Services240557ProgramServices
Management And General46201ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total15358Total
Program Services12594ProgramServices
Management And General2764ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total21932Total
Program Services17984ProgramServices
Management And General3948ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total24371Total
Program Services19984ProgramServices
Management And General4387ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3559Total
Program Services3559ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13669Total
Management And General13669ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total88688Total
Program Services88688ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total4914Total
Program Services3931ProgramServices
Management And General983ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7068Total
Program Services5654ProgramServices
Management And General1414ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total37491Total
Program Services29993ProgramServices
Management And General7498ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total48020Total
Program Services38416ProgramServices
Management And General9604ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total150529Total
Program Services146794ProgramServices
Management And General3735ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7752Total
Program Services6202ProgramServices
Management And General1550ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4936Total
Program Services3949ProgramServices
Management And General987ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
ART CALENDAR AND SHOW2452024520
MENTAL HEALTH ADVOCACY DAY1269412694
COMMUNICATIONS12544100352509
PUBLIC AFFAIRS1164711647
PRINTING1011180892022

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total40495Total
Program Services35000ProgramServices
Management And General5495ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total990490Total
Program Services851037ProgramServices
Management And General139453ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY379056BOY
EOY316102EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY250000BOY
EOY250075EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY195947BOY
EOY203749EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5111BOY
EOY15993EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis79163LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec28975LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY45747BOY
EOY50188EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY875861BOY
EOY836107EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY35803BOY
EOY37142EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY467209BOY
EOY467209EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13300BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY516312BOY
EOY504351EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY359549BOY
EOY331756EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY359549BOY
EOY331756EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY875861BOY
EOY836107EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-27793ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

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 Expenditures11780PoliticalExpenditures
Amt Of Internal Funds Contributed11780AmtOfInternalFundsContributed
Total Exmpt Function Expenditures11780TotalExmptFunctionExpenditures
Form1120 Pol FiledfalseForm1120PolFiled

Sec527 Pol Orgs Sec527PolOrgs

Name Of527 Organization NameOf527Organization

FieldValueIRS element (for citing)
Business Name Line1Kansans for QualityBusinessNameLine1
Business Name Line2Mental Health SrvcsBusinessNameLine2

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 Funds11780AmtPdFromInternalFunds
FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
Substantially All Dues NondeducttrueSubstantiallyAllDuesNondeduct
Only In House LobbyingfalseOnlyInHouseLobbying
Agree To Carryover Prior YearfalseAgreeToCarryoverPriorYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPolitical campaign activitiesIdentifier
Return ReferenceSchedule C, Part I-A, #1ReturnReference
ExplanationExpense is used for statewide elected offices and state legislatures only.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2464OtherCostOrOtherBasis
Depreciation587Depreciation
Book Value1877BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis76699OtherCostOrOtherBasis
Depreciation28388Depreciation
Book Value48311BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings50188TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Total Revenue962697TotalRevenue
Total Expenses990490TotalExpenses
Excess Or Deficit For Year-27793ExcessOrDeficitForYear
Excess Or Deficit Per FS-27793ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt962697TotRevenueEtcAuditedFinclStmt
Revenue Subtotal962697RevenueSubtotal
Total Revenue Per Form990962697TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt990490TotExpensesEtcAuditedFinclStmt
Expenses Subtotal990490ExpensesSubtotal
Total Expenses Per Form990990490TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierUncertan tax positions under FIN 48Identifier
Return ReferencePart XReturnReference
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. In June 2006, the Financial Accounting Standards Board (FASB) issued an Interpretation, Accounting for Uncertainty in Income Taxes (FASB ASC 740-10). Implementation of this standard was deferred until 2009. The Association has adopted this standard effective January 1, 2009. There was no material impact on the Association's financial statements as a result of the adoption of this standard during 2009. 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 2007 and forward.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonMike HammondNamePerson
Base Compensation Filing Org137000BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org6850BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org18150OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org19584NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org181584TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org161031CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Executive Director CompensationPart VI, Section B, 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.
MembersPart VI, Section A, #6, 7a&b27 mental health centers in Kansas comprise the membership of the Association. Each member organization has one representative on the Board of Directors. The Board is responsible for making and approving decisions. Upon dissolution of the Association, the property, its proceeds and the income therefrom shall be distributed by the last Board to the member organizations.
Officer elections by membersPart VI, Section A, #7aMembers of the Association elect officers on an annual basis.
Conflict on Interest Policy MonitoringPart VI, Section B, #12cThe Organization sends out questionnaires on an annual basis, to identify conflicts, to all Board of Directors, Members, Officers, and Employees.
990 ReviewPart VI, Section B, #11An independent accounting firm prepares and reviews 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.
Documents Available to PublicPart VI, Section C, #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.
STATEMENT 2 -0THER PROGRAM SERVICESPART III, #4DCOMMUNITY OUTREACH - MENTAL HEALTH ADVOCACY DAY - INFORMING CONSTITUENTS OF PROGRAMS, PUBLIC INTEREST ITEMS AND CONCERNS. OFFERING ORGANIZATION SERVICES TO OTHER PUBLIC INTEREST GROUPS. GRANTS - NONE EXPENSES - $217,350 REVENUE - NONE

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 Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Kansas Health Solutions LLC
c77750
Kansas Health Solutions LLC
p152250

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