2016-05-16T11:59:48-05:00 2015-06-30 341857238 CBIZ MHM LLC 990 SW FAIRLAWN ROAD TOPEKA KS 66606 990 2014-07-01 208498601 KANSAS HEALTH SOLUTIONS INC KANS 7852342423 2121 SW CHELSEA DR TOPEKA KS 66614 PATRICK YANCEY CEO 7852342423 2016-05-16 1 DOUGLAS W GLENN P00451425 7852723176 2014 2016-08-17 19:52:53Z PATRICK YANCEY 2121 SW CHELSEA DR TOPEKA KS 66614 4060113 0 X WWW.KANSASHEALTHSOLUTIONS.ORG X 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. 7 7 26 7 0 0 0 0 3753896 4060113 -7607 0 0 0 3746289 4060113 0 0 0 0 1122592 980751 0 0 0 3520174 10572137 4642766 11552888 -896477 -7492775 10111753 3006269 259722 476407 9852031 2529862 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 11552888 4060113 KANSAS HEALTH SOLUTIONS, INC (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. 11552888 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 56 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 DR TOPEKA KS 66614 SHERMAN COLE MEMBER-AT-LARGE 4.00 X 0 0 0 KERRY MILLER CONSUMER REPRESENTATIVE 4.00 X 0 0 0 KYLE KESSLER OWNER REPRESENTATIVE 4.00 X 0 140000 12683 BILLY PERSINGER MEMBER-AT-LARGE 4.00 X 0 0 0 ROBBIN COLE CHAIRMAN 4.00 X X 0 0 0 DAVID LEROY ELSBURY VICE CHAIRMAN 4.00 X X 0 0 0 KEITH RICKARD SECRETARY/TREASURER 4.00 X X 0 0 0 PATRICK YANCEY CEO 40.00 X 116195 0 1044 116195 140000 13727 1 0 1 0 NETSMART TECHNOLOGIES 4950 COLLEGE BLVD LEAWOOD KS 66211 SOFTWARE SUPPORT 409107 SECURITY NATIONAL PROPERTIES 14826 COLLECTION CHICAGO IL 60693 RENT 105637 RELIAS LEARNING DEPT CH 16894 PALATINE IL 60055 ESSENTIAL LEARNING COURSES 101589 3 MISCELLANEOUS 900099 4045388 4045388 14725 14725 4060113 4060113 4060113 0 0 115891 115891 731350 731350 50878 50878 82632 82632 11726 11726 21581 21581 60071 60071 70120 70120 758288 758288 87981 87981 53887 53887 35978 35978 91139 91139 54225 54225 DISTRIBUTION TO PARENT 7106066 7106066 MEDICAL EXPENSES 1906500 1906500 ESSENTIAL LEARNING 157170 157170 PASRR ACTIVITY 145930 145930 11475 11475 11552888 11552888 0 0 1527019 1279890 43761 392474 117101 117101 303694 239821 838675 687855 213722 150820 7111325 0 795131 826163 10111753 3006269 259722 476407 259722 476407 X 9852031 2529862 0 9852031 2529862 10111753 3006269 X -7492775 3723 166883 X 0 1 X 1 0 145590 145590 0 693085 542265 150820 150820 INVESTMENT IN SUBSIDIARY 826163 826163 0 0 0 0 0 0 0 0 0 KYLE KESSLER OWNER REPRESENTATIVE 0 135000 0 5000 0 0 0 0 0 12683 0 152683 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 SHAREHOLDER OF KANSAS HEALTH SOLUTIONS, INC. FORM 990, PART VI, SECTION A, LINE 7A ACMHCKS, THE SOLE SHAREHOLDER 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 SHAREHOLDER, 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, INC 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 FORM 990, PART XI, LINE 9: PRIOR YEAR ADJUSTMENT TO ACCOUNTS RECEIVABLE 150,000. PRIOR YEAR ADJUSTMENT TO INVESTMENT IN SUBSIDIARY 16,883. 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 7691 1045398 1.00000 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ASSOCIATION OF COMMUNITY MENTAL HEALTH OF KS B 7106066 FMV