2024-11-05T15:06:39+00:00 2023-12-31 440160260 Forvis Mazars LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2023-01-01 481151382 TURNER HOUSE CLINIC INC TURN 9133432552 21 NORTH 12TH STREET 300 KANSAS CITY KS 66102 PATRICK SALLEE PRESIDENT AND CEO 2024-11-05 true Michael Engle P00482834 8162216300 2024-11-05 2023 2024-10-15 13:58:12Z Vibrant Health PATRICK SALLEE 21 NORTH 12TH STREET 300 KANSAS CITY KS 66102 22442924 false X WWW.VIBRANTHEALTHKC.ORG X 1994 KS TO PROVIDE QUALITY HEALTHCARE TO UNINSURED AND UNDERSERVED FAMILIES OF KANSAS CITY METROPOLITAN AREA. 16 16 226 26 0 0 7983032 8914295 8764210 12985300 9770 21220 554020 335285 17311032 22256100 0 0 9599012 13424222 0 303478 8058589 10640294 17657601 24064516 -346569 -1808416 14068735 16579039 6581238 6663039 7487497 9916000 TO PROVIDE QUALITY HEALTHCARE TO UNINSURED AND UNDERSERVED FAMILIES OF KANSAS CITY METROPOLITAN AREA. false false 15688735 11790819 SEE SCHEDULE O. 1374943 1194481 SEE SCHEDULE O. 17063678 true true false false false false false false false true false false true true false true false false false false false false false true false false false false true false false false false false false false false true false false false false true false false false true 67 0 true 226 true false false false false false true true false false false false false false X 16 16 false false false false false false false true true false false false true true true true true true false false KS X PATRICK SALLEE 9133422552 21 NORTH 12TH STREET - SUITE 300 KANSAS CITY KS 66102 CYNTHIA FINTER BOARD PRESIDENT 1.0 0.0 X X 0 0 0 DERYL WYNN SECRETARY 0.5 0.0 X X 0 0 0 JASON WARTMAN TREASURER 0.5 0.0 X X 0 0 0 TRACY LOCKTON IMMEDIATE PAST CHAIR 1.0 0.0 X X 0 0 0 AMANDA MCGANNON DIRECTOR 0.5 0.0 X 0 0 0 ASHLEY BIECK DIRECTOR 0.5 0.0 X 0 0 0 BRENDA DYKSTRA DIRECTOR 0.5 0.0 X 0 0 0 DIOSSELYN TOT DIRECTOR 0.5 0.0 X 0 0 0 DR EVELYN HILL DIRECTOR 0.5 0.0 X 0 0 0 DR JILL PELTZER DIRECTOR 0.5 0.0 X 0 0 0 DR ROB STEELE DIRECTOR 0.5 0.0 X 0 0 0 JOHN RIOS DIRECTOR 0.5 0.0 X 0 0 0 OSCAR OROZCO DIRECTOR 0.5 0.0 X 0 0 0 PHA TAO DIRECTOR 0.5 0.0 X 0 0 0 RAYMOND RICO DIRECTOR 0.5 0.0 X 0 0 0 TONY CARTER DIRECTOR 0.5 0.0 X 0 0 0 CHARLES SMITH II CFO 40.0 0.0 X 142019 0 16697 DR SANDRA STITES CMO 40.0 0.0 X 255889 0 12717 PATRICK SALLEE PRESIDENT & CEO 50.0 0.0 X 234214 0 27419 DR ALEXIS RICKEL DENTIST 40.0 0.0 X 147835 0 8529 DR ANTHONY JIMENEZ VP OF DENTAL 40.0 0.0 X 167809 0 26247 DR MATTHEW FRY DENTIST 40.0 0.0 X 137872 0 17647 JENNIFER BAE VP OF PHARMACY & COMPLIANCE 40.0 0.0 X 154218 0 35194 PAOLA LUNA PEDIATRICIAN 40.0 0.0 X 192671 0 16593 1432527 0 161043 16 false true false ECLINICALWORKS LLC PO BOX 847950 BOSTON MA 022847950 EMR SOFTWARE SERVICES 411765 LANGUAGE ACCESS NETWORK LLC PO BOX 231 MARYSVILLE OH 43040 INTERPRETING SERVICES 336459 FORVIS MAZARS LLP 1201 WALNUT SUITE 1700 KANSAS CITY MO 641062246 Accounting/Audit services 154989 Stinson Leonard Street LLP 1201 Walnut Street Suite 2900 Kansas City MO 641062150 Legal Services 107250 4 219795 2690073 6004427 1380235 8914295 PATIENT SERVICE REVENUE 621110 9132817 9132817 340B PHARMACY PARTNER REVENUE 621110 3832423 3832423 COVID TESTING REVENUE 621110 20060 20060 0 0 0 0 12985300 21220 21220 0 0 0 0 12575 219795 186824 -174249 -174249 INSURANCE INCENTIVE PAYMENTS 621110 473577 473577 35957 0 0 35957 509534 22256100 12985300 0 356505 688955 688955 10588720 7984937 2366109 237674 221825 164232 52741 4852 1004710 745741 236935 22034 920012 654696 245829 19487 128893 128893 235068 235068 1946333 1028288 912989 5056 38920 2290 36630 288879 68898 217442 2539 279946 27995 251951 1461186 1353926 107260 65957 5462 60495 160107 53486 106621 535742 455175 76096 4471 51725 138 51587 MEDICAL SUPPLIES 4033876 4033876 REPAIRS & MAINTENANCE 905088 110379 787394 7315 BAD DEBT 298084 298084 DUES & MEMBERSHIPS 120863 35485 85328 50 89627 40590 49037 0 24064516 17063678 6697360 303478 957691 664418 2134586 2000357 1431961 1342272 599555 1065525 0 0 0 0 0 0 338145 258021 161847 282497 8168839 1797417 2936191 6371422 0 0 0 0 0 0 5508759 4594527 14068735 16579039 740042 1763187 0 0 0 0 0 0 0 0 0 0 0 0 4900958 4031027 940238 868825 6581238 6663039 X 4407861 7140864 3079636 2775136 7487497 9916000 14068735 16579039 X -1808416 4236919 X false true X true true true X 4286069 5046419 11851630 7983032 8914295 38081445 0 4800 4800 4290869 5046419 11851630 7983032 8914295 38086245 5576547 32509698 5334 449 1712 9694 21220 38409 0 33893 79727 703812 636624 509534 1963590 40088244 32186974 0.8110 0.8206 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - OTHER MISCELLANEOUS INCOME, COLUMN A - 33893.0, COLUMN B - 79727.0, COLUMN C - 58031.0, COLUMN D - 101608.0, COLUMN E - 35957.0, COLUMN F - 309216.0; DESCRIPTION - FEES FOR SERVICES, COLUMN A - , COLUMN B - , COLUMN C - 402120.0, COLUMN D - , COLUMN E - , COLUMN F - 402120.0; DESCRIPTION - PERFORMANCE INCENTIVES, COLUMN A - , COLUMN B - , COLUMN C - 243661.0, COLUMN D - 535016.0, COLUMN E - 473577.0, COLUMN F - 1252254.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 276000 276000 3174000 74060 3099940 2506719 787416 1719303 2159320 935941 1223379 52800 52800 6371422 RIGHT OF USE ASSETS 4594527 4594527 RIGHT OF USE LEASE LIABILITY 868825 868825 25842283 3586183 3586183 22256100 0 0 22256100 23736321 0 0 23736321 328195 328195 24064516 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 BAD DEBT EXPENSE - -298084 EXPENESES INCLUDED IN REVENUE - -30111 CHANGE IN NET ASSETS - FHP - 3914378 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements BAD DEBT EXPENSE - 298084 EXPENESES INCLUDED IN REVENUE - 30111 Vibrant Voices/AVN 232370 219795 12575 0 0 6500 25031 68311 86982 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232370 219795 12575 0 0 6500 25031 68311 86982 186824 -174249 X X X X false false false false false false false false false CHARLES SMITH II CFO 141884 0 135 0 0 0 1568 0 15129 0 158716 0 0 0 PATRICK SALLEE PRESIDENT & CEO 219079 0 15135 0 0 0 2929 0 24490 0 261633 0 0 0 DR SANDRA STITES CMO 255632 0 257 0 0 0 5300 0 7417 0 268606 0 0 0 DR ANTHONY JIMENEZ VP OF DENTAL 167675 0 134 0 0 0 3805 0 22442 0 194056 0 0 0 JENNIFER BAE VP OF PHARMACY & COMPLIANCE 154081 0 137 0 0 0 3751 0 31443 0 189412 0 0 0 DR ALEXIS RICKEL DENTIST 147698 0 137 0 0 0 2370 0 6159 0 156364 0 0 0 PAOLA LUNA PEDIATRICIAN 192286 0 385 0 0 0 4123 0 12470 0 209264 0 0 0 DR MATTHEW FRY DENTIST 137737 0 135 0 0 0 2996 0 14651 0 155519 0 0 0 X 1 1173800 Market value X EQUIPMENT & SUPPLIES 1 206435 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Drugs and medical supplies - THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS DURING THE YEAR. Other - EQUIPMENT & SUPPLIES THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS DURING THE YEAR. Form 990, Part III, Line 4a Program Service Accomplishments VOLUNTEERS FOUNDED TURNER HOUSE CLINIC, INC. IN 1990. DURING THE NEXT THREE DECADES, THE ORGANIZATION EVOLVED FROM A VOLUNTEER PEDIATRIC CLINIC TO A PAID-PROVIDER PRACTICE AND ACHIEVED NATIONAL RECOGNITION AS A PATIENT-CENTERED MEDICAL HOME, PROVIDING INTEGRATED PRIMARY MEDICAL, BEHAVIORAL HEALTH AND DENTAL SERVICES FOR ALL. IN 2019, VIBRANT HEALTH RECEIVED DESIGNATION AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), AFTER OPERATING AS A FQHC LOOK-ALIKE ORGANIZATION SINCE JANUARY 1, 2018. OUR MISSION IS TO PROVIDE ACCESS TO RESPECTFUL, EMPOWERING, CULTURALLY SENSITIVE, AND APPROPRIATE HIGH QUALITY HEALTH CARE FOR THE COMMUNITY, REGARDLESS OF SOCIOECONOMIC OBSTACLES. THE TARGET POPULATION CONSISTS OF UNDERSERVED AND UNINSURED CHILDREN AND ADULTS LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. IN 2023, 82% OF PATIENTS LIVED AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL AND APPROXIMATELY 86% OF VISITS WERE PROVIDED TO PATIENTS LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. TO BETTER MEET THE NEEDS OF PATIENT FAMILIES, VIBRANT HEALTH EXPANDED WEEKDAY CLINIC HOURS TO INCLUDE MORE START TIMES BEFORE 8 AM AND MORE CLINIC HOURS AFTER 5 PM, IN ADDITION TO SATURDAY CLINIC SESSIONS. AMONG TOTAL PATIENTS, 36% WERE UNINSURED, 51% WERE MEDICAID INSURED, 10% WERE COMMERCIALLY INSURED, AND 3% WERE MEDICARE INSURED. APPROXIMATELY 67% OF PATIENTS IDENTIFIED AS HISPANIC/LATINO; 61% OF PATIENTS WERE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH; 1% OF PATIENTS IDENTIFIED AS MORE THAN ONE RACE. VIBRANT HEALTH HAS CONTRACTED WITH CHILDREN'S MERCY FOR PRIMARY CARE PEDIATRIC PROVIDER EMPLOYEES TO DELIVER SERVICES AT THE MEEKS LOCATION, PROMOTING CONTINUITY OF CARE. VIBRANT HEALTH OPENED AN IN-HOUSE 340B DISCOUNT PHARMACY TO IMPROVE PATIENT ACCESS TO AFFORDABLE MEDICATIONS TO PATIENTS. AS AN INTEGRATED PRACTICE, VIBRANT HEALTH PHARMACISTS HELP PROVIDERS MONITOR MEDICATION ADHERENCE AND PROVIDE ADDITIONAL HEALTH PROMOTION AND TREATMENT OVERSIGHT, ESPECIALLY FOR PATIENTS WITH CHRONIC CARE CONDITIONS. IN 2022, THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE RENEWED PATIENT-CENTERED MEDICAL HOME RECOGNITION OF ALL VIBRANT HEALTH CLINICS. IN ADDITION, KANCARE MANAGED CARE ORGANIZATIONS SUCH AS UNITED HEALTH CARE, SUNFLOWER, AND AETNA, HAVE ANNUALLY RECOGNIZED VIBRANT HEALTH AS MEETING OR EXCEEDING QUALITY PERFORMANCE BENCHMARKS THROUGH THE DELIVERY OF HOLISTIC PERSON-CENTERED AND COORDINATED CARE. Form 990, Part III, Line 4b Program Service Accomplishments VIBRANT HEALTH OPENED A SECOND DENTAL LOCATION IN JUNE 2023 WITH THE ACQUISITION OF FAMILY HEALTH CARE, ANOTHER FEDERALLY QUALIFIED HEALTH CARE CENTER. THE EXPANSION WAS NEEDED TO HELP INCREASE ACCESS TO DENTAL CARE SERVICES, AND TO IMPROVE THE HEALTH OUTCOMES OF UNDERSERVED ADULTS AND CHILDREN LIVING IN WYANDOTTE COUNTY, KS. THE LOCATION ADDED 2 DENTISTS, 1 HYGIENIST, AND 2 DENTAL ASSISTANTS. THE FAMILY HEALTH CARE CLINIC HAS 6 DENTAL OPERATORIES, WHICH INCREASED VIBRANT HEALTH'S TOTAL DENTAL OPERATORIES FROM 10 TO 16. THE ACQUISITION BROUGHT THE TOTAL NUMBER OF PROVIDERS TO 5 DENTIST, 5 HYGIENISTS, AND 9 DENTAL ASSISTANTS. DUE TO A RISE IN DENTAL PATIENT VOLUME, A DENTAL ASSISTANT TRAINING PROGRAM WAS DESIGNED TO PROVIDE ON THE JOB PAID TRAINING FOR NEW HIRES WITHOUT PREVIOUS DENTAL EXPERIENCE. THE PROGRAM HAD ITS FIRST COHORT OF TRAINEES IN AUGUST 2023. FIVE DENTAL HYGIENISTS HAVE SUCCESSFULLY BEEN TRAINED THROUGH THE PROGRAM. NOT ONLY DOES THE TRAINING PROGRAM FILL THE NEED FOR DENTAL ASSISTANTS, IT ALSO PROVIDES JOB OPPORTUNITIES TO MEMBERS OF THE COMMUNITY WHO MAY NOT HAVE THE ABILITY TO GET A CLINICAL JOB WITHOUT EXPENSIVE SCHOOLING OR PREVIOUS EXPERIENCE. DUE TO THE CONTINUED PRESENCE OF CENTAL CARIES IN VIBRANT HEALTH PATIENTS WHO HAVE LIMITED ACCESS TO PREVENTATIVE ORAL HYGIENE CARE, VIBRANT HEALTH PROVIDES A PORTABLE DENTAL HYGIENE PROGRAM TO AREA SCHOOLS AND IN-CLINIC. THIS PROGRAM INCLUDES DENTAL SCREENINGS, TEETH CLEANING AND SCALING, AND THE APPLICATION OF FLOURIDE VARNISHES AND DENTAL SEALANTS. IN 2023, THE OUTREACH PROGRAM PROVIDED PREVENTATIVE ORAL HYGIENE SERVICES IN MORE THAN 20 SCHOOLS. Form 990, Part VI, Line 1a Delegate broad authority to a committee Vibrant's bylaws allow the Executive Committee to make decisions on behalf of the full Board of Directors. All members are on the full Board of Directors. Form 990, Part VI, Line 11b Review of form 990 by governing body AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL. ANY QUESTIONS OR CONCERNS THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE 990 IS THEN PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD AND THE FULL BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy ANY PERSON AFFILIATED WITH VIBRANT HEALTH IS RESPONSIBLE FOR READING AND AGREEING TO THE STANDARDS OF CONDUCT/CONFLICT OF INTEREST POLICY. EMPLOYEES READ AND AGREE TO THE POLICY AT THE TIME OF HIRING, AND ANNUALLY. AT THAT TIME, ANY POSSIBLE CONFLICTS OF INTEREST ARE DISCLOSED. IF A POTENTIAL INSTANCE OF CONFLICT OF INTEREST ARISES WHICH INVOLVES A BOARD MEMBER OR THE PRESIDENT/CEO, THAT PERSON MAY MAKE A PRESENTATION TO THE BOARD TO ADDRESS THE SITUATION. AFTER THAT PRESENTATION, THE BOARD WILL DETERMINE APPROPRIATE ACTION. IF A CONFLICT OF INTEREST IS DEEMED TO BE THE CASE, HE/SHE MAY BE ASKED TO STEP AWAY FROM THE BOARD, TO PROTECT THE WELL-BEING OF VIBRANT HEALTH. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE EXECUTIVE COMMITTEE ANNUALLY REVIEWS THE CEO'S COMPENSATION USING THE KANSAS CITY NOT-FOR-PROFIT SALARY SURVEY AND FQHC SALARY SURVEYS. VIBRANT'S BOARD OF DIRECTORS THEN STUDIES AND APPROVES IT. THE CFO'S SALARY RANGE IS DETERMINED THROUGH MARKET ASSESSMENTS AND IS THEN ANALYZED AND APPROVED BY THE CEO. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue ALL OTHER REVENUE - Total Revenue: 35957, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 35957; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in Net Assets - 322541; CHANGE IN NET ASSETS - FHP - 3914378; Vibrant Community Development Corporation 21 North 12th Street Suite 300 Kansas City KS 66102 933656316 COMMUNITY DEVELOPMENT KS 501(c)(3) 7 TURNER HOUSE CLINIC INC true false false false false false false false false false false false false false false false false false false false