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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 part iii, line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2022, 70% 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, 32% WERE UNINSURED, 56% WERE MEDICAID INSURED, 10% WERE COMMERCIALLY INSURED, AND 2% WERE MEDICARE INSURED. APPROXIMATELY 65% OF PATIENTS IDENTIFIED AS HISPANIC/LATINO; 62% 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. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>form 990, part iii, line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>DENTAL CARIES (CAVITIES) ARE RAMPANT IN VIBRANT HEALTH PATIENTS AND MANY OF THEM HAVE RECEIVED NO PREVENTATIVE ORAL HYGIENE CARE. AS A RESULT, 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 FLUORIDE VARNISHES AND DENTAL SEALANTS. IN 2021, VIBRANT HEALTH COMPLETED CONSTRUCTION OF ITS DENTAL CLINIC ON THE 2ND FLOOR OF THE BETHANY MEDICAL BUILDING, WHICH IS THE LOCATION OF OUR VIBRANT HEALTH-CENTRAL CLINIC SITES. THE EXPANDED DENTAL CLINIC OPENED IN SEPTEMBER 2021 AND INCREASED OUR DENTAL OPERATORIES FROM THREE TO TEN. 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, KANSAS. AN ADDITIONAL DENTIST, TWO HYGIENISTS, AND TWO DENTAL ASSISTANTS WERE HIRED IN 2021 TO EXPAND OUR DENTAL STAFF TO PROVIDE THE NEEDED SERVICES FOR OUR PATIENTS. IN 2022 WE INCREASED TO A TOTAL OF 5 DENTAL ASSISTANTS. WE ALSO INTRODUCED OUR DENTAL PRE-NATAL CARE PROGRAM. ALL PRE-natal WOMEN WHO RECEIVE CARE THROUGH VIBRANT ALSO RECEIVE A DENTAL EXAM DURING THEIR SECOND TRIMESTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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 or hiring, and annually. Board Members sign a Conflict of Interest Form 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACTED LABOR TOTAL FEES:1716937</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:722625</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
