2025-06-16T19:13:25-05:00 2023-12-31 480573184 REGIER CARR & MONROE LLP 300 W DOUGLAS AVE STE 900 WICHITA KS 672022914 990 2023-01-01 480891620 CAIRN HEALTH INC CAIR 3166837559 1514 N BROADWAY AVE WICHITA KS 672141106 AMBER BECK EXECUTIVE DIRECTOR 3166837559 2025-05-12 1 0 MARSHAL HULL CPA P00715586 3162642335 2025-05-12 2023 2025-03-06 01:10:19Z X AMBER BECK 1514 N BROADWAY AVE WICHITA KS 672141106 394955 0 X CAIRNHEALTH.ORG X 1937 KS THE CAIRN HEALTH MISSION IS TO LINK QUALIFIED, LOW-INCOME INDIVIDUALS OF (CONT.) SEDGWICK COUNTY, KANSAS WITH PRESCRIPTION MEDICATIONS AND VISION CARE. 9 9 8 26 0 0 458623 388904 5195 0 296 6051 0 0 464114 394955 135825 80495 0 0 301948 230005 0 0 17606 78590 93484 516363 403984 -52249 -9029 341738 326212 9004 2507 332734 323705 X CAIRN HEALTH, INC. (THE ORGANIZATION) PROVIDES ACCESS TO PRESCRIPTION MEDICATIONS AND DIABETIC SUPPLIES, AND PRESCRIPTION EYEGLASSES AND REFERRAL FOR LOW-COST EYE EXAMS TO QUALIFIED CLIENTS. QUALIFIED CLIENTS ARE INDIVIDUALS, FAMILIES, CHILDREN AND (CONT.) SENIORS WHO LIVE OR WORK IN SEDGWICK COUNTY, HAVE NO PRESCRIPTION INSURANCE OR QUALIFY FOR ANY GOVERNMENT PROGRAM, AND LIVE AT OR BELOW THE POVERTY GUIDELINES ESTABLISHED BY THE FEDERAL GOVERNMENT. 0 0 327237 80495 0 THE VOUCHER PROGRAM PROVIDES LIMITED EMERGENCY FUNDS YEARLY THROUGH VOUCHERS TO QUALIFIED CLIENTS FOR PRESCRIPTION MEDICATION AND DIABETIC SUPPLIES, LOW-COST EYE EXAM REFERRALS, AND TO PURCHASE PRESCRIPTION EYEGLASSES. 327237 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 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 0 0 0 0 0 1 0 0 1 8 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 X THE ORGANIZATION 3166837559 1514 N BROADWAY AVE WICHITA KS 672141106 KENT KOEHLER PRESIDENT 1.00 X X 0 0 0 MALACHI WINTERS VICE PRESIDENT 1.00 X X 0 0 0 MELISSA BIRKEY BOARD MEMBER 1.00 X 0 0 0 HEATHER POORMAN SECRETARY 1.00 X X 0 0 0 BROOKE AZIERE BOARD MEMBER 1.00 X 0 0 0 JENNIFER GROSS BOARD MEMBER 1.00 X 0 0 0 JAMES VAYDA BOARD MEMBER 1.00 X 0 0 0 THI-THI NGUYEN BOARD MEMBER 1.00 X 0 0 0 CALVIN PEARSON BOARD MEMBER 1.00 X 0 0 0 AMBER BECK EXECUTIVE DIRECTOR 40.00 X 47881 0 0 47881 0 0 0 0 0 0 0 388904 6315 388904 6051 6051 394955 0 0 6051 80495 80495 69774 64500 1977 3297 101690 81244 15169 5277 3525 2996 353 176 42226 35892 4222 2112 12790 10872 1279 639 6050 2420 3025 605 24703 9881 12352 2470 15704 9422 4711 1571 14554 7277 7277 3015 2412 151 452 1928 1736 96 96 3551 3551 RENTAL & MAINTENANCE OF 9656 8690 966 INKIND EXPENSE 6192 6192 PRINTING & PUBLICATIONS 4553 1821 1821 911 TELEPHONE 2774 1387 1387 804 804 403984 327237 59141 17606 121508 19956 217941 290232 1075 156387 141438 2289 14949 341738 326212 9004 2507 9004 2507 X 311957 323705 20777 0 332734 323705 341738 326212 -9029 0 X 0 1 X 1 0 X 656832 642106 510845 458623 388902 2657308 656832 642106 510845 458623 388902 2657308 2657308 785 317 202 296 6051 7651 496 50 546 2665505 30494 0.99690 0.99870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 156387 141438 14949 14949 394953 0 394953 2 2 394955 403982 0 403982 2 2 403984 PART XI, LINE 4B - OTHER ADJUSTMENTS: ROUNDING PART XII, LINE 4B - OTHER ADJUSTMENTS: ROUNDING 1 THE ORGANIZATION PROVIDES VOUCHERS FOR PRESCRIPTION MEDICINES, EYE EXAMINATIONS AND PRESCRIPTION EYEGLASSES. 2232 80495 PART I, LINE 2: CLIENTS IN NEED OF MEDICATION ASSISTANCE MAY CONTACT THE AGENCY VIA PHONE, VIA A REFERRAL FROM A PARTNERING PROVIDER THROUGH HIPAA COMPLIANT FAX TRANSMISSION, OR BY COMING TO THE OFFICE. THE CLIENT WILL BE ASKED TO COMPLETE AN ONLINE APPLICATION PROCESS IF POSSIBLE VIA A HIPAA-SECURE ELECTRONIC HEALTH INTAKE SYSTEM CALLED INTAKEQ. THESE INTAKES ARE REVIEWED AND MANAGED BY OUR CLIENT ADVOCATES, WHO ASSURE THAT ALL DOCUMENTATION IS PROVIDED APPROPRIATELY AND THEN ASSIST THE CLIENT TO ACCESS THE ASSISTANCE THEY SEEK. INFORMATION IN THE INTAKEQ SYSTEM IS ENTERED BY THE CLIENT AND IS THEIR DIRECT POINT OF ENTRY AND CONTACT WITH THE ADVOCATE. THIS INFORMATION, ONCE REVIEWED AND VERIFIED, IS ENTERED INTO THE CAIRN HEALTH CLIENT DATABASE, FROM WHICH A VOUCHER MAY BE CREATED AND FAXED TO THE PHARMACY. CLIENTS REQUESTING ASSISTANCE WITH LOW-INCOME EYE EXAMS MUST ALSO COMPLETE THE ELIGIBILITY APPLICATION AND SUBMIT DOCUMENTATION OF INCOME IN ORDER TO HAVE THEIR EYE EXAM SCHEDULED. THIS PRIMARILY OCCURS OVER THE PHONE. THE CLIENT IS RESPONSIBLE FOR A PORTION OF THEIR EYE EXAM FEE. THE FEE IS DETERMINED BASED ON THE CLIENT'S HOUSEHOLD INCOME USING A SLIDING SCALE. THE CLIENT MUST READ AND SIGN A CONSENT FORM AGREEING TO THE TERMS OF THE CAIRN HEALTH VISION POLICY. ONCE THE EYE EXAM APPOINTMENT IS SCHEDULED AND CONSENT FORM SIGNED, THE ADVOCATE CRATES A VOUCHER WHICH INDICATES THE DATE/TIME OF THE APPOINTMENT, THE NAME OF THE DOCTOR AND THE EYE EXAM FEE DUE AT THE TIME OF THE APPOINTMENT. THE VOUCHER IS THEN FAXED TO THE PROVIDER AND A COPY IS SENT OR GIVEN TO THE CLIENT TO TAKE WITH THEM. CAIRN HEALTH HAS AGREEMENTS WITH OPTOMETRIST PROVIDERS TO PROVIDE EYE EXAMS AT REDUCED RATES. THE CLIENT MUST PAY THIS FEE IN ADVANCE OF THE EYE APPOINTMENT DIRECTLY TO THE PROVIDER'S OFFICE. THE OPTOMETRIST THEN PROVIDES A VISION PRESCRIPTION TO THE CLIENT AND FAXES A COPY OF THE PRESCRIPTION TO CAIRN HEALTH TO INDICATE 1) COMPLETION OF THE EYE EXAM AND 2) TO BEGIN THE PROCESS OF VOUCHERING FOR THE GLASSES. THE CLIENT CONTACTS THE OFFICE AND SELECTS AN OPTICAL SHOP PROVIDER WHERE HE/SHE WILL BE PROVIDED WITH A BASIC PAIR OF PRESCRIPTION GLASSES. CAIRN HEALTH IS THEN BILLED ONCE PRESCRIPTIONS ARE FILLED BY THE PHARMACY AND/OR THE OPTICAL SHOP. THESE BILLS ARE RECONCILED TO VOUCHERS ON A MONTHLY BASIS. FORM 990, PART VI, SECTION A, LINE 8B THE COMMITTEES CAN ONLY PROVIDE RECOMMENDATIONS TO THE BOARD, THEY CANNOT MAKE ANY DECISIONS. FORM 990, PART VI, SECTION B, LINE 11B THE TREASURER REVIEWS THE FORM 990 AND PRESENTS IT TO THE BOARD FOR RATIFICATION. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD IS REQUIRED TO REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD BASES COMPENSATION ON ANNUAL REVIEW AND MERIT INCREASES. COMPENSATION CHANGES ARE REVIEWED AND RATIFIED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, SECTION B - AMENDED RETURN THE 990 IS BEING AMENDED TO CORRECT PART I, PART III, PART VII SECTION A EXECUTIVE DIRECTOR COMPENSATION, PART VIII, PART IX, PART X, PART XI, PART XII, SCHEDULE A PART II, SECTION A, SCHEDULE D PART VI AND SCHEDULE I PART III (C).