Dent County Health Center Board of Trustees
Call to Order and Roll Call
Bob Parsons, Chairman of the Board of Trustees, called the meeting to order at 5:05 p.m.; in attendance were board members Bob Parsons, Bob Gravely, and Dennis Floyd. Board Members Carol Lacy and Lori Hasten were absent. Also present were Zach Moser, Administrator, Roma Jones, Assistant Administrator.
Thank You Note
Chairman Parsons read a thank you note from Joanie Fleener, previous board member and recent employee who retired at the end of November.
Approval of Minutes
The minutes of the November 20th meeting were presented. Bob Gravley moved to approve the minutes. Dennis Floyd seconded and the motion carried.
Old Business
Operations Reports
| Communicable Disease | Maternal-Child Health | ||
| COVID-19 | 0 | WIC Visits | 354 |
| CD Cases | 5 | Carseats Distributed | 6 |
| STI Encounters | 11 | Cribs Distributed | 0 |
| STI Treatments | 2 | CPR Courses | 0 |
| STI Tests | 30 | Childcare Health Consultations | 0 |
| Influenza | 1 | Title X | 10 |
| Animal Bites | 6 | Show-Me Healthy Women | 0 |
| Environmental | Presumptive Eligibility | 1 | |
| Lead (Active Cases) | 72 | ||
| Total inspections | 12 | ||
| Community Specific Services | |||
| Treatment Court | 198 | All Provider Appointments | 97 |
| All Lab Appointments | 116 | All Immunization Appts | 88 |
| All Appointments other than WIC | 519 | ||
| Nurse Practitioner Service | |
| Show- Me Healthy Women | 0 |
| Family Planning | 6 |
| Well-Child | 1 |
| Other well-woman exam | 2 |
| Other Physicals | 6 |
| SEMO Physicals | 7 |
| Other Visits | 24 |
| Acute Illnesses | 51 |
| Total | 97 |
| Laboratory Detail | Immunizations | ||
| Lab Draws | 146 | COVID Vaccines | 30 |
| Rapid Tests | 2 | Influenza Vaccines | 58 |
| Pregnancy Tests | 1 | Other Vaccines | 69 |
| Lead | 3 | Total Appointments | 88 |
| Other urine drug screens | 24 | ||
| Phlebotomy Appointments | 110 | ||
| All Lab appointments | 116 | ||
Administrator’s Report
Zach reported on the election for the Board, stating there were no Trustee’s terms expiring this year, so no election notice is necessary.
Zach reported on continued delays in payments from the State. There is well over $100,000 in payments owed.
Jessica provided written reports to the Board regarding her team’s activities and the progress on the Community Health Improvement Plan and accreditation.
Zach suggested that the Board consider granting staff off December 26th, given that it falls on a Friday this year. Dennis Floyd moved to close the office on December 26th. Bob Gravley seconded, and the motion carried.
Financial Reports
DCHC financial reports for November were reviewed. Current Assets at end of November were $1,139,348.32. Total assets were $1,986,647.67, total liabilities were $365,693.02, and equity was $1,620,954.65. Revenue for the month was $71,634.70, expenses were $113,397.87 for net operating revenue of $-41,763.17. After other revenue and expenses, net revenue was $-46,582.65.
The report from H&R Block was also reviewed. Zach noted that in addition to the slow payments this was also a three payroll month.
Bob Gravley moved to approve the financial reports. Dennis Floyd seconded. Motion carried.
New Business
Zach presented the 2026 Budget. Bob Gravley moved to approve the budget. Dennis Floyd seconded and the motion carried.
Zach presented two proposed changes to the bylaws and explained the rationale behind them. The issue was tabled to be discussed with the full board at a future meeting.
Zach presented the proposed Policy Manual and an accompanying resolution which would detail the transition before a board-edict style management to a policy management, in which the Board would set policy, the administrator would set procedure, and the Administrator would be responsible for ensuring compliance with policies. The issue was tabled for further review and discussion with the full board at a future meeting.
Closed Session
Dennis Floyd moved to enter closed session pursuant to 610.021 (3) RSMo to discuss personnel. Bob Gravley seconded. A roll call vote was held as follows:
Lori Hasten – Absent; Carol Lacy – Absent; Bob Gravley – Aye; Dennis Floyd, Aye; Bob Parsons – Aye.
The Boad entered closed session at 6:15 pm.
At 6:35pm, the board returned from closed session having discussed personnel and taking a vote to modify an employee’s salary for 2026.
Next meeting and Adjournment
The next meeting date was set for January 15th, 2025 at 5pm, with the hearing for the Environmental Fees starting first at 5pm.
At 6:40 pm, Dennis Floyd moved to adjourn the meeting. Bob Gravley seconded and the motion carried.
