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 5:04 p.m.; in attendance were board members Bob Parsons, Bob Gravley, Carol Lacy, Lori Hasten and Dennis Floyd. Also present were Zach Moser, Administrator, Roma Jones, Assistant Administrator.
Approval of Minutes
The minutes of the January 15th, and January 22nd meetings were presented. Dennis Floyd moved to approve the minutes from the 15th. Lori Hasten seconded and the motion carried. Carol Lacy moved to approve the minutes from the 22nd. Bob Gravley seconded and the motion carried.
Public Hearing on Food Code Fee Schedule
The proposed changes to the fee schedule were reviewed:
| Proposed Changes to Fee Schedule | Current | Proposed |
| High Priority Establishment | $ 150.00 | $ 300.00 |
| Medium Priority | $ 100.00 | $ 200.00 |
| Low Priority | $ 75.00 | $ 150.00 |
| School Cafeteria | $ 65.00 | $ 100.00 |
| Temporary food events | $ 10.00 | $ 25.00 |
| Plan Review (New establishment) | $ 150.00 | $ 250.00 |
| Justified Complaint Inspection | $ 100.00 | $ 300.00 |
| 2nd Reinspections | $ 150.00 | $ 300.00 |
| Emergency Response | $50 per hour | $100/hr |
| Removal of Placard | $ 100.00 | Remove |
| Replacement Placard | $ 25.00 | $ 25.00 |
| Late fees | $5 per day up to 30 days | 1x 50% fee |
Suggested changes to the fee schedule are based on the salary and fringe expenses association with conducting one inspection, which is approximately $50 per hour. Inspections and paperwork take a minimum of 6 hours.
A Legal Notice was placed in the Salem News and a press release issued to all local media.
The floor was opened for public comments, but there were none.
After the comment period was closed, Bob Gravley moved to approve the changes to the fee schedule to go into effect immediately for any new establishments and reinspections and July 1st, 2026 for renewals. Carol Lacy seconded and the motion carried.
Old Business
Operations Reports
| Communicable Disease | Maternal-Child Health | ||
| COVID-19 | 3 | WIC Visits | 331 |
| CD Cases | 13 | Carseats Distributed | 9 |
| STI Encounters | 22 | Cribs Distributed | 5 |
| STI Treatments | 9 | CPR Courses | 0 |
| STI Tests | 82 | Childcare Health Consultations | 0 |
| Influenza | 72 | Title X | NR |
| Animal Bites | 3 | Show-Me Healthy Women | 1 |
| Environmental | Presumptive Eligibility | 0 | |
| Lead (Active Cases) | 69 | ||
| Total inspections | 17 | ||
| Community Specific Services | |||
| Treatment Court | 178 | All Provider Appointments | 144 |
| All Lab Appointments | 162 | All Immunization Appts | 36 |
| All Appointments other than WIC | 516 | CareCab Rides | 47 |
| Nurse Practitioner Service | |
| Show- Me Healthy Women | 1 |
| Family Planning | 11 |
| Well-Child | 1 |
| Other well-woman exam | 1 |
| Other Physicals | 8 |
| SEMO Physicals | 14 |
| Other Visits | 49 |
| Acute Illnesses | 59 |
| Total | 144 |
| Laboratory Detail | Immunizations | ||
| Lab Draws | 163 | COVID Vaccines | 8 |
| Rapid Tests | 16 | Influenza Vaccines | 16 |
| Pregnancy Tests | 2 | Other Vaccines | 31 |
| Lead | 10 | Total Appointments | 36 |
| Other urine drug screens | 12 | ||
| Phlebotomy Appointments | 122 | ||
| All Lab appointments | 152 | ||
Administrator’s Report
Zach Moser reported that several dates were set for events in 2026 including:
- Gala – April 24th
- May 1st – Spring Health Fair
- August 15th – Back to School Imz Clinic
- October 1st – Drive Through Flu Imz clinic
- October 16th – Fall Health Fair
Zach reported on progress on the annual financial audit and reported that the CD approved at the previous meeting was purchased.
Zach reported on the tentative acceptance of the Cybersecurity improvement grant, with the hope to switch to a contracted IT service rather than a full-time employee, pending approval by the grantors.
Zach reported that a CareCab driver was hired and the graphics were installed on the van and services have resumed.
Zach presented two opioid grants that were awarded and asked for budget approval. Bob Gravley moved to modify the budget to accommodate the two grants. Carol Lacy seconded and the motion carried.
Zach discussed the DCHC Care fund – previously an unofficial fund administered by employees to purchase flowers for funerals, weddings, and other events. Zach requested permission to make this an official fund, allow payroll deduction, and make purchases through this fund. Carol Lacy moved to approve the program. Dennis Floyd seconded and the motion carried.
Financial Reports
DCHC financial reports for January were reviewed. Current Assets at end of December were $1,338,496.12. Total assets were $2,1175,200.47, total liabilities were $364,172.88, and equity was $1,811,027.59. Revenue for the month was $195,688.48, Cost of services were $50,384.84 for gross revenue of $145,303.64. Expenses were $74,105.26 for net operating revenue of $71,198.38. After other revenue and expenses, net revenue was $76,774.63.
No report from H&R Block was received.
Bob Gravley moved to approve the financial reports. Lori Hasten seconded. Motion carried.
New Business
Zach presented details on a new position requested – Grant & Strategic Initiatives Coordinator funded between 3 or more grants with compensation ranging from $20-$28 depending on experience. Lori Hasten moved to approve the request. Bob Gravley seconded and the motion carried.
Next meeting and Adjournment
The next meeting date was set for March 19th, 2026 at 5pm.
At 6:33 pm, Carol Lacy moved to adjourn the meeting. Dennis Floyd seconded and the motion carried.
