Minutes of October 16th, 2025 Meeting

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, Dennis Floyd, Carol Lacy and Lori Hasten.  Board Member Bob Gravley was absent. Also present were Zach Moser, Administrator, Roma Jones, Assistant Administrator, and Jessica Ricks, Population Health Director.

Roll Call

Four of five trustees were present, meeting quorum.

Approval of Minutes

The minutes of the August meeting were presented. Carol Lacy moved to approve the minutes. Lori Hasten seconded and the motion carried.

Community Health Improvement Plan

Jessica Ricks, MPH, Population Health Director, gave a presentation on the progress of the Community Health Improvement plan, which is informed by the recently completed Community Health Assessment. The three focus areas are Chronic Disease and Obesity, Substance Use and Tobacco, and Care Access. Goals and objectives will be developed under each of these categories. Work has already been completed on Goals for Chronic Disease and Obesity.

Old Business

Operations Reports

Communicable DiseaseMaternal-Child Health
COVID-190WIC Visits361
CD Cases11Carseats Distributed0
STI Encounters9Cribs Distributed1
STI Treatments1CPR Courses2
STI Tests34Childcare Health Consultations0
Influenza0Title X13
Animal Bites3Show-Me Healthy Women2
EnvironmentalPresumptive Eligibility0
Lead (Active Cases)70  
Total inspections12  
Community Specific Services
Treatment Court212All Provider Appointments146
All Lab Appointments177All Immunization Appts90
All Appointments other than WIC589  
Nurse Practitioner Service
Show- Me Healthy Women2
Family Planning4
Well-Child4
Other well-woman exam2
Other Physicals13
SEMO Physicals6
Other Visits57
Acute Illnesses58
Total115
Laboratory DetailImmunizations
Lab Draws177COVID Vaccines23
Rapid Tests15Influenza Vaccines38
Pregnancy Tests3Other Vaccines74
Lead8Total Appointments90
Other urine drug screens17  
Phlebotomy Appointments151  
All Lab appointments177  

Administrator’s Report

Zach Moser reported on the success of the October 2nd Drive Through Vaccine Clinic at the Fire Station, and thanked the DCFPD for the use of their facility. 95 patients were vaccinated and all COVID vaccines in stock were used during the event!

The Board was reminded of the Fall Health Fair scheduled for the next day, 10/17/25 from 7am to 1pm.

Zach reported on the launch of CareCab, with 61 rides conducted in September.  

Zach reported on financial delays from the state due to their process changes after their new Fiscal year, and the impact of the Federal Government Shutdown if it continues.

Zach reported on a visit by State Senator Justin Brown, Ashley Kuykendall from Beacon Reproductive Health, and Jack Seigal from Missouri Nurses Association to discuss the challenges of rural healthcare and public health.   

Financial Reports

DCHC financial reports for September were reviewed. Current Assets at end of September were $1,269,346.23. Total assets were $2,127,242.58, total liabilities were $370,253.09, and equity was $1,756,989.49. Revenue for the month was $115,557.33, expenses were $143,550.19 for net operating revenue of $-27,992.86. After other revenue and expenses, net revenue was $-30,129.57.

Bob Gravley moved to approve the financial reports. Lori Hasten seconded. Motion carried.

Closed Session

Carol Lacy moved to enter closed session pursuant to 610.021 (3) RSMo to discuss personnel. Lori Hasten seconded. A roll call vote was held as follows:

Lori Hasten – Aye; Carol Lacy – Aye; Bob Gravley – Absent; Dennis Floyd -aye; Bob Parsons – Aye.

The Boad entered closed session at 6:00 pm.

At 8:09pm, the board returned from closed session having discussed personnel but taking no disclosable votes other than setting a special meeting for 10/27/25 at 5pm. Open session resumed below.

New Business

Zach requested guidance on the Bank of Salem CD expiring on 10/18/25 for approximately $207,000. Carol Lacy moved to allow the CD to renew with Bank of Salem. Lori Hasten seconded and the motion carried.

An employee application for tuition reimbursement and student loan repayment was evaluated for $8,000. Carol Lacy moved to approve the application for the amount of $8,000. Dennis Floyd seconded and the motion carried.

Zach asked for direction on the plan for developing the 2026 budget. Discussion was held indicating that Bob Gravley, board treasurer, would work directly with Zach to prepare a budget for approval at later meetings.

Next meeting and Adjournment

The next meeting date was set for November 20th, 2025 at 5pm.

A special meeting was set for October 27th at 5pm.

At 8:23pm, Lori Hasten moved to adjourn the meeting. Carol Lacy seconded and the motion carried.