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 Disease | Maternal-Child Health | ||
| COVID-19 | 0 | WIC Visits | 361 |
| CD Cases | 11 | Carseats Distributed | 0 |
| STI Encounters | 9 | Cribs Distributed | 1 |
| STI Treatments | 1 | CPR Courses | 2 |
| STI Tests | 34 | Childcare Health Consultations | 0 |
| Influenza | 0 | Title X | 13 |
| Animal Bites | 3 | Show-Me Healthy Women | 2 |
| Environmental | Presumptive Eligibility | 0 | |
| Lead (Active Cases) | 70 | ||
| Total inspections | 12 | ||
| Community Specific Services | |||
| Treatment Court | 212 | All Provider Appointments | 146 |
| All Lab Appointments | 177 | All Immunization Appts | 90 |
| All Appointments other than WIC | 589 | ||
| Nurse Practitioner Service | |
| Show- Me Healthy Women | 2 |
| Family Planning | 4 |
| Well-Child | 4 |
| Other well-woman exam | 2 |
| Other Physicals | 13 |
| SEMO Physicals | 6 |
| Other Visits | 57 |
| Acute Illnesses | 58 |
| Total | 115 |
| Laboratory Detail | Immunizations | ||
| Lab Draws | 177 | COVID Vaccines | 23 |
| Rapid Tests | 15 | Influenza Vaccines | 38 |
| Pregnancy Tests | 3 | Other Vaccines | 74 |
| Lead | 8 | Total Appointments | 90 |
| Other urine drug screens | 17 | ||
| Phlebotomy Appointments | 151 | ||
| All Lab appointments | 177 | ||
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.