21 Municipal DriveArnold, M O 63010

LOCATION+1 636 933 2700

PHONE NUMBERwww.comtrea.org

WEBSITE

Board MeetingJuly 16, 2018

FACEBOOKhttps://www.facebook.com/COMTREA/

OUR MISSIONTo lead in providing quality,

comprehensive healthcare that is

affordable and accessible, and to

support the dedicated professionals

who make caring for the individuals

we serve their number one priority.

AGENDA7:30 AM – Meeting Open

Approval of Agenda and Minutes

CLOSED SESSION

Financials

CEO Report

Action Items

Discussion Items

Adjournment

MOTION:

“I, ______, move that the Board approve the, July 16, 2018 Meeting Agenda.”

APPROVAL OF AGENDA

MOTION:

“I, ______, move that the Board approve the June 18, 2018 Meeting Minutes.”

APPROVAL OFMEETING MINUTES

CLOSED SESSION

BOARD MEMBERS ONLY

“As a member of the Finance Committee, I _________, move that the Board approve the financials for the month of May, 2018.”

ACCOUNT RECIEVABLES$3,043,579.53

FINANCIAL REPORT

CASH ON HAND$1,877,830.36

MOTION:

FINANCIAL FOCUS UPDATE STATE ASSOCIATIONS AND

ADVOCACY UPDATE DIVISIONAL UPDATES FY2018 STRATEGIC PLAN HRSA VOLUNTEERS

CEO REPORT

GROWTH REPORTS

CASH FLOW ACTION PLAN

CEO REPORT

FINANCIAL FOCUSUPDATE

GROWTH REPORT – PRIMARY CAREJUNE: # of Work Days 21.00

Net Rev Per Visit PC 166.00 Weekly GOALS# DAYS

MTD21

Net Patient Rev/Visit 99.00 101 Schedule 86 Actual Actual THRU 6/30MONTH END FORECAST - PRIMARY CARE REVENUE &

BUDGET

PRIMARY CARE VISITS > Schedule 10-Hr Day Actual 10-Hr Day 8-Hr Day ACT MTD

PROJ VISITS GOAL % GOAL

PROJ REV

BUD REV % VAR

Dr. Turner 0.38 38.4 9.6 32.7 8.2 6.5 99 99 137 72% 16,434Dr. Helton 1.00 101.0 25.3 86.0 21.5 17.2 221 221 361 61% 36,686Ashley Whitley 0.90 90.9 22.7 77.4 19.4 15.5 144 144 325 44% 23,904Ashleigh McGrath 1.00 101.0 25.3 86.0 21.5 17.2 279 279 361 77% 46,314Amanda Sherwood 0.75 75.8 18.9 64.5 16.1 12.9 145 145 271 54% 24,070Dr. Hampton 0.50 50.5 12.6 43.0 10.8 8.6 111 111 181 61% 18,426

0.0 0.0 0.0 0.0 0.0 0 0 0 #DIV/0! 0

TOTALS 4.53 457.5 114.4 389.6 97.4 77.9 999 999 1,636 61% 165,834 178,449 92.93%

Notes: Ashley Whitley x2 PTO, Ashliegh McGrath x.5 Sick DayPATIENT REVENUE $98,901 85%

GROWTH REPORT – ORAL HEALTH / DENTISTJUNE: # of Work Days 21.00Net Rev Per OH Visit 188.00 Weekly GOALSNet Patient Rev/Visit 150.00 75 Schedule 62 Actual Actual THRU 6/30 MONTH END FORECAST

ORAL HEALTH VISITS FTE Schedule 10 Hr Day Actual 10 Hr Day 8-Hr Day ACT MTDPROJ VISITS GOAL % GOAL

PROJ REV

Dr Suter 0.13 9.8 2.4 8.1 2.0 1.6 11 11 34 32% 2,068Dr. Garland 0.75 56.3 14.1 46.5 11.6 9.3 58 58 195 30% 10,904Dr. Empkey 0.50 37.5 9.4 31.0 7.8 6.2 88 88 130 68% 16,544Dr. Garrity 1.00 75.0 18.8 62.0 15.5 12.4 130 130 260 50% 24,440Dr Blattel 1.00 75.0 18.8 62.0 15.5 12.4 147 147 260 56% 27,636Dr. Landsford 1.00 75.0 18.8 62.0 15.5 12.4 207 207 260 79% 38,916Dr. Mazuranic 0.20 15.0 3.8 12.4 3.1 2.5 69 69 52 132% 12,972Dr. Desamero 1.00 75.0 18.8 62.0 15.5 12.4 96 96 260 37% 18,048Dr. Puisis 0.20 15.0 3.8 12.4 3.1 2.5 46 46 52 88% 8,648Dr. Greaves 0.20 15.0 3.8 12.4 3.1 2.5 22 22 52 42% 4,136Dr. Emily 0.50 37.5 9.4 31.0 7.8 6.2 132 132 130 101% 24,816Dr. Taylor 0.50 37.5 9.4 31.0 7.8 6.2 129 129 130 99% 24,252

0.0 0.0 0.0 0.0 0.0 0 0 0 #DIV/0! 0TOTALS 6.98 523.5 130.9 432.8 108.2 86.6 1,135 1,135 1,818 62% 213,380

83% PATIENT REVENUE $170,250

GROWTH REPORT – ORAL HEALTH / HYGENISTSWeekly GOALS

# Pts 42 Schedule 33 Schedule THRU 6/30 MONTH END FORECASTOH - HYGIENISTS FTE Schedule 10 Hr Day Actual 10 Hr Day ACT MTD PROJ VISITS GOAL % GOAL PROJ REVSandy Holified 0.10 4.20 1.1 3.3 0.8 0 0 14 0% 0Suzanne Seawel 0.80 33.60 8.4 26.4 6.6 77 77 111 69% 14,476Amanda Govreau 0.80 33.60 8.4 26.4 6.6 38 38 111 34% 7,144Renee Blanken 0.75 31.50 7.9 24.8 6.2 33 33 104 32% 6,204Ashley Wegener 0.25 10.50 2.6 8.3 2.1 25 25 35 72% 4,700Angelica Miller 1.00 42.00 10.5 33.0 8.3 58 58 139 42% 10,904Tiffany Grant 0.50 21.00 5.3 16.5 4.1 44 44 69 63% 8,272Kate Poleos (support) 0.30 12.60 3.2 9.9 2.5 22 22 42 53% 4,136

0.00 0.0 0.0 0.0 0 0 0 #DIV/0! 00.00 0.0 0.0 0.0 0 0 0 #DIV/0! 00.00 0.0 0.0 0.0 0 0 0 #DIV/0! 0

TOTALS 4.50 189.0 47.3 148.5 37.1 297 297 624 48% 55,836

79% PATIENT REVENUE $44,550

DENTAL REVENUE TOTALS THRU 6/30 MONTH END FORECAST - DENTAL REVENUE & BUDGET

ACT MTDPROJ VISITS GOAL

REV/VISIT PROJ REV BUD REV % VAR

Dentists 1,135 1,135 1,818 62% 213,380Hygienists 297 297 624 48% 55,836Total 1,432 1,432 2,441 59% 269,216 454,880 59.18%

Total Patient Revenue

$214,800

CASH FLOW ACTION PLAN# ACTION STEP OWNER Apr-18 May-18 Jun-181 Develop a "Growth Report" with publication

each Tuesday that records the units of service (visits) each for Primary Care and Oral Health. The run rate for each week will be used to forecast the revenue at the month-to-date run rate. This report will be reviewed with weekly alignment steps.

Sue The Growth Report has been designed and implemented with publication each Tues. to Leadership Council, Practice Managers for Primary Care & Oral Health, and Finance Committee.

Fully implemented with distribution each Tues. to Leadership Council and Finance Subcommittee of the Board.

Consistent distribution of the Growth Report on a weekly basis with steps (b) through (e) consistently implemented,

(a) Develop the Growth Report format Sue Developed 4/06 with revisions over the next two weeks with its current format.

Done; no issues

(b) Produce the number units of service for the prior week that is due to Sue by noon each Monday.

Darlene; Nicole

Compliance with meeting this expectation by the Practice Managers, Darlene Herrell for PC and Nicole Bollinger for OH.

Consistent implementation; no issues

(c) Obtain the revenue production for the prior week and send to Sue by noon each Monday.

Amy Report revised to use net revenue per visit to forecast the revenue MTD and month end. CEO & CFO worked together to derive the conservative rate based on an annual trend.

The Dental net revenue per visit was adjusted from $225 to $188 per visit based on more current financial data. The Primary Care net revenue rate/visit has been validated as "on target".

(d) Populate the Growth report and distribute by 3 PM each Tuesday to Leadership Council, Primary Care and Dental Leadership.

Sue Distributed per plan. Done; no issues

(e) Review of the Growth report by C-Team with assessment of ongoing progress, or lack of, and alignment steps.

Sue, Amy, Lisa, Margo

C-Team meets weekly on Mondays to review of Growth Report, Cash Flow report and other measures as part of financial management.

Weekly review; The framework that the Growth Report was built on has been used for developing the revenue projections for the FY 2019 Budget. The key requirement will be provider production adherence.

CASH FLOW ACTION PLAN, cont.# ACTION STEP OWNER Apr-18 May-18 Jun-182 Primary Care Action Plan with 4 key action steps that is

reported on with weekly updates and in-depth review at MORs, which are scheduled the 4th Monday of each month.

Darlene Prior Action plan revised to focus on 4 key initiatives with inclusion of Office Managers in the implementation and oversight. Scheduled call each Friday to review progress and daily email/calls as needed.

Ongoing Requested revision of the PC Action Plan with a 3-tiered approach if the financial outcomes at the end of FY Q.1 are not at budget. Tiers include Plan A –designed for financial outcomes of 10% or less below budget; Plan B – designed for financial outcomes of 11-20% below budget; and Plan C –designed for financial outcomes of 21% or greater below budget

(a) Inclusion of the Primary Action Plan with this Improvement Plan.

Sue Completed. Ongoing

(b) Weekly review with Darlene Herrell (Primary Care Operations Manager) on Fridays at 7:30 AM.

Sue Ongoing. Continued implementation of weekly call with dual purpose of gathering updates and providing support.

Weekly Friday calls at 7:30 AM.

(c) Monthly review and alignment discussions with Primary Care Leadership (Darlene Herrell, Dr. Turner, Patty Vanek)

Sue Ongoing. Dr. Turner has added one additional hour (20 per week) for seeing patients. Ongoing discussions on collocation of primary care providers at the BH clinics. Plan to have NP, Ashley Whitley at Arnold eff. 7/1. We have moved Dr. Hampton to The Valley after Jill was terminated and patient visits are increasing.

Implemented plan from April continues with the goal outcomes of increased provider production realized. April provider actual capacity was 71% and this increased to 86% in May. Additional metrics have been added to measure and improve the patient care experience for cycle time, provider call back to patient messages/refill requests, and visit documentation time.

Continuing. Production performance fell in June to 61%, which is lower than May at 84% and April at 71%. Decline in June production performance was secondary to PTO of several providers. Expectation of covering PTO with the providers picking up additional patient care was stated. See 2(e).

(d) Reduction in staff - one NP effective 4/06/18 HR Completed. Continue to monitor provider production and number of patients paneled to each provider. Our baseline in 2016 was 624 and the 50th percentile for MO FQHCs was 920.

Completed; continue to assess the production of each provider with focus on barrier identification and addressing opportunities.

(e) Add one day additional treatment to Dr. Turner's schedule

Sue Completed. Impact of adding an additional 8 hours of clinic time per week generated issues with timeliness of call back and support delays. Clinic time reduced from 20 hrs. per week to 15; prior was 12.

It is the expectation of Dr. Turner and other providers to pick up additional patient treatment time during peer PTO time frames and as needed overall.

(f) Continue with enhanced marketing plan. Kim; Liz Two meetings this month with Nathanael (Marketing) and Primary Care. Outcomes are updated brochures and input for the social media postings.

Continued per plan. A flyer for the Pediatric providers, both Dr. Hampton (PC) and Dental (Dr. Darling) will be distributed to the community via The Leader on 6/14.

Continuing. Marketing is now a direct report to Lisa Rothweiler effective 7/01/18.

CASH FLOW ACTION PLAN, cont.# ACTION STEP OWNER Apr-18 May-18 Jun-183 Oral Health Action Plan with monthly projection

that outlines the dates for each of the five dentists joining the agency and the corresponding increase in visits and revenues.

Dr. Garland; Nicole

Bollinger

The six dentist positions have been filled with all dentists onboarding between 5/21 and 8/13. Forecast developed by Dr.. Garland and Dr. Suter with review by the C-Team.

As of 6/01, two of the six dentists have started (Dr. Taylor Kennedy & Dr. Emily Kennedy). Ramp-up production time set at 25% - Month 1, 50%-Month 2 & 3, 75%-Month 4 and at capacity (85%) Month 5. This will be greatly accelerated for seasoned dentists that have 2-3 years+ experience.

Four additional dentists are joining in July including Dr. Lorenz - 7/02, Dr. Darling - 7/16, Dr. Mazoli - 7/16, and Dr. Olga - 7/16.

(a) Expectation for positive contribution margin and weekly monitoring through the Growth Report and weekly call with Nicole.

Sue Dental Leadership working towards fulfillment of this expectation, which is tied to dentists onboard and at capacity. Scheduling for each dentist will begin prior to each start date.

Growth report production expectations set at 83%; May production realized at 67% and Apr at 65%. The FY 2019 Dental budget is set at 80% production. Dr. Garland has identified several workflow enhancements to increase efficiencies and visits.

Improvement in production expected with the providers joining and increased mobile outreach under Dr. Garland's leadership. Provider production: June - 62%, May - 71%, Apr - 76%.

(b) Flex the additional expenses incurred with the Dunklin SBHC with use of existing equipment when possible.

Amy This is a component of the work plan. Final plans drawn up and MOU pending signature. Target date for opening is day after Labor Day pending approval by HRSA for adding to In-Scope.

Delay in planned opening date due to request by the city of Herculaneum to review of plans at their July 9th P&Z meeting in order to obtain permits.

(c) No further expansion; get our current sites performing at expectation when fully staffed.

Sue; All Communicated to Dental Leadership and C-Team holding to accountability.

Continued. Continued.

(d) HR to revise/expand operational workflows to ensure all providers are credentialed and privileged the day each one starts.

Donna Workflow revisions completed and start date in the offer letter contingent on provider’s submission of credentialing and privileging paperwork by specified date. If not received, start date will be changed to allow full opportunity for provider to be credentialed at the start date.

Credentialing packets sent out with Hire Letter and weekly tracking with report summary provided by Eric (in Finance and reports to Amy).

Amy working with Eric and addressing performance issues per the disciplinary process. Additional support provided to get all applications current and submitted.

(e) Schedule patients in advance so provider starts with a schedule of patients.

Amanda Integrated as part of the new process. Ongoing implementation Ongoing implementation

CASH FLOW ACTION PLAN, cont.# ACTION STEP OWNER Apr-18 May-18 Jun-184 Strategic Planning and 2019 FY Budget Sue; Amy

(a) Deep dive analysis into requested positions and verification of need; review current roles and determine needs of the business and re-alignment.

Sue, Amy, Lisa,

Margo

In process. In process with request limited to Essential staff positions. Meeting set for Fri. 6/08 to finalize approved positions to bring to the Board with mapped out timelines and outcomes delivered.

Completed; 2019 Budget and updated Strategic Plan approved by the Board at the June meeting.

(b) Determine which positions could be eliminated or reduced in the FY2019 Budget based on the changing needs of the business.

Sue, Amy, Lisa,

Margo

In process. Completed. One position elimination in FY 2019 budget. Hold on other positions with review of needs after integration of same type roles across divisions that currently function in silos.

Completed. All others on hold.

(c) Review the ratio of Medical Assistants to Providers and determine best practice ratio with implementation and consistency across divisions.

Patty, Margo, Dr.

Garland

Review completed for Primary Care with average of 1.5 per provider, which is minimum for optimal practice and rooming two patients at each appointment time.

Continued implementation of current "best/preferred "practice guidelines.

Completed; 2019 Budget and updated Strategic Plan approved by the Board at the June meeting.

(d) Assess treatment time percentages for Clinical Leadership and any changes given the needs of the business.

Sue, Amy, Lisa,

Margo

To be discussed. Decision - not to implement at current time given the administrative requirements for CCBHC.

(e) Identify opportunities for a more "lean" Administrative support.

Sue, Amy, Lisa,

Margo

In process. Continued process of inquiry and discovery with role of the Office & Clinic Managers.

STATE ASSOCIATIONS AND ADVOCACY UPDATE

CEO REPORT

MPCA ANNUAL CONFERENCEOCTOBER 25 AND 26TH

BRANSON, MO

PRIMARY CARE ORAL HEALTH

DIVISIONAL UPDATESBEHAVIORAL HEALTH

PSYCHIATRY

FY2018 STRATEGIC PLAN UPDATEPILLAR Q.1 Q.2 Q.3 Q.4 COMMENTSMission & Collaboration

# Indicators 7 7 7 7 100% implementation.# Action Steps 19 19 19 19# Action Steps Initiated 16 19 19 19

% Steps Initiated 84% 100% 100% 100%Engagement & Leadership

# Indicators 9 9 9 9 Action step of referral bonus for staff not implemented due to other budget priorities.# Action Steps 20 20 20 20

# Action Steps Initiated 15 18 19 19% Steps Initiated 75% 90% 95% 95%

Accountability & Sustainability# Indicators 11 11 11 11 100% implementation.# Action Steps 27 27 27 11# Action Steps Initiated 18 25 26 11

% Steps Initiated 67% 93% 96% 11Integration

# Indicators 9 9 9 9 100% implementation.# Action Steps 18 18 18 18# Action Steps Initiated 13 18 18 18

% Steps Initiated 72% 100% 100% 100%TOTAL

# Indicators 36 36 36 36# Action Steps 84 84 84 68# Action Steps Initiated 62 80 82 67

% Steps Initiated 74% 95% 98% 99%

CEO REPORT

MONTHLY ANNUAL REVIEW

BILLING AND COLLECTIONS FISCAL Amy Rhodes

July YES NO NA

a. Fee Schedule for In-Scope Services 1

b. Basis for Fee Schedule 1c. Participation in Insurance Programs 1

d. Systems and Procedures 1e. Procedures for Additional Billing or Payment Options 1

f. Timely and Accurate Third Party Billing 1g. Accurate Patient Billing 1h. Policies or Procedures for Waiving or Reducing Fees 1

i. Billing for Supplies or Equipment 1j. Refusal to Pay Policy 1

TOTAL 10 0 0

% 100%

#14 BILLING AND COLLECTIONS

CEO REPORT

SUD-MH EXPANSION GRANT BUDGET

ADDITION OF DUNKLIN SCHOOL TO FORM B

BOARD MEMBERS USING FQHC SERVICES

2018

53% Of Board Members are using FQHC Services

47% Board Members NOT utilizing FQHC Services

HRSA REQUIRES

51%

53% 47%

JULY

IN COMPLIANCE

CEO REPORT

UPCOMING MOCK SURVEY

August 21st and 22nd

VOLUNTEER REPORTLocation JULY AUG SEPT OCT NOV DEC JAN FEB MAR APR MAY JUN TOTAL HOURS

Bridle Ridge 68 102 24 28 12 8 0 0 0 0 0 0 242

A Safe Place 5 38 6 8 8 6 10 72 8 8 4 8 181

CAC 21 164 29 16 19 9 14 76 18 29 23 19 437

Employees 19 21 39 31 38 30 38 55 67 43 33 27 441

Board Members 78 74 76 131 84 71 72 45 94 87 71 106 989

Adult and C&Y Div. 0 0 0 0 0 0 0 0 0 0 0 0 0

Tails with Tales 22 26 37 51 121 84 82 63 84 81 69 58 778

Community Events 71 216 154 49 12 10 6 15 26 87 84 76 806

Job Shadowing 0 0 76 182 191 59 68 118 60 89 34 0 877

TOTAL Hours: 284 641 441 496 485 277 290 444 357 424 318 294 4751

ACTION ITEMS

REQUIRES A VOTE

MOTION:

“I, ______, move that the Board approve the June 2018 Leadership Reports to the Board.”

APPROVALLeadership Council Reports

Emailed to Board

MOTION:

“I, ______, move that the Board approve the HRSA SUD MH Expansion Grant Budget and Application.”

APPROVALHRSA SUD – MH Expansion Grant Budget & Application

MOTION:

“I, ______, move that the Board approve the addition of Dunklin School District to HRSA Form 5B for FQHC Sites.”

APPROVALDunklin School District

Form 5B FQHC

MOTION:

“I, ______, move that the Board approve the Banking RFP Award to Enterprise Banking.”

APPROVALBanking RFP AwardEnterprise Banking

MOTION:

“I, ______, move that the Board approve the unbudgeted positon of Office Associate at Fox.”

APPROVALNew Position Approvals - Unbudgeted

“Office Associate – FOX”

MOTION:

“I, ______, move that the Board approve the unbudgeted expenses for the positon of Transporter for Fox.”

APPROVALNew Position Approvals - Unbudgeted

“Transporter - Fox”

MOTION:

“I, ______, move that the Board approve the unbudgeted expenses for the positon of Transporter for Dunklin.”

APPROVALNew Position Approvals - Unbudgeted

“Transporter - Dunklin”

MOTION:

“I, ______, move that the Board approve the unbudgeted purchase of vehicle for Fox School transport purposes.”

APPROVALVehicle Purchase“Fox Transport”

MOTION:

“I, ______, move that the Board approve the Dental Stabilization Policy as presented.”

APPROVALPolicy Approvals

“Addition – Dental Stabilization Policy”For Pediatric Dentistry

MOTION:

“I, ______, move that the Board approve the revised 14.14 Co-Worker Help Fund Policy.”

APPROVALPolicy Approvals

“Revision – 14.14 Co-Worker HelpFund Policy”

QIQA REPORT

PDSA (Dental and Primary Care) Dental Focus – Scheduling Quarterly Patient Satisfaction/ TI Survey

July 9th – 22nd

PCP listed for BH clients

QIQA REPORT - MPCA QUALITY MEASURES

“I, ___, move that the Board approve the June 2018 QIQA Coordinating Council Report.”MOTION:

Name Target Result May 2018 Result June 2018Result Trailing Year

May 2018Result Trailing Year June 2018

Hypertension Controlling High Blood Pressure (NQF 0018) 55.0% 83% 75.6% 77.1%Child Weight Screening / BMI (NQF 0024) 50.0% 98.6% 93.4% 96.8% 96.2%

Child Weight Screening / Nutritional Counseling (NQF 0024) 15.0% 62.9% 63.2% 62.2% 62.5%

Child Weight Screening / Physical Activity (NQF 0024) 8.0% 47.1% 48.7% 36.6% 38.9%Tobacco Use: Screening and Cessation (NQF 0028) 80.0% 95.6% 96.7% 95.8% 96.5%Cervical Cancer Screening (NQF 0032) 60.0% 46.9% 44.8% 37.9% 37.8%Colorectal Cancer Screening (NQF 0034) 40.0% 44% 45.5% 41.3% 40.0%

Use of Appropriate Medications for Asthma (NQF 0036) 75.0% 100.0% 100.0% 81.8% 88.6%Diabetes A1c > 9 or Untested (NQF 0059) 25.0% 30.4% 31.0% 37.5% 39.5%

Screening for Clinical Depression and Follow-Up Plan 12-17 yrs (NQF 0418) 2.3% 53.6% 61.1% 50.0% 51.5%

Screening for Clinical Depression and Follow-Up Plan 18+ yrs (NQF 0418) 2.4% 85.9% 77.1% 75.6% 73.9%BMI Screening and Follow-Up 18+ Years – 2 BMI Ranges (NQF 0421 –CMS69v4) 75.0% 92.9% 92.6% 90.0% 90.3%Teal color indicates quality measure target achieved

DISCUSSION ITEMS

INFORMATIONAL

MONTHLY REPORT TO THE BOARD

Building and Grounds Capital Campaign

UPCOMING EVENTSEvent Name Date Where BenefittingFamily Camp

(Camp AWANNAHIKEALOTTA)-Friday, July 27

at 7PM-Saturday, July 28 at 7 pm-Sunday, July 29 at 4 pm

Faith Community Church 4824 Scottsdale Road House

Springs, MO

Mary’s House of Hope at A Safe Place

CAC Golf 13th Annual

FridayAugust, 17

Oak Valley Golf CoursePevely, MO

Children’s Advocacy Center of East Central

Missouri5K Fun Run/Walk

Purple for a Purpose Saturday

September, 22Crystal City Park Mary’s House of Hope at

A Safe Place

Tails with Tales Night at Ballpark Village

FridaySeptember, 7th

Ballpark Village Tails with Tales

Murder Mystery Dinner“Dead in Deadwood”

FridayOctober, 12th

TBC VenuePevely, MO

Mary’s House of Hope at A Safe Place

Mardi Gras SaturdayFebruary, 2 (2019)

Quality Inn A Safe Place

BOARD MEMBER

RECRUITMENT

OLD BUSINESS

FOR DISCUSSION

NEXT SCHEDULED BOARD MEETING

MONDAY, AUGUST 13TH

ADJOURNMENT

“With no further business to discuss, I, ______, move that the Board adjourn.”

MOTION:

21 Municipal DriveArnold, M O 63010

LOCATION+1 636 933 2700

PHONE NUMBERwww.comtrea.org

WEBSITE FACEBOOKhttps://www.facebook.com/COMTREA/