Board Meeting August 12, 2019 LOCATION PHONE NUMBER WEBSITE - - PowerPoint PPT Presentation

21 Municipal Drive Arnold, M O 63010

LOCATION

+1 636 931 2700

PHONE NUMBER

www.comtrea.org

WEBSITE

Board Meeting

August 12, 2019

FACEBOOK

https://www.facebook.com/COMTREA/

AGENDA

CEO Report Action Items Discussion Items Adjournment 7:30 AM – Meeting Open Approval of Agenda and Minutes CLOSED SESSION Financial Review Program Highlight Mission Statement

MOTION:

“I, ______, move that the Board approve the, August 12, 2019 Meeting Agenda.”

APPROVAL OF AGENDA

MOTION:

“I, ______, move that the Board approve the July 15, 2019 Meeting Minutes.”

APPROVAL OF MEETING MINUTES

CLOSED SESSION

BOARD MEMBERS ONLY

CLOSED SESSION

MOTION:

“I, ____________, move that the Board enter into closed session.” (All others must agree by Voice Vote)

CLOSED SESSION - AGENDA

MOTION:

“ I, __________, move that the Board approve the August 12, 2019 Closed Session Agenda,”

CLOSED SESSION – MEETING MINUTES

MOTION:

“I, ___________, move that the Board approve the July 15, 2019 Closed Meeting Minutes.”

CLOSED SESSION – ADJOURNMENT

MOTION:

“I, ___________, move that the Board adjourn from closed session and enter back into Open Session.” (All others must agree by Voice Vote)

OUR MISSION

To 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.

11

PROGRAM HIGHLIGHT

Community Discussion and Education Sessions

“As a member of the Finance

Committee, I _________, move that the Board approve the financials for the month of June, 2019.” ACCOUNT RECIEVABLES

$3,491,373.70

FINANCIAL REPORT CASH ON HAND

$1,938,422.59

MOTION:

“Dr. Rohatgi has been my psychiatrist for over 10 years and he is great!” ~ From a Client

Suggestion Box, Northwest

GROWTH REPORT

BEHAVIORAL HEALTH – JULY 2019

CEO REPORT

Net Rev Per BH Visit 345.77 Weekly GOALS 80% Net Patient Rev/Visit 210.66 75

Schedule

60

Actual Actual

THRU 7/31 MONTH END FORECAST BEHAVIORAL HEALTH FTE Hrs/Wk Sche dule 10 Hr Day Actual 10 Hr Day

8-Hr Day

ACT MTD PROJ VISITS GOAL % GOAL PROJ REV PTO Hours Ivy Alwell (APN) 1.00 40.00 75.0 18.8 60.0 15.0 12.0 107 107 264 41% 36,997 Wk 1 94.5 Bitzer, Maria (APN) 1.00 40.00 75.0 18.8 60.0 15.0 12.0 156 156 264 59% 53,940 Wk 2 19.0

• Dr. C.J. Jos

0.50 20.00 37.5 9.4 30.0 7.5 6.0 121 121 132 92% 41,838 Wk 3 28.0 Dr Daniel Murray 0.20 8.00 15.0 3.8 12.0 3.0 2.4 17 17 53 32% 5,878 Wk 4 112.0 Kelly Ratz (APN) 1.00 40.00 75.0 18.8 60.0 15.0 12.0 130 130 264 49% 44,950 Wk 5 42.5

• Dr. Gautum Rohatgi

0.50 20.00 37.5 9.4 30.0 7.5 6.0 88 88 132 67% 30,428 296

• Dr. J. Vasireddy

1.00 40.00 75.0 18.8 60.0 15.0 12.0 240 240 264 91% 82,985 Ashley Whitley 0.50 20.00 37.5 9.4 30.0 7.5 6.0 115 115 132 87% 39,764

• Dr. Lucas (Genoa)

0.30 12.00 22.5 5.6 18.0 4.5 3.6 54 54 79 68% 18,672

• Dr. Morel (Genoa)

0.30 12.00 22.5 5.6 18.0 4.5 3.6 79 79 79 100% 27,316

• Dr. Wade Mahoney

0.30 12.00 22.5 5.6 18.0 4.5 3.6 30 30 79 38% 10,373 SLU Docs 0.56 22.50 42.0 10.5 33.6 8.4 6.7 52 52 148 35% 17,980 Kamal, Moebbi, Boules 0.0 0.0 0.0 0.0 0.0

• Dr. Bhattacharya (SLU)

7.47 0.0 0.0 0.0 0.0 0.0

• Dr. Wade Mahoney- July

0.0 0.0 0.0 0.0 0.0 #DIV/0! SUBTOTAL 8.02 ###### 601.5 150.4 481.2 120.3 96.2 1,189 1,189 2,117 56% 411,121 PRODUCTIVITY minus PTO 120.3 80% 65%

GROWTH REPORT

BEHAVIORAL HEALTH – JULY 2019

CEO REPORT

Net Rev Per BH Visit 345.77 Weekly GOALS 80% Net Patient Rev/Visit 210.66 50

Schedule 40.0 Actual Actual

THRU 7/31 MONTH END FORECAST BEHAVIORAL HEALTH FTE Schedu le 10 Hr Day Actual 10 Hr Day

8-Hr Day ACT MTD

PROJ VISITS GOAL % GOAL PROJ REV

• Dr. Lisa Delaney

0.50 25.0 6.3 20.0 5.0 4.0 90 90 88 102% 31,119 0.00 0.0 0.0 0.0 0.0 0.0 #DIV/0! SUBTOTAL 0.50 25.0 6.3 20.0 5.0 4.0 90 90 88 102% 31,119 PRODUCTIVITY minus PTO 80% 102% PTO Hours

• BH REVENUE

TOTALS GOAL MONTH END FORECAST - BH REVENUE & BUDGET #/WK ACT MTD PROJ VISITS GOAL % GOAL PROJ REV BUD REV VAR REV % VAR Adult Psychiatry 1,189 1,189 2,117 56% 411,121 Child Psychiatry 90 90 88 102% 31,119 Total 1,279 1,279 2,205 58% 442,240 326,946 115,294 35.26%

Patient Revenue $269,434

GROWTH REPORT

PRIMARY CARE – JULY 2019

CEO REPORT

JULY # of Work Days 22.00 Net Rev Per Visit PC 162.00 Weekly GOALS # DAYS MTD 22 Net Patient Rev/Visit 110.00 101

Schedule

86

Actual Actual

THRU 7/31 MONTH END FORECAST - PRIMARY CARE REVENUE & BUDGET PRIMARY CARE VISITS >

Schedu le 10-Hr Day Actual 10-Hr Day 8-Hr Day ACT MTD

PROJ VISITS GOAL % GOAL PROJ REV BUD REV VAR REV % VAR

• Dr. Helton

0.90 90.9 22.7 77.4 19.4 15.5 156 156 341 46% 25,272 Ashley Whitley 0.50 50.5 12.6 43.0 10.8 8.6 65 65 189 34% 10,530 Ashleigh McGrath 1.00 101.0 25.3 86.0 21.5 17.2 249 249 378 66% 40,338 Amanda Sherwood 0.75 75.8 18.9 64.5 16.1 12.9 233 233 284 82% 37,746

• Dr. Hampton

0.50 50.5 16.8 43.0 14.3 10.8 59 59 189 31% 9,558 Bess Lillimar- Stephens 1.00 101.0 25.3 86.0 21.5 17.2 222 222 378 59% 35,964

• Dr. Ashraf

0.00 0.0 0.0 0.0 0.0 0.0 #DIV/0! TOTALS 4.65 469.7 121.6 399.9 103.6 82.1 984 984 1,760 56% 159,408 250,087 -90,679

• 36.26%

PRODUCTIVITY minus PTO

61% PTO Hours MTD - 149

Patient Revenue $108,240

GROWTH REPORT

ORAL HEALTH – JULY 2019

CEO REPORT

Net Rev Per OH Visit 169.00 Weekly GOALS Net Patient Rev/Visit 150.00 75

Schedule 62 Actual Actual

THRU 7/31 MONTH END FORECAST ORAL HEALTH VISITS FTE

Schedul e 10 Hr Day Actual 10 Hr Day 8-Hr Day

ACT MTD PROJ VISITS GOAL % GOAL PROJ REV PTO Hours

• Dr. Garland

0.50 37.5 9.4 31.0 7.8 6.2 132 132 136 97% 22,308 Wk 1 20.0

• Dr. Empkey

0.50 37.5 9.4 31.0 7.8 6.2 116 116 136 85% 19,604 Wk 2 10.0 Dr Blattel 1.00 75.0 18.8 62.0 15.5 12.4 201 201 273 74% 33,969 Wk 3 10.0

• Dr. Mazuranic - PRN

0.00 0.0 0.0 0.0 0.0 0.0 25 25 #DIV/0! 4,225 Wk 4 60.0

• Dr. Greaves - PRN

0.00 0.0 0.0 0.0 0.0 0.0 #DIV/0! Wk 5 50.0

• Dr. Emily

1.00 75.0 18.8 62.0 15.5 12.4 165 165 273 60% 27,885 150

• Dr. Taylor

1.00 75.0 18.8 62.0 15.5 12.4 196 196 273 72% 33,124

• Dr. Darling

1.00 75.0 18.8 62.0 15.5 12.4 264 264 273 97% 44,616

• Dr. Mazzoli

1.00 75.0 18.8 62.0 15.5 12.4 260 260 273 95% 43,940

• Dr. Shakhnovich

1.00 75.0 18.8 62.0 15.5 12.4 154 154 273 56% 26,026

• Dr. Cook

1.00 75.0 18.8 62.0 15.5 12.4 270 270 273 99% 45,630

• Dr. Invencion - July

Start 0.20 15.0 3.8 12.4 3.1 2.5 26 26 55 48% 4,394

• Dr. Alquino - July Start

0.20 15.0 3.8 12.4 3.1 2.5 24 24 55 44% 4,056 0.0 0.0 0.0 0.0 0.0 #DIV/0! 0.0 0.0 0.0 0.0 0.0 #DIV/0! TOTALS 8.40 630.0 157.5 520.8 130.2 104.2 1,833 1,833 2,292 80% 309,777

PRODUCTIVITY minus PTO

86%

Patient Revenue $274,950

Ramp Up in July Weekly GOALS # Pts 42 Schedule 33 Schedule THRU 7/31 MONTH END FORECAST OH - HYGIENISTS FTE Schedule 10 Hr Day Actual 10 Hr Day ACT MTD PROJ VISITS GOAL % GOAL PROJ REV PTO Hours Sandy Holifield 0.00 0.0 0.0 0.0 4 4 #DIV/0! 676 Wk 1 30.0 Renee Blanken 0.5 21.00 5.3 16.5 4.1 27 27 73 37% 4,563 Wk 2 0.0 Ashley Wegener 0.5 21.00 5.3 16.5 4.1 37 37 73 51% 6,253 Wk 3 0.0 Angelica Miller 0.5 21.00 5.3 16.5 4.1 29 29 73 40% 4,901 Wk 4 0.0 Elisha Krisher 1 42.00 10.5 33.0 8.3 34 34 145 23% 5,746 Wk 5 5.0 Rachel Klasek Summer

• ff

0.00 0.0 0.0 0.0 #DIV/0! 35 Gina Baker 1 42.00 10.5 33.0 8.3 117 117 145 81% 19,773 Jodi Stotler Summer

• ff

0.00 0.0 0.0 0.0 16 16 #DIV/0! 2,704 Micki Stafko (new hire) 1 42.00 10.5 33.0 8.3 93 93 145 64% 15,717 Jessica Armbruster (new hire) 1.00 42.00 10.5 33.0 8.3 86 86 145 59% 14,534 TOTALS 5.50 231.0 57.8 181.5 45.4 443 443 799 55% 74,867 PRODUCTIVITY minus PTO 58%

GROWTH REPORT

ORAL HEALTH / HYGIENISTS – JULY 2019

CEO REPORT

Patient Revenue $66,450

DENTAL REVENUE TOTALS GOAL THRU 7/31 MONTH END FORECAST - DENTAL REVENUE & BUDGET #/WK ACT MTD PROJ VISITS GOAL REV/VISIT PROJ REV BUD REV VAR REV % VAR Dentists 1,833 1,833 2,292 80% 309,777 Hygienists 443 443 799 55% 74,867 Total 2,276 2,276 3,090 74% 384,644 577,017

• 192,373
• 33.34%

Fulltime Hrs per Week 40.00 Patient Revenue 341,400

FEDERAL AND STATE ASSOCIATIONS ADVOCACY AND COMMUNITY INVOLVEMENT CEO REPORT

PRIMARY CARE ORAL HEALTH

DIVISIONAL/DEPARTMENT UPDATES

BH/PSYCHIATRY

CEO REPORT

Update on Visit Outcome

Plan of Correction for the items identified during the OSV includes:

• For Form 5A – anytime a new contract is considered, we need to assure that

form 5A is reviewed during contract review.

• For Form 5B – anytime we change “standard” hours at a clinic, we need to

review form 5B. Any new sites will need to have Medicare & NPI numbers added as they are operational. If we close a site, we will need to complete a CIS for form 5B.

• Credentialing & Privileging – a sample personnel file is being created to

identify necessary documentation and examples. Additionally, all new hires documentation will be reviewed prior to NHO to assure all documentation is in

• place. This will need to have the support of leadership as it is our intention that

no employee is to start until all such documentation is received.

CEO REPORT

HRSA NOA’s Received

• HRSA NOA for SUDMH H80CS24105-08-01
• HRSA NOA H80CS24105-08-02
• HRSA NOA H80CS24105-08-03

HRSA PR Monthly Review

• Skipped for month of August due to OSV

CEO REPORT

BOARD MEMBERS USING FQHC SERVICES 2019

56%

Of Board Members are using FQHC Services

44%

Board Members NOT utilizing FQHC Services

HRSA REQUIRES

51% 56% 44%

AUGUST

CEO REPORT

MONTHLY GRANT UPDATE

CEO REPORT

Funding Entity Program Recipient Description Amt Requested on Pending Grants Status

Anthem Foundation TWT One Time Funding – Program Support

$10,000 Denied

DVSS Grant - Shelter ASP Comes from Dept of SS and is used for the Shelter – the award amount is $2,780.83 less than FY19

$110,811.42 Awarded July 1, 2019

Incarnate Word Foundation TWT Additional Training Classes

$3,900.00 Denied

United to End Bullying Grant TWT One – Time Funding

$3,000.00 Awarded – amount is still unknown

VOCA Grants – 2 year grants ASP, CAC and MHHP ASP requested $418,166.85, CAC and MHHP are still working on the application amount, the grants will be two years 10/19 – 9/21

Pending Due Aug 14th

CAC Union FCCRB Grant CAC Working on the application

Pending Due Aug 26th

Note this list only includes those grants that are still pending or had been applied for / awarded or declined during the current month

VOLUNTEERS

CEO REPORT

(FY: 2019-2020)

Location JULY AUG SEPT OCT NOV DEC JAN FEB MAR APR MAY JUN TOTAL HOURS A Safe Place CAC PSR Employees 12 Board Members 84 Adult and C&Y Div. Tails with Tales 55 Job Shadowing TOTAL Hours:

151 151

ACTION ITEMS

REQUIRES A VOTE

MOTION:

“I, ______, move that the Board approve the July 2019 Leadership Reports to the Board.”

APPROVAL

Leadership Council Reports

Emailed to Board

MOTION:

“I, ______, move that the Board approve the updates presented to the HRSA Form 5A and 5B.”

APPROVAL

HRSA Form 5 Changes

• Form 5A has been updated with CIS00091266

(screenings – column III added, prenatal care – column III added, & Pharmaceutical Services – column I added)

• Form 5A has been updated with CIS00091272

(Intrapartum Care (Labor & Delivery) – column II deleted)

• Form 5A has been updated with CIS00092605

(Postpartum Care – column II deleted)

• Form 5B has been updated with CIS00091327

(all Medicare & NPI numbers have been added to sites)

MOTION:

“I, ______, move that the Board approve the updated Bylaws that include the definition of Health Care Setting as presented.”

APPROVAL

Board Bylaws Revision

• Added how COMTREA will define

Healthcare setting

MOTION:

“I, ______, move that the Board approve the nomination of Beth McDaniel to the Executive Board as Treasurer as presented.”

APPROVAL

Executive Board

• Beth McDaniel - Treasurer

CREDENTIALING & PRIVILEGING

Current Staff Re-Privileged (during the month of July 2019) New Staff / Interns Requiring Privileging (during the month of July 2019)

MOTION:

“I, ______, move that the Board accept the July 2019 Credentialing & Privileging Report as presented.”

Name Title Division Evans, Sarah Dental Assistant I OH Aquiino, Aldrin Dentist OH INTERNS/RESIDENTS Alizadeh, Ali Psychiatry Resident Psych Grysman, Noam Psychiatry Resident Psych Marathe, Himani Psychiatry Resident Psych Wroble, Julian BH Intern BH Name Title Division Cardinali, Mirranda Counselor - ADA BH Cole, Tina Residential Assistant Keaton Center Haselhorst, Elizabeth Residential Assistant BH Hayes, Christian Clinical Systems Manager PC Hulvey, Adrianne PSR Assistant I BH Lucas, Jennifer Office Clinical Manager BH Montgomery, Jamie Coordinator - Patient Care HCH BH Puckett, Lisa PSR Assistant/Bus Driver BH Rose, Pamela Residential Assistant BH Sanders, Heath Behavioral Health Therapist BH Slazinik, Hailey Keaton Center BH Stahl, Cassandra Coordinator-Dental Supply Admin Tat, Stephanie Dental Assistant I OH Todd, Kimberlee Residential Assistant Keaton Center

QIQA REPORT – July Focus Area - HR

Relocation, 4, 12% Workload, 0, 0% Better Pay/ Benefits, 6, 19% Medical Reasons, 2, 6% No Growth Opportunity, 2, 6% Supervisor Access/Relationship , 0, 0% Retirement, 2, 6% Negative/Change of Work Environment, 6, 19% Not a good fit for position, 1, 3% Closer to home, 4, 13% Other, 5, 16%

VOLUNTARY TURNOVER REASONS

QIQA REPORT – DENTAL FOCUS

• Measure 1 - We are seeing more

adult patients while school is out and this is causing the decline of preventive dental services for patients 1 to 20. Once the school year starts back up I believe this measure will increase.

• Measure 2 – This measure has

stayed around 68%. I believe this is due to lack of oral health education throughout the county.

• Measure 3 - We are seeing more

adult patients while school is out and this is causing the decline of for patients who receive fluoride varnish 0 to 20. Once the school year starts back up I believe this measure will increase.

QIQA REPORT – SAC Clinical Measures

2017 Service Are Competition Clinical Performance - DRVS

Name Target Result Numerator Denominator Result Numerator Denominator

BMI Screening and Follow-Up 18-64 Years (NQF 0421 – CMS69v4)

87.0% 86.0% 2778 3232 65.6% 3119 4757

Asthma Self Management Plan (NQF 0036 modified)

33.0% 28.6% 14 49 3.8% 1 26

Child Weight / BMI / Nutritional /Phy Activity Cnslng (NQF 0024 mo

20.0% 44.4% 374 842 24.4% 300 1227

CAD Lipid Therapy

96.0% 89.2% 74 83 86.0% 43 50

Colorectal Cancer Screening (NQF 0034)

50.0% 46.1% 619 1342 32.2% 563 1746

Hypertension Controlling High Blood Pressure (NQF 0018)

80.0% 77.3% 915 1184 72.3% 855 1182

Screening for Depression and Follow-Up Plan 12-17 yrs (NQF 0418)

60.0% 61.1% 228 373 45.2% 219 484

Screening for Depression and Follow-Up Plan 18+ yrs (NQF 0418)

60.0% 74.9% 1493 1992 69.4% 1645 2370

HIV Linkage to Care (UDS)

50.0% 0.0% 100.0% 1 1

HbA1c Poor Control > 9.0% (HEDIS CDC)

27.0% 35.6% 198 556 46.3% 291 629

Cervical Cancer Screening - Pap Only (NQF 0032 – CMS124v4)

48.0% 38.8% 603 1556 24.5% 600 2444

Childhood Immunization Status (NQF 0038)

50.0% 11.1% 5 45 12.7% 8 63

Diabetes Tobacco Use Assessment and Cessation (NQF 0059 modi

95.0% 83.6% 489 585 93.3% 528 566

Use of Appropriate Medications for Asthma Ages 18-64 (NQF 0036

92.0% 88.9% 40 45 87.0% 20 23

IVD Aspirin Use (NQF 0068)

75.0% 80.4% 144 179 61.4% 127 207 TY June 2019 Year 2017

QIQA REPORT – Primary Care Patient Experience Survey

One of primary care’s main areas of focus since the last survey was to increase the amount of patient centered goals for those individuals served. Primary care has also worked on developing improved and easily accepted and attainable nursing care plans to help assist individuals in meeting their health goals. In the 2017 and 2018 Primary Care Patient Experience Survey there was a reported 74% response of individuals who stated that someone within the office had talked to them about specific goals for their health. This year’s survey reflects that Hickory Plaza (Hillsboro) stayed about the same with 76% responding yes, and Emerson (High Ridge) showed a response of over 86%, which met the desired goal. Matching what was found in the Jefferson County Needs Assessment that COMTREA participated in, approximately 23% of the individuals served faced some level of transportation related barriers according to the

• survey. This will be a key area Primary Care will focus

continue to focus us.

In the last 12 months, how often did this provider’s office talk with you about specific goals for your health?

Answer Choices Responses Yes 83.60% 265 No 16.40% 52

Do you feel the services you received are affordable?

Answer Choices Responses Yes 97.90% 326 No 2.10% 7

Did you find our hours of operations convenient? Answer Choices Responses Yes 98.52% 333 No 1.48% 5

What hours do you prefer?

Answer Choices Responses Before 8:30 am 19.88% 66 After 6:30 pm 4.22% 14 Business hours 9am- 5pm 69.88% 232 Saturday 6.02% 20

How much do transportation-related challenges prevent you from being seen by your provider? Answer Choices Responses Not at all 76.95% 257 A little bit 17.96% 60 Quite a bit 3.89% 13 A tremendous amount 1.20% 4

QIQA REPORT

As board members, I encourage you to utilize COMTREA services. This shows confidence in our providers, as well as being a HRSA requirement

• HR Turnover
• Dental Measures
• 2019 Primary Care Patient

Experience Survey

The Primary Care Patient Experience Survey was completed in July with three additional questions to assess accessibility experiences related to hours of

• peration and transportation barriers.
• Service Area Competition Clinical

Measures

• Provider Survey

A Provider Survey was performed with a goal to improve the work life of COMTREA health care providers and prevent provider burnout. There will be continued one-on-one interviews, and a small committee will discuss possible interventions for areas were there can be improvements

• made. This will be led by Dr. Rohatgi, Patty Vanek, and an

HR representative.

MOTION: “I, ___, move that the Board approve the July 2019 QIQA Coordinating Council Report.”

DISCUSSION ITEMS

INFORMATIONAL

MONTHLY SUBCOMMITTEE REPORTS TO THE BOARD

Build lding and nd Ground unds Fund Fundraising & & Capital al C Campai aign MHOH C Committee Upda pdate

BOARD MEMBER INFO

MPCA ANNUAL CONFERENCE OCTOBER 10-11, 2019

Topics include:

• Servant Leadership
• Illicit Drugs: A Crisis of the Heart
• Panel discussion: staff incentives
• How to Develop a Dental Sealant Program
• Thyroid Disease-Pearls and Pitfall
• Connecting Access & Quality Part One: Decreasing

No-Show Rate and Third Next Available Appointment

• Connecting Access & Quality Part Two: Absorbing

Additional Patients in the Clinic while Reducing Burnout

• Community Water Fluoridation – Truth vs Fiction
• Risk Management for FQHCs Including Managing a

Potentially Compensable Event ("PCE")

• Advanced Practice Providers: Identifying Trends and

Risks

• Hot Topics in HIV for Primary Care Providers
• Chronic Kidney Disease: Diabetes, Hypertension and

Primary Care

• Board roles in oversight
• Leading People Through Transition
• The Emerging Crisis of Osteoporosis: An Overview of

Current Management Strategies

• Continuing the Medicare Conversation in 2019
• In Case of Emergency, Break Glass: Management of

Medical Emergencies in the Dental Office

• Strategies to Optimize Team-Based Care
• CEO Succession Planning
• And More!

BOARD MEMBER INFO

BOARD RECRUITMENT

OLD BUSINESS

FOR DISCUSSION

Event Name Date

Toyota Supra Raffle Saturday August, 10 2019 CAC Golf Tournament Friday August, 16 2019 Summer Sizzler Golf Tournament Saturday September, 7 2019 Jefferson County Rotary Club Golf Tournament Friday September, 20 2019

Event Name Date

Purple for a Purpose 5K Saturday September, 21 2019 Motorcycles on Main Saturday September, 28 2019 Black Light Bingo Saturday October, 5 2019 TWT Dueling Piano Event Friday October, 18 2019 Mardi Gras Saturday February, 1 2020

NEXT SCHEDULED BOARD MEETING

MONDAY, SEPTEMBER 9, 2019

Don’t Forget!

The JCCMHFB will meet immediately after the September COMTREA Board Meeting

ADJOURNMENT

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

MOTION:

21 Municipal Drive Arnold, MO 63010

LOCATION

+1 636 931 2700

PHONE NUMBER

www.comtrea.org

WEBSITE FACEBOOK

https://www.facebook.com/COMTREA/