Dexter Community Regional Healthcare Foundation

“The organization's by-laws at article iv membership, section 1 members states: the corporation shall operate upon a membership basis. There shall be one class of members as follows: regular memberships with voting privileges, who shall include those charter members who signed the articles of incorporation and also those persons who make contributions in money, property or services in the minimum cumulative sum or value of fifty (50.00) dollars or more and apply for membership and are duly registered as such. The board of directors shall make the determination as to the value of the property or services given. No person shall be eligible for membership until the money, property or services contributed is actually received and valued by the corporation.”

“Article iv:membership section 2. Meetings of members: the annual meeting of the members of this corporation for the purpose of electing directors, is held on the fourth thursday of april each year.”

“Actions of our member elected board of directors are subject to approval by the organization's members.”

“The draft copy of form 990 is reviewed by the preparer, executive director and other organization staff prior to its completion. A copy of the form 990 is emailed to the members of the board of directors and staff prior to its filing. Return will be reviewed by board of directors in its next scheduled meeting.”

“The organization's by-laws article ix, section 2 "duality of interest" states its conflict of interest policy. The policy requires any member to disclose conflicts before discussions or actions are taken. That policy is stated as follows: any director, officer, employee, or committee member having an interest, direct or indirect, in a contract or other transaction presented to the board of directors or a committee thereof for authorization, approval, or ratification shall make a prompt, full, and frank disclosure of his interest to the board or committee prior to its acting on such contract or transaction. Such disclosure shall include any relevant and material facts, known to such person, about the contract or transaction which might reasonably be construed to be adverse to the corporation's interest. After making such disclosure, or in the absence of such a disclosure a determination by a majority of the other board members present that such a conflict does exist, such director, officer, employee or committee member having such conflict shall remove himself/herself from the meeting during the discussion and vote on the matter at hand. The fact of such removal shall be noted in the minutes of the meeting. The board may adopt duality of interest policies requiring: (a) regular annual statements from directors, officers, and employees that disclose existing and potential dualities of interest. (b) corrective and disciplinary actions with respect to transgressions of such policies. For the purpose of this section, a person shall be deemed to have an "interest" in a contract or other transaction if he is the party (or one of the parties) contracting or dealing with the foundation, or is a director, officer, or has a significant financial or influential interest in or with the entity contracting or dealing with the foundation.”

“The board of directors includes a number of local businessmen and women. They consider the pay levels of similar positions in local businesses as well as other local not for profit organizations in their determination of the compensation and benefit package provided to the executive director. This process is documented in the minutes of the board of directors.”

“For other than the executive director, compensation levels are determined on an annual basis by the executive director, in consultation with the members of the board. These compensation levels are based upon similar positions in the for profit arena, as well as funding source guidelines for those whose compensation is funded by grant revenues.”

“All of the organization's governing documents, conflict of interest policy (which is included in our by-laws) and detailed financial statements are available for public inspection at our offices, located at 215 west grant street in dexter mo. This is communicated to the general membership each year at the annual membership meeting.”

“The organization's statement of purposes, as presented in the corporate by-laws, is (1) to ensure, as owner and lessor, the viability of the community hospital located in dexter, missouri, formerly known as the dexter memorial hospital, by scrutinizing the lessee's operation of the hospital to ensure that the lessee abides by the lease terms and continues to provide the health care needed in the dexter area; and (2) to build healthier communities through the implementation of programs and services designed to enhance overall community health and wellness. The organization originally operated a full service 50 bed community hospital, including provision of limited charitable care to the dexter, missouri community as its program service activity during the period 1968 - 1999. In 1999, in order to maintain the operations of the hospital without cutting essential services to the dexter, missouri community, the organization leased the hospital facilities, including land, buildings and equipment to an unrelated healthcare organization that operated the hospital. Since then, other organizations have leased the facilities and operated the hospital to provide for the health care needs of the dexter community. The organization provides continued support for the health and wellness of persons in the dexter, missouri community through implementation of various healthcare related programs that relate to its tax exempt purpose. Primary among them are mother-to-mother, prescription drug assistance and healthcare related scholarships. Other programs include license to care (child abuse prevention), special medical needs assistance, fitness challenges and a hse (ged) program. The organization's three largest program services (by expenses) are mother-to-mother, prescription drug assistance and healthcare related scholarships. The activities in these programs are described in part iii item 4 and are not repeated here. Other organization programs include: the organization partners with the children's trust fund in promoting child abuse and prevention. The organization has been awarded four southeast missouri counties from which they will receive 100% of the 25 donated to the ctf license plate program. The organization will use this money for child abuse prevention services. The foundation fitness challenge has become an annual weight loss challenge where members of the community signup in teams of three and challenge themselves to take off pounds in their own sensible way while weighing in weekly for accountability. The foundation assists some members of the community who meet 150% of the federal poverty guideline with generic medications and special medical supplies such as adult diapers or home medical equipment. The foundation provides grant funding to the exempt organization operating the local community hospital (a 501(c)(3) organization) to assist in physician recruitment, swingbed program, and facilities construction for a new emergency department and behavioral health unit.”

“Mother-to-mother - this program is an incentive based mentoring program for pregnant and parenting young women. Training, education, and equipment are provided that enable young mothers to become better parents and reduce the occurrences of child abuse and neglect. Two scheduled group meetings each month provide time and information for young mothers and their children to interact with staff and other young families. Being an incentive based program, mentees go over an incentive form once a month with their mentor and are awarded baby bucks for developing positive parenting skills and responsibilities. They in turn may spend their baby bucks in the baby boutique which is stocked with clothing, diapers, wipes, educational toys, safety equipment, and infant supplies. Young mothers, fathers, and children very much enjoy coming by the office to visit and play in the resource center. During these meetings the children enjoy the playroom and the parents get to interact with staff in a relaxing, stress free atmosphere. Mother-to-mother is a 4 phase program. Phase i is when a young woman enters the program during her pregnancy. She enters phase ii when the child is born. When the child reaches its first birthday the mother then decides if she wants to enter phase iii of the program. If she chooses to enter phase iii she must either continue her education or obtain employment. Mother-to-mother is all about education and young mothers creating safe and stable homes for their families. Emphasis is given to promoting positive training and skills that enable the young mother to develop a financially secure future for her and her family. If they do not have a high school diploma they are required to enter our hse (ged) program. The hse (ged) program is open not only to mothers but also fathers. If they want to begin or continue with college or technical school classes a staff person is available to provide them with assistance to further their education or technical skills. Assistance is provided to those that are looking for employment by helping with job searches, resumes, appropriate clothing for interviews, and tips on good interview presentations. Phase iv, the final component in the mother to mother program, prepares participants for exit from the program, offers peer monitoring and/or volunteering opportunities. Participants will remain in phase iv for no longer than one year. During 2018 a total of 172 young parents and children participated in the mother-to-mother program. The mother to mother program is primarily funded by grants and donor contributions.”

“Healthcare related scholarships - this program provides scholarships to encourage residents to pursue healthcare related careers. Four dexter community regional healthcare scholarships totaling 8,500 were awarded in 2018 to graduating seniors and to current college students who met the 3.25 gpa requirement for scholarship renewal. High school seniors who are residents of stoddard county may apply for this 4,000 scholarship if they have minimum act scores of 25, are attending a stoddard county school or are home schooled in stoddard county, and plan to pursue health care related careers. In 2018 2,500 was awarded to one student through our nontraditional scholarship program, which provides scholarships to individuals who are presently working in the health care field in stodddard county and want to pursue additional training. The julie minton memorial grant reimburses stoddard county residents who continue their education while actively employed by a healthcare provider or organization in stoddard county for expenses relating to receiving a license or certification or completing ceu's. In 2018, 382 was awarded to two individuals.”

“A hse (ged) program is offered to participants of mother-to-mother and to all other parenting young men and women under the age of thirty. The organization awards grants to other non-profit organizations that further its healthcare mission. During the year, grants were awarded to the local community hospital (a 501(c)(3) organization) to assist in physician recruitment, and to provide a swing bed program. Other awards were given to local charities to assist with cancer treatments and child abuse prevention. The organization founded the stoddard county health coalition to address health concerns established by a county needs assessment prepared by sehealth and st. Francis hospitals. Members of this coalition include dexter chamber of commerce, dr. Bobby jibben, southeast health of stoddard county, stoddard county health center, parents as teachers, southeast missouri behavioral health, cypress point nursing center, stoddard county ems, dexter public schools, and bloomfield public schools. Community efforts to educate the public regarding the dangers of smoking in public places were the primary activities. The stoddard county health coalition promoted smoke free issues at various events and continued a partnership with a local high school advocacy group known as smokebusters.”