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 1420 hope drive in dexter missouri. 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 the health care needs of the 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 other programs designed to promote health and wellness in the community.”

“Mother-to-mother is a 4-phase, incentive-based, mentoring program whose mission is to reduce the occurrence of child abuse and neglect. Parenting or expecting stoddard county moms who are 24 years old or younger may enroll in the program. Mother-t0-mother program services are designed on a strengthening families approach. Each staff member has completed the strenthening families' protective factors online training. Mother-to-mother services help families build their protective factors, which are parental resilience, knowledge of parenting and child development, social connections, concrete support in times of need, and social and emotional competence of children. Each participant is paired with a volunteer or staff mentor who models and encourages positive parenting behavior and acts as a confidant and advisor. The nurse educator provides education on pre/post natal health, breast feeding/nutrition, shaken baby syndrome, safe sleep, and immunizations, to parents, grandparents and other caregivers. Program staff and volunteers provide linkage to other services and monitor for early signs of family distress. Group meetings provide opportunities to participate in fun activities, learn from guest speakers about parenting topics, improve career soft skills, speak with area employers, and form social connections. Mother-to-mother moms complete monthly incentive forms with which they earn points by working, attending school, reading to their child, attending activities, and other positive behaviors. The points are used to purchase children's clothing, diapers, hygeine products, laundry detergent, toys, books and other items from the baby boutique. Participants may take food from the food pantry and adult clothing from the boutique weekly. Another component of the mother-to-mother program is education and career development. Moms who are in high school are encouraged to stay in school. Program staff members help participants who do not have their high school diploma study and register to take the high school equivalency exam. The foundation pays for the exam. Participants set education and career goals. Area employers work with the program to provide job listings and participate in career fairs. Phase i focuses on the pregnancy and preparing for the birth of the child. Phase ii begins with the birth of the baby. The focus shifts to post-partum health, caring for the baby, continuing school and/or developing a career. Phase iii begins with the child turns one. Participants agree to focus on education and/or career development activities. Phase iv addresses the needs of young parents who have completed their education and are employed but continue to need the emotional and/or social support of the program. Phase iv prepares the parents to exit the program. During 2022 a total of 67 parents and 60 children participated in the mother-to-mother program. The mother-to-mother program is primarily funded by grants and donor contributions.”

“The foundation served as the stoddard county hub for the bootheel babies and families ten-year infant mortality reduction initiative funded by the missouri foundation for health. As the hub, the foundation facilitated the creation of a county task force that met monthly to determine focus areas, discuss data and health equity, and review mini-grant and aligned partner grant applications for submittal to missouri foundation for health. Through this process, seven aligned partner grants and ten mini-grants totaling 356,449 were awarded to entities in stoddard county. The task force members included community members and staff members from county school districts, the county health department, bootheel counseling services, building blocks, parentlink, and delta area economic opportunity corporation (daeoc).”

“Scholarships - the foundation provides scholarships to encourage residents to pursue healthcare related careers. Scholarships totaling 5,892 were funded in 2022 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 test scores of 25 or a gpa of 3.25 or higher, are attending a stoddard county high school, or are home schooled in stoddard county, and plan to pursue health care related careers. Other scholarships are available for individuals working in the health care field in stodddard county who want to pursue additional training. Stoddard county health coalition - the coalition was founded 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, 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. Healthcare related grants - to further its healthcare mission, the foundation provides grant funding to other healthcare related exempt organizations. During 2022 grants were provided to local schools for the backpacks for friday program which provides food to school children each friday before they leave school to help alleviate hunger over the weekend. Funds were also given to exempt organizations to assist in fire safety education and to meet other health related needs. Children's trust fund - the foundation partnered with the children's trust fund in promoting child abuse prevention. The organization had been awarded four southeast missouri counties from which they received 100% of the 25 donated to the ctf license plate program. The organization used this money for child abuse prevention services. Generic medications - the foundation assists some members of the community who meet 150% of the federal poverty guidelines with generic medications and special medical supplies such as incontinence supplies and nutritional supplements.”