board meeting - comtrea 2019 board meeting presentation web.pdfpatients love dr. garrity and dr....

21 Municipal DriveArnold, M O 63010

LOCATION+1 636 933 2700

PHONE NUMBERwww.comtrea.org

WEBSITE

Board MeetingApril 8, 2019

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.

AGENDA

CEO Report

Action Items

Discussion Items

Adjournment

7:30 AM – Meeting Open

Approval of Agenda and Minutes

CLOSED SESSION

Financials

Program Highlight

MOTION:

“I, ______, move that the Board approve the, April 8, 2019 Meeting Agenda.”

APPROVAL OF AGENDA

MOTION:

“I, ______, move that the Board approve the March 11, 2019 Meeting Minutes.”

APPROVAL OFMEETING MINUTES

CLOSED SESSION

BOARD MEMBERS ONLY

CLOSED SESSIONMOTION:

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

CLOSED SESSION - AGENDAMOTION:

“ I, __________, move that the Board approve the April 8, 2019 Closed Session Agenda,”

CLOSED SESSION – MEETING MINUTES

MOTION:

“I, ___________, move that the Board approve the March 11, 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)

PROGRAM HIGHLIGHTCEO REPORTPresented by Sue Curfman

HRSA

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

ACCOUNT RECIEVABLES $4,173,054.16

FINANCIAL REPORT

CASH ON HAND$1,374,948.17

MOTION:

Patients love Dr. Garrity and Dr. Mazzoli. Yesterday afternoon we had a couple patients in treatment and I heard someone crying. I wasn’t sure what was going on until I heard the patient thanking everyone. He was so appreciative of the work they had done. He said his seven year old daughter has never seen him smile. He was so excited with the work that was done yesterday he was smiling and in tears. It’s things like this that make me want to come into work every day. We have such great Doctors and Dental Assistants on MAP that are great at what they do and compassionate about their work!

GROWTH REPORT DIVISION PRODUCTION – MARCH 2019

CEO REPORT

Division ProductionClinical Access

Hours

Week 1

March 1

Week 2Mar. 4-8

Week 3Mar. 11-

15

Week 4Mar. 18-

22

Week 5Mar. 25-

29

Budget Revenue Forecast

Profit / (Loss)

Forecast

Primary Care 58% 68% 68% 38% 69% $249,227 $170,424 ($78,803)Minus PTO 69% 70% 44% 70%

Oral Health - Dentists 50% 70% 63% 71% 78% $573,270 $401.355 ($171,915)Minus PTO 69% 76% 66% 72% 81%

Oral Health -Hygienists

21% 47% 54% 70% 57%

Minus PTO 69% 58% 75% 59%

Behavioral Health -Adult

44% 69% 63% 50% 69% $326,946 $421,839 $94,893

Minus PTO 72% 72% 57% 74%Child Psych. 0% 121% 154% 33% 35%

GROWTH REPORT BEHAVIORAL HEALTH - MARCH 2019

CEO REPORTNet Rev Per BH Visit 345.77 Weekly GOALS 80%Net Patient Rev/Visit 210.66 75 Schedule 60 Actual Actual

THRU 3/31

MONTH END FORECAST

BEHAVIORAL HEALTH FTE

Hrs/Wk

Schedule

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 12.0 167 167 252 66% 57,744 Wk 1 0Bitzer, Maria (APN) 1.00 40.00 75.0 18.8 60.0 15.0 12.0 122 122 252 48% 42,184 Wk 2 16Dr. P. Gurusiddaiya 0.20 8.00 15.0 3.8 12.0 3.0 2.4 9 9 50 18% 3,112 Wk 3 53Dr. C.J. Jos 0.50 20.00 37.5 9.4 30.0 7.5 6.0 84 84 126 67% 29,045 Wk 4 55Dr Daniel Murray 0.20 8.00 15.0 3.8 12.0 3.0 2.4 38 38 50 75% 13,139 Wk 5 32Kelly Ratz (APN) 1.00 40.00 75.0 18.8 60.0 15.0 12.0 188 188 252 75% 65,005 TOTAL 155Dr. Gautum Rohatgi 0.50 20.00 37.5 9.4 30.0 7.5 6.0 72 72 126 57% 24,895Dr. J. Vasireddy 1.00 40.00 75.0 18.8 60.0 15.0 12.0 196 196 252 78% 67,771Ashley Whitley 0.50 20.00 37.5 9.4 30.0 7.5 6.0 95 95 126 75% 32,848Dr. Lucas (Genoa) 0.30 12.00 22.5 5.6 18.0 4.5 3.6 62 62 76 82% 21,438Dr. Morel (Genoa) 0.30 12.00 22.5 5.6 18.0 4.5 3.6 49 49 76 65% 16,943SLU Docs 0.56 22.50 42.0 10.5 33.6 8.4 6.7 49 49 141 35% 16,943Kamal, Moebbi, Boules 0.0 0.0Dr. Bhattacharya (SLU)

SUBTOTAL 7.26 282.50 544.5 136.1 435.6 108.9 87.1 1,131 1,131 1,830 391,066PRODUCTIVITY minus PTO 62%

GROWTH REPORT BEHAVIORAL HEALTH - MARCH 2019

CEO REPORTPTO Hours

Net Rev Per BH Visit 345.77 Weekly GOALS 80% Wk 1 0Net Patient Rev/Visit 210.66 50 Schedule 40.0 Actual Actual

THRU 3/31

MONTH END FORECASTWk 2 0

BEHAVIORAL HEALTH FTE

Schedule

10 Hr Day Actual

10 Hr Day 8-Hr Day ACT MTD

PROJ VISITS GOAL

% GOAL

PROJ REV Wk 3 0

Dr. Lisa Delaney 0.60 30.0 7.5 24.0 6.0 4.8 89 89 101 88% 30,774 Wk 40.00 0.0 0.0 0.0 0.0 0.0 0 0 0 #DIV/0! 0 Wk 5

SUBTOTAL 0.60 30.0 7.5 24.0 6.0 4.8 89 89 101 88% 30,774 TOTAL 0PRODUCTIVITY minus PTO 88%

PTO Hours -

BH REVENUE TOTALS MONTH END FORECAST - BH REVENUE & BUDGET

ACT MTDPROJ VISITS GOAL

% GOAL

PROJ REV

BUD REV

VAR REV % VAR

Adult Psychiatry 1,131 1,131 1,830 62% 391,066Child Psychiatry 89 89 101 88% 30,774Total 1,220 1,220 1,930 63% 421,839 326,946 94,893 29.02%

Patient Revenue $257,005

GROWTH REPORT PRIMARY CARE – MARCH 2019

CEO REPORTMarch # of Work Days 21.00Net Rev Per Visit PC 162.00 Weekly GOALS

# DAYS MTD

21

Net Patient Rev/Visit 110.00 101 Schedule 86 Actual Actual

THRU 3/31 MONTH END FORECAST - PRIMARY CARE REVENUE & BUDGET

PRIMARY CARE VISITS FTE

Schedule

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 1.00 101.0 25.3 86.0 21.5 17.2 201 201 361 56% 32,562Ashley Whitley 0.50 50.5 12.6 43.0 10.8 8.6 105 105 181 58% 17,010Ashleigh McGrath 1.00 101.0 25.3 86.0 21.5 17.2 238 238 361 66% 38,556Amanda Sherwood 0.75 75.8 18.9 64.5 16.1 12.9 147 147 271 54% 23,814Dr. Hampton 0.50 50.5 16.8 43.0 14.3 10.8 157 157 181 87% 25,434

Bess Lillimar-Stephens 1.00 101.0 25.3 86.0 21.5 17.2 204

204361 56% 33,048

Dr. Ashraf 0.00 0.0 0.0 0.0 0.0 0.0 0 0 0 #DIV/0! 0

TOTALS 4.75 479.8 124.1 408.5 105.7 83.9 1,0521,052

1,716 61% 170,424 249,227 -78,803 -31.62%PRODUCTIVITY minus PTO 64%

PTO Hours 78.0


GROWTH REPORT ORAL HEALTH – MARCH 2019

CEO REPORTHD Reimbursement 90.00 30

PTO Hours -Net Rev Per OH Visit 169.00 Weekly GOALS

Net Patient Rev/Visit 150.00 75 Schedule 62 Actual Actual THRU 3/31 MONTH END FORECAST

ORAL HEALTH VISITS FTE

Schedule 10 Hr Day Actual 10 Hr Day 8-Hr Day ACT MTD HD

PROJ VISITS PROJ HD GOAL % GOAL

PROJ REV PTO Hours

Dr Suter 0.00 0.0 0.0 0.0 0.0 0.0 1 0 1 0 0 #DIV/0! 169 Wk 1 10.0Dr. Garland 0.50 37.5 9.4 31.0 7.8 6.2 56 0 56 0 130 43% 9,464 Wk 2 47.0Dr. Empkey 0.50 37.5 9.4 31.0 7.8 6.2 97 0 97 0 130 75% 16,393 Wk 3 22.0Dr. Garrity 1.00 75.0 18.8 62.0 15.5 12.4 134 0 134 0 260 51% 22,646 Wk 4 10.0Dr Blattel 1.00 75.0 18.8 62.0 15.5 12.4 136 30 136 30 260 52% 25,684 Wk 5 20.0Dr. Landsford 1.00 75.0 18.8 62.0 15.5 12.4 158 20 158 20 260 61% 28,502 TOTAL 109.0Dr. Mazuranic - PRN 0.00 0.0 0.0 0.0 0.0 0.0 22 0 22 0 0 #DIV/0! 3,718Dr. Greaves -PRN/FMLA 0.00 0.0 0.0 0.0 0.0 0.0 0 0 0 0 0 #DIV/0! 0 HD Hours FTE < Visits Dr. Emily 1.00 75.0 18.8 62.0 15.5 12.4 188 20 188 20 260 72% 33,572 Wk 1 10.00 15.5Dr. Taylor 1.00 75.0 18.8 62.0 15.5 12.4 142 20 142 20 260 55% 25,798 Wk 2 30.00 46.5Dr. Lorenz 1.00 75.0 18.8 62.0 15.5 12.4 127 20 127 20 260 49% 23,263 Wk 3 40.00 62.0Dr. Darling 1.00 75.0 18.8 62.0 15.5 12.4 289 0 289 0 260 111% 48,841 Wk 4 30.00 46.5Dr. Mazoli 1.00 75.0 18.8 62.0 15.5 12.4 198 20 198 20 260 76% 35,262 Wk 5 40.00 62.0Dr. Shakhnovich 1.00 75.0 18.8 62.0 15.5 12.4 151 10 151 10 260 58% 26,419 TOTAL 150.00 232.5Dr. Cook 1.00 75.0 18.8 62.0 15.5 12.4 153 10 153 10 260 59% 26,757 341.50

TOTALS 11.00 825.0 206.3 682.0 170.5 136.4 1,852 150 1,852 150 2,864 70% 326,488

PRODUCTIVITY minus PTO Visit reduction by HD FTE support 2,632 73% (Visit reduction + PTO)


GROWTH REPORT ORAL HEALTH / HYGIENISTS – MARCH 2019

CEO REPORTPatient Revenue $66,450

Weekly GOALS# Pts 42 Schedule 33 Schedule THRU 3/31 MONTH END FORECAST

OH - HYGIENISTS FTE Schedul

e 10 Hr Day Actual 10 Hr Day ACT MTDPROJ VISITS GOAL % GOAL

PROJ REV PTO Hours

Sandy Holified 0.00 0.00 0.0 0.0 0.0 1 1 0 #DIV/0! 169 Wk 1 0.0Suzanne Seawel 1.00 42.00 10.5 33.0 8.3 91 91 139 66% 15,379 Wk 2 0.0Renee Blanken 0.75 31.50 7.9 24.8 6.2 52 52 104 50% 8,788 Wk 3 12.5Ashley Wegener-FMLA 0.00 0.00 0.0 0.0 0.0 3 3 0 #DIV/0! 507 Wk 4 12.0Angelica Miller 1.00 42.00 10.5 33.0 8.3 55 55 139 40% 9,295 Wk 5Elisha Krisher 1.00 42.00 10.5 33.0 8.3 72 72 139 52% 12,168 TOTAL 24.5Rachel Klasek 1.00 42.00 10.5 33.0 8.3 61 61 139 44% 10,309Gina Baker 1.00 42.00 10.5 33.0 8.3 108 108 139 78% 18,252

TOTALS 5.75 241.5 60.4 189.8 47.4 443 443 797 56% 74,867PRODUCTIVITY minus PTO 79% 57%

79% PTO Hours -DENTAL REVENUE TOTALS GOAL THRU 3/31 MONTH END FORECAST - DENTAL REVENUE & BUDGET

#/WK ACT MTD PROJ VISITS GOAL REV/VISIT PROJ REV BUD REV VAR REV % VARDentists 1,852 1,852 2,864 70% 326,488Hygienists 443 443 797 56% 74,867Total 2,295 2,295 3,661 66% 401,355 573,270 -171,915 -29.99%

FEDERAL AND STATE ASSOCIATIONS

CEO REPORT

PRIMARY CARE ORAL HEALTH

DIVISIONAL UPDATES

BEHAVIORAL HEALTH PSYCHIATRY

CEO REPORT

Community HealthWorker Program

Quarterly Update

Success Story's Barriers Encounters

HRSA CEO REPORT

• Upcoming Grants HRSA – Oral Health Infrastructure Grant(Budget Period Sept 1, 2019 – April 30, 2021)– this is a two-tier submission process, meaning there are 2 steps to make this happen

HRSA – Integrated Behavioral Health Services (IBHS) (Budget period Sept 1, 2019 – April 30, 2020) – this is an invitation application process.

• NoA AWARD NO: 5 H80CS241050800

HRSA MONTHLY REVIEW

CEO REPORTACCESSIBLE LOCATIONS AND HOURS OF OPERATION GOVERNANCE/ADMI

NAmanda Beffa April YES NO NA

a. Accessible Service Sites 1b. Accessible Hours of Operation 1c. Accurate Documentation of Sites within Scope of Project 1

TOTAL 3 0 0

% 100%

COVERAGE FOR MEDICAL EMERGENCIES DURING AND AFTER HOURS CLINICAL

PC-Patty; BH -Margo Pigg; OH -

Dr. GarlandApril YES NO NA

a. Clinical Capacity for Responding to Emergencies During Hours of Operation 1

b. Procedures for Responding to Emergencies During Hours of Operation 1

c. Procedures or Arrangements for After Hours Coverage 1d. After Hours Call Documentation 1

TOTAL 4 0 0% 100%

BOARD MEMBERS USING FQHC SERVICES

2019

47% Of Board Members are using FQHC Services

53% Board Members NOT utilizing FQHC Services

HRSA REQUIRES

51%

47%53%

APRIL

OUT OF COMPLIANCE

WE MUST INCREASE the 47% to a minimum of 51%

CEO REPORT

HRSA BOARD COMPOSITION

CEO REPORTThe health center has bylaws or other relevant documents that require the board to be composed4 asfollows:

• Board size is at least 9 and no more than 25 members,5 with either a specific number or a range of board members prescribed;

• At least 51 percent of board members are patients served by the health center. For the purposes of board composition, a patient is an individual who has received at least one service in the past 24 months that generated a health center visit, where both the service and the site where the service was received are within the HRSA-approved scope of project;

• Patient members of the board, as a group, represent the individuals who are served by the health center in terms of demographic factors, such as race, ethnicity, and gender;

• Non-patient members are representative of the community served by the health center or the health center’s service area;

• Non-patient members are selected to provide relevant expertise and skills such as:◦ Community affairs;◦ Local government;◦ Finance and banking;◦ Legal affairs;◦ Trade unions and other commercial and industrial concerns; and◦ Social services;

• No more than one-half of non-patient board members derive more than 10 percent of their annual income from the health care industry6; and

MONTHLY GRANT UPDATECEO REPORT

Funding Entity Program Recipient Description

Amt Requested on

Pending Grants

Franklin County Community Resource Board CAC-Union-Prevention Program One – Time Funding $7775.00

Franklin County Community Resource Board CAC-Union-Therapy One – Time Funding $2038.95

Jefferson Foundation BH Medication Support for Opioid Use Disorder $57,000.00Jefferson Foundation ASP Conflict/Violence Prevention Education Program for students in Jefferson County $50,000.00

Incarnate Word Foundation TWT Additional Training Classes $3,900.00Missouri Housing Development Commission

ASP MHOH AHAP-050 (Affordable Housing Assistance Program) Tax Credits of $200,000 $200,000.00

St. Francois County United Way CAC-Farmington Partial Funding for our Forensic Interviewer’s Salary $5000.00

Grants Applied for that were denied this month

We are still waiting to hear on the following grants:

Funding Entity Program Recipient Description

Amt Requested on

Pending Grants

United to End Bullying Grant TWT One – Time Funding $3,000.00

The following grants were applied for this past month:

VOLUNTEERSCEO REPORT

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

A Safe Place 56 12 22 42 23 21 5 11 13 205

CAC 24 172 33 17 8 6 8 23 21 312

Employees 14 46 47 34 22 12 7 41 24 247

Board Members 76 66 81 102 68 63 56 39 82 633

Adult and C&Y Div. 3 3 3 9 3 3 14 29 10 77

Tails with Tales 46 36 138 91 89 80 55 123 129 787

Job Shadowing 0 33 63 82 64 17 24 39 41 363

TOTAL Hours: 219 368 387 377 277 202 169 305 320 2624

ACTION ITEMS

REQUIRES A VOTE

MOTION:

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

APPROVALLeadership Council Reports

Emailed to Board

PERFORMANCE MEASURES - Scores calculated w/o "NA" Rating Measures 2019 All Responses % Strongly

Agree or Agree% Change in SA/A in 2019

over PY2018 - All Responses % Strongly





Agree or Agree

TOTAL REPORTING 128 90 102 35

The mission and successes of COMTREA are effectively communicated

Strongly Agree 27 25% 83% 5% 27 34% 79% -4% 19 24% 82% 19% 7 18% 63%Agree 64 59% 36 45% 46 58% 17 45%

Disagree 17 16% 12 15% 10 13% 12 32%

Strongly Disagree 1 1% 5 6% 4 5% 2 5%Not Applicable 19 10 3 0

Satisfied or highly satisfied with being a COMTREA community partner.


Disagree 10 10% 10 11% 12 15% 8 22%


Education and training of COMTREA services for your organization and/or community

Strongly Agree 18 18% 85% 10% 17 24% 75% 5% 15 19% 69% 10% 3 9% 59%Agree 65 66% 36 51% 39 50% 16 50%

Disagree 12 12% 11 15% 22 28% 11 34%


Access to services in a timely manner


Disagree 19 21% 10 16% 17 23% 8 22%


Ensuring that the physical health needs of clients in our care are met

Strongly Agree 17 19% 93% 12% 16 30% 81% -3% 10 16% 84% -5% 4 14% 89%Agree 65 74% 27 51% 44 69% 21 75%

Disagree 6 7% 5 9% 10 16% 2 7%


Ensuring that mental health needs/substance use treatment needs of clients in our care are met


Disagree 17 18% 14 21% 12 17% 8 22%


Ensuring that the oral health needs of clients in our care are met

Strongly Agree 24 28% 94% 11% 21 36% 83% -4% 15 25% 87% -9% 7 28% 96%Agree 56 66% 28 47% 38 62% 17 68%

Disagree 4 5% 7 12% 8 13% 1 4%


Providing a range of support services needed by clients and their families

Strongly Agree 26 25% 95% 9% 25 34% 86% 0% 16 21% 87% 16% 8 24% 71%Agree 75 71% 38 52% 49 65% 16 47%

Disagree 5 5% 6 8% 8 11% 7 21%


FY 2019 Stakeholder Survey – 3 yr Trend Performance

FY 2019 Stakeholder Survey – 3 yr Trend Performance, continued

Responding to you/your organization’s concerns

Strongly Agree 14 16% 82% 11% 20 29% 71% -10% 18 24% 81% 22% 6 16% 59%

Agree 59 66% 29 42% 43 57% 16 43%

Disagree 15 17% 13 19% 9 12% 9 24%

Strongly Disagree 1 1% 7 10% 5 7% 6 16%

Not Applicable 39 21 6 1

Providing staff who are well-trained and knowledgeable


Disagree 9 8% 12 16% 4 5% 5 14%



Coordinating services with other agencies or community organizations


Disagree 8 8% 8 12% 8 10% 7 20%



Clients, family members and/or community partners are treated with respect


Disagree 4 4% 6 8% 5 6% 4 11%



Access to information on the COMTREA website


Disagree 3 3% 3 6% 6 9% 3 12%



PERFORMANCE MEASURES -Scores calculated w/o "NA" Rating Measures 2019 All Responses % Strongly







Agree or Agree

TOTAL REPORTING 128 90 102 35

MOTION:

“I, ______, move that the Board approve the FY 2019 Stakeholder Survey Results as presented.”

APPROVALFY 2019 Stakeholder Survey Results

CREDENTIALING & PRIVILEGINGNew Staff / Interns Requiring Privileging

(during the month of March 2019)Current Staff Re-Privileged

(during the month of March 2019)

MOTION:“I, ______, move that the Board accept the

March 2019 Credentialing & Privileging Report as presented.”

Name Title Division Status

Gower, Christina AVP - Adult BHBehavioral

Health Full time

Nass, Heather CSS IIBehavioral

Health Full time

Stotler, Jodi Dental Hygienist II Oral Health Part time

Wade-Mahoney, Elizabeth

Telehealth Doctor

Behavioral Health

INTERNSSweetin, Justin FNP Primary Care Part time

Name Title Division Status

Hunter, Jeanane Youth TherapistBehavioral

Health Full timeEmpkey, John Dentist Oral Health Part time

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

• Family Advisory Council – changed to PATIENT FOCUS GROUPS, 2 sessions have been held and information gathered will be reported at the May Board Meeting

• Finger sticks for Point of Care testing started, this will hopefully improve the diabetes A1C measures

• Oral Health – decline in exams and varnishes completed due to the changes with the mobile program

• Suggestion boxes are now up at most locations, the suggestions will be reported monthly at the QIQA meetings

• Patient Board Member Count, still out of compliance

QIQA REPORT – MPCA Clinical Quality Award

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

MOTION:

DISCUSSION ITEMS

INFORMATIONAL

MONTHLY REPORT TO THE BOARD

Building and Grounds

FundraisingASP Committee

Update

Event Name Date Where Benefitting Contact InfoFurry Tales Do Come True Saturday

April 13Elks Club

Festus, MOTWT Laura Casey

[email protected]

Designer Hand Bag Bingo FridayMay 3

Villa Antonio Winery MHOH atASP

Kim [email protected]

636-232-2330

Hawaiian Luau Trivia Night! FridayMay 31

TBC VenuePevely, MO

Co-Worker Help Fund Katy [email protected]

House of Fashion SundayJuly 14

Oak ValleyPevely, MO

MHOH atASP

Kim [email protected]

636-232-2330

CAC Golf Tournament FridayAugust 16

Oak Valley Golf Course & ResortPevely, MO

CAC Kathy [email protected]

mailto:[email protected]




https://spiceworks.comtrea.org/people/566

BOARD MEMBER INFO

BOARD RECRUITMENT

CEO PERFORMANCE EVALUATION

OLD BUSINESS

FOR DISCUSSION

NEXT SCHEDULED BOARD MEETING

MONDAY, MAY 13, 2019

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/

board meeting - comtrea 2019 board meeting presentation web.pdfpatients love dr. garrity and dr....

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