Executive Board

Executive Director

Executive Board

HCC Staff

LiveWell Staff



HCC Programs

Cultural Competency

Toniann Richard,
Executive Director

The Health Care Collaborative (HCC) of Rural Missouri continues to forge ahead. With the help of her staff, executive board and network partners, HCC is one of the country's foremost rural health networks. HCC membership, which includes a broad spectrum of individuals including health care providers, social services providers, schools and community representatives, work collectively to enhance the delivery of health care in Lafayette County and surrounding areas. Through these efforts, the Collaborative has embarked on initiatives to create healthier communities through workplace wellness programs, a rural health insurance program and health information technology.

Mel Fetter,
Pathways President
Past Board Chairman

Pathways Community Health, a large multi-county, non-profit organization, provides behavioral health and substance abuse services throughout Lafayette County as well as 29 additional counties. The organization is also a strong proponent of e-prescribing and EMRs. Pathways' well-rounded experience will support HCC in a variety of capacities including geriatric psychiatry.

Darrel Box
Board President

Darrel Box is CEO of Lafayette Regional Health Center.  Darrel attended the University of Missouri at Kansas City receiving a BS in Pharmacy in 1988 and started at LRHC in 1993 as the Director of Pharmacy and has held several positions since that time.  He received his Masters in Healthcare Administration from the University of Minnesota in 2001.  In 2003, he joined the senior leadership team.  Darrel is currently the Chairman of the Community health foundation of Lafayette county, serves on the executive board of the Healthcare Coalition of Lafayette county and is an Alderman on the Buckner City Council.  He has been married for 19 years to his wife Oletta.  In his spare time he enjoys travel, cycling and watching baseball and football. 


Holly Mefferd,
Board Secretary

Holly Mefferd is the Properties and Office Manager at the Lexington 4-Life Center.  She began working at the 4-Life Center in January 2014 where she oversees all the financial and maintenance responsibilities for the Lexington Senior Center, Inc., Lafayette Square Properties, and the 4-Life Foundation.  Holly brings a wealth of experience to her position as a former bank officer at Napoleon Bank and previous office manager for her family’s business.  As a life-long resident of Lafayette County, Holly enjoys volunteering in various community-betterment organizations and is passionate about securing health and wellness for our rural communities for years to come.  Holly and her husband are raising two boys in rural Odessa.

Diana Hoemann,
Care Connection for Aging Services CEO

Care Connection for Aging Services, an Area Agency on Aging, develops evidence-based health and wellness programs for seniors among other support services. Diana brings 16 years of support service expertise, having served with Care Connection for 24 years. Diana directs the Care Management and Information and Assistance programs, linking seniors and caregivers to appropriate agencies and services. Other programs that she is responsible for include the National Caregiver Support Program and the Missouri SORT (Seniors Organized to Restore Trust) program, Legal Assistance, Health Aging Programs and the Silver Haired Legislation. She is a certified Information and Referral Specialist through AIRS, the Alliance of Information and Referral Systems. Locally, she is a member of the Warrensburg Rotary Club, 4-H Leader for the Good Neighbors 4-H Club and an active member of Bethlehem Lutheran Church.

Donna Brown, Economic
Development Director

Donna Brown has served as the Economic Development Director for the City of Higginsville since 1999.  Her responsibilities include new industry recruitment, business retention, community development, commercial and retail recruitment, and management of the local airport.  She is also responsible for grant writing and administration for a variety of city projects.  Donna is a strong advocate for the development and promotion of regional economic development and partnerships like the Health Care Coalition of Lafayette County that are actively engaged in improving the health and quality of life for the citizens in the region.



Suzanne Gladney, Esq., MFP Founder 

Suzanne Gladney founded and supervises the Migrant Farmworkers Project (MFP), serving migrant farmworkers picking Missouri’s fruit and vegetable crops.  She held the position of Managing Attorney for Legal Aid of Western Missouri’s West office for more than 36 years.  She specializes in immigration law and advises community agencies serving immigrants. She is a frequent speaker on immigration and migrant farmworker issues and is active in a number of community, cultural and social justice organizations.

Tom Emerson, LCHD Administrator

Lafayette County Health Department (LCHD) Administrator Tom Emerson has worked for the Department since 1992.  The first eight years he served as Multi-County Sanitarian for Lafayette and Johnson counties. In 1999 he came to LCHD full time as environmental public health specialist, also picking up communicable disease epidemiology duties. Emerson brings 20 years of public health experience and a strong vision for inter-agency cooperation to achieve goals that improve public health and health care in Lafayette County.

Marsha Corbin


Terri Bargfrede

Terri and her husband Larry are cattle and row crop farmers in Lafayette County, just outside of Alma, on their Century Family Farm. Terri has been a care giver for several of her family members and has also worked at the Saline County Health Department in the past. Healthcare and the needs of others have always been a passion for Terri. She continues to stay active in her community, church and family. She is excited to be a part of HCC's board.

Health Care Collaborative (HCC) of Rural Missouri By-Laws