2018-11-15T15:49:01-06:00 2017-12-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2017-01-01 436004544 PEMISCOT COUNTY MEMORIAL HOSPITAL % LEIGHA WARD PEMI 5733591372 946 EAST REED ST PO BOX 489 HAYTI MO 63851 JONNA GREEN INTERIM ADMINISTRATO 5733591372 2018-10-23 true Brian D Todd P00422601 4178658701 167.68.126.162 43032920183195000023 2018-11-15 P 35B2FEF9FD89B74F90B63698513A1BB518488CA1 AE6E5E46D41BC60DF08B4BEE75B34EFCBA1C7A6F 2017 2019-02-21 02:37:17Z PEMISCOT MEMORIAL HEALTH SYSTEMS JONNA GREEN PO BOX 489 HAYTI MO 63851 38314998 false X WWW.PEMISCOT.ORG X POL SUB 1949 MO THE PRIMARY PURPOSE OF PEMISCOT MEMORIAL HEALTH SYSTEMS IS TO PROVIDE QUALITY HEALTHCARE TO THE COMMUNITY REGARDLESS OF ABILITY TO PAY. 6 6 566 6 0 874987 836540 40483629 37453806 2371523 21052 1500 3600 43731639 38314998 0 0 0 0 20634207 17755178 0 0 0 22184344 22325263 42818551 40080441 913088 -1765443 23739370 25549390 10855226 14430689 12884144 11118701 X PEMISCOT MEMORIAL HEALTH SYSTEMS IS COMMITTED TO PROVIDE AN ORGANIZED SYSTEM OF HEALTHCARE SERVICES TO ALL PERSONS WITHIN OUR SERVICE AREA. SEE SCHEDULE O. false false 37487278 37453806 PROVIDING QUALITY HEALTH CARE TO THE COMMUNITY THROUGH THE OPERATION OF A HOSPITAL, LONG-TERM CARE FACILITY, RURAL HEALTH CLINICS AND ADULT AND GERIATRIC PSYCHIATRIC UNITS. 37487278 true true false false false false false false true false true false false true true false false false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false true 67 0 true 566 true false false false false false false false false false false X 6 6 false false false false true true false true true false false false false true true true true false X LEIGHA WARD 5733593612 946 EAST REED HAYTI MO 63851 RUSSELL GILMORE CHAIRMAN 2.0 0.0 X X 0 0 0 DELILA SWINGER VICE-CHAIRMAN 2.0 0.0 X X 0 0 0 TIM GARDNER TREASURER 2.0 0.0 X X 0 0 0 STEPHEN REID SECRETARY 2.0 0.0 X X 0 0 0 EDDIE BROOKS MEMBER 2.0 0.0 X 0 0 0 STEVE VANAUSDALL MEMBER BEG 05/17 2.0 0.0 X 0 0 0 KERRY NOBLE CEO/CFO END 07/17 40.0 0.0 X 73208 0 0 LEIGHA WARD CFO BEG 07/17 40.0 0.0 X 53337 0 0 JONNA GREEN COO BEG 07/17 40.0 0.0 X 56197 0 0 JAMES MARSHALL CEO BEG 08/2017 40.0 0.0 X 50032 0 0 GHAITH KHAIR PHYSICIAN 40.0 0.0 X 371413 0 1350 LARA HUFFMAN PHYSICIAN 40.0 0.0 X 326250 0 921 ABDULLAH ARSHAD PHYSICIAN 40.0 0.0 X 1314405 0 0 BABATUNDE OLADIRAN PHYSICIAN 40.0 0.0 X 570919 0 25477 AMY LOCKHERT PHYSICIAN 40.0 0.0 X 248359 0 976 3064120 0 28724 15 false true false GUBIN MEDICAL SERVICES 163 CLOISTER GREEN COVE MEMPHIS TN 38120 UROLOGY SERVICE 785312 HEALTHCARE SERVICES GROUP PO BOX 829677 PHILADELPHIA PA 19182 HOUSEKEEPING/LAUNDRY 649000 SN VITAL PAIN AND ANESTHESIA 11006 LANDON LANE HOUSTON TX 77024 PAIN MANAGEMENT 569882 LASHLEE-RICH PO BOX 483 HUMBOLDT TN 38343 CONTRACTOR 1274165 JM ANESTHESIA LLC 12661 FOXWOOD POINTE POPLAR BLUFF MO 63901 ANESTHESIA COVERAGE 479000 8 836540 836540 PATIENT SERVICE REVENUE 621400 34179906 34179906 MEDICAL RECORDS 621400 18016 18016 CAFETERIA 722514 65983 65983 MISCELLANEOUS 900099 773611 773611 340B REVENUE 621400 2416290 2416290 37453806 21052 21052 0 0 3600 3600 0 3600 3600 0 0 0 0 0 0 0 0 0 0 0 38314998 37453806 24652 X 0 0 0 0 232774 232774 0 14383088 13339030 1044058 815106 750170 64936 1276425 1174737 101688 1047785 964312 83473 0 27473 27473 129981 129981 0 0 0 7189562 6753034 436528 5148 4738 410 742248 671462 70786 0 0 688709 633842 54867 83951 68862 15089 0 0 195191 195191 0 604914 556723 48191 165021 165021 BAD DEBT 7304395 7304395 MEDICAL SUPPLIES & DRUGS 3650602 3650602 FRA EXPENSE 1183909 1183909 LICENSES, DUES, SUBSCRIPTIONS 81040 38786 42254 273119 227655 45464 40080441 37487278 2593163 0 2205 2205 3003568 2434847 694847 685833 2796936 3111189 0 0 0 0 0 0 332343 354682 91076 80795 27938136 23186203 3130115 4751933 0 0 0 0 0 0 0 0 13688280 14127906 23739370 25549390 4753890 5265708 0 0 0 0 0 0 6277 6272 0 0 3527405 3701603 0 0 2567654 5457106 10855226 14430689 X 12884144 11118701 0 0 0 0 12884144 11118701 23739370 25549390 -1765443 X true X false true false X false true X 137742 137742 10618223 9480788 1137435 16347384 13650279 2697105 834787 55136 779651 4751933 NET PENSION ASSET 11287886 RESIDENT TRUST FUND 5673 OTHER RECEIVABLES 788199 DEFERRED PENSION PLAN 2046148 14127906 0 DUE TO THIRD PARTY 3108037 DEFERRED INFLOWS - PENSION PLAN 2349069 5457106 SCHEDULE D, PART IV, LINE 2B RESIDENT TRUST FUND: THE ORGANIZATION HOLDS RESIDENT FUNDS THAT HAVE BEEN SET ASIDE FROM MEDICAID FOR PERSONAL EXPENSES OF PATIENTS. FAMILY MEMBERS AND PATIENTS MAY ALSO MAKE ADDITIONAL DEPOSITS INTO THE ACCOUNTS FOR ADDITIONAL EXPENSES, AS AVAILABLE AND NECESSARY. true true X true X true X false true true false true true 420620 420620 0.01280 6507867 4874415 1633452 0.04980 6928487 4874415 2054072 0.06260 163306 163306 0.00500 163306 163306 0.00500 7091793 4874415 2217378 0.06760 4577 4577 0.00010 195 195 4772 4772 0.00010 true 7304395 2103666 11130634 9310898 1819736 X true false 1 1 PEMISCOT MEMORIAL HEALTH SYSTEMS 946 EAST REED HAYTI MO 63851 WWW.PEMISCOT.ORG 15-57 X X PEMISCOT MEMORIAL HEALTH SYSTEMS 1 false false true X X X X X X X X 16 true false false true X SEE PART V, SECTION C X true 16 true SEE PART V, SECTION C false true X 100 200. true true X X true X SEE PART V, SECTION C X X true X false X X true X false false SCHEDULE H, PART V, LINE 5 COMMUNITY INPUT: INTERVIEWS WITH STAKEHOLDERS WERE CONDUCTED IN DECEMBER 2016 OVER THE PHONE. STAKEHOLDERS WERE DETERMINED BASED ON THEIR: A) SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, B) THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOL AND INDUSTRY OR C) THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. ALL INTERVIEWS WERE CONDUCTED USING A STANDARD QUESTIONNAIRE. A COPY OF THE INTERVIEW INSTRUMENT IS INCLUDED IN THE APPENDICES. A SUMMARY OF THEIR OPINIONS IS REPORTED WITHOUT JUDGING THE TRUTHFULNESS OR ACCURACY OF THEIR REMARKS. COMMUNITY LEADER PROVIDED COMMENTS ON THE FOLLOWING ISSUES: - HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY IN RELATION TO THE CURRENT STRATEGIES IMPLEMENTED. - THOUGHTS ON HOW CURRENT PROGRAMS ARE IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY OR IDENTIFYING PROGRAMS DONE BY OTHERS THAT ADDRESS SIMILAR NEEDS. - OPINIONS REGARDING IN NEW NEEDS OR HEALTH ISSUES THAT AFFECT PEMISCOT COUNTY RESIDENTS AND THE TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE NEW ISSUES. THIS TECHNIQUE DOES NOT PROVIDE A QUANTITATIVE ANALYSIS OF THE LEADERS' OPINIONS, BUT REVEALS SOME OF THE FACTORS AFFECTING THE VIEWS AND SENTIMENTS ABOUT OVERALL HEALTH AND QUALITY OF LIFE WITHIN THE COMMUNITY. REPRESENTATIVES FROM THE COMMUNITY WHO WERE INCLUDED IN THE KEY INFORMANT INTERVIEW PROCESS WORKED FOR THE VARIOUS TYPES OF ORGANIZATIONS AND AGENCIES (SEE APPENDIX FOR A DETAILED LIFT OF PARTICIPANTS). THESE HEALTH CARE AND NON-HEALTH CARE PROFESSIONALS PROVIDED INSIGHT INTO THE HEALTH STATUS OF THE HOSPITAL THROUGH A SEVEN-QUESTION INTERVIEW (REFER TO THE APPENDIX FOR FULL INTERVIEW PROCESS). SCHEDULE H, PART V, SECTION B, LINE 7A, 10A & 16A WEBSITE FOR CHNA, IMPLEMENTATION STRATEGY AND FINANCIAL ASSISTANCE POLICY: https://www.pemiscot.org/copy-of-request-medical-records SCHEDULE H, PART V, LINE 11 ADDRESSING SIGNIFICANT NEEDS: THE MOST SIGNIFICANT/PREVALENT NEEDS IDENTIFIED IN THE ORGANIZATIONS MOST RECENT CHNA WERE AS FOLLOWS: HEART DISEASE CANCER STROKE LUNG DISEASE PRIMARY CARE PHYSICIANS / PEDIATRICIANS MENTAL HEALTH PROVIDERS LOW-INCOME POPULATION HEALTH CARE TRANSPORTATION / ACCESS TO CARE DRUG OVERDOSE ADULT SMOKING CHILDREN IN POVERTY CHILDREN IN SINGLE-PARENT HOUSEHOLDS ADULT OBESITY DENTISTS PREVENTABLE HOSPITAL STAYS UNINSURED TEEN BIRTH RATE SEXUALLY TRANSMITTED INFECTIONS MAMMOGRAPHY SCREENING ACCESS TO EXERCISE OPPORTUNITIES PHYSICAL INACTIVITY VIOLENT CRIME RATE FOOD ENVIRONMENT INDEX ALCOHOL-IMPAIRED DRIVING DEATHS DIABETIC SCREEN RATE EXCESSIVE DRINKING HOSPITAL LEADERSHIP REVIEWED THE IDENTIFIED NEEDS REPORTED IN THE TABLE ABOVE. THROUGH DISCUSSION AND DEBATE, LEADERSHIP IDENTIFIED PRIORITIES THE HOSPITAL SHOULD FOCUS ON FOR CALENDAR YEARS 2017-2018. AS A RESULT OF THE ANALYSIS ABOVE THE FOLLOWING AREAS WERE IDENTIFIED AS PRIORITY AREAS ON WHICH WE WILL FOCUS. ACCESS TO SERVICES AND HEALTHY LIVING: 1. PRIMARY CARE PHYSICIANS AND PEDIATRICIANS 2. MENTAL HEALTH PROVIDERS 3. LOW-INCOME AND UNINSURED HEALTH CARE SERVICES 4. TRANSPORTATION AND ACCESS TO CARE CHRONIC DISEASE MANAGEMENT AND PREVENTION: 1. HEART DISEASE 2. CANCER 3. STROKE 4. LUNG DISEASE 9 PEMISCOT MEMORIAL NURSING HOME 946 EAST REED HAYTI MO 63851 OUTPATIENT PHYSICIAN CLINIC PEMISCOT PRIMARY CARE CENTER 907 EAST REED HAYTI MO 63851 OUTPATIENT PHYSICIAN CLINIC DOCTOR'S CLINIC 106 WEST 12 CARUTHERSVILLE MO 63830 OUTPATIENT PHYSICIAN CLINIC BOOTHEEL PRIMARY CARE - KENNETT 200 STATE ROUTE VV KENNETT MO 63857 OUTPATIENT PHYSICIAN CLINIC PEMISCOT CONVENIENT CARE CLINIC 946 EAST REED HAYTI MO 63851 OUTPATIENT PHYSICIAN CLINIC PORTAGEVILLE PRIMARY CARE CENTER 314 EAST MAIN PORTAGEVILLE MO 63873 OUTPATIENT PHYSICIAN CLINIC BOOTHEEL PRIMARY CARE - CARUTHERSVILLE 1502 WARD AVENUE CARUTHERSVILLE MO 63830 OUTPATIENT PHYSICIAN CLINIC BOOTHEEL PRIMARY CARE - HAYTI 310 EAST MAIN HAYTI MO 63851 OUTPATIENT PHYSICIAN CLINIC BOOTHEEL PRIMARY CARE - STEELE 213 5 WALNUT STEELE MO 63877 OUTPATIENT PHYSICIAN CLINIC SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 FOR THE FORM 990, WAS REDUCED BY BAD DEBT EXPENSE OF $7,304,395. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEET 1 AND 6. WORKSHEET 3 USED ACTUAL COST METHODS FROM THE ORGANIZATION'S COST REPORT. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES: THE ORGANIZATION PROVIDED COMMUNITY SUPPORT THROUGH AN R-3 PARTY AND TRUST OR TREAT, WHICH CONTRIBUTED TO YOUTH DEVELOPMENT AND SUPPORT. THE ORGANIZATION PARTICIPATED IN THE HAYTI JOB FAIR TO PROMOTE WORKFORCE DEVELOPMENT. MEMBERS OF THE ORGANIZATION'S MANAGEMENT ARE MEMBERS OF THE HAYTI ROTARY AND THE DUES ASSOCIATED WITH THIS MEMBERSHIP ARE REPORTED AS ECONOMIC DEVELOPMENT. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSES: LINE 2 WAS CALCULATED USING THE BAD DEBT EXPENSE PER THE REVIEWED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: THE ORGANIZATION HAS ESTIMATED THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY FOR LINE 3 BASED ON CENSUS DATA SHOWING 28.8% OF THE POPULATION IN ITS SERVICE AREA FALLING BELOW THE FEDERAL POVERTY GUIDELINES. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE: A FOOTNOTE TO THE FINANCIAL STATEMENTS READS NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD PARTY PAYERS AND OTHERS FOR SERVICES RENDERED. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS ON THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. LAWS AND REGULATIONS GOVERNING THE MEDICARE AND MEDICAID PROGRAMS ARE EXTREMELY COMPLEX AND SUBJECT TO INTERPRETATION; AS A RESULT THERE IS AT LAST A REASONABLE POSSIBILITY THAT RECORDED ESTIMATES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALITY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. SCHEDULE H, PART III, SECTION B, LINE 8 COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: GENERAL NEEDS ASSESSMENT IS PERFORMED BY THE BOARD OF DIRECTORS AND MANAGEMENT, WHO REGULARLY MEET WITH LOCAL PROVIDERS TO ASSESS COMMUNITY NEEDS AND DEVELOP STRATEGIES FOR ADDRESSING THESE NEEDS. APPROPRIATE PROGRAMS ARE IMPLEMENTED AS A RESULT. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: PATIENTS ARE ASKED UPON ADMISSION IF THEY WOULD LIKE TO APPLY FOR ASSISTANCE. A CASEWORKER MAKES IN-ROOM VISITS TO THOSE WHO APPLY AND ASSISTS IN ENROLLMENT IN ANY PROGRAMS FOR WHICH THE PATIENT QUALIFIES. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: THE HOSPITAL SERVES PEMISCOT, EASTERN DUNKLIN, AND SOUTHERN NEW MADRID COUNTIES OF SOUTHEAST MISSOURI. PEMISCOT COUNTY'S MEDIAN HOUSEHOLD INCOME WAS $39,964 WHEN LAST MEASURED IN 2014, WITH 28.8% PERSONS LIVING BELOW THE POVERTY LEVEL. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: THE HOSPITAL SENDS EMPLOYEES TO WORK AT LOCAL HEALTH FAIRS, INCLUDING CHECKING BLOOD PRESSURE AND BASIC LAB WORK. ONE DOCTOR HAS STARTED A NEW PROGRAM TO ADDRESS TEEN PREGNANCY. THE HOSPITAL ALSO PROVIDES EMPLOYEES TO ADMINISTER FLU SHOTS. X X X false false false false false false false true false GHAITH KHAIR PHYSICIAN 371413 0 0 0 0 0 0 0 1350 0 372763 0 0 0 LARA HUFFMAN PHYSICIAN 326250 0 0 0 0 0 0 0 921 0 327171 0 0 0 ABDULLAH ARSHAD PHYSICIAN 350214 0 964191 0 0 0 0 0 0 0 1314405 0 0 0 BABATUNDE OLADIRAN PHYSICIAN 283233 0 287686 0 0 0 0 0 25477 0 596396 0 0 0 AMY LOCKHERT PHYSICIAN 248359 0 0 0 0 0 0 0 976 0 249335 0 0 0 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: PHYSICIANS MAY BE ELIGIBLE TO RECEIVE AN INCENTIVE PAY BONUS BASED ON PRODUCTIVITY VOLUME. FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION: PEMISCOT MEMORIAL HEALTH SYSTEMS IS COMMITTED TO PROVIDE AN ORGANIZED SYSTEM OF HEALTHCARE SERVICES TO ALL PERSONS WITHIN OUR SERVICE AREA WITHOUT REGARD TO AGE, SEX, RACE, SEXUAL ORIENTATION, COLOR, NATIONAL ORIGIN, CREED, FINANCIAL STATUS, PHYSICAL OR MENTAL CHALLENGE. DEMAND FOR EXPANSION OF EXISTING OR INITIATION OF NEW PROGRAMS AND SERVICES ARE EVALUATED ON AN ONGOING BASIS RESULTING IN INCREMENTAL IMPROVEMENTS IN THE DEGREE OF QUALITY OF SERVICES RENDERED IN DIRECT RESPONSE TO THE CHANGING HEALTHCARE NEEDS OF THE COMMUNITY. PEMISCOT MEMORIAL HEALTH SYSTEMS STRIVES TO WORK IN COLLABORATION WITH LOCAL, STATE AND FEDERAL ORGANIZATIONS TO ENSURE ACCESS TO PRIMARY CARE FOR ALL RESIDENTS WITH SPECIAL EMPHASIS ON PREVENTATIVE HEALTH AND WELLNESS. WE DILIGENTLY WORK TO MAINTAIN OUR FINANCIAL STRENGTH IN ORDER THAT WE REMAIN A PROMINENT PROVIDER OF MEDICAL SERVICES FOR THE REGION. FORM 990, PART IV, LINE 20B AUDITED FINANCIAL STATEMENTS: THE ORGANIZATION IS ATTACHING THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2012. AS THESE ARE THE MOST RECENT AUDITED FINANCIAL STATEMENTS. THE 2017 FINANCIAL STATEMENTS ARE REVIEWED FINANCIAL STATEMENTS RATHER THAN AUDITED FINANCIAL STATEMENTS. FORM 990, PART VI, SECTION A, LINES 6 & 7A MEMBERS: ANY VACANCY ON THE BOARD IS FILLED BY APPOINTMENT BY THE PEMISCOT COUNTY COURT. THE APPOINTEE HOLDS THE OFFICE UNTIL THE NEXT ELECTION, OR WHEN THE SUCCESSOR IS ELECTED. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990: THE FORM IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT AND MANAGEMENT. FORM 990 WILL BE PROVIDED TO THE BOARD OF DIRECTORS AT THE REGULAR SCHEDULED BOARD MEETING FOLLOWING THE FILING OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION REVIEW: THE COMPENSATION OF THE CEO, CFO, AND COO IS REVIEWED AND APPROVED BY THE BOARD AND DOCUMENTED IN THE MINUTES. THE BOARD USES MHA EXECUTIVE SURVEY DATA TO COMPARE COMPENSATION TO LIKE ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT AVAILABILITY: GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:5548289 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:523874 FORM 990 PART IX LINE 11G DESCRIPTION:MAINTENANCE AGREEMENTS TOTAL FEES:508318 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:332000 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION AGENCIES TOTAL FEES:132517 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:106913 FORM 990 PART IX LINE 11G DESCRIPTION:LAB SERVICES TOTAL FEES:37651