2017-09-21T12:00:13-04:00 2017-03-31 010493997 PFBFCPAS 46 FIRSTPARK DRIVE OAKLAND ME 049635362 990 2016-04-01 010414441 MAINE MIGRANT HEALTH PROGRAM INC MAIN 2076229252 PO BOX 405 AUGUSTA ME 043320405 LISA TAPERT EXECUTIVE DIRECTOR 2076229252 2017-08-02 true DANIELLE D MARTIN CPA P01265151 2078731603 2017-08-02 19C3764FD7E16FB4ACA36044FF05FC5449D87197 89728C91B6407C79BA4CB3B1DFE01927817E2ED2 2016 2021-01-29 14:40:06Z LISA TAPERT 9 GREEN STREET AUGUSTA ME 04330 1791230 false X WWW.MAINEMIGRANT.ORG X 1986 ME TO IMPROVE THE HEALTH STATUS OF MAINE'S SEASONAL WORKERS AND THEIR FAMILIES BY PROVIDING CULTURALLY APPROPRIATE CARE AND SERVICES. 11 11 61 19 0 1524513 1776157 13196 10357 613 654 4062 1538322 1791230 0 0 741561 929629 0 9062 685041 793847 1426602 1723476 111720 67754 842326 819908 347348 257176 494978 562732 X SINCE 1991, THE MAINE MIGRANT HEALTH PROGRAM (MMHP) HAS CHAMPIONED THE HEALTH CARE NEEDS OF MIGRANT AND SEASONAL FARMWORKERS (MSFWS) AND THEIR FAMILIES BY PROVIDING QUALITY PRIMARY, PREVENTIVE, AND CHRONIC HEALTH CARE SERVICES TO MSFWS ACROSS THE STATE. MSFWS ARE ONE OF THE NATION'S MOST VULNERABLE AND INVISIBLE POPULATIONS. THEIR HEALTH STATUS IS COMPROMISED BY POVERTY, LIVING/WORKING CONDITIONS, IMMIGRATION STATUS, INTERRUPTIONS IN CARE, LACK OF CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES (CLAS), SOCIAL ISOLATION, AND AN OVERWHELMING LACK OF ACCESS TO BASIC HEALTH CARE.. AS A MIGRANT HEALTH VOUCHER PROGRAM, THE MMHP IS DEDICATED TO MAXIMIZING ACCESS TO HEALTH CARE FOR MAINE'S SEASONAL WORKERS BY PROVIDING MOBILE MEDICAL CARE, AND BY REIMBURSEMENT ARRANGEMENTS (I.E. VOUCHERS) WITH A BROAD NETWORK OF MEDICAL, DENTAL, VISION AND BEHAVIORAL HEALTH PROVIDERS. false false 592302 COMMUNITY SERVICE - THE MAINE MIGRANT HEALTH PROGRAM IS A 330G MIGRANT VOUCHER PROGRAM. HOWEVER, IT DOES NOT OPERATE OUT OF A FIXED SITE OR "BRICKS AND MORTAR" HEALTH CENTER BUT THROUGH 4 MOBILE MEDICAL UNITS. MMHP'S SERVICES ARE PROVIDED WHERE THEY ARE MOST NEEDED, WHERE FARMWORKERS LIVE AND WORK. . MOBILE MEDICAL CLINICS, CARE COORDINATION, PESTICIDE SAFETY TRAININGS, HEALTH EDUCATION SESSIONS, ETC. ALL TAKE PLACE IN FARMWORKER COMMUNITIES - THEIR CAMPS, HOMES, AND WORK PLACES. THESE SERVICES ARE THE CORNERSTONE OF MIGRANT VOUCHER PROGRAMS ACROSS THE COUNTRY AND PROVIDE A STRONG BASE OF SUPPORTIVE SERVICES THAT CREATE ACCESS. MMHP'S EXISTING SERVICE AREA IS THE ENTIRE STATE OF MAINE (33,215 SQ M) WITH MAJOR HARVEST AREAS IN AROOSTOOK, HANCOCK, WASHINGTON, AND ANDROSCOGGIN COUNTIES. BOTH WASHINGTON AND AROOSTOOK QUALIFY AS "VERY RURAL", THEIR POPULATION DENSITY BEING 14.0/SQ M AND 11.6/SQ M, RESP. AROOSTOOK COUNTY HAS THE DISTINCT HONOR OF BEING THE ONLY COUNTY EAST OF THE MISSISSIPPI THAT QUALIFIES AS A FRONTIER DESIGNATED AREA. IN ADDITION, PARTS OF THESE MAJOR HARVEST AREAS HAVE BEEN CLASSIFIED AS HEALTH PROFESSIONAL SHORTAGE AREAS, MEDICALLY UNDERSERVED AREAS, OR AS HAVING A MEDICALLY UNDERSERVED POPULATION. UNFORTUNATELY, THEY ARE HOME TO MENTAL HEALTH AND DENTAL SHORTAGE AREAS AS WELL. MAINE STATE DEMOGRAPHICS ONLY ADD TO THE DIFFICULTIES MSFWS FACE. ADD TO THIS INADEQUATE TRANSPORTATION, GEOGRAPHIC ISOLATION, UNFAMILIARITY WITH LOCAL RESOURCES AND SYSTEMS, AS WELL AS THE INABILITY TO ARRANGE TIME OFF FROM WORK. THESE ARE THE BARRIERS MMHP'S COMMUNITY SERVICES ARE DESIGNED TO BRIDGE AND/OR ELIMINATE, THEREBY INCREASING ACCESS TO CARE. THESE COMMUNITY SERVICES ARE ACCOMPLISHED THROUGH OUTREACH SERVICES INCLUDING HEALTH EDUCATION, CARE COORDINATION, PRESCRIPTION ASSISTANCE, TRANSPORTATION, ELIGIBILITY ASSISTANCE, MEDICAL INTERPRETATION, AND REFERRAL SERVICES TO LOCAL NETWORK PROVIDERS. STAFF ALSO SPEND TIME SCOUTING FOR NEW CREWS AND WORKERS TO ENSURE ALL WHO NEED SERVICES HAVE THE OPPORTUNITY TO ACCESS THEM. THUS, COMMUNITY SERVICES ARE AN INTEGRAL COMPONENT IN MMHP'S SUCCESS IN MEETING MIGRANT AND SEASONAL FARMWORKER NEEDS AND IN FULFILLING ITS MISSION TO IMPROVE THE HEALTH STATUS OF MAINE'S SEASONAL WORKERS AND THEIR FAMILIES. 230090 7500 MEDICAL SERVICES - MMHP'S DIRECT MEDICAL SERVICES INCLUDE COMPREHENSIVE MOBILE CARE, ACCESS TO REFERRAL SERVICES, EMERGENCY ROOM CARE, AND COVERAGE FOR LABORATORY AND RADIOLOGY TESTING. MMHP BRINGS SERVICES DIRECTLY INTO WORKER CAMPS, COMMUNITIES, AND WORK SITES, AS WELL AS UTILIZING ITS STATEWIDE REFERRAL (VOUCHER) NETWORK OF MEDICAL PROVIDERS. THIS UNIQUE COMBINATION OF DIRECT CLINICAL CARE AND VOUCHER ARRANGEMENTS WITH LOCAL PROVIDERS ENSURES THAT MAINE'S MIGRANT AND SEASONAL FARMWORKERS HAVE ACCESS TO CARE THAT IS APPROPRIATE, TIMELY, AND COST-EFFECTIVE. THIS MODEL ALSO ENSURES GREATER RESPONSIVENESS TO FARMWORKERS' NEEDS, DESIGNED WITH AN INHERENT LEVEL OF FLEXIBILITY TO ACCOMMODATE EVER-CHANGING CIRCUMSTANCES AFFECTING FARMWORKER AND CARE. 134160 2780 DENTAL AND PHARMACY SERVICES - DENTAL AND PHARMACY SERVICES ARE BOTH PROVIDED SOLELY UNDER VOUCHER ARRANGEMENT AS MMHP'S MOBILE MEDICAL UNITS (MMUS) ARE NOT EQUIPPED OR STAFFED TO PROVIDE THEM DIRECTLY ON-SITE. A NUMBER OF DENTISTS AND PHARMACIES PARTICIPATE IN MMHP'S PROVIDER NETWORK IN THE COMMUNITIES WHERE WORKERS LIVE AND WORK. OVER THE PAST TWO YEARS, MMHP SUCCESSFULLY ADDED A NUMBER OF DENTAL PRACTICES TO ITS PROVIDER NETWORK. SOME PRACTICES BRING STAFF AND EQUIPMENT OUT INTO THE FIELD TO PROVIDE SERVICES ON-SITE, ALSO OPENING DOORS AFTER HOURS SOLELY FOR MSFWS. THESE TECHNIQUES HAVE RESULTED IN STEADILY INCREASING ACCESS TO DENTAL SERVICE EACH YEAR. 115719 77 MOBILE MEDICAL UNITS - AS DISCUSSED, PART OF MAINE MIGRANT'S UNIQUE MODEL OF SERVICE DELIVERY IS DIRECT DELIVERY OF CARE AT WORKER CAMPS, IN COMMUNITIES, AND AT WORK SITES. TO ACCOMPLISH THIS, MMHP OPERATES A FLEET OF VEHICLES DESIGNED AND UTILIZED AS MOBILE MEDICAL CENTERS. THESE MOBILE MEDICAL UNITS (MMUS) ARE STAFFED BY CLINICAL STAFF AND BILINGUAL STAFF WHO ENSURE THAT CLINICS RUN SMOOTHLY AND EFFICIENTLY AND THAT FARMWORKER NEEDS ARE IDENTIFIED CORRECTLY AND TREATED APPROPRIATELY CONTRACTED INTERPRETATION SERVICES ARE UTILIZED WHEN WORKER LANGUAGES ARE NOT SPOKEN BY STAFF. CLINICS ARE GENERALLY SCHEDULED AFTER HARVEST WORK HOURS. WHEN NECESSARY, ARRANGEMENTS ARE MADE AND ASSISTANCE PROVIDED FOR ANY REFERRALS TO LOCAL NETWORK VOUCHER PROVIDERS. EXPENSES 94,959 INCLUDING GRANTS OF 0. REVENUE 0 BEHAVIORAL HEALTH SERVICES - DUE TO AN OVERWHELMING DECLARATION OF NEED BY MIGRANT AND SEASONAL FARMWORKERS, BEHAVIORAL HEALTH SERVICES WERE INTEGRATED INTO MMHP'S CORE SERVICES IN 2009. THESE SERVICES WORK HAND-IN- HAND TO SUPPORT AND ENHANCE THE PROVISION OF QUALITY PRIMARY, PREVENTIVE, AND CHRONIC HEALTH CARE SERVICES TO SEASONAL WORKERS ACROSS THE STATE. BEHAVIORAL SERVICES CURRENTLY INCLUDE MENTAL HEALTH AND SUBSTANCE ABUSE COUNSELING WITH REFERRAL FOR TREATMENT. . BEHAVIORAL HEALTH CARE IS PROVIDED DIRECTLY ON THE MMUS AS WELL AS THROUGH A NUMBER OF VOUCHER (REFERRAL) PROVIDERS. EXPENSES 20,760 INCLUDING GRANTS OF 0. REVENUE 77 115719 77 1072271 true true false false false false false false false false true false false false false true true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true 40 0 61 true false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true false false X X X LISA TAPERT 2076229252 9 GREEN STREET AUGUSTA ME 04330 JONATHAN WOOD CHAIR 1.00 X X 0 0 0 LINDA SILKA VICE CHAIR 1.00 X X 0 0 0 JUDITH DUMONT TREASURER 1.00 X X 0 0 0 STEPHEN COLE SECRETARY 1.00 X X 0 0 0 ELIZABETH BICKNELL DIRECTOR 1.00 X 0 0 0 MAUREEN BRYAN DIRECTOR 1.00 X 0 0 0 SUSAN COTE DIRECTOR 1.00 X 0 0 0 MIKE GUARE DIRECTOR 1.00 X 0 0 0 CHARLES NEWTON DIRECTOR 1.00 X 0 0 0 DIANA PRESCOTT DIRECTOR 1.00 X 0 0 0 NANCY WEINGARTEN DIRECTOR 1.00 X 0 0 0 LISA TAPERT EXECUTIVE DI 40.00 X 82749 0 21647 DIANE HASTINGS FINANCE DIRE 40.00 X 68050 0 15978 150799 37625 false false false 1408302 367855 6136 1776157 MIGRANT PATIENT/OTHER 900099 10357 10357 10357 654 654 OTHER REVENUE 900099 4062 4062 4062 1791230 14419 654 177537 59550 115686 2301 572010 372250 194604 5156 10040 5612 4428 115986 64824 49970 1192 54056 31437 22206 413 3693 3693 16510 16510 153259 83097 70162 32613 16783 15830 38680 19363 19317 51303 785 50518 46895 42943 3952 36790 18100 18690 64170 58445 5725 31630 13586 18044 VOUCHER REFERRAL PROGRAM 188821 188821 SUPPLIES 69226 63975 5251 MINOR EQUIP/AGREE/R&M 27719 14654 13065 TRAINING/GAS/OIL/MISC 21757 13883 7874 10781 4163 6618 1723476 1072271 642143 9062 66451 67163 439262 312637 33254 66276 21708 21546 788201 435915 156052 352286 125599 842326 819908 91785 117243 255563 139933 347348 257176 X 461556 532881 33422 29851 494978 562732 842326 819908 67754 X X false true X true true true X 900065 956089 1006816 1524513 1776157 6163640 900065 956089 1006816 1524513 1776157 6163640 6163640 416 399 449 613 654 2531 6166171 14419 0.99960 0.99960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 788201 435915 352286 352286 X 1805735 14505 14505 1791230 1791230 1737981 14505 14505 1723476 1723476 SCHEDULE D, PAGE 3, PART X THE PROGRAM HAS BEEN GRANTED EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, THE PROGRAM QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B) (1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). MANAGEMENT EVALUATED THE PROGRAM'S TAX POSITIONS AND CONCLUDED THAT THE PROGRAM HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRED ADJUSTMENT TO THE FINANCIAL STATEMENTS. WHEN NECESSARY, THE PROGRAM ACCOUNTS FOR INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS AS PART OF ITS PROVISION FOR FEDERAL AND STATE INCOME TAXES. THE PROGRAM DOES NOT EXPECT THAT UNRECOGNIZED TAX BENEFITS ARISING FROM TAX POSITIONS WILL CHANGE SIGNIFICANTLY WITHIN THE NEXT TWELVE MONTHS. THE PROGRAM IS CURRENTLY OPEN TO AUDIT UNDER THE STATUTE OF LIMITATIONS BY THE INTERNAL REVENUE SERVICE AND STATE TAXING AUTHORITIES FOR THE YEARS ENDING MARCH 31, 2015 THROUGH 2017. FORM 990 - ORGANIZATION'S MISSION SINCE 1991, THE MAINE MIGRANT HEALTH PROGRAM (MMHP) HAS CHAMPIONED THE HEALTH CARE NEEDS OF MIGRANT AND SEASONAL FARMWORKERS (MSFWS) AND THEIR FAMILIES BY PROVIDING QUALITY PRIMARY, PREVENTIVE, AND CHRONIC HEALTH CARE SERVICES TO MSFWS ACROSS THE STATE. MSFWS ARE ONE OF THE NATION'S MOST VULNERABLE AND INVISIBLE POPULATIONS. THEIR HEALTH STATUS IS COMPROMISED BY POVERTY, LIVING/WORKING CONDITIONS, IMMIGRATION STATUS, INTERRUPTIONS IN CARE, LACK OF CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES (CLAS), SOCIAL ISOLATION, AND AN OVERWHELMING LACK OF ACCESS TO BASIC HEALTH CARE.. AS A MIGRANT HEALTH VOUCHER PROGRAM, THE MMHP IS DEDICATED TO MAXIMIZING ACCESS TO HEALTH CARE FOR MAINE'S SEASONAL WORKERS BY PROVIDING MOBILE MEDICAL CARE, AND BY REIMBURSEMENT ARRANGEMENTS (I.E. VOUCHERS) WITH A BROAD NETWORK OF MEDICAL, DENTAL, VISION AND BEHAVIORAL HEALTH PROVIDERS. FORM 990, PAGE 2, PART III, LINE 4A BOTH WASHINGTON AND AROOSTOOK QUALIFY AS "VERY RURAL", THEIR POPULATION DENSITY BEING 14.0/SQ M AND 11.6/SQ M, RESP. AROOSTOOK COUNTY HAS THE DISTINCT HONOR OF BEING THE ONLY COUNTY EAST OF THE MISSISSIPPI THAT QUALIFIES AS A FRONTIER DESIGNATED AREA. IN ADDITION, PARTS OF THESE MAJOR HARVEST AREAS HAVE BEEN CLASSIFIED AS HEALTH PROFESSIONAL SHORTAGE AREAS, MEDICALLY UNDERSERVED AREAS, OR AS HAVING A MEDICALLY UNDERSERVED POPULATION. UNFORTUNATELY, THEY ARE HOME TO MENTAL HEALTH AND DENTAL SHORTAGE AREAS AS WELL. MAINE STATE DEMOGRAPHICS ONLY ADD TO THE DIFFICULTIES MSFWS FACE. ADD TO THIS INADEQUATE TRANSPORTATION, GEOGRAPHIC ISOLATION, UNFAMILIARITY WITH LOCAL RESOURCES AND SYSTEMS, AS WELL AS THE INABILITY TO ARRANGE TIME OFF FROM WORK. THESE ARE THE BARRIERS MMHP'S COMMUNITY SERVICES ARE DESIGNED TO BRIDGE AND/OR ELIMINATE, THEREBY INCREASING ACCESS TO CARE. THESE COMMUNITY SERVICES ARE ACCOMPLISHED THROUGH OUTREACH SERVICES INCLUDING HEALTH EDUCATION, CARE COORDINATION, PRESCRIPTION ASSISTANCE, TRANSPORTATION, ELIGIBILITY ASSISTANCE, MEDICAL INTERPRETATION, AND REFERRAL SERVICES TO LOCAL NETWORK PROVIDERS. STAFF ALSO SPEND TIME SCOUTING FOR NEW CREWS AND WORKERS TO ENSURE ALL WHO NEED SERVICES HAVE THE OPPORTUNITY TO ACCESS THEM. THUS, COMMUNITY SERVICES ARE AN INTEGRAL COMPONENT IN MMHP'S SUCCESS IN MEETING MIGRANT AND SEASONAL FARMWORKER NEEDS AND IN FULFILLING ITS MISSION TO IMPROVE THE HEALTH STATUS OF MAINE'S SEASONAL WORKERS AND THEIR FAMILIES. FORM 990, PAGE 2, PART III, LINE 4D MOBILE MEDICAL UNITS - AS DISCUSSED, PART OF MAINE MIGRANT'S UNIQUE MODEL OF SERVICE DELIVERY IS DIRECT DELIVERY OF CARE AT WORKER CAMPS, IN COMMUNITIES, AND AT WORK SITES. TO ACCOMPLISH THIS, MMHP OPERATES A FLEET OF VEHICLES DESIGNED AND UTILIZED AS MOBILE MEDICAL CENTERS. THESE MOBILE MEDICAL UNITS (MMUS) ARE STAFFED BY CLINICAL STAFF AND BILINGUAL STAFF WHO ENSURE THAT CLINICS RUN SMOOTHLY AND EFFICIENTLY AND THAT FARMWORKER NEEDS ARE IDENTIFIED CORRECTLY AND TREATED APPROPRIATELY CONTRACTED INTERPRETATION SERVICES ARE UTILIZED WHEN WORKER LANGUAGES ARE NOT SPOKEN BY STAFF. CLINICS ARE GENERALLY SCHEDULED AFTER HARVEST WORK HOURS. WHEN NECESSARY, ARRANGEMENTS ARE MADE AND ASSISTANCE PROVIDED FOR ANY REFERRALS TO LOCAL NETWORK VOUCHER PROVIDERS. EXPENSES 94,959 INCLUDING GRANTS OF 0. REVENUE 0 BEHAVIORAL HEALTH SERVICES - DUE TO AN OVERWHELMING DECLARATION OF NEED BY MIGRANT AND SEASONAL FARMWORKERS, BEHAVIORAL HEALTH SERVICES WERE INTEGRATED INTO MMHP'S CORE SERVICES IN 2009. THESE SERVICES WORK HAND-IN- HAND TO SUPPORT AND ENHANCE THE PROVISION OF QUALITY PRIMARY, PREVENTIVE, AND CHRONIC HEALTH CARE SERVICES TO SEASONAL WORKERS ACROSS THE STATE. BEHAVIORAL SERVICES CURRENTLY INCLUDE MENTAL HEALTH AND SUBSTANCE ABUSE COUNSELING WITH REFERRAL FOR TREATMENT. . BEHAVIORAL HEALTH CARE IS PROVIDED DIRECTLY ON THE MMUS AS WELL AS THROUGH A NUMBER OF VOUCHER (REFERRAL) PROVIDERS. EXPENSES 20,760 INCLUDING GRANTS OF 0. REVENUE 77 FORM 990, PAGE 6, PART VI, LINE 11B A DRAFT FORM 990, INCLUDING ALL SUPPLEMENTAL FORMS, IS DISTRIBUTED TO ALL BOARD MEMBERS APPROXIMATELY ONE WEEK PRIOR TO THE SCHEDULED MEETING. THE FINANCE COMMITTEE MEETS PRIOR TO THE BOARD MEETING, REVIEWS THE 990, AND MAKES ITS RECOMMENDATIONS TO THE FULL BOARD. BOARD MEMBERS THEN DISCUSS THE COMMITTEE'S RECOMMENDATION AND VOTE. IF APPROVED, EITHER AS PRESENTED OR AS AMENDED BASED ON THEIR DISCUSSION, STAFF IS THEN AUTHORIZED TO SUBMIT ALL FORMS ON ITS BEHALF. IF NOT APPROVED, STAFF RESOLVES PROBLEMS AND RESUBMITS FOR THE NEXT MEETING. FORM 990, PAGE 6, PART VI, LINE 12C MMHP HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO PERSONNEL. MMHP'S BY-LAWS INCLUDE A CONFLICT OF INTEREST SECTION FOR BOARD AND ADVISORY BOARD MEMBERS WHICH CALL FOR ANNUAL DISCLOSURE OF POTENTIAL CONFLICTS. A CONFLICT OF INTEREST DISCLOSURE FORM IS REQUIRED TO BE COMPLETED BY ALL BOARD MEMBERS ON AN ANNUAL BASIS. FORM 990, PAGE 6, PART VI, LINE 15A MMHP'S BOARD OF DIRECTORS DETERMINES ALL COMPENSATION, INCLUDING SALARY ADJUSTMENTS AND ONE-TIME COST OF LIVING ADJUSTMENTS, FOR THE EXECUTIVE DIRECTOR. INFORMATION IS GENERALLY PROVIDED TO BOARD MEMBERS FOR COMPARABLE ORGANIZATIONS OF SIMILAR SIZE AND OPERATIONS FOR COMPARISON AND DISCUSSION PURPOSES. ALL ISSUES ARE DISCUSSED AT THE BOARD TABLE IN THE ABSENCE OF ANY STAFF MEMBERS AND VOTED ON FOR DOCUMENTATION IN THE BOARD MINUTES. ALL OTHER STAFF COMPENSATION REMAINS THE PURVIEW OF THE EXECUTIVE DIRECTOR AS IT FALLS WITHIN THE PARAMETERS OF THE AGENCY'S ANNUAL BUDGET, WHICH IS ALSO SUBJECT TO APPROVAL BY THE BOARD. FORM 990, PAGE 6, PART VI, LINE 19 MAINE MIGRANT HEALTH PROGRAM, AS A FEDERALLY-FUNDED NONPROFIT CORPORATION, IS REQUIRED TO HAVE AN ANNUAL AUDIT BY AN OUTSIDE ACCOUNTING FIRM. THE AUDITED FINANCIAL STATEMENTS AND ANY LETTERS TO MANAGEMENT, IN CONJUNCTION WITH THE FEDERAL FINANCIAL REPORT (STANDARD FORM 425) ARE SUBSEQUENTLY FILED WITH HRSA, AND THUS AVAILABLE TO ANY PUBLIC INQUIRY. IN ADDITION, ALL GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND TAX RETURNS ARE AVAILABLE UPON REQUEST TO MMHP'S ADMINISTRATIVE HEADQUARTERS. FORM 990, PART XII LINE 2C, FINANCIAL OVERSIGHT - MMHP'S BOARD OF DIRECTORS, WITH GUIDANCE FROM THE FINANCE COMMITTEE AND INPUT FROM MANAGEMENT, IS RESPONSIBLE FOR FISCAL MANAGEMENT OF THE ORGANIZATION AND APPROVAL OF THE SELECTION OF AN INDEPENDENT ACCOUNTANT.