The Humboldt County Memorial Hospital (HCMH) Board of Trustees made no decision on renewing its management contract with Trinity Regional Health System on Monday, but the board did have a healthy debate about the matter and some changes and adjustments it would like to see in the contract. The discussion started with Board President Tim Anderson saying he would like a management agreement that would help target operations (operating margin) at HCMH. “For the past five or six years we have been dealing with a declining operating margin. I’d like to have (the management agreement) help point us in the right direction,” Anderson said. Ralph Heasley, affiliate liaison with Trinity, said that having management fees linked to operating expenses is a concern throughout the hospital affiliate system in Iowa. According to the 2011-12 audited financials, HCMH showed total expenses of $12,891,084.