BARRETT HOSPITAL DEVELOPMENT CORPORATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
BARRETT HOSPITAL DEVELOPMENT CORPORATION (EIN 26-4230898)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-02
IRS object ID
202201229349300625
Schema version
2020v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-02T15:30:34-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN264230898EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Barrett Hospital Development CorporationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBARRBusinessNameControlTxt
Phone4066833000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 Highway 91 SouthAddressLine1Txt
CityDillonCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59725ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTina GiemPersonNm
Person TitleCFOPersonTitleTxt
Phone4066833000PhoneNum
Signature2022-05-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTinaPersonFirstNm
Person LastGiemPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2022-05-02PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Barrett Hospital & HealthcareBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerTina GiemPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 Highway 91 SouthAddressLine1Txt
CityDillonCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59725ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$44,370,245GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.barretthospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionBarrett Hospital & HealthCare provides compassionate care, healing, and health-improving service to all community members throughout life's journey.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee315TotalEmployeeCnt
Total Volunteers21TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$668,323PYContributionsGrantsAmt
CY Contributions Grants$5,463,219CYContributionsGrantsAmt
PY Program Service Revenue$35,653,358PYProgramServiceRevenueAmt
CY Program Service Revenue$38,452,998CYProgramServiceRevenueAmt
PY Investment Income$190,333PYInvestmentIncomeAmt
CY Investment Income$344,681CYInvestmentIncomeAmt
PY Other Revenue$65,042PYOtherRevenueAmt
CY Other Revenue$67,310CYOtherRevenueAmt
PY Total Revenue$36,577,056PYTotalRevenueAmt
CY Total Revenue$44,328,208CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$19,846,233PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,666,209CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$16,518,267PYOtherExpensesAmt
CY Other Expenses$17,145,239CYOtherExpensesAmt
PY Total Expenses$36,364,500PYTotalExpensesAmt
CY Total Expenses$36,811,448CYTotalExpensesAmt
PY Revenues Less Expenses$212,556PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,516,760CYRevenuesLessExpensesAmt
Total Assets BOY$69,015,190TotalAssetsBOYAmt
Total Assets EOY$67,300,968TotalAssetsEOYAmt
Total Liabilities BOY$41,610,867TotalLiabilitiesBOYAmt
Total Liabilities EOY$31,171,323TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$27,404,323NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$36,129,645NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionBarrett Hospital & HealthCare provides compassionate care, healing, and health-improving service to all community members throughout life's journey.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$33,525,428ExpenseAmt
Revenue$38,452,998RevenueAmt
DescBarrett Hospital & HealthCare is an 18 licensed bed acute care critical access hospital. Our patients are served by an inpatient hospital, 24-hour emergency department, and a provider based clinic. Our ancillary services include diagnostic imaging, laboratory, inpatient and outpatient surgery, physical and occupational therapy, non-surgical pain management, vein care, integrated behavioral health, transitional care, chronic care management, home health, hospice, cardiac rehab, pharmacy, cardiopulmonary, respiratory and diabetic education.The hospital provided 1,602 days of acute care services, 354 observation days and 589 swing bed days. In addition, the hospital provided 28,211 clinic visits, 33,065 outpatient visits, 4,224 emergency room visits, 4,134 home health visits and 1,476 hospice visits.Desc
Total Program Service Expenses$33,525,428TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document67IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee315EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Tina GiemBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4066833006PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 Highway 91 SouthAddressLine1Txt
CityDillonCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59725ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Patti Mitchell
Chair0.500.00Yes (X)Yes (X)$6,324$0$0
Nate Finch
Vice Chair0.500.00Yes (X)Yes (X)$0$0$0
Joe Morstein
Director (Jul-Jan)0.500.00Yes (X)$0$0$0
Susan Briggs
Director (Feb-Jun)0.500.00Yes (X)$0$0$0
Shane Puyear
Director0.502.00Yes (X)$0$0$0
Lawrence Morrisroe
Director0.500.00Yes (X)$0$0$0
Ken Westman
CEO40.002.00Yes (X)$0$0$0
Richard Achter
CFO (Jul-Sept)40.000.50Yes (X)$145,075$0$11,100
Tina Giem
CFO (Oct-Jun)40.000.50Yes (X)$96,981$0$19,391
Carol Kennedy
CCO40.000.00Yes (X)$141,715$0$20,332
Gregory Moore
ED Physician31.200.00$403,597$0$41,816Yes (X)
Nicholas Fromm
Physician40.000.00$386,486$0$22,482Yes (X)
Michael Clarke
ED Physician31.200.00$306,354$0$34,904Yes (X)
Meghan Combs
Clinic Physician40.000.00$285,917$0$23,686Yes (X)
Kelly Smith
Clinic Physician40.002.00$269,002$0$37,365Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,041,451TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$211,076TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K28IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HealthTech Management Services Inc
5110 Maryland Way Ste 200BrentwoodTN37027Management Service Fees$494,482
David Fortenberry
605 7th Ave EastKalispellMT59901Physician$300,303
Daniel Richards
13929 Buck Hollow CoveBluffdaleUT84065Physician$207,300
Kalispell Regional Medical Center
310 Sunnyview LaneKalispellMT10030Nuclear Medicine Services$157,823
Gallatin Gynecology PC
767 Triple Tree RoadBozemanMT59715Physician$156,831
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Related Organizations$434,177RelatedOrganizationsAmt
Government Grants$4,934,403GovernmentGrantsAmt
All Other Contributions$94,639AllOtherContributionsAmt
Total Contributions$5,463,219TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue621110$37,468,519$37,468,519
Mortgage Subsidy900099$409,015$409,015
Property Taxes900099$70,971$70,971

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$504,493TotalRevenueColumnAmt
Related Or Exempt Func Income$504,493RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$38,452,998TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$325,871TotalRevenueColumnAmt
Exclusion$325,871ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$105,632RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$38,322RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$67,310RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$67,310TotalRevenueColumnAmt
Exclusion$67,310ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$22,525SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$3,715OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$22,525SecuritiesAmt
Other-$3,715OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,810TotalRevenueColumnAmt
Exclusion$18,810ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$44,328,208TotalRevenueColumnAmt
Related Or Exempt Func Income$38,452,998RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$411,991ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$373,772TotalAmt
Program Services$6,479ProgramServicesAmt
Management And General$367,293ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$15,497,906TotalAmt
Program Services$14,965,446ProgramServicesAmt
Management And General$532,460ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$653,236TotalAmt
Program Services$616,581ProgramServicesAmt
Management And General$36,655ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,085,563TotalAmt
Program Services$1,971,138ProgramServicesAmt
Management And General$114,425ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,055,732TotalAmt
Program Services$998,301ProgramServicesAmt
Management And General$57,431ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$548,415TotalAmt
Management And General$548,415ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$22,557TotalAmt
Management And General$22,557ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$78,926TotalAmt
Management And General$78,926ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$2,111TotalAmt
Management And General$2,111ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,063,545TotalAmt
Program Services$3,180,851ProgramServicesAmt
Management And General$882,694ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$87,909TotalAmt
Program Services$86,394ProgramServicesAmt
Management And General$1,515ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$633,024TotalAmt
Program Services$522,674ProgramServicesAmt
Management And General$110,350ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$79,996TotalAmt
Program Services$57,241ProgramServicesAmt
Management And General$22,755ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$776,175TotalAmt
Program Services$776,125ProgramServicesAmt
Management And General$50ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$28,056TotalAmt
Program Services$22,772ProgramServicesAmt
Management And General$5,284ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$115,176TotalAmt
Program Services$108,996ProgramServicesAmt
Management And General$6,180ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,285,915TotalAmt
Program Services$1,282,148ProgramServicesAmt
Management And General$3,767ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,887,439TotalAmt
Program Services$1,887,439ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$809,331TotalAmt
Program Services$725,630ProgramServicesAmt
Management And General$83,701ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$4,438,569$4,438,424$145
Repairs and Maintenance$738,996$722,260$16,736
Provision for Bad Debts$461,360$461,360
MT Medicaid$424,358$301,018$123,340

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$663,381TotalAmt
Program Services$394,151ProgramServicesAmt
Management And General$269,230ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$36,811,448TotalAmt
Program Services$33,525,428ProgramServicesAmt
Management And General$3,286,020ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$925BOYAmt
EOY$925EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$17,835,920BOYAmt
EOY$14,876,818EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,685,509BOYAmt
EOY$5,405,734EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$779,749BOYAmt
EOY$960,715EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$362,173BOYAmt
EOY$408,988EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$52,962,339LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$22,574,803LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$31,794,451BOYAmt
EOY$30,387,536EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$13,467,160BOYAmt
EOY$15,170,694EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$22,762BOYAmt
EOY$19,924EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$66,541BOYAmt
EOY$69,634EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$69,015,190BOYAmt
EOY$67,300,968EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,452,986BOYAmt
EOY$3,145,599EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$9,415,671BOYAmt
EOY$2,170,226EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$25,536,749BOYAmt
EOY$24,562,143EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$2,772,700BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$432,761BOYAmt
EOY$1,293,355EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,610,867BOYAmt
EOY$31,171,323EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$27,404,323BOYAmt
EOY$36,129,645EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,404,323BOYAmt
EOY$36,129,645EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$69,015,190BOYAmt
EOY$67,300,968EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$7,516,760ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,208,562NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$2,111GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$2,111TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationThe Organization is a member of several organizations that take part in lobbying. A portion of the dues paid to the various organizations is for lobbying costs. These various organizations advocate on behalf of their members by supporting legislation that is in their collective interests.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,844,813OtherCostOrOtherBasisAmt
Book Value$1,844,813BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,800,943OtherCostOrOtherBasisAmt
Depreciation$10,182,462DepreciationAmt
Book Value$25,618,481BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,203,621OtherCostOrOtherBasisAmt
Depreciation$11,645,573DepreciationAmt
Book Value$2,558,048BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,112,962OtherCostOrOtherBasisAmt
Depreciation$746,768DepreciationAmt
Book Value$366,194BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$30,387,536TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescEstimated Third Party Payor SettlementsDesc
Amt$1,293,355Amt
FieldValueIRS element (for citing)
Total Liability$1,293,355TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$43,386,718TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,208,562NetUnrealizedGainsInvstAmt
Other Revenue-$1,747,275OtherRevenueAmt
Revenue Not Reported-$538,713RevenueNotReportedAmt
Revenue Subtotal$43,925,431RevenueSubtotalAmt
Other Revenues Not Included$402,777OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$402,777RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$44,328,208TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$35,064,173TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$35,064,173ExpensesSubtotalAmt
Other Expenses Not Included$1,747,275OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,747,275ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$36,811,448TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part XI, Line 2d - Other Adjustments:Interest expense reported in revenue on financial statements -1,285,915. Provision for bad debt reported in revenue on financial statements -461,360.
Part XI, Line 4b - Other Adjustments:Contributions reported in fund balance on financial statements 402,777.
Part XII, Line 4b - Other Adjustments:Interest expense reported in revenue on financial statements 1,285,915. Provision for bad debt reported in revenue on financial statements 461,360.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$554,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$554,000NetCommunityBenefitExpnsAmt
Total Expense0.01520TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$554,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$554,000NetCommunityBenefitExpnsAmt
Total Expense0.01520TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$328,191TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,792DirectOffsettingRevenueAmt
Net Community Benefit Expns$307,399NetCommunityBenefitExpnsAmt
Total Expense0.00850TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,671,537TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,354,566DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,316,971NetCommunityBenefitExpnsAmt
Total Expense0.06370TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,999,728TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,375,358DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,624,370NetCommunityBenefitExpnsAmt
Total Expense0.07220TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,553,728TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,375,358DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,178,370NetCommunityBenefitExpnsAmt
Total Expense0.08740TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,896TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$41,896NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,218TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$35,218NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,455TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,955NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$123,569TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$98,069NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$461,360BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$9,453,073ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$9,186,086CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$266,987MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Barrett Hospital Development CorpBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 MT Hwy 91 SAddressLine1Txt
CityDillonCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59725ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.barretthospital.orgWebsiteAddressTxt
State License13549StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Barrett Hospital Development CorporationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.barretthospital.orgOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.barretthospital.orgStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Section CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Section CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Section CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Barrett Hospital Development CorporationPart V, Section B, Line 5: Barrett Hospital & HealthCare and the Beaverhead County Health Department participated in the Community Health Services Development (CHSD) program, administered by the Montana Office of Rural Health, which was utilized to create the CHNA. A steering committee was convened to assist Barrett Hospital & HealthCare and Beaverhead County Health Department in conducting a CHSD. A diverse group of community members representing various organizations and populations within the community (ex. Public health, elderly, uninsured) came together in January 2020. The Steering Committee met twice during the CHSD process; first to discuss health concerns in the community and offer their perspective in designing the survey instrument, and again to review results of the survey and key informant interviews and to assist in prioritization of health needs. In February 2020, surveys were mailed out to residents in Beaverhead and Madison Counties, Barrett Hospital & HealthCare's service area. Survey respondents had the ability to complete the survey mailed to them, or via an online survey hosted at Montana State University's Human Ecology Learning and Problem Solving (HELPS) web portal. The survey was based on a design that has been used extensively in the states of Washington, Wyoming, Alaska, Montana and Idaho. The survey was designed to provide each facility with information from local residents regarding:-Demographics of respondents-Hospitals, primary care providers and specialists used, plus reasons for selection-Local healthcare provider usage-Services preferred locally-Perception and satisfaction of local healthcare-Overall health of the communityBarrett Hospital & HealthCare provided a list of outpatient and inpatient admissions. Those zip codes with the greatest number of admissions were selected to be included in the survey. A random list of 800 residents was then selected with the assistance of the MSU HELPS Lab.Additionally, 15 key informant interviews were conducted in March and April of 2020. Participants were identified as people living in Barrett Hospital & HealthCare's and the Beaverhead County Health Department's service area.
Barrett Hospital Development CorporationPart V, Section B, Line 6b: Beaverhead County Public Health
Barrett Hospital Development CorporationPart V, Section B, Line 11: The most recently completed CHNA identified the following prioritized health needs within the community which the organization will address:1. Additional mental health resources2. Paid staffing for EMS3. Economic growth4. Support services for low-income individuals and families5. Affordability6. General/basic retailThe following prioritized health needs identified within the community will not be addressed:1. Lower cost of health insurance and payment assistance programs2. Dermatology and ENT ServicesThe prioritized health needs as determined through the assessment process and which the facility will be addressing can be grouped into the following healthcare issues:1. Mental and Behavioral Health2. Access to Healthcare ServicesDuring the course of the year, Barrett Hospital & HealthCare has worked to implement many of the needs addressed in the most recent CHNA. The investigation of EMR-integrated monitoring as an addition to telehealth provider visits has been completed. Marketing of telehealth services and community education on the availability of options as well as how to access such options continues.A new pain management program has been implemented at Barrett Hospital & HealthCare, and marketing of the program continues, as well as efforts to educate the community on the availability and access to the program.The hospital continues active participation in ACO MSSP to promote wellness care and better manage chronic illnesses.Barrett Hospital & Healthcare has completed work with community partners to identify and catalogue social services in Beaverhead County, and continues work in collaboration with Beaverhead County Public Health and other social service organization to better address area socioeconomic needs. In an effort to reduce barriers when accessing care, work with partners to streamline the referral process to area social services is ongoing, as well as the dissemination of community and service provider education on new and updated resources and referral processes.Work to improve access to mental and behavioral health services has resulted in re-engagement with local school health counselors to discuss current screening and resources as well as research into additional areas of collaboration and support. We have partnered with Public Health to conduct an environmental scan and update of available mental health providers and services. Barrett Hospital & HealthCare continues to offer integrated behavioral health care into primary care functions, and we continue to improve crisis response in the ED.The prioritized health needs which are not being addressed and why are as follows:1. Lower cost of health insurance and payment assistance programs:Lowering the cost of health insurance is an issue that is beyond the control of both the hospital and the public health department. According to iVantage Health Analytics, Barrett Hospital and HealthCare is one of the lowest cost CAHs in the nation and our internal pricing methodology places us at the median or lower for our Montana competition. Barrett Hospital and HealthCare has implemented and advertised a payment assistance program to the best of our ability and this is outside of the purview of public health.2. Dermatology and ENT Services:Barrett Hospital and HealthCare previously engaged with an ENT, but ultimately the partnership was not successful. Dermatologists are in short supply and have not had interest in doing outreach.
Part V, Line 16a-16c:Part V, Line 16a, FAP Website:https://www.barretthospital.org/patient-financial-informationPart V, Line 16b, FAP Application Website:https://www.barretthospital.org/patient-financial-informationPart V, Line 16c, FAP Plain Language Summary Website:https://www.barretthospital.org/patient-financial-information

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:The Organization does not provide discounted care. If a patient qualifies for financial assistance, their full bill is written off.
Part I, Line 6a:The organization mailed the community benefit report to their Beaverhead County residents as well as portions of Madison and Jefferson county. The community benefit report is also available on the facility website and in public waiting areas throughout the facility.
Part I, Line 7:Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Health Professions Education on line 7f was determined using actual costs. Subsidized health services on line 7g was determined using the costing methods to prepare the cost reports.
Part I, Ln 7 Col(f):The amount of bad debt expense removed from the denominator is $461,360.
Part II, Community Building Activities:Barrett Hospital & Healthcare is an active community emergency preparedness advocate and partners with the county Public Health Director and community organizations (e.g. YMCA) on community wellness initiatives. Barrett Hospital & HealthCare maintains over a mile of walking trails on the campus grounds for community member use. Barrett Hospital & HealthCare partners with local volunteer EMS services and law enforcement to provide education and training.
Part III, Line 2:Bad debt expense is reported at charges as recorded by the organization. All discounts and payments on a patient's account are accounted for prior to determining bad debt expense.
Part III, Line 4:The footnote to the Organization's financial statements can be found on page 17 and 18 of the attached audited financial statements.
Part III, Line 8:The facility is designated as a Critical Access Hospital and is reimbursed by Medicare at 101% of Medicare's costs.Medicare allowable costs were obtained from the 2020 Medicare cost report. The Medicare Cost Report is completed based on the rules and regulations set forth by the Centers for Medicare and Medicaid Services.
Part III, Line 9b:Once a patient applies for financial assistance, their accounts are held at Barrett Hospital & HealthCare or at our extended business office until a determination has been made on their eligibility for financial assistance. Accounts are not sent to collections during the period the patient is eligible for assistance. If an application does not contain all necessary documentation, the patient is notified of all missing elements and an extended deadline is set for the patient to provide additional documentation. All applicants for financial assistance are notified in writing upon approval or denial of financial assistance.
Part VI, Line 2:Barrett Hospital & HealthCare uses various tools throughout the year to assess additional community health needs including utilization of a Patient/Family Advisory Council, reviewing patient surveys regarding services provided at Barrett Hospital, and participating in community-wide health initiatives.
Part VI, Line 3:Barrett Hospital & HealthCare is committed to implementing and applying their billing and collection policy in a consistent manner while making every effort to assist patients with limited means to receive the support necessary for their financial obligations whether the patient is insured or uninsured.Financial Assistance Policy (FAP) information can be found on our website. The FAP is distributed in multiple patient areas of our clinic (exam rooms/front desk) and hospital (public areas/registration desks). Our Financial Assistance Policy is advertised monthly in a local publication and copies have been mailed out to area businesses and churches in our service area to be posted in their buildings. There is written notification regarding our FAP on every bill that is sent to the patient/guarantor. When calling patients to educate them on their benefits, we advise patients that if they have concerns about the estimated patient costs that they can discuss them with our financial counselors. All patients calling in to discuss their bills or setup payment plans are routed through the financial counselors for process consistency and to provide the best resources available to the patient. A financial assistance notification also prints on after visit summaries and discharge instructions that are provided to patients after all visits.
Part VI, Line 4:Barrett Hospital & HealthCare serves the majority of Beaverhead County and Western Madison County residents. The primary service area includes 9 zip codes through Beaverhead County and 5 zip codes in Madison County. The size and rural makeup of Barrett Hospital's service area play a significant role in the services Barrett Hospital & HealthCare provides. Beaverhead County is the largest county in the State of Montana and consists of a population of approximately 9,246 with a population density of 1.7 people per square mile. The nearest major hospital is 64.4 miles from Barrett Hospital.The population aged 65+ in Beaverhead County is 20.6% which is higher than the demographics for the State of Montana (17.2%) and national demographics (14.9%) for this population group. The upsurge in population aged 65+ continues to increase the need for senior services including healthcare.Socioeconomic factors also play a role in the health of the population that Barrett Hospital & HealthCare services. Beaverhead County has a higher percentage of the population that falls below the federal poverty levels and higher uninsured rates than National and State of Montana measures. 16.1% of the population of Beaverhead County is considered low income and falls below the federal poverty levels compared to 14.4% for the State of Montana. The median income for Beaverhead County is $43,880, which is lower than the Montana median income of $50,801. Beaverhead County also has an uninsured rate of 18%, as compared to the State of Montana rate of 17% and the national measure at 15.7%.
Part VI, Line 5:Barrett Hospital & HealthCare is dedicated to providing high value healthcare and services for our community. All surplus revenues are reinvested into the facility, equipment, or programs at Barrett Hospital & HealthCare. The funds are utilized for quality initiatives to improve patient care, expand our facility, expand available services, and advance training programs. As a not-for-profit health system, Barrett Hospital & HealthCare reinvests profits into the community by helping manage chronic conditions including diabetes, promoting wellness, and providing programs to serve the poor and uninsured. In addition, Barrett Hospital is invested in the education and training of physician residents, medical students and other medical professional students at our site including 23 physician resident/students and PA/NP students and 13 occupational therapy, nursing, EMT, laboratory scientists and diagnostic imaging students. Barrett Hospital also had 10 students job shadow.Barrett Hospital & HealthCare offers low cost wellness programs (e.g. weight loss, lab screenings, student-athlete sports physicals) to the community, is an active community emergency preparedness partner, provides trauma prevention education, and partners with the county Public Health Director and community organizations (e.g. YMCA) on community wellness initiatives. Barrett Hospital & HealthCare sponsors the local Cancer Support Community gatherings and maintains over a mile of walking trails on the campus grounds for community member use. Barrett Hospital & HealthCare subsidizes the Home Health and Hospice programs for the community and partners with local volunteer EMS services and law enforcement to provide education and training.Barrett Hospital & HealthCare participates in government sponsored health programs including Medicare, Medicaid, CHIP, Veteran's Affairs, and Tricare. Barrett Hospital & HealthCare relies on community involvement to help keep in touch with the current needs of the community. Barrett Hospital & HealthCare has a 5 member board of trustees. The members of the board are publicly elected residents of Beaverhead County. In addition, Barrett Hospital has a large volunteer program. Approximately 21 volunteers contribute their time and efforts to the hospital. The hospital also relies on community members for various advisory councils including the Patient Advisory Council. Barrett Hospital & HealthCare is the only hospital in Beaverhead County. Medical staff privileges in the hospital are open to all qualified physicians and providers. Barrett Hospital operates an emergency room that is accessible to anyone needing care regardless of their ability to pay. The emergency room has approximately 4,000 visits annually.Additionally, Barrett Hospital and HealthCare operates a walk-in clinic 5 days per week.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Gregory Moore
ED Physician$372,541$0$5,056$0$26,000$0$19,950$0$21,926$0$445,473$0$0$0
Nicholas Fromm
Physician$384,284$0$0$0$2,202$0$9,838$0$12,703$0$409,027$0$0$0
Michael Clarke
ED Physician$294,780$0$2,110$0$9,464$0$14,250$0$20,714$0$341,318$0$0$0
Meghan Combs
Clinic Physician$246,417$0$20,000$0$19,500$0$11,400$0$12,346$0$309,663$0$0$0
Kelly Smith
Clinic Physician$249,502$0$0$0$19,500$0$13,961$0$23,463$0$306,426$0$0$0
Carol Kennedy
CCO$134,420$0$0$0$7,295$0$7,295$0$13,097$0$162,107$0$0$0
Richard Achter
CFO (Jul-Sept)$136,659$0$0$0$8,416$0$10,217$0$928$0$156,220$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 3FormAndLineReferenceDesc
ExplanationKen Westman, the CEO, receives compensation from an unrelated management company, HealthTech Management Services. The organization relies on HealthTech Management Services to have a process in place for determining compensation for our CEO.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3HealthTech Management Services provides general management services including the employment of our CEO, Ken Westman. Ken Westman received $285,000 in compensation and benefits from HealthTech Management Services during the 2020 calendar year.
Form 990, Part VI, Section A, line 6The sole member of the organization is the Public Hospital District, Beaverhead County (d/b/a Barrett Hospital and Healthcare) a Montana statutory public hospital district.
Form 990, Part VI, Section A, line 8bThere are no committees with the authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11bAn electronic copy of the 990 is presented to the Board during their regular board meeting for review and approval.
Form 990, Part VI, Section B, line 12cAnnually all employees, the CEO, and board members are required to complete a conflict of interest statement. All possible conflicts of interest are reviewed by the Compliance Committee. The Committee determines what, if any, action is necessary for the individual with the potential conflict to take to avoid said conflict. For board members, this would include recusing themselves during discussions/voting on related matters.
Form 990, Part VI, Section B, line 15bKen Westman receives compensation from an unrelated management company, HealthTech Management Services. The organization relies on HealthTech Management Services to have a process in place for determining compensation for our CEO. The Board of Directors approves the management agreement. Barrett Hospital & HealthCare participates in an annual salary survey with the Montana Hospital Association, which reviews all employee salary ranges, including the CFO, with like healthcare organizations throughout the State of Montana. The salary of the CCO is compared to national salary surveys, and all compensation grades are adjusted, as necessary, and reviewed with Leadership Council for approval. Physician/provider compensation is reviewed for fair market value with legal counsel upon execution or renewal of an employment agreement or contract. The Board of Directors reviews and approves all physician/provider agreements/contracts. The Board of Directors approves all other wages/salaries, including that of the CFO and CCO during the annual budget process.
Form 990, Part VI, Section C, line 19The Organization makes its governing documents, conflict of interest policy and financial statements available upon request.
Form 990, Part IX, line 11gPurchased Services: Program service expenses 1,489,245. Management and general expenses 882,694. Fundraising expenses 0. Total expenses 2,371,939. Professional Fees: Program service expenses 737,087. Management and general expenses 0. Fundraising expenses 0. Total expenses 737,087. Physician Fees: Program service expenses 954,519. Management and general expenses 0. Fundraising expenses 0. Total expenses 954,519.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxt
Public Hospital District for Beaverhead County
600 Highway 91 SouthDillonMT59725810357909HealthcareMTN/A0
Barrett Hospital Foundation Inc
600 Highway 91 SouthDillonMT59725363597000Fundraising for HospitalMTN/A0501(c)(3)Line 7
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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