BARRETT HOSPITAL DEVELOPMENT CORPORATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
BARRETT HOSPITAL DEVELOPMENT CORPORATION (EIN 26-4230898)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-04-29
IRS object ID
201931199349300763
Schema version
2017v2.3
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)
Return2019-04-29T09:16:35-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

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 Begin2017-07-01TaxPeriodBeginDt

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)
PersonRichard AchterPersonNm
Person TitleCFOPersonTitleTxt
Phone4066833000PhoneNum
Signature2019-04-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2019-03-27PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address199.247.45.171IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-04-11IPDt
IP Tm11:51:34IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD8A1E5117AA53286D53F57459EBB2DE5C7CA50FCAtSubmissionCreationDeviceId
At Submission Filing Device IdEFC25E59FA7409AE560978A003AFB9E955B778C6AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Barrett Hospital & HealthcareBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerRichard AchterPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 Highway 91 SouthAddressLine1Txt
CityDillonCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59725ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$35,146,111GrossReceiptsAmt
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 Employee338TotalEmployeeCnt
Total Volunteers87TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$814,129PYContributionsGrantsAmt
CY Contributions Grants$359,405CYContributionsGrantsAmt
PY Program Service Revenue$33,796,981PYProgramServiceRevenueAmt
CY Program Service Revenue$34,126,248CYProgramServiceRevenueAmt
PY Investment Income$306,554PYInvestmentIncomeAmt
CY Investment Income$377,823CYInvestmentIncomeAmt
PY Other Revenue$60,685PYOtherRevenueAmt
CY Other Revenue$55,084CYOtherRevenueAmt
PY Total Revenue$34,978,349PYTotalRevenueAmt
CY Total Revenue$34,918,560CYTotalRevenueAmt
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$17,884,429PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$18,700,771CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,698,839PYOtherExpensesAmt
CY Other Expenses$14,767,813CYOtherExpensesAmt
PY Total Expenses$32,583,268PYTotalExpensesAmt
CY Total Expenses$33,468,584CYTotalExpensesAmt
PY Revenues Less Expenses$2,395,081PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,449,976CYRevenuesLessExpensesAmt
Total Assets BOY$57,472,988TotalAssetsBOYAmt
Total Assets EOY$57,976,399TotalAssetsEOYAmt
Total Liabilities BOY$32,168,366TotalLiabilitiesBOYAmt
Total Liabilities EOY$31,308,036TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$25,304,622NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$26,668,363NetAssetsOrFundBalancesEOYAmt
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$30,179,631ExpenseAmt
Revenue$34,126,248RevenueAmt
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, home health, hospice, cardiac rehab, pharmacy, cardiopulmonary, respiratory, and diabetic education.The hospital provided 1,874 days of acute care services, 302 observation days, and 474 swing bed days. In addition, the hospital provided 26,984 clinic visits, 21,460 outpatient visits, 4,532 emergency room visits, 3,771 home health visits, and 1,128 hospice visits.Desc
Total Program Service Expenses$30,179,631TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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
Employee338EmployeeCnt
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
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 Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Richard AchterBusinessNameLine1Txt
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 (13 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)$5,827$0$0
Nate Finch
Vice Chair0.500.60Yes (X)Yes (X)$0$0$0
Joe Morstein
Director0.500.00Yes (X)$0$0$0
Shane Puyear
Director0.500.00Yes (X)$0$0$0
Lawrence Morrisroe
Director0.500.00Yes (X)$0$0$0
Ken Westman
CEO40.002.50Yes (X)$0$0$0
Richard Achter
CFO40.000.50Yes (X)$137,776$0$10,872
Carol Kennedy
CCO40.000.00Yes (X)$127,664$0$17,912
Gregory Moore
ED Physician40.002.00$316,604$0$40,031Yes (X)
Sandra McIntyre
Internal Med Physician40.000.00$295,473$0$38,769Yes (X)
Michael Clarke
ED Physician40.000.00$259,897$0$35,834Yes (X)
Kelly Smith
Family Practice Physician40.000.00$253,157$0$32,085Yes (X)
John Pickens
General Surgeon30.000.00$258,637$0$22,694Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,655,035TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$198,197TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K22IndivRcvdGreaterThan100KCnt
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
5110 Maryland Way Ste 200BrentwoodTN37027Management Services$563,147
Shafi Shafaieh
30 MT Hwy 91 SDillonMT59725General Surgeon$252,342
Gallatin Gynecology PC
767 Triple Tree RoadBozemanMT59715Gynecology$187,233
Eide Bailly LLP
PO Box 7112BillingsMT59103Accounting Services/Consulting Services$101,975
ARUP Laboratories
PO Box 27964Salt Lake CityUT84127Reference Lab$100,047
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$251,257RelatedOrganizationsAmt
Government Grants$12,750GovernmentGrantsAmt
All Other Contributions$95,398AllOtherContributionsAmt
Total Contributions$359,405TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue621110$33,009,233$33,009,233
Mortgage Subsidy900099$435,658$435,658
EHR900099$212,703$212,703
Property Taxes900099$56,000$56,000

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$412,654TotalRevenueColumnAmt
Related Or Exempt Func Income$412,654RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$34,126,248TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$327,523TotalRevenueColumnAmt
Exclusion$327,523ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$99,420RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$44,336RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$55,084RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$55,084TotalRevenueColumnAmt
Exclusion$55,084ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$233,515SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$183,215SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$50,300SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,300TotalRevenueColumnAmt
Exclusion$50,300ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,918,560TotalRevenueColumnAmt
Related Or Exempt Func Income$34,126,248RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$432,907ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$302,643TotalAmt
Program Services$5,827ProgramServicesAmt
Management And General$296,816ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,805,076TotalAmt
Program Services$14,073,826ProgramServicesAmt
Management And General$731,250ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$678,265TotalAmt
Program Services$630,058ProgramServicesAmt
Management And General$48,207ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,876,283TotalAmt
Program Services$1,747,796ProgramServicesAmt
Management And General$128,487ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,038,504TotalAmt
Program Services$970,534ProgramServicesAmt
Management And General$67,970ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$489,402TotalAmt
Management And General$489,402ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$46,506TotalAmt
Management And General$46,506ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$57,798TotalAmt
Management And General$57,798ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,937,107TotalAmt
Program Services$2,257,687ProgramServicesAmt
Management And General$679,420ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$111,804TotalAmt
Program Services$110,804ProgramServicesAmt
Management And General$1,000ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$564,573TotalAmt
Program Services$407,664ProgramServicesAmt
Management And General$156,909ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$55,951TotalAmt
Program Services$35,457ProgramServicesAmt
Management And General$20,494ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$806,791TotalAmt
Program Services$804,791ProgramServicesAmt
Management And General$2,000ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$46,217TotalAmt
Program Services$32,667ProgramServicesAmt
Management And General$13,550ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$174,791TotalAmt
Program Services$150,623ProgramServicesAmt
Management And General$24,168ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,422,776TotalAmt
Program Services$1,421,770ProgramServicesAmt
Management And General$1,006ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,163,141TotalAmt
Program Services$2,163,141ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$744,497TotalAmt
Program Services$605,472ProgramServicesAmt
Management And General$139,025ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$3,251,724$3,251,724
Repairs and Maintenance$640,613$638,451$2,162
Provision for Bad Debts$154,369$154,369
Dues/Books/Subscription$144,163$58,887$85,276

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$955,590TotalAmt
Program Services$658,083ProgramServicesAmt
Management And General$297,507ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$33,468,584TotalAmt
Program Services$30,179,631ProgramServicesAmt
Management And General$3,288,953ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$950BOYAmt
EOY$950EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,842,498BOYAmt
EOY$5,747,816EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,359,858BOYAmt
EOY$4,935,273EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$632,167BOYAmt
EOY$633,171EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$319,792BOYAmt
EOY$370,203EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$50,818,586LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$17,125,525LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$35,518,679BOYAmt
EOY$33,693,061EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$11,720,763BOYAmt
EOY$12,507,248EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$30,410BOYAmt
EOY$26,342EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$47,871BOYAmt
EOY$62,335EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$57,472,988BOYAmt
EOY$57,976,399EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,764,660BOYAmt
EOY$2,914,603EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$354,145BOYAmt
EOY$151,144EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$28,199,743BOYAmt
EOY$27,354,984EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$849,818BOYAmt
EOY$887,305EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$32,168,366BOYAmt
EOY$31,308,036EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$25,304,622BOYAmt
EOY$26,668,363EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,304,622BOYAmt
EOY$26,668,363EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$57,472,988BOYAmt
EOY$57,976,399EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,449,976ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$86,235NetUnrlzdGainsLossesInvstAmt
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 RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,708,553OtherCostOrOtherBasisAmt
Book Value$1,708,553BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,382,671OtherCostOrOtherBasisAmt
Depreciation$7,327,390DepreciationAmt
Book Value$28,055,281BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,563,992OtherCostOrOtherBasisAmt
Depreciation$9,291,555DepreciationAmt
Book Value$3,272,437BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,163,370OtherCostOrOtherBasisAmt
Depreciation$506,580DepreciationAmt
Book Value$656,790BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$33,693,061TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescEstimated Third Party Payor SettlementsDesc
Amt$887,305Amt
FieldValueIRS element (for citing)
Total Liability$887,305TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$33,074,880TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$86,235NetUnrealizedGainsInvstAmt
Other Revenue-$1,577,145OtherRevenueAmt
Revenue Not Reported-$1,663,380RevenueNotReportedAmt
Revenue Subtotal$34,738,260RevenueSubtotalAmt
Other Revenues Not Included$180,300OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$180,300RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$34,918,560TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$31,891,439TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$31,891,439ExpensesSubtotalAmt
Other Expenses Not Included$1,577,145OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,577,145ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$33,468,584TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part XI, Line 2d - Other Adjustments:Interest expense reported in revenue on financial statements -1,422,776. Provision for bad debt reported in revenue on financial statements -154,369.
Part XI, Line 4b - Other Adjustments:Contributions reported in fund balance on financial statements 180,300.
Part XII, Line 4b - Other Adjustments:Interest expense reported in revenue on financial statements 1,422,776. Provision for bad debt reported in revenue on financial statements 154,369.

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 Budget0ExpensesExceedBudgetInd
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$377,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$377,000NetCommunityBenefitExpnsAmt
Total Expense0.01130TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,575,890TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,328,727DirectOffsettingRevenueAmt
Net Community Benefit Expns$247,163NetCommunityBenefitExpnsAmt
Total Expense0.00740TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,952,890TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,328,727DirectOffsettingRevenueAmt
Net Community Benefit Expns$624,163NetCommunityBenefitExpnsAmt
Total Expense0.01870TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,364TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,105DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,259NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$656,618TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$644,618NetCommunityBenefitExpnsAmt
Total Expense0.01930TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,808,264TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,977,788DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,830,476NetCommunityBenefitExpnsAmt
Total Expense0.05490TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,516,246TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,018,893DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,497,353NetCommunityBenefitExpnsAmt
Total Expense0.07490TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,469,136TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,347,620DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,121,516NetCommunityBenefitExpnsAmt
Total Expense0.09360TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,571TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$41,571NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,057TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,057NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$92,277TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$64,947DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,330NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$135,905TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$64,947DirectOffsettingRevenueAmt
Net Community Benefit Expns$70,958NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$154,369BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$8,112,448ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$8,152,593CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$40,145MedicareSurplusOrShortfallAmt

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 PYYes (1)TaxExemptHospitalCYOrPYInd
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 Conducted16CHNAConductedYr
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 Adpt16ImplementationStrategyAdptYr
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
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 URLhttps://www.barretthospital.org/copy-of-patients-visitorsFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.barretthospital.org/copy-of-patients-visitorsFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.barretthospital.org/copy-of-patients-visitorsFAPSummaryOnWebsiteURLTxt
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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Barrett Hospital Development CorporationPart V, Section B, Line 5: A Steering Committee was convened to assist Barrett Hospital & HealthCare in conducting the CHSD assessment process. A diverse group of community members representing various organizations and populations within the community (ex. public health, elderly, uninsured) came together in November 2016. 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 focus groups and to assist in the prioritization of health needs to address.In January 2017, surveys were mailed out to the residents in Barrett Hospital & HealthCare's service area. Barrett Hospital & HealthCare provided the National Rural Health Resource Center with a list of outpatient and inpatient encounters. Those zip codes with the greatest number of encounters were selected to be included in the survey. A random list of 700 residents was then selected from Prime Net Data Source. Additionally, three focus groups interviews were conducted in March 2017. Participants were identified as people living in Barrett Hospital & HealthCare's service area. The focus group participants were selected to represent various consumer groups of healthcare including senior citizens and local community members. Each interview lasted up to 90 minutes in length and followed the same line of questioning.Barrett Hospital & HealthCare adopted their implementation strategy in September of 2017.The Director of Beaverhead County Public Health, participated in the assessment, and the assessment was conducted by the Montana Office of Rural Health.
Barrett Hospital Development CorporationPart V, Section B, Line 6b: The Director of Beaverhead County Public Health, participated in the assessment, and the assessment was conducted by the Montana Office of Rural Health.
Barrett Hospital Development CorporationPart V, Section B, Line 2: The Public Hospital District of Beaverhead County moved operations from the Public Hospital District of Beaverhead County to Barrett Hospital Development Corporation effective 7/1/16. Barrett Hospital Development Corporation is the sole member of the Public Hospital District for Beaverhead County.
Barrett Hospital Development CorporationPart V, Section B, Line 11: Barrett Hospital & HealthCare's Community Steering Committee identified the most important health needs to be addressed by reviewing the CHNA, secondary data, community demographics, and input from representatives representing the broad interest of the community. The implementation planning committee determined which needs or opportunities could be addressed considering Barrett Hospital & HealthCare's parameters of resources and limitations. The committee then prioritized the needs/opportunities using the additional parameters of the organizational vision, mission, and values, as well as existing and potential community partners. Participants then created a goal to achieve through strategies and activities, as well as the general approach to meeting the stated goal (i.e. staff member responsibilities, timeline, potential community partners, anticipated impact(s), and performance/evaluation measures).The prioritized health needs as determined through the assessment process and which the facility will be addressing relates to the following healthcare issues:1. Awareness, outreach and education2. Health, wellness and promoting healthy lifestyles3. Drug and alcohol abuse4. Mental health and suicideBy focusing on the prioritized health needs above, Barrett Hospital & HealthCare will address 15 of the 19 needs identified in the CHNA process. In addressing the aforementioned issues, Barrett Hospital & HealthCare seeks to:a) Improve access to healthcare and wellness services;b) Enhance the health of the community;c) Advance medical or health knowledgeDuring the current year BHH began implementation of various strategies and activities identified in the CHNA:Goal 1: Improve awareness of services and practices at BHHStrategy 1.1: Improve community perception and understanding of hospital billing processes.Barrett Hospital & Healthcare was involved in several activities to help increase awareness of BHH billing processes. BHH promoted our billing processes in the Annual Community Benefit Report/Elevate Magazine edition that was mailed in September 2017. Patient Financial Services re-branded staff as Patient Financial Advocates and re-trained staff to support the new brand for the department. Internal ads were circulated explaining the role of the Patient Financial Services department as Patient Financial Advocates. Barrett Hospital continued to promote their Financial Assistance Policy. Financial assistance flyers were updated and redistributed to schools, churches, assistance offices, food banks, etc. throughout Beaverhead County and Western Madison County. In addition, the Financial Assistance Policy was promoted in the September 2017 Annual Community Benefit Report/Elevate Magazine.Strategy 1.2: Help patients better maximize and understand their medical benefits.Barrett Hospital developed education flyers for patients including "Questions to Consider when Selecting an Insurance Plan and "Is my Provider in Network with my Insurance Plan? and distributed the flyers throughout Beaverhead County and Western Madison County. Flyers are also available throughout the hospital and clinic. Barrett Hospital and BCBS of Montana met in December of 2017 to review the pre-authorization process and to streamline the process for a more satisfactory patient experience.Strategy 1.3: Strengthen advertising and outreach efforts at BHH.Barrett Hospital began the process to redesign the facility website for ease of use and to provide the information requested by our community. The new website designed was approved and will be implemented in Fiscal Year 2019. The Community Health Needs Assessment and Implementation plan are posted to the hospital website.Goal 2: Promote health, wellness, and healthy lifestyles in Beaverhead CountyStrategy 2.1: Enhance BHH's presence in the community as a leader in health and wellness programs/initiatives.Barrett Hospital & HealthCare continues to offer several programs including the Health Improvement Program (HIP), free sports physicals for students, child birth classes, lactation education, community health fair with lab screenings, car seat safety classes, trauma prevention and cancer support groups. Barrett Hospital's Cardiac Rehab Nurse and Inpatient Physical Therapist presented information to the local Rotary chapter about their Cardiac Rehab program in September 2017. An OB Nurse also presented information to the local Rotary chapter in October 2017.The Cardiopulmonary department started providing post-sleep study CPAP education for patients. The facility Trauma Nurse Coordinator provided education to 26 staff and community members about the "Stop the Bleed" program. Three additional courses were provided to the community.Strategy 2.2: Improve community awareness of existing health and wellness resources in the community.The hospital is developing a strategy for disseminating and advertising community resource list of available services within the community. Barrett Hospital will partner with Public Health to hold meetings of community health and wellness stakeholders to update resources and continue community-wide discussion on health and wellness. Barrett Hospital is currently working with the Director of Public Health on an implementation strategy.Strategy 2.3: Explore expanding BHH worksite wellness program to include local employers/ community members.Barrett Hospital is continuing to watch legislation by the US government, specifically surround EEOC Wellness Regulations, to ensure compliance with the latest legislations. Barrett Hospital consulted with Gallagher Benefits to complete a "Wellbeing Inventory" of the current state to determine opportunities in the current wellness program. Barrett Hospital is awaiting results to determine potential areas of expansion and potential areas of external interest. Goal 3: Decrease alcohol and drug abuse in Beaverhead County by enhancing preventative strategies and programs.Strategy 3.1: Support alcohol and drug abuse prevention programs for youth in Beaverhead County.The hospital continues to support Public Health's efforts to explore partnering with schools and SWCDP Prevention Specialist Lead to restart a 'DARE like program in the schools. The community is applying for grant dollars to develop this program. Barrett Hospital also will support the continuation of the ACES program in Beaverhead County. Jana Barnes continues to be involved in the ACES program and shares information with providers and hospital staff regarding the program. Strategy 3.2: Improve BHH chronic pain management strategies and community awareness of chronic pain services.Barrett Hospital & HealthCare is exploring strategies for offering Chronic Pain Management education for community members and providers and implement if feasible. The facility is also exploring strategies for assessing likelihood of addiction with emergency department patients. The facility will consider providing on-call physical therapist screening of injuries for emergency department visits.Goal 4: Improve access to mental health services and suicide prevention resources in Beaverhead County.Strategy 4.1: Address cost as a barrier for community members seeking out mental health services.Barrett Hospital & HealthCare is exploring multiple options in this arena including collaborating with local mental health providers and exploring feasibility of alternative delivery models for behavioral health services. The hospital will continue to advocate for patients by addressing cost as a barrier to seeking mental health services through legislative contacts.Strategy 4.2: Collaborate with local community organizations on addressing mental health issues.Western Montana Mental Health was closed increasing the need for local mental health providers. Barrett Hospital met with other community stakeholders in December 2017 to determine a plan of action to provide care for patients. The LAC received some funding and has opened a Help and Resource Center that will be staffed 4 hours per day. Barrett Hospital also met with Lieutenant Governor Clooney and Senator Welborn to discuss budget cuts and the impact to mental health services.Strategy 4.3: Improve access to mental health services at BHH.Barrett Hospital is exploring expanding tele-psychiatry services including greater access to child psychiatry (finding more providers and expanding hours). We will continue to offer integrated behavioral health services at BHH and monitor/ improve contracted Western Montana Mental Health Crisis Response Team services.
Schedule H, Part V, Section B, Line 11 continued:Four items that were identified in the CHNA will not be addressed by the current implementation plan. Some of the services identified are offered in limited capacity at the facility. At this time, it is not practical or financially feasible to offer expanded services in these areas. The services are as follows: a) Dermatology services b) Senior well checks/ community paramedicine/ home health c) Cancer servicesd) Outpatient services expanded hours Barrett Hospital & HealthCare is committed to providing high value healthcare and services for our community. As an organization, we make every effort to develop relationships with a broad range of collaborative partners within our community and neighboring communities to improve the quality of care and services available to our patients. Barrett Hospital's Leadership Council and Board of Trustees evaluate the facility's ability to meet the needs of the community through our strategic and operational plans.For more detailed information regarding Barrett Hospital & HealthCare's implementation plan, please visit their website www.barretthospital.org to view the full implementation plan.

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. In addition to the Federal Poverty Guidelines, the Organization also considers the patient's asset level as well as Medical indigency.
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. Community Health Improvement Services on line 7e, and Health Professions Education on line 7f, were determined using actual costs. Medicaid on line 7b and subsidized health services on line 7g were 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 $154,369.
Part II, Community Building Activities:Barrett Hospital & HealthCare offers low cost wellness programs 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 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 onpage 15 of the attached audited financial statements.
Part III, Line 8:The facility is designated as a Critical Access Hospital and is reimbursedby Medicare at 101% of Medicare's costs. There was a shortfall for 2017 due to sequestration. Even though Medicare was at a loss, the Hospital provides services to these patients because access to healthcare and individual's health is important to the Hospital. Therefore, the Medicare shortfall is considered a community benefit. Medicare allowable costs were obtained from the 2017 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 throughout 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 9,345 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. 17.1% of the population of Beaverhead County is considered low income and falls below the federal poverty levels compared to 14.6% for the State of Montana. The median income for Beaverhead County is $42,577 which is lower than the Montana median income of $46,766. Beaverhead County also has an uninsured rate of 19% as compared to the State of Montana at 17% and the national measure at 13.3%.
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 26 physician resident/students and PA students and 15 pharmacy, physical therapy, nursing, laboratory scientists and diagnostic imaging students. Barrett Hospital also had 23 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 87 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 4,500 visits annually.

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 (5 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$286,168$0$17,436$0$13,000$0$18,400$0$23,150$0$358,154$0$0$0
Sandra McIntyre
Internal Med Physician$215,797$0$55,676$0$24,000$0$16,200$0$24,088$0$335,761$0$0$0
Michael Clarke
ED Physician$228,027$0$13,870$0$18,000$0$12,144$0$25,209$0$297,250$0$0$0
Kelly Smith
Family Practice Physician$201,131$0$34,026$0$18,000$0$10,455$0$23,150$0$286,762$0$0$0
John Pickens
General Surgeon$253,261$0$0$0$5,376$0$2,654$0$21,559$0$282,850$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 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 $225,000 in compensation from HealthTech Management Services during the 2017 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 15Ken 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. Barrett Hospital & HealthCare participates in an annual salary survey with the Montana Hospital Association which reviews all employee salary ranges with like healthcare organizations throughout the state. 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.
Form 990, Part VI, Section C, line 19The Organization makes its governing documents, conflict of interest policy and financial statements available upon request.

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 SouthDillonMT59725363597000Supporting OrganizationMTN/A0501(c)(3)Line 12c, III-FI
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 OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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