2019-04-29T09:16:35-05:00 2018-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2017-07-01 264230898 Barrett Hospital Development Corporation BARR 4066833000 600 Highway 91 South Dillon MT 59725 Richard Achter CFO 4066833000 2019-04-11 1 Kim Hunwardsen CPA P00484560 6122536500 2019-03-27 199.247.45.171 2019-04-11 11:51:34 CD P D8A1E5117AA53286D53F57459EBB2DE5C7CA50FC EFC25E59FA7409AE560978A003AFB9E955B778C6 2017 2019-02-21 02:37:17Z Barrett Hospital & Healthcare Richard Achter 600 Highway 91 South Dillon MT 59725 35146111 0 X www.barretthospital.org X 2009 MT Barrett Hospital & HealthCare provides compassionate care, healing, and health-improving service to all community members throughout life's journey. 5 4 338 87 0 0 814129 359405 33796981 34126248 306554 377823 60685 55084 34978349 34918560 0 0 0 0 17884429 18700771 0 0 0 14698839 14767813 32583268 33468584 2395081 1449976 57472988 57976399 32168366 31308036 25304622 26668363 X Barrett Hospital & HealthCare provides compassionate care, healing, and health-improving service to all community members throughout life's journey. 0 0 30179631 34126248 Barrett 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. 30179631 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 67 0 1 338 1 0 0 0 0 0 0 0 0 0 0 X 5 4 0 1 0 0 1 0 0 1 0 0 0 1 1 1 1 1 0 0 0 0 X Richard Achter 4066833006 600 Highway 91 South Dillon MT 59725 Patti Mitchell Chair 0.50 0.00 X X 5827 0 0 Nate Finch Vice Chair 0.50 0.60 X X 0 0 0 Joe Morstein Director 0.50 0.00 X 0 0 0 Shane Puyear Director 0.50 0.00 X 0 0 0 Lawrence Morrisroe Director 0.50 0.00 X 0 0 0 Ken Westman CEO 40.00 2.50 X 0 0 0 Richard Achter CFO 40.00 0.50 X 137776 0 10872 Carol Kennedy CCO 40.00 0.00 X 127664 0 17912 Gregory Moore ED Physician 40.00 2.00 X 316604 0 40031 Sandra McIntyre Internal Med Physician 40.00 0.00 X 295473 0 38769 Michael Clarke ED Physician 40.00 0.00 X 259897 0 35834 Kelly Smith Family Practice Physician 40.00 0.00 X 253157 0 32085 John Pickens General Surgeon 30.00 0.00 X 258637 0 22694 1655035 0 198197 22 0 1 0 HealthTech Management Services 5110 Maryland Way Ste 200 Brentwood TN 37027 Management Services 563147 Shafi Shafaieh 30 MT Hwy 91 S Dillon MT 59725 General Surgeon 252342 Gallatin Gynecology PC 767 Triple Tree Road Bozeman MT 59715 Gynecology 187233 Eide Bailly LLP PO Box 7112 Billings MT 59103 Accounting Services/Consulting Services 101975 ARUP Laboratories PO Box 27964 Salt Lake City UT 84127 Reference Lab 100047 5 251257 12750 95398 359405 Net Patient Service Revenue 621110 33009233 33009233 Mortgage Subsidy 900099 435658 435658 EHR 900099 212703 212703 Property Taxes 900099 56000 56000 412654 412654 34126248 327523 327523 99420 44336 55084 55084 55084 233515 183215 50300 50300 50300 34918560 34126248 0 432907 302643 5827 296816 14805076 14073826 731250 678265 630058 48207 1876283 1747796 128487 1038504 970534 67970 489402 489402 46506 46506 57798 57798 2937107 2257687 679420 111804 110804 1000 564573 407664 156909 55951 35457 20494 806791 804791 2000 46217 32667 13550 174791 150623 24168 1422776 1421770 1006 2163141 2163141 744497 605472 139025 Medical Supplies 3251724 3251724 Repairs and Maintenance 640613 638451 2162 Provision for Bad Debts 154369 154369 Dues/Books/Subscription 144163 58887 85276 955590 658083 297507 33468584 30179631 3288953 0 950 950 3842498 5747816 5359858 4935273 632167 633171 319792 370203 50818586 17125525 35518679 33693061 11720763 12507248 30410 26342 47871 62335 57472988 57976399 2764660 2914603 354145 151144 28199743 27354984 849818 887305 32168366 31308036 X 25304622 26668363 25304622 26668363 57472988 57976399 1449976 -86235 0 X 0 1 X 1 1 1 X 1708553 1708553 35382671 7327390 28055281 12563992 9291555 3272437 1163370 506580 656790 33693061 Estimated Third Party Payor Settlements 887305 887305 33074880 -86235 -1577145 -1663380 34738260 180300 180300 34918560 31891439 0 31891439 1577145 1577145 33468584 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. 1 1 X 1 X 0 1 1 0 1 1 377000 377000 0.01130 5575890 5328727 247163 0.00740 5952890 5328727 624163 0.01870 51364 29105 22259 0.00070 656618 12000 644618 0.01930 8808264 6977788 1830476 0.05490 9516246 7018893 2497353 0.07490 15469136 12347620 3121516 0.09360 41571 41571 0.00120 2057 2057 0.00010 92277 64947 27330 0.00080 135905 64947 70958 0.00210 1 154369 0 8112448 8152593 -40145 X 1 1 1 1 Barrett Hospital Development Corp 600 MT Hwy 91 S Dillon MT 59725 www.barretthospital.org 13549 X X X X Barrett Hospital Development Corporation 1 0 1 1 X X X X X X X X X 16 1 0 1 1 X www.barretthospital.org X 1 16 1 www.barretthospital.org 0 1 X 200.000000000000 X X 1 1 X X X 1 X https://www.barretthospital.org/copy-of-patients-visitors X https://www.barretthospital.org/copy-of-patients-visitors X https://www.barretthospital.org/copy-of-patients-visitors X X X X X X 1 X 0 X X X X 1 X 0 0 Barrett Hospital Development Corporation Part 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 Corporation Part 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 Corporation Part 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 Corporation Part 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. 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. 0 0 0 0 0 0 0 0 0 Gregory Moore ED Physician 286168 0 17436 0 13000 0 18400 0 23150 0 358154 0 0 0 Sandra McIntyre Internal Med Physician 215797 0 55676 0 24000 0 16200 0 24088 0 335761 0 0 0 Michael Clarke ED Physician 228027 0 13870 0 18000 0 12144 0 25209 0 297250 0 0 0 Kelly Smith Family Practice Physician 201131 0 34026 0 18000 0 10455 0 23150 0 286762 0 0 0 John Pickens General Surgeon 253261 0 0 0 5376 0 2654 0 21559 0 282850 0 0 0 Form 990, Part VI, Section A, line 3 HealthTech 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 6 The 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 8b There are no committees with the authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b An 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 12c Annually 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 15 Ken 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 19 The Organization makes its governing documents, conflict of interest policy and financial statements available upon request. Public Hospital District for Beaverhead County 600 Highway 91 South Dillon MT 59725 810357909 Healthcare MT N/A 0 Barrett Hospital Foundation Inc 600 Highway 91 South Dillon MT 59725 363597000 Supporting Organization MT 501(c)(3) Line 12c, III-FI N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0