LIVINGSTON HEALTHCARE: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
LIVINGSTON HEALTHCARE (EIN 81-0378200)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-04-10
IRS object ID
202011019349301316
Schema version
2018v3.1
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)
Return2020-04-10T14:45:15-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

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 Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810378200EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Livingston HealthcareBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLIVIBusinessNameControlTxt
Phone4062223541PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 Alpenglow LaneAddressLine1Txt
CityLivingstonCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59047ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDeb AnczakPersonNm
Person TitleCEOPersonTitleTxt
Phone4062223541PhoneNum
Signature2020-04-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2020-04-08PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address63.233.88.226IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-04-08IPDt
IP Tm12:50:40IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdEE7B44BF798B4EF79D5DDE03D0EF16CE53CA0C32AtSubmissionCreationDeviceId
At Submission Filing Device Id910E667CAF9535F6E07908141D928A1E2DABEDFEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDeb AnczakPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 Alpenglow LaneAddressLine1Txt
CityLivingstonCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59047ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$58,444,434GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.livingstonhealthcare.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1955FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionA 25-bed critical access hospital, a multispecialty physician practice, rehabilitation services, and home-based services.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee489TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,534,445PYContributionsGrantsAmt
CY Contributions Grants$432,481CYContributionsGrantsAmt
PY Program Service Revenue$51,485,726PYProgramServiceRevenueAmt
CY Program Service Revenue$57,629,777CYProgramServiceRevenueAmt
PY Investment Income$63,449PYInvestmentIncomeAmt
CY Investment Income$288,581CYInvestmentIncomeAmt
PY Other Revenue$61,837PYOtherRevenueAmt
CY Other Revenue$87,012CYOtherRevenueAmt
PY Total Revenue$53,145,457PYTotalRevenueAmt
CY Total Revenue$58,437,851CYTotalRevenueAmt
PY Grants And Similar Paid$9,504PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$13,740CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$24,880,299PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$27,410,660CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$229,987CYTotalFundraisingExpenseAmt
PY Other Expenses$26,333,320PYOtherExpensesAmt
CY Other Expenses$27,387,406CYOtherExpensesAmt
PY Total Expenses$51,223,123PYTotalExpensesAmt
CY Total Expenses$54,811,806CYTotalExpensesAmt
PY Revenues Less Expenses$1,922,334PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,626,045CYRevenuesLessExpensesAmt
Total Assets BOY$69,173,547TotalAssetsBOYAmt
Total Assets EOY$72,583,735TotalAssetsEOYAmt
Total Liabilities BOY$39,460,871TotalLiabilitiesBOYAmt
Total Liabilities EOY$39,085,239TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$29,712,676NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$33,498,496NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionExcellence in patient-centered care.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$45,355,099ExpenseAmt
Grant$13,740GrantAmt
Revenue$57,629,777RevenueAmt
DescLivingston HealthCare (LHC) is a 25-bed acute care hospital located in Livingston, Montana, providing inpatient, outpatient, and emergency services primarily for the residents of Livingston Montana and the surrounding area. It is a multispecialty physician practice that also provides rehabilitation services and home-based services such as home care and hospice care.LHC provides medical treatment of the sick and injured patients regardless of ability to pay. This includes private payers, insured payers, Medicare, Medicaid and Charity Care.LHC provided funding for Windrider Transit in the amount of $10K in FY 2019. Windrider provides a free, efficient fixed-route transportation system to citizens and disabled persons in Park County, Montana; it operates Monday through Friday from 6:15 AM-6:15 PM. All vehicles are ADA accessible and equipped with lifts. The Windrider bus makes seven stops each day at Livingston HealthCare, and includes multiple daily stops at 14 other locations in Livingston, including to the public library and a local grocery store. In FY 2019, the Windrider bus picked up 3,637 passengers and was driven 248.5 days, with an average of 14.636 passengers each day. 510 passengers received a ride from Livingston HealthCare via the Windrider bus in FY 2019. LHC provided funding for school nurse for the Livingston School District in the amount of $11K. The school nurse ensures the health and safety of all students, preparing them to be consistently present at school and ready to learn to the best of their ability. The school nurse manages chronic and acute health problems, screens students for various health impairments, connects students and families to community resources and identifies school-wide health initiatives and health education needs. In FY 2019, the Livingston School District school nurse provided 618 student vision screenings, 743 hearing screenings and 308 scoliosis screens. Medications were administered to 171 students, as needed, with 18 students receiving daily medications. 15 students with asthma/inhalers were monitored and 27 students with life-threatening allergies were monitored and had care plans in place.Desc
Total Program Service Expenses$45,355,099TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
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 MemYes (1)BusinessRlnWithOrgMemInd
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 Document46IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee489EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
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 Line1Kris KesterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4062223541PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 Alpenglow LaneAddressLine1Txt
CityLivinstonCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59047ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Denis Prager
President15.001.00Yes (X)Yes (X)$0$0$0
Shiell Anderson
Vice President2.000.00Yes (X)Yes (X)$0$0$0
Kristen Galbraith
Secretary2.000.00Yes (X)Yes (X)$0$0$0
Dan Kaul
Treasurer2.000.00Yes (X)Yes (X)$0$0$0
D Scott Coleman MD
Director, Family Medicine40.001.00Yes (X)$284,823$0$17,300
David Stanley
Director2.000.00Yes (X)$0$0$0
Douglas P Wadle MD
Director, Internal Medicine40.000.00Yes (X)$255,717$0$21,912
Joseph Swindlehurst
Director2.000.00Yes (X)$0$0$0
Michael Schaer
Director2.000.00Yes (X)$0$0$0
Jeffry Lindenbaum MD
Director2.000.00Yes (X)$0$0$0
Michelle Becker
Director2.001.00Yes (X)$0$0$0
Laurie Smith
Director2.000.00Yes (X)$0$0$0
Deb Anczak
CEO40.001.00Yes (X)$182,766$0$8,429
Ryan Speas
CFO40.001.00Yes (X)$146,888$0$4,676
Raymond Wright MD
ER Physician40.000.00$329,425$0$21,639Yes (X)
Michael Briggs MD
ER Physician40.000.00$320,240$0$16,820Yes (X)
Krista Arnett MD
ER Physician40.000.00$320,019$0$10,400Yes (X)
Warren Liebers MD
ER Physician40.000.00$251,656$0$23,961Yes (X)
Ted Scofield MD
Internal Medicine40.000.00$245,412$0$19,181Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,336,946TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$144,318TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K34IndivRcvdGreaterThan100KCnt
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
Billings Clinic Laboratory
PO Box 30977BillingsMT59107Lab Services$1,728,410
Medical Solutions
PO Box 310737Des MoinesIA50331Contract Staffing$599,003
Billings Clinic Telrad
PO Box 30977BillingsMT59107Tele-radiology Services$533,955
Crowley Fleck
PO Box 30441BillingsMT59107Legal Services$342,623
Hayes Locums
6700 N Andrews Avenue Ste 600Fort LauderdaleFL33309Locums coverage$332,030
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Related Organizations$432,481RelatedOrganizationsAmt
Total Contributions$432,481TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue621110$55,781,531$55,781,531
Supporting Revenue621110$1,081,357$1,081,357
Pharmacy Revenue446110$766,889$766,889
FieldValueIRS element (for citing)
Total Program Service Revenue$57,629,777TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$285,929TotalRevenueColumnAmt
Exclusion$285,929ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$87,012RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$87,012RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$87,012TotalRevenueColumnAmt
Exclusion$87,012ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$9,235SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$6,583SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,652SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,652TotalRevenueColumnAmt
Exclusion$2,652ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$58,437,851TotalRevenueColumnAmt
Related Or Exempt Func Income$57,629,777RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$375,593ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$13,740TotalAmt
Program Services$13,740ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,088,768TotalAmt
Program Services$567,960ProgramServicesAmt
Management And General$520,808ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$171,385TotalAmt
Program Services$51,503ProgramServicesAmt
Fundraising$119,882FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$21,917,239TotalAmt
Program Services$18,081,127ProgramServicesAmt
Management And General$3,788,686ManagementAndGeneralAmt
Fundraising$47,426FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$653,447TotalAmt
Program Services$532,928ProgramServicesAmt
Management And General$115,643ManagementAndGeneralAmt
Fundraising$4,876FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,938,903TotalAmt
Program Services$1,584,607ProgramServicesAmt
Management And General$351,286ManagementAndGeneralAmt
Fundraising$3,010FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,640,918TotalAmt
Program Services$1,328,776ProgramServicesAmt
Management And General$299,627ManagementAndGeneralAmt
Fundraising$12,515FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$137,268TotalAmt
Management And General$137,268ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$215,555TotalAmt
Program Services$3,110ProgramServicesAmt
Management And General$211,400ManagementAndGeneralAmt
Fundraising$1,045FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$48,544TotalAmt
Management And General$45,404ManagementAndGeneralAmt
Fundraising$3,140FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,605,817TotalAmt
Program Services$4,957,457ProgramServicesAmt
Management And General$1,646,499ManagementAndGeneralAmt
Fundraising$1,861FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$151,791TotalAmt
Program Services$19,859ProgramServicesAmt
Management And General$125,015ManagementAndGeneralAmt
Fundraising$6,917FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,320,707TotalAmt
Program Services$1,037,223ProgramServicesAmt
Management And General$279,566ManagementAndGeneralAmt
Fundraising$3,918FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$882,134TotalAmt
Program Services$148,940ProgramServicesAmt
Management And General$721,177ManagementAndGeneralAmt
Fundraising$12,017FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$428,751TotalAmt
Program Services$420,912ProgramServicesAmt
Management And General$7,839ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$271,921TotalAmt
Program Services$227,994ProgramServicesAmt
Management And General$43,799ManagementAndGeneralAmt
Fundraising$128FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$134,234TotalAmt
Program Services$86,329ProgramServicesAmt
Management And General$45,768ManagementAndGeneralAmt
Fundraising$2,137FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,094,260TotalAmt
Program Services$1,094,260ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,246,029TotalAmt
Program Services$3,246,029ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$702,298TotalAmt
Program Services$447,763ProgramServicesAmt
Management And General$254,535ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical Supplies$6,999,253$6,988,080$11,173
Bad Debt$3,381,957$3,381,957
Repairs and Maintenance$655,149$639,152$15,815$182
Food$372,867$367,054$5,813

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$738,871TotalAmt
Program Services$128,339ProgramServicesAmt
Management And General$599,599ManagementAndGeneralAmt
Fundraising$10,933FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$54,811,806TotalAmt
Program Services$45,355,099ProgramServicesAmt
Management And General$9,226,720ManagementAndGeneralAmt
Fundraising$229,987FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,132,505BOYAmt
EOY$3,222,722EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,842,246BOYAmt
EOY$2,554,464EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,668,253BOYAmt
EOY$11,262,943EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,484,863BOYAmt
EOY$1,576,548EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$101,500BOYAmt
EOY$171,140EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$52,118,194LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,299,246LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$40,974,756BOYAmt
EOY$38,818,948EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,535,510BOYAmt
EOY$14,027,583EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$667,754BOYAmt
EOY$681,050EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,766,160BOYAmt
EOY$268,337EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$69,173,547BOYAmt
EOY$72,583,735EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,608,867BOYAmt
EOY$3,686,014EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$34,492,467BOYAmt
EOY$33,869,071EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,359,537BOYAmt
EOY$1,530,154EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,460,871BOYAmt
EOY$39,085,239EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,712,676BOYAmt
EOY$33,498,496EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,712,676BOYAmt
EOY$33,498,496EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$69,173,547BOYAmt
EOY$72,583,735EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,626,045ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$159,772NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$3OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,503,731BeginningYearBalanceAmt
Contributions$1,545,780ContributionsAmt
Investment Earnings Or Losses$264,106InvestmentEarningsOrLossesAmt
Other Expenditures$833,584OtherExpendituresAmt
End Year Balance$2,480,033EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,432,806BeginningYearBalanceAmt
Investment Earnings Or Losses$101,575InvestmentEarningsOrLossesAmt
Other Expenditures$30,650OtherExpendituresAmt
End Year Balance$1,503,731EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$436,740BeginningYearBalanceAmt
Contributions$907,288ContributionsAmt
Investment Earnings Or Losses$88,778InvestmentEarningsOrLossesAmt
End Year Balance$1,432,806EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$350,332BeginningYearBalanceAmt
Investment Earnings Or Losses$86,408InvestmentEarningsOrLossesAmt
End Year Balance$436,740EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$350,332BeginningYearBalanceAmt
End Year Balance$350,332EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.48230BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.51770PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$951,320OtherCostOrOtherBasisAmt
Book Value$951,320BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,087,896OtherCostOrOtherBasisAmt
Depreciation$6,274,498DepreciationAmt
Book Value$30,813,398BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,054,472OtherCostOrOtherBasisAmt
Depreciation$7,024,748DepreciationAmt
Book Value$7,029,724BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,506OtherCostOrOtherBasisAmt
Book Value$24,506BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$38,818,948TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Professional Liability Claims$111,010
Deferred Compensation Liability$1,120,129
Estimated Third-Party Payor Settlements$299,015
FieldValueIRS element (for citing)
Total Liability$1,530,154TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$55,582,260TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$159,772NetUnrealizedGainsInvstAmt
Other Revenue-$2,582,882OtherRevenueAmt
Revenue Not Reported-$2,423,110RevenueNotReportedAmt
Revenue Subtotal$58,005,370RevenueSubtotalAmt
Other Revenues Not Included$432,481OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$432,481RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$58,437,851TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$51,458,823TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$28,974OtherExpensesIncludedAmt
Expenses Not Reported$28,974ExpensesNotReportedAmt
Expenses Subtotal$51,429,849ExpensesSubtotalAmt
Other Expenses Not Included$3,381,957OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$3,381,957ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$54,811,806TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The organization has adopted investment and spending policies for endowment assets that attempt to provide a predictable stream of funding to programs supported by its endowment while seeking to maintain the purchasing power of the endowment assets. Endowment assets include those assets of donor-restricted funds that the organization must hold in perpetuity or for a donor-specified period(s) as well as board-designated funds. A portion of the endowment fund is held by the Ough Charitable Trust, a trust established to make charitable contributions to Livingston HealthCare Foundation, which further benefits Livingston Healthcare. The Foundation is the sole trustee of The Ough Charitable Trust. A separate portion of the endowment fund relates to the Stafford Hospice endowment held directly by the Foundation.
Part X, Line 2:The Hospital is organized as a Montana nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Hospital is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Hospital is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. Management has determined that the Hospital is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS. The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.
Part XI, Line 2d - Other Adjustments:Livingston Foundation Revenue Reported on a Separate Form 990 799,075. Provision for Bad Debts Reported in Expense on Form 990 -3,381,957.
Part XI, Line 4b - Other Adjustments:Foundation Contribution to Hospital that is Eliminated on Audited Financials 432,481.
Part XII, Line 2d - Other Adjustments:Livingston Foundation Expenses Reported on a Separate Form 990 28,974.
Part XII, Line 4b - Other Adjustments:Provision for Bad Debts reported in expense on Form 990 3,381,957.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free Care0FPGReferenceFreeCareInd
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$426,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$426,000NetCommunityBenefitExpnsAmt
Total Expense0.00830TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$426,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$426,000NetCommunityBenefitExpnsAmt
Total Expense0.00830TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,058TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,820DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,238NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,520,523TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$952,802DirectOffsettingRevenueAmt
Net Community Benefit Expns$567,721NetCommunityBenefitExpnsAmt
Total Expense0.01100TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,470TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$39,470NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,585,051TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$956,622DirectOffsettingRevenueAmt
Net Community Benefit Expns$628,429NetCommunityBenefitExpnsAmt
Total Expense0.01220TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,011,051TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$956,622DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,054,429NetCommunityBenefitExpnsAmt
Total Expense0.02050TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,500NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,443TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$53,443NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$65,943TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$65,943NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,381,957BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$21,345,123ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$21,764,470CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$419,347MedicareSurplusOrShortfallAmt

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 Line1Livingston HealthcareBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 Alpenglow LnAddressLine1Txt
CityLivingstonCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59047ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.livingstonhealthcare.orgWebsiteAddressTxt
State License12556StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
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 Line1Livingston HealthcareBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Supplement InformationOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Supplement InformationStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care0.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Supplement InformationFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Supplement InformationFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Supplement InformationFAPSummaryOnWebsiteURLTxt
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 MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Livingston HealthcarePart V, Section B, Line 5: The hospital facility consulted a steering committee that was made up of a diverse group of community members representing various organizations and populations within the community. The various organizations follow: child and family services, clinics, community health partners, health department, special ed co-op and school nurses, chemical dependency program, mental health center, health and nutrition coordinator, community foundation, agency on aging, environmental health, and from the hospital itself. The steering committee met to discuss health concerns in the community and offer their perspective in designing the survey and they met again to review the results of the survey and the focus groups interviews.
Livingston HealthcarePart V, Section B, Line 11: In the most recent CHNA LHC identified the following needs LHC would address: the need to improve access to mental and behavioral health services in Park County, improve the community's access to transportation in and around Park County, and enhance health and wellness education opportunities in Park County. The needs that were identified, but were not addressed are: 1) more affordable healthcare, 2) more specialists, and 3) aging services. These needs are not addressed due to limited staff time and resources. They will be addressed at a future date.In FY19 Livingston HealthCare hired a psychiatric physician assistant to provide support to the organization's on-staff psychiatrist. In addition, the hospital continued to play an integral role in the implementation of the Connect Referral Program, which is designed to seamlessly connect patients in need with applicable community resources. In FY18 Livingston HealthCare hired two social workers that continued to improve services in FY19. One social worker serves patients who are in the Emergency Department, on the Medical/Surgical floor, and also at Shields Valley Clinic. In addition, another social worker was hired to work with Home Health and Hospice patients. In addition, the hospital played an integral role in the implementation of the Connect Referral Program, which is designed to seamlessly connect patients in need with applicable community resources. This program went live in June 2018. The hospital continues to be the largest financial sponsor of Park County's free community transit system. In FY19, LHC donated another $10,000 to the system, in addition to utilizing in-house hospital resources to create all communication pieces associated with the transit system (branding, brochures, flyers, maps). The hospital continued to work closely with Park County Transit Board to increase community awareness of this free public transit system. Livingston HealthCare continued to enhance health and wellness education opportunities in Park County by mailing out a community newsletter "Living Well" to all Park County residents twice in FY19. The newsletter contains information for the community on available health and wellness programs and resources in Park County. LHC also actively informed the community of health education opportunities and health services through the local newspaper and social media. An incentive program was established for LHC employee health insurance, which is anticipated to improve health outcomes for LHC employees. In FY19 Livingston HealthCare continued the employee incentive program to improve health outcomes for LHC employees on the health plan, as well as continued focus on community health and wellness programs including Lifestyle Balance classes, Health Steps Program, Livingston Trails RX Race, Community Health Day at the local farmers market and the Fall Health Festival held at Livingston HealthCare.
Livingston HealthcarePart V, Section B, Line 13h: Presumptive eligibility is used. If a patient is a Medicaid patient, the Hospital writes off to charity care any portion of charges that is denied by Medicaid.
Livingston HealthcarePart V, Section B, Line 24: The Hospital does not provide elective services under the financial assistance policy.
Schedule H, Part V, Section B, Line 16a-c:The FAP, FAP application, and plain language summary of the FAP can be found at:https://www.livingstonhealthcare.org/Patients-Visitors/Patient-Financial-Services.aspx
Schedule H, Part V, Section B, Line 7a and 10a:https://www.livingstonhealthcare.org/About-Us/Community-Health-Needs-Assessment.asp
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - LHC Clinic
320 Aplenglow LnLivingstonMT59047Clinic
2 - Livingston Healthcare Home CareHospice
320 Aplenglow LnLivingstonMT59047Home Care
3 - Livingston Urgent Care
104 Centennial Dr 103LivingstonMT59047Clinic
4 - Livingston Clinic Shields Valley
309 Elliot St NWilsallMT59086Clinic

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 Cash and In-Kind Contributions on Line 7i were determined using actual costs.
Part I, Line 7, Column (f):The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 3,381,957.
Part II, Community Building Activities:Livingston HealthCare identified the need to improve access to mental and behavioral health services in Park County, improve the community's access to transportation in and around Park County and enhance health and wellness education opportunities in Park County. To that end, in FY19 Livingston HealthCare hired a psychiatric physician assistant to provide support to the organization's on-staff psychiatrist. In addition, the hospital continues to play an integral role in the implementation of the Connect Referral Program, which is designed to seamlessly connect patients in need with applicable community resources. The hospital continues to be the largest financial sponsor of Park County's free community transit system. In FY19, LHC donated $10,000 to the system, in addition to utilizing in-house hospital resources to update and create communication pieces associated with the transit system (branding, brochures, flyers, maps). The hospital worked closely with Park County Transit Board to increase community awareness of this free public transit system. Livingston HealthCare continued to enhance health and wellness education opportunities in Park County by mailing out a community newsletter "Living Well" to all Park County residents in FY 2019. The newsletter contains information for the community on available health and wellness programs and resources in Park County. LHC also actively informed the community of health education opportunities and health services through the local newspaper and social media. An incentive program was established for LHC employee health insurance, which is anticipated to improve health outcomes for LHC employees.
Part III, Line 2:Bad debt is based on charges.
Part III, Line 4:The footnote to the Organization's financial statements can be found on page 9 of the attached audited financial statements.
Part III, Line 8:LHC provides services to patients under the Medicare program knowing they will not recover all the costs associated with providing these services.Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, the entire Medicare shortfall is considered a community benefit. The Organization reported only those allowable costs and Medicare reimbursements reported in the Medicare cost report for the year.Total revenue received from Medicare is the gross reimbursement plus settlement. Both total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by Centers for Medicare Services.
Part III, Line 9b:Once a patient is approved for financial assistance, it is expected that the patient continue to meet his/her financial commitments to Livingston Healthcare. If a patient is approved for a percentage allowance due to financial hardship and the patient does not make the required initial payment within 60 days toward their part of the bill, the financial assistance allowance will be reversed and the patient will owe the entire amount. The organization recommends that the patient make a good faith payment at the beginning of the financial assistance period.LHC sends notification to the patients 30 days prior to sending to collections. LHC does not send patient accounts to collections until 180 days from the date of the invoice. If the patient applies for financial assistance within 240 days of the date of the invoice, LHC will cease extraordinary collection actions and process the application.
Part VI, Line 2:The hospital Leadership meets often with city, county, and school leadership to discuss and plan shared needs within Livingston/Park County boundaries. Most recently these shared need discussions have been around building a new community pool/community center, expansion of medical services within the school (Park Clinic) system, and joint efforts toward bringing additional mental health services to students in the Park County school district.
Part VI, Line 3:Financial assistance will be provided to Livingston Healthcare patients who meet specified financial criteria and request such assistance. A notice of availability of financial assistance program will be posted at patient registration sites within each facility and presented to patients upon request. Schedule H, Part V, Section B, line 16a-16i list other ways the organization informs and educates patients and person who may be eligible for financial assistance.
Part VI, Line 4:Livingston is a city in and the county seat of Park County, Montana, United States. The population was approximately 7,784 people in 2018. Livingston is located in southwestern Montana, on the Yellowstone River, north of Yellowstone National Park. The median income for a household in Livingston in 2018 was about $42,635.
Part VI, Line 5:Livingston HealthCare's governing body is comprised of persons who reside in the organization's primary service area who are neither employees nor contractors of the organization, nor family members thereof.Livingston HealthCare extends medical staff privileges to all qualified physicians in its community for some or all of its departments.Livingston HealthCare applies surplus funds to improvements in patient care, medical education, and expansion of needed services.In FY 2019, the hospital continued programs and events that focus on community health and wellness, including family-centered prenatal education classes, Strong People, Strong Bones classes, Dine with a Dietician Lunch and Learns, the Livingston Trails Rx 5K Race, Community Health Day at the local farmers market and Fall Health Festival at the hospital.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
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 (9 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
D Scott Coleman MD
Director, Family Medicine$284,823$0$0$0$0$0$16,000$0$1,300$0$302,123$0$0$0
Douglas P Wadle MD
Director, Internal Medicine$255,717$0$0$0$0$0$16,000$0$5,912$0$277,629$0$0$0
Deb Anczak
CEO$182,766$0$0$0$0$0$0$0$8,429$0$191,195$0$0$0
Ryan Speas
CFO$146,888$0$0$0$0$0$0$0$4,676$0$151,564$0$0$0
Raymond Wright MD
ER Physician$329,425$0$0$0$0$0$12,812$0$8,826$0$351,063$0$0$0
Michael Briggs MD
ER Physician$320,240$0$0$0$0$0$14,400$0$2,420$0$337,060$0$0$0
Krista Arnett MD
ER Physician$320,019$0$0$0$0$0$10,400$0$0$0$330,419$0$0$0
Warren Liebers MD
ER Physician$251,656$0$0$0$0$0$12,800$0$11,161$0$275,617$0$0$0
Ted Scofield MD
Internal Medicine$245,412$0$0$0$0$0$16,581$0$2,600$0$264,593$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3LHC employed the CEO from July 1, 2018 through January 3, 2019. The compensation paid directly by LHC is reported in Part VII, Part IX, and Schedule J of the Form 990. The remaining of the fiscal year the CEO was paid by an unrelated management company, Billings Clinic. LHC paid Billings Clinic $137,268 for CEO services. LHC relied on Billings Clinic to establish compensation from January 4, 2019 through June 30, 2019.
Part I, Line 4aRyan Speas received a severance payment in the amount of $150,409 for Fiscal year ending June 30, 2019. This payment was received during the 2019 calendar year and thus is not reported in Part II.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Babs Brandfass
Spouse of Board Member$119,882Employee Compensation0
Paula Coleman
Spouse of Board Member$51,503Employee Compensation0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 1The Board shall have as a standing committee an Executive Committee. The Executive Committee shall consist of at least four members of the Board, which shall include the Chairperson, Vice Chairperson, Secretary, and Treasurer. If none of the officers named in the previous sentence is a Class B Director, a Class B Director shall be the fifth member of the Executive Committee. The Executive Committee may consist of additional members of the Board at the discretion of the Board. Action of the Executive Committee shall be subject to approval by the Board, except to the extent provided otherwise in a resolution of the Board pertaining to a particular matter, transaction, or undertaking. The Executive Committee did not meet in the fiscal year.
Form 990, Part VI, Section A, line 3LHC employed the CEO from July 1, 2018 through January 3, 2019. The compensation paid directly by LHC is reported in Part VII, Part IX, and Schedule J of the Form 990. The remaining of the fiscal year the CEO was paid by an unrelated management company, Billings Clinic. LHC paid Billings Clinic $137,268 for CEO services.
Form 990, Part VI, Section B, line 11bThe finance committee reviews the 990 prior to its issuing. The governing board is provided a copy prior to filing.
Form 990, Part VI, Section B, line 12cThis policy applies to all employees of Livingston HealthCare (LHC), volunteers, medical staff, contracted workforce, or other individuals that have a financial interest and are authorized to conduct business on behalf of LHC. Conflicts are reviewed by the Conflict of Interest Review Panel, chaired by the Compliance Officer. Communication will direct the interested person to discontinue the outside relationship/activity, discontinue relationship with outside organization, or establish management plan to monitor relationship/activities. Policy is monitored through open communication and review of the policy.
Form 990, Part VI, Section B, line 15aLHC employed the CEO from July 1, 2018 through January 3, 2019. The independent board used comparability data to determine reasonable compensation, and documented the process. The remaining of the fiscal year the CEO was paid by an unrelated management company, Billings Clinic. The CFO compensation is reviewed and approved by the CEO.
Form 990, Part VI, Section C, line 19The organization made its governing documents, conflict of interest policy, and financial statements available to the public upon request. The organization also has an annual report available on its website.
Form 990, Part IX, line 11gContracted Services: Program service expenses 4,079,110. Management and general expenses 1,471,411. Fundraising expenses 1,861. Total expenses 5,552,382. Licenses, Fees, and Taxes: Program service expenses 51,701. Management and general expenses 45. Fundraising expenses 0. Total expenses 51,746. Other Fees: Program service expenses 826,646. Management and general expenses 175,043. Fundraising expenses 0. Total expenses 1,001,689.
Form 990, Part XI, line 9:Rounding 3.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Livingston Healthcare Foundation
320 Alpenglow LnLivingstonMT59047810621997To Support Livingston Healthcare ProgramsMT501(c)(3)Line 7N/A0
The Ough Charitable Trust
320 Alpenglow LnLivingstonMT59047816080844To Support Livingston Healthcare ProgramsMT501(c)(3)Line 12c, III-FI0Livingston Healthcare Foundation
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 Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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