LIVINGSTON HEALTHCARE: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
LIVINGSTON HEALTHCARE (EIN 81-0378200)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-15
IRS object ID
201941359349306744
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-15T12:46:08-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1401 N 31st St Ste 1120 PO Box 7112AddressLine1Txt
CityBillingsCityNm
State AbbreviationMTStateAbbreviationCd
ZIP591037112ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

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
Signature2019-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim C HundwardsenPreparerPersonNm
PTINP00484560PTIN
Phone4068962400PhoneNum
Preparation2019-05-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address72.175.213.18IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-15IPDt
IP Tm11:34:42IPTm
IP TimezoneMDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD8A1E5117AA53286D53F57459EBB2DE5C7CA50FCAtSubmissionCreationDeviceId
At Submission Filing Device IdB1517DAAED479AA3B0236E79C14EA2E11B9BE589AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerDeb AnczakPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 Alpenglow LaneAddressLine1Txt
CityLivingstonCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59047ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$53,145,457GrossReceiptsAmt
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 Employee431TotalEmployeeCnt
Total Volunteers22TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,993,419PYContributionsGrantsAmt
CY Contributions Grants$1,534,445CYContributionsGrantsAmt
PY Program Service Revenue$47,919,055PYProgramServiceRevenueAmt
CY Program Service Revenue$51,485,726CYProgramServiceRevenueAmt
PY Investment Income$57,539PYInvestmentIncomeAmt
CY Investment Income$63,449CYInvestmentIncomeAmt
PY Other Revenue$1,214,128PYOtherRevenueAmt
CY Other Revenue$61,837CYOtherRevenueAmt
PY Total Revenue$52,184,141PYTotalRevenueAmt
CY Total Revenue$53,145,457CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$9,504CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$22,837,557PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$24,880,299CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$220,215CYTotalFundraisingExpenseAmt
PY Other Expenses$21,531,501PYOtherExpensesAmt
CY Other Expenses$26,333,320CYOtherExpensesAmt
PY Total Expenses$44,369,058PYTotalExpensesAmt
CY Total Expenses$51,223,123CYTotalExpensesAmt
PY Revenues Less Expenses$7,815,083PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,922,334CYRevenuesLessExpensesAmt
Total Assets BOY$66,258,800TotalAssetsBOYAmt
Total Assets EOY$69,173,547TotalAssetsEOYAmt
Total Liabilities BOY$38,334,935TotalLiabilitiesBOYAmt
Total Liabilities EOY$39,460,871TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$27,923,865NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$29,712,676NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionExcellence in patient-centered care.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$43,597,524ExpenseAmt
Grant$9,504GrantAmt
Revenue$51,485,726RevenueAmt
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 Western Montana Mental Health Center's Crisis Response Team (CRT) in the amount of $15K. CRT is a group of mental health professionals who focus on handling patients in acute crisis of suicidal/homicidal ideation or imminent harm to themselves or others. When a patient presents in the emergency department with an acute crisis of suicidal/homicidal ideation or imminent harm to themselves or others, the CRT evaluation results in a discharge to home with a safety plan and close follow-up, or an admission/transfer to a medical facility for more focused help of assessment. In FY 2018, Livingston HealthCare's emergency department facilitated approximately 80 CRT evaluations.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 2018, the Livingston School District school nurse provided 718 student vision screenings, 736 hearing screenings and 305 scoliosis screens. Medications were administered to 95 students, as needed, with 25 students receiving daily medications. 137 students with asthma/inhalers were monitored and 21 students with life-threatening allergies were monitored and had care plans in place.Desc
Total Program Service Expenses$43,597,524TotalProgramServiceExpensesAmt
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
Employee431EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
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 Line1Ryan SpeasBusinessNameLine1Txt
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 (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Michelle Becker
President15.000.00Yes (X)Yes (X)$0$0$0
Denis Prager
Vice President2.000.00Yes (X)Yes (X)$0$0$0
Ruth Striegel Weissman
Secretary2.000.00Yes (X)Yes (X)$0$0$0
Joseph Swindlehurst
Treasurer4.000.00Yes (X)Yes (X)$0$0$0
D Scott Coleman MD
Director, Family Medicine/Medical Director40.001.00Yes (X)$299,525$0$18,600
David Stanley
Director2.000.00Yes (X)$0$0$0
Douglas P Wadle MD
Director, Internal Medicine40.000.00Yes (X)$226,276$0$22,495
Dan Kaul
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
Kristen Galbraith
Director2.000.00Yes (X)$0$0$0
Shiell Anderson
Director2.000.00Yes (X)$0$0$0
Bren Lowe
CEO (Jul-Feb)40.001.00Yes (X)$0$0$0
Deb Anczak
Interim CEO (Mar-Jun)40.001.00Yes (X)$128,403$0$13,763
Ryan Speas
CFO40.001.00Yes (X)$131,312$0$6,798
Ted R Scofield MD
Internal Medicine40.000.00$219,242$0$24,681Yes (X)
Michael Briggs
ER Physician40.000.00$318,559$0$19,688Yes (X)
Warren Liebers
ER Physician40.000.00$260,931$0$23,661Yes (X)
Henry Pinango
Internal Medicine40.000.00$225,870$0$16,246Yes (X)
Bruce Swarny
Psychiatric40.000.00$218,352$0$24,290Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,028,470TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$170,222TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K29IndivRcvdGreaterThan100KCnt
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 Lab
801 N 29th St Box 35100BillingsMT591077000Lab & CEO Services$2,386,634
Medical Solutions
1010 N 102nd st suite 300OmahaNE68114Contract Staffing$487,066
Park County Anesthesia
430 Fleshman Creek RdLivingstonMT59047Contract Anesthesia staffing$270,627
Grant Palm
35 Gardiner PkBozemanMT59715Contract Anesthesia staffing$226,359
Aureus Nursing
13609 California St Suite 200OmahaNE68154Contract Staffing$170,455
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Related Organizations$1,528,107RelatedOrganizationsAmt
Government Grants$6,338GovernmentGrantsAmt
Total Contributions$1,534,445TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue621110$50,033,607$50,033,607
Pharmacy Revenue446110$774,872$774,872
Supporting Revenue621110$677,247$677,247
FieldValueIRS element (for citing)
Total Program Service Revenue$51,485,726TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$63,449TotalRevenueColumnAmt
Exclusion$63,449ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$61,837RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$61,837RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,837TotalRevenueColumnAmt
Exclusion$61,837ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,145,457TotalRevenueColumnAmt
Related Or Exempt Func Income$51,485,726RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$125,286ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$9,504TotalAmt
Program Services$9,504ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$873,796TotalAmt
Program Services$509,063ProgramServicesAmt
Management And General$364,733ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$135,211TotalAmt
Program Services$40,006ProgramServicesAmt
Fundraising$95,205FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,552,846TotalAmt
Program Services$16,066,578ProgramServicesAmt
Management And General$3,431,314ManagementAndGeneralAmt
Fundraising$54,954FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$769,206TotalAmt
Program Services$618,640ProgramServicesAmt
Management And General$144,715ManagementAndGeneralAmt
Fundraising$5,851FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,173,690TotalAmt
Program Services$1,756,518ProgramServicesAmt
Management And General$401,298ManagementAndGeneralAmt
Fundraising$15,874FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,375,550TotalAmt
Program Services$1,111,359ProgramServicesAmt
Management And General$254,130ManagementAndGeneralAmt
Fundraising$10,061FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$294,375TotalAmt
Program Services$83,976ProgramServicesAmt
Management And General$210,304ManagementAndGeneralAmt
Fundraising$95FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$69,056TotalAmt
Management And General$66,755ManagementAndGeneralAmt
Fundraising$2,301FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,133,420TotalAmt
Program Services$6,057,098ProgramServicesAmt
Management And General$1,073,975ManagementAndGeneralAmt
Fundraising$2,347FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$194,031TotalAmt
Program Services$52,603ProgramServicesAmt
Management And General$133,790ManagementAndGeneralAmt
Fundraising$7,638FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,398,750TotalAmt
Program Services$1,139,856ProgramServicesAmt
Management And General$251,014ManagementAndGeneralAmt
Fundraising$7,880FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$783,663TotalAmt
Program Services$107,142ProgramServicesAmt
Management And General$670,431ManagementAndGeneralAmt
Fundraising$6,090FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$485,464TotalAmt
Program Services$480,694ProgramServicesAmt
Management And General$4,770ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$213,380TotalAmt
Program Services$172,395ProgramServicesAmt
Management And General$40,850ManagementAndGeneralAmt
Fundraising$135FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$115,264TotalAmt
Program Services$66,820ProgramServicesAmt
Management And General$43,563ManagementAndGeneralAmt
Fundraising$4,881FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,069,224TotalAmt
Program Services$1,069,224ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,044,401TotalAmt
Program Services$3,044,401ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$456,394TotalAmt
Program Services$456,394ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical Supplies$5,354,672$5,352,878$1,794
Bad Debt$4,337,604$4,337,604
Repairs and Maintenance$601,954$599,879$1,876$199
Food$352,604$350,731$1,873

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$429,064TotalAmt
Program Services$114,161ProgramServicesAmt
Management And General$308,199ManagementAndGeneralAmt
Fundraising$6,704FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$51,223,123TotalAmt
Program Services$43,597,524ProgramServicesAmt
Management And General$7,405,384ManagementAndGeneralAmt
Fundraising$220,215FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,929,111BOYAmt
EOY$1,132,505EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,559,541BOYAmt
EOY$2,842,246EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$90,320BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,942,141BOYAmt
EOY$9,668,253EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,386,335BOYAmt
EOY$1,484,863EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$187,857BOYAmt
EOY$101,500EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$51,027,974LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,053,218LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$42,869,414BOYAmt
EOY$40,974,756EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$7,507BOYAmt
EOY$10,535,510EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$660,754BOYAmt
EOY$667,754EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$625,820BOYAmt
EOY$1,766,160EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$66,258,800BOYAmt
EOY$69,173,547EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,695,914BOYAmt
EOY$3,608,867EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$35,639,021BOYAmt
EOY$34,492,467EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,359,537EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$38,334,935BOYAmt
EOY$39,460,871EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$26,061,320BOYAmt
EOY$29,712,676EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,482,305BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$380,240BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,923,865BOYAmt
EOY$29,712,676EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$66,258,800BOYAmt
EOY$69,173,547EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,922,334ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$518NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$134,041PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$350,332BeginningYearBalanceAmt
End Year Balance$350,332EndYearBalanceAmt

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 EOY0.09900BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.85400PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.04700TermEndowmentBalanceEOYPct
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$37,060,624OtherCostOrOtherBasisAmt
Depreciation$4,615,737DepreciationAmt
Book Value$32,444,887BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,927,503OtherCostOrOtherBasisAmt
Depreciation$5,437,481DepreciationAmt
Book Value$7,490,022BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$88,527OtherCostOrOtherBasisAmt
Book Value$88,527BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$40,974,756TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Professional Liability Claims$516,000
Deferred Compensation Liability$843,537
FieldValueIRS element (for citing)
Total Liability$1,359,537TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$48,331,052TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$518NetUnrealizedGainsInvstAmt
Other Revenue-$3,286,816OtherRevenueAmt
Revenue Not Reported-$3,286,298RevenueNotReportedAmt
Revenue Subtotal$51,617,350RevenueSubtotalAmt
Other Revenues Not Included$1,528,107OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,528,107RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$53,145,457TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$46,885,519TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$46,885,519ExpensesSubtotalAmt
Other Expenses Not Included$4,337,604OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4,337,604ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$51,223,123TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 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 1,050,788. Provision for Bad Debts Reported in Expense on Form 990 -4,337,604.
Part XI, Line 4b - Other Adjustments:Foundation Contribution Eliminated on Financials 1,528,107.
Part XII, Line 4b - Other Adjustments:Provision for Bad Debts reported in expense on Form 990 4,337,604.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
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 ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$286,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$286,000NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$286,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$286,000NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,881TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$27,881NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,498TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18,498NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,379TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$46,379NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$332,379TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$332,379NetCommunityBenefitExpnsAmt
Total Expense0.00710TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$4,337,604BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$17,517,777ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$17,854,365CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$336,588MedicareSurplusOrShortfallAmt

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 URLlivingstonhealthcare.org/about-us.aspxOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLlivingstonhealthcare.org/about-us.aspxStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
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 (5 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. To that end, in FY18 Livingston HealthCare hired two social workers. 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 FY18, LHC donated $10K 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 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 twice in FY18. 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 FY 2018, the hospital continued programs and events that focus on community health and wellness, including Lifestyle Balance classes, Healthy Steps Program, Livingston Trails Rx 5K Race, Community Health Day at the local farmers market and Fall Health Festival at the hospital.Needs not addressed are 1) more affordable healthcare, 2) more specialists, 3) aging services. These needs are not addressed due to limited staff time and resources; they will be addressed at a future date.
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
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 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 Healthcare Home OxygenDME
320 Aplenglow LnLivingstonMT59047Home Oxygen
4 - Livingston Urgent Care
104 Centennial Dr 103LivingstonMT59047Clinic
5 - Livingston Clinic Shields Valley
309 Elliot St NWilsallMT59086Clinic

Supplemental Information Detail SupplementalInformationDetail (10 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 $ 4,337,604.
Part III, Line 4:The footnote to the Organization's financial statements can be found on page 8 of the attached audited financial statements.Part III, Line 2: Bad debt is based on charges.
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.
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.
Part VI, Line 4:Livingston is a city in and the county seat of Park County, Montana, United States. The population was approximately 7,380 people in 2009. Livingston is located in southwestern Montana, on the Yellowstone River, north of Yellowstone National Park. The median income for a household in Livingston is about $35,907.
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 thereofLivingston HealthCare extends medical staff privileges to all qualified physicians in its community for some or all of its departmentsLivingston HealthCare applies surplus funds to improvements in patient care, medical education, and expansion of needed services.
Part VI, Line 7, Reports Filed With StatesMT

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
D Scott Coleman MD
Director, Family Medicine/Medical Di$299,525$0$0$0$0$0$16,000$0$2,600$0$318,125$0$0$0
Douglas P Wadle MD
Director, Internal Medicine$226,276$0$0$0$0$0$16,000$0$6,495$0$248,771$0$0$0
Ted R Scofield MD
Internal Medicine$219,242$0$0$0$0$0$18,000$0$6,681$0$243,923$0$0$0
Michael Briggs
ER Physician$318,559$0$0$0$0$0$14,400$0$5,288$0$338,247$0$0$0
Warren Liebers
ER Physician$260,931$0$0$0$0$0$12,800$0$10,861$0$284,592$0$0$0
Henry Pinango
Internal Medicine$225,870$0$0$0$0$0$16,000$0$246$0$242,116$0$0$0
Bruce Swarny
Psychiatric$218,352$0$0$0$0$0$16,000$0$8,290$0$242,642$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 3FormAndLineReferenceDesc
ExplanationLHC relies on Billings Clinic to establish compensation. LHC has a management contract with the Billings Clinic. The CEO is an employee of Billings Clinic.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Babs Brandfass
Spouse of Board Member$95,205Employee Compensation0
Paula Coleman
Spouse of Board Member$40,006Employee Compensation0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 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 has a management contract with the Billings Clinic. The CEO is an employee of Billings Clinic. LHC paid $237,405 is salary and benefits to Billings Clinic for the CEO services for fiscal year 2018.
Form 990, Part VI, Section A, line 6The organization has members.
Form 990, Part VI, Section A, line 7aThe organization's members have the authority to elect more members per the by-laws.
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's CEO is employed by the Billings Clinic, as part of the management contract. Annually the Billings Clinic recommends the salary based on comparability data, and the LHC board makes the final approval.
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 5,263,371. Management and general expenses 930,142. Fundraising expenses 2,329. Total expenses 6,195,842. Licenses, Fees, and Taxes: Program service expenses 48,210. Management and general expenses 40. Fundraising expenses 0. Total expenses 48,250. Other Fees: Program service expenses 745,517. Management and general expenses 143,793. Fundraising expenses 18. Total expenses 889,328.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Livingston Healthcare Foundation
320 Alpenglow LnLivingstonMT59047810621997To Support Livingston Healthcare ProgramsMT501(c)(3)Line 70
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 Org0PerformOfServicesByOtherOrgInd
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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