LIVINGSTON HEALTHCARE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LIVINGSTON HEALTHCARE (EIN 81-0378200)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201411349349305216
Schema version
2012v2.1
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)
Timestamp2014-05-14T13:57:53-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN810272932EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GALUSHA HIGGINS & GALUSHA PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1699AddressLine1
CityHELENACity
StateMTState
ZIP Code596241699ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN810378200EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LIVINGSTON HEALTHCAREBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLIVINameControl
Phone4062225011Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1504 S 13TH STREETAddressLine1
CityLIVINGSTONCity
StateMTState
ZIP Code59047ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKYLE GEEName
TitleCFOTitle
Phone4062225011Phone
Date Signed2014-05-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameNATHAN D MCCARTHY CPAName
PTINP00368408PTIN
Phone4064425520Phone
Date Prepared2014-05-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBREN LOWENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1504 S 13TH STREETAddressLine1
CityLIVINGSTONCity
StateMTState
ZIP Code59047ZIPCode
FieldValueIRS element (for citing)
Gross Receipts32829187GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LIVINGSTONHEALTHCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1955YearFormation
State Legal DomicileMTStateLegalDomicile
Activity Or Mission DescriptionLHC IS A PHYSICIAN / HOSPITAL INTEGRATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATION. LHC IS COMPRISED OF A 25 BED CRITICAL ACCESS HOSPITAL, TWO PHYSICIAN CLINICS, HOME HEALTH AND DME SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees354TotalNbrEmployees
Total Nbr Volunteers37TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year455179ContributionsGrantsPriorYear
Contributions Grants Current Year1025037ContributionsGrantsCurrentYear
Program Service Revenue Prior Year32169946ProgramServiceRevenuePriorYear
Program Service Revenue CY31306865ProgramServiceRevenueCY
Investment Income Prior Year53986InvestmentIncomePriorYear
Investment Income Current Year256366InvestmentIncomeCurrentYear
Other Revenue Prior Year197990OtherRevenuePriorYear
Other Revenue Current Year131202OtherRevenueCurrentYear
Total Revenue Prior Year32877101TotalRevenuePriorYear
Total Revenue Current Year32719470TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year17566216SalariesEtcPriorYear
Salaries Etc Current Year17533867SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year14413966OtherExpensePriorYear
Other Expenses Current Year13764303OtherExpensesCurrentYear
Total Expenses Prior Year31980182TotalExpensesPriorYear
Total Expenses Current Year31298170TotalExpensesCurrentYear
Revenues Less Expenses Prior Year896919RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1421300RevenuesLessExpensesCY
Total Assets BOY16646207TotalAssetsBOY
Total Assets EOY19055446TotalAssetsEOY
Total Liabilities BOY5551958TotalLiabilitiesBOY
Total Liabilities EOY6479312TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11094249NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12576134NetAssetsOrFundBalancesEOY
Mission DescriptionLHC IS A PHYSICIAN / HOSPITAL INTEGRATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATION. COMPRISED OF A 25 BED CRITICAL ACCESS HOSPITAL, TWO PHYSICIAN CLINICS, HOME HEALTH AND DURABLE MEDICAL EQUIPMENT SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense26713062Expense
Revenue31306865Revenue
DescriptionMEDICAL TREATMENT OF SICK AND INJURED PATIENTS REGARDLESS OF ABILITY TO PAY. INCLUDES PRIVATE PAYORS, INSURED PAYORS, MEDICARE, MEDICAID AND CHARITY CARE.Description
Total Program Service Expense26713062TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109651NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees354NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KYLE GEEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4062225006TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1LIVINGSTON HEALTHCARE 504 S 13THAddressLine1
CityLIVINGSTONCity
StateMTState
ZIP Code59047ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JOSEPH SWINDLEHURST
TREASURER4.00XX000
BILLIE KAYE HARMS
SECRETARY2.00XX000
MARCENE HUSON
BOARD MEMBER TO 11/19/122.00X000
DANA TAYLOR
BOARD MEMBER TO 1/2/132.00X000
STAN CORNELL
VICE PRESIDENT FROM 8/27/122.00XX000
MICHELLE BECKER
PRESIDENT15.00XX000
DOUGLAS WADLE MD
BOARD MEMBER/PHYSICIAN40.00X22804108704
LAUREL DESNICK MD
BOARD MEMBER/PHYSICIAN40.00X995830802
ANNA DEYOUNG
VICE PRESIDENT TO 8/27/122.00XX000
GLYNNA FREEMAN
BOARD MEMBER TO 9/29/122.00X000
DAVID STANLEY
BOARD MEMBER2.00X000
DENIS PRAGER
BOARD MEMBER2.00X000
DAN KAUL
BOARD MEMBER2.00X000
BREN LOWE
CHIEF EXECUTIVE OFFICER40.00X000
KYLE GEE
CHIEF FINANCIAL OFFICER2.00X000
CHRISTOPHER LEE MD
PHYSICIAN40.0030045309489X
DOYLE S COLEMAN MD
PHYSICIAN40.0023261808885X
TED R SCOFIELD MD
PHYSICIAN40.0025229909061X
HOLLY POAG
PHYSICIAN40.0023728306815X
MICHELLE DONALDSON MD
PHYSICIAN40.0054054608194X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1890823TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation51950TotalOtherCompensation
Number Individuals GT100 K18NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DEACONESS BILLINGS CLINIC
PO BOX 30977BILLINGSMT591070977MANAGEMENT CONTRACT665240
DEACONESS BILLINGS CLINIC
PO BOX 30977BILLINGSMT591070977IMAGING INTERPRETATION FEE461043
GRANT I PALM CRNA
1750 CARRIE NY TRAILBOZEMANMT59715ANESTHESIA SERVICE285800
JULIE HIGGS CRNA
430 FLESHMAN RDLIVINGSTONMT59047ANESTHESIA SERVICE180510
COMPHEALTH
PO BOX 972651DALLASTX753972651PROFESSIONAL STAFFING SERVICE136616
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants138351GovernmentGrants
All Other Contributions886686AllOtherContributions
Total Contributions1025037TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE6211103078038630780386
SWEETGRASS PHYSICIANS621110364353364353
NON-PATIENT REVENUE446110162126162126
FieldValueIRS element (for citing)
Total Program Service Revenue31306865TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column18860TotalRevenueColumn
Related Or Exempt Function Income18860RelatedOrExemptFunctionIncome

Gross Rents GrossRents

FieldValueIRS element (for citing)
Personal28559Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Personal28559Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column28559TotalRevenueColumn
Related Or Exempt Function Income28559RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities90369Securities
Other256854Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities86330Securities
Other23387Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities4039Securities
Other233467Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column237506TotalRevenueColumn
Related Or Exempt Function Income237506RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA SALES6211105632056320
PHARMACY SALES4461103269832698
CHP PHYSICIANS6211101297512975

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column650TotalRevenueColumn
Related Or Exempt Function Income650RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue102643TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column32719470TotalRevenueColumn
Related Or Exempt Function Income31694433RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1408107Total
Program Services1134074ProgramServices
Management And General274033ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13064317Total
Program Services10521860ProgramServices
Management And General2542457ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2019131Total
Program Services1621380ProgramServices
Management And General397751ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1042312Total
Program Services844273ProgramServices
Management And General198039ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total166102Total
Management And General166102ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total61741Total
Management And General61741ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total42090Total
Management And General42090ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3171224Total
Program Services3171224ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total62032Total
Program Services62032ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total48530Total
Program Services48530ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total409654Total
Program Services409654ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total102047Total
Program Services102047ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total52516Total
Program Services52516ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total736744Total
Program Services736744ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total590244Total
Program Services590244ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES41793713366020813351
PROVISIONS FOR BAD DEBT27837122783712
RENTAL / MAINTENANCE694536694536
OTHER OPERATING EXPENSE444470444470

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total219290Total
Program Services129746ProgramServices
Management And General89544ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total31298170Total
Program Services26713062ProgramServices
Management And General4585108ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2584103BOY
EOY3155876EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY140432BOY
EOY148562EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5498550BOY
EOY5437517EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2669830BOY
EOY3046661EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY512096BOY
EOY545199EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY403008BOY
EOY242659EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis16400362LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11390731LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3457079BOY
EOY5009631EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY570866BOY
EOY629930EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY810243BOY
EOY839411EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16646207BOY
EOY19055446EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4937968BOY
EOY5188122EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY613990BOY
EOY1291190EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5551958BOY
EOY6479312EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10120080BOY
EOY11168307EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY588786BOY
EOY1050635EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY385383BOY
EOY357192EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11094249BOY
EOY12576134EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16646207BOY
EOY19055446EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1421300ReconcilationRevenueExpenses
Reconciliation Unrealized Invest69155ReconciliationUnrealizedInvest
Reconcilation Invest Expenses-8570ReconcilationInvestExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance362920BeginningOfYearBalance
Investment Earnings Or Losses39781InvestmentEarningsOrLosses
Other Expenditures52369OtherExpenditures
End Of Year Balance350332EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance353535BeginningOfYearBalance
Investment Earnings Or Losses9385InvestmentEarningsOrLosses
End Of Year Balance362920EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis671977OtherCostOrOtherBasis
Book Value671977BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7163543OtherCostOrOtherBasis
Depreciation4870439Depreciation
Book Value2293104BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis383485OtherCostOrOtherBasis
Depreciation375169Depreciation
Book Value8316BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8181357OtherCostOrOtherBasis
Depreciation6145123Depreciation
Book Value2036234BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5009631TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt29840333TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments69155NetUnrealizedGainsInvestments
Other Revenues-2434178OtherRevenues
Revenue Not Rptd F990-2365023RevenueNotRptdF990
Revenue Subtotal32205356RevenueSubtotal
Other Revenues Not Included514114OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt514114RevenueNotRptdOnFinStmt
Total Revenue Per Form99032719470TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt28444133TotExpensesEtcAuditedFinclStmt
Other Expenses Included19219OtherExpensesIncluded
Expenses Not Rptd F99019219ExpensesNotRptdF990
Expenses Subtotal28424914ExpensesSubtotal
Other Expenses Not Included2873256OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2873256ExpensesNotRptdOnFinStmt
Total Expenses Per Form99031298170TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE ENDOWMENT CONSISTS OF NUMEROUS INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE CENTER'S ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. AS REQUIRED BY GAAP, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED UPON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. INTERPRETATION OF RELEVANT LAW THE BOARD OF DIRECTORS OF THE CENTER HAS INTERPRETED THE MONTANA UNIFORM PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT (MUPMIFA) AS REQUIRING THE PRESERVATION OF THE FAIR VALUE OF THE ORIGINAL GIFT AS OF THE GIFT DATE OF THE DONOR-RESTRICTED ENDOWMENT FUNDS ABSENT EXPLICIT DONOR STIPULATIONS TO THE CONTRARY. AS A RESULT OF THIS INTERPRETATION, THE CENTER CLASSIFIES AS PERMANENTLY RESTRICTED NET ASSETS (A) THE ORIGINAL VALUE OF GIFTS DONATED TO THE PERMANENT ENDOWMENT, (B) THE ORIGINAL VALUE OF SUBSEQUENT GIFTS TO THE PERMANENT ENDOWMENT, AND (C) ACCUMULATIONS TO THE PERMANENT ENDOWMENT MADE IN ACCORDANCE WITH THE DIRECTION OF THE APPLICABLE DONOR GIFT INSTRUMENT AT THE TIME THE ACCUMULATION IS ADDED TO THE FUND. THE REMAINING PORTION OF THE DONOR-RESTRICTED ENDOWMENT FUND THAT IS NOT CLASSIFIED IN PERMANENTLY RESTRICTED NET ASSETS IS CLASSIFIED AS TEMPORARILY RESTRICTED NET ASSETS UNTIL THOSE AMOUNTS ARE APPROPRIATED FOR EXPENDITURE BY THE HOSPITAL IN A MANNER CONSISTENT WITH THE STANDARD OF THE PRUDENCE PRESCRIBED BY THE MUPMIFA. IN ACCORDANCE WITH THE MUPMIFA, THE HOSPITAL CONSIDERS THE FOLLOWING FACTORS IN MAKING A DETERMINATION TO APPROPRIATE OR ACCUMULATE DONOR-RESTRICTED ENDOWMENT FUNDS: 1. THE DURATION AND PRESERVATION OF THE FUND; 2. THE PURPOSES OF HOSPITAL AND THE DONOR-RESTRICTED ENDOWMENT FUND; 3. GENERAL ECONOMIC CONDITIONS; 4. THE EXPECTED TOTAL RETURN FROM INCOME AND THE APPRECIATION OF INVESTMENTS; 5. OTHER RESOURCES OF THE HOSPITAL; AND 6. THE INVESTMENT POLICIES OF THE HOSPITAL. FUNDS WITH DEFICIENCIES FROM TIME TO TIME, THE FAIR VALUE OF ASSETS ASSOCIATED WITH INDIVIDUAL DONOR-RESTRICTED ENDOWMENT FUNDS MAY FALL BELOW THE LEVEL THAT THE DONOR OR MUPMIFA REQUIRES THE HOSPITAL TO RETAIN AS A FUND OF PERPETUAL DURATION. IN ACCORDANCE WITH GAAP, DEFICIENCIES OF THIS NATURE THAT ARE REPORTED IN UNRESTRICTED NET ASSETS WERE $74,832 AND $106,098 AS OF JUNE 30, 2012 AND JUNE 30, 2011, RESPECTIVELY. THESE DEFICIENCIES RESULTED FROM UNFAVORABLE MARKET FLUCTUATIONS THAT OCCURRED SHORTLY AFTER THE INVESTMENT OF NET PERMANENTLY RESTRICTED CONTRIBUTIONS AND APPROPRIATION FOR CERTAIN PROGRAMS THAT WAS DEEMED PRUDENT BY THE BOARD OF DIRECTORS. RETURN OBJECTIVES AND RISK PARAMETERS THE HOSPITAL 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 HOSPITAL MUST HOLD IN PERPETUITY OR FOR A DONOR-SPECIFIED PERIOD(S) AS WELL AS BOARD-DESIGNATED FUNDS. UNDER THIS POLICY, AS APPROVED BY THE BOARD OF DIRECTORS, THE ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRESERVE ENDOWMENT CAPITAL. FUNDS SHALL BE INVESTED SUCH THAT NO LESS THAN 30% AND NO MORE THAN 70% OF SUCH FUNDS SHALL BE INVESTED IN EQUITIES, WITH THE BALANCE INVESTED IN FIXED INCOME SECURITIES, WHILE ASSUMING A MODERATE LEVEL OF INVESTMENT RISK. THE HOSPITAL EXPECTS ITS ENDOWMENT FUNDS, OVER TIME, TO PROVIDE A REASONABLE CURRENT RATE OF RETURN. STRATEGIES EMPLOYED FOR ACHIEVING OBJECTIVES TO SATISFY ITS LONG-TERM RATE-OF-RETURN OBJECTIVES, THE HOSPITAL RELIES ON A TOTAL RETURN STRATEGY IN WHICH INVESTMENT RETURNS ARE ACHIEVED THROUGH BOTH CAPITAL APPRECIATION (REALIZED AND UNREALIZED GAINS) AND CURRENT YIELD (INTEREST AND DIVIDENDS). THE HOSPITAL TARGETS A DIVERSIFIED ASSET ALLOCATION INCLUDING CASH EQUIVALENTS, FIXED INCOME, AND EQUITY SECURITIES TO ACHIEVE ITS LONG-TERM RETURN OBJECTIVES WITHIN PRUDENT RISK CONSTRAINTS. SPENDING POLICY AND HOW INVESTMENT OBJECTIVES RELATE TO SPENDING POLICY STAFFORD HOSPICE ENDOWMENT - THE HOSPITAL BOARD OF DIRECTORS, BASED ON RECOMMENDATIONS BY HOSPITAL ADMINISTRATION, APPROVES APPROPRIATIONS FOR DISTRIBUTION LIMITED TO 7% OF THE TOTAL FUND VALUE IN ANY GIVEN YEAR. IN ESTABLISHING THIS POLICY, THE HOSPITAL CONSIDERED THE LONG-TERM EXPECTED RETURN ON ITS ENDOWMENT. THIS IS CONSISTENT WITH THE HOSPITAL'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS HELD IN PERPETUITY OR FOR A SPECIFIED TERM AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS SHOW THE CONSOLIDATED TOTAL FOR THE ENDOWMENT FUNDS. THE AMOUNTS ENTERED ON SCHEDULE D ONLY REFLECT LIVINGSTON HEALTHCARE'S ENDOWMENT FUNDS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RECLASS NON-OPERATING EXPENSE -89,544. LIVINGSTON HEALTHCARE FOUNDATION ACTIVITY 400,267. THE OUGH CHARITABLE TRUST ACTIVITY 38,811. PROVISION FOR BAD DEBT REPORTED AS FUNTIONAL EXPENSE ON FORM 990 -2,783,712.
PART XI, LINE 4B - OTHER ADJUSTMENTS:LIVINGSTON HEALTHCARE FOUNDATION GRANTS 514,114. THE OUGH CHARITABLE TRUST GRANTS
PART XII, LINE 2D - OTHER ADJUSTMENTS:LIVINGSTON HEALTHCARE FOUNDATION ACTIVITY 29. INVESTMENT EXPENSE 8,570. OUGH INVESTMENT EXPENSE 10,410. THE OUGH CHARITABLE TRUST ACTIVITY 210.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RECLASS NON-OPERATING EXPENSE 89,544. PROVISION FOR BAD DEBT REPORTED AS FUNTIONAL EXPENSE ON FORM 990 2,783,712.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense597105TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense597105NetCommunityBenefitExpense
Percent Of Total Expense0.02090PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense2472839TotalCommunityBenefitExpense
Direct Offsetting Revenue3632077DirectOffsettingRevenue
Net Community Benefit Expense-1159238NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense3069944TotalCommunityBenefitExpense
Direct Offsetting Revenue3632077DirectOffsettingRevenue
Net Community Benefit Expense-562133NetCommunityBenefitExpense
Percent Of Total Expense0.02090PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense92880TotalCommunityBenefitExpense
Direct Offsetting Revenue7449DirectOffsettingRevenue
Net Community Benefit Expense85431NetCommunityBenefitExpense
Percent Of Total Expense0.00300PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1275TotalCommunityBenefitExpense
Net Community Benefit Expense1275NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense2808TotalCommunityBenefitExpense
Net Community Benefit Expense2808NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense96963TotalCommunityBenefitExpense
Direct Offsetting Revenue7449DirectOffsettingRevenue
Net Community Benefit Expense89514NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3166907TotalCommunityBenefitExpense
Direct Offsetting Revenue3639526DirectOffsettingRevenue
Net Community Benefit Expense-472619NetCommunityBenefitExpense
Percent Of Total Expense0.02400PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$1,836,288BadDebtExpenseAmount
Amount Attributable To1836288AmountAttributableTo
Amount Reimbursed By Medicare8309114AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare8309114CostOfCareReimbursedByMedicare

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnership
1 BILLINGS CLINIC
MANAGES THE HOSPITAL AND AFFILIATED WITH HOSPITAL0.25000
2 LIVINGSTON IMAGING CENTER LLC
CT SCANNER THAT OPERATES AT THE HOSPITAL0.50000
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1LIVINGSTON HEALTHCHAREBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1504 S 13TH STREETAddressLine1
CityLIVINGSTONCity
StateMTState
ZIP Code59047ZIPCode
FieldValueIRS element (for citing)
Critical Access HospitalXCriticalAccessHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LIVINGSTON HEALTHCAREBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities4NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
RIVER DRIVE LHC CLINIC
1001 RIVER DRIVELIVINGSTONMT59047CLINIC
WEST CRAWFORD LHC CLINIC
1315 WEST CRAWFORDLIVINGSTONMT59047CLINIC
LIVINGSTON HEALTHCARE HOME CAREHOSPICE
1429 WEST MONTANALIVINGSTONMT59047HOME CARE
LIVINGSTON HEALTHCARE HOME OXYGENDME
1429 WEST MONTANALIVINGSTONMT59047HOME OXYGEN

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 3C: FINANCIAL ASSISTANCE WILL BE PROVIDED TO LIVINGSTON HEALTHCARE PATIENTS WHO MEET SPECIFIED FINANCIAL CRITERIA AND REQUEST SUCH ASSISTANCE.
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 $ 2783712.
PART II: COMMUNITY BUILDING ACTIVITIES - NA
PART III, LINE 4: ACCOUNTS RECEIVABLE - ACCOUNTS RECEIVABLE ARE STATED AT UNPAID BALANCES, LESS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL PROVIDES FOR LOSSES ON ACCOUNTS RECEIVABLE USING THE ALLOWANCE METHOD. THE ALLOWANCE IS BASED ON EXPERIENCE, THIRD-PARTY CONTRACTS, AND OTHER CIRCUMSTANCES, WHICH MAY AFFECT THE ABILITY OF PATIENTS TO MEET THEIR OBLIGATIONS. RECEIVABLES ARE CONSIDERED IMPAIRED IF FULL PRINCIPAL PAYMENTS ARE NOT RECEIVED IN ACCORDANCE WITH THE CONTRACTUAL TERMS. IT IS THE HOSPITAL'S POLICY TO CHARGE OFF UNCOLLECTIBLE ACCOUNTS RECEIVABLE WHEN MANAGEMENT DETERMINES THE RECEIVABLE WILL NOT BE COLLECTED.CHARITY CARE - THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE.
PART III, LINE 8: THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED WAS THE COST REPORT.
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 TOWWARD 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 V, SECTION B, LINE 3: 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.THE ADOPTED IMPLEMENTATION PLAN CAN BE FOUND ON LIVINGSTON HEALTHCARE'S WEBSITE ON THE FOLLOWING WEB PAGE UNDER COMMUNITY HEALTH NEEDS ASSESSMENT: HTTP://WWW.LIVINGSTONHEALTHCARE.ORG/ABOUT-ANNUAL-REPORTS.ASPXLIVINGSTON HEALTHCARE
PART V, SECTION B, LINE 7: NEEDS NOT ADDRESSED ARE 1)ALCOHOL/SUBSTANCE ABUSE, 2) OVERWEIGHT/OBESITY, 3) CANCER 4) MENTAL HEALTH, AND 5) DELAY OF MEDICAL SERVICES BECAUSE OF COSTS, TIME CONSTRAINTS, AND LACK OF INSURANCE. THESE NEEDS ARE NOT ADDRESSED DUE TO LIMITED STAFF TIME AND RESOURCES; THEY WILL BE ADDRESSED AT A FUTURE DATE.LIVINGSTON HEALTHCARE
PART V, SECTION B, LINE 12H: AN APPLICATION FOR FINANCIAL ASSISTANCE IS AVAILABLE ON LIVINGSTON HEALTHCARE'S WEBSITE ALONG WITH CONTACT INFORMATION FOR MORE INFORMATION.LIVINGSTON HEALTHCARE
PART V, SECTION B, LINE 20D: THE HOSPITAL FACILITY USES THE AVERAGE COMMERCIAL INSURANCE RATE.LIVINGSTON HEALTHCARE
PART VI, LINE 2: SINCE 1955, LIVINGSTON HEALTHCARE HAS PROVIDED PREMIER QUALITY HEALTHCARE TO THE RESIDENTS OF PARK COUNTY AND SURROUNDING COMMUNITIES. THE ORGANIZATION KEEPS ITS COMMUNITY HEALTHY WITH A BROAD SCOPE OF SERVICES, PROVIDED BY WELL-TRAINED AND HIGHLY-SKILLED PROFESSIONALS. INCLUDED IN THOSE SERVICES ARE A 25-BED CRITICAL ACCESS HOSPITAL (CAH), A MULTI-SPECIALTY PHYSICIAN PRACTICE, HOME CARE, HOME OXYGEN, HOSPICE CARE, AND THE REGIONALLY-RENOWNED ORTHOPEDIC AND REHABILITATION INSTITUTE.
PART VI, LINE 3: FINANCIAL ASSISTANCE WILL BE PROVIDED TO LIVINGSTON HEALTHCARE PATIENTS WHO MEET SPECIFIED FINANCIAL CRITERA AND REQUEST SUCH ASSISTANCE. A NOTICE OF THE 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 IS ALSO THE LARGEST EMPLOYER IN PARK COUNTY. AS SUCH, WE HAVE A SIGNIFICANT ECONOMIC IMPACT ON THIS AREA. SOME OF THE EFFECTS OF THAT IMPACT INCLUDE:(1) FOR EVERY 3 FULL-TIME JOBS AT LIVINGSTON HEALTHCARE, ANOTHER FULL-TIME JOB IS SUPPORTED IN PARK COUNTY. (2) FOR EVERY $1 IN WAGES AND BENEFITS PAID TO LIVINGSTON HEALTHCARE EMPLOYEES, ANOTHER $0.19 IS GENERATED IN WAGES AND BENEFITS IN THE COMMUNITY. (3) FOR EACH $10 SPENT ON HEALTHCARE SERVICES PROVIDED BY LIVINGSTON HEALTHCARE AN ESTIMATED $2.50 OF LOCAL ECONOMIC ACTIVITY IS PRODUCED IN THE COMMUNITY.
MTREPORTS FILED WITH STATESPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DOUGLAS WADLE MD
BOARD MEMBER/PHYSICIAN223595000444600087040236745000
CHRISTOPHER LEE MD
PHYSICIAN300453000000094890309942000
DOYLE S COLEMAN MD
PHYSICIAN232618000000088850241503000
TED R SCOFIELD MD
PHYSICIAN252299000000090610261360000
HOLLY POAG
PHYSICIAN237283000000068150244098000
MICHELLE DONALDSON MD
PHYSICIAN537796000275000081940548740000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3LHC HAS A MANAGEMENT CONTRACT WITH THE BILLINGS CLINIC. THE CEO AND CLINIC DIRECTOR ARE EMPLOYEES OF BILLINGS CLINIC.
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 11THE FINANCE COMMITTEE REVIEWS THE 990 PRIOR TO ITS ISSUING.
FORM 990, PART VI, SECTION B, LINE 12CTHROUGH OPEN COMMUNCIATION 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. THEY RECOMMEND THE SALARY, AND THE LHC BOARD MAKES FINAL APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19FORMS ARE AVAILABLE UPON REQUEST. THE ORGANIZATION ALSO HAS AN ANNUAL REPORT AVAILABLE ON ITS WEBSITE.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 549,401. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 549,401. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,621,823. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,621,823.OTHER FEES
LHC HAS NOT CHANGED ITS METHOD FOR OVERSIGHT OF THE EXTERNAL AUDIT.
FORM 990 SCHEDULE HTHE ADOPTED IMPLEMENTATION PLAN CAN BE FOUND ON LIVINGSTON HEALTHCARE'S WEBSITE ON THE FOLLOWING WEB PAGE UNDER COMMUNITY HEALTH NEEDS ASSESSMENT: HTTP://WWW.LIVINGSTONHEALTHCARE.ORG/ABOUT-ANNUAL-REPORTS.ASPXCHNA ADOPTED IMPLEMENTATION STRATEGY

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
LIVINGSTON HEALTHCARE FOUNDATION
504 S 13TH STREETLIVINGSTONMT59047810621997TO SUPPORT LIVINGSTON HEALTHCARE PROGRAMSMT501(C)(3)LINE 11A, I0
THE OUGH CHARITABLE TRUST
504 S 13TH STREETLIVINGSTONMT59047816080844TO SUPPORT LIVINGSTON HEALTHCARE PROGRAMSMT501(C)(3)LINE 11C, III-FI0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1LIVINGSTON IMAGING CENTER LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1504 S 13TH STREETAddressLine1
CityLIVINGSTONCity
StateMTState
ZIP Code59047ZIPCode
FieldValueIRS element (for citing)
EIN450539644EIN
Primary ActivityMEDICAL IMAGING AND CANCER SCREENINGPrimaryActivity
Legal Domicile StateMTLegalDomicileState
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income22669ShareOfTotalIncome
Share Of EOY Assets720804ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0.50000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1LIVINGSTON HEALTHCARE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved514114AmountInvolved
Method Of Amt DeterminationCASHMethodOfAmtDetermination

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.