2014-05-14T13:57:53-05:00 2013-06-30 810272932 GALUSHA HIGGINS & GALUSHA PC PO BOX 1699 HELENA MT 596241699 990 2012-07-01 810378200 LIVINGSTON HEALTHCARE LIVI 4062225011 504 S 13TH STREET LIVINGSTON MT 59047 KYLE GEE 4062225011 2014-05-12 1 NATHAN D MCCARTHY CPA P00368408 4064425520 2014-05-12 2012 2015-11-30 17:44:51Z BREN LOWE 504 S 13TH STREET LIVINGSTON MT 59047 32829187 0 X WWW.LIVINGSTONHEALTHCARE.ORG X 1955 MT LHC 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. 9 7 354 37 0 0 455179 1025037 32169946 31306865 53986 256366 197990 131202 32877101 32719470 0 0 0 0 17566216 17533867 0 0 0 14413966 13764303 31980182 31298170 896919 1421300 16646207 19055446 5551958 6479312 11094249 12576134 LHC 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. 0 0 26713062 31306865 MEDICAL TREATMENT OF SICK AND INJURED PATIENTS REGARDLESS OF ABILITY TO PAY. INCLUDES PRIVATE PAYORS, INSURED PAYORS, MEDICARE, MEDICAID AND CHARITY CARE. 26713062 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 51 0 1 354 1 0 0 0 0 0 0 0 0 X 9 7 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 0 0 1 0 0 X KYLE GEE 4062225006 LIVINGSTON HEALTHCARE 504 S 13TH LIVINGSTON MT 59047 JOSEPH SWINDLEHURST 4.00 X X 0 0 0 BILLIE KAYE HARMS 2.00 X X 0 0 0 MARCENE HUSON 2.00 X 0 0 0 DANA TAYLOR 2.00 X 0 0 0 STAN CORNELL 2.00 X X 0 0 0 MICHELLE BECKER 15.00 X X 0 0 0 DOUGLAS WADLE MD 40.00 X 228041 0 8704 LAUREL DESNICK MD 40.00 X 99583 0 802 ANNA DEYOUNG 2.00 X X 0 0 0 GLYNNA FREEMAN 2.00 X 0 0 0 DAVID STANLEY 2.00 X 0 0 0 DENIS PRAGER 2.00 X 0 0 0 DAN KAUL 2.00 X 0 0 0 BREN LOWE 40.00 X 0 0 0 KYLE GEE 2.00 X 0 0 0 CHRISTOPHER LEE MD 40.00 X 300453 0 9489 DOYLE S COLEMAN MD 40.00 X 232618 0 8885 TED R SCOFIELD MD 40.00 X 252299 0 9061 HOLLY POAG 40.00 X 237283 0 6815 MICHELLE DONALDSON MD 40.00 X 540546 0 8194 1890823 0 51950 18 0 1 0 DEACONESS BILLINGS CLINIC PO BOX 30977 BILLINGS MT 591070977 MANAGEMENT CONTRACT 665240 DEACONESS BILLINGS CLINIC PO BOX 30977 BILLINGS MT 591070977 IMAGING INTERPRETATION FEE 461043 GRANT I PALM CRNA 1750 CARRIE NY TRAIL BOZEMAN MT 59715 ANESTHESIA SERVICE 285800 JULIE HIGGS CRNA 430 FLESHMAN RD LIVINGSTON MT 59047 ANESTHESIA SERVICE 180510 COMPHEALTH PO BOX 972651 DALLAS TX 753972651 PROFESSIONAL STAFFING SERVICE 136616 5 138351 886686 1025037 NET PATIENT REVENUE 621110 30780386 30780386 SWEETGRASS PHYSICIANS 621110 364353 364353 NON-PATIENT REVENUE 446110 162126 162126 31306865 18860 18860 28559 0 28559 28559 28559 90369 256854 86330 23387 4039 233467 237506 237506 CAFETERIA SALES 621110 56320 56320 PHARMACY SALES 446110 32698 32698 CHP PHYSICIANS 621110 12975 12975 650 650 102643 32719470 31694433 0 0 X 1408107 1134074 274033 13064317 10521860 2542457 2019131 1621380 397751 1042312 844273 198039 166102 166102 61741 61741 42090 42090 3171224 3171224 62032 62032 48530 48530 409654 409654 102047 102047 52516 52516 736744 736744 590244 590244 SUPPLIES 4179371 3366020 813351 PROVISIONS FOR BAD DEBT 2783712 2783712 RENTAL / MAINTENANCE 694536 694536 OTHER OPERATING EXPENSE 444470 444470 219290 129746 89544 31298170 26713062 4585108 0 2584103 3155876 140432 148562 0 0 5498550 5437517 2669830 3046661 512096 545199 403008 242659 16400362 11390731 3457079 5009631 570866 629930 810243 839411 16646207 19055446 4937968 5188122 613990 1291190 5551958 6479312 X 10120080 11168307 588786 1050635 385383 357192 11094249 12576134 16646207 19055446 1421300 69155 -8570 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 362920 39781 52369 350332 353535 9385 362920 1.00000 0 0 671977 671977 7163543 4870439 2293104 383485 375169 8316 8181357 6145123 2036234 5009631 29840333 69155 -2434178 -2365023 32205356 514114 514114 32719470 28444133 19219 19219 28424914 2873256 2873256 31298170 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. 1 1 1 X 1 X 1 1 0 1 1 597105 0 597105 0.02090 2472839 3632077 -1159238 0.00000 3069944 3632077 -562133 0.02090 92880 7449 85431 0.00300 1275 1275 0.00000 2808 2808 0.00010 96963 7449 89514 0.00310 3166907 3639526 -472619 0.02400 1 1836288 1836288 8309114 8309114 X 1 1 1 BILLINGS CLINIC MANAGES THE HOSPITAL AND AFFILIATED WITH HOSPITAL 0.25000 2 LIVINGSTON IMAGING CENTER LLC CT SCANNER THAT OPERATES AT THE HOSPITAL 0.50000 1 1 LIVINGSTON HEALTHCHARE

504 S 13TH STREET LIVINGSTON MT 59047

X LIVINGSTON HEALTHCARE 1 1 X X X X X X X X X 12 1 0 1 X X X X X 0 0 1 1 100.000000000000 1 200.000000000000 1 X X X X X 1 1 X X X 1 X 1 X X X X X 1 X 0 0 4 RIVER DRIVE LHC CLINIC

1001 RIVER DRIVE LIVINGSTON MT 59047

CLINIC WEST CRAWFORD LHC CLINIC

1315 WEST CRAWFORD LIVINGSTON MT 59047

CLINIC LIVINGSTON HEALTHCARE HOME CAREHOSPICE

1429 WEST MONTANA LIVINGSTON MT 59047

HOME CARE LIVINGSTON HEALTHCARE HOME OXYGENDME

1429 WEST MONTANA LIVINGSTON MT 59047

HOME OXYGEN 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. LIVINGSTON HEALTHCARE 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.ASPX LIVINGSTON 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. 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. REPORTS FILED WITH STATES PART VI, LINE 7 MT X 0 0 0 0 0 0 0 0 0 DOUGLAS WADLE MD 223595 0 0 0 4446 0 0 0 8704 0 236745 0 0 0 CHRISTOPHER LEE MD 300453 0 0 0 0 0 0 0 9489 0 309942 0 0 0 DOYLE S COLEMAN MD 232618 0 0 0 0 0 0 0 8885 0 241503 0 0 0 TED R SCOFIELD MD 252299 0 0 0 0 0 0 0 9061 0 261360 0 0 0 HOLLY POAG 237283 0 0 0 0 0 0 0 6815 0 244098 0 0 0 MICHELLE DONALDSON MD 537796 0 0 0 2750 0 0 0 8194 0 548740 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 LHC 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 6 THE ORGANIZATION HAS MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S MEMBERS HAVE THE AUTHORITY TO ELECT MORE MEMBERS PER THE BY-LAWS. FORM 990, PART VI, SECTION B, LINE 11 THE FINANCE COMMITTEE REVIEWS THE 990 PRIOR TO ITS ISSUING. FORM 990, PART VI, SECTION B, LINE 12C THROUGH OPEN COMMUNCIATION AND REVIEW OF THE POLICY. FORM 990, PART VI, SECTION B, LINE 15A LHC'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 19 FORMS ARE AVAILABLE UPON REQUEST. THE ORGANIZATION ALSO HAS AN ANNUAL REPORT AVAILABLE ON ITS WEBSITE. OTHER FEES FORM 990, PART IX, LINE 11G PROFESSIONAL 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. LHC HAS NOT CHANGED ITS METHOD FOR OVERSIGHT OF THE EXTERNAL AUDIT. CHNA ADOPTED IMPLEMENTATION STRATEGY FORM 990 SCHEDULE H 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.ASPX LIVINGSTON HEALTHCARE FOUNDATION 504 S 13TH STREET LIVINGSTON MT 59047 810621997 TO SUPPORT LIVINGSTON HEALTHCARE PROGRAMS MT 501(C)(3) LINE 11A, I 0 THE OUGH CHARITABLE TRUST 504 S 13TH STREET LIVINGSTON MT 59047 816080844 TO SUPPORT LIVINGSTON HEALTHCARE PROGRAMS MT 501(C)(3) LINE 11C, III-FI 0 LIVINGSTON IMAGING CENTER LLC 504 S 13TH STREET LIVINGSTON MT 59047 450539644 MEDICAL IMAGING AND CANCER SCREENING MT RELATED 22669 720804 0 0 0.50000 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 LIVINGSTON HEALTHCARE FOUNDATION C 514114 CASH