LIVINGSTON HEALTHCARE: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- LIVINGSTON HEALTHCARE (EIN 81-0378200)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-04-07
- IRS object ID
- 202200979349301410
- Schema version
- 2020v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-04-07T16:02:38-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554027033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810378200 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Livingston Healthcare | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LIVI | BusinessNameControlTxt |
| Phone | 4062223541 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 Alpenglow Lane | AddressLine1Txt |
| City | Livingston | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59047 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Deb Anczak | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4062223541 | PhoneNum |
| Signature | 2022-03-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Deb | PersonFirstNm |
| Person Last | Anczak | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2022-03-17 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Deb Anczak | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 Alpenglow Lane | AddressLine1Txt |
| City | Livingston | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59047 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $68,192,939 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.livingstonhealthcare.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1955 | FormationYr |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Activity Or Mission | A 25-bed critical access hospital, a multispecialty physician practice, rehabilitation services, and home-based services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 517 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $509,854 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,662,467 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $57,582,056 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $59,050,795 | CYProgramServiceRevenueAmt |
| PY Investment Income | $391,768 | PYInvestmentIncomeAmt |
| CY Investment Income | $386,009 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$597,492 | PYOtherRevenueAmt |
| CY Other Revenue | $90,540 | CYOtherRevenueAmt |
| PY Total Revenue | $57,886,186 | PYTotalRevenueAmt |
| CY Total Revenue | $68,189,811 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $13,930 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $20,624 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $29,508,339 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $32,283,058 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $174,466 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $26,980,639 | PYOtherExpensesAmt |
| CY Other Expenses | $25,358,299 | CYOtherExpensesAmt |
| PY Total Expenses | $56,502,908 | PYTotalExpensesAmt |
| CY Total Expenses | $57,661,981 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,383,278 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $10,527,830 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $99,491,073 | TotalAssetsBOYAmt |
| Total Assets EOY | $92,375,466 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $64,162,588 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $46,859,975 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $35,328,485 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $45,515,491 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Excellence in patient-centered care. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $47,382,432 | ExpenseAmt |
| Grant | $20,624 | GrantAmt |
| Revenue | $59,050,795 | RevenueAmt |
| Desc | Livingston HealthCare (LHC) is a 25-bed critical access hospital located in Livingston, Montana, providing inpatient, outpatient, and emergency services primarily for the residents of Livingston Montana and the surrounding area. It is a multispecialty physician practice that also provides rehabilitation services and home-based services such as home care and hospice care.LHC provides medical treatment of the sick and injured patients regardless of ability to pay. This includes private payers, insured payers, Medicare, Medicaid and Charity Care.LHC provided funding for Windrider Transit in the amount of $10,000 in FY 2021. Windrider provides a free, efficient fixed-route transportation system to citizens and disabled persons in Park County, Montana. Its operations have increased from Monday through Friday, to adding half-day Saturdays, and expanding the service by providing free rides for medical appointmentswithin Livingston city limits and to and from Bozeman, MT. All vehicles are ADA accessible and equipped with lifts. The Windrider bus makes eight stops each day at Livingston HealthCare, and includes multiple daily stops at 27 other locations in Livingston, including to the public library and a local grocery store. In FY 2021, the Windrider bus picked up 4,298 passengers and was driven 249 days, with an average of 17.26 passengers each day. LHC also provides in-kind contributions in the form graphic design for promotional materials. LHC's internal Marketing and Communication team spent 32 hours in FY21 working with Windrider to develop promotional materials, such as brochures, mailer pieces and newsletter content.The LiveWell49 Coalition is dedicated to embracing a culture of health in Park County through creative community solutions and effective outreach. LiveWell49 acts as the backbone organization for entities and individuals working to improve the health of Park County citizens and acts as the hub for all resources and information involved in its mission. LiveWell49 brings stakeholders in the community together to network, collaborate and share information to create efficiencies and build relationships within organizations. The focus of the LiveWell49Resilience Project is mental health promotion and suicide prevention in Park County. Livingston HealthCare has committed to providing in-kind contributions to increase the capacity of LiveWell49 Coalition and the LW49 Resilience Project by financially contributing to the support of the LiveWell49 Facilitator (LHC Community Health Coordinator) and the LiveWell49 Program Assistant (LHC Community Health Assistant). | Desc |
| Total Program Service Expenses | $47,382,432 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 58 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 517 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kris Kester | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4062223541 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 Alpenglow Lane | AddressLine1Txt |
| City | Livinston | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59047 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Denis Prager | ||||||||
| President | 15.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Shiell Anderson | ||||||||
| Vice President | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Dan Kaul | ||||||||
| Treasurer | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Kristen Galbraith | ||||||||
| Secretary | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| D Scott Coleman MD | ||||||||
| Director, Family Medicine | 40.00 | 1.00 | Yes (X) | $301,761 | $0 | $27,200 | ||
| David Stanley | ||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Douglas P Wadle MD | ||||||||
| Director, Internal Medicin | 40.00 | 0.00 | Yes (X) | $302,258 | $0 | $27,125 | ||
| Joseph Swindlehurst | ||||||||
| Director (Jul-Apr) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Mary Ann Bearden | ||||||||
| Director | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| Michael Schaer | ||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Jeffry Lindenbaum MD | ||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Michelle Becker | ||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Laurie Smith | ||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Deb Anczak | ||||||||
| CEO | 40.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Kris Kester | ||||||||
| CFO | 40.00 | 1.00 | Yes (X) | $147,398 | $0 | $11,867 | ||
| Krista Arnet MD | ||||||||
| ER Physician | 40.00 | 0.00 | $380,787 | $0 | $36,153 | Yes (X) | ||
| Kyle Arnet MD | ||||||||
| ER Physician | 40.00 | 0.00 | $374,477 | $0 | $36,153 | Yes (X) | ||
| Henry Pinango | ||||||||
| Internal Medicine Provider | 40.00 | 0.00 | $348,956 | $0 | $33,861 | Yes (X) | ||
| Raymond Wright MD | ||||||||
| ER Physician | 40.00 | 0.00 | $344,735 | $0 | $32,681 | Yes (X) | ||
| Joseph Reyna | ||||||||
| CRNA | 40.00 | 0.00 | $266,455 | $0 | $30,499 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,466,827 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $235,539 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 42 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Billings Clinic | |||||
| PO Box 30977 | Billings | MT | 591070977 | IS & Administration Fees | $1,437,439 |
| Billings Clinic Laboratory | |||||
| PO Box 30977 | Billings | MT | 591070977 | Telerad Services | $687,046 |
| DPHHS | |||||
| PO Box 4369 | Helena | MT | 596044369 | Lab Services | $383,604 |
| Medical Solutions | |||||
| PO Box 310737 | Des Moines | IA | 503310737 | Contract Staffing | $270,169 |
| PPR LLC | |||||
| PO Box 310852 | Des Moines | IA | 503310852 | Contract Staffing | $233,515 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $400,547 | RelatedOrganizationsAmt |
| Government Grants | $8,214,553 | GovernmentGrantsAmt |
| All Other Contributions | $47,367 | AllOtherContributionsAmt |
| Total Contributions | $8,662,467 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 621110 | $57,286,075 | $57,286,075 |
| 340B Pharmacy Revenue | 446110 | $1,009,221 | $1,009,221 |
| Supporting Revenue | 621110 | $755,499 | $755,499 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $59,050,795 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $389,137 | TotalRevenueColumnAmt |
| Exclusion | $389,137 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $90,540 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $90,540 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $90,540 | TotalRevenueColumnAmt |
| Exclusion | $90,540 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,128 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$3,128 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,128 | TotalRevenueColumnAmt |
| Exclusion | -$3,128 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $68,189,811 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $59,050,795 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $476,549 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,624 | TotalAmt |
| Program Services | $20,624 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $859,821 | TotalAmt |
| Program Services | $536,557 | ProgramServicesAmt |
| Management And General | $323,264 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,457 | TotalAmt |
| Program Services | $59,984 | ProgramServicesAmt |
| Fundraising | $27,473 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,229,705 | TotalAmt |
| Program Services | $20,731,935 | ProgramServicesAmt |
| Management And General | $4,422,157 | ManagementAndGeneralAmt |
| Fundraising | $75,613 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,018,361 | TotalAmt |
| Program Services | $838,997 | ProgramServicesAmt |
| Management And General | $178,702 | ManagementAndGeneralAmt |
| Fundraising | $662 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,271,620 | TotalAmt |
| Program Services | $2,675,603 | ProgramServicesAmt |
| Management And General | $585,584 | ManagementAndGeneralAmt |
| Fundraising | $10,433 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,816,094 | TotalAmt |
| Program Services | $1,466,897 | ProgramServicesAmt |
| Management And General | $341,917 | ManagementAndGeneralAmt |
| Fundraising | $7,280 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $325,575 | TotalAmt |
| Management And General | $325,575 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,922 | TotalAmt |
| Program Services | $36,071 | ProgramServicesAmt |
| Management And General | $146,661 | ManagementAndGeneralAmt |
| Fundraising | $12,190 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,129 | TotalAmt |
| Management And General | $69,577 | ManagementAndGeneralAmt |
| Fundraising | $5,552 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,077,289 | TotalAmt |
| Program Services | $5,768,899 | ProgramServicesAmt |
| Management And General | $1,300,669 | ManagementAndGeneralAmt |
| Fundraising | $7,721 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,537 | TotalAmt |
| Program Services | $17,888 | ProgramServicesAmt |
| Management And General | $123,274 | ManagementAndGeneralAmt |
| Fundraising | $6,375 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,806,275 | TotalAmt |
| Program Services | $1,221,724 | ProgramServicesAmt |
| Management And General | $575,818 | ManagementAndGeneralAmt |
| Fundraising | $8,733 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,079,844 | TotalAmt |
| Program Services | $160,792 | ProgramServicesAmt |
| Management And General | $919,052 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $608,130 | TotalAmt |
| Program Services | $457,279 | ProgramServicesAmt |
| Management And General | $150,851 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,771 | TotalAmt |
| Program Services | $105,436 | ProgramServicesAmt |
| Management And General | $13,335 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,423 | TotalAmt |
| Program Services | $95,847 | ProgramServicesAmt |
| Management And General | $63,422 | ManagementAndGeneralAmt |
| Fundraising | $4,154 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,388,743 | TotalAmt |
| Program Services | $1,388,743 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,318,224 | TotalAmt |
| Program Services | $3,318,224 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $760,074 | TotalAmt |
| Program Services | $449,665 | ProgramServicesAmt |
| Management And General | $310,409 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $6,970,186 | $6,895,585 | $74,562 | $39 |
| Repairs and Maintenance | $671,550 | $656,146 | $15,404 | |
| Food | $329,091 | $321,839 | $7,252 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,536 | TotalAmt |
| Program Services | $157,697 | ProgramServicesAmt |
| Management And General | $157,598 | ManagementAndGeneralAmt |
| Fundraising | $8,241 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,661,981 | TotalAmt |
| Program Services | $47,382,432 | ProgramServicesAmt |
| Management And General | $10,105,083 | ManagementAndGeneralAmt |
| Fundraising | $174,466 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,502,458 | BOYAmt |
| EOY | $3,892,178 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,860,367 | BOYAmt |
| EOY | $7,560,883 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,084,894 | BOYAmt |
| EOY | $10,416,140 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,576,215 | BOYAmt |
| EOY | $1,628,414 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,721 | BOYAmt |
| EOY | $324,617 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $59,925,373 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $20,039,911 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,082,366 | BOYAmt |
| EOY | $39,885,462 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,912,045 | BOYAmt |
| EOY | $28,396,656 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $269,007 | BOYAmt |
| EOY | $271,116 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,491,073 | BOYAmt |
| EOY | $92,375,466 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,992,460 | BOYAmt |
| EOY | $4,921,681 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,156,070 | BOYAmt |
| EOY | $2,425,767 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,956,774 | BOYAmt |
| EOY | $35,594,525 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,984,920 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,072,364 | BOYAmt |
| EOY | $3,918,002 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,162,588 | BOYAmt |
| EOY | $46,859,975 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,328,485 | BOYAmt |
| EOY | $45,515,491 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,328,485 | BOYAmt |
| EOY | $45,515,491 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,491,073 | BOYAmt |
| EOY | $92,375,466 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $10,527,830 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$340,824 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,021,307 | BeginningYearBalanceAmt |
| Contributions | $1,357,828 | ContributionsAmt |
| Investment Earnings Or Losses | $771,479 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,150,614 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,480,033 | BeginningYearBalanceAmt |
| Contributions | $570,837 | ContributionsAmt |
| Investment Earnings Or Losses | $154,145 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $183,708 | OtherExpendituresAmt |
| End Year Balance | $3,021,307 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,503,731 | BeginningYearBalanceAmt |
| Contributions | $1,545,780 | ContributionsAmt |
| Investment Earnings Or Losses | $264,106 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $833,584 | OtherExpendituresAmt |
| End Year Balance | $2,480,033 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,432,806 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $101,575 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $30,650 | OtherExpendituresAmt |
| End Year Balance | $1,503,731 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $436,740 | BeginningYearBalanceAmt |
| Contributions | $907,288 | ContributionsAmt |
| Investment Earnings Or Losses | $88,778 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,432,806 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.57457 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.42543 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,951,320 | OtherCostOrOtherBasisAmt |
| Book Value | $5,951,320 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,760,151 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,646,729 | DepreciationAmt |
| Book Value | $27,113,422 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,659,177 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,522,271 | DepreciationAmt |
| Book Value | $6,136,906 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,554,725 | OtherCostOrOtherBasisAmt |
| Depreciation | $870,911 | DepreciationAmt |
| Book Value | $683,814 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $39,885,462 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Professional Liability Claims | $121,500 |
| Deferred Compensation Liability | $2,090,383 |
| Estimated Third-Party Payor Settlements | $1,706,119 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,918,002 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $69,572,087 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$340,824 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $2,123,647 | OtherRevenueAmt |
| Revenue Not Reported | $1,782,823 | RevenueNotReportedAmt |
| Revenue Subtotal | $67,789,264 | RevenueSubtotalAmt |
| Other Revenues Not Included | $400,547 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $400,547 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $68,189,811 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $57,666,050 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $4,069 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $4,069 | ExpensesNotReportedAmt |
| Expenses Subtotal | $57,661,981 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $57,661,981 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| Part X, Line 2: | 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: | Foundation Revenue Reported on a Separate Form 990 2,123,647. |
| Part XI, Line 4b - Other Adjustments: | Foundation Contribution to Hospital that is Eliminated on Audited Financials 400,547. |
| Part XII, Line 2d - Other Adjustments: | Foundation Expenses Reported on a Separate Form 990 4,069. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | 0 | FPGReferenceFreeCareInd |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $380,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $380,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $380,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $380,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $90,093 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $90,093 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,127,216 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $313,058 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $814,158 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01410 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,080 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $54,080 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,271,389 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $313,058 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $958,331 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01660 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,651,389 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $313,058 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,338,331 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02320 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,143,614 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $171,327 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $20,337,728 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $20,107,639 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $230,089 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Livingston Healthcare | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 Alpenglow Ln | AddressLine1Txt |
| City | Livingston | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59047 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.livingstonhealthcare.org | WebsiteAddressTxt |
| State License | 12556 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Livingston Healthcare | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Supplement Information | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Supplement Information | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 0.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, Supplement Information | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Supplement Information | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Supplement Information | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Livingston Healthcare | Part V, Section B, Line 5: To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey also was implemented as part of this process. A list of recommended participants was provided by Park County Health Department and Livingston HealthCare; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. In all, 53 community stakeholders took part in the Online Key Informant Survey. Through this process, input was gathered from several individuals whose organizations work with low-income, minority, or other medically underserved populations. |
| Livingston Healthcare | Part V, Section B, Line 6a: Bozeman Health |
| Livingston Healthcare | Part V, Section B, Line 6b: Park County Health Department |
| Livingston Healthcare | Part V, Section B, Line 11: In the most recent CHNA, the following needs were identified and prioritized: (1) Behavioral Health, (2) Nutrition, Physical Activity & Weight, (3) Oral Health, (4) Dementia/Alzheimer's Disease, (5) Injury and Violence, (6) Heart Disease and Stroke, (7) Respiratory Diseases, (8) Cancer, (9) Access to Health Services, and (10) Infant Health and Family Planning. These are considered needs in both the town of Livingston and surrounding areas of Park county. Livingston HealthCare took these needs and developed an implementation plan which focuses on behavioral health, community wellness, and access to care.Due to limited staff time and resources, the following items will not be addressed by the facility but will be addressed at a future time as they relate to community wellness: Oral Health, Dementia/Alzheimer's Disease, Cancer, Infant Health and Family Planning, Heart Disease and Stroke, as well as Injury and Violence.In the current fiscal year, Livingston HealthCare has taken a number steps to address some of the needs identified in the CHNA. Regarding behavioral health, in conjunction with the Livingston School District, Livingston HealthCare implemented a school-based outpatient treatment for behavioral health, broadening access to pediatric and adolescent behavior health, now in its second year. To that end, Livingston HealthCare continues to provide a clinical psychologist to provide these services. In regard to Nutrition, Physical Activity and Weight, Livingston HealthCare continues to provide its popular "Healthy Steps" program providing guided exercise activities in the outpatient gym. Livingston HealthCare has also hired and employs a registered dietitian to provide diabetes education and an internal medicine provider who specializes in weight management. Livingston HealthCare also hosted a community flu and COVID vaccine clinic to further increase community wellness. Regarding access to care, Livingston HealthCare has taken several actions. Livingston HealthCare has also worked to expand services and evaluated and improved access to providers by hiring additional family practice and internal medicine providers, as well as expanding outreach services which include ENT, cardiology, orthopedics and urology. Livingston HealthCare continues to evaluate and recruit for additional service lines that will provide needed access to care in the community. |
| Livingston Healthcare | Part 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 Healthcare | Part V, Section B, Line 24: The Hospital does not provide elective services under the financial assistance policy. |
| Schedule H, Part V, Section B, Line 16a-c: | The FAP, FAP application, and plain language summary of the FAP can be found at:https://www.livingstonhealthcare.org/Patients-Visitors/Patient-Financial-Services.aspx |
| Schedule H, Part V, Section B, Line 7a and 10a: | CHNA and Implementation Strategy:https://www.livingstonhealthcare.org/About-Us/Community-Health-Needs-Assessment.aspx |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - LHC Clinic | ||||
| 320 Aplenglow Ln | Livingston | MT | 59047 | Rural Health Clinic |
| 2 - Livingston Healthcare Home CareHospice | ||||
| 320 Aplenglow Ln | Livingston | MT | 59047 | Home Care |
| 3 - Livingston Urgent Care | ||||
| 104 Centennial Dr 103 | Livingston | MT | 59047 | Clinic |
| 4 - Livingston Clinic Shields Valley | ||||
| 309 Elliot St N | Livingston | MT | 59047 | Rural Health Clinic |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | 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. |
| 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, health professions education on line 7f, and cash and in-kind contributions on Line 7i were determined using actual costs. Subsidized health services on line 7g are determined based on costing methods used to prepare the cost report. |
| Part III, Line 2: | The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concession based on its historical collection experience with this class of patients. |
| Part III, Line 3: | The estimated amount of implicit price concessions attributable to patients that would be eligible under the Organization's charity care policy was calculated by applying the 10.9% of the Park County population noted to be below the Federal Poverty Guidelines (FPG) to the total implicit price concessions for the year. It is estimated that half the individuals under the FPG would be eligible for charity care. In the fiscal year it was estimated that 5.45% of the implicit price concessions would be charity care if applications were completed. |
| Part III, Line 4: | The footnote to the Organization's financial statements can be found on page 13 of the attached audited financial statements. |
| Part III, Line 8: | LHC provides services to patients under the Medicare program knowing they will not recover all the costs associated with providing these services.Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, the entire Medicare shortfall, if any, 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 the patient continue to meet his/her financial commitments to Livingston Healthcare. If a patient is approved for a percentage allowance due to financial hardship and the patient does not make the required initial payment within 60 days toward their part of the bill, the financial assistance allowance will be reversed and the patient will owe the entire amount. The organization recommends that the patient make a good faith payment at the beginning of the financial assistance period.LHC sends notification to the patients 30 days prior to sending to collections. LHC does not send patient accounts to collections until 180 days from the date of the invoice. If the patient applies for financial assistance within 240 days of the date of the invoice, LHC will cease extraordinary collection actions and process the application. |
| Part VI, Line 2: | The hospital Leadership meets often with city, county, and school leadership to discuss and plan shared needs within Livingston/Park County boundaries. Most recently these shared need discussions have been around building a new community pool/community center, expansion of medical services within the school (Park Clinic) system, and joint efforts toward bringing additional mental health services to students in the Park County school district. |
| Part VI, Line 3: | Financial assistance will be provided to Livingston Healthcare patients who meet specified financial criteria and request such assistance. A notice of availability of financial assistance program will be posted at patient registration sites within each facility and presented to patients upon request. Schedule H, Part V, Section B, line 16a-16i list other ways the organization informs and educates patients and person who may be eligible for financial assistance. |
| Part VI, Line 4: | Livingston is a city in and the county seat of Park County, Montana, United States. The population was approximately 7,784 people in 2018. Livingston is located in southwestern Montana, on the Yellowstone River, north of Yellowstone National Park. The median income for a household in Livingston in 2018 was about $42,635. |
| Part VI, Line 5: | Livingston HealthCare's governing body is comprised of persons who reside in the organization's primary service area who are neither employees nor contractors of the organization, nor family members thereof.Livingston HealthCare extends medical staff privileges to all qualified physicians in its community for some or all of its departments.Livingston HealthCare applies surplus funds to improvements in patient care, medical education, and expansion of needed services.In FY 2021 the hospital continued programs and events that focus on community health and wellness, including family-centered prenatal education classes, Strong People, Strong Bones classes, Dine with a Dietician Lunch and Learns, the Livingston Trails Rx 5K Race, Community Health Day at the local farmers market and Fall Health Festival at the hospital. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Krista Arnet MD | ||||||||||||||
| ER Physician | $380,787 | $0 | $0 | $0 | $0 | $0 | $27,200 | $0 | $11,877 | $0 | $419,864 | $0 | $0 | $0 |
| Kyle Arnet MD | ||||||||||||||
| ER Physician | $374,477 | $0 | $0 | $0 | $0 | $0 | $27,200 | $0 | $11,877 | $0 | $413,554 | $0 | $0 | $0 |
| Henry Pinango | ||||||||||||||
| Internal Medicine Provider | $348,956 | $0 | $0 | $0 | $0 | $0 | $25,011 | $0 | $11,452 | $0 | $385,419 | $0 | $0 | $0 |
| Raymond Wright MD | ||||||||||||||
| ER Physician | $328,735 | $0 | $16,000 | $0 | $0 | $0 | $11,200 | $0 | $24,405 | $0 | $380,340 | $0 | $0 | $0 |
| Douglas P Wadle MD | ||||||||||||||
| Director, Internal Medicin | $302,258 | $0 | $0 | $0 | $0 | $0 | $11,200 | $0 | $18,480 | $0 | $331,938 | $0 | $0 | $0 |
| D Scott Coleman MD | ||||||||||||||
| Director, Family Medicine | $301,761 | $0 | $0 | $0 | $0 | $0 | $27,200 | $0 | $2,811 | $0 | $331,772 | $0 | $0 | $0 |
| Joseph Reyna | ||||||||||||||
| CRNA | $266,455 | $0 | $0 | $0 | $0 | $0 | $7,179 | $0 | $25,310 | $0 | $298,944 | $0 | $0 | $0 |
| Kris Kester | ||||||||||||||
| CFO | $147,398 | $0 | $0 | $0 | $0 | $0 | $3,111 | $0 | $20,256 | $0 | $170,765 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 3 | FormAndLineReferenceDesc |
| Explanation | The CEO is paid by an unrelated management company, Billings Clinic. LHC paid Billings Clinic $325,575 for CEO services. Billings Clinic uses methods in Part I, line 3 to establish reasonable compensation. The LHC Board of Directors reviews and approves the contract annually. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Babs Brandfass | |||
| Spouse of Board Member | $27,473 | Employee Compensation | 0 |
| Paula Coleman | |||
| Spouse of Board Member | $59,984 | Employee Compensation | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 1 | The 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 3 | The CEO was paid by an unrelated management company, Billings Clinic. LHC paid Billings Clinic $325,575 for CEO services. |
| Form 990, Part VI, Section A, line 7a | Through an affiliations agreement Billings Clinic has the authority to approve three of the board members. |
| Form 990, Part VI, Section B, line 11b | The 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 12c | This 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 15 | The CEO was paid by an unrelated management company, Billings Clinic. Billings Clinic reviews and establishes the compensation package for the CEO, and the full governing board of Livingston Healthcare then must approve the CEO compensation initially, as well as annually as a part of the budget process. The governing board of Livingston Healthcare has final authority on employment of the CEO through Billings Clinic. The CFO compensation is reviewed and approved by the CEO. |
| Form 990, Part VI, Section C, line 19 | The 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 11g | Contracted Services: Program service expenses 4,778,231. Management and general expenses 1,214,620. Fundraising expenses 7,701. Total expenses 6,000,552. Licenses, Fees, and Taxes: Program service expenses 803,827. Management and general expenses 0. Fundraising expenses 20. Total expenses 803,847. Other Fees: Program service expenses 186,841. Management and general expenses 86,049. Fundraising expenses 0. Total expenses 272,890. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Livingston Healthcare Foundation | |||||||||||
| 320 Alpenglow Ln | Livingston | MT | 59047 | 810621997 | To Support Livingston Healthcare Programs | MT | 501(c)(3) | Line 7 | N/A | 0 | |
| The Ough Charitable Trust (dissolved 22421) | |||||||||||
| 320 Alpenglow Ln | Livingston | MT | 59047 | 816080844 | To support Livingston Healthcare Programs | MT | 501(c)(3) | Line 12c, III-FI | 0 | Livingston Healthcare Foundation | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |