2021-04-01T15:01:42-05:00 2020-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2019-07-01 810621997 Livingston Healthcare Foundation LIVI 4068236256 320 Alpenglow Lane Livingston MT 590473727 Lauren Chaisson Interim Executive Director 4068236256 2021-03-31 1 Kim C Hunwardsen P00484560 6122536500 2021-03-31 2019 2022-09-23 18:48:47Z Deborah Erdman 320 Alpenglow Lane Livingston MT 590473727 1533762 0 X www.livingstonhealthcare.org X 2004 MT To advance the health and wellness of our community by financially supporting the programs, services and capital equipment needs of Livingston Healthcare. 12 11 0 16 0 0 508284 1389352 0 0 217211 138450 -1634 -15281 723861 1512521 450039 593329 0 0 0 0 0 0 12682 2585 12682 452624 606011 271237 906510 3572190 4311356 0 16299 3572190 4295057 X The mission of Livingston HealthCare Foundation is to advance the health and wellness of our community by financially supporting the programs, services, and capital equipment needs of Livingston HealthCare. 0 0 593329 593329 0 The purpose of the Foundation is to solicit and receive gifts and to distribute them to Livingston Healthcare (LHC), an affiliated 501(c)(3) supported organization, to further the charitable activities related to Livingston Healthcare.From all programs and campaigns, LHC Foundation contributed a total of $496,354 to LHC in support of equipment needs, operations and services. Specific ear-marked services and capital provided by this funding included equipment for orthopedic and surgical services, infusion and rehabilitation departments, behavioral health services, home health and hospice department, and LHC's emergency response to the COVID-19 pandemic. This also included pledge payments toward the New Hospital Campaign of 2015. In addition to providing funds to LHC, LHC Foundation also provides funds to organizations for collaborative community programs at the discretion and approval of LHC. 593329 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X X Lauren Chaisson 4068236256 320 Aplenglow Lane Livingston MT 590473727 Scott Coleman MD Director, Medical Director 1.00 40.00 X 0 283316 16000 Babs Brandfass President 40.00 0.00 X 0 104612 5684 Mary Ann Bearden Board Chair 4.00 2.00 X X 0 0 0 Melissa Atkinson Vice Chair 1.00 0.00 X X 0 0 0 Steve Woodruff Secretary/Treasurer 1.00 0.00 X X 0 0 0 Deborah Erdman Director 1.00 0.00 X 0 0 0 Bob Gersack Director 1.00 0.00 X 0 0 0 Pat Gilligan Director 1.00 0.00 X 0 0 0 Joey Lane Director 1.00 0.00 X 0 0 0 Marcia McCrum MD Director 1.00 0.00 X 0 0 0 Joe Phelps Director 1.00 0.00 X 0 0 0 Denis Prager Director 1.00 15.00 X 0 0 0 Deb Anczak Director, LHC CEO 1.00 40.00 X 0 0 0 0 387928 21684 0 0 1 0 0 104660 71640 1213052 99163 1389352 31575 31575 106875 0 106875 106875 106875 5960 104660 21241 -15281 -15281 1512521 0 0 123169 X 590468 590468 2861 2861 623 623 1600 1600 125 125 Fundraising Expenses 10334 10334 606011 593329 0 12682 614199 998724 477957 291326 1546877 2039199 933157 982107 3572190 4311356 0 16299 0 16299 X 977864 825818 2594326 3469239 3572190 4295057 3572190 4311356 X 906510 -16957 -215636 48950 X 0 1 X 1 0 X 2440221 845636 886825 508284 1389352 6070318 2440221 845636 886825 508284 1389352 6070318 1027604 5042714 1831 41491 57534 35511 31575 167942 6238260 0.80840 0.77920 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2480033 570837 154145 183708 3021307 1503731 1545780 264106 833584 2480033 1432806 101575 30650 1503731 436740 907288 88778 1432806 350332 86408 436740 0.39150 0.60850 0.00000 0 1 1 0 Investment in Ough Charitable Trust 982107 982107 Estimated Liability to Beneficiary 16299 16299 X 56339142 -16957 54843578 54826621 1512521 0 1512521 53786286 53676629 53676629 109657 496354 496354 606011 Part V, Line 4: The organization has adopted investment and spending policies for endowment assets that attempt to provide a predictable stream of funding to programs supported by its endowment while seeking to maintain the purchasing power of the endowment assets. Endowment assets include those assets of donor-restricted funds that the organization must hold in perpetuity or for a donor-specified period(s) as well as board-designated funds. A portion of the endowment fund is held by the Ough Charitable Trust, a trust established to make charitable contributions to Livingston HealthCare Foundation, which further benefits Livingston Healthcare. The Foundation is the sole trustee of The Ough Charitable Trust. A separate portion of the endowment fund relates to the Stafford Hospice endowment held directly by the Foundation. Part X, Line 2: The Foundation 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 Foundation would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 2d - Other Adjustments: Livingston HealthCare Revenues Reported on a Separate Tax Return 54,794,628. Ough Trust Revenues Reported on Separate Tax Return 48,950. Part XII, Line 2d - Other Adjustments: Livingston HealthCare Expenses reported on a separate tax return 53,676,629. Part XII, Line 4b - Other Adjustments: Grants to Livingston HealthCare Included in Net Assets on Financials 496,354. Alpenglow Gala 110620 104660 5960 8572 995 11674 110620 104660 5960 8572 995 11674 21241 -15281 1 Livingston Healthcare 504 s 13th Street Livingston MT 59047 810378200 501(c)(3) 496354 Misson; Programs Livingston School District 4&1 132 S B Street Livingston MT 59047 816000691 Government 78921 Community Health Park County Health Department 414 E Calendar Street Livingston MT 59047 816001401 501(c)(3) 6000 Community Health 3 0 Part I, Line 2: The organization reviews the documentation that substantiates the use of grant funds by Livingston Healthcare. The organization works closely with Livingston Healthcare and ensures the funds are used properly. Park County Health Department is required to provide substantiation on how the funds were spent. Livingston School District 4&1 provided substantiation of expenses related to a program Livingston Healthcare collaborated with the School District. The Foundation paid this organization directly for Livingston Healthcare's portion of the project. 0 0 0 0 0 0 0 0 0 Scott Coleman MD Director, Medical Director 0 283316 0 0 0 0 0 16000 0 0 0 299316 0 0 X 4 99163 FMV at date of gift 0 0 0 0 Part I, Column (b): Part I column (b) represents the number of contributions. Form 990, Part VI, Section A, line 1 The Executive Committee shall consist of the Board Chair, Vice Chair, Chief Executive Officer of Livingston HeatlhCare, Secretary/Treasurer, and immediate past Chair. The Executive Committee is authorized to transact the business of the Board of Directors in the interim between meetings of the Board, and shall present all records and actions to the Board for ratification at its next meeting. Form 990, Part VI, Section A, line 6 Sole member of the organization is Livingston Healthcare, a Montana nonprofit corporation. Form 990, Part VI, Section A, line 7a Livingston Healthcare, the sole member, appoints four of the board of directors that manage the Foundation. Form 990, Part VI, Section A, line 7b Approval of any changes to by-laws and articles of incorporation are done by the sole member, Livingston Healthcare. Form 990, Part VI, Section B, line 11b The Form 990 was reviewed and approved by the Finance Committee. The board of directors were provided a copy of the Form 990 prior to filing with the IRS. Form 990, Part VI, Section B, line 12c The COI policy covers Board Directors, Foundation staff, hospital administrative staff that work with Foundation and members of the Cabinet, a fundraising committee that consists of both board members and public volunteers. It is annually reviewed and completed by the Board members. If there is a potential conflict that individual must recuse themselves from the decisions related to the potential conflict. The determination of conflict is made by the board chair and any other member/officers/staff that the chair wishes to consult. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part IX, Expenses The related organization, Livingston Healthcare (LHC), paid $292,635 of operating expenses on behalf of the Foundation. The Foundation does not reimburse LHC for these expenses. Form 990, Part XI, line 9: Change in Investment in Ough Charitable Trust 48,950. Livingston Healthcare 320 Alpenglow Lane Livingston MT 59047 810378200 Physician/Hospital Integrated Healthcare Organization MT 501(c)(3) Line 3 N/A 0 The Ough Charitable Trust 320 Alpenglow Lane Livingston MT 59047 816080844 To support Livingston Healthcare Programs MT 501(c)(3) Line 12c, III-FI Livingston Healthcare Foundation 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0