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LIVINGSTON HEALTHCARE FOUNDATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
LIVINGSTON HEALTHCARE FOUNDATION (EIN 81-0621997)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-04-10
IRS object ID
202001019349300820
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-04-10T14:45:15-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810621997EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Livingston Healthcare FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLIVIBusinessNameControlTxt
Phone4068236262PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 Alpenglow LaneAddressLine1Txt
CityLivingstonCityNm
State AbbreviationMTStateAbbreviationCd
ZIP590473727ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBabs BrandfassPersonNm
Person TitlePresidentPersonTitleTxt
Phone4068236262PhoneNum
Signature2020-04-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim C HunwardsenPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2020-04-08PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address63.233.88.226IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-04-08IPDt
IP Tm10:30:53IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdEE7B44BF798B4EF79D5DDE03D0EF16CE53CA0C32AtSubmissionCreationDeviceId
At Submission Filing Device Id910E667CAF9535F6E07908141D928A1E2DABEDFEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDeborah ErdmanPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 Alpenglow LaneAddressLine1Txt
CityLivingstonCityNm
State AbbreviationMTStateAbbreviationCd
ZIP590473727ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$732,695GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.livingstonhealthcare.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionTo advance the health and wellness of our community by financially supporting the programs, services and capital equipment needs of Livingston Healthcare.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$886,825PYContributionsGrantsAmt
CY Contributions Grants$508,284CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$62,481PYInvestmentIncomeAmt
CY Investment Income$217,211CYInvestmentIncomeAmt
PY Other Revenue$80,000PYOtherRevenueAmt
CY Other Revenue-$1,634CYOtherRevenueAmt
PY Total Revenue$1,029,306PYTotalRevenueAmt
CY Total Revenue$723,861CYTotalRevenueAmt
PY Grants And Similar Paid$1,552,868PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$450,039CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,585CYTotalFundraisingExpenseAmt
PY Other Expenses$5,823PYOtherExpensesAmt
CY Other Expenses$2,585CYOtherExpensesAmt
PY Total Expenses$1,558,691PYTotalExpensesAmt
CY Total Expenses$452,624CYTotalExpensesAmt
PY Revenues Less Expenses-$529,385PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$271,237CYRevenuesLessExpensesAmt
Total Assets BOY$3,234,572TotalAssetsBOYAmt
Total Assets EOY$3,572,190TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,234,572NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,572,190NetAssetsOrFundBalancesEOYAmt
MissionTo advance the health and wellness of our community by financially supporting the programs, services, and capital equipment needs of Livingston HealthCare.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$450,039ExpenseAmt
Grant$450,039GrantAmt
DescThe purpose of the Foundation is to solicit and receive gifts and to distribute them to Livingston Healthcare, 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 $432,481 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, emergency and rehabilitation departments, cardiopulmonary and behavioral health services. This also included pledge payments toward the New Hospital Campaign of 2015.Desc
Total Program Service Expenses$450,039TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBabs BrandfassPersonNm
Phone4068236262PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 Aplenglow LaneAddressLine1Txt
CityLivingstonCityNm
State AbbreviationMTStateAbbreviationCd
ZIP590473727ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Deborah Erdman
Board Chair1.000.00Yes (X)Yes (X)$0$0$0
Steve Woodruff
Secretary/Treasurer1.000.00Yes (X)Yes (X)$0$0$0
Melissa Atkinson
Director1.000.00Yes (X)$0$0$0
Mary Ann Bearden
Director1.000.00Yes (X)$0$0$0
Michelle Becker
Director1.002.00Yes (X)$0$0$0
Scott Coleman MD
Director, Medical Director LHC1.0040.00Yes (X)$0$284,823$17,300
Bob Gersack
Director1.000.00Yes (X)$0$0$0
Pat Gilligan
Director (July)1.000.00Yes (X)$0$0$0
Joey Lane
Director1.000.00Yes (X)$0$0$0
Joe Phelps
Director1.000.00Yes (X)$0$0$0
Denis Prager
Director1.0015.00Yes (X)$0$0$0
Ruth Weissman
Director15.000.00Yes (X)$0$0$0
Anne Donahoe
Director1.000.00Yes (X)$0$0$0
Deb Anczak
Director, LHC CEO1.0040.00Yes (X)$0$182,766$8,429
Babs Brandfass
President40.000.00Yes (X)$0$105,029$12,745
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$572,618TotReportableCompRltdOrgAmt
Total Other Compensation$38,474TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$84,800FundraisingAmt
All Other Contributions$423,484AllOtherContributionsAmt
Noncash Contributions$22,189NoncashContributionsAmt
Total Contributions$508,284TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,511TotalRevenueColumnAmt
Exclusion$35,511ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$181,700SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$181,700SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$181,700TotalRevenueColumnAmt
Exclusion$181,700ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$7,200FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$84,800ContriRptFundraisingEventAmt
Fundraising Direct Expenses$8,834FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,634TotalRevenueColumnAmt
Exclusion-$1,634ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$723,861TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$215,577ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$443,848TotalAmt
Program Services$443,848ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$6,191TotalAmt
Program Services$6,191ProgramServicesAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,585TotalAmt
Fundraising$2,585FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$452,624TotalAmt
Program Services$450,039ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$2,585FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,074,058BOYAmt
EOY$614,199EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$656,782BOYAmt
EOY$477,957EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$637,144BOYAmt
EOY$1,546,877EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$866,588BOYAmt
EOY$933,157EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,234,572BOYAmt
EOY$3,572,190EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$626,642BOYAmt
EOY$977,864EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,324,053BOYAmt
EOY$1,310,449EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,283,877BOYAmt
EOY$1,283,877EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,234,572BOYAmt
EOY$3,572,190EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,234,572BOYAmt
EOY$3,572,190EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$271,237ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,726NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$68,107OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,833,079CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,440,221CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$845,636CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$886,825CurrentTaxYearMinus1YearAmt
Current Tax Year$508,284CurrentTaxYearAmt
Total$8,514,045TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,833,079CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,440,221CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$845,636CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$886,825CurrentTaxYearMinus1YearAmt
Current Tax Year$508,284CurrentTaxYearAmt
Total$8,514,045TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,772,154SubstantialContributorsTotAmt
Public Support Total170$6,741,891PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,729CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,831CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$41,491CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$57,534CurrentTaxYearMinus1YearAmt
Current Tax Year$35,511CurrentTaxYearAmt
Total$138,096TotalAmt
FieldValueIRS element (for citing)
Total Support$8,652,141TotalSupportAmt
Gross Receipts Rltd Activities$7,200GrossReceiptsRltdActivitiesAmt
Public Support CY1700.77920PublicSupportCY170Pct
Public Support PY1700.82340PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,503,731BeginningYearBalanceAmt
Contributions$1,545,780ContributionsAmt
Investment Earnings Or Losses$264,106InvestmentEarningsOrLossesAmt
Other Expenditures$833,584OtherExpendituresAmt
End Year Balance$2,480,033EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,432,806BeginningYearBalanceAmt
Investment Earnings Or Losses$101,575InvestmentEarningsOrLossesAmt
Other Expenditures$30,650OtherExpendituresAmt
End Year Balance$1,503,731EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$436,740BeginningYearBalanceAmt
Contributions$907,288ContributionsAmt
Investment Earnings Or Losses$88,778InvestmentEarningsOrLossesAmt
End Year Balance$1,432,806EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$350,332BeginningYearBalanceAmt
End Year Balance$350,332EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.48230BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.51770PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescInvestment in Ough Charitable TrustDesc
Book Value$933,157BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$933,157TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The organization has adopted investment and spending policies for endowment assets that attempt to provide a predictable stream of funding to programs supported by its endowment while seeking to maintain the purchasing power of the endowment assets. Endowment assets include those assets of donor-restricted funds that the organization must hold in perpetuity or for a donor-specified period(s) as well as board-designated funds. A portion of the endowment fund is held by the Ough Charitable Trust, a trust established to make charitable contributions to Livingston HealthCare Foundation, which further benefits Livingston Healthcare. The Foundation is the sole trustee of The Ough Charitable Trust. A separate portion of the endowment fund relates to the Stafford Hospice endowment held directly by the Foundation.
Part X, Line 2:The Foundation is organized as a Montana nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Foundation is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Foundation is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. Management has determined that the Foundation is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS. The 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.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Heart of GoldEvent1Nm
Gross Receipts Event1$92,000GrossReceiptsEvent1Amt
Charitable Contri Event1$84,800CharitableContriEvent1Amt
Gross Revenue Event1$7,200GrossRevenueEvent1Amt
Food And Beverage Event1$6,344FoodAndBeverageEvent1Amt
Entertainment Event1$1,890EntertainmentEvent1Amt
Other Direct Expenses Event1$600OtherDirectExpensesEvent1Amt
Gross Receipts Total$92,000GrossReceiptsTotalAmt
Charitable Contributions Tot$84,800CharitableContributionsTotAmt
Gross Revenue Total Events$7,200GrossRevenueTotalEventsAmt
Food And Beverage Total Events$6,344FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,890EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$600OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$8,834DirectExpenseSummaryEventsAmt
Net Income Summary-$1,634NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Park County Health Dept
414 E Callender StreetLivingstonMT59047816001401Park County$8,000Community Health
Livingston Healthcare
504 s 13th StreetLivingstonMT59047810378200501(c)(3)$432,481Misson; Programs
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
Pay for Hospice Services10$5,340
Pay for Mammograms1$851

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe 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. The Foundation pays Livingston Healthcare directly for individual expenses if they are not able to cover mammograms. The Foundation also pays service providers directly or patients for other items needed while in Hospice.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Scott Coleman MD
Director, Medical Director LHC$0$284,823$0$0$0$0$0$16,000$0$1,300$0$302,123$0$0
Deb Anczak
Director, LHC CEO$0$182,766$0$0$0$0$0$0$0$8,429$0$191,195$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 1The 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 6Sole member of the organization is Livingston Healthcare, a Montana nonprofit corporation.
Form 990, Part VI, Section A, line 7aLivingston Healthcare, the sole member, appoints four of the board of directors that manage the Foundation.
Form 990, Part VI, Section A, line 7bApproval 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 11bThe 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 12cThe 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 19The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part IX, ExpensesThe related organization, Livingston Healthcare (LHC), paid $210,786 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 66,594. Changes to Net Assets to Reconcile Net Assets 1,513.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Livingston Healthcare
320 Alpenglow LaneLivingstonMT59047810378200Physician/Hospital Integrated Healthcare OrganizationMT501(c)(3)Line 3N/A0
The Ough Charitable Trust
320 Alpenglow LaneLivingstonMT59047816080844To support Livingston Healthcare ProgramsMT501(c)(3)Line 12c, III-FIYes (1)Livingston Healthcare Foundation
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd