2019-05-15T13:59:05-05:00 2018-06-30 450250958 Eide Bailly LLP 401 N 31st St Ste 1120 PO Box 7112 Billings MT 591037112 990 2017-07-01 810621997 Livingston Healthcare Foundation LIVI 4068236262 320 Alpenglow Lane Livingston MT 590473727 Babs Brandfass President 4068236262 2019-05-15 1 Kim C Hunwardsen P00484560 4068962400 2019-05-15 72.175.213.18 2019-05-15 12:16:03 MD P D8A1E5117AA53286D53F57459EBB2DE5C7CA50FC B1517DAAED479AA3B0236E79C14EA2E11B9BE589 2017 2019-02-21 02:37:17Z Deborah Erdman 320 Alpenglow Lane Livingston MT 590473727 1029306 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. 11 10 0 26 0 0 845636 886825 0 0 41491 62481 0 80000 887127 1029306 2723769 1552868 0 0 0 0 0 0 0 0 5823 2723769 1558691 -1836642 -529385 2622205 3234572 0 0 2622205 3234572 X To advance the health and wellness of our community by financially supporting the programs, services, and capital equipment needs of Livingston HealthCare. 0 0 1552868 1552868 The 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 $762,855 to LHC in support of equipment needs, operations and services. In addition to the 3D Mammography equipment and added Cardiology services, the Foundation assisted in the purchase of equipment for the Women's Health Team, Hospice/Home Health, Cataract Surgery, Portable X-ray, Ultrasound and Bone Density Imaging equipment, Cardiac Rehab and Lab equipment. The remaining funds contributed to the Hospital are to support various Hospital programs. 1552868 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 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 X 11 10 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X X Ryan Speas 4068236262 320 Aplenglow Lane Livingston MT 590473727 Ruth Weissman Board Chair 30.00 0.00 X X 0 0 0 Kim Salloux Vice Chair 1.00 0.00 X X 0 0 0 Steve Woodruff Secretary/Treasurer 1.00 0.00 X X 0 0 0 Michelle Becker Director 1.00 0.00 X 0 0 0 Debbra Erdman Director 1.00 0.00 X 0 0 0 Patti Grundhofer Director 1.00 0.00 X 0 0 0 Duncan Hagemeyer Director 1.00 0.00 X 0 0 0 Glee Greenwood Director (Jul-Oct) 1.00 0.00 X 0 0 0 David Stanley Director 1.00 0.00 X 0 0 0 D Scott Coleman MD Medical Director 1.00 40.00 X 0 299525 18600 Melissa Atkinson Director 1.00 0.00 X 0 0 0 Joey Lane Director 1.00 0.00 X 0 0 0 Bren Lowe LHC CEO (Jul-Feb) 1.00 40.00 X 0 0 0 Deb Anczak LHC Interim CEO (Mar-Jun) 1.00 40.00 X 0 128403 13763 Babs Brandfass Major Gifts Officer(Jul-Dec)/President(Jan-Jun) 40.00 0.00 X 0 42505 8052 0 470433 40415 0 0 1 0 0 12000 50000 824825 74403 886825 57534 57534 4947 0 4947 4947 4947 80000 12000 0 80000 80000 1029306 0 0 142481 X 1551417 1551417 1451 1451 5823 5823 1558691 1552868 5823 0 97912 928912 1074058 1027489 656782 567892 637144 0 866588 2622205 3234572 0 0 X 2145044 626642 477161 1324053 1283877 2622205 3234572 2622205 3234572 X -529385 6414 268750 866588 X 0 1 X 1 0 X 2006091 3833079 2440221 845636 886825 10011852 2006091 3833079 2440221 845636 886825 10011852 1683059 8328793 762 1729 1831 41491 57534 103347 10115199 0.82340 0.82340 X 1432806 101575 30650 1503731 436740 907288 88778 1432806 350332 86408 436740 350332 350332 350332 350332 0.09900 0.85400 0.04700 0 1 1 0 Beneficial Interest in Ough Charitable Trust 866588 866588 X 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. Heart of Gold 92000 12000 80000 92000 12000 80000 80000 1 Park County Health Dept 414 E Callender Street Livingston MT 59047 816001401 Park County 10000 Community Health Livingston Healthcare 504 s 13th Street Livingston MT 59047 810378200 501(c)(3) 1528107 Equipment; Programs Livingston Food Pantry of Park County 202 S 2nd Street Livingston MT 59047 203550306 501(c)(3) 6655 Community Health Abuse Supprt & Prevention Educaton Network (ASPEN) 411 E Callender Street Livingston MT 59047 810534941 501(c)(3) 6655 Community Health 4 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. 0 0 0 0 0 0 0 0 0 D Scott Coleman MD Medical Director 0 299525 0 0 0 0 0 16000 0 2600 0 318125 0 0 Part I, Line 3 The Foundation relies on the related organization, Livingston Healthcare, Inc., to determine the compensation of the CEO. The CEO serves in this capacity for both the Foundation and the related organization. X 3 74403 FMV 0 0 0 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 3 A related organization, Livingston Healthcare (LHC), has a management contract with the Billings Clinic. The CEO is an employee of Billings Clinic. LHC paid $237,405 in salary and benefits to Billings Clinic for the CEO services in fiscal year 2018. 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 B, line 15 The CEO is employed by the Billings Clinic, as part of the management contract. Annually the Billings Clinic recommends the salary based on comparability data, and the board of the related organization, Livingston Healthcare, makes the final approval. 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 Foundation incurred $188,429 of operating expenses. The related organization, Livingston Healthcare (LHC), paid these expenses on behalf of the Foundation. The Foundation does not reimburse LHC for these expenses. Form 990, Part XI, line 9: Change in Beneficial Interest -89,057. Prior year Beneficial Interest in Trust 955,645. 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 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0