2016-05-16T12:30:40-05:00 2015-06-30 390758449 WIPFLI LLP 910 N LAST CHANCE GULCH HELENA MT 59601 990 2014-07-01 810378200 LIVINGSTON HEALTHCARE LIVI 4062225011 504 S 13TH STREET LIVINGSTON MT 59047 KYLE GEE CEO 4062225011 2016-05-16 1 NATHAN D MCCARTHY CPA P00368408 4064425520 2014 2016-08-17 19:52:53Z BREN LOWE 504 S 13TH STREET LIVINGSTON MT 59047 35843202 0 X WWW.LIVINGSTONHEALTHCARE.ORG X 1955 MT LIVINGSTON HEALTHCARE IS A UNIQUE GROUP OF HEALTHCARE PROFESSIONALS PROVIDING SERVICES TO THE RESIDENTS OF PARK COUNTY, MONTANA, AND SURROUNDING COMMUNITIES. INCLUDED IN THOSE SERVICES ARE A 25-BED CRITICAL ACCESS HOSPITAL, A MULTISPECIALTY PHYSICIAN PRACTICE, REHABILITATION SERVICES, AND HOME-BASED SERVICES SUCH AS HOME CARE AND HOSPICE CARE. 12 10 357 62 0 0 1097135 1250277 32098465 34361215 -290196 67468 152699 164242 33058103 35843202 0 0 0 0 18049010 18639791 0 0 0 13229919 14402868 31278929 33042659 1779174 2800543 53412285 56545956 38990493 39383985 14421792 17161971 SERVING THROUGH QUALITY HEALTHCARE. 0 0 27850002 34592925 MEDICAL TREATMENT OF SICK AND INJURED PAITIENTS REGARDLESS OF ABILITY TO PAY. INCLUDES PRIVATE PAYORS, INSURED PAYORS, MEDICARE, MEDICAID AND CHARITY CARE. 27850002 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 56 0 357 0 0 0 0 0 0 0 0 0 X 12 10 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 0 0 1 0 0 X KYLE GEE 4062225006 LIVINGSTON HEALTHCARE 504 S 13TH LIVINGSTON MT 59047 JOSEPH SWINDLEHURST TREASURER 4.00 X X 0 0 0 BILLIE KAYE HARMS SECRETARY 2.00 X X 0 0 0 MICHELLE BECKER PRESIDENT 15.00 X X 0 0 0 DOUGLAS P WADLE MD BOARD MEMBER/PHYSICIAN 40.00 X 243838 0 0 D SCOTT COLEMAN MD BOARD MEMBER/PHYSICIAN 40.00 X 240039 0 0 DAVID STANLEY BOARD MEMBER 2.00 X 0 0 0 DENIS PRAGER VICE PRESIDENT 2.00 X X 0 0 0 DAN KAUL BOARD MEMBER 2.00 X 0 0 0 JEFFRY LINDENBAUM MD BOARD MEMBER 2.00 X 0 0 0 TYLER ERICKSON BOARD MEMBER 2.00 X 0 0 0 MICHAEL SCHAER BOARD MEMBER 2.00 X 0 0 0 BREN LOWE CHIEF EXECUTIVE OFFICER 40.00 X 0 0 0 CHRISTOPHER LEE MD PHYSICIAN 40.00 X 304111 0 0 TED R SCOFIELD MD PHYSICIAN 40.00 X 294518 0 0 DALE ADISHIAN PHYSICIAN 40.00 X 372883 0 0 1455389 0 0 18 0 1 0 DEACONESS BILLINGS CLINIC PO BOX 30977 BILLINGS MT 591070977 IMAGING INTERPRETATION FEE 732636 DEACONESS BILLINGS CLINIC PO BOX 30977 BILLINGS MT 591070977 MANAGEMENT CONTRACT 435555 GRANT I PALM CRNA 1750 CARRIE NYE TRAIL BOZEMAN MT 59715 ANESTHESIA SERVICE 279970 PARK COUNTY ANESTHESIA 320 ALPENGLOW LANE LIVINGSTON MT 59047 ANESTHESIA SERVICE 178015 COMPHEALTH 320 ALPENGLOW LANE LIVINGSTON MT 59047 LOCUMS SERVICE 113153 5 194422 1055855 1250277 NET PATIENT REVENUE 621110 33727708 33727708 NON-PATIENT REVENUE 446110 442985 442985 SWEETGRASS PHYSICIANS 621110 190522 190522 34361215 28034 28034 43558 0 43558 43558 43558 26113 13321 0 0 26113 13321 39434 39434 CAFETERIA SALES 621110 66672 66672 PHARMACY SALES 446110 42797 42797 CHP PHYSICIANS 621110 11000 11000 215 215 120684 35843202 34592925 0 0 X 1455389 1129425 325964 13774160 10689153 3085007 2318704 1799383 519321 1091538 847066 244472 91840 91840 34318 34318 49407 49407 3722780 3722780 48265 48265 64044 64044 428882 428882 102816 102816 25977 25977 548144 548144 608655 608655 PROVISION FOR BAD DEBT 3113402 3113402 SUPPLIES 2655517 2060759 594758 OTHER SUPPLIES 1105370 857800 247570 RENTS & LEASES 533994 533994 1269457 1269457 33042659 27850002 5192657 0 1352738 5064944 43590 50697 5606665 6214161 562320 569128 1295129 1350321 538921 117136 40413791 7536122 12181145 32877669 710888 578805 30903382 9502271 217507 220824 53412285 56545956 1802911 3120347 37187582 36263638 38990493 39383985 X 12894410 14160882 1233912 2620849 293470 380240 14421792 17161971 53412285 56545956 X 2800543 4169 -9704 -54829 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 868 350332 350332 350332 350332 362920 39781 52369 350332 353535 9385 362920 0 0 560657 560657 30699755 30699755 383485 383485 0 8769894 7152637 1617257 32877669 TRUSTEE HELD BUILDING FUNDS 9482799 C LHC BUILDING FUND RESTRICTED 19472 C 9502271 PART V, LINE 4: THE ENDOWMENT CONSISTS OF NUMEROUS INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE CENTER'S ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. AS REQUIRED BY GAAP, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED UPON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. INTERPRETATION OF RELEVANT LAW THE BOARD OF DIRECTORS OF THE CENTER HAS INTERPRETED THE MONTANA UNIFORM PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT (MUPMIFA) AS REQUIRING THE PRESERVATION OF THE FAIR VALUE OF THE ORIGINAL GIFT AS OF THE GIFT DATE OF THE DONOR-RESTRICTED ENDOWMENT FUNDS ABSENT EXPLICIT DONOR STIPULATIONS TO THE CONTRARY. AS A RESULT OF THIS INTERPRETATION, THE CENTER CLASSIFIES AS PERMANENTLY RESTRICTED NET ASSETS (A) THE ORIGINAL VALUE OF GIFTS DONATED TO THE PERMANENT ENDOWMENT, (B) THE ORIGINAL VALUE OF SUBSEQUENT GIFTS TO THE PERMANENT ENDOWMENT, AND (C) ACCUMULATIONS TO THE PERMANENT ENDOWMENT MADE IN ACCORDANCE WITH THE DIRECTION OF THE APPLICABLE DONOR GIFT INSTRUMENT AT THE TIME THE ACCUMULATION IS ADDED TO THE FUND. THE REMAINING PORTION OF THE DONOR-RESTRICTED ENDOWMENT FUND THAT IS NOT CLASSIFIED IN PERMANENTLY RESTRICTED NET ASSETS IS CLASSIFIED AS TEMPORARILY RESTRICTED NET ASSETS UNTIL THOSE AMOUNTS ARE APPROPRIATED FOR EXPENDITURE BY THE HOSPITAL IN A MANNER CONSISTENT WITH THE STANDARD OF THE PRUDENCE PRESCRIBED BY THE MUPMIFA. IN ACCORDANCE WITH THE MUPMIFA, THE HOSPITAL CONSIDERS THE FOLLOWING FACTORS IN MAKING A DETERMINATION TO APPROPRIATE OR ACCUMULATE DONOR-RESTRICTED ENDOWMENT FUNDS: 1. THE DURATION AND PRESERVATION OF THE FUND; 2. THE PURPOSES OF HOSPITAL AND THE DONOR-RESTRICTED ENDOWMENT FUND; 3. GENERAL ECONOMIC CONDITIONS; 4. THE EXPECTED TOTAL RETURN FROM INCOME AND THE APPRECIATION OF INVESTMENTS; 5. OTHER RESOURCES OF THE HOSPITAL; AND 6. THE INVESTMENT POLICIES OF THE HOSPITAL. FUNDS WITH DEFICIENCIES FROM TIME TO TIME, THE FAIR VALUE OF ASSETS ASSOCIATED WITH INDIVIDUAL DONOR-RESTRICTED ENDOWMENT FUNDS MAY FALL BELOW THE LEVEL THAT THE DONOR OR MUPMIFA REQUIRES THE HOSPITAL TO RETAIN AS A FUND OF PERPETUAL DURATION. IN ACCORDANCE WITH GAAP, DEFICIENCIES OF THIS NATURE THAT ARE REPORTED IN UNRESTRICTED NET ASSETS WERE $74,832 AND $106,098 AS OF JUNE 30, 2012 AND JUNE 30, 2011, RESPECTIVELY. THESE DEFICIENCIES RESULTED FROM UNFAVORABLE MARKET FLUCTUATIONS THAT OCCURRED SHORTLY AFTER THE INVESTMENT OF NET PERMANENTLY RESTRICTED CONTRIBUTIONS AND APPROPRIATION FOR CERTAIN PROGRAMS THAT WAS DEEMED PRUDENT BY THE BOARD OF DIRECTORS. RETURN OBJECTIVES AND RISK PARAMETERS THE HOSPITAL HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS. ENDOWMENT ASSETS INCLUDE THOSE ASSETS OF DONOR-RESTRICTED FUNDS THAT THE HOSPITAL MUST HOLD IN PERPETUITY OR FOR A DONOR-SPECIFIED PERIOD(S) AS WELL AS BOARD-DESIGNATED FUNDS. UNDER THIS POLICY, AS APPROVED BY THE BOARD OF DIRECTORS, THE ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRESERVE ENDOWMENT CAPITAL. FUNDS SHALL BE INVESTED SUCH THAT NO LESS THAN 30% AND NO MORE THAN 70% OF SUCH FUNDS SHALL BE INVESTED IN EQUITIES, WITH THE BALANCE INVESTED IN FIXED INCOME SECURITIES, WHILE ASSUMING A MODERATE LEVEL OF INVESTMENT RISK. THE HOSPITAL EXPECTS ITS ENDOWMENT FUNDS, OVER TIME, TO PROVIDE A REASONABLE CURRENT RATE OF RETURN. STRATEGIES EMPLOYED FOR ACHIEVING OBJECTIVES TO SATISFY ITS LONG-TERM RATE-OF-RETURN OBJECTIVES, THE HOSPITAL RELIES ON A TOTAL RETURN STRATEGY IN WHICH INVESTMENT RETURNS ARE ACHIEVED THROUGH BOTH CAPITAL APPRECIATION (REALIZED AND UNREALIZED GAINS) AND CURRENT YIELD (INTEREST AND DIVIDENDS). THE HOSPITAL TARGETS A DIVERSIFIED ASSET ALLOCATION INCLUDING CASH EQUIVALENTS, FIXED INCOME, AND EQUITY SECURITIES TO ACHIEVE ITS LONG-TERM RETURN OBJECTIVES WITHIN PRUDENT RISK CONSTRAINTS. SPENDING POLICY AND HOW INVESTMENT OBJECTIVES RELATE TO SPENDING POLICY STAFFORD HOSPICE ENDOWMENT - THE HOSPITAL BOARD OF DIRECTORS, BASED ON RECOMMENDATIONS BY HOSPITAL ADMINISTRATION, APPROVES APPROPRIATIONS FOR DISTRIBUTION LIMITED TO 7% OF THE TOTAL FUND VALUE IN ANY GIVEN YEAR. IN ESTABLISHING THIS POLICY, THE HOSPITAL CONSIDERED THE LONG-TERM EXPECTED RETURN ON ITS ENDOWMENT. THIS IS CONSISTENT WITH THE HOSPITAL'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS HELD IN PERPETUITY OR FOR A SPECIFIED TERM AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS SHOW THE CONSOLIDATED TOTAL FOR THE ENDOWMENT FUNDS. THE AMOUNTS ENTERED ON SCHEDULE D ONLY REFLECT LIVINGSTON HEALTHCARE'S ENDOWMENT FUNDS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RECLASS NON-OPERATING EXPENSE LIVINGSTON HEALTHCARE FOUNDATION ACTIVITY THE OUGH CHARITABLE TRUST ACTIVITY PROVISION FOR BAD DEBT REPORTED AS FUNTIONAL EXPENSE ON FORM 990 PART XI, LINE 4B - OTHER ADJUSTMENTS: LIVINGSTON HEALTHCARE FOUNDATION GRANTS THE OUGH CHARITABLE TRUST GRANTS PART XII, LINE 2D - OTHER ADJUSTMENTS: LIVINGSTON HEALTHCARE FOUNDATION ACTIVITY INVESTMENT EXPENSE OUGH INVESTMENT EXPENSE THE OUGH CHARITABLE TRUST ACTIVITY PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS NON-OPERATING EXPENSE PROVISION FOR BAD DEBT REPORTED AS FUNTIONAL EXPENSE ON FORM 990 1 1 1 X 1 X 1 1 0 1 1 540511 540511 0.01810 3808435 4191267 -382832 0.00000 4348946 4191267 157679 0.01810 30173 30173 0.00100 340 340 0.00000 4225 4225 0.00010 34738 34738 0.00110 4383684 4191267 192417 0.01920 1 3113403 3113403 6942561 6942561 X 1 1 1 BILLINGS CLINIC MANAGES THE HOSPITAL AND AFFILIATED WITH HOSPITAL 0.25000 1 1 LIVINGSTON HEALTHCHARE 504 S 13TH STREET LIVINGSTON MT 59047 X LIVINGSTON HEALTHCARE 1 0 0 1 X X X X X X X X X 12 1 0 0 1 X HTTP://WWW.LIVINGSTONHEALTHCARE.ORG/ABOUT-ANNUAL-REPORTS.ASPX X 1 13 1 HTTP://WWW.LIVINGSTONHEALTHCARE.ORG/ABOUT-ANNUAL-REPORTS.ASPX 0 0 1 X 100.000000000000 200.000000000000 X X X X X 1 1 1 X X 1 X 1 X X X X X 1 X 0 0 LIVINGSTON HEALTHCARE PART V, SECTION B, LINE 5: THE HOSPITAL FACILITY CONSULTED A STEERING COMMITTEE THAT WAS MADE UP OF A DIVERSE GROUP OF COMMUNITY MEMBERS REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY. THE VARIOUS ORGANIZATIONS FOLLOW: CHILD AND FAMILY SERVICES, CLINICS, COMMUNITY HEALTH PARTNERS, HEALTH DEPARTMENT, SPECIAL ED CO-OP AND SCHOOL NURSES, CHEMICAL DEPENDENCY PROGRAM, MENTAL HEALTH CENTER, HEALTH AND NUTRITION COORDINATOR, COMMUNITY FOUNDATION, AGENCY ON AGING, ENVIRONMENTAL HEALTH, AND FROM THE HOSPITAL ITSELF. THE STEERING COMMITTEE MET TO DISCUSS HEALTH CONCERNS IN THE COMMUNITY AND OFFER THEIR PERSPECTIVE IN DESIGNING THE SURVEY AND THEY MET AGAIN TO REVIEW THE RESULTS OF THE SURVEY AND THE FOCUS GROUPS INTERVIEWS.THE ADOPTED IMPLEMENTATION PLAN CAN BE FOUND ON LIVINGSTON HEALTHCARE'S WEBSITE ON THE FOLLOWING WEB PAGE UNDER COMMUNITY HEALTH NEEDS ASSESSMENT: HTTP://WWW.LIVINGSTONHEALTHCARE.ORG/ABOUT-ANNUAL-REPORTS.ASPX LIVINGSTON HEALTHCARE PART V, SECTION B, LINE 11: NEEDS NOT ADDRESSED ARE 1)ALCOHOL/SUBSTANCE ABUSE, 2) OVERWEIGHT/OBESITY, 3) CANCER 4) MENTAL HEALTH, AND 5) DELAY OF MEDICAL SERVICES BECAUSE OF COSTS, TIME CONSTRAINTS, AND LACK OF INSURANCE. THESE NEEDS ARE NOT ADDRESSED DUE TO LIMITED STAFF TIME AND RESOURCES; THEY WILL BE ADDRESSED AT A FUTURE DATE. LIVINGSTON HEALTHCARE PART V, SECTION B, LINE 22D: THE HOSPITAL FACILITY USES THE AVERAGE COMMERCIAL INSURANCE RATE. 4 RIVER DRIVE LHC CLINIC 1001 RIVER DRIVE LIVINGSTON MT 59047 CLINIC WEST CRAWFORD LHC CLINIC 1315 WEST CRAWFORD LIVINGSTON MT 59047 CLINIC LIVINGSTON HEALTHCARE HOME CAREHOSPICE 1429 WEST MONTANA LIVINGSTON MT 59047 HOME CARE LIVINGSTON HEALTHCARE HOME OXYGENDME 1429 WEST MONTANA LIVINGSTON MT 59047 HOME OXYGEN PART I, LINE 3C: FINANCIAL ASSISTANCE WILL BE PROVIDED TO LIVINGSTON HEALTHCARE PATIENTS WHO MEET SPECIFIED FINANCIAL CRITERIA AND REQUEST SUCH ASSISTANCE. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3,113,403. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES - NA PART III, LINE 4: ACCOUNTS RECEIVABLE - ACCOUNTS RECEIVABLE ARE STATED AT UNPAID BALANCES, LESS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL PROVIDES FOR LOSSES ON ACCOUNTS RECEIVABLE USING THE ALLOWANCE METHOD. THE ALLOWANCE IS BASED ON EXPERIENCE, THIRD-PARTY CONTRACTS, AND OTHER CIRCUMSTANCES, WHICH MAY AFFECT THE ABILITY OF PATIENTS TO MEET THEIR OBLIGATIONS. RECEIVABLES ARE CONSIDERED IMPAIRED IF FULL PRINCIPAL PAYMENTS ARE NOT RECEIVED IN ACCORDANCE WITH THE CONTRACTUAL TERMS. IT IS THE HOSPITAL'S POLICY TO CHARGE OFF UNCOLLECTIBLE ACCOUNTS RECEIVABLE WHEN MANAGEMENT DETERMINES THE RECEIVABLE WILL NOT BE COLLECTED.CHARITY CARE - THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. PART III, LINE 8: THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED WAS THE COST REPORT. PART III, LINE 9B: ONCE A PATIENT IS APPROVED FOR FINANCIAL ASSISTANCE, IT IS EXPECTED THAT THE PATIENT CONTINUE TO MEET HIS/HER FINANCIAL COMMITMENTS TO LIVINGSTON HEALTHCARE. IF A PATIENT IS APPROVED FOR A PERCENTAGE ALLOWANCE DUE TO FINANCIAL HARDSHIP AND THE PATIENT DOES NOT MAKE THE REQUIRED INITIAL PAYMENT WITHIN 60 DAYS TOWWARD THEIR PART OF THE BILL, THE FINANCIAL ASSISTANCE ALLOWANCE WILL BE REVERSED AND THE PATIENT WILL OWE THE ENTIRE AMOUNT. THE ORGANIZATION RECOMMENDS THAT THE PATIENT MAKE A GOOD FAITH PAYMENT AT THE BEGINNING OF THE FINANCIAL ASSISTANCE PERIOD. PART VI, LINE 2: SINCE 1955, LIVINGSTON HEALTHCARE HAS PROVIDED PREMIER QUALITY HEALTHCARE TO THE RESIDENTS OF PARK COUNTY AND SURROUNDING COMMUNITIES. THE ORGANIZATION KEEPS ITS COMMUNITY HEALTHY WITH A BROAD SCOPE OF SERVICES, PROVIDED BY WELL-TRAINED AND HIGHLY-SKILLED PROFESSIONALS. INCLUDED IN THOSE SERVICES ARE A 25-BED CRITICAL ACCESS HOSPITAL (CAH), A MULTI-SPECIALTY PHYSICIAN PRACTICE, HOME CARE, HOME OXYGEN, HOSPICE CARE, AND THE REGIONALLY-RENOWNED ORTHOPEDIC AND REHABILITATION INSTITUTE. PART VI, LINE 3: FINANCIAL ASSISTANCE WILL BE PROVIDED TO LIVINGSTON HEALTHCARE PATIENTS WHO MEET SPECIFIED FINANCIAL CRITERA AND REQUEST SUCH ASSISTANCE. A NOTICE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAM WILL BE POSTED AT PATIENT REGISTRATION SITES WITHIN EACH FACILITY AND PRESENTED TO PATIENTS UPON REQUEST. PART VI, LINE 4: LIVINGSTON IS A CITY IN AND THE COUNTY SEAT OF PARK COUNTY, MONTANA, UNITED STATES. THE POPULATION WAS APPROXIMATELY 7,380 PEOPLE IN 2009. LIVINGSTON IS LOCATED IN SOUTHWESTERN MONTANA, ON THE YELLOWSTONE RIVER, NORTH OF YELLOWSTONE NATIONAL PARK. THE MEDIAN INCOME FOR A HOUSEHOLD IN LIVINGSTON IS ABOUT $35,907. PART VI, LINE 5: LIVINGSTON HEALTHCARE IS ALSO THE LARGEST EMPLOYER IN PARK COUNTY. AS SUCH, WE HAVE A SIGNIFICANT ECONOMIC IMPACT ON THIS AREA. SOME OF THE EFFECTS OF THAT IMPACT INCLUDE:(1) FOR EVERY 3 FULL-TIME JOBS AT LIVINGSTON HEALTHCARE, ANOTHER FULL-TIME JOB IS SUPPORTED IN PARK COUNTY. (2) FOR EVERY $1 IN WAGES AND BENEFITS PAID TO LIVINGSTON HEALTHCARE EMPLOYEES, ANOTHER $0.19 IS GENERATED IN WAGES AND BENEFITS IN THE COMMUNITY. (3) FOR EACH $10 SPENT ON HEALTHCARE SERVICES PROVIDED BY LIVINGSTON HEALTHCARE AN ESTIMATED $2.50 OF LOCAL ECONOMIC ACTIVITY IS PRODUCED IN THE COMMUNITY. PART VI, LINE 7, REPORTS FILED WITH STATES MT X 0 0 0 0 0 0 0 0 0 DOUGLAS P WADLE MD BOARD MEMBER/PHYSICIAN 243838 0 0 0 0 0 0 0 0 0 243838 0 0 0 D SCOTT COLEMAN MD BOARD MEMBER/PHYSICIAN 240039 0 0 0 0 0 0 0 0 0 240039 0 0 0 CHRISTOPHER LEE MD PHYSICIAN 304111 0 0 0 0 0 0 0 0 0 304111 0 0 0 TED R SCOFIELD MD PHYSICIAN 294518 0 0 0 0 0 0 0 0 0 294518 0 0 0 DALE ADISHIAN PHYSICIAN 372883 0 0 0 0 0 0 0 0 0 372883 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 LHC HAS A MANAGEMENT CONTRACT WITH THE BILLINGS CLINIC. THE CEO AND CLINIC DIRECTOR ARE EMPLOYEES OF BILLINGS CLINIC. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S MEMBERS HAVE THE AUTHORITY TO ELECT MORE MEMBERS PER THE BY-LAWS. FORM 990, PART VI, SECTION B, LINE 11 THE FINANCE COMMITTEE REVIEWS THE 990 PRIOR TO ITS ISSUING. FORM 990, PART VI, SECTION B, LINE 12C THROUGH OPEN COMMUNICATION AND REVIEW OF THE POLICY. FORM 990, PART VI, SECTION B, LINE 15A LHC'S CEO IS EMPLOYED BY THE BILLINGS CLINIC, AS PART OF THE MANAGEMENT CONTRACT. THEY RECOMMEND THE SALARY, AND THE LHC BOARD MAKES FINAL APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 FORMS ARE AVAILABLE UPON REQUEST. THE ORGANIZATION ALSO HAS AN ANNUAL REPORT AVAILABLE ON ITS WEBSITE. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 524,983. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 524,983. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,197,797. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,197,797. FORM 990, PART XI, LINE 9: DIFFERENCE BETWEEN FINANCIALS AND TAX TB EXPENSES -149,589. ADJUSTMENT FOR FOUNDATION RECEIVABLE 94,760. FORM 990, PART XII, LINE 2C: LHC HAS NOT CHANGED ITS METHOD FOR OVERSIGHT OF THE EXTERNAL AUDIT. FORM 990 SCHEDULE H THE ADOPTED IMPLEMENTATION PLAN CAN BE FOUND ON LIVINGSTON HEALTHCARE'S WEBSITE ON THE FOLLOWING WEB PAGE UNDER COMMUNITY HEALTH NEEDS ASSESSMENT: HTTP://WWW.LIVINGSTONHEALTHCARE.ORG/ABOUT-ANNUAL-REPORTS.ASPX LIVINGSTON HEALTHCARE FOUNDATION 504 S 13TH STREET LIVINGSTON MT 59047 810621997 TO SUPPORT LIVINGSTON HEALTHCARE PROGRAMS MT 501(C)(3) LINE 11A, I 0 THE OUGH CHARITABLE TRUST 504 S 13TH STREET LIVINGSTON MT 59047 816080844 TO SUPPORT LIVINGSTON HEALTHCARE PROGRAMS MT 501(C)(3) LINE 11C, III-FI 0 LIVINGSTON IMAGING CENTER LLC 504 S 13TH STREET LIVINGSTON MT 59047 450539644 MEDICAL IMAGING AND CANCER SCREENING MT RELATED 0 0 0.50000 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 LIVINGSTON HEALTHCARE FOUNDATION C 1131519 CASH