2026-05-08T10:34:18-05:00 2025-06-30 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2024-07-01 810378200 Livingston Healthcare LIVI 4062223541 320 Alpenglow Ln Livingston MT 59047 Bruce Whitfield CEO 4062223541 2026-05-07 1 1 Lisa Chaffee CPA P00193453 7012551091 2026-03-27 2024 2025-03-06 01:10:19Z Bruce Whitfield 320 Alpenglow Ln Livingston MT 59047 89471546 0 X www.livingstonhealthcare.org X 1955 MT A 25-bed critical access hospital, a multispecialty physician practice, rehabilitation services, and home-based services. 10 9 589 11 0 0 373954 998486 90799646 87956790 371925 81241 63046 56497 91608571 89093014 23968 35992 0 0 44292054 48047625 0 0 374648 46224958 37982008 90540980 86065625 1067591 3027389 90391456 99693552 41918602 46517660 48472854 53175892 X Excellence in patient-centered care. 0 0 70754429 35992 87956790 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.Continued on Schedule O...Livingston HealthCare's Fall Health Festival is a cornerstone in our ongoing commitment to community health and public well-being in Park County. Held annually on a Saturday from 7-11 am, this event serves as a crucial platform for various organizations, including the Park County Health Department, LiveWell49, the Recreation Department, The Cancer Alliance, The Phoenix, and ASPEN, to disseminate information about available resources and services.At the heart of the festival are Livingston HealthCare providers, volunteering their expertise to address critical health topics, from diabetes prevention and behavioral health to combating loneliness. In FY2025, the event served 180 individuals. This financial commitment reflects our dedication to community benefit and underscores the importance of providing accessible health information and services to our residents.Livingston HealthCare is proud to support Windrider Transit, a vital service that enhances the well-being of our community. In the fiscal year 2025, we contributed $10,000 to sustain and expand this free, efficient fixed-route transportation system benefiting citizens and disabled individuals in Park County, Montana.Windrider has made significant strides, extending its operations from Monday through Friday to now include half-day Saturdays. Moreover, the service has expanded to offer free rides for medical appointments within Livingston city limits and to and from Bozeman, MT. All vehicles are ADA accessible and equipped with lifts, ensuring accessibility for everyone.What sets Windrider apart is its commitment to fostering connections within our community. Recognizing the crucial role drivers play in being a touch point for some of the most vulnerable in the community, plans are underway to train them in QPR suicide prevention. This initiative aims to not only provide transportation but also create a supportive environment. The buses will soon be equipped with a list of resources, offering valuable assistance to those in need.The anticoagulation clinic is where LHC pharmacists manage and monitor warfarin dosing for patients under a collaborative practice agreement with the LHC clinic physicians. Warfarin is used to treat patients who have had a blood clot or have certain conditions that put them at risk of developing a clot. It has a narrow therapeutic window, meaning that there is just a small range between too little and too much drug. Warfarin must be closely monitored and titrated to keep it in range. Adding to the complication is the fact that warfarin has many drug interactions and food interactions that can impact the levels. For charity purposes, we've counted the staff time to manage the patients. FY2025 totals: Number of patient encounters - 764.Suicide prevention emerged as an urgent community need again this year, prompting Livingston HealthCare to make it a priority within our CHIP initiatives. In partnership with LiveWell49, we provided QPR to over 111 individuals, including many of our key clinical staff members and community members, marking a significant step in creating a safer, more responsive environment for those at risk. This initiative reflects our commitment to fostering resilience and offering compassionate, effective support to address mental health needs across Park County. LiveWell49 is fiscally sponsored by the hospital which solely focuses on these efforts so LHC covers all their 1.5 employee's fringe benefits. 70754429 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 63 0 1 589 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Deborah Evans-Small 4068236620 320 Alpenglow Lane Livingston MT 59047 X Lee Kinsey Chair 15.00 X X 0 0 0 Steve Caldwell Vice Chair & Treasurer 2.00 X X 0 0 0 Liz Lewis Secretary as of 4.5.25 2.00 X X 0 0 0 Ruth Weismann - Secretary until 4.5.25/Director 2.00 X X 0 0 0 Mike Atkinson Director as of Oct 2024 2.00 X 0 0 0 Abbie Bandstra Director until 2.28.25 2.00 X 0 0 0 Justin Roberts MD Director 2.00 X 0 0 0 Jennifer JJ Carmody Director 2.00 X 0 0 0 Mitch Goplen Director 2.00 X 0 0 0 Henry Pinango MD Director, Internal Medicine 40.00 X 425109 0 40470 Stefanie Lange MD Director 2.00 X 0 0 0 Bruce Whitfield CEO 40.00 X 0 0 0 Jonathan Butler CFO as of March 2025 40.00 X 0 0 0 Kris Kester CFO until 12.20.24 40.00 X 254162 0 33169 Diana Weber Chief Clinical Operations Officer 40.00 X 335262 0 22608 Stacy Kohler Chief Nursing Officer 40.00 X 226389 0 49012 Jennifer Rogers Stevane Surgeon 40.00 X 455356 0 24550 Krista Arnet ER Physician 40.00 X 437997 0 36549 Benjamin Wilkinson ER Physician 40.00 X 430699 0 61516 Brian Guercio ER Physician 40.00 X 408675 0 37108 Douglas Wadle MD Hospitalist 40.00 X 424526 0 47950 3398175 0 352932 70 0 1 0 Billings Clinic PO Box 30977 Billings MT 591070977 IS & Administration Fees 4081537 Billings Clinic Teleradiology PO Box 30977 Billings MT 591070977 Telerad Services 1017860 Aya Healthcare PO Box 674907 Dallas TX 752674907 Staffing Services 618219 Triage PO Box 773328 Chicago IL 606773328 Staffing Services 472951 Travel Nurse PO Box 660919 Dallas TX 752660919 Staffing Services 383643 13 5000 833612 159874 998486 Net Patient Service Revenue 621110 85112261 85112261 340B Pharmacy Revenue 456110 2010235 2010235 Supporting Revenue 621110 834294 834294 87956790 454071 454071 56497 0 56497 56497 56497 5702 0 378532 5702 -378532 -372830 -372830 89093014 87956790 0 137738 X 35992 35992 1367516 409872 957644 335771 335771 36384800 30581653 5639671 163476 1494901 1257152 231019 6730 5943688 4919081 998743 25864 2520949 2056530 452366 12053 380309 380309 451593 32171 419422 360282 356712 3570 10978396 8097621 2871838 8937 210293 9738 147078 53477 1883671 1498959 376777 7935 1382431 205459 1172293 4679 951194 644303 306891 207529 188630 18004 895 122409 81002 31718 9689 1153997 1153997 3601657 3601657 930745 506454 424291 Medical Supplies 13119683 13113586 6097 Repairs and Maintenance 1382608 1355243 27365 Food 500700 498988 1712 364511 170570 116598 77343 86065625 70754429 14936548 374648 2862904 8845915 47126 6102416 17500518 19211523 1724514 3317165 759354 949416 70630967 33672436 41832237 36958531 22254500 23336262 641430 3410303 330894 90391456 99693552 5990822 7139583 1962780 32336141 30377282 3591639 7038015 41918602 46517660 X 48472854 53175892 48472854 53175892 90391456 99693552 X 3027389 722309 953340 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5956419 64000 1689807 7710226 5051438 55277 849704 5956419 4631565 35258 384615 5051438 5150614 3750 -522799 4631565 3021307 1357828 771479 5150614 0.60000 0.40000 0.00000 0 1 1 5310440 5310440 36704796 14449769 22255027 24180086 17933793 6246293 4435645 1288874 3146771 36958531 Professional Liability Claims 106000 Deferred Compensation Liability 3519343 Operating Lease Liability 215329 Estimated Third-Party Payor Settlements 3197343 7038015 X 90720641 722309 1738930 2461239 88259402 833612 833612 89093014 86073530 7905 7905 86065625 0 86065625 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 1,738,930. Part XI, Line 4b - Other Adjustments: Foundation Contribution to Hospital that is Eliminated on Audited Financials 833,612. Part XII, Line 2d - Other Adjustments: Foundation Expense Reported on a Separate Form 990 7,905. 1 1 X 0 1 X 1 1 0 1 1 285000 285000 0.00330 285000 285000 0.00330 9 1683 122537 122537 0.00140 4 10627 427793 5000 422793 0.00490 18332734 15503638 2829096 0.03290 2 55 16250 16250 0.00020 15 12365 18899314 15508638 3390676 0.03940 15 12365 19184314 15508638 3675676 0.04270 2 839 32893 32893 0.00040 185 185 0.00000 2 839 33078 33078 0.00040 1 6720334 369619 24623692 24925437 -301745 X 1 1 1 1 Livingston Healthcare 320 Alpenglow Ln Livingston MT 59047 www.livingstonhealthcare.org 12556 X X X X 2 Rural Health Clinics Livingston Healthcare 0 0 1 X X X X X X X X X 22 1 0 1 1 X See Part V, Supplement Information X 1 22 1 See Part V, Supplement Information 0 1 X 0.000000000000 200.000000000000 X X X X 1 1 X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X 1 X 0 X X X X 1 X 0 1 Livingston Healthcare Part V, Section B, Line 5: During the latest Community Health Needs Assessment (CHNA), conducted in collaboration with the Park County Health Department, input from a diverse range of community partners was not just collected but actively integrated into the report using the CASPER system. CASPER, carried out through face-to-face interviews in the field during the summer of 2022, proved invaluable. Conducting interviews in person offered several advantages, including a high response rate and the opportunity to disseminate health information and resource lists directly to the community. Following the collection of surveys, a collaborative effort ensued, involving 22 stakeholders from the community. This group, which included representatives serving the most vulnerable populations, came together to provide crucial feedback on priority areas. This inclusive approach ensures that the insights of various stakeholders, including low-income residents and public health professionals, are woven into the fabric of our community health initiatives. Livingston Healthcare Part V, Section B, Line 6b: Park County, Park County Health Department, and Community Health Partners Livingston Healthcare Part V, Section B, Line 11: In response to findings from the 2022 Community Health Needs Assessment, the CHIP leadership team identified three priority areas, all of which they will address:1) Behavioral Health,2) Community Wellness: Children and Families, Housing and Income Inequality3) Access to CareWhile our current implementation plan may not explicitly target income inequality, at Livingston HealthCare, we are fully committed to mitigating its impact. We do this by providing competitive wages and comprehensive benefits to our team, recognizing our substantial role as one of Park County's major employers. Moving forward, Livingston HealthCare will persist in collaborating with community partners to address this intricate community challenge.Livingston HealthCare began a new Community Health Needs Assessment during the 2024 tax year and concurrently finalized its 2025-2028 Community Health Improvement Plan (CHIP) shortly after year end. While full implementation of the new CHIP spans multiple years and has not had time to start addressing the new needs that surfaced in that report, the facility continued to address priority needs identified in the prior CHNA during the current tax year.a. School-Based Health Services and Youth Engagement: Continued operation and expansion of the LHC@LPS School-Based Health Center, providing integrated behavioral and primary care services to students. Partnered with HOSA students to co-create and host a Youth Fall Health Fest, elevating youth voice while increasing awareness of mental health, preventive care, and healthy decision-making.b. Early Childhood and Family Supports: Expanded upstream investment in maternal and early childhood health through ongoing prenatal education offerings at Livingston HealthCare. Prenatal classes provided expectant parents with education on labor and delivery, breastfeeding, newborn care, safe sleep, and postpartum mental health, helping families enter parenthood with greater confidence and connection to local resources. These classes also created an early touchpoint between families and the hospital, strengthening continuity of care from pregnancy through infancy.In addition, Livingston HealthCare maintained active leadership within the Park County Early Childhood Coalition and continued collaboration with One Health and Park County Early Childhood Education, to address child care access and family support needs. c. Housing Stability and Care Coordination: Maintained active representation on the Park County Housing Coalition and convened internal leadership discussions to advance participation in the Coordinated Entry Program, strengthening referral pathways for patients experiencing housing instability. These efforts focused on improving system alignment rather than directly increasing housing supplyd. Chronic Disease Prevention and Population Health: Continued implementation of the Diabetes Prevention Program, a year-long evidence-based lifestyle change program focused on reducing risk of Type 2 diabetes. Expanded preventive screening efforts and used population health data tools to identify care gaps and advance health equity. Strengthened chronic disease management within the Rural Health Clinic.e. Suicide Prevention and Crisis Response: Advanced internal suicide prevention efforts by refining screening and safety planning workflows and strengthening coordination with Mobile Crisis Response. Participated in local Crisis Coalition meetings and SIMS mapping to improve cross-sector crisis handoffs. Maintained representation on the Park County Drop-In Center board to better align hospital-based and community-based behavioral health supports. Continued collaboration through LiveWell49 to elevate belonging and connection as protective factors for mental health.f. Community Investment and Workforce Development: Contributed over $15,000 to local nonprofits through the Give-A-Hoot campaign, supporting organizations addressing food security, housing, transportation, and peer support services. Partnered with the Community School Collaborative to provide healthcare career exploration experiences for approximately 300 middle school students, strengthening long-term local workforce pipelines.g. Early Childhood: Expanded collaboration with community partners to address the childcare crisis, including dedicating staff to the Park County Early Childhood Coalition and engaging with regional partners to explore a childcare cooperative model. Continued partnership with Community Health Partners, Park County Early Childhood Education, and Childcare Connections to support the unique needs of young children and their families.h. Access to Care and Referral Infrastructure: Expanded care coordination capacity in the Rural Health Clinic through the addition of two case managers to address barriers such as insurance enrollment, transportation, and follow-up care. Prepared for local implementation of the CONNECT bi-directional referral platform in partnership with DPHHS, with Livingston HealthCare anchoring early provider engagement and workflow planning. Continued collaboration with Windrider and other transportation partners to address access barriers for rural residents.These actions reflect Livingston HealthCare's ongoing commitment to addressing priority community health needs through prevention, early intervention, coordinated partnerships, and systems alignment, while remaining responsive to the evolving needs identified in the most recent CHNA. 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/ Schedule H, Part V, Section B, Line 7a and 10a: CHNA and Implementation Strategy:https://www.livingstonhealthcare.org/about-us/our-community/community-health-needs-assessment-implantation-p/ 2 1 - Livingston Healthcare Urgent Care 104 Centennial Dr 103 Livingston MT 59047 Urgent Care Clinic 2 - Livingston Healthcare Home CareHospice 320 Aplenglow Ln Livingston MT 59047 Home Care 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 6a: Community Benefit Report:https://www.livingstonhealthcare.org/about-us/our-community/community-benefit/ 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 II, Community Building Activities: Livingston HealthCare is a key player in community health through strategic initiatives and collaboration. Our critical access hospital takes a central role in county-level crisis care coordination by funding the crucial crisis care coordinator position. This effort directly impacts our most vulnerable populations. Additionally, our community health coordinator ensures alignment with partners to address pressing needs in Park County. Our community building activities include fitness classes and a complimentary diabetes prevention program, enhancing accessibility to preventative healthcare. Recognizing the early childhood crisis, we've partnered with organizations to address challenges faced by the youngest community members. Addressing housing challenges aligns with priorities identified in the recent community health needs assessments. 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 11% 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 of the individuals under the FPG would be eligible for charity care. In the fiscal year it was estimated that 5.5% 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 pages 13-14 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.Hospital services rendered on a fee schedule are not included in the Medicare calculations per the 990 instructions. Had this been reported the Hospital would have had a greater loss from Medicare services of $857,874.Medicare fee schedule revenue $915,663Medicare estimated costs of care relating to payments $1,773,537Net (shortage) $(857,874) 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 8,908 people in 2023. Livingston is located in southwestern Montana, on the Yellowstone River, north of Yellowstone National Park. The median income for a household in Livingston in 2023 was about $65,187. Part VI, Line 5: Livingston HealthCare's governing body is comprised of persons who reside in the organization's primary service area. The majority of the governing body 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. Part VI, Line 6: Livingston HealthCare is an affiliate of the Billings Clinic health system. Livingston HealthCare provides healthcare coverage to patients within its geographic area, while the Billings Clinic provides resources and expertise, as well as a higher level of care when appropriate. 1 Park County Community Foundation 414 E Callender Livingston MT 59047 205581763 501(c)(3) 28750 0 Give a Hoot donation campaign to Park Cty nonprofit org 1 0 Part I, Line 2: Any donation made by LHC is to another non-profit organization. The majority of LHC donations exceeding $5,000 are made through Park County Community Foundation, through their Give a Hoot annual campaign. All monies dispursed through Give a Hoot are given to other local non-profit organizations. 1 0 0 0 0 0 0 0 0 Benjamin Wilkinson ER Physician 429889 0 0 0 810 0 29250 0 35600 0 495549 0 0 0 Jennifer Rogers Stevane Surgeon 454618 0 0 0 738 0 13617 0 21741 0 490714 0 0 0 Krista Arnet ER Physician 437511 0 0 0 486 0 25236 0 14646 0 477879 0 0 0 Douglas Wadle MD Hospitalist 423284 0 0 0 1242 0 29250 0 22033 0 475809 0 0 0 Henry Pinango MD Director, Internal Medicine 424569 0 0 0 540 0 29162 0 14577 0 468848 0 0 0 Brian Guercio ER Physician 407865 0 0 0 810 0 12000 0 28442 0 449117 0 0 0 Diana Weber Chief Clinical Operations Officer 300156 0 0 0 35106 0 22608 0 3025 0 360895 0 0 0 Kris Kester CFO until 12.20.24 240236 0 13386 0 540 0 22126 0 14183 0 290471 0 0 0 Stacy Kohler Chief Nursing Officer 214480 0 11423 0 486 0 23156 0 28737 0 278282 0 0 0 Part I, Line 4a LHC paid Billings Clinic, an unrelated management company, $146,773 of severance pay for Deb Anczak, Former ,CEO, for calendar year 2024. Kyra Pinango Spouse of Board Member 335771 Employee Compensation 0 Form 990, Part VI, Section A, line 1a The Board shall have as a standing committee an Executive Committee. The Executive Committee shall consist of up to four members of the Board, which shall include the Chairperson, Vice Chairperson, Secretary, and Treasurer. 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. Form 990, Part VI, Section A, line 3 The CEO was paid by an unrelated management company, Billings Clinic. LHC paid Billings Clinic $347,307 for CEO services for Bruce Whitefield for the calendar year 2024. LHC paid Billings Clinic, an unrelated management company, $146,773 of severance pay for Deb Anczak, Former CEO, for calendar year 2024. Form 990, Part VI, Section A, line 7a Through an affiliations agreement Billings Clinic has the authority to approve up to 25% of the total number of 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. Executive compensation is reviewed by the board of directors, as well as an external third party. 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 VII, Physicians Serving on Board of Directors: Three board members are physicians that are paid by unrelated management companies for their phsyician services. They are not paid for their service on the Board of Directors, and thus, no compensation is reported on Part VII for the following indidviduals: Justin Roberts, MD, Claire Kennamore, MD, or Stefanie Lange, MD. Form 990, Part IX, line 11g Contracted Services: Program service expenses 5,324,198. Management and general expenses 2,786,949. Fundraising expenses 8,902. Total expenses 8,120,049. Licenses, Fees, and Taxes: Program service expenses 1,115,593. Management and general expenses 1,954. Fundraising expenses 35. Total expenses 1,117,582. Other Fees: Program service expenses 1,657,830. Management and general expenses 82,935. Fundraising expenses 0. Total expenses 1,740,765. Form 990, Part XI, line 9: Audit Adjustment to Net Assets 11,331. Audit Restatements 942,009. Livingston Healthcare Foundation 320 Alpenglow Ln Livingston MT 59047 810621997 To Support Livingston Healthcare Programs MT 501(c)(3) Line 7 Livingston Healthcare 1 Livingston Medical Properties LLC 320 Alpenglow Ln Livingston MT 59047 463202798 Land Rental MT Livingston Healthcare Excluded 550 641350 0 1 0.71940 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 Livingston Healthcare Foundation C 833612 Accrual Basis Livingston Medical Properties LLC B 640800 Schedule K-1