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Nonprofiteer
← LIVINGSTON HEALTHCARE

Form 990 for tax year 2023

Filed by LIVINGSTON HEALTHCARE.

Totals

Total revenue
$91,608,571
Total expenses
$90,540,980
Contributions and grants received
$373,954
Grants paid
$23,968
Program service revenue
$90,799,646
Investment income
$371,925
Other revenue
$63,046
Total assets, end of year
$90,391,456
Total liabilities, end of year
$41,918,602
Net assets or fund balances, end of year
$48,472,854
Program services expenses (Part IX)
$77,476,476
Management and general expenses
$12,813,219
Fundraising expenses
$251,285
Program service expenses (Part III)
$77,476,476

Program services were 85.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $297,259

  • 1e · Government grants (contributions)

    $63,703

  • 1f · All other contributions, gifts and grants

    $12,992

  • 2a · Program service revenue: Net Patient Service Revenue

    total $88,582,442 · related or exempt $88,582,442

  • 2b · Program service revenue: 340B Pharmacy Revenue

    total $1,159,898 · related or exempt $1,159,898

  • 2c · Program service revenue: Supporting Revenue

    total $1,057,306 · related or exempt $1,057,306

  • 3 · Investment income

    total $394,107 · excluded $394,107

  • 6a · Gross rents

    real property $63,046

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $63,046

  • 6d · Net rental income or loss

    total $63,046 · excluded $63,046

  • 7b · Less cost or other basis and sales expenses

    securities $22,182

  • 7c · Gain or loss

    securities -$22,182

  • 7d · Net gain or loss

    total -$22,182 · excluded -$22,182

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $23,968 · program services $23,968

  • 5 · Compensation of officers, directors and key employees

    total $849,043 · program services $266,189 · management and general $582,854

  • 6 · Compensation of disqualified persons

    total $400,281 · program services $400,281

  • 7 · Other salaries and wages

    total $33,439,900 · program services $27,927,287 · management and general $5,374,397 · fundraising $138,216

  • 8 · Pension plan contributions

    total $1,741,389 · program services $1,470,653 · management and general $263,469 · fundraising $7,267

  • 9 · Other employee benefits

    total $5,457,503 · program services $4,518,007 · management and general $917,519 · fundraising $21,977

  • 10 · Payroll taxes

    total $2,403,938 · program services $1,948,301 · management and general $446,237 · fundraising $9,400

  • 11a · Fees: management

    total $635,608 · management and general $635,608

  • 11b · Fees: legal

    total $199,954 · program services $55,828 · management and general $144,126

  • 11c · Fees: accounting

    total $118,317 · management and general $115,317 · fundraising $3,000

  • 11g · Fees: other

    total $11,980,270 · program services $10,076,059 · management and general $1,897,077 · fundraising $7,134

  • 12 · Advertising and promotion

    total $193,381 · program services $21,701 · management and general $144,112 · fundraising $27,568

  • 13 · Office expenses

    total $2,014,049 · program services $1,667,223 · management and general $338,964 · fundraising $7,862

  • 14 · Information technology

    total $1,260,101 · program services $239,861 · management and general $1,019,167 · fundraising $1,073

  • 16 · Occupancy

    total $914,724 · program services $656,701 · management and general $258,023

  • 17 · Travel

    total $221,797 · program services $188,878 · management and general $32,698 · fundraising $221

  • 19 · Conferences, conventions and meetings

    total $189,675 · program services $126,045 · management and general $62,946 · fundraising $684

  • 20 · Interest

    total $1,239,392 · program services $1,239,392

  • 22 · Depreciation, depletion and amortization

    total $3,846,962 · program services $3,846,962

  • 23 · Insurance

    total $879,148 · program services $495,310 · management and general $383,838

  • 24a · Other expenses: Medical Supplies

    total $20,396,297 · program services $20,390,311 · management and general $5,980 · fundraising $6

  • 24b · Other expenses: Repairs and Maintenance

    total $1,331,993 · program services $1,303,507 · management and general $28,486

  • 24c · Other expenses: Food

    total $445,797 · program services $444,696 · management and general $1,101

  • 24e · All other expenses

    total $357,493 · program services $169,316 · management and general $161,300 · fundraising $26,877

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,326,980 · end of year $2,862,904

  • 2 · Savings and temporary cash investments

    beginning of year $1,053,460 · end of year $47,126

  • 4 · Accounts receivable

    beginning of year $14,542,826 · end of year $17,500,518

  • 8 · Inventories for sale or use

    beginning of year $1,822,216 · end of year $1,724,514

  • 9 · Prepaid expenses and deferred charges

    beginning of year $670,976 · end of year $759,354

  • 10a · Land, buildings and equipment: cost or other basis

    $72,432,986

  • 10b · Land, buildings and equipment: accumulated depreciation

    $30,600,749

  • 10c · Land, buildings and equipment, net

    beginning of year $42,301,910 · end of year $41,832,237

  • 11 · Investments: publicly traded securities

    beginning of year $24,446,904 · end of year $22,254,500

  • 15 · Other assets

    beginning of year $2,233,442 · end of year $3,410,303

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,446,226 · end of year $5,990,822

  • 23 · Secured mortgages and notes payable

    beginning of year $34,213,451 · end of year $32,336,141

  • 25 · Other liabilities

    beginning of year $3,064,864 · end of year $3,591,639

  • 27 · Net assets without donor restrictions

    beginning of year $46,674,173 · end of year $48,472,854

Mission and programs · 2023

Mission

Excellence in patient-centered care.

Activities or mission (Part I)

A 25-bed critical access hospital, a multispecialty physician practice, rehabilitation services, and home-based services.

  • 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 is proud to support Windrider Transit, a vital service that enhances the well-being of our community. In the fiscal year 2024, we contributed $10,000 to sustain and expand this free, efficient fixed-route transportation system benefiting citizens and disabled individuals in Park County, Montana. This was a grant passed through the Park County Community Foundation to Windrider Transit.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.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 FY2024, the event served 250 individuals, incurring direct expenses of $14,084 and staff costs totaling $33,123, amounting to a total expenditure of $47,207. This financial commitment reflects our dedication to community benefit and underscores the importance of providing accessible health information and services to our residents.Suicide prevention emerged as an urgent community need this year, prompting Livingston HealthCare to make it a priority within our CHIP initiatives. In partnership with LiveWell49, we provided Suicide Prevention Training to over 100 individuals, including 50% of our clinical staff, 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

    Expenses $77,476,476 · Grants $23,968 · Revenue $90,799,646

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Michael McCormick

    Chair

    Total calculated
    $0
    Hours/week
    15

  • Lee Kinsey

    Vice Chair

    Total calculated
    $0
    Hours/week
    2

  • Liz Lewis

    Secretary

    Total calculated
    $0
    Hours/week
    2

  • Steve Caldwell

    Treasurer

    Total calculated
    $0
    Hours/week
    2

  • Kyra Pinango MD

    Director, Family Medicine

    Total calculated
    $227,004
    From this org
    $207,368
    From related orgs
    $0
    Other
    $19,636
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $206,882
    Bonus
    $0
    Other
    $486
    Deferred
    $3,577
    Nontaxable benefits
    $18,923
    Filer's total
    $229,868

  • Justin Roberts MD

    Director, Surgery

    Total calculated
    $0
    Hours/week
    2

  • Abbie Bandstra

    Director

    Total calculated
    $0
    Hours/week
    2

  • Clair Kenamore MD

    Director

    Total calculated
    $0
    Hours/week
    2

  • Stefanie Lange MD

    Director

    Total calculated
    $0
    Hours/week
    2

  • JJ Carmody

    Director

    Total calculated
    $0
    Hours/week
    2

  • Bruce Whitfield

    CEO

    Total calculated
    $0
    Hours/week
    40

  • Kris Kester

    CFO

    Total calculated
    $273,969
    From this org
    $255,274
    From related orgs
    $0
    Other
    $18,695
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $226,402
    Bonus
    $28,386
    Other
    $486
    Deferred
    $9,128
    Nontaxable benefits
    $12,452
    Filer's total
    $276,854

  • Stacy Kohler

    Chief Nursing Officer

    Total calculated
    $242,133
    From this org
    $209,664
    From related orgs
    $0
    Other
    $32,469
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $197,755
    Bonus
    $11,423
    Other
    $486
    Deferred
    $10,051
    Nontaxable benefits
    $25,183
    Filer's total
    $244,898

  • Kyle Arnet MD

    ER Physician

    Total calculated
    $485,866
    From this org
    $453,569
    From related orgs
    $0
    Other
    $32,297
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $453,326
    Bonus
    $0
    Other
    $243
    Deferred
    $16,500
    Nontaxable benefits
    $19,131
    Filer's total
    $489,200

  • Brian Guercio

    ER Physician

    Total calculated
    $438,180
    From this org
    $400,009
    From related orgs
    $0
    Other
    $38,171
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $399,604
    Bonus
    $0
    Other
    $405
    Deferred
    $16,500
    Nontaxable benefits
    $25,005
    Filer's total
    $441,514

  • Benjamin Wilkinson

    ER Physician

    Total calculated
    $479,895
    From this org
    $437,771
    From related orgs
    $0
    Other
    $42,124
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $437,501
    Bonus
    $0
    Other
    $270
    Deferred
    $15,295
    Nontaxable benefits
    $30,162
    Filer's total
    $483,228

  • Raymond Wright

    ER Physician

    Total calculated
    $431,080
    From this org
    $391,550
    From related orgs
    $0
    Other
    $39,530
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $390,929
    Bonus
    $0
    Other
    $621
    Deferred
    $16,500
    Nontaxable benefits
    $26,363
    Filer's total
    $434,413

  • Douglas Wadle MD

    Hospital Provider

    Total calculated
    $403,340
    From this org
    $371,051
    From related orgs
    $0
    Other
    $32,289
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $370,430
    Bonus
    $0
    Other
    $621
    Deferred
    $16,500
    Nontaxable benefits
    $19,122
    Filer's total
    $406,673

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 4a
LHC paid Billings Clinic, an unrelated management company, $275,679 of severance pay for Deb Anczak, Former CEO, for calendar year 2023.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
8 May 2025
IRS schema version
2023v6.0
Source object
202531339349307083

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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