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Nonprofiteer
← LIVINGSTON HEALTHCARE

Form 990 for tax year 2024

Filed by LIVINGSTON HEALTHCARE.

Totals

Total revenue
$89,093,014
Total expenses
$86,065,625
Contributions and grants received
$998,486
Grants paid
$35,992
Program service revenue
$87,956,790
Investment income
$81,241
Other revenue
$56,497
Total assets, end of year
$99,693,552
Total liabilities, end of year
$46,517,660
Net assets or fund balances, end of year
$53,175,892
Program services expenses (Part IX)
$70,754,429
Management and general expenses
$14,936,548
Fundraising expenses
$374,648
Program service expenses (Part III)
$70,754,429

Program services were 82.2% 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.

  • 1a · Federated campaigns

    $5,000

  • 1d · Related organizations

    $833,612

  • 1f · All other contributions, gifts and grants

    $159,874

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

    total $85,112,261 · related or exempt $85,112,261

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

    total $2,010,235 · related or exempt $2,010,235

  • 2c · Program service revenue: Supporting Revenue

    total $834,294 · related or exempt $834,294

  • 3 · Investment income

    total $454,071 · excluded $454,071

  • 6a · Gross rents

    real property $56,497

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $56,497

  • 6d · Net rental income or loss

    total $56,497 · excluded $56,497

  • 7a · Gross sales of assets other than inventory

    securities $5,702

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

    securities $0 · other assets $378,532

  • 7c · Gain or loss

    securities $5,702 · other assets -$378,532

  • 7d · Net gain or loss

    total -$372,830 · excluded -$372,830

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $35,992 · program services $35,992

  • 5 · Compensation of officers, directors and key employees

    total $1,367,516 · program services $409,872 · management and general $957,644

  • 6 · Compensation of disqualified persons

    total $335,771 · program services $335,771

  • 7 · Other salaries and wages

    total $36,384,800 · program services $30,581,653 · management and general $5,639,671 · fundraising $163,476

  • 8 · Pension plan contributions

    total $1,494,901 · program services $1,257,152 · management and general $231,019 · fundraising $6,730

  • 9 · Other employee benefits

    total $5,943,688 · program services $4,919,081 · management and general $998,743 · fundraising $25,864

  • 10 · Payroll taxes

    total $2,520,949 · program services $2,056,530 · management and general $452,366 · fundraising $12,053

  • 11a · Fees: management

    total $380,309 · management and general $380,309

  • 11b · Fees: legal

    total $451,593 · program services $32,171 · management and general $419,422

  • 11c · Fees: accounting

    total $360,282 · management and general $356,712 · fundraising $3,570

  • 11g · Fees: other

    total $10,978,396 · program services $8,097,621 · management and general $2,871,838 · fundraising $8,937

  • 12 · Advertising and promotion

    total $210,293 · program services $9,738 · management and general $147,078 · fundraising $53,477

  • 13 · Office expenses

    total $1,883,671 · program services $1,498,959 · management and general $376,777 · fundraising $7,935

  • 14 · Information technology

    total $1,382,431 · program services $205,459 · management and general $1,172,293 · fundraising $4,679

  • 16 · Occupancy

    total $951,194 · program services $644,303 · management and general $306,891

  • 17 · Travel

    total $207,529 · program services $188,630 · management and general $18,004 · fundraising $895

  • 19 · Conferences, conventions and meetings

    total $122,409 · program services $81,002 · management and general $31,718 · fundraising $9,689

  • 20 · Interest

    total $1,153,997 · program services $1,153,997

  • 22 · Depreciation, depletion and amortization

    total $3,601,657 · program services $3,601,657

  • 23 · Insurance

    total $930,745 · program services $506,454 · management and general $424,291

  • 24a · Other expenses: Medical Supplies

    total $13,119,683 · program services $13,113,586 · management and general $6,097

  • 24b · Other expenses: Repairs and Maintenance

    total $1,382,608 · program services $1,355,243 · management and general $27,365

  • 24c · Other expenses: Food

    total $500,700 · program services $498,988 · management and general $1,712

  • 24e · All other expenses

    total $364,511 · program services $170,570 · management and general $116,598 · fundraising $77,343

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,862,904 · end of year $8,845,915

  • 2 · Savings and temporary cash investments

    beginning of year $47,126 · end of year $6,102,416

  • 4 · Accounts receivable

    beginning of year $17,500,518 · end of year $19,211,523

  • 8 · Inventories for sale or use

    beginning of year $1,724,514 · end of year $3,317,165

  • 9 · Prepaid expenses and deferred charges

    beginning of year $759,354 · end of year $949,416

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

    $70,630,967

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

    $33,672,436

  • 10c · Land, buildings and equipment, net

    beginning of year $41,832,237 · end of year $36,958,531

  • 11 · Investments: publicly traded securities

    beginning of year $22,254,500 · end of year $23,336,262

  • 13 · Investments: program-related

    end of year $641,430

  • 15 · Other assets

    beginning of year $3,410,303 · end of year $330,894

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,990,822 · end of year $7,139,583

  • 19 · Deferred revenue

    end of year $1,962,780

  • 23 · Secured mortgages and notes payable

    beginning of year $32,336,141 · end of year $30,377,282

  • 25 · Other liabilities

    beginning of year $3,591,639 · end of year $7,038,015

  • 27 · Net assets without donor restrictions

    beginning of year $48,472,854 · end of year $53,175,892

Mission and programs · 2024

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'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.

    Expenses $70,754,429 · Grants $35,992 · Revenue $87,956,790

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Lee Kinsey

    Chair

    Total calculated
    $0
    Hours/week
    15

  • Steve Caldwell

    Vice Chair & Treasurer

    Total calculated
    $0
    Hours/week
    2

  • Liz Lewis

    Secretary as of 4.5.25

    Total calculated
    $0
    Hours/week
    2

  • Ruth Weismann - Secretary

    until 4.5.25/Director

    Total calculated
    $0
    Hours/week
    2

  • Mike Atkinson

    Director as of Oct 2024

    Total calculated
    $0
    Hours/week
    2

  • Abbie Bandstra

    Director until 2.28.25

    Total calculated
    $0
    Hours/week
    2

  • Justin Roberts MD

    Director

    Total calculated
    $0
    Hours/week
    2

  • Jennifer JJ Carmody

    Director

    Total calculated
    $0
    Hours/week
    2

  • Mitch Goplen

    Director

    Total calculated
    $0
    Hours/week
    2

  • Henry Pinango MD

    Director, Internal Medicine

    Total calculated
    $465,579
    From this org
    $425,109
    From related orgs
    $0
    Other
    $40,470
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $424,569
    Bonus
    $0
    Other
    $540
    Deferred
    $29,162
    Nontaxable benefits
    $14,577
    Filer's total
    $468,848

  • Stefanie Lange MD

    Director

    Total calculated
    $0
    Hours/week
    2

  • Bruce Whitfield

    CEO

    Total calculated
    $0
    Hours/week
    40

  • Jonathan Butler

    CFO as of March 2025

    Total calculated
    $0
    Hours/week
    40

  • Kris Kester

    CFO until 12.20.24

    Total calculated
    $287,331
    From this org
    $254,162
    From related orgs
    $0
    Other
    $33,169
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $240,236
    Bonus
    $13,386
    Other
    $540
    Deferred
    $22,126
    Nontaxable benefits
    $14,183
    Filer's total
    $290,471

  • Diana Weber

    Chief Clinical Operations Officer

    Total calculated
    $357,870
    From this org
    $335,262
    From related orgs
    $0
    Other
    $22,608
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $300,156
    Bonus
    $0
    Other
    $35,106
    Deferred
    $22,608
    Nontaxable benefits
    $3,025
    Filer's total
    $360,895

  • Stacy Kohler

    Chief Nursing Officer

    Total calculated
    $275,401
    From this org
    $226,389
    From related orgs
    $0
    Other
    $49,012
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $214,480
    Bonus
    $11,423
    Other
    $486
    Deferred
    $23,156
    Nontaxable benefits
    $28,737
    Filer's total
    $278,282

  • Jennifer Rogers Stevane

    Surgeon

    Total calculated
    $479,906
    From this org
    $455,356
    From related orgs
    $0
    Other
    $24,550
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $454,618
    Bonus
    $0
    Other
    $738
    Deferred
    $13,617
    Nontaxable benefits
    $21,741
    Filer's total
    $490,714

  • Krista Arnet

    ER Physician

    Total calculated
    $474,546
    From this org
    $437,997
    From related orgs
    $0
    Other
    $36,549
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $437,511
    Bonus
    $0
    Other
    $486
    Deferred
    $25,236
    Nontaxable benefits
    $14,646
    Filer's total
    $477,879

  • Benjamin Wilkinson

    ER Physician

    Total calculated
    $492,215
    From this org
    $430,699
    From related orgs
    $0
    Other
    $61,516
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $429,889
    Bonus
    $0
    Other
    $810
    Deferred
    $29,250
    Nontaxable benefits
    $35,600
    Filer's total
    $495,549

  • Brian Guercio

    ER Physician

    Total calculated
    $445,783
    From this org
    $408,675
    From related orgs
    $0
    Other
    $37,108
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $407,865
    Bonus
    $0
    Other
    $810
    Deferred
    $12,000
    Nontaxable benefits
    $28,442
    Filer's total
    $449,117

  • Douglas Wadle MD

    Hospitalist

    Total calculated
    $472,476
    From this org
    $424,526
    From related orgs
    $0
    Other
    $47,950
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $423,284
    Bonus
    $0
    Other
    $1,242
    Deferred
    $29,250
    Nontaxable benefits
    $22,033
    Filer's total
    $475,809

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, $146,773 of severance pay for Deb Anczak, Former ,CEO, for calendar year 2024.

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • Livingston Medical Properties LLC

    Excluded · Land Rental · MT · 71.94% owned · share of income $550 · share of assets $641,350 · general or managing partner

    Directly controlled by Livingston Healthcare

Provenance

Return type
form_990
Tax year
2024
Filed
7 May 2026
IRS schema version
2024v5.5
Source object
202601289349301940

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