Livingston HealthCare

What it reported doing in 2024

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 the

Financial Efficiency

• Mission deployment rate: 78.7%; rating input score 79
• Program expense ratio: 82.2%; rating input score 82
• Fundraising efficiency: $2.67 raised per $1 spent on fundraising; rating input score 9; 9th percentile among comparable filings

Transparency & Controls

• Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: 79.9%; rating input score 80; 17th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 90%; rating input score 90; 38th percentile among comparable filings
• Governance controls: 8 of 8 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: NotApplicable
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 3.4%; rating input score 49; 49th percentile among comparable filings
• Total-asset coverage ratio: 1.16; rating input score 44; 44th percentile among comparable filings
• Liabilities to assets ratio: 0.47; rating input score 39; 39th percentile among comparable filings
• Officer compensation ratio: 4.4%; rating input score 22; 22nd percentile among comparable filings

Growth

• Program expense growth: 9% per year; rating input score 100; 70th percentile among comparable filings
• Revenue growth: 7.6% per year; rating input score 100; 64th percentile among comparable filings
• Asset growth: 9.8% per year; rating input score 100; 69th percentile among comparable filings