Civic Intelligence

Livingston Healthcare

EIN 81-0378200 • 501(c)3 • Livingston, MT

Profile

Excellence in patient-centered care.

320 Alpenglow LnLivingston, MT 59047

www.livingstonhealthcare.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

69th percentile

0.46x

Higher debt load relative to assets than 69% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

58th percentile

0.46x

Higher debt load relative to revenue than 58% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

38th percentile

1.2%

Higher net margin than 38% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

67th percentile

$485,866

Higher top officer pay than 67% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

31st percentile

1.1%

Faster asset growth than 31% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

69th percentile

18%

Faster revenue growth than 69% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Up

$90,391,456

Up $992,742 (+1.1%) from 2023

Liabilities

Down

$41,918,602

Down $805,939 (-1.9%) from 2023

Net Assets

Up

$48,472,854

Up $1,798,681 (+3.9%) from 2023

Revenue

Up

$91,608,571

Up $14,245,527 (+18%) from 2023

Expenses

Up

$90,540,980

Up $12,737,136 (+16%) from 2023

Net Income

Up

$1,067,591

Up $1,508,391 (+342%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$100M$50M$0Assets 2010: $16,566,578Liabilities 2010: $6,579,333Net Assets 2010: $9,987,2452010Assets 2011: $15,734,942Liabilities 2011: $5,511,501Net Assets 2011: $10,223,4412011Assets 2012: $16,646,207Liabilities 2012: $5,551,958Net Assets 2012: $11,094,2492012Assets 2013: $19,055,446Liabilities 2013: $6,479,312Net Assets 2013: $12,576,1342013Assets 2014: $53,412,285Liabilities 2014: $38,990,493Net Assets 2014: $14,421,7922014Assets 2015: $56,545,956Liabilities 2015: $39,383,985Net Assets 2015: $17,161,9712015Assets 2016: $61,459,701Liabilities 2016: $40,282,359Net Assets 2016: $21,177,3422016Assets 2017: $66,258,800Liabilities 2017: $38,334,935Net Assets 2017: $27,923,8652017Assets 2018: $69,173,547Liabilities 2018: $39,460,871Net Assets 2018: $29,712,6762018Assets 2019: $72,583,735Liabilities 2019: $39,085,239Net Assets 2019: $33,498,4962019Assets 2020: $99,491,073Liabilities 2020: $64,162,588Net Assets 2020: $35,328,4852020Assets 2021: $92,375,466Liabilities 2021: $46,859,975Net Assets 2021: $45,515,4912021Assets 2022: $90,264,553Liabilities 2022: $43,219,384Net Assets 2022: $47,045,1692022Assets 2023: $89,398,714Liabilities 2023: $42,724,541Net Assets 2023: $46,674,1732023Assets 2024: $90,391,456Liabilities 2024: $41,918,602Net Assets 2024: $48,472,8542024

Highlighted filing

2024

Assets$90,391,456
Liabilities$41,918,602
Net Assets$48,472,854

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$100M$50M$0-$50MExpenses 2010: $34,169,6882010Expenses 2011: $32,650,3162011Expenses 2012: $31,980,1822012Expenses 2013: $31,298,1702013Revenue 2014: $33,058,103Expenses 2014: $31,278,929Net Income 2014: $1,779,1742014Revenue 2015: $35,843,202Expenses 2015: $33,042,659Net Income 2015: $2,800,5432015Revenue 2016: $45,023,262Expenses 2016: $40,995,244Net Income 2016: $4,028,0182016Revenue 2017: $52,184,141Expenses 2017: $44,369,058Net Income 2017: $7,815,0832017Revenue 2018: $53,145,457Expenses 2018: $51,223,123Net Income 2018: $1,922,3342018Revenue 2019: $58,437,851Expenses 2019: $54,811,806Net Income 2019: $3,626,0452019Revenue 2020: $57,886,186Expenses 2020: $56,502,908Net Income 2020: $1,383,2782020Revenue 2021: $68,189,811Expenses 2021: $57,661,981Net Income 2021: $10,527,8302021Revenue 2022: $69,187,538Expenses 2022: $65,885,001Net Income 2022: $3,302,5372022Revenue 2023: $77,363,044Expenses 2023: $77,803,844Net Income 2023: -$440,8002023Revenue 2024: $91,608,571Expenses 2024: $90,540,980Net Income 2024: $1,067,5912024

Highlighted filing

2024

Revenue$91,608,571
Expenses$90,540,980
Net Income$1,067,591

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$90.4$41.9$48.5$91.6$90.5$1.07
2023Detailed filing. Detailed filing data is available for this year.$89.4$42.7$46.7$77.4$77.8$0.44
2022Detailed filing. Detailed filing data is available for this year.$90.3$43.2$47.0$69.2$65.9$3.30
2021Detailed filing. Detailed filing data is available for this year.$92.4$46.9$45.5$68.2$57.7$10.5
2020Detailed filing. Detailed filing data is available for this year.$99.5$64.2$35.3$57.9$56.5$1.38
2019Detailed filing. Detailed filing data is available for this year.$72.6$39.1$33.5$58.4$54.8$3.63
2018Detailed filing. Detailed filing data is available for this year.$69.2$39.5$29.7$53.1$51.2$1.92
2017Detailed filing. Detailed filing data is available for this year.$66.3$38.3$27.9$52.2$44.4$7.82
2016Detailed filing. Detailed filing data is available for this year.$61.5$40.3$21.2$45.0$41.0$4.03
2015Detailed filing. Detailed filing data is available for this year.$56.5$39.4$17.2$35.8$33.0$2.80
2014Detailed filing. Detailed filing data is available for this year.$53.4$39.0$14.4$33.1$31.3$1.78
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.1$6.48$12.6$31.3
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$16.6$5.55$11.1$32.0
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.7$5.51$10.2$32.7
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$16.6$6.58$9.99$34.2
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 8, 2025
Return Version
2023v6.0
Gross Receipts
$91,630,753
Mission and Program Overview

Mission

Serving through quality healthcare.

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$42,301,910$41,832,237▼ $469,673
Investments in Publicly Traded Securities$24,446,904$22,254,500▼ $2,192,404
Accounts Receivable$14,542,826$17,500,518▲ $2,957,692
Cash and Non-Interest-Bearing Accounts$2,326,980$2,862,904▲ $535,924
Inventories for Sale or Use$1,822,216$1,724,514▼ $97,702
Prepaid Expenses and Deferred Charges$670,976$759,354▲ $88,378
Savings and Temporary Cash Investments$1,053,460$47,126▼ $1,006,334
Total Assets$89,398,714$90,391,456▲ $992,742
Other Assets Total$2,233,442$3,410,303▲ $1,176,861
Liabilities
Mortgage Notes Payable Secured by Investment Property$34,213,451$32,336,141▼ $1,877,310
Accounts Payable and Accrued Expenses$5,446,226$5,990,822▲ $544,596
Other Liabilities$3,064,864$3,591,639▲ $526,775
Total Liabilities$42,724,541$41,918,602▼ $805,939
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$46,674,173$48,472,854▲ $1,798,681
Total Net Assets Fund Balance$46,674,173$48,472,854▲ $1,798,681
Total Liabilities and Net Assets / Fund Balance$89,398,714$90,391,456▲ $992,742

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$23,710,705$12,990,045$36,700,750
Equipment$9,586,445$16,384,464$25,970,909
Land$5,951,320-$5,951,320
Other Land Buildings$2,583,767$1,226,240$3,810,007

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$5,051,438$55,277▲ $849,704-$5,956,419
2022$4,631,565$35,258▲ $384,615-$5,051,438
2021$5,150,614$3,750▼ $522,799-$4,631,565
2020$3,021,307$1,357,828▲ $771,479-$5,150,614
2019$2,480,033$570,837▲ $154,145$183,708$3,021,307
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Kyle Arnet MDER PhysicianFT$453,326$35,874$489,200
Benjamin WilkinsonER PhysicianFT$437,501$45,727$483,228
Brian GuercioER PhysicianFT$399,604$41,910$441,514
Raymond WrightER PhysicianFT$390,929$43,484$434,413
Douglas Wadle MDHospital ProviderFT$370,430$36,243$406,673
Kris KesterCFOFT$226,402$50,452$276,854
Stacy KohlerChief Nursing OfficerFT$197,755$47,143$244,898
Kyra Pinango MDDirector, Family MedicineFT$206,882$22,986$229,868

Board Members and Trustees

NameTitle
Michael McCormickChair
Lee KinseyVice Chair
Abbie BandstraDirector
Clair Kenamore MDDirector
JJ CarmodyDirector
Stefanie Lange MDDirector
Justin Roberts MDDirector, Surgery
Bruce WhitfieldCEO
Liz LewisSecretary
Steve CaldwellTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Billings ClinicIS & Administration FeesPO Box 30977, Billings, MT 59107-0977$2,721,237
Billings Clinic TeleradiologyTelerad ServicesPO Box 30977, Billings, MT 59107-0977$699,087
Aya HealthcareStaffing ServicesPO Box 674907, Dallas, TX 75267-4907$578,731
SoliantStaffing ServicesPO Box 934411, Atlanta, GA 31193-4411$488,852
Travel NurseStaffing ServicesPO Box 660919, Dallas, TX 75266-0919$362,580
Revenue and Support

Revenue Composition

Contributions and Grants
$373,954
Program Service Revenue
$90,799,646
Investment Income
$371,925
Other Revenue
$63,046
All Other Contributions
$12,992
Change in Net Assets
$1,067,591

Audited Revenue Reconciliation

Revenue per Audited Statements
$91,311,312
Revenue Not Reported on Financial Statements
$297,259
Revenue Not Reported on Form 990
$1,857,970
Other Revenue Adjustments
$297,259
Total Revenue per Audited Statements
$93,169,282
Total Revenue per Form 990
$91,608,571
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$46,224,958
Salaries, Compensation, and Employee Benefits$44,292,054
Total Fundraising Expense$251,285
Grants and Similar Amounts Paid$23,968
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$27,927,287$5,374,397$138,216$33,439,900
Fees for Services Other$10,076,059$1,897,077$7,134$11,980,270
Other Employee Benefits$4,518,007$917,519$21,977$5,457,503
Depreciation Depletion$3,846,962--$3,846,962
Payroll Taxes$1,948,301$446,237$9,400$2,403,938
Office Expenses$1,667,223$338,964$7,862$2,014,049
Pension Plan Contributions$1,470,653$263,469$7,267$1,741,389
Information Technology$239,861$1,019,167$1,073$1,260,101
Interest$1,239,392--$1,239,392
Occupancy$656,701$258,023-$914,724
Insurance$495,310$383,838-$879,148
Current Officers, Directors, Trustees, and Key Employees$266,189$582,854-$849,043
Fees for Services Management-$635,608-$635,608
Other Expenses$444,696$1,101$6$445,797
Comp Disqual Persons$400,281--$400,281
All Other Expenses$169,316$161,300$26,877$357,493
Travel$188,878$32,698$221$221,797
Fees for Services Legal$55,828$144,126-$199,954
Advertising$21,701$144,112$27,568$193,381
Conferences and Meetings$126,045$62,946$684$189,675
Fees for Services Accounting-$115,317$3,000$118,317
Grants to Domestic Orgs$23,968--$23,968
Total Functional Expenses$77,476,476$12,813,219$251,285$90,540,980

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$90,545,502
Expenses per Audited Statements$90,540,980
Total Expenses per Form 990$90,540,980
Expenses Not Reported on Form 990$4,522
Expenses Not Reported on Financial Statements$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Park County Community FoundationLivingston, MT501(c)(3)Give a Hoot donation campaign to Park Cty nonprofit org$17,250
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Henry PinangoSpouse of Board MemberEmployee CompensationNo$400,281
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Compensation Liability$3,212,300
Operating Lease Liability$333,339
Professional Liability Claims$46,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

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 $251,004 for CEO services for Bruce Whitefield for the calendar year 2023. LHC paid Billings Clinic, an unrelated management company, $275,679 of severance pay for Deb Anczak, Former CEO, for calendar year 2023.

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:

Four 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.

Filing and Contact Details

Filer

Filer Name
Livingston Healthcare
EIN
81-0378200
Phone
4062223541
Address
320 Alpenglow Ln, Livingston, MT 59047

Signing Officer

Name
Bruce Whitfield
Title
CEO
Phone
4062223541
Signed
2025-05-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Bruce Whitfield
Formed
1955
Legal Domicile
Mt
Voting Board Members
10
Independent Board Members
9
Employees
549
Volunteers
22

Preparer

Firm
Eide Bailly LLP
Address
4585 Coleman St Ste 200, Bismarck, ND 58503
Preparer
Lisa Chaffee CPA
Phone
7012551091
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Contracted Services: Program service expenses 7,440,840. Management and general expenses 1,777,043. Fundraising expenses 7,134. Total expenses 9,225,017. Licenses, Fees, and Taxes: Program service expenses 1,102,069. Management and general expenses 796. Fundraising expenses 0. Total expenses 1,102,865. Other Fees: Program service expenses 1,533,150. Management and general expenses 119,238. Fundraising expenses 0. Total expenses 1,652,388.

Form 990, Part XI, line 9:

Audit Adjustment to Net Assets -30,397.

Financial Statement Notes

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 1,096,483.

Part XI, Line 4B - Other Adjustments:

Foundation Contribution to Hospital that is Eliminated on Audited Financials 297,259.

Part XII, Line 2D - Other Adjustments:

Foundation Expense Reported on a Separate Form 990 4,522.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0Livingston 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
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