Blueprint - Medfusion. Julianne E. Shawn D. Scott Paula J. Benjamin N. Anderson, PA-C Burwell, MD Coleman, ... Anita Goodwin Grassland Trust Lenny & Frances Gregrey Joseph Gross

for the Future of Local Healthcare

Annual Report for Fiscal Year 2007

July 1, 2006 – June 30, 2007

the heart of community care

Blueprint

Julianne E. Shawn D. Scott Paula J. Benjamin N.Anderson, PA-C Burwell, MD Coleman, MD Coleman, CPNP Flook, MD

Denise A. Dennis L. Peggy E. Genevieve K. Peggy C.Helin, MD Noteboom, MD O’Hara, MD Reid, MD Scanson, CNP

Ted R. Michelle L. Janie Kary Christopher J.Scofield, MD Donaldson, MD Darby, CNP Engle, PA-C Lee, MD

Douglas P. Stephen E. Mark Allan R.Wadle, MD Halvorson, MD Schulein, MD Supak, MD

LivingstonHealthCare Medical Providers

Not Pictured

LaurelDesnick, MD

and

HannahSexton, PAC

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Table of Contents

Message from CEO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2Message from Board of Directors . . . . . . . . . . . . . . . . . . . . . . . .3Financials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5Livingston HealthCare Foundation Donors . . . . . . . . . . . . . . .6 - 9Alliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10Quality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12Electronic Health Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14Facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18

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Blueprint for the Future

A Letter from the CEO


Phone: (406) 222-3541 / Fax: (406) 823-6499

504 South 13th Street, Livingston, MT 59047-3798

We are at a unique and historic time in our organization: we are creating the

blueprint forour future. For more than a year now, we have had the particular

pleasure of working on projects that will enrich and advance the quality of local

healthcare. This is both an extraordinary opportunity and an awesome

responsibility. The projects include:

Designing An Alliance. Understanding the power of partnership, we have been

carefully and conscientiously crafting a formal relationship with Billings Clinic for

more than a year now.

Planning A New Facility. This summer, we began the thoughtful planning stages

for building a much-needed new healthcare facility.

Implementing Electronic Health Records. We also designed and began using

electronic health records, a significant step in using healthcare technology to

improve the quality of patient care.

Emphasizing Quality. We implemented other quality measures too—like changing

the way we deliver nursing care to patients and adding new patient safety

initiatives.

Strengthening Service. All the while, we served our community. We served more

patients last year, provided $1.1 million dollars in patient financial assistance, and

reached more community members in wellness outreach activities than ever before.

This is truly an exceptional time for Livingston HealthCare and for the residents who

live here. We are designing our future and a future of local healthcare.

However, it is only because of your support that we are able to plan for a future this

bright. Thank you for your continued support and commitment to this organization.

Sincerely,

Samuel G. Pleshar

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Our Vision for Local HealthCare

A Letter from the Board of Directors


Phone: (406) 222-3541 / Fax: (406) 823-6499504 South 13th Street, Livingston, MT 59047-3798

We have a vision. The Livingston HealthCare Board of Directors believes in

high quality healthcare in our own community—for this generation—and for

those yet to come.

We have also realized that as a small, rural healthcare organization, we need

the strength and support of a larger, tertiary-care facility to ensure that we

can continue to provide quality healthcare in this community. There is a

critical need for a new healthcare facility and we need access to capital to

build it. Moreover, a partnership will provide a network of support in many

areas—management, specialty care, information technology, discounts on

services, etc.—that will enable us to meet the regular ongoing challenges of

being a rural healthcare provider.For two years, we have thoroughly discussed our vision—and this

opportunity—with Billings Clinic. As a sophisticated major medical center in

Montana, Billings Clinic provides comprehensive tertiary-level medical services

that complement the services of Livingston HealthCare. They have

demonstrated exemplary values in their national recognition for quality, a

dedication to regional healthcare through their outreach programs across

Montana and Wyoming, and a long-established financial strength.Our vision is to maintain the strengths of our organization and the community

we serve—and to enhance those with the support, stability, and reputation

for quality care of Billings Clinic. We take our responsibilities as your

representatives in maintaining strong community healthcare very seriously.

And we hope that you will be as excited and confident as we are about the

decisions we’ve made about the future of local healthcare.Sincerely,

Michelle Becker, PresidentLivingston HealthCare Board of Directors

FY 2007 Financials

$42,072,678 Income- $40,734,557 Expenses_______________________

$1,338,121Funds Available for Reinvestment in Programs,

Buildings & Equipment

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Income� Hospital Outpatient Services . . . . . . . . $20,619,353

� Hospital Inpatient Services. . . . . . . . . . $12,104,295

� Clinic Services . . . . . . . . . . . . . . . . . . . . $8,061,797

� Other Operating Revenue. . . . . . . . . . . . . $715,286

� Other Non-Operating Revenue. . . . . . . . . $571,947

Total . . . . . . . . . . . . . . . . . . . . . $42,072,678

1% 1%

19%29%

49%

Expenses� Saleries, Benifits & Professional Fees . . $16,641,208

� Unreimbursed Care . . . . . . . . . . . . . . . $12,800,396

� Supplies & Purchased Services . . . . . . . . $8,259,545

� Other Business Services . . . . . . . . . . . . . $1,988,293

� Insurance, Interest & Depreciation . . . . . $1,045,115

Total . . . . . . . . . . . . . . . . . . . . . $40,734,557

3% 5%

20%31%

41%

*Operating Margin - Operating income divided by net operating revenue.**Current Ratio - Measures liquidity by dividing current assets by current liabilities.

Hospital Outpatient Services . . . . . . . $20,619,353

Hospital Inpatient Services . . . . . . . . . $12,104,295

Clinic Services . . . . . . . . . . . . . . . . . . . $8,061,797

Other Operating Revenue* . . . . . . . . . . . $715,286

Other Non-Operating Revenue** . . . . . . $571,947

Total . . . . . . . . . . . . . . . . . $42,072,678

Salaries, Benefits & Professional Fees . $16,641,208

Unreimbursed Care . . . . . . . . . . . . . . $12,800,396

Supplies & Purchased Services . . . . . . . $8,259,545

Other Business Services*** . . . . . . . . . $1,988,293

Insurance, Interest & Depreciation . . . . $1,045,115

Total . . . . . . . . . . . . . . $40,734,557

Income

Expenses

Financials

Gross Patient Revenue $40,785,000 $36,388,909 $32,223,368

Net Operating Revenues $30,451,305 $27,714,734 $24,324,109

Net Income $1,338,121 $1,203,405 $904,194

Operating Income $766,174 $759,818 $511,266

Operating Margin* -1.75% 2.52% 2.74% 2.10%

Current Ratio** 2.40 2.24 2.15 1.74

IndustryComparison 2007 2006 2005

Key Financial Comparisons

*Other Operating Revenue includes sale of pharmaceuticals and medical supplies to employees, cafeteria meals,Pioneer Medical Center physician coverage and grants.

**Other Non-Operating Revenue includes gain/loss on sale of assets, gain/loss on investments, interest anddonations/contributions.

***Other Business Services includes repairs/maintenance, promotion, education/travel, rents and leases, utilities andrecruitment expenses.

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Following is a list of supporters who made contributions to the Livingston HealthCare Foundation from July 1,2006 through June 30, 2007. We have made every effort to ensure the accuracy of this list. However, if we havemade an error or omission, please accept our sincerest apology. Contact the Livingston HealthCare Foundation at823-6262 so that we may correct our records.

Rich & Shonna AdamsStanley & Roberta AdamsJill AlbertsAmerican Bank Special Functions CommitteeAmerican FoundationRose AmskPerry & Annie AndersonRichard & Marleen AndersonMargot AserlindRichard & Carol AtkinsonRosemary AtkinsonMarcia AverbookRichard & Mikelann BaergL. J. & Shelley BaileyRussell & Lorene BaileyMearl & Jeanie BakerAnthony BandstraBank of the RockiesMiller & Karen BarberHelen BarnhartGarland & Lois BartelsSheldon & Jan BateyMarie BeckerJames & Maryann BellJames & Iva BellachDiana BerlinNancy BetleyVicente & Pam BilbaoRobert & Rita BishopZoe BishopLaVonne BlakesleeLuella BluePatricia Blume & John MabieSally Ann BoeBud & Lorraine BohleenCalvin BohleenRobert & Vicki BordersCallie BossertHelen BoucherBowman TrustSusan BraggJohn & Kay BrennanR.B. & Diane BrewerSam & LuVerne BriggsEdward BroesamleAlice BrownBill BryceMarilyn BurdickJames & Beverly BurkeMary Ann BurnsThomas ButcherGenevieve CampbellHarry & Barbara CarlsonDoris CarrollEster CarterRichard & Donna CarusoRay & Pearl CastleEdwin ChamberlinDonald & Patricia Chaney

Larry & Virginia ChapelRobert & Phyllis ChingKirby ChristianClark ConsultingEloise ClarkJohn & Susan ClarkRobert & Annabel ClarkBarbara ColeyMargaret CollinsDuane & Kathryn ColmeyDebra CorhouseHelen CowlesGlen & Becki CrosbyJennifer CrostonKathleen CrostonFrances CroweHarry CurleyDavid Viers and Associates, Inc.Mary DavisDavid & Shirley DePuyGuilliaume DeVaultC. R. & Dorothy D'EwartDiamond K LodgeEarl & Betty DiehlDennis & Barbara DodgeDonald & Violet DollMike & Kittie DonahueElise DonohueSusie DrakeEunice EbertEducation MinnesotaDeanna EgelandAnn EggarPeggy EggarJ.M. & Lori EinhausJack & Nancy ElliottMarky EnglerEpicenter Therapy ServicesStanley & Susan ErvinNadene EvansJames & Bonnie EvansonSharon EversmanTom & Marie FellowsRay & Janie FievetFirst Interstate BankCindy FisherMichael & Betty FitzpatrickBob & Glenda FlemingFlying JBecky FondaClifford & Lunita FordPaul & Judith FordFrances L. Stafford FoundationFranzen Davis Funeral HomeAlbert FriesBob & Nancy FrisbeyDelores FrumJ. E. GaabWilliam & Sharon Garber

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Gary & Jackie GardnerJotana GardnerKathy GardnerDavid & Joann GibsonDonald GlassPeggy GlassGloria Pierce Living TrustAnita GoodwinGrassland TrustLenny & Frances GregreyJoseph GrossDoris & Shannon GuseDan & Kathryn GutebierW.J. & Anne GwaltneyBeverly HagermanBettilee HallinRebecca HamblinMollie HancockJim & Gloria HannonDuane & Nancy HansonDorothy HardinDouglas & Phyllis HardyDennis & Billie Kaye HarmsHarold McAlister Charitable FoundationJoel HarrisLois HarrisFrederick HartmanVikki HaverkornDenise Helin, M.D.Susan Hellesmark-ChildesDennis & Mary Ann HemannDean & Debbie HendricksonKathleen HenningsenCalvin & Lanora HenryCharles HenryHelen HensonHewson Development CorporationBrad & Nicki HicksEd & Donna HillmanMarian HjortsbergDon HoffmanRoy & Georgia HogensonHomestead Foundation, Inc.Robert & Shirley HoyemDuane & Joan HuieGail HullWilliam & Gail HutchinsonInternational Association of Machinists, Local #169International Capital PartnersDeborah IrishGerry IsbellEleanor JacobsJohn Printz TruckingDuane JohnsonGail JohnsonLoran JohnsonNels & Beverly JohnsonRichard JohnsonLyndon & Kathleen KacickDale & Diana KardashNell KardashChris KarellHarold KarnesKate T. Foster TrustMichael & Linda KatzenmeyerRandie KeepCharles KehrbergDorothy Kelsey

Jacob & June KieferRichard & Druska KinkieJeffrey KisthartLola KittelmanDorothy KnudsonMildred KnutsonAnne KrisnikDonald KudeErlene LaDukeDaniel & Gloria LannenLora LarsonMary Jane LarsonJohn & Judith LayneBeverly LecknerTed & Deborah LecknerBob & Judy LedbetterLee A. Freeman, Jr. Charitable TrustLarry LeesPauline LeffingwellRobert LeffingwellRoy LendeElaine LocatiElaine LoganJerry LoganJimbo LoganBeverly LoPortoC. W. & Norma LovelyJohn & Betsy LutherPaul & Geraldine LymanBrad MalloyAndy & Sandi MarloweHelga MaroneyMelanie MaroneyJohn & Marian MartinScott McCommonKen & Julie McDonaldScott McMillionCharles MenaghKenneth MichellPat & Peggy MikesellAshby MillerMary MinnehanMissionary Circle of United Methodist

Women, Grace United Methodist ChurchRonald MogenHarriet MolenaarR. E. MooreStephen & Lynn MooreDarci MorrisonE. Adeline MoultonMountain West Benefit SolutionsThomas & Sharron MunroChester & Betty MussetterAlvin & Dean NelsonEunice NelsonHenrietta NelsonMerry NelsonRoger & Mary NelsonAdena NewellShirley NewtonHoward NickelsonDuane & Sarah NollmeyerScott NorquistGerald & Gwendolyn NorskogJody OgataJerry & Virginia O'HairKevin & Lisa OlmstedPhillip & Connie Olsen

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Clifford OlsonMarilyn OlsonSonny & Donalene O'NeilOptioncareDonald OsenHelen OsenPan Pacific PlumbingPark County CattlewomenPat & Jean ParkerBobby ParksJoyce PayneJudy PeningerDale & Shirley PerinLillian PerryMarvel PerryRosalene PetersonWalter & Lorraine PetersonTheodore & Elizabeth PeytonMichael PhillipsSherry PikulPine Creek United Methodist WomenMax PolsakLeona PonkeHardy & Roberta PuglianoR.D. & Joan Dale Hubbard FoundationHarry & Kathryn RangRandy & Millie RayColleen RehmerEric RehmerJane ReuterwallEmil & Rosetta RicciJames RicciGeorge & Ann RieszDavid & Rose RiglerPaul & Kay RiglerLinda RobertsLyndon Roberts & Julia JardineTom RothLeon & Debbi RoyerJoanne RubieJeanne RudolphJohn & Maureen RugglesKenneth & Marjorie RugglesBill & Beverly RyanJean SandbergCarol SaxburyMichael SaxtonPeggy ScansonDennis SchulerRose Ann SchwartzerMargaret ScottDonald & Lana & SheenConnie ShelhamerKatheryn ShelleyShields Valley Hardware and Framing, Inc.John & Sharon ShinnConnie ShipmanHarold & Dale Jean ShorthillGeorgia SimkinsCarol SimsSisters of Charity

of LeavenworthMiriam SkertichSmall Jobs by StuAnn SmithClarke SmithMary SmithSolid Rock Foundation

Richard SpellmanWilliam SprungerSt. Joseph's Circle of

St. Mary's Catholic ChurchMary SteffenMac & Kathleen StevensHarold StewartRichard & Sheila StordalenMary Ann StraiskiBill & Mary StrongMartha StuhffDan SundlingRay & Marjorie SundlingSwandal, Douglass & Gilbert, PCJoe & Carolyn SwindlehurstJo SykesJerome & Merry TackeThais TanganJohn & Ginnie TateDana & Bettina TaylorJames TaylorJo TeccaBill TeccaThe Vogue ShopLinda ThomasThorburn Family TrustBill & Judy ThurlowEdward & Alyson TitcombCharles TobinEsther TulleyUnity of LivingstonHenry & Lorraine ValgamoreMaria Van MarterWarren & Jane VaughanSusan VentoBessie VerslandRonald Veto, M.D.Lyal & Marilyn ViersA. C. & Gwen WagnerMindy WalbergDiana WalkerGary & Margaret WaltonAuwelda WeirRobert & Marlys WerleDaniel WertzDon & Ellen WethingtonWhiting MotorsMardella WhitmoreMary WiensDon WilliamsSandy WilliamsWilson Family FoundationKendall & Annabelle WinfreyEdward & Helen WolfeEllen WoodCarol WoodleyAlta WoosleyMark & Sandy WulfIrene YagerPatricia YugovichMrs. Zabrochi

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“In union there is strength.”~ Aesop


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Designing an AllianceIn an increasingly competitive, cost-conscious, healthcare marketplace, rural hospitals aredisproportionately vulnerable to regulatory changes and competitive pressures, given theirsmall size, older facilities, and fewer strategic opportunities. Rural hospitals like LivingstonMemorial Hospital make an important contribution to their communities through healthcareservices, jobs, and significant economic impact. That’s why it is imperative to secure thefuture of rural hospitals by collaborating with larger organizations instead of gambling thatthey can survive on their own.

National Trends

• In 1999, fifty-six (56) percent of all rural hospitals were members of a network, analliance, or a health system—and this trend has continued to the present.

• Rural hospitals may make the decision to network or join a larger facility underdifferent situations. The most common reasons include:

- Long term survival of the hospital- To provide specialized care for patients- Access to capital- Access to information technology and technology expertise- Improving business efficiency, through volume discounts,

management consulting, access to staff training, etc.- Preservation or expansion of market share

• The role and structure of rural hospitals is changing, but they continue to beimportant local and regional centers of healthcare activity.

At Livingston HealthCare

• We have identified that we need the strength and support of a larger, tertiary-carefacility to ensure that we can continue to provide quality healthcare in thiscommunity.

• We have a critical need for a new healthcare facility, and Billings Clinic has agreed toprovide us with access to capital to build it.

• A relationship with Billings Clinic is important to providing a network of support inmany areas—management, specialty care, information technology, discounts onservices, etc.—that will help us meet the regular ongoing challenges we face as arural healthcare provider.

• Our goal is to maintain the strengths of our organization and the community weserve—and to enhance those with the support, stability, and reputation for qualitycare of Billings Clinic.

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“Quality is never an accident; it is alwaysthe result of high intention, sincere effort,

intelligent direction and skillful execution…”~ William A. Foster


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Emphasizing QualityThe American healthcare system offers millions of patients access to first-rate healthcare. Atthe same time, the system acknowledges deficiencies in quality. A collaboration of health-care organizations, payors, and legislators have set goals to improve the care provided bythis country’s hospitals and to provide quality information to consumers and others.

National Trends

• National organizations, including Medicare, are collaborating to make qualityinformation available to consumers so they can make better choices abouthealthcare.

• There are many national initiatives that are designed to reduce medical errors,infection rates, and promote improvements in patient outcomes.

• In addition, Medicare is promoting the public reporting of patients’ perspectives ofcare to incent hospitals to improve quality of care and increase the transparency ofhospital quality.


• Livingston Memorial Hospital was designated the first Community Trauma Hospitalin Montana. The designation demonstrates our commitment to maintain the humanand physical resources to optimize trauma patient care provided at our facility.

• Livingston HealthCare recently redesigned nursing care to a more patient-centeredcare approach. The RN works with and directs a team of caregivers to meet eachpatient’s needs.

• As part of IHI’s Five Million Lives Campaign, Livingston Memorial Hospital is focusedon preventing pressure ulcers and harm from high alert medications.

• To enhance patient safety, Livingston Memorial Hospital implemented programs toreduce the likelihood of patient falls and improve patient identification standards.

• Livingston HealthCare encourages patients to provide feedback on their care andservice through patient satisfaction surveys.

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“Properly designed and implemented,information technologies can provide

an essential infrastructure fortransforming health care.”

~ Harvey V. Fineberg, M.D., Ph.D.

electronic health record


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Implementing Electronic Health RecordsThe electronic health record (EHR) is a comprehensive patient chart in digital format. TheEHR makes patient records instantly available whenever and wherever they are needed. Italso ensures that those records are always up to date, helps avoid costly duplicate tests andunnecessary hospitalizations, provides medical professionals with the best and latesttreatment options, virtually eliminates medical errors, controls costs, (perhaps saving asmuch as $300 billion per year nationwide), and protects patient privacy.

National Trends

• In 2004, President George W. Bush called for “most Americans to have an electronichealth record within the next 10 years.”

• The federal government is working to reduce overall healthcare costs by as much as10%, largely through the use of technology.

• According to the Walsh Center for Rural Health Analysis, a 2006 study showed thatapproximately half of all rural hospitals have implemented at least some EHRfunctionality and over 80% plan to add or expand EHR in the near future.


• Livingston HealthCare began implementation of a comprehensive electronic healthrecord system in 2007.

• Although this is an expensive technology solution, Livingston HealthCare is workingwith Billings Clinic to purchase and implement a very sophisticated solutionaffordably.

• Several components are already online, and the system will be fully in use for patientcharts, visit documentation, order entry, online patient services, and much more byearly 2009.

.• The Livingston HealthCare staff is using the electronic health record to focus on

patient care improvements in three selected areas of focus:- Patient Safety (decreasing errors and improving turnaround in providing care

to patients)- Patient Process (decreasing the time it takes to access information and respond

to patient requests or process orders and referrals)- Billing and Collections (the ability to transmit more accurate information in a

timely fashion will enable the billing staff to process patients’ insurance claimsmore quickly, with fewer denials or other problems)

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"First we shape our buildings;thereafter, they shape us.”

~ Winston Churchill


Planning a New FacilityThe current Livingston Memorial Hospital has served Park County residents for over 50years. In that time, healthcare has changed dramatically. To continue to offer high qualityhealthcare, Livingston HealthCare must build a new facility that can provide modernmedical care and serve the needs of the community today and well into the future.

National Trends

• The role of the hospital is in transformation. Several aspects, which impact changesin hospital architecture, are:- Technology- Increased emphasis on ambulatory care- Higher patient expectations- Patient and family privacy needs- Increasingly complex payor system (which requires more administrative support)

• Healthcare facilities are designed not only to support and facilitate state-of-the-artmedicine and technology, patient safety, and quality patient care, but also toembrace the patient, family, and caregivers in a supportive, therapeuticenvironment.

• The design of the healthcare environment can have a therapeutic effect on patients.A whole range of environmental factors—including lighting, color, aroma, views, art,scale, proportion, sound, texture, and materials—may lead to faster patientrecoveries, reduced pain, fewer cases of infection, and greater patient satisfaction.


• In building a new facility, our goal is to create a healing healthcare environment thatsupports quality healthcare for the treatment of the patients of Park County.

• Initial concepts for the new facility include a critical access hospital, medical officespace, ancillary services, and necessary equipment and furnishings.

• The scope and level of healthcare services will be substantially the same as the scopeand level of services provided by Livingston HealthCare now.

• Other facility details:- 115,600 square feet or a 56% increase in overall size- 87.7% percent of the square footage increase is in patient care areas- Number of locations of operation will decrease from 18 to 2- Emergency department will increase in size by 278%- 100% private patient rooms- Operating rooms will nearly double in size to meet current national standards- Public parking will expand from 23 spaces to 210- Project cost estimated at $37.5M

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"It's easy to make a buck. It's alot tougher to make a difference.

~ Tom Brokaw


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Strengthening ServiceLivingston HealthCare serves and strengthens the Park County region as a healthcareprovider, as the county’s largest employer, and as a community citizen. Beyond the health-care services we provide, we offer community benefit comprised of services and programsthat promote health, healing, and overall well-being. This includes patient financialassistance, community outreach, healthcare education, and free and low-cost healthcareprograms.


Athlete Wellness Program

• The Athlete Wellness Program provides free visits to a physical therapist and/ororthopedic surgeon to take action on injuries sustained in a school sports practice orevent. In FY 2007 Livingston HealthCare provided $5,356 in free healthcare to 78Park County school athletes.

Fall Health Festival

• The Fall Health Festival is an annual event that provides health screenings and healthinformation for the entire family. In October 2006, Livingston HealthCare hosted thisevent for $13,179 and provided important health measures and information formore than 700 area community members. Screens include blood pressure checks,balance screenings, body fat assessments, oxygen saturation checks, and bonedensity screenings.

Health Screens

• Health Screens are a blood profile test that checks for diabetes, measuresthyroid, kidney, and liver function, cholesterol, and more. Livingston HealthCareprovided more than 857 of these wellness checkups in Livingston, Clyde Park andGardiner in FY 2007.

Patient Financial Assistance

• Livingston HealthCare offers patient financial assistance because we realize thathealthcare expenses can be unexpected and overwhelming. Patient financialassistance is available for patients who are residents of Park, Meagher, and SweetGrass counties and who may need options in covering their healthcare expenses. InFY 2007, Livingston HealthCare provided $1.1 million in financial assistance foreligible patients who qualified for help in covering their healthcare expenses.

Ready Set Grow!

• Ready Set Grow! is an event for three to five year old children designed to ensurethat they are ready for learning and life. Free checkups included a mini-physical,check-ups for physical development and speech and language development, visionand hearing screens, and a learning readiness check. Screenings at the 2007 eventprovided $5,250 in free checkups for 26 children.

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School Sports Physicals

• Each summer, Livingston HealthCare offers free school sports physical to all ParkCounty student athletes. In FY 2007, we provided $6,785 in free school sportsphysicals to 401 Park County Students.

Health Education

• Livingston HealthCare offers health education for healthcare providers and for thecommunity. In FY 2007, Livingston HealthCare:

- hosted five University of Washington Internal Medicine residents ($1,882)- sponsored three Park County School-to-Work students- trained 21 local babysitters in the Safesitter program for $1,430

• In addition, Livingston HealthCare offers certification courses to our employees andother clinical professionals in the southwest Montana region.

Patient Financial Assistance (cost of care) $757,858

Education for Health Professionals $2,687

Education, Wellness & Special Events for the Community $32,000

Other Services (guest meals, taxi service, etc.) $650

Financial & In-kind Contributions $20,000

Support Mental Health Crisis Response Team ($15,000)

Support Community Health Partners Pharmacy Program ($5,000)

Total Quantifiable Community Benefit $813,195

FY 2007 Quantifiable Community Benefit Report

LivingstonHealthCare Board of Directors

Michelle Becker, President

Annamarie DeYoung, Vice President

Billie Kaye Harms, Secretary

Larry Blakely, Treasurer

Stanley Cornell

Bernice Dennis

Michelle Donaldson, MD

Bernie Gerfen

Joe Swindlehurst

Dana Taylor

Douglas Wadle, MD

LivingstonHealthCare Leadership Team

Samuel Pleshar, CEO

Marsha Vanderhoff, Patient Services Director

Nancy Massman, Clinic Services Director

Bill Vanderhoff, Finance Director

Connie Dunn, Human Resources Director

Sandi Marlowe, Community Development Director

Leadership

Hospital admissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,226

Average daily census . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10.65

ER visits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,093

Surgeries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 870

Newborn deliveries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151

Radiology services provided . . . . . . . . . . . . . . . . . . . . . . . . . . . 14,955

Laboratory services provided . . . . . . . . . . . . . . . . . . . . . . . . . . 79,288

Park Clinic visits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39,075

Home Care visits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,507

Hospice Care visits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,467

Rehabilitation Services visits . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,589

Sleep Center studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185

Cardiac Rehabilitation patients . . . . . . . . . . . . . . . . . . . . . . . . . . . 400

Livingston HealthCare employees . . . . . . . . . . . . . . . . . . . . . . . . . 330

Meals prepared . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56,128

Pounds of laundry cleaned . . . . . . . . . . . . . . . . . . . . . . . . . . 178,405

For every three full-time positions employed at Livingston HealthCare, oneadditional job is supported within the community. In FY 2007, this means thatanother 89 positions in Park County were supported by Livingston HealthCare.

For every $4 in wages paid to Livingston HealthCare employees, another dollar ofwages is generated outside of Livingston HealthCare. Livingston HealthCare’s payrollin FY 2007 was $13,223,326 which means that an additional $3,305,831 in Parkcounty wages was supported by this organization.

Serving Our Community

Livingston HealthCare504 South 13th StreetLivingston, Montana 59047Phone: (406) 823-3541Fax: (406) 823-6499


Documents

Blueprint - Medfusion. Julianne E. Shawn D. Scott Paula J. Benjamin N. Anderson, PA-C Burwell, MD Coleman, ... Anita Goodwin Grassland Trust Lenny & Frances Gregrey Joseph Gross