Livingston HealthCare

Livingston HealthCare, located at 320 Alpenglow Lane in Livingston, MT, is your local, top-rated Critical Access Hospital and Level 4 Trauma Center serving the Park County area. Our experienced and compassionate medical professionals offer a wide range of services, including surgical procedures with both traditional and robotic-assisted methods, tailored to meet your unique needs. We are committed to providing superior, patient-centered care with a focus on respect, integrity, and excellence. With over 60 years of service to the community, Livingston HealthCare offers comprehensive health services supported by advanced technology. We also provide community benefit programs such as Athlete Wellness and Diabetes Education.

Identifiers

Hospital Name Livingston HealthCare
Facility ID 271317

Location

Address 320 ALPENGLOW LANE
City/Town Livingston
State MT
ZIP Code 59047
County/Parish PARK

Health System

Health System Billings Clinic
Health System Website Domain billingsclinic.com
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 14
Health System Total Beds 592
Health System Hospital Locations Montana and Wyoming

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Physician
Ownership Details Livingston HealthCare
Emergency Services Yes

No leaders were identified on Livingston HealthCare's website

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs Yes
Pediatric Residency Program No

Capacity & Services

Licensed Beds 25

Staffing & Personnel

FTE Employees on Payroll 298.79
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 1662
Inpatient Days (Title XIX) 656
Total Inpatient Days 3749
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 408
Discharges (Title XIX) 141
Total Discharges 898

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 1387
Inpatient Days (Title XIX; Adults & Peds) 557
Total Inpatient Days (Adults & Peds) 3025
Bed Count (Adults & Peds) 21
Available Bed Days (Adults & Peds) 7665
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 408
Discharges (Title XIX; Adults & Peds) 141
Total Discharges (Adults & Peds) 898

Quality Summary

Care Quality Stengths Average overall patient satisfaction. The hospital is average in every measured mortality rate Hospital has a low ER wait and treatment time of less than 2 hours
Care Quality Concerns

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 74%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients No Different Than National Average
Mortality Group – Death Rate for Heart Attack Patients
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients No Different Than National Average
Mortality Group – Pressure Ulcer Rate
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate
Mortality Group – Postoperative Respiratory Failure Rate
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate
Mortality Group – Postoperative Sepsis Rate
Mortality Group – Postoperative Wound Dehiscence Rate
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 114

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients 9.9
Readmission Score Hospital Return Days for Pneumonia Patients -7.3
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Not Available
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 9.9
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 4.9
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 1.4
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Not Available
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 19.9
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 21.7
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.7
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.9
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 15.9
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Average Days per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Not Available
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery No Different than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Number of Cases Too Small
Readmission Group Rate of Readmission for CABG Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement No Different Than the National Rate
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) NA
CAUTI SIR (Standardized Infection Ratio) NA
SSI SIR (Standardized Infection Ratio) NA
CDI SIR (Standardized Infection Ratio) NA
MRSA SIR (Standardized Infection Ratio) NA

Fiscal Period

Fiscal Year Begin Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $314
Bad Debt Expense $2,924
Uncompensated Care Cost $2,174
Total Uncompensated Care $3,966

Operating Expenses ($ thousands)

Total Salaries $30,462
Overhead Expenses (Non-Salary) $47,341
Depreciation Expense $3,390
Total Operating Costs $66,874

Charges ($ thousands)

Inpatient Charges $18,270
Outpatient Charges $84,741
Total Patient Charges $103,011

Wage-Related Details ($ thousands)

Core Wage Costs
Wage Costs (RHC/FQHC)
Adjusted Salaries
Contract Labor (Patient Care)
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $3,380
Short-Term Investments
Notes Receivable
Accounts Receivable $23,605
Allowance for Doubtful Accounts $-11,330
Inventory $1,822
Prepaid Expenses $671
Other Current Assets $-262
Total Current Assets $20,556

Balance Sheet – Fixed Assets ($ thousands)

Land Value $5,951
Land Improvements Value $1,541
Building Value $36,695
Leasehold Improvements
Fixed Equipment Value $12,564
Major Movable Equipment $11,805
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $42,227

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $30,907
Total Other Assets $30,907
Total Assets $93,691

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $2,684
Salaries & Wages Payable $4,245
Payroll Taxes Payable $972
Short-Term Debt $1,885
Deferred Revenue
Other Current Liabilities
Total Current Liabilities $9,787

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt $1,175
Long-Term Notes Payable $31,779
Unsecured Loans
Other Long-Term Liabilities $-90
Total Long-Term Liabilities $32,863
Total Liabilities $42,650

Balance Sheet – Equity ($ thousands)

General Fund Balance $51,041
Total Fund Balances $51,041
Total Liabilities & Equity $93,691

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)
DRG (Post-Oct 1)
Outlier Payments
DSH Adjustment
Eligible DSH %
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $22,140
Outpatient Revenue $91,097
Total Patient Revenue $113,237
Contractual Allowances & Discounts $40,601
Net Patient Revenue $72,636
Total Operating Expenses $77,804
Net Service Income $-5,168
Other Income $3,116
Total Income $-2,052
Other Expenses
Net Income $-2,052

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $8,860
Medicaid Charges $16,407
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Oracle Health Millennium
EHR Version Oracle Health Millennium (Not CommunityWorks)
EHR is Changing No

ERP Information

ERP Oracle
ERP Version Unknown
EHR is Changing No