Velarion Records

Critical access hospital · Livingston, Montana · 25 beds · CMS certification number 271317

Livingston Healthcare

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 11, 2025. 25 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$85.3M
$85,304,984 · G-3 line 3
Operating expenses
$86.1M
$86,065,627 · G-3 line 4
Result from patient care
−$761K
−$760,643 · G-3 line 5
Margin on patient care
−0.9%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $4.6M in its first year on file (2001) to $85.3M in 2025.
  • Its result from patient care: −$5.2M (2023), −$2.3M (2024), −$761K (2025).
  • All 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 9.4% of its inpatient days and Medicare for 54.8%.

Every statement is drawn from figures on this page; nothing is estimated.

25 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
2001
settled
$4.6M
$4.5M
2002
settled with audit
$12.6M
$14.3M
2003
settled with audit
$14.6M
$15.1M
2004
settled with audit
$19.0M
$19.5M
2005
settled with audit
$21.9M
$22.0M
2006
settled with audit
$25.2M
$25.4M
2007
settled with audit
$27.8M
$28.0M
2008
reopened
$29.5M
$30.4M
2009
settled with audit
$31.7M
$31.9M
2010
settled
$29.0M
$30.9M
2011
settled with audit
$28.7M
$29.3M
2012
settled
$28.8M
$29.2M
2013
settled
$27.8M
$28.5M
2014
settled
$28.6M
$28.5M
2015
settled
$30.5M
$30.0M
2016
settled
$37.4M
$37.9M
2017
settled with audit
$44.7M
$41.7M
2018
settled
$45.7M
$46.9M
2019
settled with audit
$52.7M
$51.5M
2020
settled
$53.1M
$53.7M
2021
settled
$58.1M
$57.7M
2022
as submitted
$63.3M
$65.9M
2023
as submitted
$72.6M
$77.8M
2024
as submitted
$88.3M
$90.5M
2025
as submitted
$85.3M
$86.1M

Beside its peers

Critical access hospitals in Montana with 25 to 49 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Livingston Healthcare25$85,304,984$86,065,627−0.9%
Dahl Memorial Healthcare Association, Ekalaka25$9,153,602$10,383,914−13.4%
Fallon Medical Complex, Baker25$11,500,176$12,767,576−11.0%
Granite County Medical Center, Philipsburg25$6,577,167$8,151,294−23.9%
Benefis Missouri River Medical Center, Fort Benton25$11,111,107$12,197,805−9.8%
Roosevelt Medical Center, Culbertson29$9,135,083$9,921,731−8.6%

Patients and payers

Discharges
759
S-3 line 14, col 15
Inpatient days
3,526
S-3 line 14, col 8
Beds in use, on an average day
9.7
days ÷ days in year
Occupancy
38.6%
days ÷ bed days
Medicare share of days
54.8%
S-3 cols 6 ÷ 8
Medicaid share of days
9.4%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: ADMIN (0%), hospital.

Type of control on its cost report: voluntary nonprofit, other.

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by Livingston Healthcare (employer identification number 810378200) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$6,374,600IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$436,000IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$436,000IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$5,938,600IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.082IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202440669349300209. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by Livingston Healthcare (employer identification number 810378200) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
Abbie BandstraDirectorTrustee/director$0$0$0
Angela LindenInterim CEO from Sept thru FebOfficer$0$0$0
Benjamin WilkinsonER PhysicianHighest-compensated employee$380,383$0$55,663
Brian GuercioER PhysicianHighest-compensated employee$381,810$0$52,612
Bruce WhitfieldCEO starting March 2023Officer$0$0$0
Clair Kennamore MDDirectorTrustee/director$0$0$0
Deb AnczakCEO until Sept 2022Officer$0$0$0
Jeffry Lindenbaum MDTreasurerTrustee/director, Officer$0$0$0
Justin Roberts MDDirector, SurgeryTrustee/director$0$0$0
Kris KesterCFOOfficer$240,920$0$24,995
Kristen GalbraithVice ChairTrustee/director, Officer$0$0$0
Kyle Arnet MDER PhysicianHighest-compensated employee$412,762$0$47,185
Kyra Pinango MDDirector, Family MedicineTrustee/director$182,139$0$29,534
Lee KinseyDirectorTrustee/director$0$0$0
Liz LewisSecretaryTrustee/director, Officer$0$0$0
Michael McCormickChairTrustee/director, Officer$0$0$0
Mike ShaerDirectorTrustee/director$0$0$0
Raymond WrightER PhysicianHighest-compensated employee$367,606$0$54,863
Russ SmithDirectorTrustee/director$0$0$0
Stacy KohlerChief Nursing OfficerKey employee$185,504$0$46,296
Stefanie Lange MDDirectorTrustee/director$0$0$0
Vickie AxtellVP of HR/People until Sept 2022Highest-compensated employee$439,640$0$32,795

E-file object id 202440669349300209. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 271317. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read December 11, 2025.