Livingston HealthCare

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...LHC provided funding for Windrider Transit in the amount of $10,000 in FY 2022. Windrider provides a free, efficient fixed-route transportation system to citizens and disabled persons in Park County, Montana. Its operations have increased from Monday through Friday, to adding half-day Saturdays, and expanding the service by providing free rides for medical appointmentswithin Livingston city limits and to and from Bozeman, MT. All vehicles are ADA accessible and equipped with lifts. The Windrider bus makes eight stops each weekday at Livingston HealthCare and includes multiple daily stops at 19 other locations in Livingston, including to the public library and a local grocery store. In FY 2022, the Windrider bus added Friday and Saturday evening services during the tourist season, providing rides to and from hotels, grocery stores and Livingston's downtown area.In FY22 LHC provided an anticoagulation clinic services 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. FY2022 totalsNumber of patients: 161Number of visits total: 3,181Pharmacist time (approximately 20 minutes per visit): (3,181x20 min)/60 min= 1,060 hrs Charity staff wages = $67,655 Total charity for anticoagulation clinic FY22: $67,655