MONUMENT HEALTH NETWORK INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- MONUMENT HEALTH NETWORK INC (EIN 46-0360899)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-14
- IRS object ID
- 202411359349303011
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-14T10:39:22-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554027033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460360899 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Monument Health Network Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MONU | BusinessNameControlTxt |
| Phone | 6057559130 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 6000 | AddressLine1Txt |
| City | Rapid City | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 577096000 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Austin Willuweit | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6057559130 | PhoneNum |
| Signature | 2024-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Austin | PersonFirstNm |
| Person Last | Willuweit | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2024-05-07 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Paulette Davidson | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 6000 | AddressLine1Txt |
| City | Rapid City | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 577096000 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $210,673,369 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://monument.health/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | SD | LegalDomicileStateCd |
| Activity Or Mission | Monument Health Network is dedicated to improving the health of individuals and our communities. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 1287 | TotalEmployeeCnt |
| Total Volunteers | 62 | TotalVolunteersCnt |
| Total Gross UBI | $77,324 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,150,397 | PYContributionsGrantsAmt |
| CY Contributions Grants | $701,010 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $202,801,568 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $209,936,272 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$783,537 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,539 | CYInvestmentIncomeAmt |
| PY Other Revenue | $23,618 | PYOtherRevenueAmt |
| CY Other Revenue | $24,163 | CYOtherRevenueAmt |
| PY Total Revenue | $208,192,046 | PYTotalRevenueAmt |
| CY Total Revenue | $210,662,984 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $383,756 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $107,202,274 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $112,210,005 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $87,775,445 | PYOtherExpensesAmt |
| CY Other Expenses | $88,166,093 | CYOtherExpensesAmt |
| PY Total Expenses | $194,977,719 | PYTotalExpensesAmt |
| CY Total Expenses | $200,759,854 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,214,327 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $9,903,130 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $129,627,485 | TotalAssetsBOYAmt |
| Total Assets EOY | $138,921,164 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $62,387,693 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $61,642,588 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $67,239,792 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $77,278,576 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Our vision at Monument Health Network is to be one team, to listen, to be inclusive, and to show we care. Monument Health Network is dedicated to improving the health of individuals and our communities. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $160,456,261 | ExpenseAmt |
| Grant | $383,756 | GrantAmt |
| Revenue | $209,858,948 | RevenueAmt |
| Desc | Monument Health Network (MHN) owns the following acute care hospitals (including physician clinics) and senior care facilities: Monument Health Custer Hospital (CAH) / Monument Health Custer Senior Care, Monument Health Lead-Deadwood Hospital, Monument Health Spearfish Hospital and Monument Health Sturgis Hospital / Monument Health Sturgis Senior Care. MHN also owns, leases and operates provider based physician clinics in Belle Fourche, Spearfish, Lead-Deadwood, Hill City, Sturgis & Custer. In addition, MHN operates free standing clinics in Hot Springs and Buffalo. Together, these facilities provide common access to compassionate, quality, advanced health care through its numerous healing environments in the greater Black Hills region. | Desc |
| Total Program Service Expenses | $160,456,261 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 106 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1287 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Austin Willuweit | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6057559127 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 6000 | AddressLine1Txt |
| City | Rapid City | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 577096000 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Paulette Davidson | ||||||||||
| President and CEO | 9.35 | 50.65 | Yes (X) | Yes (X) | $0 | $1,706,840 | $232,865 | |||
| Heather Brewer MD | ||||||||||
| Board member/Employed Physician | 41.12 | 0.00 | Yes (X) | $544,532 | $0 | $80,188 | ||||
| Jason Knudson | ||||||||||
| Board Member/Employed Physician | 40.63 | 0.00 | Yes (X) | $332,984 | $0 | $60,365 | ||||
| Steven Williams | ||||||||||
| Board Member-Chair | 0.79 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Kathryn Johnson | ||||||||||
| Board member-Vice Chair | 1.58 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Dan Liekvold | ||||||||||
| Board member | 0.83 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Kenneth Meirose | ||||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Scott Sabers | ||||||||||
| Board Member | 0.83 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Charles Lewis DO | ||||||||||
| Board Member/Employed Physician | 40.54 | 0.00 | Yes (X) | $324,901 | $0 | $37,588 | ||||
| Mark A Thompson | ||||||||||
| CFO/Treasurer | 8.57 | 46.43 | Yes (X) | $0 | $710,030 | $102,330 | ||||
| Teresa Burroff | ||||||||||
| General Counsel/Sec. Until 11/22 | 8.57 | 46.43 | Yes (X) | $0 | $585,595 | $66,150 | ||||
| Brad Archer MD | ||||||||||
| Chief Medical Officer | 8.57 | 46.43 | $0 | $886,440 | $117,823 | Yes (X) | ||||
| Stephanie Lahr MD | ||||||||||
| CIO & CMIO Until 03/23 | 8.57 | 46.43 | $0 | $658,966 | $61,673 | Yes (X) | ||||
| Thomas Worsley | ||||||||||
| Pres.Spearfish Hospital/Hills Market | 55.00 | 0.00 | $582,927 | $0 | $64,430 | Yes (X) | ||||
| Nicole Kerkenbush - Chief | ||||||||||
| Nursing/Perf Officer Until 06/23 | 8.57 | 46.43 | $0 | $459,144 | $58,561 | Yes (X) | ||||
| Mark Schmidt | ||||||||||
| Pres.Sturgis, Lead-Deadwood Markets | 55.00 | 0.00 | $368,252 | $0 | $54,348 | Yes (X) | ||||
| Barbara Hespen | ||||||||||
| President Custer Market & System CNO | 55.00 | 0.00 | $218,005 | $0 | $32,487 | Yes (X) | ||||
| Ray Jensen MD | ||||||||||
| Physician - Orthopedic Surgery | 40.00 | 0.00 | $1,589,428 | $0 | $153,174 | Yes (X) | ||||
| Richard Little MD | ||||||||||
| Physician - Orthopedic Surgery | 40.00 | 0.00 | $941,988 | $0 | $47,232 | Yes (X) | ||||
| Christopher Milnes MD | ||||||||||
| Physician - Radiologist | 40.00 | 0.00 | $875,481 | $0 | $68,357 | Yes (X) | ||||
| Andrew VanOsdol MD | ||||||||||
| Physician - Surgery | 40.00 | 0.00 | $1,031,739 | $0 | $102,504 | Yes (X) | ||||
| Wesley Badger | ||||||||||
| Physician -Surgery | 40.00 | 0.00 | $839,923 | $0 | $73,423 | Yes (X) | ||||
| Mark Schulte | ||||||||||
| VP Rapid City Market | 0.00 | 55.00 | $0 | $379,881 | $62,811 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,650,160 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,386,896 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,476,309 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 161 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Medefis | |||||
| 10826 Old Mill Rd 101 | Omaha | NE | 68105 | Contract labor | $5,944,429 |
| Morrison Management Specialists Inc | |||||
| PO Box 102289 | Atlanta | GA | 30368 | Professional services | $2,345,915 |
| Engineers-Architects PC | |||||
| 3100 DeMers Avenue | Grand Forks | ND | 58201 | Professional services | $1,438,863 |
| Crothall Healthcare | |||||
| 13028 Collection Center Drive | Chicago | IL | 60693 | Professional Services | $1,057,930 |
| Weatherby Medical Staffing | |||||
| PO Box 972633 | Dallas | TX | 75397 | Contract labor | $831,576 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 60 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $658,040 | GovernmentGrantsAmt |
| All Other Contributions | $42,970 | AllOtherContributionsAmt |
| Total Contributions | $701,010 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Acute Care Hospital IP and OP | 623000 | $144,221,781 | $144,221,781 |
| Physician Clinics | 621110 | $49,733,089 | $49,733,089 |
| Long Term Care Facilities | 623000 | $4,504,999 | $4,504,999 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,476,403 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,399,079 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $77,324 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $209,936,272 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $132 | TotalRevenueColumnAmt |
| Exclusion | $132 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $34,548 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,385 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $24,163 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,163 | TotalRevenueColumnAmt |
| Exclusion | $24,163 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,407 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,407 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,407 | TotalRevenueColumnAmt |
| Exclusion | $1,407 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $210,662,984 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $209,858,948 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $77,324 | UnrelatedBusinessRevenueAmt |
| Exclusion | $25,702 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383,756 | TotalAmt |
| Program Services | $383,756 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,405,993 | TotalAmt |
| Program Services | $1,195,064 | ProgramServicesAmt |
| Management And General | $1,210,929 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,203,249 | TotalAmt |
| Program Services | $78,804,039 | ProgramServicesAmt |
| Management And General | $7,399,210 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,687,655 | TotalAmt |
| Program Services | $2,426,496 | ProgramServicesAmt |
| Management And General | $261,159 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,546,924 | TotalAmt |
| Program Services | $14,036,233 | ProgramServicesAmt |
| Management And General | $1,510,691 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,366,184 | TotalAmt |
| Program Services | $4,807,365 | ProgramServicesAmt |
| Management And General | $558,819 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,570 | TotalAmt |
| Management And General | $33,570 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,018 | TotalAmt |
| Management And General | $58,018 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,950 | TotalAmt |
| Management And General | $63,950 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,261 | TotalAmt |
| Management And General | $17,261 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,518,115 | TotalAmt |
| Program Services | $13,273,248 | ProgramServicesAmt |
| Management And General | $244,867 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,133 | TotalAmt |
| Program Services | $1,954 | ProgramServicesAmt |
| Management And General | $120,179 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,900,904 | TotalAmt |
| Program Services | $2,290,489 | ProgramServicesAmt |
| Management And General | $610,415 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,191,300 | TotalAmt |
| Program Services | $964,648 | ProgramServicesAmt |
| Management And General | $226,652 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,410,753 | TotalAmt |
| Program Services | $2,894,872 | ProgramServicesAmt |
| Management And General | $2,515,881 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $391,948 | TotalAmt |
| Program Services | $350,438 | ProgramServicesAmt |
| Management And General | $41,510 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $921,548 | TotalAmt |
| Program Services | $921,538 | ProgramServicesAmt |
| Management And General | $10 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,083,311 | TotalAmt |
| Program Services | $6,568,630 | ProgramServicesAmt |
| Management And General | $514,681 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $869,110 | TotalAmt |
| Program Services | $224,247 | ProgramServicesAmt |
| Management And General | $644,863 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Interco supplies/servic | $28,093,520 | $3,917,763 | $24,175,757 |
| Medical Supplies | $27,361,375 | $27,309,537 | $51,838 |
| Miscellaneous | $129,277 | $85,944 | $43,333 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,759,854 | TotalAmt |
| Program Services | $160,456,261 | ProgramServicesAmt |
| Management And General | $40,303,593 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$11,885,333 | BOYAmt |
| EOY | $4,924,404 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,437,522 | BOYAmt |
| EOY | $24,650,265 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,575,596 | BOYAmt |
| EOY | $3,220,393 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $997,316 | BOYAmt |
| EOY | $859,689 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $142,914,609 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $79,292,577 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,317,379 | BOYAmt |
| EOY | $63,622,032 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $435,200 | BOYAmt |
| EOY | $1,497,372 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $28,698 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,656 | BOYAmt |
| EOY | $54,656 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,695,149 | BOYAmt |
| EOY | $40,063,655 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,627,485 | BOYAmt |
| EOY | $138,921,164 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,256,475 | BOYAmt |
| EOY | $18,109,740 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,131,218 | BOYAmt |
| EOY | $43,532,848 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,387,693 | BOYAmt |
| EOY | $61,642,588 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,889,254 | BOYAmt |
| EOY | $76,888,282 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $350,538 | BOYAmt |
| EOY | $390,294 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,239,792 | BOYAmt |
| EOY | $77,278,576 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,627,485 | BOYAmt |
| EOY | $138,921,164 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $9,903,130 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,986 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $139,640 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $17,261 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $17,261 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Annual dues were paid to the South Dakota Association of Healthcare Organizations. A portion of the dues are applicable to lobbying activities. For calendar year 2023 dues, which were paid in fiscal year 2023, in the amount of $86,097, 6.12% was used for lobbying purposes. Annual dues were paid to the American Hospital Association, a portion of which is applicable to lobbying activities. For calendar year 2023 dues, which were paid in fiscal year 2023, in the amount of $43,938, 27.29% was used for lobbying purposes. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $191,358 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$3,986 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $187,372 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $191,795 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$437 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $191,358 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $152,792 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $39,003 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $191,795 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $156,625 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$3,833 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $152,792 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $143,471 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $13,154 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $156,625 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.53370 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.46630 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | 0 | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,599,287 | OtherCostOrOtherBasisAmt |
| Book Value | $9,599,287 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $80,158,835 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,965,093 | DepreciationAmt |
| Book Value | $39,193,742 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $49,559,469 | OtherCostOrOtherBasisAmt |
| Depreciation | $37,244,497 | DepreciationAmt |
| Book Value | $12,314,972 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,597,018 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,082,987 | DepreciationAmt |
| Book Value | $2,514,031 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $63,622,032 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other receivables | Desc |
| Book Value | $40,063,655 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $40,063,655 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Due To Related Parties | $43,000,231 |
| Lease Payable | $532,617 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $43,532,848 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Endowed funds are permanently restricted from use and are held in an interest bearing account. The interest earned may be used by the organization at its discretion. |
| Part X, Line 2: | References to "Monument Health" apply to all entities controlled by Monument Health, Inc. and its subsidiaries. This includes the reporting entity. Monument Health 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. Monument Health 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. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,324,557 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,324,557 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,230,293 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,992,719 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,237,574 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01610 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,554,850 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,992,719 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,562,131 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02270 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 16 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $2,307,065 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,307,065 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01150 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $27,520 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $27,520 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,040,074 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,706,271 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,333,803 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01660 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $29,064 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $29,064 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 20 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $12,403,723 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,706,271 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,697,452 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02830 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 20 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $26,958,573 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,698,990 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,259,583 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05100 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $7,834 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,834 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $7,834 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,834 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $12,416,129 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $52,530,143 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $53,547,934 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,017,791 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 4 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (4 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc | Facility Reporting GroupFacilityReportingGroupCd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Monument Health Spearfish Hospital | ||||||||||||
| 1 | 1440 N Main Street | Spearfish | SD | 57783 | www.monument.health | 10566 | Yes (X) | Yes (X) | Yes (X) | 6 Provider-based clinics | A | |
| Monument Health Custer Hospital | ||||||||||||
| 2 | 1039 Montgomery Street | Custer | SD | 57730 | www.monument.health | 47660 | Yes (X) | Yes (X) | Yes (X) | 2 Provider-based clinics | A | Yes (X) |
| Monument Health Sturgis Hospital | ||||||||||||
| 3 | 949 Harmon Street | Sturgis | SD | 57785 | www.monument.health | 10567 | Yes (X) | Yes (X) | Yes (X) | 1 Provider-based clinic | A | Yes (X) |
| Monument Health Lead-Deadwood Hospital | ||||||||||||
| 4 | 61 Charles Street | Deadwood | SD | 57732 | www.monument.health | 10535 | Yes (X) | Yes (X) | Yes (X) | 1 Provider-based clinic | A | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Facility Reporting Group - A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Section C, Line 7d | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Section C, Line 7d | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Section C, Line 16a-c | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Section C, Line 16a-c | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Section C, Line 16a-c | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (31 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section B | Facility Reporting Group A |
| Facility Reporting Group A consists of: | - Facility 1: Monument Health Spearfish Hospital, - Facility 2: Monument Health Custer Hospital, - Facility 3: Monument Health Sturgis Hospital, - Facility 4: Monument Health Lead-Deadwood Hospital |
| Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 5: | As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall.Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. A total of 118 community stakeholders comprised of physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders completed the key informant survey for the Monument Health service area. |
| Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 6a: | The Community Health Needs Assessment was undertaken by Monument Health, including: Monument Health Rapid City Hospital, Same Day Surgery Center, Monument Health Network (Monument Health Spearfish Hospital, Monument Health Sturgis Hospital, Monument Health Lead-Deadwood Hospital, and Monument Health Custer Hospital). Under a management contract with Monument Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment. |
| Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 7d: | https://monument.health/about-us/community-health-needs-assessment/ |
| Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 11: | During FY23, Monument Health focused on the following five priority areas identified through the most recent Community Health Needs Assessment (CHNA):-Cancer-Heart Disease and Stroke-Diabetes, Nutrition, Physical Activity and Weight-Mental Health and Substance Abuse-Access to Medical Services: Right Care, Right PlaceTeams comprised of representatives from Rapid City Hospital, Same Day Surgery Center, Monument Health Network, and the community worked on the priority areas selected for each facility's Community Health Improvement Plan (CHIP).CancerGoal: Explore, develop, and support opportunities that will positively impact the health of our communities related to cancer prevention, treatment and survivorship. Objective 1: Improved patient access & expanded services:-Cancer Care Institute Expansion was completed in July 2022-Increased infusion capacity-Reestablished Breast Surgery Program-Reinstituted survivorship visits, support groups, and education classes post-COVID-Added Integrative & Complimentary Medicine ServicesObjective 2: Positioned the Cancer Care Institute for the future:-Continued to review and evaluate investments in Oncology pharmacy support via: o Alignment w/other ambulatory pharmacy service lines o Adding Specialty & Clinical Pharmacists-Invested in oncology devices & technological advances: o CT and Radiation Oncology Machine upgradesObjective 3: Increased awareness of cancer resources:-Implemented SD's 2021-2025 Comprehensive Cancer Control Program-Building relationships/Access Other Resources o Monument Health Foundation o Black Hills Road Trip of Hope o Walking Forward o American Cancer SocietyHeart Disease and StrokeGoal: Explore, develop, and support opportunities that will positively impact the health of our communities related to heart disease and stroke. Cardiology Updates:-Coronary Angiography and PCI volumes are stable-2022 had the lowest number of post PCI deaths in recorded Monument Health history-Monument Health Post PCI In-Hospital Risk Standardized Mortality is better than the 90th percentile as compared to more than 1700 participating sites-Monument Health has now received the American Heart Association Chest Pain MI Platinum Achievement Award for 12 consecutive years-All AMI performance composites continue to be better than national average-The number of AMI patients cared for in 2022 is up about 25% over previous years, mostly due to an increase in NSTEMI patients-The number of AMI deaths in 2022 remained stable despite the 25% increase in patient load-Monument Health AMI In-Hospital Risk Standardized Mortality is at the 90th percentile as compared to more than 700 participating hospitals-Ongoing CV Surgery growth, program development with excellent resultsStroke Updates:-Developed Comprehensive Stroke Center with 2 Interventional Neurologists and expanded IR team-Education: enriched the knowledge of medical staff and patients about the benefits of recognizing stroke signs and signals early-Change to Emergency Room stroke protocols across health system to meet Joint Commission guidelines in January 2022-New stroke alert process for Large Vessel Occlusion developed working with the Transfer Center and Emergency Departments-Dysphagia Performance Improvement project initiated in May 2022 and continued throughout FY23, including multidisciplinary committee: CNP, RN, PT/OT and Speech. Jan 2023 the iLearn dysphagia training was made mandatory.-Monument Health received the American Heart Association Get with Guidelines Gold Plus Award for Stroke.Diabetes, Nutrition, Physical Activity and WeightGoal: Explore, develop, and support opportunities that will positively impact the health of our communities related to diabetes.Objective 1: Increased community awareness of diabetes prevention and management programs that promote healthy lifestyles:-Provided screenings and education at community health fairs at 20 different events-Provided certified trainers for the Monument Health Diabetes Prevention Program and Better Choices Better Health programs-Continued annual Diabetes Symposium o Successful symposium completed in November 2022 with 150+ participantsObjective 2: Improve transition from inpatient to outpatient care:-Streamlining outpatient referral process with inpatient Case Management Team-System-wide RN Diabetes rounding-Inpatient Endocrinology team growth and greater outreach-Partnered with nursing triage services to provide post-discharge supportObjective 3: Improve patient access for Primary Care and Diagnostic Procedures:-Ongoing outreach clinics-Streamlined Dietetic ServicesMental Health and Substance AbuseGoal: Increase access and awareness of mental health and substance abuse resources and education.Strategy 1: Establish a clear direction for substance abuse disorder care at Monument Health-Develop care guidelines for the care we deliver to substance abuse patients and ensure consistency and safety-Align programming with national standards to offer a broader spectrum of options for adults of outpatient servicesStrategy 2: Develop robust strategies to mitigate labor challenges, both in the inpatient and outpatient settings-Determine new services and enhance current efforts to retain staff-Clarify roles and responsibilities for APPs and maximize their use-Develop a telemedicine strategy to expand internal abilities to see patientsStrategy 3: Improve therapeutic programming for inpatients of Monument Health-Develop standard therapeutic programming objectives-Clarify operational reporting structures and processes for therapeutic teamsStrategy 4: Define effective patient flow strategies-Develop standardized patient flow guidelines, both inpatient and outpatient-Improve delivery of care to geriatric psychiatric inpatients and outpatients-Evaluate and optimize operational setup of outpatient clinic, including the physical spaceStrategy 5: Define a strategy for health equity with behavioral health patients at Monument Health-Partner with Indian Health Services and Oyate to better serve the community-Develop a population health research strategy, including development of a report on which to base the equity workStrategy 6: Meet community need through enhancement of patient access and financial opportunities-Optimize provider scheduling tools to allow for more nimble, responsive scheduling-Create and implement a plan to focus on improving Medicaid funding-Determine what care is being delivered now and not billed as well as what billable care should be delivered but isn'tAccess to Medical Services: Right Care, Right PlaceGoal: Increase access to care and improve existing services to meet current and future demands.Key Project Activities:-Increased visit volume through optimized templates and greater provider availability-Increased scheduling accuracy to route patients to correct provider and reduced rescheduling needs-Increased patient retention through referral capture (where applicable), resulting in additional visits as well as downstream ancillary revenue-Increased patient acquisition through digital options/convenience (e.g., online scheduling)-Increased staff efficiency through standardized and optimized workflows-Staff cross-coverage within Patient Contact Center-Provider satisfaction with streamlined workflows and simplified processes for referrals and close-the-loop-Focus on Primary Care recruitmentCare Access Workplan:Integrated Team:-Efficiently use patient & clinician time-Assign patient to appropriate level of care quickly-Improve patient experience and communication-Clarify and support roles based on licensureNurse Triage:-Prioritize patient care based on clinical assessment and Schmidt and Thompson protocols-Improve patient experience and communication-Support provider practice efficienciesScheduling Templates: Accurate scheduling templates and locationsAccurate scheduling securityAlignment to provider in-clinic timeScheduling:-Streamlined scheduling processes across locations-Reflection of intended scheduling processes and openingsReferrals:-Proactive management of ordered services-Close the loop follow-up procedures to promote continuity of care |
| Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 13h: | Must reside within 200 mile radius of the location where the service was received.Presumptive eligibility may be used. |
| Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 16j: | A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, including on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request. The financial assistance policy application form was translated into the primary language spoken by limited English proficient populations. This is posted on the website listed for line 16a. |
| Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 24: | The hospital financial assistance policy does not cover elective procedures. The hospital may have charged financial assistance policy eligible patients gross charges for services that are not covered under the financial assistance policy. |
| Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 5: | As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall.Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. A total of 118 community stakeholders comprised of physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders completed the key informant survey for the Monument Health service area. |
| Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 6a: | The Community Health Needs Assessment was undertaken by Monument Health, including: Monument Health Rapid City Hospital, Same Day Surgery Center, Monument Health Network (Monument Health Spearfish Hospital, Monument Health Sturgis Hospital, Monument Health Lead-Deadwood Hospital, and Monument Health Custer Hospital). Under a management contract with Monument Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment. |
| Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 7d: | https://monument.health/about-us/community-health-needs-assessment/ |
| Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 11: | During FY23, Monument Health focused on the following five priority areas identified through the most recent Community Health Needs Assessment (CHNA):-Cancer-Heart Disease and Stroke-Diabetes, Nutrition, Physical Activity and Weight-Mental Health and Substance Abuse-Access to Medical Services: Right Care, Right PlaceTeams comprised of representatives from Rapid City Hospital, Same Day Surgery Center, Monument Health Network, and the community worked on the priority areas selected for each facility's Community Health Improvement Plan (CHIP).CancerGoal: Explore, develop, and support opportunities that will positively impact the health of our communities related to cancer prevention, treatment and survivorship. Objective 1: Improved patient access & expanded services:-Cancer Care Institute Expansion was completed in July 2022-Increased infusion capacity-Reestablished Breast Surgery Program-Reinstituted survivorship visits, support groups, and education classes post-COVID-Added Integrative & Complimentary Medicine ServicesObjective 2: Positioned the Cancer Care Institute for the future:-Continued to review and evaluate investments in Oncology pharmacy support via: o Alignment w/other ambulatory pharmacy service lines o Adding Specialty & Clinical Pharmacists-Invested in oncology devices & technological advances: o CT and Radiation Oncology Machine upgradesObjective 3: Increased awareness of cancer resources:-Implemented SD's 2021-2025 Comprehensive Cancer Control Program-Building relationships/Access Other Resources o Monument Health Foundation o Black Hills Road Trip of Hope o Walking Forward o American Cancer SocietyHeart Disease and StrokeGoal: Explore, develop, and support opportunities that will positively impact the health of our communities related to heart disease and stroke. Cardiology Updates:-Coronary Angiography and PCI volumes are stable-2022 had the lowest number of post PCI deaths in recorded Monument Health history-Monument Health Post PCI In-Hospital Risk Standardized Mortality is better than the 90th percentile as compared to more than 1700 participating sites-Monument Health has now received the American Heart Association Chest Pain MI Platinum Achievement Award for 12 consecutive years-All AMI performance composites continue to be better than national average-The number of AMI patients cared for in 2022 is up about 25% over previous years, mostly due to an increase in NSTEMI patients-The number of AMI deaths in 2022 remained stable despite the 25% increase in patient load-Monument Health AMI In-Hospital Risk Standardized Mortality is at the 90th percentile as compared to more than 700 participating hospitals-Ongoing CV Surgery growth, program development with excellent resultsStroke Updates:-Developed Comprehensive Stroke Center with 2 Interventional Neurologists and expanded IR team-Education: enriched the knowledge of medical staff and patients about the benefits of recognizing stroke signs and signals early-Change to Emergency Room stroke protocols across health system to meet Joint Commission guidelines in January 2022-New stroke alert process for Large Vessel Occlusion developed working with the Transfer Center and Emergency Departments-Dysphagia Performance Improvement project initiated in May 2022 and continued throughout FY23, including multidisciplinary committee: CNP, RN, PT/OT and Speech. Jan 2023 the iLearn dysphagia training was made mandatory.-Monument Health received the American Heart Association Get with Guidelines Gold Plus Award for Stroke.Diabetes, Nutrition, Physical Activity and WeightGoal: Explore, develop, and support opportunities that will positively impact the health of our communities related to diabetes.Objective 1: Increased community awareness of diabetes prevention and management programs that promote healthy lifestyles:-Provided screenings and education at community health fairs at 20 different events-Provided certified trainers for the Monument Health Diabetes Prevention Program and Better Choices Better Health programs-Continued annual Diabetes Symposium o Successful symposium completed in November 2022 with 150+ participantsObjective 2: Improve transition from inpatient to outpatient care:-Streamlining outpatient referral process with inpatient Case Management Team-System-wide RN Diabetes rounding-Inpatient Endocrinology team growth and greater outreach-Partnered with nursing triage services to provide post-discharge supportObjective 3: Improve patient access for Primary Care and Diagnostic Procedures:-Ongoing outreach clinics-Streamlined Dietetic ServicesMental Health and Substance AbuseGoal: Increase access and awareness of mental health and substance abuse resources and education.Strategy 1: Establish a clear direction for substance abuse disorder care at Monument Health-Develop care guidelines for the care we deliver to substance abuse patients and ensure consistency and safety-Align programming with national standards to offer a broader spectrum of options for adults of outpatient servicesStrategy 2: Develop robust strategies to mitigate labor challenges, both in the inpatient and outpatient settings-Determine new services and enhance current efforts to retain staff-Clarify roles and responsibilities for APPs and maximize their use-Develop a telemedicine strategy to expand internal abilities to see patientsStrategy 3: Improve therapeutic programming for inpatients of Monument Health-Develop standard therapeutic programming objectives-Clarify operational reporting structures and processes for therapeutic teamsStrategy 4: Define effective patient flow strategies-Develop standardized patient flow guidelines, both inpatient and outpatient-Improve delivery of care to geriatric psychiatric inpatients and outpatients-Evaluate and optimize operational setup of outpatient clinic, including the physical spaceStrategy 5: Define a strategy for health equity with behavioral health patients at Monument Health-Partner with Indian Health Services and Oyate to better serve the community-Develop a population health research strategy, including development of a report on which to base the equity workStrategy 6: Meet community need through enhancement of patient access and financial opportunities-Optimize provider scheduling tools to allow for more nimble, responsive scheduling-Create and implement a plan to focus on improving Medicaid funding-Determine what care is being delivered now and not billed as well as what billable care should be delivered but isn'tAccess to Medical Services: Right Care, Right PlaceGoal: Increase access to care and improve existing services to meet current and future demands.Key Project Activities:-Increased visit volume through optimized templates and greater provider availability-Increased scheduling accuracy to route patients to correct provider and reduced rescheduling needs-Increased patient retention through referral capture (where applicable), resulting in additional visits as well as downstream ancillary revenue-Increased patient acquisition through digital options/convenience (e.g., online scheduling)-Increased staff efficiency through standardized and optimized workflows-Staff cross-coverage within Patient Contact Center-Provider satisfaction with streamlined workflows and simplified processes for referrals and close-the-loop-Focus on Primary Care recruitmentCare Access Workplan:Integrated Team:-Efficiently use patient & clinician time-Assign patient to appropriate level of care quickly-Improve patient experience and communication-Clarify and support roles based on licensureNurse Triage:-Prioritize patient care based on clinical assessment and Schmidt and Thompson protocols-Improve patient experience and communication-Support provider practice efficienciesScheduling Templates: Accurate scheduling templates and locationsAccurate scheduling securityAlignment to provider in-clinic timeScheduling:-Streamlined scheduling processes across locations-Reflection of intended scheduling processes and openingsReferrals:-Proactive management of ordered services-Close the loop follow-up procedures to promote continuity of care |
| Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 13h: | Must reside within 200 mile radius of the location where the service was received.Presumptive eligibility may be used. |
| Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 16j: | A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, including on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request. The financial assistance policy application form was translated into the primary language spoken by limited English proficient populations. This is posted on the website listed for line 16a. |
| Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 24: | The hospital financial assistance policy does not cover elective procedures. The hospital may have charged financial assistance policy eligible patients gross charges for services that are not covered under the financial assistance policy. |
| Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 5: | As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall.Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. A total of 118 community stakeholders comprised of physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders completed the key informant survey for the Monument Health service area. |
| Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 6a: | The Community Health Needs Assessment was undertaken by Monument Health, including: Monument Health Rapid City Hospital, Same Day Surgery Center, Monument Health Network (Monument Health Spearfish Hospital, Monument Health Sturgis Hospital, Monument Health Lead-Deadwood Hospital, and Monument Health Custer Hospital). Under a management contract with Monument Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment. |
| Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 7d: | https://monument.health/about-us/community-health-needs-assessment/ |
| Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 11: | During FY23, Monument Health focused on the following five priority areas identified through the most recent Community Health Needs Assessment (CHNA):-Cancer-Heart Disease and Stroke-Diabetes, Nutrition, Physical Activity and Weight-Mental Health and Substance Abuse-Access to Medical Services: Right Care, Right PlaceTeams comprised of representatives from Rapid City Hospital, Same Day Surgery Center, Monument Health Network, and the community worked on the priority areas selected for each facility's Community Health Improvement Plan (CHIP).CancerGoal: Explore, develop, and support opportunities that will positively impact the health of our communities related to cancer prevention, treatment and survivorship. Objective 1: Improved patient access & expanded services:-Cancer Care Institute Expansion was completed in July 2022-Increased infusion capacity-Reestablished Breast Surgery Program-Reinstituted survivorship visits, support groups, and education classes post-COVID-Added Integrative & Complimentary Medicine ServicesObjective 2: Positioned the Cancer Care Institute for the future:-Continued to review and evaluate investments in Oncology pharmacy support via: o Alignment w/other ambulatory pharmacy service lines o Adding Specialty & Clinical Pharmacists-Invested in oncology devices & technological advances: o CT and Radiation Oncology Machine upgradesObjective 3: Increased awareness of cancer resources:-Implemented SD's 2021-2025 Comprehensive Cancer Control Program-Building relationships/Access Other Resources o Monument Health Foundation o Black Hills Road Trip of Hope o Walking Forward o American Cancer SocietyHeart Disease and StrokeGoal: Explore, develop, and support opportunities that will positively impact the health of our communities related to heart disease and stroke. Cardiology Updates:-Coronary Angiography and PCI volumes are stable-2022 had the lowest number of post PCI deaths in recorded Monument Health history-Monument Health Post PCI In-Hospital Risk Standardized Mortality is better than the 90th percentile as compared to more than 1700 participating sites-Monument Health has now received the American Heart Association Chest Pain MI Platinum Achievement Award for 12 consecutive years-All AMI performance composites continue to be better than national average-The number of AMI patients cared for in 2022 is up about 25% over previous years, mostly due to an increase in NSTEMI patients-The number of AMI deaths in 2022 remained stable despite the 25% increase in patient load-Monument Health AMI In-Hospital Risk Standardized Mortality is at the 90th percentile as compared to more than 700 participating hospitals-Ongoing CV Surgery growth, program development with excellent resultsStroke Updates:-Developed Comprehensive Stroke Center with 2 Interventional Neurologists and expanded IR team-Education: enriched the knowledge of medical staff and patients about the benefits of recognizing stroke signs and signals early-Change to Emergency Room stroke protocols across health system to meet Joint Commission guidelines in January 2022-New stroke alert process for Large Vessel Occlusion developed working with the Transfer Center and Emergency Departments-Dysphagia Performance Improvement project initiated in May 2022 and continued throughout FY23, including multidisciplinary committee: CNP, RN, PT/OT and Speech. Jan 2023 the iLearn dysphagia training was made mandatory.-Monument Health received the American Heart Association Get with Guidelines Gold Plus Award for Stroke.Diabetes, Nutrition, Physical Activity and WeightGoal: Explore, develop, and support opportunities that will positively impact the health of our communities related to diabetes.Objective 1: Increased community awareness of diabetes prevention and management programs that promote healthy lifestyles:-Provided screenings and education at community health fairs at 20 different events-Provided certified trainers for the Monument Health Diabetes Prevention Program and Better Choices Better Health programs-Continued annual Diabetes Symposium o Successful symposium completed in November 2022 with 150+ participantsObjective 2: Improve transition from inpatient to outpatient care:-Streamlining outpatient referral process with inpatient Case Management Team-System-wide RN Diabetes rounding-Inpatient Endocrinology team growth and greater outreach-Partnered with nursing triage services to provide post-discharge supportObjective 3: Improve patient access for Primary Care and Diagnostic Procedures:-Ongoing outreach clinics-Streamlined Dietetic ServicesMental Health and Substance AbuseGoal: Increase access and awareness of mental health and substance abuse resources and education.Strategy 1: Establish a clear direction for substance abuse disorder care at Monument Health-Develop care guidelines for the care we deliver to substance abuse patients and ensure consistency and safety-Align programming with national standards to offer a broader spectrum of options for adults of outpatient servicesStrategy 2: Develop robust strategies to mitigate labor challenges, both in the inpatient and outpatient settings-Determine new services and enhance current efforts to retain staff-Clarify roles and responsibilities for APPs and maximize their use-Develop a telemedicine strategy to expand internal abilities to see patientsStrategy 3: Improve therapeutic programming for inpatients of Monument Health-Develop standard therapeutic programming objectives-Clarify operational reporting structures and processes for therapeutic teamsStrategy 4: Define effective patient flow strategies-Develop standardized patient flow guidelines, both inpatient and outpatient-Improve delivery of care to geriatric psychiatric inpatients and outpatients-Evaluate and optimize operational setup of outpatient clinic, including the physical spaceStrategy 5: Define a strategy for health equity with behavioral health patients at Monument Health-Partner with Indian Health Services and Oyate to better serve the community-Develop a population health research strategy, including development of a report on which to base the equity workStrategy 6: Meet community need through enhancement of patient access and financial opportunities-Optimize provider scheduling tools to allow for more nimble, responsive scheduling-Create and implement a plan to focus on improving Medicaid funding-Determine what care is being delivered now and not billed as well as what billable care should be delivered but isn'tAccess to Medical Services: Right Care, Right PlaceGoal: Increase access to care and improve existing services to meet current and future demands.Key Project Activities:-Increased visit volume through optimized templates and greater provider availability-Increased scheduling accuracy to route patients to correct provider and reduced rescheduling needs-Increased patient retention through referral capture (where applicable), resulting in additional visits as well as downstream ancillary revenue-Increased patient acquisition through digital options/convenience (e.g., online scheduling)-Increased staff efficiency through standardized and optimized workflows-Staff cross-coverage within Patient Contact Center-Provider satisfaction with streamlined workflows and simplified processes for referrals and close-the-loop-Focus on Primary Care recruitmentCare Access Workplan:Integrated Team:-Efficiently use patient & clinician time-Assign patient to appropriate level of care quickly-Improve patient experience and communication-Clarify and support roles based on licensureNurse Triage:-Prioritize patient care based on clinical assessment and Schmidt and Thompson protocols-Improve patient experience and communication-Support provider practice efficienciesScheduling Templates: Accurate scheduling templates and locationsAccurate scheduling securityAlignment to provider in-clinic timeScheduling:-Streamlined scheduling processes across locations-Reflection of intended scheduling processes and openingsReferrals:-Proactive management of ordered services-Close the loop follow-up procedures to promote continuity of care |
| Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 13h: | Must reside within 200 mile radius of the location where the service was received.Presumptive eligibility may be used. |
| Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 16j: | A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, including on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request. The financial assistance policy application form was translated into the primary language spoken by limited English proficient populations. This is posted on the website listed for line 16a. |
| Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 24: | The hospital financial assistance policy does not cover elective procedures. The hospital may have charged financial assistance policy eligible patients gross charges for services that are not covered under the financial assistance policy. |
| Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 5: | As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall.Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. A total of 118 community stakeholders comprised of physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders completed the key informant survey for the Monument Health service area. |
| Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 6a: | The Community Health Needs Assessment was undertaken by Monument Health, including: Monument Health Rapid City Hospital, Same Day Surgery Center, Monument Health Network (Monument Health Spearfish Hospital, Monument Health Sturgis Hospital, Monument Health Lead-Deadwood Hospital, and Monument Health Custer Hospital). Under a management contract with Monument Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment. |
| Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 7d: | https://monument.health/about-us/community-health-needs-assessment/ |
| Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 11: | During FY23, Monument Health focused on the following five priority areas identified through the most recent Community Health Needs Assessment (CHNA):-Cancer-Heart Disease and Stroke-Diabetes, Nutrition, Physical Activity and Weight-Mental Health and Substance Abuse-Access to Medical Services: Right Care, Right PlaceTeams comprised of representatives from Rapid City Hospital, Same Day Surgery Center, Monument Health Network, and the community worked on the priority areas selected for each facility's Community Health Improvement Plan (CHIP).CancerGoal: Explore, develop, and support opportunities that will positively impact the health of our communities related to cancer prevention, treatment and survivorship. Objective 1: Improved patient access & expanded services:-Cancer Care Institute Expansion was completed in July 2022-Increased infusion capacity-Reestablished Breast Surgery Program-Reinstituted survivorship visits, support groups, and education classes post-COVID-Added Integrative & Complimentary Medicine ServicesObjective 2: Positioned the Cancer Care Institute for the future:-Continued to review and evaluate investments in Oncology pharmacy support via: o Alignment w/other ambulatory pharmacy service lines o Adding Specialty & Clinical Pharmacists-Invested in oncology devices & technological advances: o CT and Radiation Oncology Machine upgradesObjective 3: Increased awareness of cancer resources:-Implemented SD's 2021-2025 Comprehensive Cancer Control Program-Building relationships/Access Other Resources o Monument Health Foundation o Black Hills Road Trip of Hope o Walking Forward o American Cancer SocietyHeart Disease and StrokeGoal: Explore, develop, and support opportunities that will positively impact the health of our communities related to heart disease and stroke. Cardiology Updates:-Coronary Angiography and PCI volumes are stable-2022 had the lowest number of post PCI deaths in recorded Monument Health history-Monument Health Post PCI In-Hospital Risk Standardized Mortality is better than the 90th percentile as compared to more than 1700 participating sites-Monument Health has now received the American Heart Association Chest Pain MI Platinum Achievement Award for 12 consecutive years-All AMI performance composites continue to be better than national average-The number of AMI patients cared for in 2022 is up about 25% over previous years, mostly due to an increase in NSTEMI patients-The number of AMI deaths in 2022 remained stable despite the 25% increase in patient load-Monument Health AMI In-Hospital Risk Standardized Mortality is at the 90th percentile as compared to more than 700 participating hospitals-Ongoing CV Surgery growth, program development with excellent resultsStroke Updates:-Developed Comprehensive Stroke Center with 2 Interventional Neurologists and expanded IR team-Education: enriched the knowledge of medical staff and patients about the benefits of recognizing stroke signs and signals early-Change to Emergency Room stroke protocols across health system to meet Joint Commission guidelines in January 2022-New stroke alert process for Large Vessel Occlusion developed working with the Transfer Center and Emergency Departments-Dysphagia Performance Improvement project initiated in May 2022 and continued throughout FY23, including multidisciplinary committee: CNP, RN, PT/OT and Speech. Jan 2023 the iLearn dysphagia training was made mandatory.-Monument Health received the American Heart Association Get with Guidelines Gold Plus Award for Stroke.Diabetes, Nutrition, Physical Activity and WeightGoal: Explore, develop, and support opportunities that will positively impact the health of our communities related to diabetes.Objective 1: Increased community awareness of diabetes prevention and management programs that promote healthy lifestyles:-Provided screenings and education at community health fairs at 20 different events-Provided certified trainers for the Monument Health Diabetes Prevention Program and Better Choices Better Health programs-Continued annual Diabetes Symposium o Successful symposium completed in November 2022 with 150+ participantsObjective 2: Improve transition from inpatient to outpatient care:-Streamlining outpatient referral process with inpatient Case Management Team-System-wide RN Diabetes rounding-Inpatient Endocrinology team growth and greater outreach-Partnered with nursing triage services to provide post-discharge supportObjective 3: Improve patient access for Primary Care and Diagnostic Procedures:-Ongoing outreach clinics-Streamlined Dietetic ServicesMental Health and Substance AbuseGoal: Increase access and awareness of mental health and substance abuse resources and education.Strategy 1: Establish a clear direction for substance abuse disorder care at Monument Health-Develop care guidelines for the care we deliver to substance abuse patients and ensure consistency and safety-Align programming with national standards to offer a broader spectrum of options for adults of outpatient servicesStrategy 2: Develop robust strategies to mitigate labor challenges, both in the inpatient and outpatient settings-Determine new services and enhance current efforts to retain staff-Clarify roles and responsibilities for APPs and maximize their use-Develop a telemedicine strategy to expand internal abilities to see patientsStrategy 3: Improve therapeutic programming for inpatients of Monument Health-Develop standard therapeutic programming objectives-Clarify operational reporting structures and processes for therapeutic teamsStrategy 4: Define effective patient flow strategies-Develop standardized patient flow guidelines, both inpatient and outpatient-Improve delivery of care to geriatric psychiatric inpatients and outpatients-Evaluate and optimize operational setup of outpatient clinic, including the physical spaceStrategy 5: Define a strategy for health equity with behavioral health patients at Monument Health-Partner with Indian Health Services and Oyate to better serve the community-Develop a population health research strategy, including development of a report on which to base the equity workStrategy 6: Meet community need through enhancement of patient access and financial opportunities-Optimize provider scheduling tools to allow for more nimble, responsive scheduling-Create and implement a plan to focus on improving Medicaid funding-Determine what care is being delivered now and not billed as well as what billable care should be delivered but isn'tAccess to Medical Services: Right Care, Right PlaceGoal: Increase access to care and improve existing services to meet current and future demands.Key Project Activities:-Increased visit volume through optimized templates and greater provider availability-Increased scheduling accuracy to route patients to correct provider and reduced rescheduling needs-Increased patient retention through referral capture (where applicable), resulting in additional visits as well as downstream ancillary revenue-Increased patient acquisition through digital options/convenience (e.g., online scheduling)-Increased staff efficiency through standardized and optimized workflows-Staff cross-coverage within Patient Contact Center-Provider satisfaction with streamlined workflows and simplified processes for referrals and close-the-loop-Focus on Primary Care recruitmentCare Access Workplan:Integrated Team:-Efficiently use patient & clinician time-Assign patient to appropriate level of care quickly-Improve patient experience and communication-Clarify and support roles based on licensureNurse Triage:-Prioritize patient care based on clinical assessment and Schmidt and Thompson protocols-Improve patient experience and communication-Support provider practice efficienciesScheduling Templates: Accurate scheduling templates and locationsAccurate scheduling securityAlignment to provider in-clinic timeScheduling:-Streamlined scheduling processes across locations-Reflection of intended scheduling processes and openingsReferrals:-Proactive management of ordered services-Close the loop follow-up procedures to promote continuity of care |
| Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 13h: | Must reside within 200 mile radius of the location where the service was received.Presumptive eligibility may be used. |
| Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 16j: | A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, including on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request. The financial assistance policy application form was translated into the primary language spoken by limited English proficient populations. This is posted on the website listed for line 16a. |
| Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 24: | The hospital financial assistance policy does not cover elective procedures. The hospital may have charged financial assistance policy eligible patients gross charges for services that are not covered under the financial assistance policy. |
| Part V, Lines 16a-c All Facilities | The Financial Assistance Policy, Application form, and plain language summary are available at https://monument.health/patient-visitor-guide/financial-assistance/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 2 - Monument Health Sturgis Care Center | ||||
| 2140 Junction Ave | Sturgis | SD | 57785 | Skilled Long Term Nursing Home |
| 4 - Monument Health Hot Springs Clinic | ||||
| 1100 Highway 71 South Suite 101 | Hot Springs | SD | 57747 | Clinic |
| 6 - Monument Health Assisted Living | ||||
| 423 N 10th Street | Custer | SD | 57730 | Assisted Living |
| 7 - Monument Health Buffalo Clinic | ||||
| 209 Ramsland Street | Buffalo | SD | 57720 | Clinic |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | References to "Monument Health" apply to all entities controlled by Monument Health, Inc. This includes the reporting entity.Financial assistance debt reduction write-offs for free or discounted care are based on an income matrix utilizing the current Federal Poverty Level (FPL) income guidelines after satisfying applicable co-pay requirements. The income matrix is updated annually as the FPL guidelines are released. Presumptive eligibility may be used. |
| Part I, Line 6a: | Monument Health Network is included in the community benefit report prepared by Monument Health. This report is available at the facilities and can be found at:https://monument.health/about-us/mission-vision-values/ |
| Part I, Line 7: | Ratio of patient care cost to charges is used for the calculation of cost of services provided for lines 7a and 7b. A cost accounting system was used to calculate amounts on line 7g. Actual costs are used for the calculation of costs of services provided for lines 7e and 7f. |
| Part II, Community Building Activities: | Monument Health provides numerous community benefit health events and screenings throughout the Black Hills Region. Monument Health also provides financial support to other nonprofit organizations to help support community health outreach. Additionally, Monument Health provides in-kind support and employee volunteers to help support community heath events and activities. |
| Part III, Line 2: | The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concessions based on its historical collection experience with the respective class of patients and residents. |
| Part III, Line 4: | The footnote to the Organization's financial statements that describes implicit price concession is located in the audited financial statement report on pages 15 and 16. |
| Part III, Line 8: | The Medicare surplus or deficit is derived from the actual payments received from the Medicare program for services provided to patients with Medicare coverage. The payments are compared to the actual cost of providing the service as arrived at through the Medicare cost reports. Medical services are provided to patients with Medicare coverage regardless of whether or not a surplus or deficit is realized. Providing Medicare services promotes access to healthcare services which are vitally needed by our communities. |
| Part III, Line 9b: | The collection policy requires invoking of the financial assistance policy at any time a patient expresses financial difficulty in meeting their debt obligation. Upon invoking the financial assistance policy, all collection activity is suspended. If the patient is approved for charity, then the account is closed out of the collection process and classified as charity. If a patient expresses financial concern but fails to complete the application process, additional notification is sent to the patient prior to re-instituting collection activity. We are following the 501(r) Final Regulations timelines for notifications and collections. |
| Part VI, Line 2: | We gather additional data on needed services from patient surveys, advisory councils and patient and family advisory councils. |
| Part VI, Line 3: | Financial Assistance Program brochures explaining the policy, a copy of the policy and Financial Assistance applications are available at each point of entry. Signs alerting patients to the availability of Financial Assistance are prominently displayed and a plain language summary describing the Financial Assistance program accompanies one billing statement for hospital services sent to the patient. The Financial Assistance policy, plain language summary and Financial Assistance application are provided free upon request and are also available on the hospital website at www.monument.health. Monument Health contracts with Midland Medical Group (an unrelated entity) to meet with uninsured patients to assist them with finding a funding source or applying for financial assistance; and our self-pay outsource partner also communicates any funding and financial assistance opportunities with our patients. |
| Part VI, Line 4: | Monument Health and its affiliates provide health care services to the 360,000 people who live in the Black Hills of South Dakota and the surrounding region, as well as thousands of visitors each year. Monument Health serves a 38-county region comprised of western South Dakota, southeastern Montana, northeastern Wyoming, southwestern North Dakota and northwestern Nebraska. |
| Part VI, Line 5: | Monument Health collaborates with agencies and community-wide coalitions to address prioritized health needs within the communities we serve. Monument Health addresses its community's health needs by: 1) Community members serve on governing boards, advisory councils and patient and family member councils; 2) developing new programs and initiatives to address identified health needs: and 3) promoting an understanding of these health needs among other community organizations and within the public itself. Monument Health also provides financial support to other nonprofit organizations to help support community health outreach. Additionally, Monument Health provides in-kind support and employee volunteers to help support community health events and activities. |
| Part VI, Line 6: | Monument Health is committed to partnering with the communities it serves to meet the needs of each respective community. Monument Health, Inc. is the parent organization of Monument Health Rapid City Hospital, Inc., and Monument Health Network, Inc. These corporations work together to meet the health care needs of the region. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | City of Custer | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 622 Crook St | AddressLine1Txt |
| City | Custer | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57730 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 466000114 | RecipientEIN |
| Cash Grant | $0 | CashGrantAmt |
| Non Cash Assistance | $353,465 | NonCashAssistanceAmt |
| Valuation Method Used | Book Value | ValuationMethodUsedDesc |
| Non Cash Assistance | Building | NonCashAssistanceDesc |
| Purpose Of Grant | Provide City with ability to attempt to have skilled nursing home facility opened by another operator. | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Paulette Davidson | ||||||||||||||
| President and CEO | $0 | $1,048,570 | $0 | $468,970 | $0 | $189,300 | $0 | $203,572 | $0 | $29,293 | $0 | $1,939,705 | $0 | $168,800 |
| Ray Jensen MD | ||||||||||||||
| Physician - Orthopedic Surgery | $1,512,365 | $0 | $2,000 | $0 | $75,063 | $0 | $118,859 | $0 | $34,315 | $0 | $1,742,602 | $0 | $75,063 | $0 |
| Andrew VanOsdol MD | ||||||||||||||
| Physician - Surgery | $992,688 | $0 | $8,500 | $0 | $30,551 | $0 | $67,945 | $0 | $34,559 | $0 | $1,134,243 | $0 | $30,551 | $0 |
| Brad Archer MD | ||||||||||||||
| Chief Medical Officer | $0 | $613,416 | $0 | $196,723 | $0 | $76,301 | $0 | $93,920 | $0 | $23,904 | $0 | $1,004,264 | $0 | $64,571 |
| Richard Little MD | ||||||||||||||
| Physician - Orthopedic Surgery | $937,988 | $0 | $4,000 | $0 | $0 | $0 | $14,705 | $0 | $32,527 | $0 | $989,220 | $0 | $0 | $0 |
| Christopher Milnes MD | ||||||||||||||
| Physician - Radiologist | $855,481 | $0 | $20,000 | $0 | $0 | $0 | $41,825 | $0 | $26,532 | $0 | $943,838 | $0 | $0 | $0 |
| Wesley Badger | ||||||||||||||
| Physician -Surgery | $810,343 | $0 | $29,580 | $0 | $0 | $0 | $57,536 | $0 | $15,887 | $0 | $913,346 | $0 | $0 | $0 |
| Mark A Thompson | ||||||||||||||
| CFO/Treasurer | $0 | $485,887 | $0 | $155,035 | $0 | $69,108 | $0 | $70,813 | $0 | $31,517 | $0 | $812,360 | $0 | $48,608 |
| Stephanie Lahr MD | ||||||||||||||
| CIO & CMIO Until 03/23 | $0 | $408,520 | $0 | $147,796 | $0 | $102,650 | $0 | $44,928 | $0 | $16,745 | $0 | $720,639 | $0 | $82,150 |
| Teresa Burroff | ||||||||||||||
| General Counsel/Sec. Until 11/22 | $0 | $386,929 | $0 | $132,493 | $0 | $66,173 | $0 | $39,331 | $0 | $26,819 | $0 | $651,745 | $0 | $45,673 |
| Thomas Worsley | ||||||||||||||
| Pres.Spearfish Hospital/Hills Market | $410,537 | $0 | $134,382 | $0 | $38,008 | $0 | $34,802 | $0 | $29,628 | $0 | $647,357 | $0 | $17,508 | $0 |
| Heather Brewer MD | ||||||||||||||
| Board member/Employed Physician | $498,105 | $0 | $10,000 | $0 | $36,427 | $0 | $50,838 | $0 | $29,350 | $0 | $624,720 | $0 | $36,427 | $0 |
| Nicole Kerkenbush - Chief | ||||||||||||||
| Nursing/Perf Officer Until 06/23 | $0 | $326,336 | $0 | $103,759 | $0 | $29,049 | $0 | $55,761 | $0 | $2,800 | $0 | $517,705 | $0 | $22,921 |
| Mark Schulte | ||||||||||||||
| VP Rapid City Market | $0 | $274,090 | $0 | $73,076 | $0 | $32,715 | $0 | $28,894 | $0 | $33,917 | $0 | $442,692 | $0 | $18,331 |
| Mark Schmidt | ||||||||||||||
| Pres.Sturgis, Lead-Deadwood Markets | $263,669 | $0 | $76,664 | $0 | $27,919 | $0 | $26,684 | $0 | $27,664 | $0 | $422,600 | $0 | $14,327 | $0 |
| Jason Knudson | ||||||||||||||
| Board Member/Employed Physician | $307,672 | $0 | $5,100 | $0 | $20,212 | $0 | $31,016 | $0 | $29,350 | $0 | $393,350 | $0 | $20,212 | $0 |
| Charles Lewis DO | ||||||||||||||
| Board Member/Employed Physician | $321,901 | $0 | $3,000 | $0 | $0 | $0 | $12,200 | $0 | $25,388 | $0 | $362,489 | $0 | $0 | $0 |
| Barbara Hespen | ||||||||||||||
| President Custer Market & System CNO | $150,943 | $0 | $25,000 | $0 | $42,062 | $0 | $14,595 | $0 | $17,892 | $0 | $250,492 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The Executive Committee, which is a committee of the Monument Health (parent) Board, reviews and approves base salary and total compensation ranges for all executives within the Monument Health System. |
| Part I, Line 4b | Monument Health provides a supplemental nonqualified retirement plan and a flexible benefit plan that can include deferred compensation for its executives. The following individuals had amounts deferred into the account as reported in Schedule J, column C: Paulette Davidson $190,512 Ray Jensen MD $105,975 Brad Archer MD $81,209 Andrew VanOsdol MD $55,061 Mark Thompson $52,744 Wesley Badger $44,998 Nicole Kerkenbush $42,892 Heather Brewer MD $34,872 Stephanie Lahr MD $31,868 Christopher Milnes $28,777 Teresa Burroff $26,447 Thomas Worsley $21,824 Jason Knudson $16,396 Mark Schmidt $13,592 Barbara Hespen $7,380 Mark Schulte $14,388 The following individuals had supplemental non-qualified retirement plan amounts included in schedule J, column B(iii) that were previously reported as deferred compensation on Form 990. These amounts are identified in Schedule J, column F. Paulette Davidson $168,800 Stephanie Lahr MD $82,150 Ray Jensen MD $75,063 Brad Archer MD $64,571 Mark Thompson $48,608 Teresa Burroff $45,673 Heather Brewer MD $36,427 Andrew VanOsdol MD $30,551 Nicole Kerkenbush $22,921 Jason Knudson MD $20,212 Thomas Worsley $17,508 Mark Schmidt $14,327 Mark Schulte $18,331 |
| Part I, Line 7 | Executives and other employees of system entities will be eligible to receive annual incentive awards that are competitive with the incentives offered by the organizations in the system's peer group(s) in accordance with the terms of the Monument Health, Inc. annual incentive plan for selected executives and other employees (incentive plan). In accordance with this plan, the parent board's executive committee reviews and approves all incentive compensation performance measures and all awards, if any. The committee ensures that the total compensation, including incentive awards, is reasonable. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 1a: | All 1099's are issued centrally by Monument Health Rapid City Hospital, Inc., a related organization. |
| Form 990, Part V, Line 2a: | Number of employees on W-3: Monument Health Network, Inc. has its own employees, however, compensation is paid by Monument Health Rapid City Hospital, the common payroll agent. |
| Form 990, Part VI, Section A, line 1a | The membership of the Executive Committee of the Corporation shall consist of the following: Chair of the Board of Directors, Vice Chair of the Board of Directors, two other Board members appointed by the Chair, and the Corporation's President. The Chair of the Board of Directors shall serve as the Chair of the Executive Committee. Directors on the Executive Committee shall serve during the term of office they hold which places them on the Executive Committee, or, for the two Chair-appointed members, for a term of one (1) year or until their successors are appointed. The Executive Committee, when the Board of Directors is not in session, shall have and may exercise all of the authority of the Board of Directors, except to the extent, if any, that such authority shall be limited by a motion or resolution of the Board of Directors or that is authority reserved to the Member. It is intended that the powers of the Executive Committee to act for the whole Board be confined to such urgent matters as reasonably should not be deferred until the next regularly-scheduled meeting of the full Board. |
| Form 990, Part VI, Section A, line 2 | Paulette Davidson has a business relationship with the following individuals due to being the CEO of the supporting organization that exercises reserve powers over the supported organizations that employ each of these key employees: Teresa Burroff; Stephanie Lahr, MD; Brad Archer, MD; Mark Thompson; Mark Schulte and Nicole Kerkenbush. |
| Form 990, Part VI, Section A, line 6 | Monument Health, Inc. is the sole member of Monument Health Network, Inc. |
| Form 990, Part VI, Section A, line 7a | Monument Health, Inc., being the sole member of Monument Health Network, Inc., has the ability to appoint or remove all members of Monument Health Network, Inc.'s board. |
| Form 990, Part VI, Section A, line 7b | Monument Health, Inc. (MHI) provides compliance, governance, financial, and planning support to its Supported Organizations to best assure the functions and services of the Supported Organizations are coordinated and supported in a manner that furthers the shared charitable mission of the Supported Organizations and MHI, as a whole. Monument Health, Inc. has final authority in significant business decisions affecting the Supported Organizations. |
| Form 990, Part VI, Section B, line 11b | The 990 is prepared and reviewed by an independent accounting firm. It is then reviewed internally by management. The Form 990 is further reviewed, prior to filing, by the organization's board of directors through a portal to the organization's internal information system, to which each board member has access. Educational sessions have been provided to board members on how to access the portal. |
| Form 990, Part VI, Section B, line 12c | As part of the annual disclosure of potential conflicts process, all board members, officers, and management are required to complete an annual disclosure statement on financial interests and conflicting interests. At Board and Board Committee meetings, the meeting agenda includes an initial item "Conflicts of Interest" where the Chair asks members if they have any conflicting interests or financial interests related to an agenda item. If a conflicting or financial interest is disclosed, it is noted in the minutes and there is discussion or determination of whether the disclosure requires the board or committee member to be excused from discussion or action on that agenda item. Board or committee members whose disclosure is found to be a conflict may be invited to speak on the matter by the Chair, but are not permitted to vote on the matter and may be required to leave the meeting during discussion, after they have made any comments invited by the Chair. Failure to comply with the Conflict of Interest policy constitutes grounds for removal from office or membership on the Board or Board Committee and, in the case of all employees, termination of employment. |
| Form 990, Part VI, Section B, line 15a | The Executive Committee of Monument Health, Inc (MHI; parent) annually engages an independent third party compensation firm to conduct a review of all executives, Vice President level and above, to determine an appropriate compensation range in which their compensation would be established. The independent compensation consultant provided peer group market comparative data for base salary, total cash compensation, benefits and total compensation for executives. The CEO or her designee determines the actual base salary of the executives within the committee-approved base salary range based on experience and performance, providing the total compensation is within the targeted market percentile, e.g. 50th percentile. Each year, the independent consultant meets with Committee members and presents data upon which the Committee determines all elements of compensation for the member's CEO (base salary, total cash compensation, benefits and total compensation) and reaffirms the organization's executive compensation philosophy, which includes the targeted market percentile for all other executives. Actual compensation is paid by Monument Health Rapid City Hospital and charged to Monument Health, Inc. |
| Form 990, Part VI, Section C, line 19 | The Articles of Incorporation of the organization are filed in the office of the Secretary of State of South Dakota and are available to the public from the Office of the Secretary of State. Other documents (Bylaws, conflict of interest policy and financial statements) are not posted for the public but are available or described in other public documents or sites such as offering statements in bond issues or municipal securities rulemaking board's electronic municipal market access (EMMA) data port. |
| Form 990, Part X, Line 20 | Monument Health Network, Inc. is part of the Monument Health, Inc. Obligated Group which consists of Monument Health, Inc., Monument Health Rapid City Hospital, Inc., Monument Health Network, Inc., and Monument Health Physicians, Inc. Monument Health Network, Inc. was not allocated any share of the bond issue, and thus does not have an amount on line 20. |
| Form 990, Part XI, line 9: | Equity Transfer 126,625. Other Change in Net Assets 13,015. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Monument Health Inc | |||||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 201487506 | Healthcare | SD | 501(c)(3) | Line 12c, III-FI | N/A | 0 | |
| Monument Health Rapid City Hospital Inc | |||||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 460319070 | Healthcare | SD | 501(c)(3) | Line 3 | 0 | Monument Health Inc | |
| Monument Health Physicians Inc | |||||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 460372454 | Healthcare | SD | 501(c)(3) | PF | 0 | Monument Health Inc | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| Medical & Dental Building | |||||||||
| 2805 S 5th St | Rapid City | SD | 57701 | 460339629 | Medical Office Bldg | SD | N/A | 0 | 0 |
| Same Day Surgery Center | |||||||||
| 2805 S 5th St | Rapid City | SD | 57701 | 460339629 | Medical services | SD | N/A | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |