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MONUMENT HEALTH RAPID CITY HOSPITAL INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
MONUMENT HEALTH RAPID CITY HOSPITAL INC (EIN 46-0319070)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-14
IRS object ID
202411359349306571
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 ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-14T12:59:19-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN460319070EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Monument Health Rapid City Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMONUBusinessNameControlTxt
Phone6057559130PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1353 Fairmont Blvd PO Box 6000AddressLine1Txt
CityRapid CityCityNm
State AbbreviationSDStateAbbreviationCd
ZIP577096000ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAustin WilluweitPersonNm
Person TitleCFOPersonTitleTxt
Phone6057559130PhoneNum
Signature2024-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstAustinPersonFirstNm
Person LastWilluweitPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2024-05-09PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPaulette DavidsonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1353 Fairmont Blvd PO Box 6000AddressLine1Txt
CityRapid CityCityNm
State AbbreviationSDStateAbbreviationCd
ZIP577096000ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$914,197,369GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.monument.healthWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateSDLegalDomicileStateCd
Activity Or MissionMonument Health Rapid City Hospital is dedicated to improving the health of individuals and our communities.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee5062TotalEmployeeCnt
Total Volunteers193TotalVolunteersCnt
Total Gross UBI$9,841,419TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$263,401NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$19,062,879PYContributionsGrantsAmt
CY Contributions Grants$1,792,112CYContributionsGrantsAmt
PY Program Service Revenue$886,367,787PYProgramServiceRevenueAmt
CY Program Service Revenue$890,966,958CYProgramServiceRevenueAmt
PY Investment Income$21,422,326PYInvestmentIncomeAmt
CY Investment Income$19,259,133CYInvestmentIncomeAmt
PY Other Revenue$402,635PYOtherRevenueAmt
CY Other Revenue$551,711CYOtherRevenueAmt
PY Total Revenue$927,255,627PYTotalRevenueAmt
CY Total Revenue$912,569,914CYTotalRevenueAmt
PY Grants And Similar Paid$438,151PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$112,439CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$388,321,658PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$403,587,845CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$937,968CYTotalFundraisingExpenseAmt
PY Other Expenses$517,122,502PYOtherExpensesAmt
CY Other Expenses$539,428,501CYOtherExpensesAmt
PY Total Expenses$905,882,311PYTotalExpensesAmt
CY Total Expenses$943,128,785CYTotalExpensesAmt
PY Revenues Less Expenses$21,373,316PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$30,558,871CYRevenuesLessExpensesAmt
Total Assets BOY$1,405,384,189TotalAssetsBOYAmt
Total Assets EOY$1,355,082,505TotalAssetsEOYAmt
Total Liabilities BOY$567,389,962TotalLiabilitiesBOYAmt
Total Liabilities EOY$530,194,231TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$837,994,227NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$824,888,274NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOur vision at Monument Health Rapid City Hospital is to be one team, to listen, to be inclusive, and to show we care. Monument Health Rapid City Hospital is dedicated to improving the health of individuals and our communities.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$755,282,080ExpenseAmt
Grant$112,439GrantAmt
Revenue$881,228,984RevenueAmt
DescMonument Health Rapid City Hospital, Inc. (MHRCH) offers both inpatient and outpatient health services. Its tertiary hospital, Rapid City Hospital (RCH), serves Western South Dakota. The nearest larger hospital is in Sioux Falls, SD, more than 350 miles away. As such, the services provided by MHRCH are truly a healthcare safety net for Western South Dakota. MHRCH is a community-based health care system with a mission to make a difference, every day. MHRCH also provides patient care at the Behavioral Health Center, Orthopedic and Specialty Hospital, Family Medicine Residency Clinic, Heart and Vascular Institute, Hospice House, Rehabilitation Institute, Medical Clinics and Urgent Care locations. The Hospital employs physicians through its residency, cardiology, cardiovascular surgery, medical oncology, psychiatry, neurology, hospitalist, orthopedics and other programs.Monument Health Home Plus, LLC provides home care, hospice, pharmacy, and durable medical equipment services to the communities Monument Health serves.Desc
Total Program Service Expenses$755,282,080TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document578IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee5062EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Austin WilluweitBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6057559127PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1353 Fairmont Blvd PO Box 6000AddressLine1Txt
CityRapid CityCityNm
State AbbreviationSDStateAbbreviationCd
ZIP577096000ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Paulette R Davidson
President & CEO50.559.45Yes (X)Yes (X)$0$1,706,840$232,865
Joseph Tuma MD
Physician - Cardiology40.000.00$1,612,881$0$116,463Yes (X)
Bhaskar Purushottam MD
Physician - Cardiology40.000.00$1,565,024$0$129,774Yes (X)
Charan Mungara MD
Physician - Cardiology40.000.00$1,560,616$0$109,131Yes (X)
Siri Knutsen Larson MD
Physician - Dermatology40.000.00$1,311,701$0$130,301Yes (X)
Ethan Levine MD
Physician - Cardiology40.000.00$1,228,479$0$112,182Yes (X)
Brad Archer MD
Chief Medical Officer46.338.67Yes (X)$886,440$0$117,823
John Pierce
President Rapid City Market55.000.00$745,376$0$108,781Yes (X)
Mark A Thompson
CFO/Treasurer46.338.67Yes (X)$710,030$0$102,330
Srinivas Gangineni MD
Board Member/Employed Physician40.920.00Yes (X)$700,395$0$86,937
Stephanie Lahr MD
CIO/CMIO until 3/2346.338.67$658,966$0$61,673Yes (X)
Teresa Burroff
Gen. Counsel/Secretary until 11/2246.338.67Yes (X)$585,595$0$66,150
Thomas Worsley
President Spearfish Market0.0055.00$0$582,927$64,430Yes (X)
Jacob Weasel MD
Board Member/Employed Physician40.920.00Yes (X)$537,616$0$77,704
Nicole Kerkenbush - Chief
Nursing/Perf Officer Until 06/2346.338.67$459,144$0$58,561Yes (X)
Michael Tilles
VP Operations-Rapid City Market55.000.00$439,729$0$48,718Yes (X)
Mark Longacre
VP Operations-Rapid City Market55.000.00$406,756$0$56,301Yes (X)
Mark Schulte
VP Rapid City Market55.000.00$379,881$0$62,811Yes (X)
Michael Latour
System Director of Musculoskeletal Care55.000.00$199,072$0$37,715Yes (X)
Tasha Frisinger
VP of Nursing55.000.00$164,031$0$40,189Yes (X)
Michael Statz MD
Board Member/Employed Physician41.210.00Yes (X)$141,718$0$2,137
Jay White
Board Member0.980.00Yes (X)$75,548$0$0
Steven Frost MD
Board Member1.120.00Yes (X)$2,000$0$0
Ross Mckie
Chair2.080.00Yes (X)Yes (X)$0$0$0
Daryl Reinicke
Board Member1.480.00Yes (X)$0$0$0
Scott Barbour
Board Member1.210.00Yes (X)$0$0$0
Dusty Pinske
Board Member1.130.75Yes (X)$0$0$0
Tom Rau
Board Member1.120.00Yes (X)$0$0$0
Deidre Budahl
Board Member1.500.00Yes (X)$0$0$0
Col Michelle Schnakenberg
Board Member From 09/220.830.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$14,370,998TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,289,767TotReportableCompRltdOrgAmt
Total Other Compensation$1,822,976TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K598IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Medefis
10826 Old Mill Rd 101OmahaNE68105Contract labor$51,644,887
Layton Gustafson
9090 South Sandy ParkwaySandyUT84070Construction$23,783,393
AYA Healthcare Inc
2550 University Ave West Suite 320NSt PaulMN55114Medical Staffing$21,422,614
MJ Harris Construction Services LLC
1 Riverchase RidgeBirminghamAL35244Construction$17,668,810
Crothall Healthcare
13028 Collection Center DriveChicagoIL60693Professional services$13,857,172
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K397CntrctRcvdGreaterThan100KCnt
Fundraising$155,524FundraisingAmt
Government Grants$172,997GovernmentGrantsAmt
All Other Contributions$1,463,591AllOtherContributionsAmt
Total Contributions$1,792,112TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Pharmacy621400$183,999,537$175,563,529$8,436,008
Laboratory621500$113,446,462$113,225,635$220,827
Surgical Services621110$87,252,059$87,252,059
MIS CT Scan621500$37,332,071$37,332,071
Cardiac Services621110$22,048,707$22,048,707

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$446,888,122TotalRevenueColumnAmt
Related Or Exempt Func Income$445,703,538RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,184,584UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$890,966,958TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,711,834TotalRevenueColumnAmt
Exclusion$7,711,834ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$327,399TotalRevenueColumnAmt
Exclusion$327,399ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,451,103RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,240,071RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$211,032RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$211,032TotalRevenueColumnAmt
Exclusion$211,032ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,219,900SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$11,219,900SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,219,900TotalRevenueColumnAmt
Exclusion$11,219,900ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$480,566FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$155,524ContriRptFundraisingEventAmt
Fundraising Direct Expenses$243,332FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$237,234TotalRevenueColumnAmt
Exclusion$237,234ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$247,497GrossSalesOfInventoryAmt
Cost Of Goods Sold$144,052CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$103,445TotalRevenueColumnAmt
Related Or Exempt Func Income$103,445RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$912,569,914TotalRevenueColumnAmt
Related Or Exempt Func Income$881,228,984RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$9,841,419UnrelatedBusinessRevenueAmt
Exclusion$19,707,399ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$112,439TotalAmt
Program Services$112,439ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,704,592TotalAmt
Program Services$1,498,010ProgramServicesAmt
Management And General$7,206,582ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$376,816TotalAmt
Program Services$376,816ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$358,346,003TotalAmt
Program Services$292,261,460ProgramServicesAmt
Management And General$65,548,251ManagementAndGeneralAmt
Fundraising$536,292FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$11,811,108TotalAmt
Program Services$9,455,134ProgramServicesAmt
Management And General$2,338,735ManagementAndGeneralAmt
Fundraising$17,239FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,695,319TotalAmt
Program Services$1,357,152ProgramServicesAmt
Management And General$335,693ManagementAndGeneralAmt
Fundraising$2,474FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$22,654,007TotalAmt
Program Services$17,738,498ProgramServicesAmt
Management And General$4,877,509ManagementAndGeneralAmt
Fundraising$38,000FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$6,628,464TotalAmt
Program Services$277,756ProgramServicesAmt
Management And General$6,350,708ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$758,399TotalAmt
Management And General$758,399ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$454,250TotalAmt
Management And General$454,250ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$561,744TotalAmt
Management And General$561,744ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$142,630,927TotalAmt
Program Services$111,411,312ProgramServicesAmt
Management And General$31,219,615ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,197,537TotalAmt
Program Services$27,922ProgramServicesAmt
Management And General$1,153,182ManagementAndGeneralAmt
Fundraising$16,433FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$18,293,895TotalAmt
Program Services$9,409,926ProgramServicesAmt
Management And General$8,615,905ManagementAndGeneralAmt
Fundraising$268,064FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$22,168,501TotalAmt
Program Services$4,093,758ProgramServicesAmt
Management And General$18,060,469ManagementAndGeneralAmt
Fundraising$14,274FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$29,713,479TotalAmt
Program Services$10,264,773ProgramServicesAmt
Management And General$19,446,843ManagementAndGeneralAmt
Fundraising$1,863FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,296,561TotalAmt
Program Services$1,434,574ProgramServicesAmt
Management And General$854,322ManagementAndGeneralAmt
Fundraising$7,665FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,123,353TotalAmt
Program Services$32,193ProgramServicesAmt
Management And General$1,091,160ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,937,131TotalAmt
Program Services$8,937,131ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$52,118,068TotalAmt
Program Services$39,306,727ProgramServicesAmt
Management And General$12,788,924ManagementAndGeneralAmt
Fundraising$22,417FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,971,995TotalAmt
Program Services$742,366ProgramServicesAmt
Management And General$2,229,629ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical Supplies$204,296,024$203,986,784$308,764$476
Interco Supplies/Servic$44,029,361$42,538,485$1,490,876
All other expenses$1,184,655$18,864$1,153,020$12,771
UBI Tax$64,157$64,157

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$943,128,785TotalAmt
Program Services$755,282,080ProgramServicesAmt
Management And General$186,908,737ManagementAndGeneralAmt
Fundraising$937,968FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$31,726,572BOYAmt
EOY$26,082,675EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$82,612,122BOYAmt
EOY$31,325,460EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$133,917,359BOYAmt
EOY$120,275,308EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$27,611,166BOYAmt
EOY$27,397,609EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$17,519,116BOYAmt
EOY$13,839,488EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$935,446,701LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$413,321,216LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$508,040,991BOYAmt
EOY$522,125,485EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$162,886,141BOYAmt
EOY$241,276,882EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$425,997,462BOYAmt
EOY$351,347,903EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,541,789BOYAmt
EOY$7,767,722EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$12,531,471BOYAmt
EOY$13,643,973EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,405,384,189BOYAmt
EOY$1,355,082,505EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$121,121,966BOYAmt
EOY$84,891,254EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$345,811,041BOYAmt
EOY$337,498,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$26,285,258BOYAmt
EOY$26,285,258EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$74,171,697BOYAmt
EOY$81,519,719EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$567,389,962BOYAmt
EOY$530,194,231EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$811,150,365BOYAmt
EOY$803,564,484EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$26,843,862BOYAmt
EOY$21,323,790EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$837,994,227BOYAmt
EOY$824,888,274EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,405,384,189BOYAmt
EOY$1,355,082,505EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$30,558,871ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$23,034,268NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$5,581,350OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$503,600GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$58,144OtherActivitiesAmt
Total Lobbying Expenditures$561,744TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationAnnual 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 $327,723, 6.23% 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 $68,039, 27.29% was used for lobbying purposes. Annual dues were paid to the American Medical Rehab Providers 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 $11,883, 35.00% was used for lobbying purposes. In fiscal year 2023, $503,600 of contribution expense and $15,000 of consulting expense were incurred in regard to lobbying. The contribution was provided to an organization working toward Medicaid expansion through an initiated ballot measure.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,662,929BeginningYearBalanceAmt
End Year Balance$1,662,929EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,662,929BeginningYearBalanceAmt
End Year Balance$1,662,929EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,662,929BeginningYearBalanceAmt
End Year Balance$1,662,929EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,662,929BeginningYearBalanceAmt
End Year Balance$1,662,929EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,662,929BeginningYearBalanceAmt
End Year Balance$1,662,929EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,014,138OtherCostOrOtherBasisAmt
Book Value$13,014,138BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$571,668,252OtherCostOrOtherBasisAmt
Depreciation$207,631,385DepreciationAmt
Book Value$364,036,867BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$287,870,630OtherCostOrOtherBasisAmt
Depreciation$199,573,925DepreciationAmt
Book Value$88,296,705BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$62,893,681OtherCostOrOtherBasisAmt
Depreciation$6,115,906DepreciationAmt
Book Value$56,777,775BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$522,125,485TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Mortgage-Backed Securities$89,241,000F
Private Equity/Debt$139,567,357F
Real Estate Funds$5,035,241F
Investment in West Dakota Health Care/Monument Health Network$43,000,231C
Investment in Privately Held Companies$2,500,143F
Equity Securities and Funds - Domestic$72,003,931F
FieldValueIRS element (for citing)
Total Book Value Securities$351,347,903TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Other Long Term Liabilities$20,810,031
Accrued Pension Liability$8,175,871
Due from related party$38,747,176
Lease liability$686,797
Third party payor settlements$13,099,844
FieldValueIRS element (for citing)
Total Liability$81,519,719TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:Endowed funds are held in an interest bearing account subject to the terms as specified by the donor and Board of Directors. The earnings on the endowment funds become temporarily restricted funds and therefore are not part of the endowment balance. The earnings are used to support the activities and programs in proportion to the restricted balances. Of the $1,662,929 endowment funds, $692,332 are restricted to be used for grants/scholarships to students in a healthcare program, $512,197 is restricted for use in the pediatrics unit, $100,000 for promotion of a healthy community, $197,400 for cardiac services, $100,000 for hospice patients, $36,000 for plants in public areas and $25,000 for cancer care.
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 F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,00Investment$55,841,000
North America - Canada and Mexico, but not the United States00Investment$2,577,000
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$58,418,000SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$58,418,000TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part III Accounting Method:
Part I, Line 2:The organization does not award grants or assistance outside the United States. The organization has investment activities outside the United States. Schedule F, Part IV: The organization reviews its direct and indirect investments during the tax period for determining required foreign filings. Line 1: The organization makes direct and indirect transfers to foreign corporations and foreign partnerships. The organization would file Form 926 or Form 8865 if the transfers met the requirements for filing. The organization's transfers to foreign corporations did require filing Form 926. The organization's transfers to foreign partnerships did not require filing Form 8865. Lines 3 and 4: The organization has ownership interests in foreign corporations and foreign partnerships. The organization would file Form 5471 or Form 8865 if the ownership met the requirements for filing. The organization's ownership in foreign corporations did not require filing Form 5471. The organization's ownership in foreign partnerships did not require filing Form 8865. Line 5: The organization invests in partnerships that hold direct or indirect interests in passive foreign investment companies (PFICs). The organization would file Form 8621s for underlying investments that generate unrelated business income. The organization would not file Form 8621s where the investment partnerships have properly filed Form 8621s, or where the underlying investments did not generate any unrelated business income. The organization did not require filing Form 8621.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Golden Guitar GalaEvent1Nm
Gross Receipts Event1$316,650GrossReceiptsEvent1Amt
Charitable Contri Event1$88,573CharitableContriEvent1Amt
Gross Revenue Event1$228,077GrossRevenueEvent1Amt
Rent Facility Costs Event1$2,247RentFacilityCostsEvent1Amt
Food And Beverage Event1$24,500FoodAndBeverageEvent1Amt
Entertainment Event1$10,348EntertainmentEvent1Amt
Other Direct Expenses Event1$77,282OtherDirectExpensesEvent1Amt
Event2Northern Hill Hospice BallEvent2Nm
Gross Receipts Event2$108,593GrossReceiptsEvent2Amt
Charitable Contri Event2$66,951CharitableContriEvent2Amt
Gross Revenue Event2$41,642GrossRevenueEvent2Amt
Rent Facility Costs Event2$1,350RentFacilityCostsEvent2Amt
Food And Beverage Event2$13,857FoodAndBeverageEvent2Amt
Entertainment Event2$11,510EntertainmentEvent2Amt
Other Direct Expenses Event2$2,458OtherDirectExpensesEvent2Amt
Other Events Total8OtherEventsTotalCnt
Gross Receipts Other Events$209,177GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$209,177GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$99,780OthDirectExpnssOtherEventsAmt
Gross Receipts Total$634,420GrossReceiptsTotalAmt
Charitable Contributions Tot$155,524CharitableContributionsTotAmt
Gross Revenue Total Events$478,896GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$3,597RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$38,357FoodAndBeverageTotalEventsAmt
Entertainment Total Events$21,858EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$179,520OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$243,332DirectExpenseSummaryEventsAmt
Net Income Summary$235,564NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,707,717TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,707,717NetCommunityBenefitExpnsAmt
Total Expense0.00920TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$82,820,252TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,808,596DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,011,656NetCommunityBenefitExpnsAmt
Total Expense0.03290TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$91,527,969TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,808,596DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,719,373NetCommunityBenefitExpnsAmt
Total Expense0.04210TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Total Community Benefit Expns$5,665,618TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,665,618NetCommunityBenefitExpnsAmt
Total Expense0.00600TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,113,836TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,191,975DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,921,861NetCommunityBenefitExpnsAmt
Total Expense0.02320TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,752,894TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,469,568DirectOffsettingRevenueAmt
Net Community Benefit Expns$283,326NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,004,620TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,004,620NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs19ActivitiesOrProgramsCnt
Total Community Benefit Expns$35,536,968TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,661,543DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,875,425NetCommunityBenefitExpnsAmt
Total Expense0.03060TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs19ActivitiesOrProgramsCnt
Total Community Benefit Expns$127,064,937TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$58,470,139DirectOffsettingRevenueAmt
Net Community Benefit Expns$68,594,798NetCommunityBenefitExpnsAmt
Total Expense0.07270TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$26,060TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$26,060NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$297,659TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$297,659NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$639TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$639NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$103,881TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$103,881NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$57TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$57NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Total Community Benefit Expns$428,296TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$428,296NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$86,751,664BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$215,358,327ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$237,688,112CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$22,329,785MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 Medical & Dental Building
Office Building0.714500.28550
2 The Imaging Center LLC
Medical Imaging0.500000.50000
3 Same Day Surgery Center
Specialty and Ambulatory Srvcs0.400000.60000
4 Western Providers Inc
PHO0.500000.50000
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDesc
Monument Health Rapid City Hospital
1353 Fairmont BlvdRapid CitySD57701www.monument.health10558Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)1 Specialty Hosp; 8 PB clinics; 1 behavioral health facility
Same Day Surgery Center
2651 Cathedral DriveRapid CitySD57701www.samedaysurgerycenter.org10581Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndRpt Available Thru Other MethodRptAvailableThruOtherMethodIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndResidency CriteriaResidencyCriteriaIndOther CriteriaOtherCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndProvided Nonprofit ContactProvidedNonprofitContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndProspective Medicare MedicaidProspectiveMedicareMedicaidIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtNo Emergency CareNoEmergencyCareInd
Monument Health Rapid City Hospital Inc
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)21Yes (1)Yes (1)0Yes (1)Yes (X)See Section C, Line 7dYes (X)Yes (X)Yes (1)21Yes (1)See Section C, Line 7d0Yes (1)Yes (X)250.000000000000300.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)See Section C, Line 16a-cYes (X)See Section C, Line 16a-cYes (X)See Section C, Line 16a-cYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
Same Day Surgery Center
200Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)21Yes (1)Yes (1)0Yes (1)Yes (X)Yes (X)Yes (1)21Yes (1)See Section C, Line 7d0Yes (1)Yes (X)250.000000000000300.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)See Section C, Line 16a-cYes (X)See Section C, Line 16a-cYes (X)See Section C, Line 16a-cYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)0Yes (X)00Yes (X)See Section C, Line 7dYes (X)

Supplemental Information SupplementalInformationGrp (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Monument Health Rapid City Hospital, Inc.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.
Same Day Surgery CenterPart 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.
Monument Health Rapid City Hospital, Inc.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, and 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.
Same Day Surgery CenterPart 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.
Monument Health Rapid City Hospital, Inc.Part V, Section B, Line 7d: https://monument.health/about-us/community-health-needs-assessment/
Same Day Surgery CenterPart V, Section B, Line 7d: https://www.samedaysurgerycenter.org/community-health-needs-assessment/
Monument Health Rapid City Hospital, Inc.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
Same Day Surgery CenterPart V, Section B, Line 11: Same Day Surgery Center will address the following two priority areas identified through the most recent CHNA: Cancer and Nutrition, Physical Activity and Weight. Cancer is a continuation of a need identified in the prior CHNA.In acknowledging the wide range of priority health issues revealed through the FY23 CHNA process, Same Day Surgery Center determined it could only focus on those which it deemed most pressing, most under-addressed, and within the ability to influence. The areas identified during the CHNA process that will not be directly addressed through the FY23 implementation plan are: Access to Health Services, Diabetes, Heart disease and stroke, Mental health, and Substance abuse. These needs are being addressed by other organizations in the community, are outside of our core area of expertise, or require resources that are not available at this time.Teams comprised of representatives from Rapid City Hospital, Same Day Surgery, Monument Health Network, and the community worked on the priority areas selected for each facility's Community Health Improvement Plan (CHIP).Cancer-Supported Tough Enough to Wear Pink, transferred funds to MH Foundation (department of MHRCH) to address needs of community cancer patients.-Provided screenings and education at community health fairs/events-Improved patient education materials, offerings, and practices to focus on the importance of cancer prevention and early detection to reduce cancer incidence in our region-Participated in cancer fundraisers and awareness walk(s)Nutrition, Physical Activity and Weight-Provided screenings and education at community health fairs/events-Participated in food drives and distribution for food-insecure populations-Encouraged physical activity through community activities
Monument Health Rapid City Hospital, Inc.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.
Same Day Surgery CenterPart V, Section B, Line 13h: Must reside within 200 mile radius of the location where the service was received.Presumptive eligibility may be used.
Monument Health Rapid City Hospital, Inc.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, on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request.The FAP application form was translated into the primary language spoken by LEP populations. This is posted on the website listed for line 16a.
Same Day Surgery CenterPart V, Section B, Line 16j: A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request.The FAP application form was translated into the primary language spoken by LEP populations. This is posted on the website listed for line 16a.
Monument Health Rapid City Hospital, Inc.Part V, Section B, Line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy.
Same Day Surgery CenterPart V, Section B, Line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy.
Part V, Lines 16a-c Monument Health Rapid City HospitalThe Financial Assistance Policy, Application form, and plain language summary are available at https://monument.health/patient-visitor-guide/financial-assistance/
Part V, Lines 16a-c Same Day Surgery CenterThe Financial Assistance Policy, Application form, and plain language summary are available at http://www.samedaysurgerycenter.org/financial-assistance/
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Monument Health Home Care
224 Elk StRapid CtiySD57701Home Care
1 - Monument Health Rapid City Hospice House
224 Elk StRapid CtiySD57701End of Life Care
3 - Monument Health Home Care-Spearfish
1440 North Main StreetSpearfishSD57783Home Care
4 - Monument Health Medical Clinic
112 7th AveWallSD57790Clinic
5 - Monument Health Dialysis Center
132 Yankee StSpearfishSD57783Dialysis Center
6 - Monument Health Rehabilitation Center
1050 Fairmont BlvdRapid CtiySD57701Rehabilitation Center

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:References to "Monument Health" apply to all entities controlled by Monument Health, Inc. and its subsidiaries. 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 may be updated annually as the FPL income guidelines are released.Presumptive eligibility may be used if all other financial assistance avenues are exhausted.
Part I, Line 6a:Monument Health Rapid City Hospital 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, 7h, and 7i.
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 health 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 (FAP) at any time a patient expresses financial difficulty in meeting their debt obligation. Upon invoking the FAP, 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 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., Monument Health Network, Inc., and Monument Health Physicians, Inc. These corporations work together to meet the health care needs of the region.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
Elevate Rapid City
PO Box 747Rapid CitySD57701460118545501(c)(6)$50,000$0Pledge payment
South Dakota Ellsworth Development Authority
PO Box 747Rapid CitySD57701460118545$10,000$0Sponsorship
City of Box Elder
420 Villa DriveBox ElderSD57719460281490Government$10,000$0Sponsorship
American Heart Association Inc
7272 Greenville AveDallasTX75231135613797501(c)(3)$10,000$0Sponsorship
Center for American Indian Research and Native Studies
PO BOX 448MartinSD57551141966086501(c)(3)$12,409$0Sponsorship
Helpline Center Inc
1000 N West Ave 310Sioux FallsSD57104237424387501(c)(3)$5,500$0Sponsorship
Boys & Girls Club of the Black Hills
PO BOX 677Hill CitySD57745460332124501(c)(3)$5,280$0Event Sponsorship
Central States Fair Inc
800 San Francisco StRapid CitySD57701460238981501(c)(5)$9,250$0Sponsorship
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org3TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe governing board and management of the receiving organization develop programs which enhance the charitable mission of the organization. Disbursement of grant or contribution funds for these programs are made in accordance with the established procedures within the organization and are subject to the conditions established by the organization's governing board and management. These procedures are developed to ensure that distributed funds are adequately monitored for appropriate usage.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Paulette R Davidson
President & CEO$0$1,048,570$0$468,970$0$189,300$0$203,572$0$29,293$0$1,939,705$0$168,800
Joseph Tuma MD
Physician - Cardiology$1,493,422$0$65,000$0$54,459$0$85,913$0$30,550$0$1,729,344$0$54,459$0
Bhaskar Purushottam MD
Physician - Cardiology$1,443,111$0$65,000$0$56,913$0$90,524$0$39,250$0$1,694,798$0$56,913$0
Charan Mungara MD
Physician - Cardiology$1,464,913$0$28,905$0$66,798$0$82,200$0$26,931$0$1,669,747$0$0$0
Siri Knutsen Larson MD
Physician - Dermatology$1,296,901$0$14,800$0$0$0$89,629$0$40,673$0$1,442,003$0$0$0
Ethan Levine MD
Physician - Cardiology$1,143,479$0$85,000$0$0$0$80,032$0$32,150$0$1,340,661$0$0$0
Brad Archer MD
Chief Medical Officer$613,416$0$196,723$0$76,301$0$93,920$0$23,904$0$1,004,264$0$64,571$0
John Pierce
President Rapid City Market$493,781$0$161,925$0$89,670$0$71,692$0$37,089$0$854,157$0$69,170$0
Mark A Thompson
CFO/Treasurer$485,887$0$155,035$0$69,108$0$70,813$0$31,517$0$812,360$0$48,608$0
Srinivas Gangineni MD
Board Member/Employed Physician$632,999$0$35,486$0$31,910$0$52,551$0$34,386$0$787,332$0$31,910$0
Stephanie Lahr MD
CIO/CMIO until 3/23$408,520$0$147,796$0$102,650$0$44,928$0$16,745$0$720,639$0$82,150$0
Teresa Burroff
Gen. Counsel/Secretary until 11/22$386,929$0$132,493$0$66,173$0$39,331$0$26,819$0$651,745$0$45,673$0
Thomas Worsley
President Spearfish Market$0$410,537$0$134,382$0$38,008$0$34,802$0$29,628$0$647,357$0$17,508
Jacob Weasel MD
Board Member/Employed Physician$510,496$0$27,120$0$0$0$44,050$0$33,654$0$615,320$0$0$0
Nicole Kerkenbush - Chief
Nursing/Perf Officer Until 06/23$326,336$0$103,759$0$29,049$0$55,761$0$2,800$0$517,705$0$22,921$0
Michael Tilles
VP Operations-Rapid City Market$310,677$0$88,210$0$40,842$0$31,886$0$16,832$0$488,447$0$28,984$0
Mark Longacre
VP Operations-Rapid City Market$297,271$0$78,067$0$31,418$0$27,568$0$28,732$0$463,056$0$16,050$0
Mark Schulte
VP Rapid City Market$274,090$0$73,076$0$32,715$0$28,894$0$33,917$0$442,692$0$18,331$0
Michael Latour
System Director of Musculoskeletal C$184,380$0$14,692$0$0$0$12,293$0$25,422$0$236,787$0$0$0
Tasha Frisinger
VP of Nursing$139,931$0$1,000$0$23,100$0$8,607$0$31,582$0$204,220$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3The 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 4bMonument Health provides a supplemental nonqualified retirement plan and a flexible benefit plan that can include deferred compensation for its executives and physicians. The following individuals had amounts deferred into the account as reported in Schedule J, Column C: Paulette Davidson $190,512 Brad Archer MD $81,209 Mark Thompson $52,744 Stephanie Lahr $31,868 Teresa Burroff $26,447 Nicole Kerkenbush $42,892 Mark Longacre $15,368 John Pierce $56,000 Michael Tilles $19,666 Mark Schulte $14,388 Joseph Tuma MD $73,944 Charan Mungara MD $70,000 Siri Knutsen Larson $76,918 Ethan Levine $67,494 Srinivas Gangineni MD $37,498 Jacob Weasel MD $31,648 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 Brad Archer MD $64,571 Mark Thompson $48,608 Stephanie Lahr $82,150 Teresa Burroff $45,673 Nicole Kerkenbush $22,291 John Pierce $69,170 Michael Tilles $28,984 Mark Longacre $16,050 Mark Schulte $18,331 Joseph Tuma MD $54,459 Bhaskar Purushottam MD $56,913 Srinivas Gangineni MD $31,910
Part I, Line 7Executives 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 will review and approve all incentive compensation performance measures and all awards, if any. The committee ensures that the total compensation, including incentive awards, is reasonable.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
SD Health & Educational Facilities Authority
A46031550983755VE262017-09-07$238,488,122Refund Series 2010 and 2011 Bond; Hospital buildings and equipment000
SD Health & Educational Facilities Authority
B46031550983755VM762020-10-27$138,442,836See Part VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$45,983,122$241,560,080$1,807,893$185,230,960$54,521,22720190Yes (1)Yes (1)Yes (1)
B$13,022,836$139,921,863$1,143,985$85,179,027$53,598,850202300Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)0Yes (1)00.004600.009600.0142000Yes (1)
B00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B00000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Date Rebate Computation PerformedIssuer Name: SD Health & Educational Facilities Authority Date the Rebate Computation was Performed: 09/07/2022
Form 990, Schedule K, Part I, Line BDescription of Purpose: Hospital Buildings Constructing and Renovating & Equipment, Refund Series 2015 Bonds and Termination of Interest Rate Swap relating to refunded bond.
Schedule K, Part II, Line 3, Bond AThe issue price on Part I, column (e) is different than the amount on Part II, line 3 due to interest earned during the construction phase on the proceeds of $3,071,958.
Schedule K, Part II, Line 3, Bond BTHE ISSUE PRICE ON PART I, COLUMN (E) IS DIFFERENT THAN THE AMOUNT ON PART II, LINE 3 DUE TO INTEREST EARNED DURING THE CONSTRUCTION PHASE ON THE PROCEEDS OF $1,479,027.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Amy Kress
Family member of Mark Thompson$70,315Employee compensation0
Becky Sharp
Family member of Mark Thompson$145,968Employee compensation0
Vicki Thompson
Family member of Mark Thompson$55,661Employee compensation0
Kody Sharp
Family member of Mark Thompson$104,872Employee compensation0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 1aThe 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 2Paulette Davidson has a business relationship with Thomas Worsley. The relationship exists because Paulette Davidson is the CEO of the supporting organization that exercises reserve powers over the supported organization, Monument Health Network.
Form 990, Part VI, Section A, line 6Monument Health, Inc. is the sole member of Monument Health Rapid City Hospital, Inc.
Form 990, Part VI, Section A, line 7aThe organization's sole member and supporting organization, Monument Health, Inc., appoints the members of Monument Health Rapid City Hospital's governing body. The bylaws require that at least one member of Monument Health Rapid City Hospital's board also serves as a voting member of the sole member's board to better assure the sole member's continued responsiveness to Monument Health Rapid City Hospital.
Form 990, Part VI, Section A, line 7bMonument Health, Inc. 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 Supported Organizations.
Form 990, Part VI, Section B, line 11bThe 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 12cAs 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 15aThe 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 19The 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 IX, line 11gContract and purchased services: Program service expenses 111,411,312. Management and general expenses 31,219,615. Fundraising expenses 0. Total expenses 142,630,927.
Form 990, Part XI, line 9:Released From Restriction -4,893,227. Reverse Auxiliary Net Income -11,904. Record Accum. Pension Liability for FY20 -395,150. Transfers -129,568. Reverse Medical Staff Net Income -151,501.
Form 990, Part X, Line 20:The issue price of the bonds includes the filing organization's share of the entire bond issue, which was issued to Monument Health, Inc. on behalf of the Monument Health Obligated Group. The Monument Health Obligated Group consists of Monument Health, Inc., Monument Health Rapid City Hospital, Inc., Monument Health Network, Inc. and Monument Health Physicians, Inc. In accordance with the IRS instructions, information related to the tax exempt bond reporting is being reported on the Monument Health Rapid City Hospital, Inc. tax return.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Monument Health Home Plus LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12925 Regional Way PO Box 6000AddressLine1Txt
CityRapid CityCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57701ZIPCd
FieldValueIRS element (for citing)
EIN364841157EIN
Primary ActivitiesHealthcare ServicesPrimaryActivitiesTxt
Legal Domicile StateSDLegalDomicileStateCd
Total Income$114,434,439TotalIncomeAmt
End Of Year Assets$15,833,375EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Monument Health Rapid City Hospital IncBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Monument Health Inc
353 Fairmont BlvdRapid CitySD57701201487506HealthcareSD501(c)(3)Line 12c, III-FIN/A0
Monument Health Network Inc
353 Fairmont BlvdRapid CitySD57701460360899HealthcareSD501(c)(3)Line 30Monument Health Inc
Monument Health Physicians Inc
353 Fairmont BlvdRapid CitySD57701460372454HealthcareSD501(c)(3)PF0Monument Health Inc

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Same Day Surgery Center
651 Cathedral DriveRapid CitySD57701411889892Medical ServicesSDMonument Health Rapid City Hospital IncRELATED$1,864,951$1,426,9400Yes (1)0.40000
Medical & Dental Building
2805 S 5th StRapid CitySD57701460339629Medical Office BldgSDMonument Health Rapid City Hospital IncInvestment$459,731$1,975,9200Yes (1)0.71450
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (1)DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Same Day Surgery Center
F$2,222,000FMV
Medical & Dental Building
P$342,965FMV