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MONUMENT HEALTH RAPID CITY HOSPITAL INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MONUMENT HEALTH RAPID CITY HOSPITAL INC (EIN 46-0319070)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-15
IRS object ID
202301359349301395
Schema version
2021v4.2
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)
Return2023-05-15T07:45:12-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

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 Begin2021-07-01TaxPeriodBeginDt

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)
PersonMark ThompsonPersonNm
Person TitleCFOPersonTitleTxt
Phone6057559130PhoneNum
Signature2023-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMarkPersonFirstNm
Person LastThompsonPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2023-05-12PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
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$928,759,825GrossReceiptsAmt
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 Body15VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee5028TotalEmployeeCnt
Total Volunteers188TotalVolunteersCnt
Total Gross UBI$9,323,299TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$501,544NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$34,190,586PYContributionsGrantsAmt
CY Contributions Grants$19,062,879CYContributionsGrantsAmt
PY Program Service Revenue$890,597,533PYProgramServiceRevenueAmt
CY Program Service Revenue$886,367,787CYProgramServiceRevenueAmt
PY Investment Income$26,215,401PYInvestmentIncomeAmt
CY Investment Income$21,422,326CYInvestmentIncomeAmt
PY Other Revenue$837,469PYOtherRevenueAmt
CY Other Revenue$402,635CYOtherRevenueAmt
PY Total Revenue$951,840,989PYTotalRevenueAmt
CY Total Revenue$927,255,627CYTotalRevenueAmt
PY Grants And Similar Paid$362,500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$438,151CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$361,967,981PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$388,321,658CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$919,741CYTotalFundraisingExpenseAmt
PY Other Expenses$537,602,447PYOtherExpensesAmt
CY Other Expenses$517,122,502CYOtherExpensesAmt
PY Total Expenses$899,932,928PYTotalExpensesAmt
CY Total Expenses$905,882,311CYTotalExpensesAmt
PY Revenues Less Expenses$51,908,061PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$21,373,316CYRevenuesLessExpensesAmt
Total Assets BOY$1,522,340,119TotalAssetsBOYAmt
Total Assets EOY$1,405,384,189TotalAssetsEOYAmt
Total Liabilities BOY$598,496,243TotalLiabilitiesBOYAmt
Total Liabilities EOY$567,389,962TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$923,843,876NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$837,994,227NetAssetsOrFundBalancesEOYAmt
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$603,521,953ExpenseAmt
Grant$438,151GrantAmt
Revenue$717,984,751RevenueAmt
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. The hospital provides comprehensive care, including Level II Trauma Care. MHRCH also includes Monument Health Orthopedic and Specialty Hospital (MHOSH). MHOSH focuses on orthopedics, neurosurgery and podiatry, as well as related outpatient services, related therapy services and sports performance services.MHRCH is also the single member of Monument Health Home Plus, LLC.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$48,555,742ExpenseAmt
Revenue$64,011,397RevenueAmt
DescMonument Health Home Plus, LLC Specialty Pharmacy offers high-cost, high-touch medication therapy for patients with complex diseases. These include cancer, multiple sclerosis, Crohn's disease, hepatitis C, psoriasis, rheumatoid arthritis and rare genetic conditions. The medications often require special storage, handling, and/or administration.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$32,791,735ExpenseAmt
Revenue$56,613,535RevenueAmt
DescRCH Surgical Services - provide in and out-patient surgical services to acute care patients.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$27,728,080ExpenseAmt
Revenue$38,497,242RevenueAmt
DescRCH Pharmacy - provide pharmaceuticals in support of acute care hospital patients.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$27,728,080TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$38,497,242TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$712,597,510TotalProgramServiceExpensesAmt
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 Document586IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee5028EmployeeCnt
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 Members15GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
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 Line1Mark ThompsonBusinessNameLine1Txt
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 DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Daryl Reinicke
Board Member1.170.00Yes (X)$0$0$0
Steven Frost MD
Board Member0.930.00Yes (X)$4,000$0$0
Col Robert Corby
Board Member0.580.00Yes (X)$0$0$0
Sandra Burns
Board Member0.770.00Yes (X)$0$0$0
Scott Barbour
Board Member0.960.00Yes (X)$0$0$0
Dusty Pinske
Board Member0.770.65Yes (X)$0$0$0
Tom Rau
Board Member0.640.00Yes (X)$0$0$0
Deidre Budahl
Board Member1.540.00Yes (X)$0$0$0
Ross Mckie
Chair1.270.00Yes (X)$0$0$0Yes (X)
Srinivas Gangineni MD
Board Member/Employed Physician40.770.00Yes (X)$748,853$0$79,579
Michael Statz MD
Board Member/Employed Physician40.960.00Yes (X)$151,507$0$1,907
Jacob Weasel MD
Board Member/Employed Physician40.840.00Yes (X)$556,000$0$69,664
Paulette R Davidson
President & CEO50.0010.00Yes (X)$0$1,310,683$218,349Yes (X)
Mark A Thompson
CFO/Treasurer45.839.17$612,762$0$94,486Yes (X)
Teresa Burroff
General Counsel/Secretary45.839.17$528,067$0$38,034Yes (X)
Brad Archer MD
Chief Medical Officer45.839.17$828,920$0$111,567Yes (X)
Nicole Kerkenbush
Chief Nursing/Performance Officer45.839.17$387,341$0$16,652Yes (X)
Stephanie Lahr MD
CIO/CMIO45.839.17$567,864$0$48,323Yes (X)
Michael Tilles
President Home Plus55.000.00$362,949$0$44,030Yes (X)
Mark Longacre
VP Operations-Rapid City Market55.000.00$392,382$0$41,433Yes (X)
John Pierce
President Rapid City Market55.000.00$544,526$0$89,630Yes (X)
Douglas Koch term 71321
VP Rapid City Market45.839.17$251,107$0$27,249Yes (X)
Michael Latour
System Director of Musculoskeletal Care55.000.00$201,162$0$33,721Yes (X)
Trina Allen
VP Human Resources45.839.17$272,576$0$12,165Yes (X)
Joseph Tuma MD
Physician - Cardiology40.000.00$1,439,829$0$100,548Yes (X)
Charan Mungara MD
Physician - Cardiology40.000.00$1,283,381$0$107,273Yes (X)
Bhaskar Purushottam MD
Physician - Cardiology40.000.00$1,470,888$0$110,787Yes (X)
Robert Santa-Cruz MD
Physician - Urology40.000.00$1,240,988$0$76,610Yes (X)
Kalyan Vunnamadala MD
Physician - Cardiology40.000.00$1,269,071$0$115,895Yes (X)
Thomas Worsley
President Spearfish Market0.0055.00$0$438,480$35,100Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$13,114,173TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,749,163TotReportableCompRltdOrgAmt
Total Other Compensation$1,473,002TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K536IndivRcvdGreaterThan100KCnt
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$26,060,604
Crothall Healthcare
13028 Collection Center DriveChicagoIL60693Professional services$14,476,721
Layton Gustafson
9090 South Sandy ParkwaySandyUT84070Construction$13,673,961
AYA Healthcare Inc
2550 University Ave West Suite 320NSt PaulMN55114Medical Staffing$11,191,418
Morrison Management Specialists Inc
PO Box 102289AtlantaGA30368Professional services$8,894,028
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K353CntrctRcvdGreaterThan100KCnt
Fundraising$41,168FundraisingAmt
Government Grants$16,986,426GovernmentGrantsAmt
All Other Contributions$2,035,285AllOtherContributionsAmt
Total Contributions$19,062,879TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
In Patient Pharmacy446110$174,568,082$174,568,082
Surgical Services622110$116,068,366$116,068,366
Cardiac Services622110$94,006,813$94,006,813
MIS CT Scan621500$71,393,396$71,393,396
Laboratory621500$56,190,141$54,254,294$1,935,847

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$374,140,989TotalRevenueColumnAmt
Related Or Exempt Func Income$366,753,537RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$7,387,452UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$886,367,787TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,692,481TotalRevenueColumnAmt
Exclusion$7,692,481ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,554TotalRevenueColumnAmt
Exclusion$17,554ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,422,747RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,291,765RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$130,982RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$130,982TotalRevenueColumnAmt
Exclusion$130,982ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$13,712,291OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$13,712,291OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,712,291TotalRevenueColumnAmt
Exclusion$13,712,291ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$305,120FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$41,168ContriRptFundraisingEventAmt
Fundraising Direct Expenses$95,904FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$209,216TotalRevenueColumnAmt
Exclusion$209,216ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$178,966GrossSalesOfInventoryAmt
Cost Of Goods Sold$116,529CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,437TotalRevenueColumnAmt
Related Or Exempt Func Income$62,437RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$927,255,627TotalRevenueColumnAmt
Related Or Exempt Func Income$877,106,925RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$9,323,299UnrelatedBusinessRevenueAmt
Exclusion$21,762,524ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$438,151TotalAmt
Program Services$438,151ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,895,454TotalAmt
Program Services$2,088,720ProgramServicesAmt
Management And General$6,806,734ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$382,240TotalAmt
Program Services$382,240ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$347,447,504TotalAmt
Program Services$282,574,997ProgramServicesAmt
Management And General$64,412,263ManagementAndGeneralAmt
Fundraising$460,244FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,696,378TotalAmt
Program Services$7,748,018ProgramServicesAmt
Management And General$1,935,850ManagementAndGeneralAmt
Fundraising$12,510FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$120,412TotalAmt
Program Services$96,217ProgramServicesAmt
Management And General$24,040ManagementAndGeneralAmt
Fundraising$155FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$21,779,670TotalAmt
Program Services$17,140,863ProgramServicesAmt
Management And General$4,603,935ManagementAndGeneralAmt
Fundraising$34,872FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$6,344,004TotalAmt
Program Services$331,172ProgramServicesAmt
Management And General$6,011,902ManagementAndGeneralAmt
Fundraising$930FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$502,012TotalAmt
Management And General$502,012ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$464,100TotalAmt
Management And General$464,100ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$209,090TotalAmt
Management And General$209,090ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$147,367,120TotalAmt
Program Services$113,307,015ProgramServicesAmt
Management And General$34,059,266ManagementAndGeneralAmt
Fundraising$839FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,255,410TotalAmt
Program Services$33,802ProgramServicesAmt
Management And General$1,162,119ManagementAndGeneralAmt
Fundraising$59,489FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$19,098,779TotalAmt
Program Services$10,079,435ProgramServicesAmt
Management And General$8,768,523ManagementAndGeneralAmt
Fundraising$250,821FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$20,731,112TotalAmt
Program Services$3,783,881ProgramServicesAmt
Management And General$16,875,781ManagementAndGeneralAmt
Fundraising$71,450FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$29,051,160TotalAmt
Program Services$9,885,718ProgramServicesAmt
Management And General$19,163,467ManagementAndGeneralAmt
Fundraising$1,975FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,324,645TotalAmt
Program Services$1,445,667ProgramServicesAmt
Management And General$870,352ManagementAndGeneralAmt
Fundraising$8,626FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$849,021TotalAmt
Program Services$65,938ProgramServicesAmt
Management And General$783,083ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$9,764,778TotalAmt
Program Services$9,764,778ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$49,139,009TotalAmt
Program Services$30,253,404ProgramServicesAmt
Management And General$18,868,222ManagementAndGeneralAmt
Fundraising$17,383FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,636,552TotalAmt
Program Services$715,104ProgramServicesAmt
Management And General$2,921,448ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical Supplies$222,575,217$222,286,313$288,457$447
All other expenses$2,341,685$176,077$2,165,608
Interco Supplies/Servic$1,425,696$1,425,696
UBI Tax$43,112$43,112

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$905,882,311TotalAmt
Program Services$712,597,510ProgramServicesAmt
Management And General$192,365,060ManagementAndGeneralAmt
Fundraising$919,741FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$41,772,129BOYAmt
EOY$31,726,572EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$21,488,897BOYAmt
EOY$82,612,122EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$123,891,844BOYAmt
EOY$133,917,359EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$24,269,941BOYAmt
EOY$27,611,166EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$15,020,965BOYAmt
EOY$17,519,116EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$873,864,688LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$365,823,697LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$481,562,694BOYAmt
EOY$508,040,991EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$334,835,929BOYAmt
EOY$162,886,141EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$475,666,040BOYAmt
EOY$425,997,462EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,289,891BOYAmt
EOY$12,531,471EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,522,340,119BOYAmt
EOY$1,405,384,189EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$187,968,814BOYAmt
EOY$121,121,966EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$354,900,207BOYAmt
EOY$372,096,299EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$25,251,406BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,375,816BOYAmt
EOY$74,171,697EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$598,496,243BOYAmt
EOY$567,389,962EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$895,510,202BOYAmt
EOY$811,150,365EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$28,333,674BOYAmt
EOY$26,843,862EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$923,843,876BOYAmt
EOY$837,994,227EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,522,340,119BOYAmt
EOY$1,405,384,189EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$21,373,316ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$93,066,456NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$14,156,509OtherChangesInNetAssetsAmt
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 RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

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 Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$59,090OtherActivitiesAmt
Total Lobbying Expenditures$59,090TotalLobbyingExpendituresAmt
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 2022 dues, which were paid in fiscal year 2022, in the amount of $285,549, 7.80% 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 2022 dues, which were paid in fiscal year 2022, in the amount of $68,039, 26.47% 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 2022 dues, which were paid in fiscal year 2022, in the amount of $11,537, 33.00% was used for lobbying purposes. In fiscal year 2022, $15,000 of consulting expense was incurred in regard to lobbying.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)
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,056,726OtherCostOrOtherBasisAmt
Book Value$12,056,726BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$539,192,460OtherCostOrOtherBasisAmt
Depreciation$179,800,025DepreciationAmt
Book Value$359,392,435BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$268,924,359OtherCostOrOtherBasisAmt
Depreciation$180,421,869DepreciationAmt
Book Value$88,502,490BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$53,691,143OtherCostOrOtherBasisAmt
Depreciation$5,601,803DepreciationAmt
Book Value$48,089,340BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$508,040,991TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (8 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Private Equity/Debt$30,850,553F
Real Estate Funds$5,739,159F
Investment in West Dakota Health Care/Monument Health Network$43,000,231C
Investment in Privately Held Companies$3,811,505F
Equity Securities and Funds - Domestic$166,297,725F
Equity Securities and Funds - International$74,333,459F
Fixed Income - Bond Funds & Corp Bonds - Domestic$26,774,256F
Absolute Return Assets - Hedge Funds$75,190,574F
FieldValueIRS element (for citing)
Total Book Value Securities$425,997,462TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Other Long Term Liabilities$16,297,559
Accrued Pension Liability$13,260,419
Due from related party$44,613,719
FieldValueIRS element (for citing)
Total Liability$74,171,697TotalLiabilityAmt
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$21,688,713
North America - Canada and Mexico, but not the United States00Investment$2,536,426
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$24,225,139SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$24,225,139TotalSpentAmt
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/ did not require filing Form 926. The organization's transfers to foreign partnerships did 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)
Event1Tough Enoung to Wear PinkEvent1Nm
Gross Receipts Event1$69,139GrossReceiptsEvent1Amt
Charitable Contri Event1$41,168CharitableContriEvent1Amt
Gross Revenue Event1$27,971GrossRevenueEvent1Amt
Other Direct Expenses Event1$5,668OtherDirectExpensesEvent1Amt
Event2Northern Hill Hospice BallEvent2Nm
Gross Receipts Event2$62,183GrossReceiptsEvent2Amt
Gross Revenue Event2$62,183GrossRevenueEvent2Amt
Rent Facility Costs Event2$1,367RentFacilityCostsEvent2Amt
Food And Beverage Event2$9,090FoodAndBeverageEvent2Amt
Entertainment Event2$750EntertainmentEvent2Amt
Other Direct Expenses Event2$4,651OtherDirectExpensesEvent2Amt
Other Events Total8OtherEventsTotalCnt
Gross Receipts Other Events$210,931GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$210,931GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$72,731OthDirectExpnssOtherEventsAmt
Gross Receipts Total$342,253GrossReceiptsTotalAmt
Charitable Contributions Tot$41,168CharitableContributionsTotAmt
Gross Revenue Total Events$301,085GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$1,367RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$9,090FoodAndBeverageTotalEventsAmt
Entertainment Total Events$750EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$83,050OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$94,257DirectExpenseSummaryEventsAmt
Net Income Summary$206,828NetIncomeSummaryAmt

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$7,682,430TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,682,430NetCommunityBenefitExpnsAmt
Total Expense0.00850TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$83,185,739TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$53,949,848DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,235,891NetCommunityBenefitExpnsAmt
Total Expense0.03230TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$90,868,169TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$53,949,848DirectOffsettingRevenueAmt
Net Community Benefit Expns$36,918,321NetCommunityBenefitExpnsAmt
Total Expense0.04080TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs23ActivitiesOrProgramsCnt
Persons Served3119PersonsServedCnt
Total Community Benefit Expns$8,624,018TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,624,018NetCommunityBenefitExpnsAmt
Total Expense0.00950TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Total Community Benefit Expns$6,486,605TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,642,895DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,843,710NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,268,188TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,521,252DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,746,936NetCommunityBenefitExpnsAmt
Total Expense0.02290TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,621,048TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,395,198DirectOffsettingRevenueAmt
Net Community Benefit Expns$225,850NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Total Community Benefit Expns$615,157TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$615,157NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs30ActivitiesOrProgramsCnt
Persons Served3119PersonsServedCnt
Total Community Benefit Expns$41,615,016TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,559,345DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,055,671NetCommunityBenefitExpnsAmt
Total Expense0.03530TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs30ActivitiesOrProgramsCnt
Persons Served3119PersonsServedCnt
Total Community Benefit Expns$132,483,185TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$63,509,193DirectOffsettingRevenueAmt
Net Community Benefit Expns$68,973,992NetCommunityBenefitExpnsAmt
Total Expense0.07610TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$20,200TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20,200NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$3,731TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,731NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$82,101TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$82,101NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$23,221TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$23,221NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$10,033TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,033NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$25,753TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$25,753NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Total Community Benefit Expns$165,039TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$165,039NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$62,512,018BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$212,694,862ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$235,688,968CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$22,994,106MedicareSurplusOrShortfallAmt

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://monument.health/about-us/community-health-needs-assessment/
Monument Health Rapid City Hospital, Inc.Part V, Section B, Line 11: Monument Health identified the following five priority areas during its FY22 CHNA process: Cancer, Heart Disease and Stroke, Diabetes, Mental Health, and Access to Medical Service. The first four needs are continuations of needs identified in the prior CHNA. Due to timing of the new implementation strategy, the facility focused on the needs identified in the prior implementation strategy.During FY22, Monument Health focused on the following four priority areas identified through the FY19 Community Health Needs Assessment (CHNA): Cancer Heart Disease and Stroke Diabetes Mental HealthWork was also dedicated to COVID-19 initiatives across the health system. Teams 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).Cancer Continued construction on the expansion of the Cancer Care Institute with estimated completion of July 2023. The new space will more than double the space of the existing facility to expand radiation and medical oncology, expand infusion services, and add comprehensive brachytherapy services and integrated services. Successful recruitment of two Gynecological Oncologists for additional access to care. Continued Breast Survivorship Visits to provide continued high risk screening platform and cancer genetics counseling. Implemented High-dose-rate brachytherapy (HDR) for prostate cancer patients to improve relapse-free and survival rates. Utilized Genetics Navigator Platform to recommend cancer screenings. Continued use of telehealth and tele-video visits to support cancer patients throughout the COVID-19 pandemic. Implemented complementary and alternative medicine through movement and exercise, and education-nutrition support groups. Improved Oncology Pharmacy support through alignment with ambulatory pharmacy services and addition of specialty and clinical pharmacists. Continued participation in South Dakota 2021-2025 Comprehensive Cancer Plan's goals, priorities and tactics throughout Monument Health. Actively contributed to the program with representation and project leaders. Utilized the Mayo Clinic Care Network to collaborate on individual patient cancer care to provide patients with care close to home. Provided cancer education at community events including Judd Hoos Charity Concert for Cancer, Rush Hocky Fights Cancer, Custer Mammo or Bust Run Walk, Deadwood Days of 76 Rodeo, and the Tough Enough to Wear Pink program throughout Black Hills Stock Show and Rodeo Rapid City.Heart Disease and Stroke Hosted and participated in events to increase awareness of Heart Disease and Stroke including the American Heart Association (AHA) Heart Ball, the AHA Heart Walk and February Freeze run/walk. Provided blood pressure screenings and education at community events, including one of the largest regional events, the Black Hills Stock Show and Rodeo Rapid City. Provided education to area providers through the annual Cardiac Symposium. This event highlights current heart and stroke topics, advancements in cardiac medicine, lifestyle management and new physicians and APPs to the community. Provided heart and vascular outreach clinics in Spearfish, Chadron, Alliance, Belle Fourche, Newcastle, Custer and Hot Springs. Updated processes for Stroke Alert to meet Joint Commission goals for stroke patients. Successfully recruited an Interventional Neurologist to maximize patient care. Utilized the Mayo Clinic Care Network to collaborate on care for cardiology and stroke patients, to provide patients with care close to home.Diabetes Offered virtual options for the Monument Health Diabetes Prevention Program and the Better Choices Better Health program for patients identified by case managers and/or diabetes educators. These programs were offered in partnership with the SDSU Extension Office and SD Foundation for Medical Care. Provided education to area providers through the annual Diabetes Symposium. This event was held virtually this year due to the continued pandemic. Pursued Medicare Diabetes Prevention Program supplier status with goal of implementing program late-2022. Continued use of LACES program to improve transition from inpatient to outpatient care. Program focuses on Low Blood Glucose, A1C, Consults, Education and Survival Skills for patients. Initiated development of Community Health Worker program which will provide opportunity to assess and mitigate SDOH disparities through community referrals. Case managers and clinic champions continued to identify patients on provider panels with HbA1C greater than 8 to provide intensive case management. Supported local events for Diabetes education including Diabetes Inc. and the Black Hills Dialysis Group. Provided telephonic and tele-video visits for patients during COVID-19 and explore options to continue post-pandemic. Held ongoing outreach clinics monthly in the communities of Spearfish, Sturgis, Belle Fourche, Lead/Deadwood, Hot Springs, Hill City, Custer, and Newcastle. Completed diabetes screenings at community events such as the Black Hills Stock Show.Mental Health Expanded the availability of counselors in three primary care facilities. Recruited two outpatient psychiatrists. Provided caregiver mental health support through a part-time risk assessment coordinator/counselor and a full-time support counselor. Collaborated with Pennington County Care Campus for establishment of 16 bed short stay Crisis Stabilization Unit. Continued collaboration with Pennington County Care Campus and provided representation on their Advisory Board. Opened Adolescent Crisis Care in October of 2021 and is supported by Pennington County, Behavior Management Systems, Wellfully and Monument Health. Continued efforts in training of Trauma Informed Care and provided toolkits for Emergency Department and Medical Staff. Caregivers are continuously trained through orientation, monthly meetings, and annual competency. Professional development of caregivers in areas of Trauma Informed Care, Grief Counseling, and sleep deprivation and brain function. Participated in implementation of 988 statewide hotline for suicide support, crisis management, and care. Increased partnership with Great Plains Tribal Chairman Health Board for new programs and training seminars.In acknowledging the wide range of priority health issues revealed through the FY22 CHNA process, Monument Health 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 FY22 implementation plan are: Infant health and family planning; Injury & violence; Nutrition, Physical Activity & Weight; Potentially disabling conditions; Sexually transmitted diseases; Substance abuse; and Tobacco use. 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.
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 FY22 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 FY22 implementation plan are: Access to Health Services, Diabetes, Heart disease and stroke, Injury and violence, Mental health, Potentially disabling conditions, Sexually transmitted diseases, Substance abuse and Tobacco use. 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.Due to timing of the new implementation strategy, the facility focused on the needs identified in the prior implementation strategy.During FY 2022 Same Day Surgery Center focused on the following two priority areas identified through the FY19 Community Health Needs Assessment (CHNA):CancerDiabetesTeams 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 Supporter of Tough Enough to Wear Pink, large financial contribution to MH Foundation to address needs of community cancer patients. Participated in wellness fairs, in collaboration with Dermatolgy and Mammography, to provide education on cancer screening opportunities. Partnered with the Susan G. Komen Foundation for education and awareness.Diabetes Continued to utilize a system-wide approach to education and documentation in the electronic medical record. Continued to provide education and equipment to patients.Many of these activities are continuations of activities the hospital has been conducting related to the prior community health needs assessment.In addition to addressing these needs, work was also dedicated to COVID-19 initiatives across the health system.
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 CtiySD57701End of Life Care
1 - Monument Health Rapid City Hospice House
224 Elk StRapid CtiySD57701End of Life Care
3 - Monument Health Home Care-Spearfish
1440 North Main StreetSpearfishSD57783End of Life 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, 7b, and 7g. Actual costs are used for the calculation of costs of services provided for lines 7e, 7f, 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 Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
Elevate Rapid City
PO Box 747Rapid CitySD57701460118545501(c)(3)$50,000$0Diamond level pledge
Yellow Jacket Foundation
1200 University Unit 9411SpearfishSD57799510151319501(c)(3)$10,000$0Athletic Sponsorship
BH Area Community Foundation
803 St Joseph StRapid CitySD57701363608635501(c)(3)$40,000$0Rapid City Strategic Housing Trust Fund & HRC/MOA Partnership
Leadership South Dakota
PO BOX 91533Sioux FallsSD57109820880122501(c)(3)$20,000$0Silver Sponsorship Fee
Pennington County Treasurer
300 Kansas City StreetRapid CitySD57701466000381Government$250,000$0Crisis Stabilization Unit
SD Governor's Office Of Economic Development
711 E Wells AvePierreSD57501466000364Government$15,000$02022 Governor's Hunt Sponsorship
South Dakota Ellsworth Development Authority
PO Box 747Rapid CitySD57701460118545501(c)(3)$13,000$02022 Military Support Programming and Ellsworth Air Show
City of Box Elder
420 Villa DriveBox ElderSD57719460281490Government$13,000$02022 Events Sponsorship
American Heart Association Inc
7272 Greenville AveDallasTX75231135613797501(c)(3)$10,000$0Events Sponsorship
Shriners International
4091 Sturgis RoadRapid CitySD57702460168705501(c)(10)$6,150$0Sponsorship
University of South Dakota
414 East Clark StreetVermillionSD57069466000364Government$6,000$0Sponsorship
Black Hills Works Foundation Inc
PO Box 2104Rapid CitySD57709460363653501(c)(3)$5,001$0Sponsorship
FieldValueIRS element (for citing)
Total501c3 Org11Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

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 (21 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
Bhaskar Purushottam MD
Physician - Cardiology$1,376,349$0$52,000$0$42,539$0$75,428$0$35,359$0$1,581,675$0$42,539$0
Joseph Tuma MD
Physician - Cardiology$1,339,379$0$52,000$0$48,450$0$81,260$0$19,288$0$1,540,377$0$48,450$0
Paulette R Davidson
President & CEO$0$980,593$0$310,590$0$19,500$0$190,062$0$28,287$0$1,529,032$0$0
Charan Mungara MD
Physician - Cardiology$1,259,381$0$24,000$0$0$0$81,600$0$25,673$0$1,390,654$0$0$0
Kalyan Vunnamadala MD
Physician - Cardiology$1,245,071$0$24,000$0$0$0$81,600$0$34,295$0$1,384,966$0$0$0
Robert Santa-Cruz MD
Physician - Urology$1,220,988$0$20,000$0$0$0$75,080$0$1,530$0$1,317,598$0$0$0
Brad Archer MD
Chief Medical Officer$576,035$0$165,034$0$87,851$0$89,578$0$21,989$0$940,487$0$77,085$0
Srinivas Gangineni MD
Board Member/Employed Physician$687,218$0$33,037$0$28,598$0$46,372$0$33,207$0$828,432$0$28,598$0
Mark A Thompson
CFO/Treasurer$461,087$0$132,175$0$19,500$0$66,881$0$27,605$0$707,248$0$0$0
John Pierce
President Rapid City Market$399,688$0$125,338$0$19,500$0$57,183$0$32,447$0$634,156$0$0$0
Jacob Weasel MD
Board Member/Employed Physician$528,000$0$28,000$0$0$0$40,011$0$29,653$0$625,664$0$0$0
Stephanie Lahr MD
CIO/CMIO$421,886$0$126,478$0$19,500$0$12,362$0$35,961$0$616,187$0$0$0
Teresa Burroff
General Counsel/Secretary$394,158$0$114,409$0$19,500$0$12,207$0$25,828$0$566,102$0$0$0
Thomas Worsley
President Spearfish Market$0$341,486$0$79,358$0$17,636$0$7,347$0$27,753$0$473,580$0$0
Mark Longacre
VP Operations-Rapid City Market$290,972$0$53,838$0$47,572$0$15,090$0$26,343$0$433,815$0$32,616$0
Michael Tilles
President Home Plus$284,451$0$65,723$0$12,775$0$28,750$0$15,281$0$406,980$0$0$0
Nicole Kerkenbush
Chief Nursing/Performance Officer$306,411$0$69,368$0$11,562$0$12,193$0$4,458$0$403,992$0$0$0
Trina Allen
VP Human Resources$215,576$0$47,000$0$10,000$0$10,522$0$1,643$0$284,741$0$0$0
Douglas Koch term 71321
VP Rapid City Market$158,663$0$62,040$0$30,404$0$13,391$0$13,858$0$278,356$0$26,069$0
Michael Latour
System Director of Musculoskeletal C$200,662$0$500$0$0$0$11,913$0$21,808$0$234,883$0$0$0
Michael Statz MD
Board Member/Employed Physician$138,250$0$13,257$0$0$0$1,907$0$0$0$153,414$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 177,700 Brad Archer MD 77,526 Mark Thompson 50,078 Douglas Koch 3,930 Mark Longacre 7,478 John Pierce 42,488 Michael Tilles 17,171 Charan Mungara MD 70,000 Bhaskar Purushottam MD 70,821 Robert Santa-Cruz MD 63,180 Joseph Tuma MD 67,751 Kalyan Vunnamadala MD 70,000 Srinivas Gangineni MD 35,662 Jacob Weasel MD 31,710 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: Bhaskar Purushottam MD 42,539 Joseph Tuma MD 48,450 Srinivas Gangineni MD 28,598 Brad Archer,MD 77,085 Mark Longacre 32,616 Douglas Koch 26,069
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 Bonds; 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$15,205,000$241,560,080$1,807,893$185,230,960$54,521,22720190Yes (1)Yes (1)Yes (1)
B$1,120,000$138,457,764$1,143,985$83,714,929$53,598,8500000

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
A00000000Yes (1)
B00000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $14,928.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Gregg Radtke
Family member of Director Sandra Burns$49,280Employee compensation0
Amy Kress
Family member of Mark Thompson$65,625Employee compensation0
Becky Sharp
Family member of Mark Thompson$130,300Employee compensation0
Vicki Thompson
Family member of Mark Thompson$40,956Employee compensation0
Kody Sharp
Family member of Mark Thompson$96,078Employee 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 113,307,015. Management and general expenses 34,059,266. Fundraising expenses 839. Total expenses 147,367,120.
Form 990, Part XI, line 9:Auxiliary Net Income 72,099. Released From Restriction -1,039,567. Reverse Auxiliary Net Income -69,306. Record Accum. Pension Liability for FY20 -13,131,165. Transfers 11,430.
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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Monument Health Home Plus LLC
2925 Regional Way PO Box 6000Rapid CitySD57701364841157Healthcare ServicesSD$96,194,264$16,201,129Monument Health Rapid City Hospital Inc
Black Hills Medical Office Building
353 Fairmont BlvdRapid CitySD57701411992146Medical Office BuildingSD$137,645$1,709,166Monument Health Rapid City Hospital Inc

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$1,723,319$1,811,6250Yes (1)0.40000
MEDICAL & DENTAL BUILDING
2805 S 5th StRapid CitySD57701460339629Medical Office BldgSDMonument Health Rapid City Hospital IncInvestment$434,718$2,039,5430Yes (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$1,780,000FMV
MEDICAL & DENTAL BUILDING
P$467,066FMV