MONUMENT HEALTH NETWORK INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MONUMENT HEALTH NETWORK INC (EIN 46-0360899)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-13
- IRS object ID
- 202201339349301500
- Schema version
- 2020v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-13T07:02:49-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554027033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460360899 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Monument Health Network Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MONU | BusinessNameControlTxt |
| Phone | 6057559130 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 6000 | AddressLine1Txt |
| City | Rapid City | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 577096000 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mark Thompson | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6057559130 | PhoneNum |
| Signature | 2022-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Mark | PersonFirstNm |
| Person Last | Thompson | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2022-05-11 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Paulette Davidson | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 6000 | AddressLine1Txt |
| City | Rapid City | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 577096000 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $184,198,809 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://monument.health/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | SD | LegalDomicileStateCd |
| Activity Or Mission | Monument Health Network is dedicated to improving the health of individuals and our communities. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 1297 | TotalEmployeeCnt |
| Total Volunteers | 145 | TotalVolunteersCnt |
| Total Gross UBI | $69,374 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $518,333 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,526,653 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $172,654,227 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $180,638,216 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$23,681 | PYInvestmentIncomeAmt |
| CY Investment Income | $13 | CYInvestmentIncomeAmt |
| PY Other Revenue | $21,916 | PYOtherRevenueAmt |
| CY Other Revenue | $22,353 | CYOtherRevenueAmt |
| PY Total Revenue | $173,170,795 | PYTotalRevenueAmt |
| CY Total Revenue | $184,187,235 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $155,940 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $98,540,471 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $104,979,192 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $71,081,692 | PYOtherExpensesAmt |
| CY Other Expenses | $79,493,082 | CYOtherExpensesAmt |
| PY Total Expenses | $169,778,103 | PYTotalExpensesAmt |
| CY Total Expenses | $184,472,274 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,392,692 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$285,039 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $148,333,045 | TotalAssetsBOYAmt |
| Total Assets EOY | $114,799,210 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $93,662,816 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $60,375,017 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $54,670,229 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $54,424,193 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Our vision at Monument Health Network is to be one team, to listen, to be inclusive, and to show we care. Monument Health Network is dedicated to improving the health of individuals and our communities. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $109,288,514 | ExpenseAmt |
| Revenue | $118,805,678 | RevenueAmt |
| Desc | Monument Health Network (MHN) owns the following acute care hospitals (including physician clinics) and senior care facilities; Monument Health Custer Hospital (CAH)/ Monument Health Custer Senior Care, Monument Health Lead-Deadwood Hospital, Monument Health Spearfish Hospital and Monument Health Sturgis Hospital / Monument Health Sturgis Senior Care. MHN also owns, leases and operates provider based physician clinics in Belle Fourche, Spearfish, Lead, Sturgis & Custer. In addition, MHN operates free standing clinics in Hot Springs, Buffalo, and Newcastle & Upton, Wyoming. Together, these facilities provide common access to compassionate, quality, advanced health care through its numerous healing environments to the greater Black Hills region. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,836,174 | ExpenseAmt |
| Revenue | $42,971,166 | RevenueAmt |
| Desc | SPH Surgical ServicesSpearfish Monument Hospital's surgery department offers the following surgical specialties: Orthopedics, OB/GYN, General Surgery, ENT, Podiatry, Dermatology and Ophthalmology. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,948,298 | ExpenseAmt |
| Revenue | $9,980,933 | RevenueAmt |
| Desc | SPH 10th Street Primary CareSpearfish Monument Hospital's Medical Clinic is a hospital outpatient department providing primary care. It has a total of 47.89 full time equivalents. This hospital outpatient department had 44,662 encounters throughout the year. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,359,038 | ExpenseAmt |
| Revenue | $6,159,964 | RevenueAmt |
| Desc | SPH Orthopedic SurgerySpearfish Monument Hospital's Orthopedic Clinic is a surgery department offering general surgery and orthopedic surgery using state-of-the-art surgical methods using the most advanced equipment. The primary focus is on total joints: knee, hip and shoulder. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $6,359,038 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $6,159,964 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $133,432,024 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 99 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1297 | EmployeeCnt |
| Employment Tax Returns Filed | 0 | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mark Thompson | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6057559127 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 6000 | AddressLine1Txt |
| City | Rapid City | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 577096000 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Paulette Davidson | ||||||||||
| President and CEO | 10.65 | 49.35 | Yes (X) | Yes (X) | $0 | $1,194,256 | $204,200 | |||
| Heather Brewer MD | ||||||||||
| Board member/Employed Physician | 40.00 | 0.00 | Yes (X) | $732,549 | $0 | $85,919 | ||||
| Christopher Gasbarre DO | ||||||||||
| Board Member/ Employed Physician | 40.91 | 0.00 | Yes (X) | $594,500 | $0 | $79,440 | ||||
| Lee B Bailey MD | ||||||||||
| Board Member/ Employed Physician | 40.67 | 0.00 | Yes (X) | $418,958 | $0 | $73,476 | ||||
| Robert Haivala | ||||||||||
| Vice Chairman | 1.83 | 0.02 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Steven Williams | ||||||||||
| Chair | 0.71 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Pat Kurttenbach | ||||||||||
| Board member | 0.38 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Kathryn Johnson | ||||||||||
| Board member From 07/20 | 0.67 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dan Leikvold | ||||||||||
| Board member From 07/20 | 0.67 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Clinton Walker | ||||||||||
| Board member | 0.86 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Paul Bisson | ||||||||||
| Board member | 0.26 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Mark A Thompson | ||||||||||
| CFO/Treasurer | 9.77 | 45.23 | Yes (X) | $0 | $567,052 | $94,448 | ||||
| Teresa Burroff | ||||||||||
| General Counsel, Secretary | 9.77 | 45.23 | Yes (X) | $0 | $491,229 | $58,138 | ||||
| Stephanie Lahr MD | ||||||||||
| CIO & CMIO | 9.77 | 45.23 | $0 | $495,146 | $80,097 | Yes (X) | ||||
| Brad Archer MD | ||||||||||
| Chief Medical Officer | 9.77 | 45.23 | $0 | $684,327 | $101,882 | Yes (X) | ||||
| Thomas Worsley | ||||||||||
| President Spearfish Market | 55.00 | 0.00 | $405,444 | $0 | $55,124 | Yes (X) | ||||
| Nicole Kerkenbush | ||||||||||
| Chief Performance Officer | 9.77 | 45.23 | $0 | $385,368 | $38,086 | Yes (X) | ||||
| Mark Schmidt | ||||||||||
| President Custer, Lead-Deadwood Markets | 55.00 | 0.00 | $309,247 | $0 | $51,261 | Yes (X) | ||||
| Mark Schulte | ||||||||||
| President - Sturgis | 55.00 | 0.00 | $281,138 | $0 | $55,528 | Yes (X) | ||||
| Ray Jensen MD | ||||||||||
| Physician - Orthopedic Surgery | 40.00 | 0.00 | $1,539,383 | $0 | $130,061 | Yes (X) | ||||
| Garrett Cox MD | ||||||||||
| Physician - Radiologist | 40.00 | 0.00 | $946,203 | $0 | $100,859 | Yes (X) | ||||
| Richard Little MD | ||||||||||
| Physician - Orthopedic Surgery | 40.00 | 0.00 | $1,093,096 | $0 | $102,873 | Yes (X) | ||||
| Andrew VanOsdol MD | ||||||||||
| Physician - Surgery | 40.00 | 0.00 | $871,014 | $0 | $87,235 | Yes (X) | ||||
| Jessica DonnerMD | ||||||||||
| Physician -clinical care | 40.00 | 0.00 | $716,464 | $0 | $73,555 | Yes (X) | ||||
| Tresha Moreland | ||||||||||
| Former VP Human Resources | 0.00 | 0.00 | $0 | $256,546 | $931 | Yes (X) | ||||
| Mary Masten | ||||||||||
| General Counsel, Emeritus | 3.55 | 16.45 | $0 | $103,179 | $12,951 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,907,996 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,177,103 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,486,064 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 143 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Medefis | |||||
| 10826 Old Mill Rd 101 | Omaha | NE | 68105 | Contract Labor | $2,808,279 |
| Weatherby Locums Inc | |||||
| PO Box 972633 | Dallas | TX | 75397 | Contract Labor | $1,465,002 |
| Morrison Management Specialist Inc | |||||
| PO Box 102289 | Atlanta | GA | 30368 | Professional Services | $1,394,072 |
| Crothall Healthcare | |||||
| 13028 Collection Center Dr | Chicago | IL | 60693 | Professional Services | $790,347 |
| Health Carousel LLC | |||||
| PO Box 714216 | Cincinnati | OH | 45271 | Contract Labor | $435,334 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 53 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,140,300 | GovernmentGrantsAmt |
| All Other Contributions | $386,353 | AllOtherContributionsAmt |
| Total Contributions | $3,526,653 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Acute Care Hospital IP and OP | 623000 | $97,884,910 | $97,884,910 |
| Physician Clinics | 621110 | $63,338,735 | $63,338,735 |
| Long Term Care Facilities | 623000 | $8,238,278 | $8,238,278 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,176,293 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,106,919 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $69,374 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $180,638,216 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13 | TotalRevenueColumnAmt |
| Exclusion | $13 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $33,927 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $11,574 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,353 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,353 | TotalRevenueColumnAmt |
| Exclusion | $22,353 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $184,187,235 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $180,568,842 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $69,374 | UnrelatedBusinessRevenueAmt |
| Exclusion | $22,366 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,518,296 | TotalAmt |
| Program Services | $1,560,587 | ProgramServicesAmt |
| Management And General | $957,709 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,476,636 | TotalAmt |
| Program Services | $70,941,083 | ProgramServicesAmt |
| Management And General | $9,535,553 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,123,663 | TotalAmt |
| Program Services | $1,839,286 | ProgramServicesAmt |
| Management And General | $284,377 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,896,219 | TotalAmt |
| Program Services | $9,270,457 | ProgramServicesAmt |
| Management And General | $5,625,762 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,964,378 | TotalAmt |
| Program Services | $4,320,865 | ProgramServicesAmt |
| Management And General | $643,513 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,739 | TotalAmt |
| Program Services | $157 | ProgramServicesAmt |
| Management And General | $44,582 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,709 | TotalAmt |
| Management And General | $21,709 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,756,306 | TotalAmt |
| Program Services | $6,706,472 | ProgramServicesAmt |
| Management And General | $3,049,834 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,715 | TotalAmt |
| Program Services | $5,333 | ProgramServicesAmt |
| Management And General | $147,382 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,193,779 | TotalAmt |
| Program Services | $2,178,530 | ProgramServicesAmt |
| Management And General | $1,015,249 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $855,875 | TotalAmt |
| Program Services | $725,695 | ProgramServicesAmt |
| Management And General | $130,180 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,229,434 | TotalAmt |
| Program Services | $2,685,609 | ProgramServicesAmt |
| Management And General | $2,543,825 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $282,270 | TotalAmt |
| Program Services | $249,201 | ProgramServicesAmt |
| Management And General | $33,069 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $875,460 | TotalAmt |
| Program Services | $875,299 | ProgramServicesAmt |
| Management And General | $161 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,966,781 | TotalAmt |
| Program Services | $6,367,995 | ProgramServicesAmt |
| Management And General | $598,786 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $666,317 | TotalAmt |
| Program Services | $211,812 | ProgramServicesAmt |
| Management And General | $454,505 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Miscellaneous | $30,401,367 | $5,011,720 | $25,389,647 |
| Medical Supplies | $20,588,302 | $20,089,233 | $499,069 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $458,028 | TotalAmt |
| Program Services | $392,690 | ProgramServicesAmt |
| Management And General | $65,338 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,472,274 | TotalAmt |
| Program Services | $133,432,024 | ProgramServicesAmt |
| Management And General | $51,040,250 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $205,269 | BOYAmt |
| EOY | $1,183,866 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,050,923 | BOYAmt |
| EOY | $23,613,379 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,330,716 | BOYAmt |
| EOY | $2,606,485 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $922,574 | BOYAmt |
| EOY | $911,271 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $136,126,859 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $66,376,041 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,886,208 | BOYAmt |
| EOY | $69,750,818 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,379,570 | BOYAmt |
| EOY | $427,453 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,656 | BOYAmt |
| EOY | $54,656 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,503,129 | BOYAmt |
| EOY | $16,251,282 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,333,045 | BOYAmt |
| EOY | $114,799,210 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,662,584 | BOYAmt |
| EOY | $16,940,712 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,000,232 | BOYAmt |
| EOY | $43,434,305 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,662,816 | BOYAmt |
| EOY | $60,375,017 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,380,577 | BOYAmt |
| EOY | $54,083,542 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $289,652 | BOYAmt |
| EOY | $340,651 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,670,229 | BOYAmt |
| EOY | $54,424,193 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,333,045 | BOYAmt |
| EOY | $114,799,210 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$285,039 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $39,003 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $21,709 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $21,709 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Annual dues are paid to the South Dakota Association of Healthcare Organizations. A portion of the dues are applicable to lobbying activities. For calendar year 2021 dues, which were paid in fiscal year 2021, in the amount of $68,291, 15.21% was used for lobbying purposes. In addition, annual dues were paid to the American Hospital Association, a portion of which is applicable to lobbying activities. For calendar year 2021 dues, which were paid in fiscal year 2021, in the amount of $44,297, 25.56% was used for lobbying purposes. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $152,792 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $39,003 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $191,795 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $156,625 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$3,833 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $152,792 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $143,471 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $13,154 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $156,625 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $146,585 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$3,114 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $143,471 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $121,703 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $24,882 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $146,585 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.52140 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.47860 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | 0 | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,809,704 | OtherCostOrOtherBasisAmt |
| Book Value | $9,809,704 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $79,078,853 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,660,509 | DepreciationAmt |
| Book Value | $44,418,344 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,145,168 | OtherCostOrOtherBasisAmt |
| Depreciation | $992,169 | DepreciationAmt |
| Book Value | $152,999 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $44,285,453 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,723,363 | DepreciationAmt |
| Book Value | $13,562,090 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,807,681 | OtherCostOrOtherBasisAmt |
| Book Value | $1,807,681 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $69,750,818 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Intercompany Receivables | Desc |
| Book Value | $16,251,282 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $16,251,282 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Due To Related Parties | Desc |
| Amt | $43,434,305 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $43,434,305 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Endowed funds are permanently restricted from use and are held in an interest bearing account. The interest earned may be used by the organization at its discretion. |
| Part X, Line 2: | References to "Monument Health" apply to all entities controlled by Monument Health, Inc. and its subsidiaries. This includes the reporting entity. Monument Health believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. Monument Health would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 300.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,953,515 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,953,515 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01060 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,530,638 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,393,581 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,137,057 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02240 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,484,153 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,393,581 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,090,572 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03300 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 15 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $2,437,442 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,437,442 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01320 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $27,496 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $27,496 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,914,324 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,639,166 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,275,158 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02320 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $6,981 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,981 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 18 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $16,386,243 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,639,166 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,747,077 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03650 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 18 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $32,870,396 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,032,747 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,837,649 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06950 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $843 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $843 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $675 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $675 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,518 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,518 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $10,608,275 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $46,999,886 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $46,325,493 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $674,393 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 4 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (4 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc | Facility Reporting GroupFacilityReportingGroupCd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Monument Health Spearfish Hospital | ||||||||||||
| 1 | 1440 N Main Street | Spearfish | SD | 57783 | www.monument.health | 10566 | Yes (X) | Yes (X) | Yes (X) | 6 Provider-based clinics | A | |
| Monument Health Custer Hospital | ||||||||||||
| 2 | 1039 Montgomery Street | Custer | SD | 57730 | www.monument.health | 47660 | Yes (X) | Yes (X) | Yes (X) | 2 Provider-based clinics | A | Yes (X) |
| Monument Health Sturgis Hospital | ||||||||||||
| 3 | 949 Harmon Street | Sturgis | SD | 57785 | www.monument.health | 10567 | Yes (X) | Yes (X) | Yes (X) | 1 Provider-based clinic | A | Yes (X) |
| Monument Health Lead-Deadwood Hospital | ||||||||||||
| 4 | 61 Charles Street | Deadwood | SD | 57732 | www.monument.health | 10535 | Yes (X) | Yes (X) | Yes (X) | 1 Provider-based clinic | A | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Facility Reporting Group - A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Section C, Line 7d | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Section C, Line 7d | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Section C, Line 16a-c | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Section C, Line 16a-c | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Section C, Line 16a-c | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (31 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section B | Facility Reporting Group A |
| Facility Reporting Group A consists of: | - Facility 1: Monument Health Spearfish Hospital, - Facility 2: Monument Health Custer Hospital, - Facility 3: Monument Health Sturgis Hospital, - Facility 4: Monument Health Lead-Deadwood Hospital |
| Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 5: | As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall.Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. A total of 134 community stakeholders comprised of physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders completed the key informant survey for the Monument Health service area. |
| Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 6a: | The Community Health Needs Assessment was undertaken by Monument Health, including: Monument Health Rapid City Hospital, Same Day Surgery Center, Monument Health Network (Monument Health Spearfish Hospital, Monument Health Sturgis Hospital, Monument Health Lead-Deadwood Hospital, and Monument Health Custer Hospital). Under a management contract with Monument Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment. |
| Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 7d: | https://monument.health/about-us/community-health-needs-assessment/ |
| Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 11: | During FY21, Monument Health focused on the following four priority areas identified through the most recent Community Health Needs Assessment: Cancer, Heart Disease and Stroke, Diabetes and Mental Health. Work 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.Cancer- Began construction on the expansion of the Cancer Care Institute in March 2021. The new location 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.- Expanded patient services including Breast Survivorship Visits, Advanced Radiation Brachy Treatments, and implementation of the first phase of the Genetics Navigator Platform for cancer screenings.- Adopted 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. - Implemented telehealth and tele-video visits to support cancer patients throughout the COVID-19 pandemic. - Participated in the American Society of Clinical Oncology survey for COVID-19 in Oncology Registry, which collects information about patterns of symptoms and severity of COVID-19 infection, how COVID-19 influences the delivery of cancer care, and how patient cancer and COVID-19 outcomes are affected.- 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 Heart Ball (AHA), 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, which had to be virtual this year due to COVID-19. This event highlights current heart and stroke topics, advancements in cardiac medicine, lifestyle management and new physicians and advanced practice providers to the community.- Improved the Stroke metric of tissue plasminogen activator door-to-needle time and increased occurrences of Alteplase administration. - Recruited four additional providers for Heart and Vascular Care and Neurology Care.- Provided heart and vascular outreach clinics in Spearfish, Chadron, Alliance, Belle Fourche, Newcastle, Custer, and Hot Springs. - 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 South Dakota State University Extension Office and South Dakota Foundation for Medical Care.- Pursued Medicare Diabetes Prevention Program supplier status with goal of implementing program mid-2022.- Implemented LACES program to improve transition from inpatient to outpatient care. Program focuses on Low Blood Glucose, A1C, Consults, Education and Survival Skills for patients. - 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 explored 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. Mental Health- Partner with Avera E-care for Psychiatrist and Social Worker or Nurse services by phone and video.- Increased mental health needs assessment coverage in the ED for patient evaluation and therapeutic work. - Continued collaboration with Pennington County Care Campus and provided representation on their Advisory Board. - Held on-site and televisits from Protection & Advocacy for Individuals with Mental Illness Program to provide education on available services.- Offered Alcoholics Anonymous meeting availability to patients within our facilities via streaming due to COVID-19. - Conducted group sessions for the Red Road to Wellbriety addiction program, which aligned with the Tribal Practices and Cultural Beliefs Teen Group. Sessions were held via tele-health due to COVID-19.- Implemented Trauma Informed Care and provided toolkits for Emergency Department and Medical Staff. Caregivers are continuously trained through orientation, monthly meetings, and annual competency. - Expanded the availability of counselors located in our primary care facilities across the Monument Health system. - Recruited additional Psychiatrists and Psychologists. - Continued use of systemwide standard processes for mental health screening of patients identified at risk utilizing the Columbia scale. |
| Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 13h: | Must reside within 200 mile radius of the location where the service was received.Presumptive eligibility may be used. |
| Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 16j: | A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, including on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request. The financial assistance policy application form was translated into the primary language spoken by limited English proficient populations. This is posted on the website listed for line 16a. |
| Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 24: | The hospital financial assistance policy does not cover elective procedures. The hospital may have charged financial assistance policy eligible patients gross charges for services that are not covered under the financial assistance policy. |
| Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 5: | As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall.Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. A total of 134 community stakeholders comprised of physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders completed the key informant survey for the Monument Health service area. |
| Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 6a: | The Community Health Needs Assessment was undertaken by Monument Health, including: Monument Health Rapid City Hospital, Same Day Surgery Center, Monument Health Network (Monument Health Spearfish Hospital, Monument Health Sturgis Hospital, Monument Health Lead-Deadwood Hospital, and Monument Health Custer Hospital). Under a management contract with Monument Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment. |
| Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 7d: | https://monument.health/about-us/community-health-needs-assessment/ |
| Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 11: | During FY21, Monument Health focused on the following four priority areas identified through the most recent Community Health Needs Assessment: Cancer, Heart Disease and Stroke, Diabetes and Mental Health. Work 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.Cancer- Began construction on the expansion of the Cancer Care Institute in March 2021. The new location 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.- Expanded patient services including Breast Survivorship Visits, Advanced Radiation Brachy Treatments, and implementation of the first phase of the Genetics Navigator Platform for cancer screenings.- Adopted 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. - Implemented telehealth and tele-video visits to support cancer patients throughout the COVID-19 pandemic. - Participated in the American Society of Clinical Oncology survey for COVID-19 in Oncology Registry, which collects information about patterns of symptoms and severity of COVID-19 infection, how COVID-19 influences the delivery of cancer care, and how patient cancer and COVID-19 outcomes are affected.- 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, which had to be virtual this year due to COVID-19. This event highlights current heart and stroke topics, advancements in cardiac medicine, lifestyle management and new physicians and advanced practice providers to the community.- Improved the Stroke metric of tissue plasminogen activator door-to-needle time and increased occurrences of Alteplase administration. - Recruited four additional providers for Heart and Vascular Care and Neurology Care.- Provided heart and vascular outreach clinics in Spearfish, Chadron, Alliance, Belle Fourche, Newcastle, Custer, and Hot Springs. - 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 South Dakota State University Extension Office and South Dakota Foundation for Medical Care.- Pursued Medicare Diabetes Prevention Program supplier status with goal of implementing program mid-2022.- Implemented LACES program to improve transition from inpatient to outpatient care. Program focuses on Low Blood Glucose, A1C, Consults, Education and Survival Skills for patients. - 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 explored 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. Mental Health- Partner with Avera E-care for Psychiatrist and Social Worker or Nurse services by phone and video.- Increased mental health needs assessment coverage in the ED for patient evaluation and therapeutic work. - Continued collaboration with Pennington County Care Campus and provided representation on their Advisory Board. - Held on-site and televisits from Protection & Advocacy for Individuals with Mental Illness Program to provide education on available services.- Offered Alcoholics Anonymous meeting availability to patients within our facilities via streaming due to COVID-19. - Conducted group sessions for the Red Road to Wellbriety addiction program, which aligned with the Tribal Practices and Cultural Beliefs Teen Group. Sessions were held via tele-health due to COVID-19.- Implemented Trauma Informed Care and provided toolkits for Emergency Department and Medical Staff. Caregivers are continuously trained through orientation, monthly meetings, and annual competency. - Expanded the availability of counselors located in our primary care facilities across the Monument Health system. - Recruited additional Psychiatrists and Psychologists. - Continued use of systemwide standard processes for mental health screening of patients identified at risk utilizing the Columbia scale. |
| Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 13h: | Must reside within 200 mile radius of the location where the service was received.Presumptive eligibility may be used. |
| Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 16j: | A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, including on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request. The financial assistance policy application form was translated into the primary language spoken by limited English proficient populations. This is posted on the website listed for line 16a. |
| Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 24: | The hospital financial assistance policy does not cover elective procedures. The hospital may have charged financial assistance policy eligible patients gross charges for services that are not covered under the financial assistance policy. |
| Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 5: | As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall.Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. A total of 134 community stakeholders comprised of physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders completed the key informant survey for the Monument Health service area. |
| Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 6a: | The Community Health Needs Assessment was undertaken by Monument Health, including: Monument Health Rapid City Hospital, Same Day Surgery Center, Monument Health Network (Monument Health Spearfish Hospital, Monument Health Sturgis Hospital, Monument Health Lead-Deadwood Hospital, and Monument Health Custer Hospital). Under a management contract with Monument Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment. |
| Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 7d: | https://monument.health/about-us/community-health-needs-assessment/ |
| Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 11: | During FY21, Monument Health focused on the following four priority areas identified through the most recent Community Health Needs Assessment: Cancer, Heart Disease and Stroke, Diabetes and Mental Health. Work 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.Cancer- Began construction on the expansion of the Cancer Care Institute in March 2021. The new location 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.- Expanded patient services including Breast Survivorship Visits, Advanced Radiation Brachy Treatments, and implementation of the first phase of the Genetics Navigator Platform for cancer screenings.- Adopted 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. - Implemented telehealth and tele-video visits to support cancer patients throughout the COVID-19 pandemic. - Participated in the American Society of Clinical Oncology survey for COVID-19 in Oncology Registry, which collects information about patterns of symptoms and severity of COVID-19 infection, how COVID-19 influences the delivery of cancer care, and how patient cancer and COVID-19 outcomes are affected.- 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, which had to be virtual this year due to COVID-19. This event highlights current heart and stroke topics, advancements in cardiac medicine, lifestyle management and new physicians and advanced practice providers to the community.- Improved the Stroke metric of tissue plasminogen activator door-to-needle time and increased occurrences of Alteplase administration. - Recruited four additional providers for Heart and Vascular Care and Neurology Care.- Provided heart and vascular outreach clinics in Spearfish, Chadron, Alliance, Belle Fourche, Newcastle, Custer, and Hot Springs. - 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 South Dakota State University Extension Office and South Dakota Foundation for Medical Care.- Pursued Medicare Diabetes Prevention Program supplier status with goal of implementing program mid-2022.- Implemented LACES program to improve transition from inpatient to outpatient care. Program focuses on Low Blood Glucose, A1C, Consults, Education and Survival Skills for patients. - 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 explored 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. Mental Health- Partner with Avera E-care for Psychiatrist and Social Worker or Nurse services by phone and video.- Increased mental health needs assessment coverage in the ED for patient evaluation and therapeutic work. - Continued collaboration with Pennington County Care Campus and provided representation on their Advisory Board. - Held on-site and televisits from Protection & Advocacy for Individuals with Mental Illness Program to provide education on available services.- Offered Alcoholics Anonymous meeting availability to patients within our facilities via streaming due to COVID-19. - Conducted group sessions for the Red Road to Wellbriety addiction program, which aligned with the Tribal Practices and Cultural Beliefs Teen Group. Sessions were held via tele-health due to COVID-19.- Implemented Trauma Informed Care and provided toolkits for Emergency Department and Medical Staff. Caregivers are continuously trained through orientation, monthly meetings, and annual competency. - Expanded the availability of counselors located in our primary care facilities across the Monument Health system. - Recruited additional Psychiatrists and Psychologists. - Continued use of systemwide standard processes for mental health screening of patients identified at risk utilizing the Columbia scale. |
| Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 13h: | Must reside within 200 mile radius of the location where the service was received.Presumptive eligibility may be used. |
| Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 16j: | A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, including on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request. The financial assistance policy application form was translated into the primary language spoken by limited English proficient populations. This is posted on the website listed for line 16a. |
| Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 24: | The hospital financial assistance policy does not cover elective procedures. The hospital may have charged financial assistance policy eligible patients gross charges for services that are not covered under the financial assistance policy. |
| Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 5: | As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall.Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. A total of 134 community stakeholders comprised of physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders completed the key informant survey for the Monument Health service area. |
| Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 6a: | The Community Health Needs Assessment was undertaken by Monument Health, including: Monument Health Rapid City Hospital, Same Day Surgery Center, Monument Health Network (Monument Health Spearfish Hospital, Monument Health Sturgis Hospital, Monument Health Lead-Deadwood Hospital, and Monument Health Custer Hospital). Under a management contract with Monument Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment. |
| Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 7d: | https://monument.health/about-us/community-health-needs-assessment/ |
| Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 11: | During FY21, Monument Health focused on the following four priority areas identified through the most recent Community Health Needs Assessment: Cancer, Heart Disease and Stroke, Diabetes and Mental Health. Work 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.Cancer- Began construction on the expansion of the Cancer Care Institute in March 2021. The new location 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.- Expanded patient services including Breast Survivorship Visits, Advanced Radiation Brachy Treatments, and implementation of the first phase of the Genetics Navigator Platform for cancer screenings.- Adopted 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. - Implemented telehealth and tele-video visits to support cancer patients throughout the COVID-19 pandemic. - Participated in the American Society of Clinical Oncology survey for COVID-19 in Oncology Registry, which collects information about patterns of symptoms and severity of COVID-19 infection, how COVID-19 influences the delivery of cancer care, and how patient cancer and COVID-19 outcomes are affected.- 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, which had to be virtual this year due to COVID-19. This event highlights current heart and stroke topics, advancements in cardiac medicine, lifestyle management and new physicians and advanced practice providers to the community.- Improved the Stroke metric of tissue plasminogen activator door-to-needle time and increased occurrences of Alteplase administration. - Recruited four additional providers for Heart and Vascular Care and Neurology Care.- Provided heart and vascular outreach clinics in Spearfish, Chadron, Alliance, Belle Fourche, Newcastle, Custer, and Hot Springs. - 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 South Dakota State University Extension Office and South Dakota Foundation for Medical Care.- Pursued Medicare Diabetes Prevention Program supplier status with goal of implementing program mid-2022.- Implemented LACES program to improve transition from inpatient to outpatient care. Program focuses on Low Blood Glucose, A1C, Consults, Education and Survival Skills for patients. - 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 explored 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. Mental Health- Partner with Avera E-care for Psychiatrist and Social Worker or Nurse services by phone and video.- Increased mental health needs assessment coverage in the ED for patient evaluation and therapeutic work. - Continued collaboration with Pennington County Care Campus and provided representation on their Advisory Board. - Held on-site and televisits from Protection & Advocacy for Individuals with Mental Illness Program to provide education on available services.- Offered Alcoholics Anonymous meeting availability to patients within our facilities via streaming due to COVID-19. - Conducted group sessions for the Red Road to Wellbriety addiction program, which aligned with the Tribal Practices and Cultural Beliefs Teen Group. Sessions were held via tele-health due to COVID-19.- Implemented Trauma Informed Care and provided toolkits for Emergency Department and Medical Staff. Caregivers are continuously trained through orientation, monthly meetings, and annual competency. - Expanded the availability of counselors located in our primary care facilities across the Monument Health system. - Recruited additional Psychiatrists and Psychologists. - Continued use of systemwide standard processes for mental health screening of patients identified at risk utilizing the Columbia scale. |
| Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 13h: | Must reside within 200 mile radius of the location where the service was received.Presumptive eligibility may be used. |
| Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 16j: | A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, including on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request. The financial assistance policy application form was translated into the primary language spoken by limited English proficient populations. This is posted on the website listed for line 16a. |
| Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 24: | The hospital financial assistance policy does not cover elective procedures. The hospital may have charged financial assistance policy eligible patients gross charges for services that are not covered under the financial assistance policy. |
| Part V, Lines 16a-c All Facilities | The Financial Assistance Policy, Application form, and plain language summary are available at https://monument.health/patient-visitor-guide/financial-assistance/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Monument Health Care Center-Custe | ||||
| 1065 Montgomery Street | Custer | SD | 57730 | Skilled Long Term Nursing Home |
| 2 - Monument Health Care Center-Sturgis | ||||
| 2140 Junction Ave | Sturgis | SD | 57785 | Skilled Long Term Nursing Home |
| 3 - Monument Health Newcastle Clinic | ||||
| 1121 Washington Blvd | Newcastle | WY | 82701 | Clinic |
| 4 - Monument Health Hot Springs Clinic | ||||
| 1100 Highway 71 South Suite 101 | Hot Springs | SD | 57747 | Clinic |
| 5 - Monument Health Medical Clinic | ||||
| 130 North 15th St | Hot Springs | SD | 57747 | Clinic |
| 6 - Monument Health Assisted Living | ||||
| 423 N 10th Street | Custer | SD | 57730 | Assisted Living |
| 7 - Monument Health Buffalo Clinic | ||||
| 209 Ramsland Street | Buffalo | SD | 57720 | Clinic |
| 8 - Monument Health Upton Clinic | ||||
| 717 Pine Street | Upton | WY | 82730 | Clinic |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | References to "Monument Health" apply to all entities controlled by Monument Health, Inc. This includes the reporting entity.Financial assistance debt reduction write-offs for free or discounted care are based on an income matrix utilizing the current Federal Poverty Level (FPL) income guidelines after satisfying applicable co-pay requirements. The income matrix is updated annually as the FPL guidelines are released. Presumptive eligibility may be used. |
| Part I, Line 6a: | Monument Health Network is included in the community benefit report prepared by Monument Health. The organization's community benefit report can be found on its website 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 and 7f. |
| Part II, Community Building Activities: | Monument Health provides numerous community benefit health events and screenings throughout the Black Hills Region. Monument Health also provides financial support to other nonprofit organizations to help support community health outreach. Additionally, Monument Health provides in-kind support and employee volunteers to help support community heath events and activities. |
| Part III, Line 2: | The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concessions based on its historical collection experience with the respective class of patients and residents. |
| Part III, Line 4: | The footnote to the Organization's financial statements that describes implicit price concession is located in the audited financial statement report on pages 15 and 16. |
| Part III, Line 8: | The Medicare surplus or deficit is derived from the actual payments received from the Medicare program for services provided to patients with Medicare coverage. The payments are compared to the actual cost of providing the service as arrived at through the Medicare cost reports. Medical services are provided to patients with Medicare coverage regardless of whether or not a surplus or deficit is realized. Providing Medicare services promotes access to healthcare services which are vitally needed by our communities. |
| Part III, Line 9b: | The collection policy requires invoking of the financial assistance policy at any time a patient expresses financial difficulty in meeting their debt obligation. Upon invoking the financial assistance policy, all collection activity is suspended. If the patient is approved for charity, then the account is closed out of the collection process and classified as charity. If a patient expresses financial concern but fails to complete the application process, additional notification is sent to the patient prior to re-instituting collection activity. We are following the 501(r) Final Regulations timelines for notifications and collections. |
| Part VI, Line 2: | We gather additional data on needed services from patient surveys, advisory councils and patient and family advisory councils. |
| Part VI, Line 3: | Financial Assistance Program brochures explaining the policy, a copy of the policy and Financial Assistance applications are available at each point of entry. Signs alerting patients to the availability of Financial Assistance are prominently displayed and a plain language summary describing the Financial Assistance program accompanies one billing statement for hospital services sent to the patient. The Financial Assistance policy, plain language summary and Financial Assistance application are provided free upon request and are also available on the hospital website at www.monument.health. Monument Health contracts with Midland Medical Group (an unrelated entity) to meet with uninsured patients to assist them with finding a funding source or applying for financial assistance; and our self-pay outsource partner also communicates any funding and financial assistance opportunities with our patients. |
| Part VI, Line 4: | Monument Health and its affiliates provide health care services to the 360,000 people who live in the Black Hills of South Dakota and the surrounding region, as well as thousands of visitors each year. Monument Health serves a 38-county region comprised of western South Dakota, southeastern Montana, northeastern Wyoming, southwestern North Dakota and northwestern Nebraska. |
| Part VI, Line 5: | Monument Health collaborates with agencies and community-wide coalitions to address prioritized health needs within the communities we serve. Monument Health addresses its community's health needs by: 1) Community members serve on governing boards, advisory councils and patient and family member councils; 2) developing new programs and initiatives to address identified health needs: and 3) promoting an understanding of these health needs among other community organizations and within the public itself. Monument Health also provides financial support to other nonprofit organizations to help support community health outreach. Additionally, Monument Health provides in-kind support and employee volunteers to help support community health events and activities. |
| Part VI, Line 6: | Monument Health is committed to partnering with the communities it serves to meet the needs of each respective community. Monument Health, Inc. is the parent organization of Monument Health Rapid City Hospital, Inc., Monument Health Network, Inc., and Monument Health Physicians, Inc. These corporations work together to meet the health care needs of the region. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ray Jensen MD | ||||||||||||||
| Physician - Orthopedic Surgery | $1,514,183 | $0 | $25,200 | $0 | $0 | $0 | $98,047 | $0 | $32,014 | $0 | $1,669,444 | $0 | $0 | $0 |
| Paulette Davidson | ||||||||||||||
| President and CEO | $0 | $973,611 | $0 | $201,145 | $0 | $19,500 | $0 | $177,630 | $0 | $26,570 | $0 | $1,398,456 | $0 | $0 |
| Richard Little MD | ||||||||||||||
| Physician - Orthopedic Surgery | $1,027,091 | $0 | $9,200 | $0 | $56,805 | $0 | $72,386 | $0 | $30,487 | $0 | $1,195,969 | $0 | $56,805 | $0 |
| Garrett Cox MD | ||||||||||||||
| Physician - Radiologist | $925,003 | $0 | $21,200 | $0 | $0 | $0 | $74,951 | $0 | $25,908 | $0 | $1,047,062 | $0 | $0 | $0 |
| Andrew VanOsdol MD | ||||||||||||||
| Physician - Surgery | $841,814 | $0 | $29,200 | $0 | $0 | $0 | $51,462 | $0 | $35,773 | $0 | $958,249 | $0 | $0 | $0 |
| Heather Brewer MD | ||||||||||||||
| Board member/Employed Physician | $690,392 | $0 | $9,200 | $0 | $32,957 | $0 | $56,888 | $0 | $29,031 | $0 | $818,468 | $0 | $32,957 | $0 |
| Jessica DonnerMD | ||||||||||||||
| Physician -clinical care | $679,299 | $0 | $5,200 | $0 | $31,965 | $0 | $42,405 | $0 | $31,150 | $0 | $790,019 | $0 | $31,965 | $0 |
| Brad Archer MD | ||||||||||||||
| Chief Medical Officer | $0 | $558,270 | $0 | $116,251 | $0 | $9,806 | $0 | $77,388 | $0 | $24,494 | $0 | $786,209 | $0 | $0 |
| Christopher Gasbarre DO | ||||||||||||||
| Board Member/ Employed Physician | $548,260 | $0 | $9,200 | $0 | $37,040 | $0 | $50,409 | $0 | $29,031 | $0 | $673,940 | $0 | $37,040 | $0 |
| Mark A Thompson | ||||||||||||||
| CFO/Treasurer | $0 | $453,646 | $0 | $93,906 | $0 | $19,500 | $0 | $66,956 | $0 | $27,492 | $0 | $661,500 | $0 | $0 |
| Stephanie Lahr MD | ||||||||||||||
| CIO & CMIO | $0 | $390,288 | $0 | $85,358 | $0 | $19,500 | $0 | $47,882 | $0 | $32,216 | $0 | $575,244 | $0 | $0 |
| Teresa Burroff | ||||||||||||||
| General Counsel, Secretary | $0 | $391,448 | $0 | $80,281 | $0 | $19,500 | $0 | $45,944 | $0 | $12,195 | $0 | $549,368 | $0 | $0 |
| Lee B Bailey MD | ||||||||||||||
| Board Member/ Employed Physician | $377,367 | $0 | $5,200 | $0 | $36,391 | $0 | $41,317 | $0 | $34,065 | $0 | $494,340 | $0 | $36,391 | $0 |
| Thomas Worsley | ||||||||||||||
| President Spearfish Market | $342,085 | $0 | $47,754 | $0 | $15,605 | $0 | $24,936 | $0 | $30,189 | $0 | $460,569 | $0 | $0 | $0 |
| Nicole Kerkenbush | ||||||||||||||
| Chief Performance Officer | $0 | $310,785 | $0 | $55,083 | $0 | $19,500 | $0 | $34,615 | $0 | $3,471 | $0 | $423,454 | $0 | $0 |
| Mark Schmidt | ||||||||||||||
| President Custer, Lead-Deadwood Mark | $262,022 | $0 | $28,655 | $0 | $18,570 | $0 | $21,073 | $0 | $30,189 | $0 | $360,509 | $0 | $6,866 | $0 |
| Mark Schulte | ||||||||||||||
| President - Sturgis | $229,855 | $0 | $26,024 | $0 | $25,259 | $0 | $20,134 | $0 | $35,394 | $0 | $336,666 | $0 | $14,628 | $0 |
| Tresha Moreland | ||||||||||||||
| Former VP Human Resources | $0 | $43,121 | $0 | $3,600 | $0 | $209,825 | $0 | $582 | $0 | $349 | $0 | $257,477 | $0 | $0 |
| Mary Masten | ||||||||||||||
| General Counsel, Emeritus | $0 | $103,179 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $12,951 | $0 | $116,130 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The Executive Committee, which is a committee of the Monument Health (parent) Board, reviews and approves base salary and total compensation ranges for all executives within the Monument Health System. |
| Part I, Lines 4a-b | Tresha Moreland received a severance payment of $209,825. Monument Health provides a supplemental nonqualified retirement plan and a flexible benefit plan that can include deferred compensation for its executives. The following individuals had amounts deferred into the account as reported in column c on Schedule J: Brad Archer, MD 68,646 Lee Bailey, MD 22,560 Heather Brewer, MD 41,736 Teresa Burroff 36,812 Paulette Davidson 168,300 Jessica Donner, MD 32,871 Chris Gasbarre, MD 37,054 Nicole Kerkenbush 25,500 Ray Jensen, MD 88,915 Stephanie Lahr 38,552 Garrett Cox 65,819 Richard Little, MD 58,411 Andrew VanOsdol 42,330 Thomas Worsley 15,606 Mark Schmidt 11,706 Mark Schulte 10,630 Mark Thompson 46,396 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. Lee Bailey, MD 36,391 Heather Brewer, MD 32,957 Christopher Gasbarre, DO 37,040 Richard Little, MD 56,805 Mark Schmidt 6,866 Mark Schulte 14,628 Jessica Donner, MD 31,965 |
| Part I, Line 7 | Executives and other employees of system entities will be eligible to receive annual incentive awards that are competitive with the incentives offered by the organizations in the system's peer group(s) in accordance with the terms of the Monument Health, Inc. annual incentive plan for selected executives and other employees (incentive plan). In accordance with this plan, the parent board's executive committee reviews and approves all incentive compensation performance measures and all awards, if any. The committee ensures that the total compensation, including incentive awards, is reasonable. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 1a: | All 1099's are issued centrally by Monument Health Rapid City Hospital, Inc., a related organization. |
| Form 990, Part V, Line 2a: | Number of employees on W-3: Monument Health Network, Inc. has its own employees, however, compensation is paid by Monument Health Rapid City Hospital, the common payroll agent. |
| Form 990, Part VI, Section A, line 1 | The membership of the Executive Committee of the Corporation shall consist of the following: Chair of the Board of Directors, Vice Chair of the Board of Directors, two other Board members appointed by the Chair, and the Corporation's President. The Chair of the Board of Directors shall serve as the Chair of the Executive Committee. Directors on the Executive Committee shall serve during the term of office they hold which places them on the Executive Committee, or, for the two Chair-appointed members, for a term of one (1) year or until their successors are appointed. The Executive Committee, when the Board of Directors is not in session, shall have and may exercise all of the authority of the Board of Directors, except to the extent, if any, that such authority shall be limited by a motion or resolution of the Board of Directors or that is authority reserved to the Member. It is intended that the powers of the Executive Committee to act for the whole Board be confined to such urgent matters as reasonably should not be deferred until the next regularly-scheduled meeting of the full Board. |
| Form 990, Part VI, Section A, line 2 | Paulette Davidson has a business relationship with the following individuals due to being the CEO of the supporting organization that exercises reserve powers over the supported organizations that employ each of these key employees: Teresa Burroff; Stephanie Lahr, MD; Mary Masten; Brad Archer, MD; Tresha Moreland; Mark Thompson; and Nicole Kerkenbush. |
| Form 990, Part VI, Section A, line 6 | Monument Health, Inc. is the sole member of Monument Health Network, Inc. |
| Form 990, Part VI, Section A, line 7a | Monument Health, Inc., being the sole member of Monument Health Network, Inc., has the ability to appoint or remove all members of Monument Health Network, Inc.'s board. |
| Form 990, Part VI, Section A, line 7b | Monument Health, Inc. (MHI) provides compliance, governance, financial, and planning support to its Supported Organizations to best assure the functions and services of the Supported Organizations are coordinated and supported in a manner that furthers the shared charitable mission of the Supported Organizations and MHI, as a whole. Monument Health, Inc. has final authority in significant business decisions affecting the Supported Organizations. |
| Form 990, Part VI, Section B, line 11b | The 990 is prepared and reviewed by an independent accounting firm. It is then reviewed internally by finance and legal management. The Form 990 is further reviewed, prior to filing, by the organization's board of directors through a portal to the organization's internal information system, to which each board member has access. Educational sessions have been provided to board members on how to access the portal. |
| Form 990, Part VI, Section B, line 12c | As part of the annual disclosure of potential conflicts process, all board members, officers, and management are required to complete an annual disclosure statement on financial interests and conflicting interests. At Board and Board Committee meetings, the meeting agenda includes an initial item "Conflicts of Interest" where the Chair asks members if they have any conflicting interests or financial interests related to an agenda item. If a conflicting or financial interest is disclosed, it is noted in the minutes and there is discussion or determination of whether the disclosure requires the board or committee member to be excused from discussion or action on that agenda item. Board or committee members whose disclosure is found to be a conflict may be invited to speak on the matter by the Chair, but are not permitted to vote on the matter and may be required to leave the meeting during discussion, after they have made any comments invited by the Chair. Failure to comply with the Conflict of Interest policy constitutes grounds for removal from office or membership on the Board or Board Committee and, in the case of all employees, termination of employment. |
| Form 990, Part VI, Section B, line 15a | The Executive Committee of Monument Health, Inc (MHI; parent) annually engages an independent third party compensation firm to conduct a review of all executives, Vice President level and above, to determine an appropriate compensation range in which their compensation would be established. The independent compensation consultant provided peer group market comparative data for base salary, total cash compensation, benefits and total compensation for executives. The CEO or her designee determines the actual base salary of the executives within the committee-approved base salary range based on experience and performance, providing the total compensation is within the targeted market percentile, e.g. 50th percentile. Each year, the independent consultant meets with Committee members and presents data upon which the Committee determines all elements of compensation for the member's CEO (base salary, total cash compensation, benefits and total compensation) and reaffirms the organization's executive compensation philosophy, which includes the targeted market percentile for all other executives. Actual compensation is paid by Monument Health Rapid City Hospital and charged to Monument Health, Inc. |
| Form 990, Part VI, Section C, line 19 | The Articles of Incorporation of the organization are filed in the office of the Secretary of State of South Dakota and are available to the public from the Office of the Secretary of State. Other documents (Bylaws, conflict of interest policy and financial statements) are not posted for the public but are available or described in other public documents or sites such as offering statements in bond issues or municipal securities rulemaking board's electronic municipal market access (EMMA) data port. |
| Form 990, Part X, Line 20 | Monument Health Network, Inc. is part of the Monument Health, Inc. Obligated Group which consists of Monument Health, Inc., Monument Health Rapid City Hospital, Inc., Monument Health Network, Inc., and Monument Health Physicians, Inc. Monument Health Network, Inc. was not allocated any share of the bond issue, and thus does not have an amount on line 20. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Monument Health Inc | |||||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 201487506 | Healthcare | SD | 501(c)(3) | Line 12c, III-FI | N/A | 0 | |
| Monument Health Rapid City Hospital Inc | |||||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 460319070 | Healthcare | SD | 501(c)(3) | Line 3 | 0 | Monument Health Inc | |
| Monument Health Physicians Inc | |||||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 460372454 | Healthcare | SD | 501(c)(3) | PF | 0 | Monument Health Inc | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Medical & Dental Building | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2805 S 5th St | AddressLine1Txt |
| City | Rapid City | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460339629 | EIN |
| Primary Activities | Medical Office Bldg | PrimaryActivitiesTxt |
| Legal Domicile State | SD | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |