MONUMENT HEALTH NETWORK INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: MONUMENT HEALTH NETWORK INC (EIN 46-0360899)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-12
IRS object ID: 202101329349303180
Schema version: 2019v5.2
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-12T13:23:10-05:00	ReturnTs
Tax Period End	2020-06-30	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	2019-07-01	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	2021-05-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kim Hunwardsen CPA	PreparerPersonNm
PTIN	P00484560	PTIN
Phone	6122536500	PhoneNum
Preparation	2021-05-11	PreparationDt

Field	Value	IRS element (for citing)
Tax	2019	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	$173,182,243	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 is dedicated to improving the health of individuals and our communities.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	1251	TotalEmployeeCnt
Total Volunteers	236	TotalVolunteersCnt
Total Gross UBI	$542,352	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$453,443	PYContributionsGrantsAmt
CY Contributions Grants	$518,333	CYContributionsGrantsAmt
PY Program Service Revenue	$159,443,537	PYProgramServiceRevenueAmt
CY Program Service Revenue	$172,654,227	CYProgramServiceRevenueAmt
PY Investment Income	-$20,173	PYInvestmentIncomeAmt
CY Investment Income	-$23,681	CYInvestmentIncomeAmt
PY Other Revenue	$21,753	PYOtherRevenueAmt
CY Other Revenue	$21,916	CYOtherRevenueAmt
PY Total Revenue	$159,898,560	PYTotalRevenueAmt
CY Total Revenue	$173,170,795	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$155,940	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$89,189,208	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$98,540,471	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$77,546,729	PYOtherExpensesAmt
CY Other Expenses	$71,081,692	CYOtherExpensesAmt
PY Total Expenses	$166,735,937	PYTotalExpensesAmt
CY Total Expenses	$169,778,103	CYTotalExpensesAmt
PY Revenues Less Expenses	-$6,837,377	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,392,692	CYRevenuesLessExpensesAmt
Total Assets BOY	$125,732,103	TotalAssetsBOYAmt
Total Assets EOY	$148,333,045	TotalAssetsEOYAmt
Total Liabilities BOY	$74,174,612	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$93,662,816	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$51,557,491	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$54,670,229	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Our vision at Monument Health is to be one team, to listen, to be inclusive, and to show we care. Monument Health is dedicated to improving the health of individuals and our communities. Values: Trust, Respect, Compassion, Community, Excellence	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$100,416,601	ExpenseAmt
Grant	$155,940	GrantAmt
Revenue	$121,254,675	RevenueAmt
Desc	Monument Health Network 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 (CAH), Monument Health Spearfish Hospital (PPS SCH) and Monument Health Sturgis Hospital (CAH) / Monument Health Sturgis Senior Care. The Health Network also owns, leases and operates provider based physician clinics in Belle Fourche, Spearfish, Lead, Sturgis & Custer. In addition, the Network operates the following 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	$8,265,268	ExpenseAmt
Revenue	$36,508,965	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 (Eyes). In FY20, a total of 3,430 surgery case hours were completed at the main campus.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$8,095,673	ExpenseAmt
Revenue	$9,112,601	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 46.34 full time equivalents. This hospital outpatient department had 48,634 encounters throughout the year.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$5,392,015	ExpenseAmt
Revenue	$5,235,634	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. In FY20, a total of 348 in patient cases and 824 outpatient cases were completed at this campus.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$5,392,015	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$5,235,634	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$122,169,557	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	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	102	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1251	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
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	8	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 (27 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Paulette Davidson
President and CEO	10.59	49.41	Yes (X)	Yes (X)	$0	$1,717,978	$215,619
Ray Jensen MD
Physician - Orthopedic Surgery	40.00	0.00			$1,376,765	$0	$144,997	Yes (X)
Mark A Thompson
CFO/Treasurer	9.71	45.29		Yes (X)	$0	$964,572	$106,253
Garrett Cox MD
Physician - Radiologist	40.00	0.00			$972,887	$0	$78,257	Yes (X)
Richard Little MD
Physician - Orthopedic Surgery	40.00	0.00			$923,388	$0	$89,329	Yes (X)
Andrew Vanosdol MD
Physician - Surgery	40.00	0.00			$801,470	$0	$80,448	Yes (X)
Stephanie Lahr MD
CIO & CMIO	9.71	45.29			$0	$741,039	$87,788		Yes (X)
Teresa Burroff
General Counsel, Secretary	9.71	45.29		Yes (X)	$0	$759,037	$55,468
Brad Arher MD
Chief Medical Officer	9.71	45.29			$0	$697,242	$108,789		Yes (X)
Heather Brewer MD
Physician - OB/GYN	40.00	0.00			$656,876	$0	$86,100	Yes (X)
Christopher Gasbarre DO
Board Member/ Employed Physician	41.13	0.00	Yes (X)		$558,217	$0	$79,027
Thomas Worsley
President Spearfish Market	55.00	0.00			$501,133	$0	$59,450		Yes (X)
Lee B Bailey MD
Board Member/ Employed Physician	40.59	0.00	Yes (X)		$387,635	$0	$72,159
Nicole Kerkenbush
Chief Performance Officer	9.71	45.29			$0	$424,129	$38,813		Yes (X)
Mark Schmidt
President Custer, Lead-Deadwood Markets	55.00	0.00			$384,398	$0	$53,804		Yes (X)
Mark Schulte
President - Sturgis	55.00	0.00			$340,492	$0	$54,264		Yes (X)
Tresha Moreland
VP Human Resources	9.71	45.29			$0	$353,829	$34,907		Yes (X)
Laura Wightman
Chief Nursing Officer Until 04/2019	9.71	45.29			$0	$191,509	$10,361			Yes (X)
Mary Masten
General Counsel, Emeritus	3.53	16.47			$0	$118,255	$15,818			Yes (X)
David Thom
Chairman	0.93	0.00	Yes (X)	Yes (X)	$0	$0	$0
Robert Haivala
Vice Chairman	0.77	0.00	Yes (X)	Yes (X)	$0	$0	$0
Dusty Pinske
Board member	1.45	0.01	Yes (X)		$0	$0	$0
Richard Tysdal
Board member	2.42	0.02	Yes (X)		$0	$0	$0
Paul Bisson
Board member	1.00	0.00	Yes (X)		$0	$0	$0
Pat Walker
Board member	0.86	0.00	Yes (X)		$0	$0	$0
Pat Kurttenbach
Board member	0.83	0.00	Yes (X)		$0	$0	$0
Steven Williams
Board member	0.58	0.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,903,261	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,967,590	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,471,651	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	122	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	$2,080,054
Morrison Management Specialist Inc
PO Box 102289	Atlanta	GA	30368	Professional Services	$1,371,384
Weatherby Locums Inc
PO Box 972633	Dallas	TX	75397	Contract Labor	$1,315,383
Crothall Healthcare
13028 Collection Center Dr	Chicago	IL	60693	Professional Services	$747,358
Journey Group Companies
345 Industrial Dr	Spearfish	SD	57783	Construction Services	$581,609

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	54	CntrctRcvdGreaterThan100KCnt
Government Grants	$483,350	GovernmentGrantsAmt
All Other Contributions	$34,983	AllOtherContributionsAmt
Total Contributions	$518,333	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Acute Care Hospital IP and OP	623000	$87,941,272	$87,941,272
Physician Clinics	621110	$51,931,864	$51,931,864
Long Term Care Facilities	623000	$10,060,597	$10,060,597

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,720,494	TotalRevenueColumnAmt
Related Or Exempt Func Income	$22,178,142	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$542,352	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$172,654,227	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$23,681	TotalRevenueColumnAmt
Exclusion	-$23,681	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$33,364	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$11,448	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$21,916	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,916	TotalRevenueColumnAmt
Exclusion	$21,916	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$173,170,795	TotalRevenueColumnAmt
Related Or Exempt Func Income	$172,111,875	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$542,352	UnrelatedBusinessRevenueAmt
Exclusion	-$1,765	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$155,940	TotalAmt
Program Services	$155,940	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,468,550	TotalAmt
Program Services	$432,509	ProgramServicesAmt
Management And General	$1,036,041	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$74,212,418	TotalAmt
Program Services	$67,467,686	ProgramServicesAmt
Management And General	$6,744,732	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,393,046	TotalAmt
Program Services	$1,249,827	ProgramServicesAmt
Management And General	$143,219	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,842,514	TotalAmt
Program Services	$9,024,232	ProgramServicesAmt
Management And General	$7,818,282	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,623,943	TotalAmt
Program Services	$4,049,069	ProgramServicesAmt
Management And General	$574,874	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$118,704	TotalAmt
Management And General	$118,704	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$28,100	TotalAmt
Management And General	$28,100	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$22,848	TotalAmt
Management And General	$22,848	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,811,930	TotalAmt
Program Services	$7,864,232	ProgramServicesAmt
Management And General	$1,947,698	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$141,208	TotalAmt
Program Services	$11,366	ProgramServicesAmt
Management And General	$129,842	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,600,729	TotalAmt
Program Services	$1,674,940	ProgramServicesAmt
Management And General	$925,789	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$684,951	TotalAmt
Program Services	$486,416	ProgramServicesAmt
Management And General	$198,535	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,062,325	TotalAmt
Program Services	$2,608,275	ProgramServicesAmt
Management And General	$2,454,050	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$376,742	TotalAmt
Program Services	$336,476	ProgramServicesAmt
Management And General	$40,266	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$401,504	TotalAmt
Program Services	$401,504	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,144,089	TotalAmt
Program Services	$4,833,503	ProgramServicesAmt
Management And General	$1,310,586	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$758,333	TotalAmt
Program Services	$286,531	ProgramServicesAmt
Management And General	$471,802	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	DescDesc
$27,973,814	$4,564,473	$23,409,341
$16,738,794	$16,684,241	$54,553	Medical Supplies
$217,621	$38,337	$179,284	Miscellaneous

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$169,778,103	TotalAmt
Program Services	$122,169,557	ProgramServicesAmt
Management And General	$47,608,546	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	-$878,422	BOYAmt
EOY	$205,269	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$19,819,766	BOYAmt
EOY	$20,050,923	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,048,019	BOYAmt
EOY	$2,330,716	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$824,297	BOYAmt
EOY	$922,574	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$128,979,960	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$60,093,752	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$70,227,471	BOYAmt
EOY	$68,886,208	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,462,637	BOYAmt
EOY	$1,379,570	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	$32,173,679	BOYAmt
EOY	$54,503,129	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$125,732,103	BOYAmt
EOY	$148,333,045	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$29,878,751	BOYAmt
EOY	$50,662,584	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$44,295,861	BOYAmt
EOY	$43,000,232	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$74,174,612	BOYAmt
EOY	$93,662,816	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	$51,204,133	BOYAmt
EOY	$54,380,577	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$353,358	BOYAmt
EOY	$289,652	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$51,557,491	BOYAmt
EOY	$54,670,229	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$125,732,103	BOYAmt
EOY	$148,333,045	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,392,692	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$3,834	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$276,120	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	$22,848	OtherActivitiesAmt
Total Lobbying Expenditures	$22,848	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 2020 dues, which were paid in fiscal year 2020, in the amount of $65,316, 19.20% 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 2020 dues, which were paid in fiscal year 2020, in the amount of $44,297, 23.32% was used for lobbying purposes.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$120,509	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,194	InvestmentEarningsOrLossesAmt
End Year Balance	$121,703	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.65450	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.34550	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	$79,341,745	OtherCostOrOtherBasisAmt
Depreciation	$31,775,619	DepreciationAmt
Book Value	$47,566,126	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,145,168	OtherCostOrOtherBasisAmt
Depreciation	$936,334	DepreciationAmt
Book Value	$208,834	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,648,241	OtherCostOrOtherBasisAmt
Depreciation	$27,381,799	DepreciationAmt
Book Value	$11,266,442	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$35,102	OtherCostOrOtherBasisAmt
Book Value	$35,102	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$68,886,208	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	Intercompany Receivables	Desc
Book Value	$54,503,129	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$54,503,129	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	Due To Related Parties	Desc
Amt	$43,000,232	Amt

Field	Value	IRS element (for citing)
Total Liability	$43,000,232	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
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
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	$2,535,161	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,535,161	NetCommunityBenefitExpnsAmt
Total Expense	0.01490	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,840,947	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,897,483	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,943,464	NetCommunityBenefitExpnsAmt
Total Expense	0.01730	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,376,108	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,897,483	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,478,625	NetCommunityBenefitExpnsAmt
Total Expense	0.03220	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,146,849	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,146,849	NetCommunityBenefitExpnsAmt
Total Expense	0.01260	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$13,249	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,249	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,939,371	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,497,329	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,442,042	NetCommunityBenefitExpnsAmt
Total Expense	0.01440	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$11,099,469	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,497,329	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,602,140	NetCommunityBenefitExpnsAmt
Total Expense	0.02710	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$27,475,577	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,394,812	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,080,765	NetCommunityBenefitExpnsAmt
Total Expense	0.05930	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$129	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$129	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$3,212	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,212	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	$3,341	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,341	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$11,771,641	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$40,956,632	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$42,152,406	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,195,774	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	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.000000000000	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 FY20, Monument Health Network focused on the following four priority areas identified through the most recent CHNA: Cancer, Heart Disease and Stroke, Diabetes and Mental Health. 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 Health Improvement Plan (CHIP).Cancer-Purchased the cancer risk assessment screening tool/survey and navigation platform which is the first step in the development of a genetics program. -Completed the American Club of Therapeutic Radiologists (ASTRO) Accreditation Program for Excellence (Accreditation Program for Excellence - APEx). This accreditation demonstrates that the Cancer Care Institute has the systems, personnel, policies and procedures needed to meet APEx standards for high-quality patient care.-Added access to new education and research to the Cancer Care Institute public website, including new patient education from the Mayo Clinic Care Network.-Completed significant planning for the expansion of the Cancer Care Institute with construction planned to begin in April 2021. The new location will more than double the space of the existing facility to expand radiation and medical oncology, integrate infusion services, and add comprehensive brachytherapy services and integrated services. -Supported community events for Susan G Komen and Breast Cancer Awareness Month. -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 Fall River County Parade, Custer Gold Discovery Days, Custer Mammo or Bust Run Walk, Deadwood Days of 76 Rodeo Tough Enough to Wear Pink campaign, and the Black Hills Stock Show.Heart Disease and Stroke-Provided blood pressure screenings and education at community events, including one of the largest regional events, the Black Hills Stock Show. -Stroke program coordinator spoke at the Stock Show on stroke signs, symptoms, and risk factors.-Marketing, such as billboards and Facebook announcements, on recognizing the signs and symptoms of stroke and heart disease throughout the year. Particular emphasis was placed in February during Heart Month and in May during Stroke Awareness month. -Hosted and participated in events to increase awareness of Heart Disease and Stroke such as the Annual Heart Ball, Annual Heart Walk, and February Freeze run/walk. -Provided education to area providers through the annual Cardiac Symposium, which had to be virtual this year due to COVID-19.-Implemented Lifestyle Medicine as a new service line and launched a new Lipid Management Clinic. -Recruited additional providers for Heart and Vascular Care and Neurology Care.-Improved the Stroke metric of tissue plasminogen activator (tPA) door-to-needle time. -Provided heart and vascular outreach clinics in Chadron, Alliance, Custer, Newcastle, Spearfish, Belle Fourche and Phillip. -Implemented a new Calcium Scoring Screening process in partnership with National Heart Health. -Partnered with South Dakota Banker's Association to offer Comprehensive Heart & Vascular Screens for their members.-Hosted an ongoing monthly stroke support group. -Utilized the Mayo Clinic Care Network to collaborate on care for cardiology and stroke patients, to provide patients with care close to home. Diabetes-Provided screenings and education at community events, including one of the largest regional events, the Black Hills Stock Show. -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 SDSU Extension/SD Foundation for Medical Care.-Supported local events for Diabetes programs, such as the Diabetes Inc. Taste of Caring and Kamp for Kids in Custer. -Expanded Rapid City inpatient endocrinology on-site support. -Providers and educators/dieticians provided telephonic and televideo visits during COVID-19 and explored options to continue post-pandemic.-Ongoing outreach clinics monthly in the communities of Custer, Hot Springs, Sturgis, Spearfish, Newcastle, Deadwood. Mental Health-Partnered with Call to Freedom to provide information on Human Trafficking. -Collaborated with Pennington County Care Campus and provided representation on their Advisory Board. -Arranged on-site and televisits from Protection & Advocacy for Individuals with Mental Illness (PAIMI) Program to provide education on available services.-Expanded AA meeting availability to patients within our facilities to include adult AA, teen AA, Al-Anon and Red Road to Wellbriety. -Implemented lifestyle medicine through dietary changes within the facility and recreation therapy programs. -Supported the local Wellfully program events. -Expanded the availability of counselors located in our primary care facilities across the Monument Health system. -Recruited additional Psychiatrists. -Implemented system wide standard process 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, on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request.
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 FAP 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 FY20, Monument Health Network focused on the following four priority areas identified through the most recent CHNA: Cancer, Heart Disease and Stroke, Diabetes and Mental Health. 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 Health Improvement Plan (CHIP).Cancer-Purchased the cancer risk assessment screening tool/survey and navigation platform which is the first step in the development of a genetics program. -Completed the American Club of Therapeutic Radiologists (ASTRO) Accreditation Program for Excellence (Accreditation Program for Excellence - APEx). This accreditation demonstrates that the Cancer Care Institute has the systems, personnel, policies and procedures needed to meet APEx standards for high-quality patient care.-Added access to new education and research to the Cancer Care Institute public website, including new patient education from the Mayo Clinic Care Network.-Completed significant planning for the expansion of the Cancer Care Institute with construction planned to begin in April 2021. The new location will more than double the space of the existing facility to expand radiation and medical oncology, integrate infusion services, and add comprehensive brachytherapy services and integrated services. -Supported community events for Susan G Komen and Breast Cancer Awareness Month. -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 Fall River County Parade, Custer Gold Discovery Days, Custer Mammo or Bust Run Walk, Deadwood Days of 76 Rodeo Tough Enough to Wear Pink campaign, and the Black Hills Stock Show.Heart Disease and Stroke-Provided blood pressure screenings and education at community events, including one of the largest regional events, the Black Hills Stock Show. -Stroke program coordinator spoke at the Stock Show on stroke signs, symptoms, and risk factors.-Marketing, such as billboards and Facebook announcements, on recognizing the signs and symptoms of stroke and heart disease throughout the year. Particular emphasis was placed in February during Heart Month and in May during Stroke Awareness month. -Hosted and participated in events to increase awareness of Heart Disease and Stroke such as the Annual Heart Ball, Annual Heart Walk, and February Freeze run/walk. -Provided education to area providers through the annual Cardiac Symposium, which had to be virtual this year due to COVID-19.-Implemented Lifestyle Medicine as a new service line and launched a new Lipid Management Clinic. -Recruited additional providers for Heart and Vascular Care and Neurology Care.-Improved the Stroke metric of tissue plasminogen activator (tPA) door-to-needle time. -Provided heart and vascular outreach clinics in Chadron, Alliance, Custer, Newcastle, Spearfish, Belle Fourche and Phillip. -Implemented a new Calcium Scoring Screening process in partnership with National Heart Health. -Partnered with South Dakota Banker's Association to offer Comprehensive Heart & Vascular Screens for their members.-Hosted an ongoing monthly stroke support group. -Utilized the Mayo Clinic Care Network to collaborate on care for cardiology and stroke patients, to provide patients with care close to home. Diabetes-Provided screenings and education at community events, including one of the largest regional events, the Black Hills Stock Show. -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 SDSU Extension/SD Foundation for Medical Care.-Supported local events for Diabetes programs, such as the Diabetes Inc. Taste of Caring and Kamp for Kids in Custer. -Expanded Rapid City inpatient endocrinology on-site support. -Providers and educators/dieticians provided telephonic and televideo visits during COVID-19 and explored options to continue post-pandemic.-Ongoing outreach clinics monthly in the communities of Custer, Hot Springs, Sturgis, Spearfish, Newcastle, Deadwood. Mental Health-Partnered with Call to Freedom to provide information on Human Trafficking. -Collaborated with Pennington County Care Campus and provided representation on their Advisory Board. -Arranged on-site and televisits from Protection & Advocacy for Individuals with Mental Illness (PAIMI) Program to provide education on available services.-Expanded AA meeting availability to patients within our facilities to include adult AA, teen AA, Al-Anon and Red Road to Wellbriety. -Implemented lifestyle medicine through dietary changes within the facility and recreation therapy programs. -Supported the local Wellfully program events. -Expanded the availability of counselors located in our primary care facilities across the Monument Health system. -Recruited additional Psychiatrists. -Implemented system wide standard process 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, on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request.
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 FAP 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 FY20, Monument Health Network focused on the following four priority areas identified through the most recent CHNA: Cancer, Heart Disease and Stroke, Diabetes and Mental Health. 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 Health Improvement Plan (CHIP).Cancer-Purchased the cancer risk assessment screening tool/survey and navigation platform which is the first step in the development of a genetics program. -Completed the American Club of Therapeutic Radiologists (ASTRO) Accreditation Program for Excellence (Accreditation Program for Excellence - APEx). This accreditation demonstrates that the Cancer Care Institute has the systems, personnel, policies and procedures needed to meet APEx standards for high-quality patient care.-Added access to new education and research to the Cancer Care Institute public website, including new patient education from the Mayo Clinic Care Network.-Completed significant planning for the expansion of the Cancer Care Institute with construction planned to begin in April 2021. The new location will more than double the space of the existing facility to expand radiation and medical oncology, integrate infusion services, and add comprehensive brachytherapy services and integrated services. -Supported community events for Susan G Komen and Breast Cancer Awareness Month. -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 Fall River County Parade, Custer Gold Discovery Days, Custer Mammo or Bust Run Walk, Deadwood Days of 76 Rodeo Tough Enough to Wear Pink campaign, and the Black Hills Stock Show.Heart Disease and Stroke-Provided blood pressure screenings and education at community events, including one of the largest regional events, the Black Hills Stock Show. -Stroke program coordinator spoke at the Stock Show on stroke signs, symptoms, and risk factors.-Marketing, such as billboards and Facebook announcements, on recognizing the signs and symptoms of stroke and heart disease throughout the year. Particular emphasis was placed in February during Heart Month and in May during Stroke Awareness month. -Hosted and participated in events to increase awareness of Heart Disease and Stroke such as the Annual Heart Ball, Annual Heart Walk, and February Freeze run/walk. -Provided education to area providers through the annual Cardiac Symposium, which had to be virtual this year due to COVID-19.-Implemented Lifestyle Medicine as a new service line and launched a new Lipid Management Clinic. -Recruited additional providers for Heart and Vascular Care and Neurology Care.-Improved the Stroke metric of tissue plasminogen activator (tPA) door-to-needle time. -Provided heart and vascular outreach clinics in Chadron, Alliance, Custer, Newcastle, Spearfish, Belle Fourche and Phillip. -Implemented a new Calcium Scoring Screening process in partnership with National Heart Health. -Partnered with South Dakota Banker's Association to offer Comprehensive Heart & Vascular Screens for their members.-Hosted an ongoing monthly stroke support group. -Utilized the Mayo Clinic Care Network to collaborate on care for cardiology and stroke patients, to provide patients with care close to home. Diabetes-Provided screenings and education at community events, including one of the largest regional events, the Black Hills Stock Show. -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 SDSU Extension/SD Foundation for Medical Care.-Supported local events for Diabetes programs, such as the Diabetes Inc. Taste of Caring and Kamp for Kids in Custer. -Expanded Rapid City inpatient endocrinology on-site support. -Providers and educators/dieticians provided telephonic and televideo visits during COVID-19 and explored options to continue post-pandemic.-Ongoing outreach clinics monthly in the communities of Custer, Hot Springs, Sturgis, Spearfish, Newcastle, Deadwood. Mental Health-Partnered with Call to Freedom to provide information on Human Trafficking. -Collaborated with Pennington County Care Campus and provided representation on their Advisory Board. -Arranged on-site and televisits from Protection & Advocacy for Individuals with Mental Illness (PAIMI) Program to provide education on available services.-Expanded AA meeting availability to patients within our facilities to include adult AA, teen AA, Al-Anon and Red Road to Wellbriety. -Implemented lifestyle medicine through dietary changes within the facility and recreation therapy programs. -Supported the local Wellfully program events. -Expanded the availability of counselors located in our primary care facilities across the Monument Health system. -Recruited additional Psychiatrists. -Implemented system wide standard process 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, on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request.
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 FAP 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 FY20, Monument Health Network focused on the following four priority areas identified through the most recent CHNA: Cancer, Heart Disease and Stroke, Diabetes and Mental Health. 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 Health Improvement Plan (CHIP).Cancer-Purchased the cancer risk assessment screening tool/survey and navigation platform which is the first step in the development of a genetics program. -Completed the American Club of Therapeutic Radiologists (ASTRO) Accreditation Program for Excellence (Accreditation Program for Excellence - APEx). This accreditation demonstrates that the Cancer Care Institute has the systems, personnel, policies and procedures needed to meet APEx standards for high-quality patient care.-Added access to new education and research to the Cancer Care Institute public website, including new patient education from the Mayo Clinic Care Network.-Completed significant planning for the expansion of the Cancer Care Institute with construction planned to begin in April 2021. The new location will more than double the space of the existing facility to expand radiation and medical oncology, integrate infusion services, and add comprehensive brachytherapy services and integrated services. -Supported community events for Susan G Komen and Breast Cancer Awareness Month. -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 Fall River County Parade, Custer Gold Discovery Days, Custer Mammo or Bust Run Walk, Deadwood Days of 76 Rodeo Tough Enough to Wear Pink campaign, and the Black Hills Stock Show.Heart Disease and Stroke-Provided blood pressure screenings and education at community events, including one of the largest regional events, the Black Hills Stock Show. -Stroke program coordinator spoke at the Stock Show on stroke signs, symptoms, and risk factors.-Marketing, such as billboards and Facebook announcements, on recognizing the signs and symptoms of stroke and heart disease throughout the year. Particular emphasis was placed in February during Heart Month and in May during Stroke Awareness month. -Hosted and participated in events to increase awareness of Heart Disease and Stroke such as the Annual Heart Ball, Annual Heart Walk, and February Freeze run/walk. -Provided education to area providers through the annual Cardiac Symposium, which had to be virtual this year due to COVID-19.-Implemented Lifestyle Medicine as a new service line and launched a new Lipid Management Clinic. -Recruited additional providers for Heart and Vascular Care and Neurology Care.-Improved the Stroke metric of tissue plasminogen activator (tPA) door-to-needle time. -Provided heart and vascular outreach clinics in Chadron, Alliance, Custer, Newcastle, Spearfish, Belle Fourche and Phillip. -Implemented a new Calcium Scoring Screening process in partnership with National Heart Health. -Partnered with South Dakota Banker's Association to offer Comprehensive Heart & Vascular Screens for their members.-Hosted an ongoing monthly stroke support group. -Utilized the Mayo Clinic Care Network to collaborate on care for cardiology and stroke patients, to provide patients with care close to home. Diabetes-Provided screenings and education at community events, including one of the largest regional events, the Black Hills Stock Show. -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 SDSU Extension/SD Foundation for Medical Care.-Supported local events for Diabetes programs, such as the Diabetes Inc. Taste of Caring and Kamp for Kids in Custer. -Expanded Rapid City inpatient endocrinology on-site support. -Providers and educators/dieticians provided telephonic and televideo visits during COVID-19 and explored options to continue post-pandemic.-Ongoing outreach clinics monthly in the communities of Custer, Hot Springs, Sturgis, Spearfish, Newcastle, Deadwood. Mental Health-Partnered with Call to Freedom to provide information on Human Trafficking. -Collaborated with Pennington County Care Campus and provided representation on their Advisory Board. -Arranged on-site and televisits from Protection & Advocacy for Individuals with Mental Illness (PAIMI) Program to provide education on available services.-Expanded AA meeting availability to patients within our facilities to include adult AA, teen AA, Al-Anon and Red Road to Wellbriety. -Implemented lifestyle medicine through dietary changes within the facility and recreation therapy programs. -Supported the local Wellfully program events. -Expanded the availability of counselors located in our primary care facilities across the Monument Health system. -Recruited additional Psychiatrists. -Implemented system wide standard process 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, on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request.
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 FAP 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 Custer Care Center
1065 Montgomery Street	Custer	SD	57730	Skilled Long Term Nursing Home
2 - Monument Health Sturgis Care Center
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 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. The result is a deficit with costs exceeding the reimbursements.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 FAP, all collection activity is suspended. If the patient is approved for charity, then the account is closed out of the collection process and classified as charity. If a patient expresses financial concern but fails to complete the application process, additional notification is sent to the patient prior to re-instituting collection activity. We are following the 501(r) Final Regulations timelines for notifications and collections.
Part VI, Line 2:	We gather additional data on needed services from patient surveys, advisory councils and patient and family advisory councils.
Part VI, Line 3:	Financial Assistance Program brochures explaining the policy, a copy of the policy and Financial Assistance applications are available at each point of entry. Signs alerting patients to the availability of Financial Assistance are prominently displayed and a plain language summary describing the Financial Assistance program accompanies one billing statement for hospital services sent to the patient. The Financial Assistance policy, plain language summary and Financial Assistance application are provided free upon request and are also available on the hospital website at www.monument.health. Monument Health contracts with Midland Medical Group (an unrelated entity) to meet with uninsured patients to assist them with finding a funding source or applying for financial assistance; and our self-pay outsource partner also communicates any funding and financial assistance opportunities with our patients.
Part VI, Line 4:	Monument Health and its affiliates provide health care services to the 360,000 people who live in the Black Hills of South Dakota and the surrounding region, as well as thousands of visitors each year. Monument Health serves a 38-county region comprised of western South Dakota, southeastern Montana, northeastern Wyoming, southwestern North Dakota and northwestern Nebraska.
Part VI, Line 5:	Monument Health collaborates with agencies and community-wide coalitions to address prioritized health needs within the communities we serve. Monument Health addresses its community's health needs by: 1) Community members serve on governing boards, advisory councils and 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 I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	City of Custer	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	622 Crook St	AddressLine1Txt
City	Custer	CityNm
State Abbreviation	SD	StateAbbreviationCd
ZIP	57730	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	466000114	RecipientEIN
IRC Section	Government	IRCSectionDesc
Non Cash Assistance	$155,940	NonCashAssistanceAmt
Valuation Method Used	FMV	ValuationMethodUsedDesc
Non Cash Assistance	Land	NonCashAssistanceDesc
Purpose Of Grant	The land the old hospital was on was given back to the City of Custer after the old hospital building was demolished.	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (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
Paulette Davidson
President and CEO	$0	$810,916	$0	$647,275	$0	$259,787	$0	$189,139	$0	$26,480	$0	$1,933,597	$0	$240,787
Ray Jensen MD
Physician - Orthopedic Surgery	$1,352,765	$0	$24,000	$0	$0	$0	$113,830	$0	$31,167	$0	$1,521,762	$0	$0	$0
Mark A Thompson
CFO/Treasurer	$0	$407,368	$0	$349,754	$0	$207,450	$0	$80,227	$0	$26,027	$0	$1,070,826	$0	$188,450
Garrett Cox MD
Physician - Radiologist	$948,887	$0	$24,000	$0	$0	$0	$67,082	$0	$11,175	$0	$1,051,144	$0	$0	$0
Richard Little MD
Physician - Orthopedic Surgery	$874,242	$0	$8,000	$0	$41,146	$0	$56,777	$0	$32,552	$0	$1,012,717	$0	$41,146	$0
Andrew Vanosdol MD
Physician - Surgery	$753,470	$0	$48,000	$0	$0	$0	$48,954	$0	$31,494	$0	$881,918	$0	$0	$0
Stephanie Lahr MD
CIO & CMIO	$0	$357,499	$0	$245,900	$0	$137,640	$0	$58,603	$0	$29,185	$0	$828,827	$0	$118,640
Teresa Burroff
General Counsel, Secretary	$0	$355,187	$0	$256,523	$0	$147,327	$0	$55,392	$0	$76	$0	$814,505	$0	$128,327
Brad Arher MD
Chief Medical Officer	$0	$470,056	$0	$211,750	$0	$15,436	$0	$81,128	$0	$27,661	$0	$806,031	$0	$0
Heather Brewer MD
Physician - OB/GYN	$619,000	$0	$8,000	$0	$29,876	$0	$58,688	$0	$27,412	$0	$742,976	$0	$29,876	$0
Christopher Gasbarre DO
Board Member/ Employed Physician	$496,090	$0	$16,000	$0	$46,127	$0	$51,615	$0	$27,412	$0	$637,244	$0	$46,127	$0
Thomas Worsley
President Spearfish Market	$297,022	$0	$105,188	$0	$98,923	$0	$32,039	$0	$27,411	$0	$560,583	$0	$83,623	$0
Lee B Bailey MD
Board Member/ Employed Physician	$354,435	$0	$8,000	$0	$25,200	$0	$41,647	$0	$32,418	$0	$461,700	$0	$25,200	$0
Nicole Kerkenbush
Chief Performance Officer	$0	$257,330	$0	$84,563	$0	$82,236	$0	$36,533	$0	$2,280	$0	$462,942	$0	$63,236
Mark Schmidt
President Custer, Lead-Deadwood Mark	$238,994	$0	$68,113	$0	$77,291	$0	$26,393	$0	$27,411	$0	$438,202	$0	$65,815	$0
Mark Schulte
President - Sturgis	$202,814	$0	$61,760	$0	$75,918	$0	$24,876	$0	$29,388	$0	$394,756	$0	$65,608	$0
Tresha Moreland
VP Human Resources	$0	$227,155	$0	$62,948	$0	$63,726	$0	$26,014	$0	$8,893	$0	$388,736	$0	$52,282
Laura Wightman
Chief Nursing Officer Until 04/2019	$0	$107,742	$0	$0	$0	$83,767	$0	$7,597	$0	$2,764	$0	$201,870	$0	$83,767
Mary Masten
General Counsel, Emeritus	$0	$62,713	$0	$0	$0	$55,542	$0	$0	$0	$15,818	$0	$134,073	$0	$55,542

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3	The Executive Committee, which is a committee of the Monument Health (parent) Board, reviews and approves base salary and total compensation ranges for all executives within the Monument Health System.
Part I, Line 4b	Monument Health provides a supplemental nonqualified retirement plan and a flexible benefit plan that can include deferred compensation for its executives and physicians. The following individuals had amounts deferred into the account as reported in column c on Schedule J: Lee Bailey MD 21,677 Teresa Burroff 46,435 Paulette Davidson 179,900 Chris Gasbarre MD 37,992 Ray Jensen MD 104,873 Stephanie Lahr MD 49,364 Garrett Cox MD 58,125 Richard Little MD 42,270 Andrew VanOsdol MD 39,997 Tresha Moreland 17,057 Thomas Worsley 22,800 Mark Schmidt 17,101 Mark Schulte 15,389 Mark Thompson 57,686 Laura Wightman 6,758 Heather Brewer MD 42,502 Nicole Kerkenbush 27,600 Brad Archer MD 72,727 The following individuals had supplemental non-qualified retirement plan amounts included in schedule J, column B(iii) that were previously reported as deferred compensation on Form 990. These amounts are identified in Schedule J, column f. Paulette Davidson 240,787 Mark Thompson 188,450 Teresa Burroff 128,327 Teresa Moreland 52,282 Stephanie Lahr MD 118,640 Laura Wightman 83,767 Nicole Kerkenbush 63,236 Mark Schulte 65,608 Thomas Worsley 83,623 Mark Schmidt 65,815 Lee Bailey MD 25,200 Chris Gasbarre MD 46,127 Heather Brewer MD 29,876 Richard Little MD 41,146 Mary Masten 55,542
Part I, Line 7	Executives and other employees of system entities will be eligible to receive annual incentive awards that are competitive with the incentives offered by the organizations in the system's peer group(s) in accordance with the terms of the Monument Health, Inc. annual incentive plan for selected executives and other employees (incentive plan). In accordance with this plan, the parent board's executive committee reviews and approves all incentive compensation performance measures and all awards, if any. The committee ensures that the total compensation, including incentive awards, is reasonable.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part V, Line 1a:	All 1099's are issued centrally by Monument Health Rapid City Hospital, Inc., a related organization.
Form 990, Part V, Line 2a:	Number of employees on W-3: Monument Health Network, Inc. has its own employees, however, compensation is paid by Monument Health Rapid City Hospital, the common payroll agent.
Form 990, Part VI, Section A, line 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; Laura Wightman; Nicole Kerkenbush; Mark Schmidt; Thomas Worsley; Mark Schulte and employed Board Members: Chris Gasbarre MD, and Lee Bailey,MD.
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 (the System). 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) engaged 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. In May 2017, the independent consultant met with Committee members and presented 2017 data upon which the Committee determined all elements of compensation for the member's CEO (base salary, total cash compensation, benefits and total compensation) and reaffirmed the organization's executive compensation philosophy, which includes the targeted market percentile for all other executives. Actual compensation is paid by Monument Health Rapid City Hospital and charged to Monument Health, Inc.
Form 990, Part VI, Section C, line 19	The Articles of Incorporation of the organization are filed in the office of the Secretary of State of South Dakota and are available to the public from the Office of the Secretary of State. Other documents (Bylaws, conflict of interest policy and financial statements) are not posted for the public but are available or described in other public documents or sites such as offering statements in bond issues or municipal securities rulemaking board's electronic municipal market access (EMMA) data port.
Form 990, Part X, Line 20	Monument Health Network, Inc. is part of the Monument Health, Inc. Obligated Group which consists of Monument Health, Inc., Monument Health Rapid City Hospital, Inc., Monument Health Network, Inc., and Monument Health Physicians, Inc. Monument Health Network, Inc. was not allocated any share of the bond issue, and thus does not have an amount on line 20.
Form 990, Part XI, line 9:	Released From Restriction -402,289. Transfer to net asset 126,169.

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)	Line 10		0	Monument Health Inc

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
Medical & Dental Building
2805 S 5th St	Rapid City	SD	57701	460339629	Medical Office Bldg	SD	N/A
Black Hills Medical Office BD LLC
353 Fairmont Blvd	Rapid City	SD	57701	411992146	Medical Office Bldg	SD	N/A

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