MONUMENT HEALTH RAPID CITY HOSPITAL INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MONUMENT HEALTH RAPID CITY HOSPITAL INC (EIN 46-0319070)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-12
- IRS object ID
- 202111329349303226
- 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 B
- Schedule C
- Schedule D
- Schedule F
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-12T13:22:11-05:00 | 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 | 460319070 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Monument Health Rapid City Hospital 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 | 353 Fairmont Blvd 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 | 353 Fairmont Blvd PO Box 6000 | AddressLine1Txt |
| City | Rapid City | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 577096000 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $803,220,212 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.monument.health | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | 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 | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 4704 | TotalEmployeeCnt |
| Total Volunteers | 292 | TotalVolunteersCnt |
| Total Gross UBI | $13,657,135 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $531,281 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,376,782 | PYContributionsGrantsAmt |
| CY Contributions Grants | $20,214,905 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $780,413,572 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $770,763,546 | CYProgramServiceRevenueAmt |
| PY Investment Income | $25,367,998 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,482,081 | CYInvestmentIncomeAmt |
| PY Other Revenue | $414,940 | PYOtherRevenueAmt |
| CY Other Revenue | $599,780 | CYOtherRevenueAmt |
| PY Total Revenue | $808,573,292 | PYTotalRevenueAmt |
| CY Total Revenue | $799,060,312 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $218,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $291,320,600 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $319,122,843 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,048,047 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $467,433,326 | PYOtherExpensesAmt |
| CY Other Expenses | $447,960,832 | CYOtherExpensesAmt |
| PY Total Expenses | $758,753,926 | PYTotalExpensesAmt |
| CY Total Expenses | $767,301,675 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $49,819,366 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $31,758,637 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,161,098,499 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,290,053,350 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $407,173,139 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $529,146,030 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $753,925,360 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $760,907,320 | 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 | $316,200,727 | ExpenseAmt |
| Grant | $218,000 | GrantAmt |
| Revenue | $502,703,533 | RevenueAmt |
| Desc | Monument Health Rapid City Hospital, Inc. (MHRCH) offers both inpatient and outpatient health services. Its tertiary hospital, Rapid City Hospital (RCH), serves Western South Dakota. The nearest larger hospital is in Sioux Falls, SD, more than 350 miles away. As such, the services provided by MHRCH are truly a healthcare safety net for Western South Dakota. The hospital provides comprehensive care, including Level II Trauma Care. MHRCH also includes Monument Health Orthopedic and Specialty Hospital (MHOSH). MHOSH focuses on orthopedics, neurosurgery and podiatry, as well as related outpatient services, related therapy services and sports performance services.MHRCH is also the single member of Monument Health Home Plus, LLC. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $29,607,803 | ExpenseAmt |
| Revenue | $35,442,788 | RevenueAmt |
| Desc | Monument Health Home Plus, LLC Specialty Pharmacy offers high-cost, high-touch medication therapy for patients with complex diseases. These include cancer, multiple sclerosis, Crohn's disease, hepatitis C, psoriasis, rheumatoid arthritis and rare genetic conditions. The medications often require special storage, handling, and/or administration. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $120,333,598 | ExpenseAmt |
| Revenue | $125,271,401 | RevenueAmt |
| Desc | RCH Surgical Services - provide in and out-patient surgical services to acute care patients. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $81,412,091 | ExpenseAmt |
| Revenue | $93,860,753 | RevenueAmt |
| Desc | RCH Pharmacy - provide pharmaceuticals in support of acute care hospital patients. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $81,412,091 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $93,860,753 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $547,554,219 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | 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 | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | 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 | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 457 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 4704 | 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 | 14 | 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| 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 | 353 Fairmont Blvd PO Box 6000 | AddressLine1Txt |
| City | Rapid City | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 577096000 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 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 R Davidson | ||||||||||
| President & CEO | 49.31 | 10.69 | Yes (X) | Yes (X) | $0 | $1,717,978 | $215,619 | |||
| James Takara MD | ||||||||||
| Physician - Cardiac Surgery | 40.00 | 0.00 | $1,199,974 | $0 | $98,775 | Yes (X) | ||||
| Bhaskar Purushottam MD | ||||||||||
| Physician - Cardiology | 40.00 | 0.00 | $1,079,910 | $0 | $110,111 | Yes (X) | ||||
| Joseph Tuma MD | ||||||||||
| Physician - Cardiology | 40.00 | 0.00 | $1,089,259 | $0 | $98,197 | Yes (X) | ||||
| Paul Miller MD | ||||||||||
| Physician - Orthopedic Surgery | 34.00 | 6.00 | $1,117,468 | $200,342 | $38,501 | Yes (X) | ||||
| Mark A Thompson | ||||||||||
| CFO/Treasurer | 45.20 | 9.80 | Yes (X) | $964,572 | $0 | $106,253 | ||||
| John Karl Heilman III MD | ||||||||||
| Physician - Cardiology | 40.00 | 0.00 | $997,484 | $0 | $40,941 | Yes (X) | ||||
| Alex Schabauer MD | ||||||||||
| Board Member/Employed Physician | 41.12 | 0.00 | Yes (X) | $939,063 | $0 | $90,853 | ||||
| Stephanie Lahr MD | ||||||||||
| CIO/CMIO | 45.20 | 9.80 | $741,039 | $0 | $87,788 | Yes (X) | ||||
| Teresa Burroff | ||||||||||
| General Counsel/Secretary | 45.20 | 9.80 | Yes (X) | $759,037 | $0 | $55,468 | ||||
| Brad Archer MD | ||||||||||
| Chief Medical Officer | 45.20 | 9.80 | $697,242 | $0 | $108,789 | Yes (X) | ||||
| John Pierce | ||||||||||
| President Rapid City Market | 55.00 | 0.00 | $604,283 | $0 | $96,015 | Yes (X) | ||||
| Srinivas Gangineni MD | ||||||||||
| Board Member/Employed Physician | 40.62 | 0.00 | Yes (X) | $508,973 | $0 | $76,583 | ||||
| Thomas Worsley | ||||||||||
| President Spearfish Market | 0.00 | 55.00 | $0 | $501,133 | $59,450 | Yes (X) | ||||
| Michael Tilles | ||||||||||
| President Home Plus | 55.00 | 0.00 | $432,324 | $0 | $54,067 | Yes (X) | ||||
| Douglas Koch | ||||||||||
| VP Rapid City Market | 55.00 | 0.00 | $403,769 | $0 | $64,421 | Yes (X) | ||||
| Nicole Kerkenbush | ||||||||||
| Chief Performance Officer | 45.20 | 9.80 | $424,129 | $0 | $38,813 | Yes (X) | ||||
| Mark Longacre | ||||||||||
| President Monument Health Orthopedic | 50.60 | 4.40 | $336,648 | $30,955 | $58,231 | Yes (X) | ||||
| Andrea Baier MD | ||||||||||
| Board Member/Employed Physician | 41.38 | 0.00 | Yes (X) | $333,467 | $0 | $56,500 | ||||
| Tresha Moreland | ||||||||||
| VP Human Resources Operation | 45.20 | 9.80 | $353,829 | $0 | $34,907 | Yes (X) | ||||
| Michelle Stephens | ||||||||||
| VP Operations-Rapid City Market | 55.00 | 0.00 | $231,546 | $0 | $48,637 | Yes (X) | ||||
| Michael Latour | ||||||||||
| System Director of Musculoskeletal care | 43.45 | 11.55 | $168,017 | $44,777 | $37,897 | Yes (X) | ||||
| Laura C Wightman | ||||||||||
| Chief Nursing Officer Until 04/2019 | 45.20 | 9.80 | $191,509 | $0 | $10,361 | Yes (X) | ||||
| Michael Statz MD | ||||||||||
| Board Member/Employed Physician | 40.87 | 0.00 | Yes (X) | $190,321 | $0 | $0 | ||||
| Mary Masten | ||||||||||
| General Counsel, Emeritus | 16.44 | 3.56 | $118,255 | $0 | $15,818 | Yes (X) | ||||
| Jack Lynass | ||||||||||
| Chairman | 1.11 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Deidre Budahl | ||||||||||
| Board Member | 1.14 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Sandra Burns | ||||||||||
| Board Member | 0.90 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Col Robert Corby | ||||||||||
| Board Member | 0.54 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Ross Mckie | ||||||||||
| Board Member | 1.24 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Kelly Manning MD | ||||||||||
| Board Member | 0.58 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Daryl Reinicke | ||||||||||
| Board Member | 0.77 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Tom Rau | ||||||||||
| Board Member | 1.11 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Lia Green | ||||||||||
| Board Member | 2.08 | 0.01 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $13,882,118 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,495,185 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,702,995 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 408 | 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 |
|---|---|---|---|---|---|
| Layton Gustafson | |||||
| 9090 South Sandy Parkway | Sandy | UT | 84070 | Construction | $69,395,993 |
| Medefis | |||||
| 10826 Old Mill Rd 101 | Omaha | NE | 68105 | CONTRACT LABOR | $15,530,296 |
| Crothall Healthcare | |||||
| 13028 Collection Center Drive | Chicago | IL | 60693 | PROFESSIONAL SERVICES | $12,324,030 |
| Weatherby Locums | |||||
| PO BOX 972633 | Dallas | TX | 75397 | Contract Labor | $9,630,987 |
| Morrison Management Specialists Inc | |||||
| PO BOX 102289 | Atlanta | GA | 30368 | Professional Services | $8,028,695 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 329 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $126,264 | FundraisingAmt |
| Government Grants | $17,113,550 | GovernmentGrantsAmt |
| All Other Contributions | $2,975,091 | AllOtherContributionsAmt |
| Total Contributions | $20,214,905 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| In Patient Pharmacy | 446110 | $168,227,939 | $168,227,939 | |
| Cardiac Services | 622110 | $163,124,119 | $163,124,119 | |
| Surgical Services | 622110 | $163,048,328 | $163,048,328 | |
| Laboratory | 621500 | $135,841,384 | $133,354,277 | $2,487,107 |
| MIS CT Scan | 621500 | $86,085,726 | $86,085,726 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $54,436,050 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $43,379,403 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $11,056,647 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $770,763,546 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,182,294 | TotalRevenueColumnAmt |
| Exclusion | $10,182,294 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $461,273 | TotalRevenueColumnAmt |
| Exclusion | $461,273 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,079,362 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $734,949 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $344,413 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $344,413 | TotalRevenueColumnAmt |
| Exclusion | $344,413 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,161,486 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$3,161,486 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,161,486 | TotalRevenueColumnAmt |
| Exclusion | -$3,161,486 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $229,229 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $126,264 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $145,923 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $83,306 | TotalRevenueColumnAmt |
| Exclusion | $83,306 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $176,222 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $117,542 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $58,680 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $58,680 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | UBI from Partnerships | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $113,381 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $113,381 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $113,381 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $799,060,312 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $757,278,472 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $13,657,135 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,909,800 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,000 | TotalAmt |
| Program Services | $218,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,598,496 | TotalAmt |
| Program Services | $2,245,598 | ProgramServicesAmt |
| Management And General | $7,352,898 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,039 | TotalAmt |
| Program Services | $223,039 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284,898,891 | TotalAmt |
| Program Services | $233,266,368 | ProgramServicesAmt |
| Management And General | $50,962,834 | ManagementAndGeneralAmt |
| Fundraising | $669,689 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,554,258 | TotalAmt |
| Program Services | $4,442,627 | ProgramServicesAmt |
| Management And General | $1,099,010 | ManagementAndGeneralAmt |
| Fundraising | $12,621 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $267,140 | TotalAmt |
| Program Services | $213,675 | ProgramServicesAmt |
| Management And General | $52,858 | ManagementAndGeneralAmt |
| Fundraising | $607 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,581,019 | TotalAmt |
| Program Services | $14,288,147 | ProgramServicesAmt |
| Management And General | $4,244,472 | ManagementAndGeneralAmt |
| Fundraising | $48,400 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $415,306 | TotalAmt |
| Management And General | $415,306 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $459,631 | TotalAmt |
| Management And General | $459,631 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,429 | TotalAmt |
| Management And General | $77,429 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,645,854 | TotalAmt |
| Program Services | $59,292,213 | ProgramServicesAmt |
| Management And General | $25,350,216 | ManagementAndGeneralAmt |
| Fundraising | $3,425 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $993,226 | TotalAmt |
| Program Services | $122,759 | ProgramServicesAmt |
| Management And General | $825,636 | ManagementAndGeneralAmt |
| Fundraising | $44,831 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,717,355 | TotalAmt |
| Program Services | $9,322,215 | ProgramServicesAmt |
| Management And General | $5,219,305 | ManagementAndGeneralAmt |
| Fundraising | $175,835 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,876,496 | TotalAmt |
| Program Services | $2,518,856 | ProgramServicesAmt |
| Management And General | $13,317,188 | ManagementAndGeneralAmt |
| Fundraising | $40,452 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,845,756 | TotalAmt |
| Program Services | $7,379,128 | ProgramServicesAmt |
| Management And General | $16,465,466 | ManagementAndGeneralAmt |
| Fundraising | $1,162 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,967,391 | TotalAmt |
| Program Services | $1,268,717 | ProgramServicesAmt |
| Management And General | $689,648 | ManagementAndGeneralAmt |
| Fundraising | $9,026 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $341,048 | TotalAmt |
| Program Services | $36,037 | ProgramServicesAmt |
| Management And General | $305,011 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,444,885 | TotalAmt |
| Program Services | $4,444,885 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,502,122 | TotalAmt |
| Program Services | $29,492,797 | ProgramServicesAmt |
| Management And General | $12,971,606 | ManagementAndGeneralAmt |
| Fundraising | $37,719 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,470,855 | TotalAmt |
| Program Services | $749,362 | ProgramServicesAmt |
| Management And General | $1,721,493 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $159,524,545 | $159,371,044 | $149,230 | $4,271 |
| Interco Supplies and Se | $93,266,584 | $18,293,165 | $74,973,419 | |
| All other expenses | $2,315,189 | $365,587 | $1,949,593 | $9 |
| UBI Tax | $97,160 | $97,160 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $767,301,675 | TotalAmt |
| Program Services | $547,554,219 | ProgramServicesAmt |
| Management And General | $218,699,409 | ManagementAndGeneralAmt |
| Fundraising | $1,048,047 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,575,182 | BOYAmt |
| EOY | $139,068,036 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,596,505 | BOYAmt |
| EOY | $12,279,791 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,316,552 | BOYAmt |
| EOY | $100,402,394 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,333,404 | BOYAmt |
| EOY | $18,320,680 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,259,472 | BOYAmt |
| EOY | $14,405,214 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $755,750,299 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $274,917,339 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $427,826,924 | BOYAmt |
| EOY | $480,832,960 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $264,562,046 | BOYAmt |
| EOY | $233,027,103 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,224,096 | BOYAmt |
| EOY | $288,421,589 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,404,318 | BOYAmt |
| EOY | $3,295,583 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,161,098,499 | BOYAmt |
| EOY | $1,290,053,350 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,511,322 | BOYAmt |
| EOY | $145,480,668 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $283,109,330 | BOYAmt |
| EOY | $273,917,128 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,552,487 | BOYAmt |
| EOY | $109,748,234 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $407,173,139 | BOYAmt |
| EOY | $529,146,030 | 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 | $731,470,655 | BOYAmt |
| EOY | $737,027,735 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,454,705 | BOYAmt |
| EOY | $23,879,585 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $753,925,360 | BOYAmt |
| EOY | $760,907,320 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,161,098,499 | BOYAmt |
| EOY | $1,290,053,350 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $31,758,637 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$13,110,239 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$11,666,438 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | 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 | $77,429 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $77,429 | 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 $209,981.70, 23.06% was used for lobbying purposes. Annual dues were paid to the American Hospital Association, a portion of which is applicable to lobbying activities. For calendar year 2020 dues, which were paid in fiscal year 2020, in the amount of $67,033, 23.32% was used for lobbying purposes. Annual dues were paid to the American Medical Rehab Providers Association, a portion of which is applicable to lobbying activities. For calendar year 2020 dues, which were paid in fiscal year 2020, in the amount of $11,256, 30.00% was used for lobbying purposes. In fiscal year 2020, $10,000 of consulting expense was incurred in regard to lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,662,929 | BeginningYearBalanceAmt |
| End Year Balance | $1,662,929 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,662,929 | BeginningYearBalanceAmt |
| End Year Balance | $1,662,929 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,662,929 | BeginningYearBalanceAmt |
| End Year Balance | $1,662,929 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,662,929 | BeginningYearBalanceAmt |
| End Year Balance | $1,662,929 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,662,929 | BeginningYearBalanceAmt |
| End Year Balance | $1,662,929 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,310,660 | OtherCostOrOtherBasisAmt |
| Book Value | $10,310,660 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $465,098,685 | OtherCostOrOtherBasisAmt |
| Depreciation | $132,527,961 | DepreciationAmt |
| Book Value | $332,570,724 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $225,466,922 | OtherCostOrOtherBasisAmt |
| Depreciation | $137,903,199 | DepreciationAmt |
| Book Value | $87,563,723 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,874,032 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,486,179 | DepreciationAmt |
| Book Value | $50,387,853 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $480,832,960 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (8 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Private Equity/Debt | $55,788,624 | F |
| Real Estate Funds | $6,844,852 | F |
| Investment in West Dakota Health Care/Monument Health Network | $43,000,231 | C |
| Investment in Privately Held Companies | $8,187,404 | F |
| Equity Securities and Funds - Domestic | $35,116,890 | F |
| Equity Securities and Funds - International | $67,252,723 | F |
| Fixed Income - Bond Funds & Corp Bonds - Domestic | $56,779,419 | F |
| Absolute Return Assets - Hedge Funds | $15,451,446 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $288,421,589 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Payable Under Interest Rate Swap | $6,988,211 |
| Other Long Term Liabilities | $18,712,030 |
| Accrued Pension Liability | $35,651,578 |
| Due from related party | $48,396,415 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $109,748,234 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Endowed funds are held in an interest bearing account subject to the terms as specified by the donor and Board of Directors. The earnings on the endowment funds become temporarily restricted funds and therefore are not part of the endowment balance. The earnings are used to support the activities and programs in proportion to the restricted balances. Of the $1,662,929 endowment funds, $692,332 are restricted to be used for grants/scholarships to students in a healthcare program, $512,197 is restricted for use in the pediatrics unit, $100,000 for promotion of a healthy community, $197,400 for cardiac services, $100,000 for hospice patients, $36,000 for plants in public areas and $25,000 for cancer care. |
| Part X, Line 2: | References to "Monument Health" apply to all entities controlled by Monument Health, Inc. and its subsidiaries. This includes the reporting entity. Monument Health believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. Monument Health would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | Investment | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $39,965,167 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $39,965,167 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $39,965,167 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (1) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | Yes (1) | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part III Accounting Method: | |
| Part I, Line 2: | The organization does not award grants or assistance outside the United States. The organization has investment activities outside the United States. Part IV, Line 4: The organization invests in partnerships that hold direct or indirect interests in passive foreign investment companies. The investment partnerships have properly filed Form 8621, or the underlying investments did not generate any unrelated business income. Under these facts, it is not necessary for the organization to file an additional Form 8621. Part IV, Line 5: The organization has an ownership interest in a foreign partnership. However, the organization is below the ownership percentage that would trigger the filing of the Form 8865 and also does not meet the dollar threshold for transfers during the year. Therefore, no Form 8865 has been filed. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Duck Race | Event1Nm |
| Gross Receipts Event1 | $62,404 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $48,838 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $13,566 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $42,854 | OtherDirectExpensesEvent1Amt |
| Event2 | Tough Enough to Wear Pink | Event2Nm |
| Gross Receipts Event2 | $77,426 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $77,426 | CharitableContriEvent2Amt |
| Other Direct Expenses Event2 | $46,454 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 5 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $215,663 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $215,663 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $56,615 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $355,493 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $126,264 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $229,229 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $145,923 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $145,923 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $83,306 | NetIncomeSummaryAmt |
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 | $9,215,916 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,215,916 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01200 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $62,713,829 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $48,931,085 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,782,744 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01800 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $71,929,745 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $48,931,085 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,998,660 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03000 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 3661 | PersonsServedCnt |
| Total Community Benefit Expns | $11,708,021 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,708,021 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01530 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $5,804,519 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,736,535 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,067,984 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,904,961 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,216,603 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,688,358 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01910 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,734,179 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,772,149 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 19252 | PersonsServedCnt |
| Total Community Benefit Expns | $578,804 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $578,804 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 21 | ActivitiesOrProgramsCnt |
| Persons Served | 22913 | PersonsServedCnt |
| Total Community Benefit Expns | $36,730,484 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,725,287 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,043,167 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03790 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 21 | ActivitiesOrProgramsCnt |
| Persons Served | 22913 | PersonsServedCnt |
| Total Community Benefit Expns | $108,660,229 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $56,656,372 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $52,041,827 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06790 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $2,220 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,220 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $9,520 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,520 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $4,627 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,627 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $65,214 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $65,214 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $7,518 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,518 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $89,099 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $89,099 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $77,515,257 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $181,347,428 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $184,078,957 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,731,529 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 Black Hills Medical Office BD LLC | ||
| Office Building | 0.67930 | 0.32070 |
| 2 Medical & Dental Building | ||
| Office Building | 0.71450 | 0.28550 |
| 3 The Imaging Center LLC | ||
| Medical Imaging | 0.50000 | 0.50000 |
| 4 Same Day Surgery Center | ||
| Specialty and Ambulatory Srvcs | 0.40000 | 0.60000 |
| 5 Western Providers Inc | ||
| PHO | 0.50000 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Monument Health Rapid City Hospital | |||||||||||
| 1 | 353 Fairmont Blvd | Rapid City | SD | 57701 | www.monument.health | 10558 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 1 Specialty Hosp; 8 PB clinics; 1 behavioral health facility |
| Same Day Surgery Center | |||||||||||
| 2 | 651 Cathedral Drive | Rapid City | SD | 57701 | www.samedaysurgerycenter.org | 10581 | Yes (X) | ||||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Residency CriteriaResidencyCriteriaInd | Other CriteriaOtherCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Provided Nonprofit ContactProvidedNonprofitContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Prospective Medicare MedicaidProspectiveMedicareMedicaidInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | No Emergency CareNoEmergencyCareInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Monument Health Rapid City Hospital Inc | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 18 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | See Section C, Line 7d | Yes (X) | Yes (X) | Yes (1) | 18 | Yes (1) | See Section C, Line 7d | 0 | Yes (1) | Yes (X) | 200.000000000000 | 250.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | See Section C, Line 16a-c | Yes (X) | See Section C, Line 16a-c | Yes (X) | See Section C, Line 16a-c | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | |
| Same Day Surgery Center | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 18 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | See Section C, Line 7d | Yes (X) | Yes (X) | Yes (1) | 18 | Yes (1) | See Section C, Line 7d | 0 | Yes (1) | Yes (X) | 200.000000000000 | 250.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | See Section C, Line 16a-c | Yes (X) | See Section C, Line 16a-c | Yes (X) | See Section C, Line 16a-c | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | Yes (X) | 0 | 0 | Yes (X) |
Supplemental Information SupplementalInformationGrp (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Monument Health Rapid City Hospital, Inc. | Part V, Section B, Line 5: As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall.Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. A total of 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. |
| Same Day Surgery Center | 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. |
| Monument Health Rapid City Hospital, Inc. | Part V, Section B, Line 6a: The Community Health Needs Assessment was undertaken by Monument Health, including: Monument Health Rapid City Hospital, Same Day Surgery Center, and Monument Health Network (Monument Health Spearfish Hospital, Monument Health Sturgis Hospital, Monument Health Lead-Deadwood Hospital, and Monument Health Custer Hospital). Under a management contract with Monument Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment. |
| Same Day Surgery Center | 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. |
| Monument Health Rapid City Hospital, Inc. | Part V, Section B, Line 7d: https://monument.health/about-us/community-health-needs-assessment/ |
| Same Day Surgery Center | Part V, Section B, Line 7d: http://www.samedaysurgerycenter.org/community-health-needs-assessment/ |
| Monument Health Rapid City Hospital, Inc. | Part V, Section B, Line 11: During FY20, Monument Health 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. Heart Disease and Stroke:-Provided blood pressure screenings and education at community events, including 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. -Expanded Heart and Vascular outreach to additional communities in Nebraska, Wyoming and South Dakota. -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 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 event.-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 in all service areas at least monthly.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. -Recruited additional Psychiatrists. -Implemented standard process for mental health screening of patients identified at risk utilizing the Columbia scale. |
| Same Day Surgery Center | Part V, Section B, Line 11: During FY20, Same Day Surgery Center focused on the following two priority areas identified through the most recent CHNA: Cancer and Diabetes. Teams comprised of representatives from Rapid City Hospital, Same Day Surgery Center, Monument Health Network, and the community to work on the priority areas selected for each facility's Health Improvement Plan (CHIP).Cancer-Implement Lifestyle Medicine to assist individuals and families to adopt and sustain health behaviors that affect health and quality of life.-Participate in area wellness fairs, in collaboration with Dermatology and Mammography, to provide education on cancer screening opportunities.-Improve patient education materials and offerings.-Partner with the Susan G. Komen Foundation for education and awareness events.Diabetes-Utilize a system-wide approach to education and documentation in the electronic medical record.-Provide education and equipment to patients.-Integrate pharmacists in medication management for diabetes patients.Many of these activities are continuations of activities the hospital has been conducting related to the prior community health needs assessment. |
| Monument Health Rapid City Hospital, Inc. | Part V, Section B, Line 13h: Must reside within 200 mile radius of the location where the service was received.Presumptive eligibility may be used. |
| Same Day Surgery Center | 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. |
| Monument Health Rapid City Hospital, Inc. | Part V, Section B, Line 16j: A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request.The FAP application form was translated into the primary language spoken by LEP populations. This is posted on the website listed for line 16a. |
| Same Day Surgery Center | Part V, Section B, Line 16j: A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request.The FAP application form was translated into the primary language spoken by LEP populations. This is posted on the website listed for line 16a. |
| Monument Health Rapid City Hospital, Inc. | Part V, Section B, Line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy. |
| Same Day Surgery Center | 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 Monument Health Rapid City Hospital | The Financial Assistance Policy, Application form, and plain language summary are available at https://monument.health/patient-visitor-guide/financial-assistance/ |
| Part V, Lines 16a-c Same Day Surgery Center | The Financial Assistance Policy, Application form, and plain language summary are available at http://www.samedaysurgerycenter.org/financial-assistance/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Monument Health Home Hospice House | ||||
| 224 Elk St | Rapid Ctiy | SD | 57701 | End of Life Care |
| 2 - Monument Health Rapid City Hospice House | ||||
| 224 Elk St | Rapid Ctiy | SD | 57701 | End of Life Care |
| 3 - Monument Health Dermatology | ||||
| 717 Meade Street 100 | Rapid Ctiy | SD | 57701 | Clinic |
| 4 - Monument Health Dialysis Center | ||||
| 132 Yankee St | Spearfish | SD | 57783 | Dialysis Center |
| 5 - Monument Health HomeHospice-Spearfish | ||||
| 1440 North Main Street | Spearfish | SD | 57783 | End of Life Care |
| 6 - Monument Health Medical Clinic | ||||
| 112 7th Ave | Wall | SD | 57790 | Clinic |
| 7 - Monument Health Pine Ridge Med Clinic | ||||
| East Highway 18 | Pine Ridge | SD | 57702 | 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. and its subsidiaries. This includes the reporting entity.Financial assistance debt reduction write-offs for free or discounted care are based on an income matrix utilizing the current Federal Poverty Level (FPL) income guidelines after satisfying applicable co-pay requirements. The income matrix may be updated annually as the FPL income guidelines are released.Presumptive eligibility may be used if all other financial assistance avenues are exhausted. |
| Part I, Line 6a: | 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, 7f, 7h, and 7i. |
| Part II, Community Building Activities: | Monument Health provides numerous community benefit health events and screenings throughout the Black Hills Region. Monument Health also provides financial support to other nonprofit organizations to help support community health outreach. Additionally, Monument Health provides in-kind support and employee volunteers to help support community 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 (FAP) at any time a patient expresses financial difficulty in meeting their debt obligation. Upon invoking the FAP, all collection activity is suspended. If the patient is approved for charity, then the account is closed out of the collection process and classified as charity. If a patient expresses financial concern but fails to complete the application process, additional notification is sent to the patient prior to re-instituting collection activity. We are following the 501(r) Final Regulations timelines for notifications and collections. |
| Part VI, Line 2: | We gather additional data on needed services from patient surveys, advisory councils and patient and family advisory councils. |
| Part VI, Line 3: | Financial Assistance Program brochures explaining the policy, a copy of the policy and Financial Assistance applications are available at each point of entry. Signs alerting patients to the availability of Financial Assistance are prominently displayed and a plain language summary describing the Financial Assistance program accompanies one billing statement for hospital services sent to the patient. The Financial Assistance policy, plain language summary and Financial Assistance application are provided free upon request and are also available on the hospital website at www.monument.health. Monument Health contracts with Midland Medical Group (an unrelated entity) to meet with uninsured patients to assist them with finding a funding source or applying for financial assistance; and our self-pay outsource partner also communicates any funding and financial assistance opportunities with our patients. |
| Part VI, Line 4: | Monument Health and its affiliates provide health care services to the 360,000 people who live in the Black Hills of South Dakota and the surrounding region, as well as thousands of visitors each year. Monument Health serves a 38-county region comprised of western South Dakota, southeastern Montana, northeastern Wyoming, southwestern North Dakota and northwestern Nebraska. |
| Part VI, Line 5: | Monument Health collaborates with agencies and community-wide coalitions to address prioritized health needs within the communities we serve. Monument Health addresses its community's health needs by: 1) Community members serve on governing boards, advisory councils and family member councils; 2) developing new programs and initiatives to address identified health needs: and 3) promoting an understanding of these health needs among other community organizations and within the public itself. Monument Health also provides financial support to other nonprofit organizations to help support community health outreach. Additionally, Monument Health provides in-kind support and employee volunteers to help support community health events and activities. |
| Part VI, Line 6: | Monument Health is committed to partnering with the communities it serves to meet the needs of each respective community. Monument Health, Inc. is the parent organization of Monument Health Rapid City Hospital, Inc., Monument Health Network, Inc., and Monument Health Physicians, Inc. These corporations work together to meet the health care needs of the region. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| MITCHELL TECHNICAL COLLEGE FOUNDATION | |||||||
| 1800 E SPRUCE ST | Mitchell | SD | 57301 | 460452950 | 501(c)(3) | $95,000 | 2019 ENDOWMENT & SCHOLARSHIPS AND 2020 Pledge |
| ELEVATE RAPID CITY | |||||||
| PO BOX 747 | Rapid City | SD | 57701 | 460118545 | 501(c)(3) | $60,000 | 2019 PLEDGE |
| TEAMMATES MENTORING PROGRAM | |||||||
| 6801 O STREET | Lincoln | NE | 68510 | 832455583 | 501(c)(3) | $25,000 | MENTORING EXPANSION |
| SOUTH DAKOTA GOVERNOR'S OFFICE OF ECONOMIC DEVELOPMENT | |||||||
| 711 E WELLS AVE | Pierre | SD | 57501 | 466000364 | Government | $15,000 | SPONSORSHIP OF ECONOMIC DEVELOPMENT EVENTS |
| YELLOW JACKET FOUNDATION | |||||||
| 1200 UNIVERSITY UNIT 9411 | Spearfish | SD | 57799 | 510151319 | 501(c)(3) | $10,000 | SPONSORSHIP |
| SUSAN G KOMEN GREAT PLAINS | |||||||
| 8707 WEST CENTER ROAD | Omaha | SD | 68124 | 260056671 | 501(c)(3) | $7,000 | SPONSORSHIP |
| UNITED WAY OF THE BLACK HILLS | |||||||
| 621 6TH STREET SUITE 100 | Rapid City | SD | 57701 | 460259754 | 501(c)(3) | $6,000 | SPONSORSHIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 7 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The governing board and management of the receiving organization develop programs which enhance the charitable mission of the organization. Disbursement of grant or contribution funds for these programs are made in accordance with the established procedures within the organization and are subject to the conditions established by the organization's governing board and management. These procedures are developed to ensure that distributed funds are adequately monitored for appropriate usage. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| 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 (25 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 R Davidson | ||||||||||||||
| President & CEO | $0 | $810,916 | $0 | $647,275 | $0 | $259,787 | $0 | $189,139 | $0 | $26,480 | $0 | $1,933,597 | $0 | $240,787 |
| James Takara MD | ||||||||||||||
| Physician - Cardiac Surgery | $1,160,619 | $0 | $4,000 | $0 | $35,355 | $0 | $69,402 | $0 | $30,212 | $0 | $1,299,588 | $0 | $35,355 | $0 |
| Bhaskar Purushottam MD | ||||||||||||||
| Physician - Cardiology | $1,030,101 | $0 | $49,809 | $0 | $0 | $0 | $80,176 | $0 | $29,935 | $0 | $1,190,021 | $0 | $0 | $0 |
| Joseph Tuma MD | ||||||||||||||
| Physician - Cardiology | $996,278 | $0 | $49,809 | $0 | $43,172 | $0 | $72,666 | $0 | $30,823 | $0 | $1,192,748 | $0 | $43,172 | $0 |
| Paul Miller MD | ||||||||||||||
| Physician - Orthopedic Surgery | $1,097,468 | $200,342 | $20,000 | $0 | $0 | $0 | $9,239 | $0 | $26,940 | $2,322 | $1,153,647 | $202,664 | $0 | $0 |
| Mark A Thompson | ||||||||||||||
| CFO/Treasurer | $407,368 | $0 | $349,754 | $0 | $207,450 | $0 | $80,227 | $0 | $26,027 | $0 | $1,070,826 | $0 | $188,450 | $0 |
| John Karl Heilman III MD | ||||||||||||||
| Physician - Cardiology | $947,675 | $0 | $49,809 | $0 | $0 | $0 | $13,941 | $0 | $27,000 | $0 | $1,038,425 | $0 | $0 | $0 |
| Alex Schabauer MD | ||||||||||||||
| Board Member/Employed Physician | $845,230 | $0 | $49,809 | $0 | $44,024 | $0 | $62,729 | $0 | $28,124 | $0 | $1,029,916 | $0 | $44,024 | $0 |
| Stephanie Lahr MD | ||||||||||||||
| CIO/CMIO | $357,499 | $0 | $245,900 | $0 | $137,640 | $0 | $58,603 | $0 | $29,185 | $0 | $828,827 | $0 | $118,640 | $0 |
| Teresa Burroff | ||||||||||||||
| General Counsel/Secretary | $355,187 | $0 | $256,523 | $0 | $147,327 | $0 | $55,392 | $0 | $76 | $0 | $814,505 | $0 | $128,327 | $0 |
| Brad Archer MD | ||||||||||||||
| Chief Medical Officer | $470,056 | $0 | $211,750 | $0 | $15,436 | $0 | $81,128 | $0 | $27,661 | $0 | $806,031 | $0 | $0 | $0 |
| John Pierce | ||||||||||||||
| President Rapid City Market | $338,675 | $0 | $120,313 | $0 | $145,295 | $0 | $65,340 | $0 | $30,675 | $0 | $700,298 | $0 | $126,295 | $0 |
| Srinivas Gangineni MD | ||||||||||||||
| Board Member/Employed Physician | $467,083 | $0 | $41,890 | $0 | $0 | $0 | $35,749 | $0 | $40,834 | $0 | $585,556 | $0 | $0 | $0 |
| Thomas Worsley | ||||||||||||||
| President Spearfish Market | $0 | $297,022 | $0 | $105,188 | $0 | $98,923 | $0 | $32,039 | $0 | $27,411 | $0 | $560,583 | $0 | $83,623 |
| Michael Tilles | ||||||||||||||
| President Home Plus | $258,567 | $0 | $91,163 | $0 | $82,594 | $0 | $28,717 | $0 | $25,350 | $0 | $486,391 | $0 | $69,334 | $0 |
| Douglas Koch | ||||||||||||||
| VP Rapid City Market | $288,144 | $0 | $103,125 | $0 | $12,500 | $0 | $33,400 | $0 | $31,021 | $0 | $468,190 | $0 | $0 | $0 |
| Nicole Kerkenbush | ||||||||||||||
| Chief Performance Officer | $257,330 | $0 | $84,563 | $0 | $82,236 | $0 | $36,533 | $0 | $2,280 | $0 | $462,942 | $0 | $63,236 | $0 |
| Mark Longacre | ||||||||||||||
| President Monument Health Orthopedic | $245,485 | $30,955 | $77,138 | $0 | $14,025 | $0 | $22,426 | $6,875 | $25,676 | $3,254 | $384,750 | $41,084 | $0 | $0 |
| Andrea Baier MD | ||||||||||||||
| Board Member/Employed Physician | $313,467 | $0 | $20,000 | $0 | $0 | $0 | $23,164 | $0 | $33,336 | $0 | $389,967 | $0 | $0 | $0 |
| Tresha Moreland | ||||||||||||||
| VP Human Resources Operation | $227,155 | $0 | $62,948 | $0 | $63,726 | $0 | $26,014 | $0 | $8,893 | $0 | $388,736 | $0 | $52,282 | $0 |
| Michelle Stephens | ||||||||||||||
| VP Operations-Rapid City Market | $177,488 | $0 | $44,031 | $0 | $10,027 | $0 | $21,486 | $0 | $27,151 | $0 | $280,183 | $0 | $0 | $0 |
| Michael Latour | ||||||||||||||
| System Director of Musculoskeletal c | $158,048 | $25,102 | $0 | $0 | $9,969 | $19,675 | $16,702 | $0 | $18,811 | $2,384 | $203,530 | $47,161 | $9,969 | $19,675 |
| Laura C Wightman | ||||||||||||||
| Chief Nursing Officer Until 04/2019 | $107,742 | $0 | $0 | $0 | $83,767 | $0 | $7,597 | $0 | $2,764 | $0 | $201,870 | $0 | $83,767 | $0 |
| Michael Statz MD | ||||||||||||||
| Board Member/Employed Physician | $62,500 | $0 | $13,258 | $0 | $114,563 | $0 | $0 | $0 | $0 | $0 | $190,321 | $0 | $0 | $0 |
| Mary Masten | ||||||||||||||
| General Counsel, Emeritus | $62,713 | $0 | $0 | $0 | $55,542 | $0 | $0 | $0 | $15,818 | $0 | $134,073 | $0 | $55,542 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The Executive Committee, which is a committee of the Monument Health (parent) Board, reviews and approves base salary and total compensation ranges for all executives within the Monument Health System. |
| Part I, Line 4b | Monument Health provides a supplemental nonqualified retirement plan and a flexible benefit plan that can include deferred compensation for its executives and physicians. The following individuals had amounts deferred into the account as reported in column c on Schedule J: TERESA BURROFF 46,435 PAULETTE DAVIDSON 179,900 STEPHANIE LAHR, MD 49,364 TRESHA MORELAND 17,057 JOHN PIERCE 46,626 MARK THOMPSON 57,686 MICHAEL TILLES 19,760 LAURA WIGHTMAN 6,758 SRI GANGINENI, MD 26,219 BHASKAR PURUSHOTTAM, MD 70,937 JAMES TAKARA, MD 55,461 JOSEPH TUMA, MD 58,725 BRAD ARCHER, MD 72,727 NICOLE KERKENBUSH 27,600 DOUG KOCH 25,000 ANDREA BAIER, MD 13,925 ALEX SCHABAUER, MD 48,788 MICHELLE STEPHENS 14,150 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 TERESA BURROFF 128,327 NICOLE KERKENBUSH 63,236 STEPHANIE LAHR, MD 118,640 TRESHA MORELAND 52,282 LAURA WIGHTMAN 83,767 JOHN PIERCE 126,295 MARK THOMPSON 188,450 MICHAEL TILLES 69,334 MICHAEL LATOUR 29,644 JAMES TAKARA,MD 35,355 JOSEPH TUMA,MD 43,172 ALEX SCHABAUER, MD 44,024 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 will review and approve all incentive compensation performance measures and all awards, if any. The committee ensures that the total compensation, including incentive awards, is reasonable. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd | CUSIPCUSIPNum |
|---|---|---|---|---|---|---|---|---|
| SD Health & Educational Facilities Authority | ||||||||
| A | 460315509 | 2015-01-27 | $67,210,000 | Refund Series 2008 bonds issued 8/14/08 | 0 | 0 | 0 | |
| SD Health & Educational Facilities Authority | ||||||||
| B | 460315509 | 2017-09-07 | $238,488,122 | Refund Series 2010 and 2011 Bonds; Hospital buildings and equipment | 0 | 0 | 0 | 83755VE26 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $16,755,000 | $67,210,000 | $250,000 | $66,960,000 | 2015 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $7,110,000 | $241,560,039 | $1,807,893 | $54,521,227 | 2019 | 0 | Yes (1) | Yes (1) | Yes (1) | $185,230,918 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00030 | 0.00030 | 0 | 0 | Yes (1) | ||
| B | 0 | Yes (1) | Yes (1) | Yes (1) | 0.00460 | 0.00960 | 0.01420 | 0 | 0 | Yes (1) | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| US Bank NA | ||||||||||||
| A | 0 | 0 | Yes (1) | 0 | Yes (1) | Yes (1) | 9.200000000000 | 0 | 0 | 0 | 0 | Yes (1) |
| (no name) | ||||||||||||
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule K, Part II, Line 3, Bond B | FormAndLineReferenceDesc |
| Explanation | The issue price on Part I, column (e) is different than the amount on Part II, line 3 due to interest earned during the construction phase on the proceeds of $3,071,916. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Gregg Radtke | |||
| Family member of Director Sandra Burns | $45,618 | Employee compensation | 0 |
| Shelby Lynass | |||
| Family member of Director Jack Lynass | $66,956 | Employee compensation | 0 |
| Erika Radtke | |||
| Family member of Director Sandra Burns | $69,161 | Employee compensation | 0 |
| Nadine Radtke | |||
| Family member of Director Sandra Burns | $18,974 | Employee compensation | 0 |
| Vicki Thompson | |||
| Family member of Mark Thompson | $22,330 | Employee compensation | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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; Tresha Moreland; Mary Masten; Brad Archer MD; Nicole Kerkenbush; John Pierce; Michael Tilles; Mark Thompson; Laura Wightman; Douglas Koch; Mark Longacre; Michelle Stephens; Michael Latour; Thomas Worsley; and employed Board Members: Sri Gangineni MD; Alex Schabauer MD; Andrea Baier MD; Michael Statz MD. |
| Form 990, Part VI, Section A, line 6 | Monument Health, Inc. is the sole member of Monument Health Rapid City Hospital, Inc. |
| Form 990, Part VI, Section A, line 7a | The organization's sole member and supporting organization, Monument Health, Inc., appoints the members of Monument Health Rapid City Hospital's governing body. The bylaws require that at least one member of Monument Health Rapid City Hospital's board also serves as a voting member of the sole member's board to better assure the sole member's continued responsiveness to Monument Health Rapid City Hospital. |
| Form 990, Part VI, Section A, line 7b | Monument Health, Inc. provides compliance, governance, financial, and planning support to its Supported Organizations to best assure the functions and services of the Supported Organizations are coordinated and supported in a manner that furthers the shared charitable mission of the Supported Organizations and MHI, as a whole (the System). Monument Health, Inc. has final authority in significant business decisions affecting 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. |
| 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 IX, line 11g | Contract and purchased services: Program service expenses 59,174,533. Management and general expenses 25,082,859. Fundraising expenses 3,225. Total expenses 84,260,617. Professional fees: Program service expenses 117,680. Management and general expenses 267,357. Fundraising expenses 200. Total expenses 385,237. |
| Form 990, Part XI, line 9: | Adj to the Funded Status of the Pension Plan -10,545,579. Medical Staff Net Income -61,255. Temporarily Restricted Net Asset Changes -1,241,401. Auxiliary Net Income 44,560. Transfers with related organizations 137,237. |
| Form 990, Part X, Line 20: | The issue price of the bonds includes the filing organization's share of the entire bond issue, which was issued to Monument Health, Inc. on behalf of the Monument Health Obligated Group. The Monument Health Obligated Group consists of Monument Health, Inc., Monument Health Rapid City Hospital, Inc., Monument Health Network, Inc. and Monument Health Physicians, Inc. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Monument Health Home Plus LLC | |||||||||
| 2925 Regional Way PO Box 6000 | Rapid City | SD | 57701 | 364841157 | Healthcare Services | SD | $73,218,777 | $188,026,726 | Monument Health Rapid City Hospital Inc |
| BLACK HILLS MEDICAL OFFICE BUILDING | |||||||||
| 353 FAIRMONT BLVD | Rapid City | SD | 57701 | 411992146 | Medical Office Building | SD | $170,192 | $43,717 | Monument Health Rapid City Hospital Inc |
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 Network Inc | |||||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 460360899 | 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 (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDICAL & DENTAL BUILDING | |||||||||||||
| 2805 S 5th St | Rapid City | SD | 57701 | 460339629 | Medical Office Bldg | SD | Monument Health Rapid City Hospital Inc | Investment | -$53,740 | $792,398 | 0 | Yes (1) | 0.71450 |
| Black Hills Medical Office BD LLC | |||||||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 411992146 | Medical Office Bldg | SD | Monument Health Rapid City Hospital Inc | Investment | $263,287 | 0 | 0 | 0.67930 | |
| Same Day Surgery Center | |||||||||||||
| 651 Cathedral Drive | Rapid City | SD | 57701 | 411889892 | Medical Services | SD | Monument Health Rapid City Hospital Inc | RELATED | $1,254,844 | $1,825,018 | 0 | Yes (1) | 0.40000 |
| 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 | Yes (1) | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Same day Surgery Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | F | TransactionTypeTxt |
| Involved | $1,060,000 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990, Schedule R, Parts I and III | FormAndLineReferenceDesc |
| Explanation | Effective March 27, 2020, MHRCH acquired 100% ownership in Black Hills Medical Office BD, LLC. Activity through March 26, 2020 is included in Part III of Schedule R, and activity from March 27, 2020 to yearend is included in Part I of Schedule R. | ExplanationTxt |