2020-05-15T09:25:28-05:00 2019-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2018-07-01 460360899 Monument Health Network Inc MONU 6057559130 PO Box 6000 Rapid City SD 577096000 Mark Thompson CFO 6057559130 2020-05-14 1 Kim Hunwardsen CPA P00484560 6122536500 2020-05-14 216.147.181.49 2020-05-14 08:50:37 CD P D8A1E5117AA53286D53F57459EBB2DE5C7CA50FC F9BEE9501A3B4F00F190E63700B8BF2BC70C7B96 2018 2020-09-23 17:36:50Z Paulette Davidson PO Box 6000 Rapid City SD 577096000 159930556 0 X https://monument.health/ X 1981 SD Monument Health is dedicated to improving the health of individuals and our communities. 9 6 1307 258 230163 0 526521 453443 155509558 159443537 -79226 -20173 32943 21753 155989796 159898560 0 0 0 0 87306692 89189208 0 0 0 78645007 77546729 165951699 166735937 -9961903 -6837377 120880142 125732103 62164847 74174612 58715295 51557491 X 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 0 0 110337658 112124984 Monument Health Network owns the following acute care hospitals (including physician clinics) and senior care facilities; Monument Health Custer Hospital (CAH)/ Monument Health Custer Senior Care, Monument Health Lead-Deadwood Hospital (CAH), Monument Health Spearfish Hospital (PPS SCH) and Monument Health Sturgis Hospital (CAH) / Monument Health Sturgis Senior Care. The Health Network also owns, leases and operates provider based physician clinics in Belle Fourche, Spearfish, Lead, Sturgis & Custer. In addition, the Network operates the following free standing clinics in Hot Springs, Buffalo, and Newcastle & Upton, Wyoming. Together, these facilities provide common access to compassionate, quality, advanced health care through its numerous healing environments to the greater Black Hills region. 8097785 34249544 Monument Health Spearfish Hospital's surgery department offers the following surgical specialties: Orthopedics, Ob/GYN, General Surgery, ENT, Podiatry, Dermatology and Ophthalmology (Eyes). In FY19, a total of 3,461 surgeries were completed at the main campus. 7933001 8379811 Monument Health Spearfish Hospital's Medical Clinic is a hospital outpatient department providing primary care. It has a total of 45.87 full time equivalents. This hospital outpatient department had 47,630 encounters throughout the year. 5639179 4459035 Spearfish Regional Hospital's Orthopedic Clinic is a hospital outpatient department providing orthopedic care. It has a total of 18.56 full time equivalents. This hospital outpatient department experienced 40,726 worked relative value units during the year. 5639179 4459035 132007623 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 110 0 1307 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 9 6 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X X Mark Thompson 6057559127 PO Box 6000 Rapid City SD 577096000 Richard Tysdal Chairman 1.27 0.02 X X 0 0 0 David Thom Vice Chairman 0.90 0.00 X X 0 0 0 Dusty Pinske Board member 1.08 0.02 X 0 0 0 Robert Haivala Board member 0.77 0.00 X 0 0 0 Lee B Bailey MD Board Member/ Employed Physican 40.00 0.00 X 403185 0 65418 Paul Bisson Board member 0.93 0.00 X 0 0 0 Christopher Gasbarre DO Board Member/ Employed Physican 40.00 0.00 X 587903 0 79858 Pat Walker Board member 0.93 0.00 X 0 0 0 Brent Phillips President and CEO Until 07/18/2018 11.37 48.63 X X 0 510692 108854 Paulette Davidson President and CEO 11.37 48.63 X X 0 949112 99787 Mark A Thompson CFO/Treasurer 10.42 44.58 X 0 618307 90672 Teresa Burroff General Counsel, Secretary 10.42 44.58 X 0 526037 46994 Mary Masten General Counsel, Emeritus 10.42 44.58 X 0 286202 35070 Brad Arher MD Chief Medical Officer 10.42 44.58 X 0 610756 85102 Tresha Moreland VP Human Resources 10.42 44.58 X 0 290407 33887 Stephanie Lahr MD CIO & CMIO 10.42 44.58 X 0 514675 82542 Laura Wightman Chief Nursing Officer Until 04/2019 10.42 44.58 X 0 373183 47623 Nicole Kerkenbush Chief Performance Officer 10.42 44.58 X 0 289126 33392 Mark Schmidt President Custer, Lead-Deadwood Markets 55.00 0.00 X 302629 0 52146 Thomas Worsley President Spearfish Market 55.00 0.00 X 385312 0 57515 Mark Schulte President - Sturgis 55.00 0.00 X 266332 0 51973 Garrett Cox MD Physician - Radiologist 40.00 0.00 X 923225 0 54924 Andrew Vanosdol MD Physician - Surgery 40.00 0.00 X 678679 0 62043 Kipp Gould MD Physician - Orthopedic Surgeon 40.00 0.00 X 798446 0 89947 Ray Jensen MD Physician - Orthopedic Surgeon 40.00 0.00 X 1655112 0 101018 Richard Little MD Physician - Orthopedic Surgeon 40.00 0.00 X 747508 0 98632 6748331 4968497 1377397 106 0 1 0 Scull Construction Service Inc 803 Industrial Ave Rapid City SD 57702 Construction Services 6201064 Journey Group Companies 345 Industrial Dr Spearfish SD 57783 Construction Services 3019000 Medefis 10826 Old Mill Rd 101 Omaha NE 68105 Contract Labor 1875573 Weatherby Locums Inc PO Box 972633 Dallas TX 75397 Contract Labor 791461 Morrison Management Specialist Inc PO Box 102289 Atlanta GA 30368 Professional Services 764672 57 438104 15339 453443 Acute Care Hospital IP and OP 623000 91173602 91173602 Physician Clinics 621110 49901754 49901754 Long Term Care Facilities 623000 9367850 9367850 9000331 8770168 230163 159443537 91 91 33485 11732 21753 21753 21753 20264 -20264 -20264 -20264 159898560 159213374 230163 1580 1628689 402958 1225731 71017252 68772182 2245070 1361652 1275552 86100 10853408 8575997 2277411 4328207 3758485 569722 44142 31422 12720 152604 152604 2350 2350 16606 16606 7924178 5865061 2059117 111102 201 110901 2623882 1567361 1056521 858941 654611 204330 4623920 1675997 2947923 492601 426281 66320 177 177 6002701 2841733 3160968 713365 430596 282769 Intercompany Charges 26880010 8892871 17987139 Medical Supplies 15248290 15170840 77450 Bad Debt Expense 11640118 11640118 Miscellaneous 211742 25180 186562 166735937 132007623 34728314 0 X 18797335 -878422 24400546 19819766 2336717 2048019 609029 824297 124229101 54001630 72562620 70227471 1389897 1462637 54656 54656 729342 32173679 120880142 125732103 11215073 29878751 50949774 44295861 62164847 74174612 X 58281753 51204133 333542 253358 100000 100000 58715295 51557491 120880142 125732103 X -6837377 13154 -333581 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 16606 16606 0 Part II-B, Line 1: 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 2019 dues, which were paid in fiscal year 2019, in the amount of $66,438, 10.30% was used for lobbying purposes. In addition, annual dues were paid to the American Hospital Association, a portion of which is applicable to lobbying activities. For calendar year 2019 dues, which were paid in fiscal year 2019, in the amount of $43,007, 22.73% was used for lobbying purposes. 143471 13154 156625 146585 -3114 143471 121703 24882 146585 120509 1194 121703 116730 3779 120509 0.63850 0.36150 0 1 0 9331968 9331968 78580119 28842829 49737290 1145168 854561 290607 35169733 24304240 10865493 2113 2113 70227471 Other Receivables 586839 Intercompany Receivables 31586840 32173679 Due To Related Parties 44295861 44295861 X Part V, Line 4: Endowed funds are permanently restricted from use and are held in an interest bearing account. The interest earned may be used by the organization at its discretion. Part X, Line 2: References to "Monument Health" apply to all entities controlled by Monument Health, Inc. and its subsidiaries. This includes the reporting entity. Monument Health believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. Monument Health would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. 1 1 X 1 X 1 X 1 1 0 1 1 2274254 2274254 0.01470 14205278 9813761 4391517 0.02830 16479532 9813761 6665771 0.04300 11 1086 846276 846276 0.00550 3969 3969 0.00000 31763461 28663290 3100171 0.02000 1774 1774 0.00000 11 1086 32615480 28663290 3952190 0.02550 11 1086 49095012 38477051 10617961 0.06850 1 915 915 0.00000 1 3074 3074 0.00000 2 3989 3989 0.00000 1 11640118 0 42241921 44123337 -1881416 X 1 1 4 1 Monument Health Spearfish Hospital 1440 N Main Street Spearfish SD 57783 www.monument.health 10566 X X X 6 Provider-based clinics A 2 Monument Health Custer Hospital 1039 Montgomery Street Custer SD 57730 www.monument.health 47660 X X X X 2 Provider-based clinics A 3 Monument Health Sturgis Hospital 949 Harmon Street Sturgis SD 57785 www.monument.health 10567 X X X X 1 Provider-based clinic A 4 Monument Health Lead-Deadwood Hospital 61 Charles Street Deadwood SD 57732 www.monument.health 10535 X X X X 1 Provider-based clinic A Facility Reporting Group - A 0 0 1 X X X X X X X X X 18 1 1 0 1 X See Section C, Line 7d X X 1 18 1 See Section C, Line 7d 0 1 X 200.000000000000 250.000000000000 X X X 1 1 X X X X 1 X See Section C, Line 16a-c X See Section C, Line 16a-c X See Section C, Line 16a-c X X X X X X X 1 X 0 X X X X 1 X 0 0 Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: Monument Health Spearfish Hospital, - Facility 2: Monument Health Custer Hospital, - Facility 3: Monument Health Sturgis Hospital, - Facility 4: Monument Health Lead-Deadwood Hospital Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 5: As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall.Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. A total of 134 community stakeholders comprised of physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders completed the key informant survey for the Monument Health service area. Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 6a: The Community Health Needs Assessment was undertaken by Monument Health, including: Monument Health Rapid City Hospital, Same Day Surgery Center, Monument Health Network (Monument Health Spearfish Hospital, Monument Health Sturgis Hospital, Monument Health Lead-Deadwood Hospital, and Monument Health Custer Hospital). Under a management contract with Monument Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment. Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 7d: https://monument.health/about-us/community-health-needs-assessment/ Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 11: During FY19, Monument Health focused on the following three priority areas identified through the most recent CHNA: Access to Healthcare Services, Mental Health, and Wellness (Physical Activity, Nutrition, and Weight). 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).Access to Health Services-Piloted 24/7 call center for primary care patients from Flormann Street Clinic in Rapid City - will grow to serve additional Monument Health locations.-Implemented physician work standards across the system in July 2018 to increase access to care.-System diabetes work to standardize care and improve access.-Primary Case Management program developed that serves Rapid City, Spearfish, Lead/Deadwood, Sturgis, Custer, Hot Springs, and Hill City.-Awarded funding from SD Department of Health to send out reminder letters to more than 14,000 patients that showed they were due or overdue for their breast, cervical, and/or colorectal cancer screenings.Wellness (Physical Activity, Nutrition, Weight)-Worked on expanding access to Monument Health Diabetes Prevention Program-in FY19 a Master Trainer became certified to train new instructors for the program.-Implemented the CATCH (Coordinated Approach to Child Health) evidence-based curriculum in 5 Spearfish locations, 4 Rapid City locations, and 1 Blackhawk location.-Held three KidShape 2.0 workshops in FY19.-Increased access to the Better Choices, Better Health program by providing workshop locations at Monument Health and nine leaders from within the system. -Continued partnership with Live Well Black Hills and Healthy HometownSM powered by Wellmark working in the Rapid City, Spearfish, Custer, and Lead/Deadwood communities.Mental Health-Zero Suicide initiative - began implementation in FY18 with initial focus on hospital emergency departments and inpatient behavioral health.-Hosted a community meetings to discuss suicide prevention attended by more than 50 people representing a variety of community organizations.-Opened 8 additional adult inpatient beds at the Behavioral Health Center.-Partnered with Avera Health to provide E-care Telepsychiatry in the Rapid City Hospital Emergency Department with goal to expand to other Monument Health hospitals.Many of these activities are continuations of activities the hospital has been conducting related to the prior community health needs assessment. Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 13h: Must reside within 200 mile radius of the location where the service was received.Presumptive eligibility may be used. Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 16j: A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request. Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy. Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 5: As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall.Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. A total of 134 community stakeholders comprised of physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders completed the key informant survey for the Monument Health service area. Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 6a: The Community Health Needs Assessment was undertaken by Monument Health, including: Monument Health Rapid City Hospital, Same Day Surgery Center, Monument Health Network (Monument Health Spearfish Hospital, Monument Health Sturgis Hospital, Monument Health Lead-Deadwood Hospital, and Monument Health Custer Hospital). Under a management contract with Monument Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment. Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 7d: https://monument.health/about-us/community-health-needs-assessment/ Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 11: During FY19, Monument Health focused on the following three priority areas identified through the most recent CHNA: Access to Healthcare Services, Mental Health, and Wellness (Physical Activity, Nutrition, and Weight). 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).Access to Health Services-Piloted 24/7 call center for primary care patients from Flormann Street Clinic in Rapid City - will grow to serve additional Monument Health locations.-Implemented physician work standards across the system in July 2018 to increase access to care.-System diabetes work to standardize care and improve access.-Primary Case Management program developed that serves Rapid City, Spearfish, Lead/Deadwood, Sturgis, Custer, Hot Springs, and Hill City.-Awarded funding from SD Department of Health to send out reminder letters to more than 14,000 patients that showed they were due or overdue for their breast, cervical, and/or colorectal cancer screenings.Wellness (Physical Activity, Nutrition, Weight)-Worked on expanding access to Monument Health Diabetes Prevention Program-in FY19 a Master Trainer became certified to train new instructors for the program.-Implemented the CATCH (Coordinated Approach to Child Health) evidence-based curriculum in 5 Spearfish locations, 4 Rapid City locations, and 1 Blackhawk location.-Held three KidShape 2.0 workshops in FY19.-Increased access to the Better Choices, Better Health program by providing workshop locations at Monument Health and nine leaders from within the system. -Continued partnership with Live Well Black Hills and Healthy HometownSM powered by Wellmark working in the Rapid City, Spearfish, Custer, and Lead/Deadwood communities.Mental Health-Zero Suicide initiative - began implementation in FY18 with initial focus on hospital emergency departments and inpatient behavioral health.-Hosted a community meetings to discuss suicide prevention attended by more than 50 people representing a variety of community organizations.-Opened 8 additional adult inpatient beds at the Behavioral Health Center.-Partnered with Avera Health to provide E-care Telepsychiatry in the Rapid City Hospital Emergency Department with goal to expand to other Monument Health hospitals.Many of these activities are continuations of activities the hospital has been conducting related to the prior community health needs assessment. Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 13h: Must reside within 200 mile radius of the location where the service was received.Presumptive eligibility may be used. Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 16j: A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request. Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy. Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 5: As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall.Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. A total of 134 community stakeholders comprised of physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders completed the key informant survey for the Monument Health service area. Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 6a: The Community Health Needs Assessment was undertaken by Monument Health, including: Monument Health Rapid City Hospital, Same Day Surgery Center, Monument Health Network (Monument Health Spearfish Hospital, Monument Health Sturgis Hospital, Monument Health Lead-Deadwood Hospital, and Monument Health Custer Hospital). Under a management contract with Monument Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment. Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 7d: https://monument.health/about-us/community-health-needs-assessment/ Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 11: During FY19, Monument Health focused on the following three priority areas identified through the most recent CHNA: Access to Healthcare Services, Mental Health, and Wellness (Physical Activity, Nutrition, and Weight). 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).Access to Health Services-Piloted 24/7 call center for primary care patients from Flormann Street Clinic in Rapid City - will grow to serve additional Monument Health locations.-Implemented physician work standards across the system in July 2018 to increase access to care.-System diabetes work to standardize care and improve access.-Primary Case Management program developed that serves Rapid City, Spearfish, Lead/Deadwood, Sturgis, Custer, Hot Springs, and Hill City.-Awarded funding from SD Department of Health to send out reminder letters to more than 14,000 patients that showed they were due or overdue for their breast, cervical, and/or colorectal cancer screenings.Wellness (Physical Activity, Nutrition, Weight)-Worked on expanding access to Monument Health Diabetes Prevention Program-in FY19 a Master Trainer became certified to train new instructors for the program.-Implemented the CATCH (Coordinated Approach to Child Health) evidence-based curriculum in 5 Spearfish locations, 4 Rapid City locations, and 1 Blackhawk location.-Held three KidShape 2.0 workshops in FY19.-Increased access to the Better Choices, Better Health program by providing workshop locations at Monument Health and nine leaders from within the system. -Continued partnership with Live Well Black Hills and Healthy HometownSM powered by Wellmark working in the Rapid City, Spearfish, Custer, and Lead/Deadwood communities.Mental Health-Zero Suicide initiative - began implementation in FY18 with initial focus on hospital emergency departments and inpatient behavioral health.-Hosted a community meetings to discuss suicide prevention attended by more than 50 people representing a variety of community organizations.-Opened 8 additional adult inpatient beds at the Behavioral Health Center.-Partnered with Avera Health to provide E-care Telepsychiatry in the Rapid City Hospital Emergency Department with goal to expand to other Monument Health hospitals.Many of these activities are continuations of activities the hospital has been conducting related to the prior community health needs assessment. Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 13h: Must reside within 200 mile radius of the location where the service was received.Presumptive eligibility may be used. Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 16j: A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request. Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy. Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 5: As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall.Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. A total of 134 community stakeholders comprised of physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders completed the key informant survey for the Monument Health service area. Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 6a: The Community Health Needs Assessment was undertaken by Monument Health, including: Monument Health Rapid City Hospital, Same Day Surgery Center, Monument Health Network (Monument Health Spearfish Hospital, Monument Health Sturgis Hospital, Monument Health Lead-Deadwood Hospital, and Monument Health Custer Hospital). Under a management contract with Monument Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment. Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 7d: https://monument.health/about-us/community-health-needs-assessment/ Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 11: During FY19, Monument Health focused on the following three priority areas identified through the most recent CHNA: Access to Healthcare Services, Mental Health, and Wellness (Physical Activity, Nutrition, and Weight). 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).Access to Health Services-Piloted 24/7 call center for primary care patients from Flormann Street Clinic in Rapid City - will grow to serve additional Monument Health locations.-Implemented physician work standards across the system in July 2018 to increase access to care.-System diabetes work to standardize care and improve access.-Primary Case Management program developed that serves Rapid City, Spearfish, Lead/Deadwood, Sturgis, Custer, Hot Springs, and Hill City.-Awarded funding from SD Department of Health to send out reminder letters to more than 14,000 patients that showed they were due or overdue for their breast, cervical, and/or colorectal cancer screenings.Wellness (Physical Activity, Nutrition, Weight)-Worked on expanding access to Monument Health Diabetes Prevention Program-in FY19 a Master Trainer became certified to train new instructors for the program.-Implemented the CATCH (Coordinated Approach to Child Health) evidence-based curriculum in 5 Spearfish locations, 4 Rapid City locations, and 1 Blackhawk location.-Held three KidShape 2.0 workshops in FY19.-Increased access to the Better Choices, Better Health program by providing workshop locations at Monument Health and nine leaders from within the system. -Continued partnership with Live Well Black Hills and Healthy HometownSM powered by Wellmark working in the Rapid City, Spearfish, Custer, and Lead/Deadwood communities.Mental Health-Zero Suicide initiative - began implementation in FY18 with initial focus on hospital emergency departments and inpatient behavioral health.-Hosted a community meetings to discuss suicide prevention attended by more than 50 people representing a variety of community organizations.-Opened 8 additional adult inpatient beds at the Behavioral Health Center.-Partnered with Avera Health to provide E-care Telepsychiatry in the Rapid City Hospital Emergency Department with goal to expand to other Monument Health hospitals.Many of these activities are continuations of activities the hospital has been conducting related to the prior community health needs assessment. Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 13h: Must reside within 200 mile radius of the location where the service was received.Presumptive eligibility may be used. Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 16j: A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request. Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy. Part V, Lines 16a-c All Facilities The Financial Assistance Policy, Application form, and plain language summary are available at https://monument.health/patient-visitor-guide/ 8 1 - Monument Health Care Center - Custer 1065 Montgomery Street Custer SD 57730 Skilled Long Term Nursing Home 2 - Monument Health Care Center - Sturgis 949 Harmon Street Sturgis SD 57785 Skilled Long Term Nursing Home 3 - Monument Health Medical Clinic 1121 Washington Blvd Newcastle WY 82701 Clinic 4 - Monument Health Medical Clinic 1100 Highway 71 South Suite 101 Hot Springs SD 57747 Clinic 5 - Monument Health Medical Clinic 130 North 15th St Hot Springs SD 57747 Clinic 6 - Monument Health Assisted Living 423 N 10th Street Custer SD 57730 Assisted Living 7 - Monument Health Medical Clinic 209 Ramsland Street Buffalo SD 57720 Clinic 8 - Monument Health Medical Clinic 717 Pine Street Upton WY 82730 Clinic Part I, Line 3c: References to "Monument Health" apply to all entities controlled by Monument Health, Inc. This includes the reporting entity.Financial assistance debt reduction write-offs for free or discounted care are based on an income matrix utilizing the current Federal Poverty Level (FPL) income guidelines after satisfying applicable co-pay requirements. The income matrix is updated annually as the FPL income guidelines are released. Presumptive eligibility may be used if all other options have been exhausted. Part I, Line 6a: Monument Health Network is included in the community benefit report prepared by Monument Health. This report is available upon request. Part I, Line 7: Ratio of patient care cost to charges is used for the calculation of cost of services provided for lines 7a, 7b and 7g. Actual costs are used for the calculation of costs of services provided for lines 7e and 7i. Part I, Ln 7 Col(f): The Bad Debt expense included on Form 990, Part IX, Line 25(A), but subtracted for purposes of calculating the percentage in this column is $11,640,118. 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 bad debt reported on line 2 is at charges as reported on the financial statements. Part III, Line 4: The footnote to the financial statements that describes bad debt expense is located on page ten of the audited financials. Part III, Line 8: The Medicare deficit is derived from the actual payments received from the Medicare program for services provided to patients with Medicare coverage. The payments are compared to the actual cost of providing the service as arrived at through the Medicare cost reports. The result is a deficit with costs exceeding the reimbursements.Medical services are provided to patients with Medicare coverage regardless of whether or not a surplus or deficit is realized. Providing Medicare services promotes access to healthcare services which are vitally needed by our communities. Part III, Line 9b: The collection policy requires invoking of the financial assistance policy at any time a patient expresses financial difficulty in meeting their debt obligation. Upon invoking the FAP, all collection activity is suspended. If the patient is approved for charity, then the account is closed out of the collection process and classified as charity. If a patient expresses financial concern but fails to complete the application process, additional notification is sent to the patient prior to re-instituting collection activity. We are following the 501(r) Final Regulations timelines for notifications and collections. Part VI, Line 2: We gather additional data on needed services from patient surveys, advisory councils and patient and family advisory councils. Part VI, Line 3: Financial Assistance Program brochures explaining the policy, a copy of the policy and Financial Assistance applications are available at each point of entry. Signs alerting patients to the availability of Financial Assistance are prominently displayed and a plain language summary describing the Financial Assistance program accompanies one billing statement for hospital services sent to the patient. The Financial Assistance policy, plain language summary and Financial Assistance application are provided free upon request and are also available on the hospital website at www.monument.health. Monument Health contracts with Midland Medical Group (an unrelated entity) to meet with uninsured patients to assist them with finding a funding source or applying for financial assistance; and our self-pay outsource partner also communicates any funding and financial assistance opportunities with our patients. Part VI, Line 4: Monument Health and its affiliates provide health care services to the 360,000 people who live in the Black Hills of South Dakota and the surrounding region, as well as thousands of visitors each year. Monument Health serves a 38-county region comprised of western South Dakota, southeastern Montana, northeastern Wyoming, southwestern North Dakota and northwestern Nebraska. Part VI, Line 5: Monument Health collaborates with agencies and community-wide coalitions to address prioritized health needs within the communities we serve. Monument Health addresses its community's health needs by: 1) Community members serve on governing boards, advisory councils and patient and family member councils; 2) developing new programs and initiatives to address identified health needs: and 3) promoting an understanding of these health needs among other community organizations and within the public itself. Monument Health also provides financial support to other nonprofit organizations to help support community health outreach. Additionally, Monument Health provides in-kind support and employee volunteers to help support community health events and activities. Part VI, Line 6: Monument Health is committed to partnering with the communities it serves to meet the needs of each respective community. Monument Health, Inc. is the parent organization of Monument Health Rapid City Hospital, Inc., Monument Health Network, Inc., and Monument Health Physicians, Inc. These corporations work together to meet the health care needs of the region. 0 1 0 0 0 0 0 1 0 Lee B Bailey MD Board Member/ Employed Physican 369050 0 8000 0 26135 0 37879 0 29445 0 470509 0 26135 0 Christopher Gasbarre DO Board Member/ Employed Physican 558602 0 4000 0 25301 0 53335 0 26523 0 667761 0 25301 0 Brent Phillips President and CEO Until 07/18/2018 0 510692 0 0 0 0 0 90834 0 18020 0 619546 0 0 Paulette Davidson President and CEO 0 540024 0 409088 0 0 0 71640 0 28146 0 1048898 0 0 Mark A Thompson CFO/Treasurer 0 399842 0 105656 0 112809 0 65580 0 25091 0 708978 0 112809 Teresa Burroff General Counsel, Secretary 0 346644 0 179393 0 0 0 46918 0 76 0 573031 0 0 Mary Masten General Counsel, Emeritus 0 286202 0 0 0 0 0 13750 0 21320 0 321272 0 0 Brad Arher MD Chief Medical Officer 0 424818 0 185938 0 0 0 57303 0 27799 0 695858 0 0 Tresha Moreland VP Human Resources 0 223087 0 67320 0 0 0 25037 0 8580 0 324024 0 0 Stephanie Lahr MD CIO & CMIO 0 359425 0 155250 0 0 0 47519 0 35023 0 597217 0 0 Laura Wightman Chief Nursing Officer Until 04/2019 0 271820 0 101363 0 0 0 28983 0 18640 0 420806 0 0 Nicole Kerkenbush Chief Performance Officer 0 199126 0 90000 0 0 0 30957 0 2435 0 322518 0 0 Mark Schmidt President Custer, Lead-Deadwood Mark 235129 0 67500 0 0 0 25623 0 26523 0 354775 0 0 0 Thomas Worsley President Spearfish Market 300322 0 84990 0 0 0 32000 0 25516 0 442828 0 0 0 Mark Schulte President - Sturgis 205612 0 60720 0 0 0 23882 0 28091 0 318305 0 0 0 Garrett Cox MD Physician - Radiologist 895225 0 28000 0 0 0 43477 0 11447 0 978149 0 0 0 Andrew Vanosdol MD Physician - Surgery 650679 0 28000 0 0 0 32222 0 29821 0 740722 0 0 0 Kipp Gould MD Physician - Orthopedic Surgeon 763612 0 4000 0 30834 0 62506 0 27441 0 888393 0 0 30834 Ray Jensen MD Physician - Orthopedic Surgeon 1631112 0 24000 0 0 0 69895 0 31123 0 1756130 0 0 0 Richard Little MD Physician - Orthopedic Surgeon 695810 0 4000 0 47698 0 66124 0 32508 0 846140 0 47698 0 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. The following individuals had amounts deferred into the account as reported in column c on Schedule J: Lee Bailey MD 22,290 Teresa Burroff 38,441 Paulette Davidson 62,930 Chris Gasbarre MD 40,670 Kipp Gould MD 52,838 Ray Jensen MD 61,418 Stephanie Lahr MD 38,813 Garrett Cox 35,000 Richard Little MD 52,743 Andrew Vanosdol 23,745 Tresha Moreland 16,830 Thomas Worsley 23,290 Mark Schmidt 16,875 Mark Schulte 15,180 Mark Thompson 45,281 Laura Wightman 20,273 Brent Phillips 82,008 Nicole Kerkenbush 22,500 Brad Archer MD 49,053 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. Mark Thompson 112,809 Lee Bailey MD 26,135 Chris Gasbarre MD 25,301 Kipp Gould MD 30,834 Richard Little MD 47,698 Part I, Line 7 Executives and other employees of system entities will be eligible to receive annual incentive awards that are competitive with the incentives offered by the organizations in the system's peer group(s) in accordance with the terms of the Monument Health, Inc. annual incentive plan for selected executives and other employees (incentive plan). In accordance with this plan, the parent board's executive committee reviews and approves all incentive compensation performance measures and all awards, if any. The committee ensures that the total compensation, including incentive awards, is reasonable. Form 990, Page 1, Section C, Name of Organization Monument Health Network, Inc. was known as Regional Health Network, Inc. during fiscal year ended June 30, 2019. The organization changed its name in January, 2020, and filed the name change with the IRS prior to filing of this return. Form 990, Part V, Line 1a: All 1099's are issued centrally by Monument Health Rapid City Hospital, Inc., a related organization. Form 990, Part V, Line 2a: Number of employees on W-3: Monument Health Network, Inc. has its own employees, however, compensation is paid by Monument Health Rapid City Hospital, the common payroll agent. Form 990, Part VI, Section A, line 1 The membership of the Executive Committee of the Corporation shall consist of the following: Chair of the Board of Directors, Vice Chair of the Board of Directors, two other Board members appointed by the Chair, and the Corporation's President. The Chair of the Board of Directors shall serve as the Chair of the Executive Committee. Directors on the Executive Committee shall serve during the term of office they hold which places them on the Executive Committee, or, for the two Chair-appointed members, for a term of one (1) year or until their successors are appointed. The Executive Committee, when the Board of Directors is not in session, shall have and may exercise all of the authority of the Board of Directors, except to the extent, if any, that such authority shall be limited by a motion or resolution of the Board of Directors or that is authority reserved to the Member. It is intended that the powers of the Executive Committee to act for the whole Board be confined to such urgent matters as reasonably should not be deferred until the next regularly-scheduled meeting of the full Board. Form 990, Part VI, Section A, line 2 Brent Phillips has a business relationship with the following individuals due to being the CEO (Until 07/2018) of the supporting organization that exercises reserve powers over the supported organizations that employ each of these key employees: Teresa Burroff; Stephanie Lahr, MD; Mary Masten; Brad Archer, MD; Tresha Moreland; Mark Thompson; Laura Wightman; Nicole Kerkenbush; Mark Schmidt and employed Board Members: Chris Gasbarre MD and Lee Bailey,MD. 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; Mary Masten; Brad Archer, MD; Tresha Moreland; Mark Thompson; Laura Wightman; Nicole Kerkenbush; Mark Schmidt and employed Board Members: Chris Gasbarre MD and Lee Bailey,MD. Form 990, Part VI, Section A, line 6 Monument Health, Inc. is the sole member of Monument Health Network, Inc. Form 990, Part VI, Section A, line 7a Monument Health, Inc., being the sole member of Monument Health Network, Inc., has the ability to appoint or remove all members of Monument Health Network, Inc.'s board. Form 990, Part VI, Section A, line 7b Monument Health, Inc. provides compliance, governance, financial, and planning support to its Supported Organizations to best assure the functions and services of the Supported Organizations are coordinated and supported in a manner that furthers the shared charitable mission of the Supported Organizations and MHI, as a whole (the System). Monument Health, Inc. has final authority in significant business decisions affecting the Supported Organizations. Form 990, Part VI, Section B, line 11b The 990 is prepared and reviewed by an independent accounting firm. It is then reviewed internally by finance and legal management. The Form 990 is further reviewed, prior to filing, by the organization's board of directors through a portal to the organization's internal information system, to which each board member has access. Educational sessions have been provided to board members on how to access the portal. Form 990, Part VI, Section B, line 12c As part of the annual disclosure of potential conflicts process, all board members, officers, and management are required to complete an annual disclosure statement on financial interests and conflicting interests. At Board and Board Committee meetings, the meeting agenda includes an initial item "Conflicts of Interest" where the Chair asks members if they have any conflicting interests or financial interests related to an agenda item. If a conflicting or financial interest is disclosed, it is noted in the minutes and there is discussion or determination of whether the disclosure requires the board or committee member to be excused from discussion or action on that agenda item. Board or committee members whose disclosure is found to be a conflict may be invited to speak on the matter by the Chair, but are not permitted to vote on the matter and may be required to leave the meeting during discussion, after they have made any comments invited by the Chair. Failure to comply with the Conflict of Interest policy constitutes grounds for removal from office or membership on the Board or Board Committee and, in the case of all employees, termination of employment. Form 990, Part VI, Section B, line 15a The Executive Committee of Monument Health Inc. (MHI; parent) engaged an independent third party compensation firm to conduct a review of all executives, Vice President level and above, to determine an appropriate compensation range in which their compensation would be established. The independent compensation consultant provided peer group market comparative data for base salary, total cash compensation, benefits and total compensation for executives. The CEO or her designee determines the actual base salary of the executives within the committee-approved base salary range based on experience and performance, providing the total compensation is within the targeted market percentile, e.g. 50th percentile. In May 2017, the independent consultant met with Committee members and presented 2017 data upon which the Committee determined all elements of compensation for the member's CEO (base salary, total cash compensation, benefits and total compensation) and reaffirmed the organization's executive compensation philosophy, which includes the targeted market percentile for all other executives. Form 990, Part VI, Section C, line 19 The Articles of Incorporation of the organization are filed in the office of the Secretary of State of South Dakota and are available to the public from the Office of the Secretary of State. Other documents (Bylaws, conflict of interest policy and financial statements) are not posted for the public but are available or described in other public documents or sites such as offering statements in bond issues or municipal securities rulemaking board's electronic municipal market access (EMMA) data port. Form 990, Part X, Line 20 Monument Health Network, Inc. is part of the Monument Health, Inc. Obligated Group which consists of Monument Health, Inc., Monument Health Rapid City Hospital, Inc., Monument Health Network, Inc., and Monument Health Physicians, Inc. Monument Health Network, Inc. was not allocated any share of the bond issue, and thus does not have an amount on line 20. Form 990, Part XI, line 9: Released From Restriction -463,794. Transfer to net asset 130,213. Monument Health Inc 353 Fairmont Blvd Rapid City SD 57701 201487506 Healthcare SD 501(c)(3) Line 12c, III-FI N/A 0 Monument Health Rapid City Hospital Inc 353 Fairmont Blvd Rapid City SD 57701 460319070 Healthcare SD 501(c)(3) Line 3 Monument Health Inc 0 Monument Health Physicians Inc 353 Fairmont Blvd Rapid City SD 57701 460372454 Healthcare SD 501(c)(3) Line 10 Monument Health Inc 0 Medical & Dental Building 2805 S 5th St Rapid City SD 57701 460339629 Medical Office Bldg SD N/A Black Hills Medical Office BD LLC 353 Fairmont Blvd Rapid City SD 57701 411992146 Medical Office Bldg SD N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0