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MONUMENT HEALTH RAPID CITY HOSPITAL INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
MONUMENT HEALTH RAPID CITY HOSPITAL INC (EIN 46-0319070)
Tax period
2024-07-01 to 2025-06-30
Filed
2026-05-14
IRS object ID
202611349349310246
Schema version
2024v5.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2026-05-14T15:47:05-05:00ReturnTs
Tax Period End2025-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN460319070EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Monument Health Rapid City Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMONUBusinessNameControlTxt
Phone6057559130PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1353 Fairmont Blvd PO Box 6000AddressLine1Txt
CityRapid CityCityNm
State AbbreviationSDStateAbbreviationCd
ZIP577096000ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAustin WilluweitPersonNm
Person TitleCFOPersonTitleTxt
Phone6057559130PhoneNum
Signature2026-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2026-05-14PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPaulette DavidsonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1353 Fairmont Blvd PO Box 6000AddressLine1Txt
CityRapid CityCityNm
State AbbreviationSDStateAbbreviationCd
ZIP577096000ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,095,522,101GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.monument.healthWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateSDLegalDomicileStateCd
Activity Or MissionImproving the health of individuals and our communities.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee5235TotalEmployeeCnt
Total Volunteers203TotalVolunteersCnt
Total Gross UBI$13,167,808TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$58,854NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$14,649,514PYContributionsGrantsAmt
CY Contributions Grants$3,489,255CYContributionsGrantsAmt
PY Program Service Revenue$983,049,234PYProgramServiceRevenueAmt
CY Program Service Revenue$1,062,272,909CYProgramServiceRevenueAmt
PY Investment Income$32,982,133PYInvestmentIncomeAmt
CY Investment Income$25,105,708CYInvestmentIncomeAmt
PY Other Revenue$1,023,251PYOtherRevenueAmt
CY Other Revenue$971,219CYOtherRevenueAmt
PY Total Revenue$1,031,704,132PYTotalRevenueAmt
CY Total Revenue$1,091,839,091CYTotalRevenueAmt
PY Grants And Similar Paid$1,512,792PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$440,813CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$416,046,401PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$441,967,799CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,547,752CYTotalFundraisingExpenseAmt
PY Other Expenses$569,410,797PYOtherExpensesAmt
CY Other Expenses$617,412,214CYOtherExpensesAmt
PY Total Expenses$986,969,990PYTotalExpensesAmt
CY Total Expenses$1,059,820,826CYTotalExpensesAmt
PY Revenues Less Expenses$44,734,142PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$32,018,265CYRevenuesLessExpensesAmt
Total Assets BOY$1,422,455,024TotalAssetsBOYAmt
Total Assets EOY$1,484,513,220TotalAssetsEOYAmt
Total Liabilities BOY$525,395,889TotalLiabilitiesBOYAmt
Total Liabilities EOY$532,428,914TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$897,059,135NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$952,084,306NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOur vision at Monument Health Rapid City Hospital is to be one team, to listen, to be inclusive, and to show we care. Monument Health Rapid City Hospital is dedicated to improving the health of individuals and our communities.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$864,199,254ExpenseAmt
Grant$440,813GrantAmt
Revenue$1,049,106,576RevenueAmt
DescMonument Health Rapid City Hospital, Inc. (MHRCH) offers both inpatient and outpatient health services. Its tertiary hospital, Rapid City Hospital (RCH), serves Western South Dakota. The nearest larger hospital is in Sioux Falls, SD, more than 350 miles away. As such, the services provided by MHRCH are truly a healthcare safety net for Western South Dakota. MHRCH is a community-based health care system with a mission to make a difference, every day. MHRCH also provides patient care at the Behavioral Health Center, Orthopedic and Specialty Hospital, Family Medicine Residency Clinic, Heart and Vascular Institute, Hospice House, Medical Clinics and Urgent Care locations. The Hospital employs physicians through its residency, cardiology, cardiovascular surgery, medical oncology, psychiatry, neurology, hospitalist, orthopedics and other programs.Monument Health Home Plus, LLC provides home care, hospice, pharmacy, and durable medical equipment services to the communities Monument Health serves.Desc
Total Program Service Expenses$864,199,254TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document611IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee5235EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Austin WilluweitBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6057559127PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1353 Fairmont Blvd PO Box 6000AddressLine1Txt
CityRapid CityCityNm
State AbbreviationSDStateAbbreviationCd
ZIP577096000ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Paulette R Davidson
President & CEO51.308.70Yes (X)Yes (X)$0$1,932,107$267,590
Brad Archer MD
Chief Medical Officer47.117.89Yes (X)$972,031$0$134,035
Bobbie Schneller DO
Board Member/Employed Physician40.890.00Yes (X)$401,285$0$64,301
Steven Frost MD
Board Member0.890.00Yes (X)$3,000$0$0
Daryl Reinicke
Chair1.940.00Yes (X)Yes (X)$0$0$0
Holly Lien
Board Member0.810.00Yes (X)$0$0$0
Ross Mckie
Vice Chair1.570.00Yes (X)Yes (X)$0$0$0
Scott Barbour
Board Member1.270.00Yes (X)$0$0$0
Tom Rau
Board Member0.810.00Yes (X)$0$0$0
Donna Wright
Board Member0.720.00Yes (X)$0$0$0
Dusty Petersen
Board Member0.890.00Yes (X)$0$0$0
Michael Huot MD
Board Member0.980.00Yes (X)$14,180$0$0
Lance Roberts
Board Member0.980.00Yes (X)$0$0$0
Don Warne MD
Board Member0.610.00Yes (X)$36,000$0$0
Stephanie Forsythe
Board Member Until 02/20250.260.00Yes (X)$0$0$0
Jacob Weasel MD
Board Member/Employed Physician40.000.43Yes (X)$494,488$0$72,250
Mark A Thompson
Chief Bus Dev Officer Until 12/202447.027.98Yes (X)$505,374$0$49,245
Austin Willuweit
Chief Financial Officer47.027.98Yes (X)$528,595$0$84,168
John Pierce
President Rapid City Hospital and Market55.000.00$822,063$0$121,912Yes (X)
Michael Tilles
VP Operations-Rapid City Market55.000.00$453,907$0$48,897Yes (X)
Mark Longacre until 53124
VP Operations-Rapid City Market55.000.00$158,824$0$22,306Yes (X)
Mark Schulte
VP Rapid City Market55.000.00$411,968$0$62,831Yes (X)
Tasha Frisinger
VP of Nursing55.000.00$319,664$0$48,698Yes (X)
Patrick Woodard
Chief Information Officer47.027.98$621,118$0$66,971Yes (X)
Barbara Hespen
Pres. Custer Market&System CNO16.5038.50$0$358,964$57,574Yes (X)
Joseph Tuma MD
Physician - Cardiology40.000.00$1,889,073$0$140,510Yes (X)
Charan Mungara MD
Physician - Cardiology40.000.00$1,394,909$0$107,917Yes (X)
Bhaskar Purushottam MD
Physician - Cardiology40.000.00$1,471,104$0$140,912Yes (X)
Siri Knutsen Larson MD
Physician - Dermatology40.000.00$1,442,327$0$150,006Yes (X)
Ethan Levine MD
Physician - Cardiology40.000.00$1,559,974$0$113,818Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$13,499,884TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,291,071TotReportableCompRltdOrgAmt
Total Other Compensation$1,753,941TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K757IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Travel Nurse Across America LLC
5020 Northshore DriveNorth Little RockAR72118Contract Labor$54,603,945
Crothall Healthcare
13028 Collection Center DriveChicagoIL60693Professional services$14,063,229
Morrison Management Specialists Inc
PO Box 102289AtlantaGA30368Professional services$13,303,042
Weatherby Medical Staffing
PO Box 972633DallasTX75397Contract labor$10,691,613
Mainsail Holdco LLC
1506 6th Avenue Suite 3ColumbusGA31901Professional services$4,970,687
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K407CntrctRcvdGreaterThan100KCnt
Fundraising$26,775FundraisingAmt
Government Grants$39,618GovernmentGrantsAmt
All Other Contributions$3,422,862AllOtherContributionsAmt
Noncash Contributions$60,613NoncashContributionsAmt
Total Contributions$3,489,255TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Pharmacy621400$254,910,124$246,774,273$8,135,851
Laboratory621500$121,055,797$118,131,899$2,923,898
Surgical Services621110$101,940,015$101,940,015
MIS CT Scan621500$46,073,280$46,073,280
Cardiac Services621110$23,918,997$23,918,997

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$514,374,696TotalRevenueColumnAmt
Related Or Exempt Func Income$512,266,637RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,108,059UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,062,272,909TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,341,484TotalRevenueColumnAmt
Exclusion$14,341,484ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$320,292TotalRevenueColumnAmt
Exclusion$320,292ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,285,327RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$3,150,819RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$134,508RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$134,508TotalRevenueColumnAmt
Exclusion$134,508ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$10,443,932OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$10,443,932OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,443,932TotalRevenueColumnAmt
Exclusion$10,443,932ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$1,063,944FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$26,775ContriRptFundraisingEventAmt
Fundraising Direct Expenses$228,708FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$835,236TotalRevenueColumnAmt
Exclusion$835,236ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$304,958GrossSalesOfInventoryAmt
Cost Of Goods Sold$303,483CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,475TotalRevenueColumnAmt
Related Or Exempt Func Income$1,475RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,091,839,091TotalRevenueColumnAmt
Related Or Exempt Func Income$1,049,106,576RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$13,167,808UnrelatedBusinessRevenueAmt
Exclusion$26,075,452ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$440,813TotalAmt
Program Services$440,813ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,630,839TotalAmt
Program Services$904,132ProgramServicesAmt
Management And General$4,726,707ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$273,698TotalAmt
Program Services$273,698ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$400,214,477TotalAmt
Program Services$327,913,913ProgramServicesAmt
Management And General$71,524,671ManagementAndGeneralAmt
Fundraising$775,893FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$8,674,070TotalAmt
Program Services$7,028,887ProgramServicesAmt
Management And General$1,628,611ManagementAndGeneralAmt
Fundraising$16,572FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,022,084TotalAmt
Program Services$1,638,562ProgramServicesAmt
Management And General$379,659ManagementAndGeneralAmt
Fundraising$3,863FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$25,152,631TotalAmt
Program Services$20,000,876ProgramServicesAmt
Management And General$5,097,352ManagementAndGeneralAmt
Fundraising$54,403FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$5,685,826TotalAmt
Program Services$1,458,357ProgramServicesAmt
Management And General$4,227,328ManagementAndGeneralAmt
Fundraising$141FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,055,939TotalAmt
Management And General$1,055,939ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$393,490TotalAmt
Management And General$393,490ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$43,734TotalAmt
Management And General$43,734ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$153,298,576TotalAmt
Program Services$124,908,423ProgramServicesAmt
Management And General$28,390,072ManagementAndGeneralAmt
Fundraising$81FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,387,027TotalAmt
Program Services$9,450ProgramServicesAmt
Management And General$1,366,697ManagementAndGeneralAmt
Fundraising$10,880FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$19,592,135TotalAmt
Program Services$10,318,923ProgramServicesAmt
Management And General$8,827,701ManagementAndGeneralAmt
Fundraising$445,511FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$28,595,013TotalAmt
Program Services$5,820,553ProgramServicesAmt
Management And General$22,624,960ManagementAndGeneralAmt
Fundraising$149,500FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$28,226,544TotalAmt
Program Services$10,616,784ProgramServicesAmt
Management And General$17,598,637ManagementAndGeneralAmt
Fundraising$11,123FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,185,461TotalAmt
Program Services$1,527,531ProgramServicesAmt
Management And General$639,361ManagementAndGeneralAmt
Fundraising$18,569FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,673,048TotalAmt
Program Services$51,132ProgramServicesAmt
Management And General$1,621,916ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,260,828TotalAmt
Program Services$10,260,392ProgramServicesAmt
Management And General$436ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$53,314,589TotalAmt
Program Services$38,752,387ProgramServicesAmt
Management And General$14,505,477ManagementAndGeneralAmt
Fundraising$56,725FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,943,757TotalAmt
Program Services$915,907ProgramServicesAmt
Management And General$5,027,850ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical Supplies$205,031,148$204,766,723$260,470$3,955
Interco Supplies/Servic$97,595,738$96,094,523$1,501,215
Federal income tax expe$4,946$4,946

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,124,415TotalAmt
Program Services$497,288ProgramServicesAmt
Management And General$2,626,591ManagementAndGeneralAmt
Fundraising$536FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,059,820,826TotalAmt
Program Services$864,199,254ProgramServicesAmt
Management And General$194,073,820ManagementAndGeneralAmt
Fundraising$1,547,752FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$52,052,042BOYAmt
EOY$28,678,144EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,765,128BOYAmt
EOY$10,945,519EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$133,132,371BOYAmt
EOY$151,035,675EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$28,753,819BOYAmt
EOY$30,501,133EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$17,773,530BOYAmt
EOY$20,195,081EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$992,244,516LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$514,858,676LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$493,668,317BOYAmt
EOY$477,385,840EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$312,214,814BOYAmt
EOY$345,299,192EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$356,323,249BOYAmt
EOY$400,835,313EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$7,223,666BOYAmt
EOY$6,682,046EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,548,088BOYAmt
EOY$12,955,277EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,422,455,024BOYAmt
EOY$1,484,513,220EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$94,745,939BOYAmt
EOY$96,206,820EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$329,259,000BOYAmt
EOY$321,605,074EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$26,285,000BOYAmt
EOY$26,285,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$75,105,950BOYAmt
EOY$88,332,020EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$525,395,889BOYAmt
EOY$532,428,914EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$870,979,020BOYAmt
EOY$928,131,802EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$26,080,115BOYAmt
EOY$23,952,504EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$897,059,135BOYAmt
EOY$952,084,306EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,422,455,024BOYAmt
EOY$1,484,513,220EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$32,018,265ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$39,476,691NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$23,222PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$16,493,007OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$43,734OtherActivitiesAmt
Total Lobbying Expenditures$43,734TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationAnnual dues were paid to the South Dakota Association of Healthcare Organizations. A portion of the dues are applicable to lobbying activities. For calendar year 2025 dues, which were paid in fiscal year 2025, in the amount of $389,578, 4.00% 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 2025 dues, which were paid in fiscal year 2025, in the amount of $72,183, 39.00% was used for lobbying purposes. In fiscal year 2025, $43,734 contribution expense were incurred regarding lobbying.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,755,429BeginningYearBalanceAmt
Grants Or Scholarships$7,500GrantsOrScholarshipsAmt
End Year Balance$1,747,929EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,662,929BeginningYearBalanceAmt
Contributions$100,000ContributionsAmt
Grants Or Scholarships$7,500GrantsOrScholarshipsAmt
End Year Balance$1,755,429EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,662,929BeginningYearBalanceAmt
End Year Balance$1,662,929EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,662,929BeginningYearBalanceAmt
End Year Balance$1,662,929EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,662,929BeginningYearBalanceAmt
End Year Balance$1,662,929EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,892,330OtherCostOrOtherBasisAmt
Book Value$22,892,330BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$623,012,258OtherCostOrOtherBasisAmt
Depreciation$264,186,502DepreciationAmt
Book Value$358,825,756BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$319,637,986OtherCostOrOtherBasisAmt
Depreciation$243,606,330DepreciationAmt
Book Value$76,031,656BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,701,942OtherCostOrOtherBasisAmt
Depreciation$7,065,844DepreciationAmt
Book Value$19,636,098BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$477,385,840TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (7 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Equity Securities and Funds - Domestic$79,907,965F
Equity Securities and Funds - International$85,103,831F
Investment in Privately Held Companies$5,116,855F
Investment in West Dakota Health Care/Monument Health Network$43,000,231C
Private Equity/Debt$152,181,459F
Real Estate Funds$1,647,422F
Absolute Return Assets - Hedge Funds$33,877,550F
FieldValueIRS element (for citing)
Total Book Value Securities$400,835,313TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Other Long Term Liabilities$30,273,051
Due from related party$52,260,090
Accrued pension liability$5,798,879
FieldValueIRS element (for citing)
Total Liability$88,332,020TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:Endowed funds are held in an interest bearing account subject to the terms as specified by the donor and Board of Directors. The earnings on the endowment funds become temporarily restricted funds and therefore are not part of the endowment balance. The earnings are used to support the activities and programs in proportion to the restricted balances. Of the $1,747,929 endowment funds, $677,332 are restricted to be used for grants/scholarships to students in a healthcare program, $612,197 is restricted for use in the pediatrics unit, $100,000 for promotion of a healthy community, $197,400 for cardiac services, $100,000 for hospice patients, $36,000 for plants in public areas and $25,000 for cancer care.
Part X, Line 2:References to "Monument Health" apply to all entities controlled by Monument Health, Inc. and its subsidiaries. This includes the reporting entity. Monument Health believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. Monument Health would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,00Investment$61,011,000
North America - Canada and Mexico, but not the United States00Investment$132,000
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$61,143,000SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$61,143,000TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe organization does not award grants or assistance outside the United States. The organization has investment activities outside the United States. Schedule F, Part IV: The organization reviews its direct and indirect investments during the tax period for determining required foreign filings. Line 1: The organization makes direct and indirect transfers to foreign corporations and foreign partnerships. The organization would file Form 926 or Form 8865 if the transfers met the requirements for filing. The organization's transfers to foreign corporations did require filing Form 926. The organization's transfers to foreign partnerships did not require filing Form 8865. Lines 3 and 5: The organization has ownership interests in foreign corporations and foreign partnerships. The organization would file Form 5471 or Form 8865 if the ownership met the requirements for filing. The organization's ownership in foreign corporations required filing Form 5471. The organization's ownership in foreign partnerships did not require filing Form 8865. Line 4: The organization invests in partnershiH ps that hold direct or indirect interests in passive foreign investment companies (PFICs). The organization would file Form 8621s for underlying investments that generate unrelated business income. The organization would not file Form 8621s where the investment partnerships have properly filed Form 8621s, or where the underlying investments did not generate any unrelated business income. The organization did not require filing Form 8621.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Golden Guitar GalaEvent1Nm
Gross Receipts Event1$457,877GrossReceiptsEvent1Amt
Charitable Contri Event1$26,775CharitableContriEvent1Amt
Gross Revenue Event1$431,102GrossRevenueEvent1Amt
Rent Facility Costs Event1$3,914RentFacilityCostsEvent1Amt
Food And Beverage Event1$33,661FoodAndBeverageEvent1Amt
Entertainment Event1$33,864EntertainmentEvent1Amt
Other Direct Expenses Event1$5,057OtherDirectExpensesEvent1Amt
Event2Hospice BallEvent2Nm
Gross Receipts Event2$129,240GrossReceiptsEvent2Amt
Gross Revenue Event2$129,240GrossRevenueEvent2Amt
Rent Facility Costs Event2$23,589RentFacilityCostsEvent2Amt
Entertainment Event2$19,088EntertainmentEvent2Amt
Other Direct Expenses Event2$5,805OtherDirectExpensesEvent2Amt
Other Events Total12OtherEventsTotalCnt
Gross Receipts Other Events$483,304GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$483,304GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$4,570NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$24,798RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$5,101FoodAndBeverageOtherEventsAmt
Entertainment Other Events$10,000EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$51,839OthDirectExpnssOtherEventsAmt
Gross Receipts Total$1,070,421GrossReceiptsTotalAmt
Charitable Contributions Tot$26,775CharitableContributionsTotAmt
Gross Revenue Total Events$1,043,646GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$4,570NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$52,301RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$38,762FoodAndBeverageTotalEventsAmt
Entertainment Total Events$62,952EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$62,701OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$221,286DirectExpenseSummaryEventsAmt
Net Income Summary$822,360NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,338,466TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,338,466NetCommunityBenefitExpnsAmt
Total Expense0.00600TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$140,354,706TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$99,088,472DirectOffsettingRevenueAmt
Net Community Benefit Expns$41,266,234NetCommunityBenefitExpnsAmt
Total Expense0.03890TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$146,693,172TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$99,088,472DirectOffsettingRevenueAmt
Net Community Benefit Expns$47,604,700NetCommunityBenefitExpnsAmt
Total Expense0.04490TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs14ActivitiesOrProgramsCnt
Persons Served3419PersonsServedCnt
Total Community Benefit Expns$7,282,831TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,282,831NetCommunityBenefitExpnsAmt
Total Expense0.00690TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$144,643,482TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$88,018,276DirectOffsettingRevenueAmt
Net Community Benefit Expns$56,625,206NetCommunityBenefitExpnsAmt
Total Expense0.05340TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$997,137TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$997,137NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served3419PersonsServedCnt
Total Community Benefit Expns$152,923,450TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$88,018,276DirectOffsettingRevenueAmt
Net Community Benefit Expns$64,905,174NetCommunityBenefitExpnsAmt
Total Expense0.06120TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served3419PersonsServedCnt
Total Community Benefit Expns$299,616,622TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$187,106,748DirectOffsettingRevenueAmt
Net Community Benefit Expns$112,509,874NetCommunityBenefitExpnsAmt
Total Expense0.10610TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$3,768TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,768NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$69,790TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$69,790NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$11,596TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,596NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Total Community Benefit Expns$85,154TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$85,154NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$67,279,575BadDebtExpenseAmt
Reimbursed By Medicare$253,899,342ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$253,807,837CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$91,505MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 Medical & Dental Building
Office Building0.714500.28550
2 The Imaging Center LLC
Medical Imaging0.500000.50000
3 Same Day Surgery Center
Specialty and Ambulatory Services0.400000.60000
4 Western Providers Inc
PHO0.500000.50000
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDesc
Monument Health Rapid City Hospital
1353 Fairmont BlvdRapid CitySD57701www.monument.health10558Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)1 Specialty Hosp; 8 PB clinics; 1 behavioral health facility
Same Day Surgery Center
2651 Cathedral DriveRapid CitySD57701www.samedaysurgerycenter.org10581Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndRpt Available Thru Other MethodRptAvailableThruOtherMethodIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndResidency CriteriaResidencyCriteriaIndOther CriteriaOtherCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndProvided Nonprofit ContactProvidedNonprofitContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndProspective Medicare MedicaidProspectiveMedicareMedicaidIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtNo Emergency CareNoEmergencyCareInd
Monument Health Rapid City Hospital Inc
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)24Yes (1)Yes (1)0Yes (1)Yes (X)monument.health/chna/Yes (X)Yes (X)Yes (1)24Yes (1)monument.health/chna/0Yes (1)Yes (X)250.000000000000300.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)See Section C, Line 16a-cYes (X)See Section C, Line 16a-cYes (X)See Section C, Line 16a-cYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
Same Day Surgery Center
200Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)24Yes (1)Yes (1)0Yes (1)Yes (X)See Section C, Line 7dYes (X)Yes (X)Yes (1)24Yes (1)See Section C, Line 7d0Yes (1)Yes (X)250.000000000000300.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)See Section C, Line 16a-cYes (X)See Section C, Line 16a-cYes (X)See Section C, Line 16a-cYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)0Yes (X)00Yes (X)See Section C, Line 7dYes (X)

Supplemental Information SupplementalInformationGrp (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Monument Health Rapid City Hospital, Inc.Part V, Section B, Line 5: As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall.Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. A total of 118 community stakeholders comprised of physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders completed the key informant survey for the Monument Health service area.
Same Day Surgery CenterPart V, Section B, Line 5: As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. A total of 118 community stakeholders comprised of physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders completed the key informant survey for the Monument health service area.
Monument Health Rapid City Hospital, Inc.Part V, Section B, Line 6a: The Community Health Needs Assessment was undertaken by Monument Health, including: Monument Health Rapid City Hospital, Same Day Surgery Center, and Monument Health Network (Monument Health Spearfish Hospital, Monument Health Sturgis Hospital, Monument Health Lead-Deadwood Hospital, and Monument Health Custer Hospital). Under a management contract with Monument Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment.
Same Day Surgery CenterPart V, Section B, Line 6a: The Community Health Needs Assessment was undertaken by Monument Health, including: Monument Health Rapid City Hospital, Same Day Surgery Center, Monument Health Network (Monument Health Spearfish Hospital, Monument Health Sturgis Hospital, Monument Health Lead-Deadwood Hospital, and Monument Health Custer Hospital). Under a management contract with Monument Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment.
Same Day Surgery CenterPart V, Section B, Line 7d: samedaysurgerycenter.org/community-health-needs-assessment/
Monument Health Rapid City Hospital, Inc.Part V, Section B, Line 11: During FY25, Monument Health focused on the following priority areas identified through the most recent Community Health Needs Assessment (CHNA): Cancer Heart Disease and Stroke Diabetes, Nutrition, Physical Activity and Weight Mental Health and Substance Abuse Access to Medical ServicesTeams comprised of representatives from Rapid City Hospital, Same Day Surgery Center, Monument Health Network, and the community worked on the priority areas selected for each facility's Community Health Improvement Plan (CHIP).The needs identified during the FY25 CHNA were also identified in the prior CHNA.Cancer Added a 6th Medical Oncologist (locums supported). New patient visits totaled 2,421 (up from 2,390 in the previous year). 10,569 completed chemotherapy visits (12% increase over the previous year). Average of 43 appointments/day (up 10% from 30/day). 13,053 radiation treatments (9.5% increase). Brachytherapy: 84 patients and 193 procedures (12% and 47% increases, respectively). Introduced Lutathera and Pluvicto (radiopharmaceuticals), new biosimilars and MARS Brachytherapy (Low Dose Rate MRI-Assisted Radiosurgery). Palliative Care Physician added in clinic for 130 days annually. Cancer-specific CTs launched in May 2025, serving up to 32 patients/week. Breast clinical trial participation increased from 2% in the previous year to 3.5%. Programs, grants and donations continue to remove financial barriers to care. Radiation Oncology department earned APEx accreditation, becoming the first in South Dakota to do so. This validates high-quality, safe patient care. Hosted March for Mammos, Hope in the Hills Train Event and the 4th Annual Survivors Day Event. Cancer Genetics & Risk Assessments, promotional video on CCI homepage, and resource booths promoting MH services were part of the cancer education plan.Heart Disease and Stroke Advanced Heart Failure inpatient team approach was started over a year ago. After one year, the team has seen 602 inpatients with an overall readmission rate of 14%. American Heart Association Registry was started last year. Registry data has already led to improvements in discharge medications, documentation of contraindications, clinic visits 7 days post-discharge, patient education and orders for follow-up labs. Monument Health successfully completed 107 TAVR (Transcatheter Aortic Valve Replacement) implants this year, continuing its commitment to a single-visit team approach. Patients receive comprehensive pre-evaluations from both Interventional and Surgical Cardiology, ensuring they have all the necessary information to make informed decisions about their care. There were 64 LAAO (Left Atrial Appendage Occlusion) device implants this year. Overall, intra- or post-procedure complications have been at 0%. Monument Health was awarded the Chest Pain-MI Platinum Achievement Award for the 13th consecutive year, reflecting sustained excellence in acute myocardial infarction care. The Monument Health Cardiology Program cared for 392 AMI cases this year, with Q3 setting a new record of 156 AMIs in a single quarter. Monument Health has participated in the A-Fib "Get With The Guidelines" program through the American Heart Association for three years, achieving the highest honor permitted this year and last. Monument Health Peripheral Vascular Intervention in both Claudication and Critical Limb Ischemia continues to show success with decreased follow-up re-treatment and major amputations. Coronary angiography and PCI volumes showed stability across recent years, reinforcing consistency in cardiovascular services. In-hospital and operative mortality trends for CABG and valve cases continue to be lower than peer benchmarks.Diabetes 195 free community health diabetes risk assessments were completed across 15 community events. Monument Health offered Diabetes Prevention Programs and collaborated with Better Choices Better Health initiatives. Medicare DPP classes began in Fall 2024, alongside a 16-week Pathway to Wellness program in several locations. The annual Diabetes Symposium held in November 2024 was a success, with over 300 participants. The 6th Annual Symposium is planned for November 13, 2025. Hospitalists worked with endocrinologists for effective discharge planning. Nurses were tasked with teaching insulin injection techniques including measuring how often patients self-administered insulin prior to discharge. Implemented Diabetes MyChart Care Companion, a web-based patient support tool for chronic disease management. Added a system-wide Diabetes RN who rounds to support outlying caregivers. New staff, including a DNP and two CNPs, were added to handle inpatient diabetes caseloads. The hospital APP coverage prioritizes care continuity and transition to outpatient services for consulted patients. Continued partnership with nursing triage services for post-hospital diabetes assessments performed during discharge phone calls. Referred identified patients to outpatient diabetes education services per outlined criteria. Regular diabetes outreach clinics were held monthly in seven different communities outside of Rapid City. Standardized and simplified the referral process for both services. Ongoing assessment of caregiver skill sets to determine where additional education is needed to improve and expand services. Implemented Tidepool+ Professional to pull blood glucose and insulin pump data into electronic health records for quicker access, reduced delays and improved chart accuracy.Mental Health Partnered with Signet Health to lead administrative operations, staff training, service expansion, and recruitment. The psychiatric services team expanded with new psychiatrists added in the past year. Efforts focused on ASAM 4.0 certification, optimizing treatment assessments, expanding dual diagnosis services and integrating behavioral health with addiction medicine. The team evaluated the use of additional ACTs under the Licensed Addiction Counselor model. Labor challenges were addressed through active recruitment and collaboration with Talent Acquisition. Safety improvements included anti-ligature modifications, panic buttons, upgraded security systems, hardened infrastructure and psych-safe furniture installations. Clinical programming expanded to seven days per week, incorporating trauma-informed care and CBT principles. Daily schedules were posted, and facility aesthetics were refreshed with paint, wall wraps and redesigned spaces including a trauma-responsive sensory room and safer courtyard. Initiatives included psychiatric nurse certification prep, Mental Health First Aid training, monthly nurse leader development, Lean Board quality spotlight, updated agitation scale, walking rounds and nursing leader rounding. A trauma-responsive restraint chair was introduced and IOP feasibility was evaluated. Referral and admissions processes were streamlined in collaboration with the Transfer Center and Performance Management. A Stoplight Report increased transparency in referral criteria, and PARC was implemented to support disposition and aftercare logistics. Monthly stakeholder meetings supported ongoing improvements. Connections were built with IHS stakeholders, and behavioral health participated in Population Health meetings and joined the Care Campus Advisory Board. Appointment rescheduling processes were optimized, billing gaps were assessed, and IOP service feasibility was reviewed.Access to Medical Services Completed new primary care and urgent care clinic in Box Elder Completed new primary care and urgent care clinic in Rapid Valley Completed phase one of the Spearfish Hospital expansion Finished buildout in Rapid City Flormann Street Clinic to expand Primary CareIn acknowledging the wide range of priority health issues revealed through the CHNA process, Monument Health Rapid City Hospital determined it could only focus on those which it deemed most pressing, most under-addressed, and within the ability to influence. The areas identified during the CHNA process that will not be directly addressed through this implementation plan are disabling conditions, housing, infant health & family planning, injury & violence, oral health, respiratory disease, sexual health and tobacco use. These identified needs are being addressed by other organizations in the community, are outside our core area of expertise or require resources that are not available at this time.
Same Day Surgery CenterPart V, Section B, Line 11: Same Day Surgery Center will address the following two priority areas identified through the most recent CHNA: Cancer and Nutrition, Physical Activity and Weight. Both needs are a continuation of needs identified in the prior CHNA.Teams comprised of representatives from Rapid City Hospital, Same Day Surgery, Monument Health Network, and the community worked on the priority areas selected for each facility's Community Health Improvement Plan (CHIP).Cancer Supported Tough Enough to Wear Pink, transferred funds to MH Foundation (department of MHRCH) to address needs of community cancer patients. Provided screenings and education at community health fairs/events Improved patient education materials, offerings, and practices to focus on the importance of cancer prevention and early detection to reduce cancer incidence in our region Participated in cancer fundraisers and awareness walk(s)Nutrition, Physical Activity and Weight Provided screenings and education at community health fairs/events Participated in food drives and distribution for food-insecure populations Encouraged physical activity through community activities Staff supported Love Inc.'s banquet and baked numerous goods that sold for over $10,000 to donate to local churches and food banks Participate at local shelters to serve and provide food to reduce hunger throughout our communityIn acknowledging the wide range of priority health issues revealed through the CHNA process, Same Day Surgery Center determined it could only focus on those which it deemed most pressing, most under-addressed, and within the ability to influence. The areas identified during the CHNA process that will not be directly addressed through this implementation plan are access to health care, diabetes, heart disease & stroke, housing, infant health & family planning, injury & violence, mental health, oral health, respiratory disease, sexual health, disabling conditions, substance abuse and tobacco use. These identified needs are being addressed by other organizations in the community, are outside our core area of expertise or require resources that are not available at this time.
Monument Health Rapid City Hospital, Inc.Part V, Section B, Line 13h: Must reside within 200 mile radius of the location where the service was received.Presumptive eligibility may be used.
Same Day Surgery CenterPart V, Section B, Line 13h: Must reside within 200 mile radius of the location where the service was received.Presumptive eligibility may be used.
Monument Health Rapid City Hospital, Inc.Part V, Section B, Line 16j: A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, including on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request. The financial assistance policy application form was translated into the primary language spoken by limited English proficient populations. This is posted on the website listed for line 16a.
Same Day Surgery CenterPart V, Section B, Line 16j: A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, including on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request. The financial assistance policy application form was translated into the primary language spoken by limited English proficient populations. This is posted on the website listed for line 16a.
Monument Health Rapid City Hospital, Inc.Part V, Section B, Line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy.
Same Day Surgery CenterPart V, Section B, Line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy.
Part V, Lines 16a-c Monument Health Rapid City HospitalThe Financial Assistance Policy, Application form, and plain language summary are available at https://monument.health/financial-assistance/
Part V, Lines 16a-c Same Day Surgery CenterThe Financial Assistance Policy, Application form, and plain language summary are available at https://www.samedaysurgerycenter.org/community-health-needs-assessment/
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Monument Health Home Care-Hospice House
224 Elk StRapid CtiySD57701End of Life Care
2 - Monument Health Dialysis Center
132 Yankee StSpearfishSD57783Dialysis Center
3 - Monument Health Home Care-Spearfish
1440 North Main StreetSpearfishSD57783End of Life Care
4 - Monument Health Medical Clinic
122 7th AveWallSD57790Clinic
5 - Monument Health Dialysis Center
955 East North StRapid CtiySD57701Dialysis Center

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:References to "Monument Health" apply to all entities controlled by Monument Health, Inc. and its subsidiaries. This includes the reporting entity.Financial assistance debt reduction write-offs for free or discounted care are based on an income matrix utilizing the current Federal Poverty Level (FPL) income guidelines after satisfying applicable co-pay requirements. The income matrix may be updated annually as the FPL income guidelines are released.Presumptive eligibility may be used if all other financial assistance avenues are exhausted.
Part I, Line 6a:Monument Health Rapid City Hospital is included in the community benefit report prepared by Monument Health. This report is available at the facilities and can be found at:https://monument.health/about-us/mission-vision-values/
Part I, Line 7:Ratio of patient care cost to charges is used for the calculation of cost of services provided for lines 7a, 7b and 7g. Actual costs are used for the calculation of costs of services provided for lines 7e and 7i.
Part II, Community Building Activities:Monument Health provides numerous community benefit health events and screenings throughout the Black Hills Region. Monument Health also provides financial support to other nonprofit organizations to help support community health outreach. Additionally, Monument Health provides in-kind support and employee volunteers to help support community health events and activities.
Part III, Line 2:The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concessions based on its historical collection experience with the respective class of patients and residents.
Part III, Line 4:The footnote to the Organization's financial statements that describes implicit price concession is located in the audited financial statement report on pages 15 and 16.
Part III, Line 8:The Medicare surplus or deficit is derived from the actual payments received from the Medicare program for services provided to patients with Medicare coverage. The payments are compared to the actual cost of providing the service as arrived at through the Medicare cost reports. Medical services are provided to patients with Medicare coverage regardless of whether or not a surplus or deficit is realized. Providing Medicare services promotes access to healthcare services which are vitally needed by our communities.
Part III, Line 9b:The collection policy requires invoking of the financial assistance policy (FAP) at any time a patient expresses financial difficulty in meeting their debt obligation. Upon invoking the FAP, all collection activity is suspended. If the patient is approved for charity, then the account is closed out of the collection process and classified as charity. If a patient expresses financial concern but fails to complete the application process, additional notification is sent to the patient prior to re-instituting collection activity. We are following the 501(r) Final Regulations timelines for notifications and collections.
Part VI, Line 2:We gather additional data on needed services from patient surveys, advisory councils and patient and family advisory councils.
Part VI, Line 3:Financial Assistance Program brochures explaining the policy, a copy of the policy and Financial Assistance applications are available at each point of entry. Signs alerting patients to the availability of Financial Assistance are prominently displayed and a plain language summary describing the Financial Assistance program accompanies one billing statement for hospital services sent to the patient. The Financial Assistance policy, plain language summary and Financial Assistance application are provided free upon request and are also available on the hospital website at www.monument.health. Monument Health contracts with Midland Medical Group (an unrelated entity) to meet with uninsured patients to assist them with finding a funding source or applying for financial assistance; and our self-pay outsource partner also communicates any funding and financial assistance opportunities with our patients.
Part VI, Line 4:Monument Health and its affiliates provide health care services to the 360,000 people who live in the Black Hills of South Dakota and the surrounding region, as well as thousands of visitors each year. Monument Health serves a 38-county region comprised of western South Dakota, southeastern Montana, northeastern Wyoming, southwestern North Dakota and northwestern Nebraska.
Part VI, Line 5:Monument Health collaborates with agencies and community-wide coalitions to address prioritized health needs within the communities we serve. Monument Health addresses its community's health needs by: 1) Community members serve on governing boards, advisory councils and family member councils; 2) developing new programs and initiatives to address identified health needs: and 3) promoting an understanding of these health needs among other community organizations and within the public itself. Monument Health also provides financial support to other nonprofit organizations to help support community health outreach. Additionally, Monument Health provides in-kind support and employee volunteers to help support community health events and activities.
Part VI, Line 6:Monument Health is committed to partnering with the communities it serves to meet the needs of each respective community. Monument Health, Inc. is the parent organization of Monument Health Rapid City Hospital, Inc., Monument Health Network, Inc., and Monument Health Physicians, Inc. These corporations work together to meet the health care needs of the region.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
Elevate Rapid City
PO Box 747Rapid CitySD57701460118545501(c)(6)$153,500$0Community development
South Dakota Ellsworth Development Authority
PO Box 477Rapid CitySD57709271166754Other Exempt Entity$10,000$0Community development
American Heart Association Inc
7272 Greenville AveDallasTX75231135613797501(c)(3)$12,250$0Donation
United Way of the Black Hills
621 6th St Suite100Rapid CitySD57701460259754501(c)(3)$12,750$0Donation
SD Governor's Office of Economic Development
711 E Wells AvePierreSD57501466000364Government$15,000$0Donation
Black Hills State University Foundation
1200 University St Unit 9506SpearfishSD57799237428348501(c)(3)$15,063$0Donation
City of Box Elder
420 Villa DrBox ElderSD57719460281490Government$6,000$0Donation
Historic Rapid City
1015 12th StreetRapid CitySD57701460424536501(c)(3)$150,000$0Donation
Central States Fair Inc
800 San Francisco StreetRapid CitySD57701460238981Other Exempt Entity$20,000$0Donation
University Of South Dakota
414 East Clark Street Julian 212VermillionSD57069466000364State of SD$9,250$0Donation
Beef Logic Inc
122 E Sioux Ave Suite BPierreSD57501872043795501(c)(3)$9,000$0Donaiton
Helpline Center Inc
402 Saint Joseph Street Suite 10Rapid CitySD57701237424387501(c)(3)$8,000$0Donation
SDAHO Organizations
3708 West Brooks Place Suite 1Sioux FallsSD57106460254666501(c)(3)$7,500$0Donation
Spearfish Trails Coalition
524 N 7th StreetSpearfishSD57783991114015501(c)(3)$12,500$0Donation
FieldValueIRS element (for citing)
Total501c3 Org11Total501c3OrgCnt
Total Other Org3TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe governing board and management of the receiving organization develop programs which enhance the charitable mission of the organization. Disbursement of grant or contribution funds for these programs are made in accordance with the established procedures within the organization and are subject to the conditions established by the organization's governing board and management. These procedures are developed to ensure that distributed funds are adequately monitored for appropriate usage.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Paulette R Davidson
President & CEO$0$1,209,056$0$518,300$0$204,751$0$236,721$0$30,869$0$2,199,697$0$179,411
Joseph Tuma MD
Physician - Cardiology$1,355,112$0$469,241$0$64,720$0$107,724$0$32,787$0$2,029,584$0$64,720$0
Ethan Levine MD
Physician - Cardiology$1,041,455$0$486,935$0$31,584$0$77,906$0$35,912$0$1,673,792$0$31,584$0
Bhaskar Purushottam MD
Physician - Cardiology$1,250,332$0$141,644$0$79,128$0$102,841$0$38,070$0$1,612,015$0$79,128$0
Siri Knutsen Larson MD
Physician - Dermatology$1,130,800$0$254,066$0$57,461$0$108,024$0$41,982$0$1,592,333$0$57,461$0
Charan Mungara MD
Physician - Cardiology$1,367,409$0$27,500$0$0$0$91,395$0$16,522$0$1,502,826$0$0$0
Brad Archer MD
Chief Medical Officer$673,864$0$207,500$0$90,667$0$104,064$0$29,971$0$1,106,066$0$74,827$0
John Pierce
President Rapid City Hospital and Ma$574,785$0$179,100$0$68,178$0$86,102$0$35,810$0$943,975$0$42,838$0
Patrick Woodard
Chief Information Officer$456,171$0$139,800$0$25,147$0$54,641$0$12,330$0$688,089$0$0$0
Austin Willuweit
Chief Financial Officer$391,653$0$101,700$0$35,242$0$48,706$0$35,461$0$612,762$0$10,367$0
Jacob Weasel MD
Board Member/Employed Physician$452,741$0$7,000$0$34,747$0$38,686$0$33,565$0$566,739$0$34,747$0
Mark A Thompson
Chief Bus Dev Officer Until 12/2024$337,511$0$143,700$0$24,163$0$22,324$0$26,921$0$554,619$0$0$0
Michael Tilles
VP Operations-Rapid City Market$338,452$0$83,300$0$32,155$0$31,505$0$17,391$0$502,803$0$17,436$0
Mark Schulte
VP Rapid City Market$305,392$0$77,800$0$28,776$0$27,916$0$34,915$0$474,799$0$12,226$0
Bobbie Schneller DO
Board Member/Employed Physician$360,549$0$15,358$0$25,378$0$35,129$0$29,172$0$465,586$0$25,378$0
Barbara Hespen
Pres. Custer Market&System CNO$0$256,230$0$81,400$0$21,334$0$26,955$0$30,619$0$416,538$0$0
Tasha Frisinger
VP of Nursing$244,348$0$61,500$0$13,816$0$23,076$0$25,622$0$368,362$0$0$0
Mark Longacre until 53124
VP Operations-Rapid City Market$139,705$0$21$0$19,098$0$9,371$0$12,935$0$181,130$0$14,367$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3The Executive Committee, which is a committee of the Monument Health (parent) Board, reviews and approves base salary and total compensation ranges for all executives within the Monument Health System.
Part I, Line 4bMonument Health provides a supplemental nonqualified retirement plan and a flexible benefit plan that can include deferred compensation for its executives and physicians. The following individuals had amounts deferred into the account as reported in Schedule J, Column C: Paulette Davidson 220,732 Patrick Woodard 46,016 Austin Willuweit 38,388 Brad Archer MD 88,964 Tasha Frisinger 12,640 Mark Longacre 4,097 John Pierce 65,412 Mark Schulte 16,951 Michael Tilles 21,138 Siri Knutsen Larson MD 92,924 Charan Mungara MD 77,595 Bhaskar Purushottam MD 86,852 Ethan Levine MD 67,081 Joseph Tuma MD 88,293 Bobbie Schneller DO 23,205 Barbara Hespen 18,330 Jacob Weasel MD 31,751 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 179,411 Archer Brad MD 74,827 Austin Willuweit 10,367 Mark Longacre 14,367 John Pierce 42,838 Mark Schulte 12,226 Michael Tilles 17,436 Siri Knutsen Larson MD 57,461 Bhaskar Purushottam MD 79,128 Ethan Levine MD 31,584 Joseph Tuma MD 64,720 Bobbie Schneller DO 25,378 Jacob Weasel MD 34,747
Part I, Line 7Executives and Other Employees of System Entities will be eligible to receive annual incentive awards that are competitive with the incentives offered by the organizations in the System's Peer group(s) in accordance with the terms of the Monument Health, Inc. Annual Incentive Plan for Selected Executives and Other Employees (Incentive Plan). In accordance with this plan, the parent Board's Executive Committee will review and approve all incentive compensation performance measures and all awards, if any. The committee ensures that the total compensation, including incentive awards, is reasonable.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
SD Health & Educational Facilities Authority
A46031550983755VE262017-09-07$238,488,122Refund Series 2010 and 2011 Bond; Hospital buildings and equipment000
SD Health & Educational Facilities Authority
B46031550983755VM762020-10-27$138,442,836See Part VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$51,489,122$241,560,080$1,807,893$185,230,960$54,521,22720190Yes (1)Yes (1)Yes (1)
B$19,487,836$139,921,863$1,143,985$85,179,027$53,598,850202300Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)0Yes (1)00.007000.012200.0192000Yes (1)
B00000.004400.000000.00440000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B00000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Date Rebate Computation PerformedIssuer Name: SD Health & Educational Facilities Authority Date the Rebate Computation was Performed: 09/07/2022
Form 990, Schedule K, Part I, Line BDescription of Purpose: Hospital Buildings Constructing and Renovating & Equipment, Refund Series 2015 Bonds and Termination of Interest Rate Swap relating to refunded bond.
Schedule K, Part II, Line 3, Bond AThe issue price on Part I, column (e) is different than the amount on Part II, line 3 due to interest earned during the construction phase on the proceeds of $3,071,958.
Schedule K, Part II, Line 3, Bond BThe issue price on Part I, Column (e) is different than the amount on Part II, Line 3 due to interest earned during the construction phase on the proceeds of $1,479,027.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Amy Kress
Family member of Mark Thompson$19,065Employee compensation0
Becky Sharp
Family member of Mark Thompson$149,452Employee compensation0
Vicki Thompson
Family member of Mark Thompson$31,705Employee compensation0
Alyssa Brunner
Family member of Director$73,476Employee compensation0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$60,613NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b):FormAndLineReferenceDesc
ExplanationColumn B represents the number of contribution received.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 1aThe membership of the Executive Committee of the Corporation shall consist of the following: Chair of the Board of Directors, Vice Chair of the Board of Directors, two other Board members appointed by the Chair, and the Corporation's President. The Chair of the Board of Directors shall serve as the Chair of the Executive Committee. Directors on the Executive Committee shall serve during the term of office they hold which places them on the Executive Committee, or, for the two Chair-appointed members, for a term of one (1) year or until their successors are appointed. The Executive Committee, when the Board of Directors is not in session, shall have and may exercise all of the authority of the Board of Directors, except to the extent, if any, that such authority shall be limited by a motion or resolution of the Board of Directors or that is authority reserved to the Member. It is intended that the powers of the Executive Committee to act for the whole Board be confined to such urgent matters as reasonably should not be deferred until the next regularly-scheduled meeting of the full Board.
Form 990, Part VI, Section A, line 2Paulette Davidson has a business relationship with 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: Barbara Hespen. Jacob Weasel, MD has a business relationship with Paulette Davidson due to his role on the Board of the supporting organization.
Form 990, Part VI, Section A, line 6Monument Health, Inc. is the sole member of Monument Health Rapid City Hospital, Inc.
Form 990, Part VI, Section A, line 7aThe organization's sole member and supporting organization, Monument Health, Inc., appoints the members of Monument Health Rapid City Hospital's governing body. The bylaws require that at least one member of Monument Health Rapid City Hospital's board also serves as a voting member of the sole member's board to better assure the sole member's continued responsiveness to Monument Health Rapid City Hospital.
Form 990, Part VI, Section A, line 7bMonument Health, Inc. provides compliance, governance, financial, and planning support to its Supported Organizations to best assure the functions and services of the Supported Organizations are coordinated and supported in a manner that furthers the shared charitable mission of the Supported Organizations and MHI, as a whole. Monument Health, Inc. has final authority in significant business decisions affecting Supported Organizations.
Form 990, Part VI, Section B, line 11bThe 990 is prepared and reviewed by an independent accounting firm. It is then reviewed internally by management. The Form 990 is further reviewed, prior to filing, by the organization's board of directors through a portal to the organization's internal information system, to which each board member has access. Educational sessions have been provided to board members on how to access the portal.
Form 990, Part VI, Section B, line 12cAs part of the annual disclosure of potential conflicts process, all board members, officers, and management are required to complete an annual disclosure statement on financial interests and conflicting interests. At Board and Board Committee meetings, the meeting agenda includes an initial item "Conflicts of Interest" where the Chair asks members if they have any conflicting interests or financial interests related to an agenda item. If a conflicting or financial interest is disclosed, it is noted in the minutes and there is discussion or determination of whether the disclosure requires the board or committee member to be excused from discussion or action on that agenda item. Board or committee members whose disclosure is found to be a conflict may be invited to speak on the matter by the Chair, but are not permitted to vote on the matter and may be required to leave the meeting during discussion, after they have made any comments invited by the Chair. Failure to comply with the Conflict of Interest policy constitutes grounds for removal from office or membership on the Board or Board Committee and, in the case of all employees, termination of employment.
Form 990, Part VI, Section B, line 15aThe Executive Committee of Monument Health, Inc (MHI; parent) annually engages an independent third party compensation firm to conduct a review of all executives, Vice President level and above, to determine an appropriate compensation range in which their compensation would be established. The independent compensation consultant provided peer group market comparative data for base salary, total cash compensation, benefits and total compensation for executives. The CEO or her designee determines the actual base salary of the executives within the committee-approved base salary range based on experience and performance, providing the total compensation is within the targeted market percentile, e.g. 50th percentile. Each year, the independent consultant meets with Committee members and presents data upon which the Committee determines all elements of compensation for the member's CEO (base salary, total cash compensation, benefits and total compensation) and reaffirms the organization's executive compensation philosophy, which includes the targeted market percentile for all other executives. Actual compensation is paid by Monument Health Rapid City Hospital and charged to Monument Health, Inc.
Form 990, Part VI, Section C, line 19The Articles of Incorporation of the organization are filed in the office of the Secretary of State of South Dakota and are available to the public from the Office of the Secretary of State. Other documents (Bylaws, conflict of interest policy and financial statements) are not posted for the public but are available or described in other public documents or sites such as offering statements in bond issues or municipal securities rulemaking board's electronic municipal market access (EMMA) data port.
Form 990, Part IX, line 11gContract labor: Program service expenses 96,189,465. Management and general expenses 234,103. Fundraising expenses 0. Total expenses 96,423,568. Professional Fees: Program service expenses 122,202. Management and general expenses 636,935. Fundraising expenses 0. Total expenses 759,137. Purchased Service: Program service expenses 28,596,756. Management and general expenses 27,519,034. Fundraising expenses 81. Total expenses 56,115,871.
Form 990, Part XI, line 9:Released from restriction -7,937,724. Reverse Auxiliary net income 5,050. Record Accum. Pension Liability -8,473,228. Reverse Medical Staff Net Income -87,105.
Form 990, Part X, Line 20:The issue price of the bonds includes the filing organization's share of the entire bond issue, which was issued to Monument Health, Inc. on behalf of the Monument Health Obligated Group. The Monument Health Obligated Group consists of Monument Health, Inc., Monument Health Rapid City Hospital, Inc., Monument Health Network, Inc. and Monument Health Physicians, Inc. In accordance with the IRS instructions, information related to the tax exempt bond reporting is being reported on the Monument Health Rapid City Hospital, Inc. tax return.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Monument Health Home Plus LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12925 Regional Way PO Box 6000AddressLine1Txt
CityRapid CityCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57701ZIPCd
FieldValueIRS element (for citing)
EIN364841157EIN
Primary ActivitiesHealthcare ServicesPrimaryActivitiesTxt
Legal Domicile StateSDLegalDomicileStateCd
Total Income$161,563,402TotalIncomeAmt
End Of Year Assets$17,551,936EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Monument Health Rapid City Hospital IncBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Monument Health Inc
353 Fairmont BlvdRapid CitySD57701201487506HealthcareSD501(c)(3)Line 12c, III-FIN/A0
Monument Health Network Inc
353 Fairmont BlvdRapid CitySD57701460360899HealthcareSD501(c)(3)Line 30Monument Health Inc
Monument Health Physicians Inc
353 Fairmont BlvdRapid CitySD57701460372454HealthcareSD501(c)(3)PF0Monument Health Inc

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Same Day Surgery Center
651 Cathedral DriveRapid CitySD57701411889892Medical ServicesSDMonument Health Rapid City Hospital IncRELATED$1,998,194$1,423,8540Yes (1)0.40000
Medical & Dental Building
2805 S 5th StRapid CitySD57701460339629Medical Office BldgSDMonument Health Rapid City Hospital IncInvestment$554,771$1,707,0820Yes (1)0.71450
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (1)DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Same Day Surgery Center
F$2,360,000FMV
Medical & Dental Building
P$571,608FMV
Same Day Surgery Center
L$5,998,622FMV