Civic Intelligence

Monument Health Inc

EIN 20-1487506 • 501(c)3 • Rapid City, SD

Profile

Our vision at Monument Health is to be one team, to listen, to be inclusive, and to show we care. Monument Health is dedicated to improving the health of individuals and our communities.

PO Box 6000Rapid City, SD 57709-6000

monument.health

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

100th percentile

4216.35x

Higher debt load relative to assets than 100% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

70th percentile

0.25x

Higher debt load relative to revenue than 70% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

27th percentile

-6.1%

Higher net margin than 27% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

100th percentile

$1,980,795

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 79.1% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Asset Growth

11th percentile

-18%

Faster asset growth than 11% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

67th percentile

20%

Faster revenue growth than 67% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Assets

Down

$148

Down $33 (-18%) from 2023

Liabilities

Up

$624,020

Up $151,501 (+32%) from 2023

Net Assets

Down

-$623,872

Down $151,534 (-32%) from 2023

Revenue

Up

$2,502,847

Up $416,335 (+20%) from 2023

Expenses

Up

$2,654,381

Up $413,354 (+18%) from 2023

Net Income

Up

-$151,534

Up $2,981 (+1.9%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$1.5M$1.0M$500K$0-$500K-$1.0MAssets 2010: $0Liabilities 2010: $387,928Net Assets 2010: -$387,9282010Assets 2011: $0Liabilities 2011: $140,933Net Assets 2011: -$140,9332011Assets 2012: $171,967Liabilities 2012: $273,400Net Assets 2012: -$101,4332012Assets 2013: $183,450Liabilities 2013: $168,029Net Assets 2013: $15,4212013Assets 2014: $193,699Liabilities 2014: $178,277Net Assets 2014: $15,4222014Assets 2015: $141,743Liabilities 2015: $118,950Net Assets 2015: $22,7932015Assets 2016: $205,297Liabilities 2016: $91,339Net Assets 2016: $113,9582016Assets 2017: $587,996Liabilities 2017: $459,029Net Assets 2017: $128,9672017Assets 2018: $168,389Liabilities 2018: -$5,164Net Assets 2018: $173,5532018Assets 2019: $363,547Liabilities 2019: $538,535Net Assets 2019: -$174,9882019Assets 2020: $973,259Liabilities 2020: $1,291,082Net Assets 2020: -$317,8232020Assets 2021: $75Liabilities 2021: $317,898Net Assets 2021: -$317,8232021Assets 2022: -$1,167Liabilities 2022: $316,656Net Assets 2022: -$317,8232022Assets 2023: $181Liabilities 2023: $472,519Net Assets 2023: -$472,3382023Assets 2024: $148Liabilities 2024: $624,020Net Assets 2024: -$623,8722024

Highlighted filing

2024

Assets$148
Liabilities$624,020
Net Assets-$623,872

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2010: $1,016,8622010Expenses 2011: $900,7912011Revenue 2012: $1,283,334Expenses 2012: $1,243,834Net Income 2012: $39,5002012Expenses 2013: $1,098,9302013Revenue 2014: $1,288,921Expenses 2014: $1,288,920Net Income 2014: $12014Revenue 2015: $1,399,897Expenses 2015: $1,392,526Net Income 2015: $7,3712015Revenue 2016: $1,176,595Expenses 2016: $1,085,430Net Income 2016: $91,1652016Revenue 2017: $2,063,455Expenses 2017: $2,048,446Net Income 2017: $15,0092017Revenue 2018: $1,980,911Expenses 2018: $1,936,325Net Income 2018: $44,5862018Revenue 2019: $2,604,437Expenses 2019: $2,952,978Net Income 2019: -$348,5412019Revenue 2020: $1,672,296Expenses 2020: $1,815,131Net Income 2020: -$142,8352020Revenue 2021: $1,982,515Expenses 2021: $1,982,515Net Income 2021: $02021Revenue 2022: $2,070,299Expenses 2022: $2,070,299Net Income 2022: $02022Revenue 2023: $2,086,512Expenses 2023: $2,241,027Net Income 2023: -$154,5152023Revenue 2024: $2,502,847Expenses 2024: $2,654,381Net Income 2024: -$151,5342024

Highlighted filing

2024

Revenue$2,502,847
Expenses$2,654,381
Net Income-$151,534

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0.00$0.62$0.62$2.50$2.65$0.15
2023Detailed filing. Detailed filing data is available for this year.$0.00$0.47$0.47$2.09$2.24$0.15
2022Detailed filing. Detailed filing data is available for this year.$0.00$0.32$0.32$2.07$2.07$0.00
2021Detailed filing. Detailed filing data is available for this year.$0.00$0.32$0.32$1.98$1.98$0.00
2020Detailed filing. Detailed filing data is available for this year.$0.97$1.29$0.32$1.67$1.82$0.14
2019Detailed filing. Detailed filing data is available for this year.$0.36$0.54$0.17$2.60$2.95$0.35
2018Detailed filing. Detailed filing data is available for this year.$0.17$0.01$0.17$1.98$1.94$0.04
2017Detailed filing. Detailed filing data is available for this year.$0.59$0.46$0.13$2.06$2.05$0.02
2016Detailed filing. Detailed filing data is available for this year.$0.21$0.09$0.11$1.18$1.09$0.09
2015Detailed filing. Detailed filing data is available for this year.$0.14$0.12$0.02$1.40$1.39$0.01
2014Detailed filing. Detailed filing data is available for this year.$0.19$0.18$0.02$1.29$1.29$0.00
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.18$0.17$0.02$1.10
2012Summary only. Only limited summary data is available for this year.$0.17$0.27$0.10$1.28$1.24$0.04
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.14$0.14$0.90
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.39$0.39$1.02
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 14, 2025
Return Version
2023v6.0
Gross Receipts
$2,502,847
Mission and Program Overview

Mission

Our vision at Monument Health is to be one team, to listen, to be inclusive, and to show we care. Monument Health is dedicated to improving the health of individuals and our communities. Values: Trust, Respect, Compassion, Community, Excellence

Monument Health is dedicated to improving the health of individuals and our communities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Pledges and Grants Receivable$181$148▼ $33
Total Assets$181$148▼ $33
Liabilities
Other Liabilities$330,397$463,441▲ $133,044
Accounts Payable and Accrued Expenses$142,122$160,579▲ $18,457
Total Liabilities$472,519$624,020▲ $151,501
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-472,338$-623,872▼ $151,534
Total Net Assets Fund Balance$-472,338$-623,872▼ $151,534
Total Liabilities and Net Assets / Fund Balance$181$148▼ $33
Compensation and Service Providers

Employees

NameTitleBaseOtherTotal
Paulette DavidsonPresident and CEO$1,158,268$822,527$1,980,795
Lewis TrowbridgeDirector-$30,000$30,000
Donald Warne MDDirector-$30,000$30,000
Glenn FosdickDirector-$15,000$15,000
Charles Voigt MDDirector; Contingent Physician-$12,688$12,688
Paula Santrach MDDirector-$3,750$3,750

Board Members and Trustees

NameTitle
Pat BurchillChairman
Barbara HespenPresident Custer Market/System CNO
Dave EmeryVice Chair
Deidre BudahlDirector
Donald HabbeDirector
Dusty PetersenDirector
Rick TysdalDirector
Robert HaivalaDirector
Mark A ThompsonCFO/CBDO From 01/2024
Patrick WoodardChief Healthcare Information Officer
Brad Archer MDChief Medical Officer
Nicole KerkenbushFormer CNPO/Performance Officer
Austin WilluweitVP Finance/CFO From 01/2024
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$2,502,847
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-151,534
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,212,251
Other Expenses$442,130
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$2,029,508--$2,029,508
Fees for Services Management$104,250--$104,250
Other Salaries and Wages$73,744--$73,744
Other Employee Benefits$67,333--$67,333
Travel$59,387--$59,387
Payroll Taxes$41,666--$41,666
Fees for Services Other$26,041--$26,041
Office Expenses$25,757--$25,757
Insurance$4,275--$4,275
Other Expenses$3,377--$3,377
Total Functional Expenses$2,654,381$0$0$2,654,381
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany payable$463,441
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 1A

The Executive Committee of the Corporation shall consist of at least the following: Chair of the Board of Directors, Vice Chair, if any, and Chief Executive Officer. Two additional independent Directors (or, in the absence of an elected Vice Chair, three additional independent Directors) may be appointed to the Committee by the Chair. For purposes of this Committee's membership, "independent" shall mean a Board member who is 1) not an employee of any System entity; 2) is not a family member of any management employee (Director level or above) of any System entity; 3) is not a practicing physician within the geographical area served by the System; and 4) does not have financial or conflicting interests in matters that routinely fall within the Committee's duties. The Chair of the Board of Directors shall serve as 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 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 final 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 and except also that the Executive Committee shall not have the authority of the Board of Directors to: amend the Articles of Incorporation or Bylaws of the Corporation, adopt a plan of merger, consolidation, or affiliation for this Corporation or any Affiliate, sell, lease or otherwise dispose of all or substantially all of the property and assets of the Corporation or any Affiliate; or voluntarily dissolve the Corporation or revoke the same. Additionally, the Executive Committee oversees and makes recommendations to the Board on aspects of executive compensation and has the delegated authority of the Board to engage compensation consultants; approve compensation and benefits of Committee designated executives including the Chief Executive Officer; and determine fair market value ranges and/or reasonable compensation for transactions involving Directors on a System Board or other persons/entities that are potentially disqualified persons.

Form 990, Part VI, Section A, line 2

Paulette Davidson has a business relationship with the following individuals due to being the CEO of the supporting organization that exercises reserve powers over the supported organizations that employ each of these key employees: Brad Archer, MD; Nicole Kerkenbush; Mark Thompson; Patrick Woodard; Austin Willuweit; Barbara Hespen, and employed Board Members Donald Warne, MD and Charles Voigt.

Form 990, Part VI, Section B, line 11B

The 990 is prepared and reviewed by an independent accounting firm. It is then reviewed internally by management. The Form 990 is further reviewed, prior to filing, by the organization's board of directors through a portal to the organization's internal information system, to which each board member has access. Educational sessions have been provided to board members on how to access the portal.

Form 990, Part VI, Section B, line 12C

As part of the annual disclosure of potential conflicts process, all board members, officers, and management are required to complete an annual disclosure statement on financial interests and conflicting interests. At Board and Board Committee meetings, the meeting agenda includes an initial item "Conflicts of Interest" where the Chair asks members if they have any conflicting interests or financial interests related to an agenda item. If a conflicting or financial interest is disclosed, it is noted in the minutes and there is discussion or determination of whether the disclosure requires the board or committee member to be excused from discussion or action on that agenda item. Board or committee members whose disclosure is found to be a conflict may be invited to speak on the matter by the Chair, but are not permitted to vote on the matter and may be required to leave the meeting during discussion, after they have made any comments invited by the Chair. Failure to comply with the Conflict of Interest policy constitutes grounds for removal from office or membership on the Board or Board Committee and, in the case of all employees, termination of employment.

Form 990, Part VI, Section B, line 15A

The Executive Committee of Monument Health, Inc (MHI; parent) annually engages an independent third party compensation firm to conduct a review of all executives, Vice President level and above, to determine an appropriate compensation range in which their compensation would be established. The independent compensation consultant provided peer group market comparative data for base salary, total cash compensation, benefits and total compensation for executives. The CEO or her designee determines the actual base salary of the executives within the committee-approved base salary range based on experience and performance, providing the total compensation is within the targeted market percentile, e.g. 50th percentile. Each year, the independent consultant meets with Committee members and presents data upon which the Committee determines all elements of compensation for the member's CEO (base salary, total cash compensation, benefits and total compensation) and reaffirms the organization's executive compensation philosophy, which includes the targeted market percentile for all other executives. Actual compensation is paid by Monument Health Rapid City Hospital and charged to Monument Health, Inc.

Form 990, Part VI, Section C, line 19

The Articles of Incorporation of the organization are filed in the office of the Secretary of State of South Dakota and are available to the public from the Office of the Secretary of State. Other documents (Bylaws, conflict of interest policy and financial statements) are not posted for the public but are available or described in other public documents or sites such as offering statements in bond issues or municipal securities rulemaking board's electronic municipal market access (EMMA) data port.

Filing and Contact Details

Filer

Filer Name
Monument Health Inc
EIN
20-1487506
Phone
6057559130
Address
PO Box 6000, Rapid City, SD 57709-6000

Signing Officer

Name
Austin Willuweit
Title
CFO
Phone
6057559130
Signed
2025-05-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Paulette Davidson
Formed
2003
Legal Domicile
Sd
Voting Board Members
13
Independent Board Members
10
Employees
2
Volunteers
9

Preparer

Firm
Eide Bailly LLP
Address
800 Nicollet Mall Ste 1300, Minneapolis, MN 55402-7033
Preparer
Kim Hunwardsen CPA
Phone
6122536500
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 1A:

All 1099's are issued centrally by Monument Health Rapid City Hospital,Inc., a related organization.

Form 990, Part V, Line 2A:

Number of employees on W-3: Monument Health, Inc., has its own employees, however, compensation is paid by Monument Health Rapid City Hospital, the common payroll agent.

Form 990, Part X, Line 20:

Monument Health, Inc. is part of the Monument Health, Inc. Obligated Group which consists of Monument Health, Inc., Monument Health Rapid City Hospital, Inc., Monument Health Network, Inc., and Monument Health Physicians, Inc. Monument Health, Inc. was not allocated any share of the bond issue, and thus does not have an amount on line 20.

Financial Statement Notes

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.

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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1752663
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1817642
IRS990/Form990PartVIISectionAGrp/PersonNm0Paulette Davidson
IRS990/Form990PartVIISectionAGrp/PersonNm1Charles Voigt MD
IRS990/Form990PartVIISectionAGrp/PersonNm2Lewis Trowbridge
IRS990/Form990PartVIISectionAGrp/PersonNm3Donald Warne MD
IRS990/Form990PartVIISectionAGrp/PersonNm4Glenn Fosdick
IRS990/Form990PartVIISectionAGrp/PersonNm5Paula Santrach MD
IRS990/Form990PartVIISectionAGrp/PersonNm6Pat Burchill
IRS990/Form990PartVIISectionAGrp/PersonNm7Rick Tysdal
IRS990/Form990PartVIISectionAGrp/PersonNm8Dusty Petersen
IRS990/Form990PartVIISectionAGrp/PersonNm9Dave Emery
IRS990/Form990PartVIISectionAGrp/PersonNm10Robert Haivala
IRS990/Form990PartVIISectionAGrp/PersonNm11Donald Habbe
IRS990/Form990PartVIISectionAGrp/PersonNm12Deidre Budahl
IRS990/Form990PartVIISectionAGrp/PersonNm13Mark A Thompson
IRS990/Form990PartVIISectionAGrp/PersonNm14Austin Willuweit
IRS990/Form990PartVIISectionAGrp/PersonNm15Patrick Woodard
IRS990/Form990PartVIISectionAGrp/PersonNm16Brad Archer MD
IRS990/Form990PartVIISectionAGrp/PersonNm17Barbara Hespen
IRS990/Form990PartVIISectionAGrp/PersonNm18Nicole Kerkenbush
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt01727313
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt160
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt170
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt180
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt112688
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt230000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt330000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt415000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt53750
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt13868581
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt14340040
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt15565975
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt16876666
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt17276143
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt18203850
IRS990/Form990PartVIISectionAGrp/TitleTxt0President and CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1Director; Contingent Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt2Director
IRS990/Form990PartVIISectionAGrp/TitleTxt3Director
IRS990/Form990PartVIISectionAGrp/TitleTxt4Director
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director
IRS990/Form990PartVIISectionAGrp/TitleTxt6Chairman
IRS990/Form990PartVIISectionAGrp/TitleTxt7Director
IRS990/Form990PartVIISectionAGrp/TitleTxt8Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9Vice Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt10Director
IRS990/Form990PartVIISectionAGrp/TitleTxt11Director
IRS990/Form990PartVIISectionAGrp/TitleTxt12Director
IRS990/Form990PartVIISectionAGrp/TitleTxt13CFO/CBDO From 01/2024
IRS990/Form990PartVIISectionAGrp/TitleTxt14VP Finance/CFO From 01/2024
IRS990/Form990PartVIISectionAGrp/TitleTxt15Chief Healthcare Information Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt16Chief Medical Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt17President Custer Market/System CNO
IRS990/Form990PartVIISectionAGrp/TitleTxt18Former CNPO/Performance Officer
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr02003
IRS990/FormerOfcrEmployeesListedInd01
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt013
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt02502847
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt010
IRS990/IndivRcvdGreaterThan100KCnt01
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartVInd0X
IRS990/InfoInScheduleOPartXInd0X
IRS990/InsuranceGrp/ProgramServicesAmt04275
IRS990/InsuranceGrp/TotalAmt04275
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0SD
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0Our vision at Monument Health is to be one team, to listen, to be inclusive, and to show we care. Monument Health is dedicated to improving the health of individuals and our communities.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0-472338
IRS990/NetAssetsOrFundBalancesEOYAmt0-623872
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0-472338
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0-623872
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/ProgramServicesAmt025757
IRS990/OfficeExpensesGrp/TotalAmt025757
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt067333
IRS990/OtherEmployeeBenefitsGrp/TotalAmt067333
IRS990/OtherExpensesGrp/Desc0Miscellaneous
IRS990/OtherExpensesGrp/Desc1Interco. Charges
IRS990/OtherExpensesGrp/Desc2Medical supplies
IRS990/OtherExpensesGrp/ProgramServicesAmt0151531
IRS990/OtherExpensesGrp/ProgramServicesAmt167512
IRS990/OtherExpensesGrp/ProgramServicesAmt23377
IRS990/OtherExpensesGrp/TotalAmt0151531
IRS990/OtherExpensesGrp/TotalAmt167512
IRS990/OtherExpensesGrp/TotalAmt23377
IRS990/OtherLiabilitiesGrp/BOYAmt0330397
IRS990/OtherLiabilitiesGrp/EOYAmt0463441
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt073744
IRS990/OtherSalariesAndWagesGrp/TotalAmt073744
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ProgramServicesAmt041666
IRS990/PayrollTaxesGrp/TotalAmt041666
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt0181
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt0148
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0Paulette Davidson
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0561000
IRS990/ProgramServiceRevenueGrp/Desc0Management Fees
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt02502847
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt02502847
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt0271710
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt02086512
IRS990/PYRevenuesLessExpensesAmt0-154515
IRS990/PYSalariesCompEmpBnftPaidAmt01969317
IRS990/PYTotalExpensesAmt02241027
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt02086512
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-151534
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd01
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt02502847
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd01
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd00
IRS990ScheduleA/Form990SchAType3FuncIntGrp/AppointElectMajorityOfficerInd01
IRS990ScheduleA/Form990SchAType3FuncIntGrp/ExerciseDirectionPoliciesInd01
IRS990ScheduleA/Form990SchAType3FuncIntGrp/ParentSupportedOrgInd0X
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/OfficersCloseRelationshipInd01
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/SupportedOrgVoiceInvestmentInd01
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/TimelyProvidedDocumentsInd01
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0The Corporations' activities shall be in furtherance of the purposes set forth in Section 509(a)(3)(A) of the Code; that is, the Corporation is organized and at all times shall be operated exclusively for the benefit of, to perform the functions of, and/or to carry out the purposes of Monument Health Rapid City Hospital, Inc., and Monument Health Network, Inc. (collectively, the Publicly Supported Organizations), so long as the Publicly Supported Organizations are exempt from federal income taxation under Section 501(a) or Section 509(a)(2) of the Code.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1MHI and its supported organizations use "System" Committees which require that at least one Board member of MHI and each of its supported organizations be a member of the System Committee. During FY24 a board member of MHI and each of its supported organizations served on the System Finance and Investment Committee. The overlapping membership on the corporate boards and the use of System Committees give the supported organizations a significant voice in decision-making.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt2MHI and its supported organizations use a system governance committee whose membership consists of the chair and vice chair of MHI and the chair and vice chair of each of the boards of its supported organizations. The governance committee annually evaluates the performance of the MHI board and the boards of its supported organizations and makes recommendations to the MHI board of directors for the appointment or reappointments of members of both the MHI board and the boards of its supported organizations as the terms of their respective members expire or become vacant. The MHI board then makes the final selection, typically accepting the recommendation of the governance committee.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt3The MHI board, as the sole member of each of its supported organizations, exercises a substantial degree of direction over the policies, programs and activities of each supported organization through reserved powers stated in the articles of incorporation of each supported organization. The reserve powers include approval of amendments to the articles of incorporation, bylaws, mission, vision and values of the supported organizations; appointment of the members of the boards of the supported organizations; selection of the independent auditor of all the related organizations; approval of the capital and operating budgets of the supported organizations; provision of all treasury functions; authority to establish plans, processes and policies related to business strategy, corporate compliance, human resources, performance improvement, customer satisfaction, risk management and safety; and authority to approve expenditures over certain monetary thresholds as well as the incurrence of debt or entry into affiliations, joint ventures and mergers.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Part IV, Section A, Line 1:
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1Part IV, Section D, Line 3
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc2Part IV, Section E, Line 3a
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc3Part IV, Section E, Line 3b
IRS990ScheduleA/IRSWrittenDeterminationInd0X
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt02
IRS990ScheduleA/SupportedOrganizationsTotalCnt02
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0460319070
IRS990ScheduleA/SupportedOrgInformationGrp/EIN1460360899
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd11
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd13
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt10
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt02166692
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt1487688
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0Monument Health Rapid City Hospital Inc
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1Monument Health Network Inc
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType3FuncIntInd0X
IRS990ScheduleA/SupportSumAmt02654380
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0463441
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Intercompany payable
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0References 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.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X, Line 2:
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IRS990ScheduleD/TotalLiabilityAmt0463441
IRS990ScheduleJ/AnyNonFixedPaymentsInd01
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IRS990ScheduleJ/ClubDuesOrFeesInd0X
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IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/CompensationCommitteeInd0X
IRS990ScheduleJ/CompensationSurveyInd0X
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/IndependentConsultantInd0X
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt01158268
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt30

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