Civic Intelligence

Monument Health Network Inc

EIN 46-0360899 • 501(c)3 • Rapid City, SD

Profile

Our vision at Monument Health Network is to be one team, to listen, to be inclusive, and to show we care. Monument Health Network 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

65th percentile

0.43x

Higher debt load relative to assets than 65% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

42nd percentile

0.31x

Higher debt load relative to revenue than 42% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

56th percentile

6.6%

Higher net margin than 56% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

91st percentile

$1,980,795

Higher top officer pay than 91% of similar nonprofits.

Top officer pay equals 0.9% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

81st percentile

16%

Faster asset growth than 81% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

39th percentile

4.5%

Faster revenue growth than 39% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$160,854,015

Up $21,932,851 (+16%) from 2023

Liabilities

Up

$69,300,423

Up $7,657,835 (+12%) from 2023

Net Assets

Up

$91,553,592

Up $14,275,016 (+18%) from 2023

Revenue

Up

$220,042,314

Up $9,379,330 (+4.5%) from 2023

Expenses

Up

$205,549,800

Up $4,789,946 (+2.4%) from 2023

Net Income

Up

$14,492,514

Up $4,589,384 (+46%) from 2023

Trend Graphs

Balance Sheet Trend

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

$200M$150M$100M$50M$0Assets 2010: $66,045,693Liabilities 2010: $48,757,420Net Assets 2010: $17,288,2732010Assets 2011: $49,482,747Liabilities 2011: $35,120,295Net Assets 2011: $14,362,4522011Assets 2012: $52,913,755Liabilities 2012: $29,103,824Net Assets 2012: $23,809,9312012Assets 2013: $54,401,427Liabilities 2013: $22,563,806Net Assets 2013: $31,837,6212013Assets 2014: $59,173,816Liabilities 2014: $17,753,987Net Assets 2014: $41,419,8292014Assets 2015: $64,461,705Liabilities 2015: $7,711,989Net Assets 2015: $56,749,7162015Assets 2016: $78,958,381Liabilities 2016: $7,681,560Net Assets 2016: $71,276,8212016Assets 2017: $81,174,246Liabilities 2017: $14,247,152Net Assets 2017: $66,927,0942017Assets 2018: $120,880,142Liabilities 2018: $62,164,847Net Assets 2018: $58,715,2952018Assets 2019: $125,732,103Liabilities 2019: $74,174,612Net Assets 2019: $51,557,4912019Assets 2020: $148,333,045Liabilities 2020: $93,662,816Net Assets 2020: $54,670,2292020Assets 2021: $114,799,210Liabilities 2021: $60,375,017Net Assets 2021: $54,424,1932021Assets 2022: $129,627,485Liabilities 2022: $62,387,693Net Assets 2022: $67,239,7922022Assets 2023: $138,921,164Liabilities 2023: $61,642,588Net Assets 2023: $77,278,5762023Assets 2024: $160,854,015Liabilities 2024: $69,300,423Net Assets 2024: $91,553,5922024

Highlighted filing

2024

Assets$160,854,015
Liabilities$69,300,423
Net Assets$91,553,592

Operations Trend

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

$300M$200M$100M$0-$100MExpenses 2010: $80,482,6022010Expenses 2011: $77,935,0932011Expenses 2012: $73,867,0672012Expenses 2013: $83,059,6422013Revenue 2014: $98,558,533Expenses 2014: $88,976,325Net Income 2014: $9,582,2082014Revenue 2015: $113,193,030Expenses 2015: $97,859,625Net Income 2015: $15,333,4052015Revenue 2016: $159,025,098Expenses 2016: $152,846,710Net Income 2016: $6,178,3882016Revenue 2017: $155,583,273Expenses 2017: $159,946,712Net Income 2017: -$4,363,4392017Revenue 2018: $155,989,796Expenses 2018: $165,951,699Net Income 2018: -$9,961,9032018Revenue 2019: $159,898,560Expenses 2019: $166,735,937Net Income 2019: -$6,837,3772019Revenue 2020: $173,170,795Expenses 2020: $169,778,103Net Income 2020: $3,392,6922020Revenue 2021: $184,187,235Expenses 2021: $184,472,274Net Income 2021: -$285,0392021Revenue 2022: $208,192,046Expenses 2022: $194,977,719Net Income 2022: $13,214,3272022Revenue 2023: $210,662,984Expenses 2023: $200,759,854Net Income 2023: $9,903,1302023Revenue 2024: $220,042,314Expenses 2024: $205,549,800Net Income 2024: $14,492,5142024

Highlighted filing

2024

Revenue$220,042,314
Expenses$205,549,800
Net Income$14,492,514

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$161$69.3$91.6$220$206$14.5
2023Detailed filing. Detailed filing data is available for this year.$139$61.6$77.3$211$201$9.90
2022Detailed filing. Detailed filing data is available for this year.$130$62.4$67.2$208$195$13.2
2021Detailed filing. Detailed filing data is available for this year.$115$60.4$54.4$184$184$0.29
2020Detailed filing. Detailed filing data is available for this year.$148$93.7$54.7$173$170$3.39
2019Detailed filing. Detailed filing data is available for this year.$126$74.2$51.6$160$167$6.84
2018Detailed filing. Detailed filing data is available for this year.$121$62.2$58.7$156$166$9.96
2017Detailed filing. Detailed filing data is available for this year.$81.2$14.2$66.9$156$160$4.36
2016Detailed filing. Detailed filing data is available for this year.$79.0$7.68$71.3$159$153$6.18
2015Detailed filing. Detailed filing data is available for this year.$64.5$7.71$56.7$113$97.9$15.3
2014Detailed filing. Detailed filing data is available for this year.$59.2$17.8$41.4$98.6$89.0$9.58
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$54.4$22.6$31.8$83.1
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$52.9$29.1$23.8$73.9
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$49.5$35.1$14.4$77.9
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$66.0$48.8$17.3$80.5
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
$220,051,666
Mission and Program Overview

Mission

To provide and support health care excellence in partnership with the communities we serve.

Improving the health of individuals and our communities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$63,622,032$65,029,419▲ $1,407,387
Accounts Receivable$24,650,265$35,257,955▲ $10,607,690
Inventories for Sale or Use$3,220,393$2,805,944▼ $414,449
Investments Other Securities$1,497,372$1,751,101▲ $253,729
Prepaid Expenses and Deferred Charges$859,689$942,882▲ $83,193
Cash and Non-Interest-Bearing Accounts$4,924,404$353,007▼ $4,571,397
Intangible Assets$54,656$54,656→ $0
Investments Program Related$28,698--
Total Assets$138,921,164$160,854,015▲ $21,932,851
Other Assets Total$40,063,655$54,659,051▲ $14,595,396
Liabilities
Other Liabilities$43,532,848$43,744,379▲ $211,531
Accounts Payable and Accrued Expenses$18,109,740$25,556,044▲ $7,446,304
Total Liabilities$61,642,588$69,300,423▲ $7,657,835
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$76,888,282$91,138,086▲ $14,249,804
Net Assets With Donor Restrictions$390,294$415,506▲ $25,212
Total Net Assets Fund Balance$77,278,576$91,553,592▲ $14,275,016
Total Liabilities and Net Assets / Fund Balance$138,921,164$160,854,015▲ $21,932,851

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$36,614,911$44,350,029$80,964,940
Equipment$10,974,335$40,296,097$51,270,432
Land$9,757,287-$9,757,287
Other Land Buildings$7,682,886$1,094,828$8,777,714
Other Assets Org$54,659,051--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$187,372-▼ $25,274-$162,098
2022$191,358-▼ $3,986-$187,372
2021$191,795-▼ $437-$191,358
2020$152,792-▲ $39,003-$191,795
2019$156,625-▼ $3,833-$152,792
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Ray Jensen MDPhysician - Orthopedic SurgeryFT$1,754,532$219,131$1,973,663
Andrew VanOsdol MDPhysician - SurgeryFT$1,006,591$145,613$1,152,204
Christopher Milnes MDPhysician - RadiologistFT$973,291$110,244$1,083,535
Wesley BadgerPhysician -SurgeryFT$939,710$118,710$1,058,420
Garrett CoxPhysician - RadiologistFT$874,733$148,014$1,022,747
Thomas WorsleyPres Spearfish Hosp/Hills MarketsFT$427,446$231,990$659,436
Heather Brewer MDBoard member/Employed PhysicianFT$480,888$139,008$619,896
Jason KnudsonBoard Member/Employed PhysicianFT$327,849$96,100$423,949
Mark SchmidtPres Sturgis, Lead-Deadwood MarketFT$274,831$129,329$404,160
Barbara HespenPres Custer Market/System CNOFT$222,768$106,037$328,805
Charles Lewis DOBoard Member/Employed PhysicianFT$255,264$19,951$275,215

Board Members and Trustees

NameTitle
Kathryn JohnsonBoard member-Chair
Paulette DavidsonPresident and CEO
Dan LiekvoldBoard member
Fred LamphereBoard member
Kenneth MeiroseBoard Member
John WilliamsBoard member From 12/2023
Steven WilliamsBoard Member Until 12/2023
Mark A ThompsonCFO/CBDO From 01/2024
Patrick WoodardChief Healthcare Infor. Officer
Brad Archer MDChief Medical Officer
Nicole KerkenbushFormer-CNPO/Performance Officer
Austin WilluweitVP Finance/CFO from 01/2024
Mark SchulteVP Rapid city market

Highest Paid Contractors

ContractorServicesLocationCompensation
Travel Nurse Across American LLCContract labor5020 Northshore Drive, North Little Rock, AR 72118$5,517,972
Morrison Management Specialists IncProfessional servicesPO Box 102289, Atlanta, GA 30368$2,628,920
Scull Construction Service IncConstruction803 Industrial Ave, Rapid City, SD 57702$1,978,258
Engineers-Architects PCProfessional services3100 DeMers Avenue, Grand Forks, ND 58201$1,289,531
Weatherby Medical StaffingContract laborPO Box 972633, Dallas, TX 75397$1,231,152
Revenue and Support

Revenue Composition

Contributions and Grants
$1,030,788
Program Service Revenue
$218,968,659
Investment Income
$17,671
Other Revenue
$25,196
All Other Contributions
$43,824
Change in Net Assets
$14,492,514
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$113,758,500
Other Expenses$91,786,200
Grants and Similar Amounts Paid$5,100
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$82,728,390$7,465,394-$90,193,784
Other Employee Benefits$12,416,235$1,285,572-$13,701,807
Fees for Services Other$12,375,393$235,986-$12,611,379
Occupancy$3,487,523$2,375,257-$5,862,780
Office Expenses$5,044,411$637,569-$5,681,980
Payroll Taxes$5,012,987$552,778-$5,565,765
Depreciation Depletion$3,023,411$434,121-$3,457,532
Current Officers, Directors, Trustees, and Key Employees$1,095,787$1,213,729-$2,309,516
Pension Plan Contributions$1,801,139$186,489-$1,987,628
Information Technology$1,018,866$196,713-$1,215,579
Interest$917,045--$917,045
Other Expenses$71,990$757,166-$829,156
Insurance$265,832$537,643-$803,475
Travel$334,621$41,749-$376,370
Advertising$2,799$112,340-$115,139
Fees for Services Legal-$96,813-$96,813
Fees for Services Accounting-$69,850-$69,850
Fees for Services Lobbying-$19,346-$19,346
Grants to Domestic Orgs$5,100--$5,100
Total Functional Expenses$164,947,766$40,602,034$0$205,549,800
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Spearfish High SchoolSpearfish, SDGovtSponsorship$5,100
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
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Other long term liabilities$43,744,379
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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
Yes
Management duties delegated
No

Governance Explanations

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

The membership of the Executive Committee of the Corporation shall consist of the following: Chair of the Board of Directors, Vice Chair of the Board of Directors, two other Board members appointed by the Chair, and the Corporation's President. The Chair of the Board of Directors shall serve as the Chair of the Executive Committee. Directors on the Executive Committee shall serve during the term of office they hold which places them on the Executive Committee, or, for the two Chair-appointed members, for a term of one (1) year or until their successors are appointed. The Executive Committee, when the Board of Directors is not in session, shall have and may exercise all of the authority of the Board of Directors, except to the extent, if any, that such authority shall be limited by a motion or resolution of the Board of Directors or that is authority reserved to the Member. It is intended that the powers of the Executive Committee to act for the whole Board be confined to such urgent matters as reasonably should not be deferred until the next regularly-scheduled meeting of the full Board.

Form 990, Part VI, Section A, line 2

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

Form 990, Part VI, Section A, line 6

Monument Health, Inc. is the sole member of Monument Health Network, Inc.

Form 990, Part VI, Section A, line 7A

Monument Health, Inc., being the sole member of Monument Health Network, Inc., has the ability to appoint or remove all members of Monument Health Network, Inc.'s board.

Form 990, Part VI, Section A, line 7B

Monument Health, Inc. (MHI) provides compliance, governance, financial, and planning support to its Supported Organizations to best assure the functions and services of the Supported Organizations are coordinated and supported in a manner that furthers the shared charitable mission of the Supported Organizations and MHI, as a whole. Monument Health, Inc. has final authority in significant business decisions affecting the Supported Organizations.

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

The 990 is prepared and reviewed by an independent accounting firm. It is then reviewed internally by 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 Network Inc
EIN
46-0360899
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
1981
Legal Domicile
Sd
Voting Board Members
9
Independent Board Members
5
Employees
1,291
Volunteers
62

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

Form 990, Part XI, line 9:

Equity Transfer 155,628. Released From Restriction -398,400.

Financial Statement Notes

Part V, Line 4:

Endowed funds are permanently restricted from use and are held in an interest bearing account. The interest earned may be used by the organization at its discretion.

Part X, Line 2:

References to "Monument Health" apply to all entities controlled by Monument Health, Inc. and its subsidiaries. This includes the reporting entity. Monument Health believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. Monument Health would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.

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IRS990/Desc0Monument Health Network (MHN) owns the following acute care hospitals (including physician clinics) and senior care facilities: Monument Health Custer Hospital (CAH) / Monument Health Custer Senior Care, Monument Health Lead-Deadwood Hospital, Monument Health Spearfish Hospital and Monument Health Sturgis Hospital /Monument Health Care Center - Sturgis. MHN also owns, leases and operates provider based physician clinics in Belle Fourche, Spearfish, Lead-Deadwood, Hill City, Sturgis & Custer. In addition, MHN operates free standing clinics in Hot Springs and Buffalo. Together, these facilities provide common access to compassionate, quality, advanced health care through its numerous healing environments in the greater Black Hills region.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0President and CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1Physician - Orthopedic Surgery
IRS990/Form990PartVIISectionAGrp/TitleTxt2Physician - Surgery
IRS990/Form990PartVIISectionAGrp/TitleTxt3Physician - Radiologist
IRS990/Form990PartVIISectionAGrp/TitleTxt4Physician -Surgery
IRS990/Form990PartVIISectionAGrp/TitleTxt5Physician - Radiologist
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IRS990/Form990PartVIISectionAGrp/TitleTxt15Pres Custer Market/System CNO
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IRS990/MissionDesc0Our vision at Monument Health Network is to be one team, to listen, to be inclusive, and to show we care. Monument Health Network is dedicated to improving the health of individuals and our communities.
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