Liabilities / Assets
65th percentile
Higher debt load relative to assets than 65% of similar nonprofits.
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.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
65th percentile
Higher debt load relative to assets than 65% of similar nonprofits.
Liabilities / Revenue
42nd percentile
Higher debt load relative to revenue than 42% of similar nonprofits.
Net Margin
56th percentile
Higher net margin than 56% of similar nonprofits.
Top Officer Pay
91st percentile
Higher top officer pay than 91% of similar nonprofits.
Top officer pay equals 0.9% of source-year revenue.
Asset Growth
81st percentile
Faster asset growth than 81% of similar nonprofits.
Revenue Growth
39th percentile
Faster revenue growth than 39% of similar nonprofits.
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
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To provide and support health care excellence in partnership with the communities we serve.
Improving the health of individuals and our communities.
| Line | Beginning | End | Change |
|---|---|---|---|
| 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 | Book Value | Depreciation | Basis |
|---|---|---|---|
| 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 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 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 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Ray Jensen MD | Physician - Orthopedic Surgery | FT | $1,754,532 | $219,131 | $1,973,663 |
| Andrew VanOsdol MD | Physician - Surgery | FT | $1,006,591 | $145,613 | $1,152,204 |
| Christopher Milnes MD | Physician - Radiologist | FT | $973,291 | $110,244 | $1,083,535 |
| Wesley Badger | Physician -Surgery | FT | $939,710 | $118,710 | $1,058,420 |
| Garrett Cox | Physician - Radiologist | FT | $874,733 | $148,014 | $1,022,747 |
| Thomas Worsley | Pres Spearfish Hosp/Hills Markets | FT | $427,446 | $231,990 | $659,436 |
| Heather Brewer MD | Board member/Employed Physician | FT | $480,888 | $139,008 | $619,896 |
| Jason Knudson | Board Member/Employed Physician | FT | $327,849 | $96,100 | $423,949 |
| Mark Schmidt | Pres Sturgis, Lead-Deadwood Market | FT | $274,831 | $129,329 | $404,160 |
| Barbara Hespen | Pres Custer Market/System CNO | FT | $222,768 | $106,037 | $328,805 |
| Charles Lewis DO | Board Member/Employed Physician | FT | $255,264 | $19,951 | $275,215 |
| Name | Title |
|---|---|
| Kathryn Johnson | Board member-Chair |
| Paulette Davidson | President and CEO |
| Dan Liekvold | Board member |
| Fred Lamphere | Board member |
| Kenneth Meirose | Board Member |
| John Williams | Board member From 12/2023 |
| Steven Williams | Board Member Until 12/2023 |
| Mark A Thompson | CFO/CBDO From 01/2024 |
| Patrick Woodard | Chief Healthcare Infor. Officer |
| Brad Archer MD | Chief Medical Officer |
| Nicole Kerkenbush | Former-CNPO/Performance Officer |
| Austin Willuweit | VP Finance/CFO from 01/2024 |
| Mark Schulte | VP Rapid city market |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Travel Nurse Across American LLC | Contract labor | 5020 Northshore Drive, North Little Rock, AR 72118 | $5,517,972 |
| Morrison Management Specialists Inc | Professional services | PO Box 102289, Atlanta, GA 30368 | $2,628,920 |
| Scull Construction Service Inc | Construction | 803 Industrial Ave, Rapid City, SD 57702 | $1,978,258 |
| Engineers-Architects PC | Professional services | 3100 DeMers Avenue, Grand Forks, ND 58201 | $1,289,531 |
| Weatherby Medical Staffing | Contract labor | PO Box 972633, Dallas, TX 75397 | $1,231,152 |
| Line Item | Amount |
|---|---|
| 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 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| 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 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Spearfish High School | Spearfish, SD | Govt | Sponsorship | $5,100 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Other long term liabilities | $43,744,379 |
“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.”
“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.”
“Monument Health, Inc. is the sole member of Monument Health Network, Inc.”
“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.”
“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.”
“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.”
“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.”
“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.”
“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.”
“All 1099's are issued centrally by Monument Health Rapid City Hospital, Inc., a related organization.”
“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.”
“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.”
“Equity Transfer 155,628. Released From Restriction -398,400.”
“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.”
“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.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 18109740 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 25556044 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 24650265 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 35257955 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | Improving the health of individuals and our communities. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 112340 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 2799 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 115139 |
| IRS990/AllOtherContributionsAmt | 0 | 43824 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Austin Willuweit |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6057559127 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | PO Box 6000 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Rapid City |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | SD |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 577096000 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 4924404 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 353007 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 55 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1213729 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 1095787 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2309516 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 5517972 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 2628920 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1978258 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1289531 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 1231152 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 5020 Northshore Drive |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO Box 102289 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 803 Industrial Ave |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 3100 DeMers Avenue |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO Box 972633 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | North Little Rock |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Atlanta |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Rapid City |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Grand Forks |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Dallas |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | AR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | SD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | ND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 72118 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 30368 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 57702 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 58201 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 75397 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | Travel Nurse Across American LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Morrison Management Specialists Inc |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | Scull Construction Service Inc |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | Engineers-Architects PC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | Weatherby Medical Staffing |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Contract labor |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Professional services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Construction |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Professional services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Contract labor |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1030788 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 5100 |
| IRS990/CYInvestmentIncomeAmt | 0 | 17671 |
| IRS990/CYOtherExpensesAmt | 0 | 91786200 |
| IRS990/CYOtherRevenueAmt | 0 | 25196 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 218968659 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 14492514 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 113758500 |
| IRS990/CYTotalExpensesAmt | 0 | 205549800 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 220042314 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 434121 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 3023411 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 3457532 |
| IRS990/Desc | 0 | Monument 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. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 390294 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 415506 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 1291 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 164947766 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 69850 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 69850 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 96813 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 96813 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 19346 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 19346 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 235986 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 12375393 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 12611379 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 50.94 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 46.70 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 46.70 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 46.70 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 46.70 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 8.41 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 46.70 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 9.06 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 8.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 8.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 8.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.87 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.58 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 8.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 46.59 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.29 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 8.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 1.19 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 0.29 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 0.29 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 0.83 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 0.29 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 0.38 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 253482 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 144747 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 110800 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 90244 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 81081 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 109034 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 124753 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 49983 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 91157 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 65925 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 86595 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 61453 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 71517 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 51319 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 60239 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 52663 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 19951 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 17642 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Paulette Davidson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Ray Jensen MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Andrew VanOsdol MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Christopher Milnes MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Wesley Badger |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Garrett Cox |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Brad Archer MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Mark A Thompson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Thomas Worsley |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Patrick Woodard |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Heather Brewer MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Mark Schulte |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Jason Knudson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Mark Schmidt |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Austin Willuweit |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Barbara Hespen |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Charles Lewis DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Nicole Kerkenbush |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Kathryn Johnson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Steven Williams |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | Dan Liekvold |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Kenneth Meirose |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | Fred Lamphere |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | John Williams |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 1828915 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 1041404 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 993291 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 977339 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 913713 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 568278 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 533301 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 352432 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 352841 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 276143 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 255264 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 1727313 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 876666 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 868581 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 565975 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 364167 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 340040 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 203850 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | President and CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Physician - Orthopedic Surgery |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Physician - Surgery |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Physician - Radiologist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Physician -Surgery |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Physician - Radiologist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Chief Medical Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CFO/CBDO From 01/2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Pres Spearfish Hosp/Hills Markets |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Chief Healthcare Infor. Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Board member/Employed Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | VP Rapid city market |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Board Member/Employed Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Pres Sturgis, Lead-Deadwood Market |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | VP Finance/CFO from 01/2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Pres Custer Market/System CNO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Board Member/Employed Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Former-CNPO/Performance Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Board member-Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Board Member Until 12/2023 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Board member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | Board member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Board member From 12/2023 |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1981 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GovernmentGrantsAmt | 0 | 986964 |
| IRS990/GrantAmt | 0 | 5100 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 5100 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 5100 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 220051666 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 34548 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 5 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 176 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartVInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InfoInScheduleOPartXInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 196713 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 1018866 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 1215579 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 537643 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 265832 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 803475 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 54656 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 54656 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 917045 |
| IRS990/InterestGrp/TotalAmt | 0 | 917045 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 3220393 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 2805944 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 17671 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 17671 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 1497372 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 1751101 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 28698 |
| IRS990/IRPDocumentCnt | 0 | 110 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 85740954 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 63622032 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 65029419 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 150770373 |
| IRS990/LegalDomicileStateCd | 0 | SD |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 9352 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | 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. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 77278576 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 91553592 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 25196 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 25196 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 25274 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 76888282 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 91138086 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 2375257 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 3487523 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 5862780 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 637569 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 5044411 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 5681980 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
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