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Nonprofiteer
← MONUMENT HEALTH RAPID CITY HOSPITAL INC

Form 990 for tax year 2024

Filed by MONUMENT HEALTH RAPID CITY HOSPITAL INC.

Totals

Total revenue
$1,091,839,091
Total expenses
$1,059,820,826
Contributions and grants received
$3,489,255
Grants paid
$440,813
Program service revenue
$1,062,272,909
Investment income
$25,105,708
Other revenue
$971,219
Total assets, end of year
$1,484,513,220
Total liabilities, end of year
$532,428,914
Net assets or fund balances, end of year
$952,084,306
Program services expenses (Part IX)
$864,199,254
Management and general expenses
$194,073,820
Fundraising expenses
$1,547,752
Program service expenses (Part III)
$864,199,254

Program services were 81.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $26,775

  • 1e · Government grants (contributions)

    $39,618

  • 1f · All other contributions, gifts and grants

    $3,422,862

  • 1g · Noncash contributions included above

    $60,613

  • 2a · Program service revenue: Pharmacy

    total $254,910,124 · related or exempt $246,774,273 · unrelated business $8,135,851

  • 2b · Program service revenue: Laboratory

    total $121,055,797 · related or exempt $118,131,899 · unrelated business $2,923,898

  • 2c · Program service revenue: Surgical Services

    total $101,940,015 · related or exempt $101,940,015

  • 2d · Program service revenue: MIS CT Scan

    total $46,073,280 · related or exempt $46,073,280

  • 2e · Program service revenue: Cardiac Services

    total $23,918,997 · related or exempt $23,918,997

  • 2f · All other program service revenue

    total $514,374,696 · related or exempt $512,266,637 · unrelated business $2,108,059

  • 3 · Investment income

    total $14,341,484 · excluded $14,341,484

  • 4 · Income from investment of tax-exempt bond proceeds

    total $320,292 · excluded $320,292

  • 6a · Gross rents

    real property $3,285,327

  • 6b · Less rental expenses

    real property $3,150,819

  • 6c · Rental income or loss

    real property $134,508

  • 6d · Net rental income or loss

    total $134,508 · excluded $134,508

  • 7a · Gross sales of assets other than inventory

    other assets $10,443,932

  • 7b · Less cost or other basis and sales expenses

    other assets $0

  • 7c · Gain or loss

    other assets $10,443,932

  • 7d · Net gain or loss

    total $10,443,932 · excluded $10,443,932

  • 8a · Fundraising events: gross income

    $1,063,944

  • 8a · Fundraising events: contributions included on line 1c

    $26,775

  • 8b · Fundraising events: direct expenses

    $228,708

  • 8c · Net income from fundraising events

    total $835,236 · excluded $835,236

  • 10a · Gross sales of inventory

    $304,958

  • 10b · Cost of goods sold

    $303,483

  • 10c · Net income from sales of inventory

    total $1,475 · related or exempt $1,475

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $440,813 · program services $440,813

  • 5 · Compensation of officers, directors and key employees

    total $5,630,839 · program services $904,132 · management and general $4,726,707

  • 6 · Compensation of disqualified persons

    total $273,698 · program services $273,698

  • 7 · Other salaries and wages

    total $400,214,477 · program services $327,913,913 · management and general $71,524,671 · fundraising $775,893

  • 8 · Pension plan contributions

    total $8,674,070 · program services $7,028,887 · management and general $1,628,611 · fundraising $16,572

  • 9 · Other employee benefits

    total $2,022,084 · program services $1,638,562 · management and general $379,659 · fundraising $3,863

  • 10 · Payroll taxes

    total $25,152,631 · program services $20,000,876 · management and general $5,097,352 · fundraising $54,403

  • 11a · Fees: management

    total $5,685,826 · program services $1,458,357 · management and general $4,227,328 · fundraising $141

  • 11b · Fees: legal

    total $1,055,939 · management and general $1,055,939

  • 11c · Fees: accounting

    total $393,490 · management and general $393,490

  • 11d · Fees: lobbying

    total $43,734 · management and general $43,734

  • 11g · Fees: other

    total $153,298,576 · program services $124,908,423 · management and general $28,390,072 · fundraising $81

  • 12 · Advertising and promotion

    total $1,387,027 · program services $9,450 · management and general $1,366,697 · fundraising $10,880

  • 13 · Office expenses

    total $19,592,135 · program services $10,318,923 · management and general $8,827,701 · fundraising $445,511

  • 14 · Information technology

    total $28,595,013 · program services $5,820,553 · management and general $22,624,960 · fundraising $149,500

  • 16 · Occupancy

    total $28,226,544 · program services $10,616,784 · management and general $17,598,637 · fundraising $11,123

  • 17 · Travel

    total $2,185,461 · program services $1,527,531 · management and general $639,361 · fundraising $18,569

  • 19 · Conferences, conventions and meetings

    total $1,673,048 · program services $51,132 · management and general $1,621,916

  • 20 · Interest

    total $10,260,828 · program services $10,260,392 · management and general $436

  • 22 · Depreciation, depletion and amortization

    total $53,314,589 · program services $38,752,387 · management and general $14,505,477 · fundraising $56,725

  • 23 · Insurance

    total $5,943,757 · program services $915,907 · management and general $5,027,850

  • 24a · Other expenses: Medical Supplies

    total $205,031,148 · program services $204,766,723 · management and general $260,470 · fundraising $3,955

  • 24b · Other expenses: Interco Supplies/Servic

    total $97,595,738 · program services $96,094,523 · management and general $1,501,215

  • 24c · Other expenses: Federal income tax expe

    total $4,946 · management and general $4,946

  • 24e · All other expenses

    total $3,124,415 · program services $497,288 · management and general $2,626,591 · fundraising $536

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $52,052,042 · end of year $28,678,144

  • 2 · Savings and temporary cash investments

    beginning of year $9,765,128 · end of year $10,945,519

  • 4 · Accounts receivable

    beginning of year $133,132,371 · end of year $151,035,675

  • 8 · Inventories for sale or use

    beginning of year $28,753,819 · end of year $30,501,133

  • 9 · Prepaid expenses and deferred charges

    beginning of year $17,773,530 · end of year $20,195,081

  • 10a · Land, buildings and equipment: cost or other basis

    $992,244,516

  • 10b · Land, buildings and equipment: accumulated depreciation

    $514,858,676

  • 10c · Land, buildings and equipment, net

    beginning of year $493,668,317 · end of year $477,385,840

  • 11 · Investments: publicly traded securities

    beginning of year $312,214,814 · end of year $345,299,192

  • 12 · Investments: other securities

    beginning of year $356,323,249 · end of year $400,835,313

  • 14 · Intangible assets

    beginning of year $7,223,666 · end of year $6,682,046

  • 15 · Other assets

    beginning of year $11,548,088 · end of year $12,955,277

  • 17 · Accounts payable and accrued expenses

    beginning of year $94,745,939 · end of year $96,206,820

  • 20 · Tax-exempt bond liabilities

    beginning of year $329,259,000 · end of year $321,605,074

  • 23 · Secured mortgages and notes payable

    beginning of year $26,285,000 · end of year $26,285,000

  • 25 · Other liabilities

    beginning of year $75,105,950 · end of year $88,332,020

  • 27 · Net assets without donor restrictions

    beginning of year $870,979,020 · end of year $928,131,802

  • 28 · Net assets with donor restrictions

    beginning of year $26,080,115 · end of year $23,952,504

Mission and programs · 2024

Mission

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

Activities or mission (Part I)

Improving the health of individuals and our communities.

  • Monument Health Rapid City Hospital, Inc. (MHRCH) offers both inpatient and outpatient health services. Its tertiary hospital, Rapid City Hospital (RCH), serves Western South Dakota. The nearest larger hospital is in Sioux Falls, SD, more than 350 miles away. As such, the services provided by MHRCH are truly a healthcare safety net for Western South Dakota. MHRCH is a community-based health care system with a mission to make a difference, every day. MHRCH also provides patient care at the Behavioral Health Center, Orthopedic and Specialty Hospital, Family Medicine Residency Clinic, Heart and Vascular Institute, Hospice House, Medical Clinics and Urgent Care locations. The Hospital employs physicians through its residency, cardiology, cardiovascular surgery, medical oncology, psychiatry, neurology, hospitalist, orthopedics and other programs.Monument Health Home Plus, LLC provides home care, hospice, pharmacy, and durable medical equipment services to the communities Monument Health serves.

    Expenses $864,199,254 · Grants $440,813 · Revenue $1,049,106,576

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Paulette R Davidson

    President & CEO

    Total calculated
    $2,199,697
    From this org
    $0
    From related orgs
    $1,932,107
    Other
    $267,590
    Hours/week
    51.3 + 8.7 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,209,056 related
    Bonus
    $0 + $518,300 related
    Other
    $0 + $204,751 related
    Deferred
    $0 + $236,721 related
    Nontaxable benefits
    $0 + $30,869 related
    Filer's total
    $0 + $2,199,697 related

  • Brad Archer MD

    Chief Medical Officer

    Total calculated
    $1,106,066
    From this org
    $972,031
    From related orgs
    $0
    Other
    $134,035
    Hours/week
    47.11 + 7.89 related

    Schedule J breakdown matched by us

    Base
    $673,864
    Bonus
    $207,500
    Other
    $90,667
    Deferred
    $104,064
    Nontaxable benefits
    $29,971
    Filer's total
    $1,106,066

  • Bobbie Schneller DO

    Board Member/Employed Physician

    Total calculated
    $465,586
    From this org
    $401,285
    From related orgs
    $0
    Other
    $64,301
    Hours/week
    40.89

    Schedule J breakdown matched by us

    Base
    $360,549
    Bonus
    $15,358
    Other
    $25,378
    Deferred
    $35,129
    Nontaxable benefits
    $29,172
    Filer's total
    $465,586

  • Steven Frost MD

    Board Member

    Total calculated
    $3,000
    From this org
    $3,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.89

  • Daryl Reinicke

    Chair

    Total calculated
    $0
    Hours/week
    1.94

  • Holly Lien

    Board Member

    Total calculated
    $0
    Hours/week
    0.81

  • Ross Mckie

    Vice Chair

    Total calculated
    $0
    Hours/week
    1.57

  • Scott Barbour

    Board Member

    Total calculated
    $0
    Hours/week
    1.27

  • Tom Rau

    Board Member

    Total calculated
    $0
    Hours/week
    0.81

  • Donna Wright

    Board Member

    Total calculated
    $0
    Hours/week
    0.72

  • Dusty Petersen

    Board Member

    Total calculated
    $0
    Hours/week
    0.89

  • Michael Huot MD

    Board Member

    Total calculated
    $14,180
    From this org
    $14,180
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.98

  • Lance Roberts

    Board Member

    Total calculated
    $0
    Hours/week
    0.98

  • Don Warne MD

    Board Member

    Total calculated
    $36,000
    From this org
    $36,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.61

  • Stephanie Forsythe

    Board Member Until 02/2025

    Total calculated
    $0
    Hours/week
    0.26

  • Jacob Weasel MD

    Board Member/Employed Physician

    Total calculated
    $566,738
    From this org
    $494,488
    From related orgs
    $0
    Other
    $72,250
    Hours/week
    40 + 0.43 related

    Schedule J breakdown matched by us

    Base
    $452,741
    Bonus
    $7,000
    Other
    $34,747
    Deferred
    $38,686
    Nontaxable benefits
    $33,565
    Filer's total
    $566,739

  • Mark A Thompson

    Chief Bus Dev Officer Until 12/2024

    Total calculated
    $554,619
    From this org
    $505,374
    From related orgs
    $0
    Other
    $49,245
    Hours/week
    47.02 + 7.98 related

    Schedule J breakdown matched by us

    Base
    $337,511
    Bonus
    $143,700
    Other
    $24,163
    Deferred
    $22,324
    Nontaxable benefits
    $26,921
    Filer's total
    $554,619

  • Austin Willuweit

    Chief Financial Officer

    Total calculated
    $612,763
    From this org
    $528,595
    From related orgs
    $0
    Other
    $84,168
    Hours/week
    47.02 + 7.98 related

    Schedule J breakdown matched by us

    Base
    $391,653
    Bonus
    $101,700
    Other
    $35,242
    Deferred
    $48,706
    Nontaxable benefits
    $35,461
    Filer's total
    $612,762

  • John Pierce

    President Rapid City Hospital and Market

    Total calculated
    $943,975
    From this org
    $822,063
    From related orgs
    $0
    Other
    $121,912
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $574,785
    Bonus
    $179,100
    Other
    $68,178
    Deferred
    $86,102
    Nontaxable benefits
    $35,810
    Filer's total
    $943,975

  • Michael Tilles

    VP Operations-Rapid City Market

    Total calculated
    $502,804
    From this org
    $453,907
    From related orgs
    $0
    Other
    $48,897
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $338,452
    Bonus
    $83,300
    Other
    $32,155
    Deferred
    $31,505
    Nontaxable benefits
    $17,391
    Filer's total
    $502,803

  • Mark Longacre until 53124

    VP Operations-Rapid City Market

    Total calculated
    $181,130
    From this org
    $158,824
    From related orgs
    $0
    Other
    $22,306
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $139,705
    Bonus
    $21
    Other
    $19,098
    Deferred
    $9,371
    Nontaxable benefits
    $12,935
    Filer's total
    $181,130

  • Mark Schulte

    VP Rapid City Market

    Total calculated
    $474,799
    From this org
    $411,968
    From related orgs
    $0
    Other
    $62,831
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $305,392
    Bonus
    $77,800
    Other
    $28,776
    Deferred
    $27,916
    Nontaxable benefits
    $34,915
    Filer's total
    $474,799

  • Tasha Frisinger

    VP of Nursing

    Total calculated
    $368,362
    From this org
    $319,664
    From related orgs
    $0
    Other
    $48,698
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $244,348
    Bonus
    $61,500
    Other
    $13,816
    Deferred
    $23,076
    Nontaxable benefits
    $25,622
    Filer's total
    $368,362

  • Patrick Woodard

    Chief Information Officer

    Total calculated
    $688,089
    From this org
    $621,118
    From related orgs
    $0
    Other
    $66,971
    Hours/week
    47.02 + 7.98 related

    Schedule J breakdown matched by us

    Base
    $456,171
    Bonus
    $139,800
    Other
    $25,147
    Deferred
    $54,641
    Nontaxable benefits
    $12,330
    Filer's total
    $688,089

  • Barbara Hespen

    Pres. Custer Market&System CNO

    Total calculated
    $416,538
    From this org
    $0
    From related orgs
    $358,964
    Other
    $57,574
    Hours/week
    16.5 + 38.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $256,230 related
    Bonus
    $0 + $81,400 related
    Other
    $0 + $21,334 related
    Deferred
    $0 + $26,955 related
    Nontaxable benefits
    $0 + $30,619 related
    Filer's total
    $0 + $416,538 related

  • Joseph Tuma MD

    Physician - Cardiology

    Total calculated
    $2,029,583
    From this org
    $1,889,073
    From related orgs
    $0
    Other
    $140,510
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,355,112
    Bonus
    $469,241
    Other
    $64,720
    Deferred
    $107,724
    Nontaxable benefits
    $32,787
    Filer's total
    $2,029,584

  • Charan Mungara MD

    Physician - Cardiology

    Total calculated
    $1,502,826
    From this org
    $1,394,909
    From related orgs
    $0
    Other
    $107,917
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,367,409
    Bonus
    $27,500
    Other
    $0
    Deferred
    $91,395
    Nontaxable benefits
    $16,522
    Filer's total
    $1,502,826

  • Bhaskar Purushottam MD

    Physician - Cardiology

    Total calculated
    $1,612,016
    From this org
    $1,471,104
    From related orgs
    $0
    Other
    $140,912
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,250,332
    Bonus
    $141,644
    Other
    $79,128
    Deferred
    $102,841
    Nontaxable benefits
    $38,070
    Filer's total
    $1,612,015

  • Siri Knutsen Larson MD

    Physician - Dermatology

    Total calculated
    $1,592,333
    From this org
    $1,442,327
    From related orgs
    $0
    Other
    $150,006
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,130,800
    Bonus
    $254,066
    Other
    $57,461
    Deferred
    $108,024
    Nontaxable benefits
    $41,982
    Filer's total
    $1,592,333

  • Ethan Levine MD

    Physician - Cardiology

    Total calculated
    $1,673,792
    From this org
    $1,559,974
    From related orgs
    $0
    Other
    $113,818
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,041,455
    Bonus
    $486,935
    Other
    $31,584
    Deferred
    $77,906
    Nontaxable benefits
    $35,912
    Filer's total
    $1,673,792

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 3
The Executive Committee, which is a committee of the Monument Health (parent) Board, reviews and approves base salary and total compensation ranges for all executives within the Monument Health System.
Part I, Line 4b
Monument Health provides a supplemental nonqualified retirement plan and a flexible benefit plan that can include deferred compensation for its executives and physicians. The following individuals had amounts deferred into the account as reported in Schedule J, Column C: Paulette Davidson 220,732 Patrick Woodard 46,016 Austin Willuweit 38,388 Brad Archer MD 88,964 Tasha Frisinger 12,640 Mark Longacre 4,097 John Pierce 65,412 Mark Schulte 16,951 Michael Tilles 21,138 Siri Knutsen Larson MD 92,924 Charan Mungara MD 77,595 Bhaskar Purushottam MD 86,852 Ethan Levine MD 67,081 Joseph Tuma MD 88,293 Bobbie Schneller DO 23,205 Barbara Hespen 18,330 Jacob Weasel MD 31,751 The following individuals had supplemental non-qualified retirement plan amounts included in Schedule J, column B(iii) that were previously reported as deferred compensation on Form 990. These amounts are identified in Schedule J, Column F: Paulette Davidson 179,411 Archer Brad MD 74,827 Austin Willuweit 10,367 Mark Longacre 14,367 John Pierce 42,838 Mark Schulte 12,226 Michael Tilles 17,436 Siri Knutsen Larson MD 57,461 Bhaskar Purushottam MD 79,128 Ethan Levine MD 31,584 Joseph Tuma MD 64,720 Bobbie Schneller DO 25,378 Jacob Weasel MD 34,747
Part I, Line 7
Executives and Other Employees of System Entities will be eligible to receive annual incentive awards that are competitive with the incentives offered by the organizations in the System's Peer group(s) in accordance with the terms of the Monument Health, Inc. Annual Incentive Plan for Selected Executives and Other Employees (Incentive Plan). In accordance with this plan, the parent Board's Executive Committee will review and approve all incentive compensation performance measures and all awards, if any. The committee ensures that the total compensation, including incentive awards, is reasonable.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

The 10 largest by cash amount. The API serves every itemized grant.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • Monument Health Home Plus LLC

    Healthcare Services · SD · income $161,563,402 · assets $17,551,936

    Directly controlled by Monument Health Rapid City Hospital Inc

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • Same Day Surgery Center

    RELATED · Medical Services · SD · 40% owned · share of income $1,998,194 · share of assets $1,423,854 · general or managing partner

    Directly controlled by Monument Health Rapid City Hospital Inc

  • Medical & Dental Building

    Investment · Medical Office Bldg · SD · 71.45% owned · share of income $554,771 · share of assets $1,707,082 · general or managing partner

    Directly controlled by Monument Health Rapid City Hospital Inc

Provenance

Return type
form_990
Tax year
2024
Filed
14 May 2026
IRS schema version
2024v5.5
Source object
202611349349310246

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