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← MONUMENT HEALTH NETWORK INC

Form 990 for tax year 2022

Filed by MONUMENT HEALTH NETWORK INC.

Totals

Total revenue
$210,662,984
Total expenses
$200,759,854
Contributions and grants received
$701,010
Grants paid
$383,756
Program service revenue
$209,936,272
Investment income
$1,539
Other revenue
$24,163
Total assets, end of year
$138,921,164
Total liabilities, end of year
$61,642,588
Net assets or fund balances, end of year
$77,278,576
Program services expenses (Part IX)
$160,456,261
Management and general expenses
$40,303,593
Fundraising expenses
$0
Program service expenses (Part III)
$160,456,261

Program services were 79.9% 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.

  • 1e · Government grants (contributions)

    $658,040

  • 1f · All other contributions, gifts and grants

    $42,970

  • 2a · Program service revenue: Acute Care Hospital IP and OP

    total $144,221,781 · related or exempt $144,221,781

  • 2b · Program service revenue: Physician Clinics

    total $49,733,089 · related or exempt $49,733,089

  • 2c · Program service revenue: Long Term Care Facilities

    total $4,504,999 · related or exempt $4,504,999

  • 2f · All other program service revenue

    total $11,476,403 · related or exempt $11,399,079 · unrelated business $77,324

  • 3 · Investment income

    total $132 · excluded $132

  • 6a · Gross rents

    real property $34,548

  • 6b · Less rental expenses

    real property $10,385

  • 6c · Rental income or loss

    real property $24,163

  • 6d · Net rental income or loss

    total $24,163 · excluded $24,163

  • 7a · Gross sales of assets other than inventory

    other assets $1,407

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

    other assets $0

  • 7c · Gain or loss

    other assets $1,407

  • 7d · Net gain or loss

    total $1,407 · excluded $1,407

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $383,756 · program services $383,756

  • 5 · Compensation of officers, directors and key employees

    total $2,405,993 · program services $1,195,064 · management and general $1,210,929

  • 7 · Other salaries and wages

    total $86,203,249 · program services $78,804,039 · management and general $7,399,210

  • 8 · Pension plan contributions

    total $2,687,655 · program services $2,426,496 · management and general $261,159

  • 9 · Other employee benefits

    total $15,546,924 · program services $14,036,233 · management and general $1,510,691

  • 10 · Payroll taxes

    total $5,366,184 · program services $4,807,365 · management and general $558,819

  • 11a · Fees: management

    total $33,570 · management and general $33,570

  • 11b · Fees: legal

    total $58,018 · management and general $58,018

  • 11c · Fees: accounting

    total $63,950 · management and general $63,950

  • 11d · Fees: lobbying

    total $17,261 · management and general $17,261

  • 11g · Fees: other

    total $13,518,115 · program services $13,273,248 · management and general $244,867

  • 12 · Advertising and promotion

    total $122,133 · program services $1,954 · management and general $120,179

  • 13 · Office expenses

    total $2,900,904 · program services $2,290,489 · management and general $610,415

  • 14 · Information technology

    total $1,191,300 · program services $964,648 · management and general $226,652

  • 16 · Occupancy

    total $5,410,753 · program services $2,894,872 · management and general $2,515,881

  • 17 · Travel

    total $391,948 · program services $350,438 · management and general $41,510

  • 20 · Interest

    total $921,548 · program services $921,538 · management and general $10

  • 22 · Depreciation, depletion and amortization

    total $7,083,311 · program services $6,568,630 · management and general $514,681

  • 23 · Insurance

    total $869,110 · program services $224,247 · management and general $644,863

  • 24a · Other expenses: Interco supplies/servic

    total $28,093,520 · program services $3,917,763 · management and general $24,175,757

  • 24b · Other expenses: Medical Supplies

    total $27,361,375 · program services $27,309,537 · management and general $51,838

  • 24c · Other expenses: Miscellaneous

    total $129,277 · program services $85,944 · management and general $43,333

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year -$11,885,333 · end of year $4,924,404

  • 4 · Accounts receivable

    beginning of year $25,437,522 · end of year $24,650,265

  • 8 · Inventories for sale or use

    beginning of year $2,575,596 · end of year $3,220,393

  • 9 · Prepaid expenses and deferred charges

    beginning of year $997,316 · end of year $859,689

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

    $142,914,609

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

    $79,292,577

  • 10c · Land, buildings and equipment, net

    beginning of year $65,317,379 · end of year $63,622,032

  • 12 · Investments: other securities

    beginning of year $435,200 · end of year $1,497,372

  • 13 · Investments: program-related

    end of year $28,698

  • 14 · Intangible assets

    beginning of year $54,656 · end of year $54,656

  • 15 · Other assets

    beginning of year $46,695,149 · end of year $40,063,655

  • 17 · Accounts payable and accrued expenses

    beginning of year $19,256,475 · end of year $18,109,740

  • 25 · Other liabilities

    beginning of year $43,131,218 · end of year $43,532,848

  • 27 · Net assets without donor restrictions

    beginning of year $66,889,254 · end of year $76,888,282

  • 28 · Net assets with donor restrictions

    beginning of year $350,538 · end of year $390,294

Mission and programs · 2022

Mission

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.

Activities or mission (Part I)

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

  • 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 Sturgis Senior Care. 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.

    Expenses $160,456,261 · Grants $383,756 · Revenue $209,858,948

As filed on the 2022 return.

Listed in Part VII

  • Paulette Davidson

    President and CEO

    Total calculated
    $1,939,705
    From this org
    $0
    From related orgs
    $1,706,840
    Other
    $232,865
    Hours/week
    9.35 + 50.65 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,048,570 related
    Bonus
    $0 + $468,970 related
    Other
    $0 + $189,300 related
    Deferred
    $0 + $203,572 related
    Nontaxable benefits
    $0 + $29,293 related
    Filer's total
    $0 + $1,939,705 related
  • Heather Brewer MD

    Board member/Employed Physician

    Total calculated
    $624,720
    From this org
    $544,532
    From related orgs
    $0
    Other
    $80,188
    Hours/week
    41.12

    Schedule J breakdown matched by us

    Base
    $498,105
    Bonus
    $10,000
    Other
    $36,427
    Deferred
    $50,838
    Nontaxable benefits
    $29,350
    Filer's total
    $624,720
  • Jason Knudson

    Board Member/Employed Physician

    Total calculated
    $393,349
    From this org
    $332,984
    From related orgs
    $0
    Other
    $60,365
    Hours/week
    40.63

    Schedule J breakdown matched by us

    Base
    $307,672
    Bonus
    $5,100
    Other
    $20,212
    Deferred
    $31,016
    Nontaxable benefits
    $29,350
    Filer's total
    $393,350
  • Steven Williams

    Board Member-Chair

    Total calculated
    $0
    Hours/week
    0.79
  • Kathryn Johnson

    Board member-Vice Chair

    Total calculated
    $0
    Hours/week
    1.58
  • Dan Liekvold

    Board member

    Total calculated
    $0
    Hours/week
    0.83
  • Kenneth Meirose

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Scott Sabers

    Board Member

    Total calculated
    $0
    Hours/week
    0.83
  • Charles Lewis DO

    Board Member/Employed Physician

    Total calculated
    $362,489
    From this org
    $324,901
    From related orgs
    $0
    Other
    $37,588
    Hours/week
    40.54

    Schedule J breakdown matched by us

    Base
    $321,901
    Bonus
    $3,000
    Other
    $0
    Deferred
    $12,200
    Nontaxable benefits
    $25,388
    Filer's total
    $362,489
  • Mark A Thompson

    CFO/Treasurer

    Total calculated
    $812,360
    From this org
    $0
    From related orgs
    $710,030
    Other
    $102,330
    Hours/week
    8.57 + 46.43 related

    Schedule J breakdown matched by us

    Base
    $0 + $485,887 related
    Bonus
    $0 + $155,035 related
    Other
    $0 + $69,108 related
    Deferred
    $0 + $70,813 related
    Nontaxable benefits
    $0 + $31,517 related
    Filer's total
    $0 + $812,360 related
  • Teresa Burroff

    General Counsel/Sec. Until 11/22

    Total calculated
    $651,745
    From this org
    $0
    From related orgs
    $585,595
    Other
    $66,150
    Hours/week
    8.57 + 46.43 related

    Schedule J breakdown matched by us

    Base
    $0 + $386,929 related
    Bonus
    $0 + $132,493 related
    Other
    $0 + $66,173 related
    Deferred
    $0 + $39,331 related
    Nontaxable benefits
    $0 + $26,819 related
    Filer's total
    $0 + $651,745 related
  • Brad Archer MD

    Chief Medical Officer

    Total calculated
    $1,004,263
    From this org
    $0
    From related orgs
    $886,440
    Other
    $117,823
    Hours/week
    8.57 + 46.43 related

    Schedule J breakdown matched by us

    Base
    $0 + $613,416 related
    Bonus
    $0 + $196,723 related
    Other
    $0 + $76,301 related
    Deferred
    $0 + $93,920 related
    Nontaxable benefits
    $0 + $23,904 related
    Filer's total
    $0 + $1,004,264 related
  • Stephanie Lahr MD

    CIO & CMIO Until 03/23

    Total calculated
    $720,639
    From this org
    $0
    From related orgs
    $658,966
    Other
    $61,673
    Hours/week
    8.57 + 46.43 related

    Schedule J breakdown matched by us

    Base
    $0 + $408,520 related
    Bonus
    $0 + $147,796 related
    Other
    $0 + $102,650 related
    Deferred
    $0 + $44,928 related
    Nontaxable benefits
    $0 + $16,745 related
    Filer's total
    $0 + $720,639 related
  • Thomas Worsley

    Pres.Spearfish Hospital/Hills Market

    Total calculated
    $647,357
    From this org
    $582,927
    From related orgs
    $0
    Other
    $64,430
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $410,537
    Bonus
    $134,382
    Other
    $38,008
    Deferred
    $34,802
    Nontaxable benefits
    $29,628
    Filer's total
    $647,357
  • Nicole Kerkenbush - Chief

    Nursing/Perf Officer Until 06/23

    Total calculated
    $517,705
    From this org
    $0
    From related orgs
    $459,144
    Other
    $58,561
    Hours/week
    8.57 + 46.43 related

    Schedule J breakdown matched by us

    Base
    $0 + $326,336 related
    Bonus
    $0 + $103,759 related
    Other
    $0 + $29,049 related
    Deferred
    $0 + $55,761 related
    Nontaxable benefits
    $0 + $2,800 related
    Filer's total
    $0 + $517,705 related
  • Mark Schmidt

    Pres.Sturgis, Lead-Deadwood Markets

    Total calculated
    $422,600
    From this org
    $368,252
    From related orgs
    $0
    Other
    $54,348
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $263,669
    Bonus
    $76,664
    Other
    $27,919
    Deferred
    $26,684
    Nontaxable benefits
    $27,664
    Filer's total
    $422,600
  • Barbara Hespen

    President Custer Market & System CNO

    Total calculated
    $250,492
    From this org
    $218,005
    From related orgs
    $0
    Other
    $32,487
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $150,943
    Bonus
    $25,000
    Other
    $42,062
    Deferred
    $14,595
    Nontaxable benefits
    $17,892
    Filer's total
    $250,492
  • Ray Jensen MD

    Physician - Orthopedic Surgery

    Total calculated
    $1,742,602
    From this org
    $1,589,428
    From related orgs
    $0
    Other
    $153,174
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,512,365
    Bonus
    $2,000
    Other
    $75,063
    Deferred
    $118,859
    Nontaxable benefits
    $34,315
    Filer's total
    $1,742,602
  • Richard Little MD

    Physician - Orthopedic Surgery

    Total calculated
    $989,220
    From this org
    $941,988
    From related orgs
    $0
    Other
    $47,232
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $937,988
    Bonus
    $4,000
    Other
    $0
    Deferred
    $14,705
    Nontaxable benefits
    $32,527
    Filer's total
    $989,220
  • Christopher Milnes MD

    Physician - Radiologist

    Total calculated
    $943,838
    From this org
    $875,481
    From related orgs
    $0
    Other
    $68,357
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $855,481
    Bonus
    $20,000
    Other
    $0
    Deferred
    $41,825
    Nontaxable benefits
    $26,532
    Filer's total
    $943,838
  • Andrew VanOsdol MD

    Physician - Surgery

    Total calculated
    $1,134,243
    From this org
    $1,031,739
    From related orgs
    $0
    Other
    $102,504
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $992,688
    Bonus
    $8,500
    Other
    $30,551
    Deferred
    $67,945
    Nontaxable benefits
    $34,559
    Filer's total
    $1,134,243
  • Wesley Badger

    Physician -Surgery

    Total calculated
    $913,346
    From this org
    $839,923
    From related orgs
    $0
    Other
    $73,423
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $810,343
    Bonus
    $29,580
    Other
    $0
    Deferred
    $57,536
    Nontaxable benefits
    $15,887
    Filer's total
    $913,346
  • Mark Schulte

    VP Rapid City Market

    Total calculated
    $442,692
    From this org
    $0
    From related orgs
    $379,881
    Other
    $62,811
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $274,090 related
    Bonus
    $0 + $73,076 related
    Other
    $0 + $32,715 related
    Deferred
    $0 + $28,894 related
    Nontaxable benefits
    $0 + $33,917 related
    Filer's total
    $0 + $442,692 related

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. The following individuals had amounts deferred into the account as reported in Schedule J, column C: Paulette Davidson $190,512 Ray Jensen MD $105,975 Brad Archer MD $81,209 Andrew VanOsdol MD $55,061 Mark Thompson $52,744 Wesley Badger $44,998 Nicole Kerkenbush $42,892 Heather Brewer MD $34,872 Stephanie Lahr MD $31,868 Christopher Milnes $28,777 Teresa Burroff $26,447 Thomas Worsley $21,824 Jason Knudson $16,396 Mark Schmidt $13,592 Barbara Hespen $7,380 Mark Schulte $14,388 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 $168,800 Stephanie Lahr MD $82,150 Ray Jensen MD $75,063 Brad Archer MD $64,571 Mark Thompson $48,608 Teresa Burroff $45,673 Heather Brewer MD $36,427 Andrew VanOsdol MD $30,551 Nicole Kerkenbush $22,921 Jason Knudson MD $20,212 Thomas Worsley $17,508 Mark Schmidt $14,327 Mark Schulte $18,331
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 reviews and approves 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

  • City of Custer

    $0

    Provide City with ability to attempt to have skilled nursing home facility opened by another operator.

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.

Related partnerships

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

  • Medical & Dental Building

    Medical Office Bldg · SD

  • Same Day Surgery Center

    Medical services · SD

Provenance

Return type
form_990
Tax year
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202411359349303011

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