Totals
- Total revenue
- $220,042,314
- Total expenses
- $205,549,800
- Contributions and grants received
- $1,030,788
- Grants paid
- $5,100
- Program service revenue
- $218,968,659
- Investment income
- $17,671
- Other revenue
- $25,196
- Total assets, end of year
- $160,854,015
- Total liabilities, end of year
- $69,300,423
- Net assets or fund balances, end of year
- $91,553,592
- Program services expenses (Part IX)
- $164,947,766
- Management and general expenses
- $40,602,034
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $164,947,766
Program services were 80.2% 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)
$986,964
-
1f · All other contributions, gifts and grants
$43,824
-
2a · Program service revenue: Acute Care Hospital IP and OP
total $152,352,093 · related or exempt $152,352,093
-
2b · Program service revenue: Physician Clinics
total $52,443,673 · related or exempt $52,443,673
-
2c · Program service revenue: Long Term Care Facilities
total $4,826,499 · related or exempt $4,826,499
-
2f · All other program service revenue
total $9,346,394 · related or exempt $9,167,433 · unrelated business $178,961
-
3 · Investment income
total $17,671 · excluded $17,671
-
6a · Gross rents
real property $34,548
-
6b · Less rental expenses
real property $9,352
-
6c · Rental income or loss
real property $25,196
-
6d · Net rental income or loss
total $25,196 · excluded $25,196
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $5,100 · program services $5,100
-
5 · Compensation of officers, directors and key employees
total $2,309,516 · program services $1,095,787 · management and general $1,213,729
-
7 · Other salaries and wages
total $90,193,784 · program services $82,728,390 · management and general $7,465,394
-
8 · Pension plan contributions
total $1,987,628 · program services $1,801,139 · management and general $186,489
-
9 · Other employee benefits
total $13,701,807 · program services $12,416,235 · management and general $1,285,572
-
10 · Payroll taxes
total $5,565,765 · program services $5,012,987 · management and general $552,778
-
11b · Fees: legal
total $96,813 · management and general $96,813
-
11c · Fees: accounting
total $69,850 · management and general $69,850
-
11d · Fees: lobbying
total $19,346 · management and general $19,346
-
11g · Fees: other
total $12,611,379 · program services $12,375,393 · management and general $235,986
-
12 · Advertising and promotion
total $115,139 · program services $2,799 · management and general $112,340
-
13 · Office expenses
total $5,681,980 · program services $5,044,411 · management and general $637,569
-
14 · Information technology
total $1,215,579 · program services $1,018,866 · management and general $196,713
-
16 · Occupancy
total $5,862,780 · program services $3,487,523 · management and general $2,375,257
-
17 · Travel
total $376,370 · program services $334,621 · management and general $41,749
-
20 · Interest
total $917,045 · program services $917,045
-
22 · Depreciation, depletion and amortization
total $3,457,532 · program services $3,023,411 · management and general $434,121
-
23 · Insurance
total $803,475 · program services $265,832 · management and general $537,643
-
24a · Other expenses: Medical Supplies
total $30,674,531 · program services $30,525,383 · management and general $149,148
-
24b · Other expenses: Interco supplies/servic
total $29,055,225 · program services $4,820,854 · management and general $24,234,371
-
24c · Other expenses: Miscellaneous
total $829,156 · program services $71,990 · management and general $757,166
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $4,924,404 · end of year $353,007
-
4 · Accounts receivable
beginning of year $24,650,265 · end of year $35,257,955
-
8 · Inventories for sale or use
beginning of year $3,220,393 · end of year $2,805,944
-
9 · Prepaid expenses and deferred charges
beginning of year $859,689 · end of year $942,882
-
10a · Land, buildings and equipment: cost or other basis
$150,770,373
-
10b · Land, buildings and equipment: accumulated depreciation
$85,740,954
-
10c · Land, buildings and equipment, net
beginning of year $63,622,032 · end of year $65,029,419
-
12 · Investments: other securities
beginning of year $1,497,372 · end of year $1,751,101
-
13 · Investments: program-related
beginning of year $28,698
-
14 · Intangible assets
beginning of year $54,656 · end of year $54,656
-
15 · Other assets
beginning of year $40,063,655 · end of year $54,659,051
-
17 · Accounts payable and accrued expenses
beginning of year $18,109,740 · end of year $25,556,044
-
25 · Other liabilities
beginning of year $43,532,848 · end of year $43,744,379
-
27 · Net assets without donor restrictions
beginning of year $76,888,282 · end of year $91,138,086
-
28 · Net assets with donor restrictions
beginning of year $390,294 · end of year $415,506
Mission and programs · 2023
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)
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 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.
Expenses $164,947,766 · Grants $5,100 · Revenue $218,789,698
As filed on the 2023 return.
Listed in Part VII
-
Paulette Davidson
President and CEO
- Total calculated
- $1,980,795
- From this org
- $0
- From related orgs
- $1,727,313
- Other
- $253,482
- Hours/week
- 9.06 + 50.94 related
Schedule J breakdown matched by us
- Base
- $0 + $1,158,268 related
- Bonus
- $0 + $369,600 related
- Other
- $0 + $199,445 related
- Deferred
- $0 + $224,622 related
- Nontaxable benefits
- $0 + $28,860 related
- Filer's total
- $0 + $1,980,795 related
-
Ray Jensen MD
Physician - Orthopedic Surgery
- Total calculated
- $1,973,662
- From this org
- $1,828,915
- From related orgs
- $0
- Other
- $144,747
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $1,754,532
- Bonus
- $5,980
- Other
- $68,403
- Deferred
- $109,231
- Nontaxable benefits
- $35,517
- Filer's total
- $1,973,663
-
Andrew VanOsdol MD
Physician - Surgery
- Total calculated
- $1,152,204
- From this org
- $1,041,404
- From related orgs
- $0
- Other
- $110,800
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $1,006,591
- Bonus
- $8,020
- Other
- $26,793
- Deferred
- $75,700
- Nontaxable benefits
- $35,100
- Filer's total
- $1,152,204
-
Christopher Milnes MD
Physician - Radiologist
- Total calculated
- $1,083,535
- From this org
- $993,291
- From related orgs
- $0
- Other
- $90,244
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $973,291
- Bonus
- $20,000
- Other
- $0
- Deferred
- $62,949
- Nontaxable benefits
- $27,295
- Filer's total
- $1,083,535
-
Wesley Badger
Physician -Surgery
- Total calculated
- $1,058,420
- From this org
- $977,339
- From related orgs
- $0
- Other
- $81,081
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $939,710
- Bonus
- $25,020
- Other
- $12,609
- Deferred
- $67,713
- Nontaxable benefits
- $13,368
- Filer's total
- $1,058,420
-
Garrett Cox
Physician - Radiologist
- Total calculated
- $1,022,747
- From this org
- $913,713
- From related orgs
- $0
- Other
- $109,034
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $874,733
- Bonus
- $0
- Other
- $38,980
- Deferred
- $73,788
- Nontaxable benefits
- $35,246
- Filer's total
- $1,022,747
-
Brad Archer MD
Chief Medical Officer
- Total calculated
- $1,001,419
- From this org
- $0
- From related orgs
- $876,666
- Other
- $124,753
- Hours/week
- 8.3 + 46.7 related
Schedule J breakdown matched by us
- Base
- $0 + $643,589 related
- Bonus
- $0 + $148,000 related
- Other
- $0 + $85,077 related
- Deferred
- $0 + $98,862 related
- Nontaxable benefits
- $0 + $25,891 related
- Filer's total
- $0 + $1,001,419 related
-
Mark A Thompson
CFO/CBDO From 01/2024
- Total calculated
- $918,564
- From this org
- $0
- From related orgs
- $868,581
- Other
- $49,983
- Hours/week
- 8.3 + 46.7 related
Schedule J breakdown matched by us
- Base
- $0 + $593,215 related
- Bonus
- $0 + $116,600 related
- Other
- $0 + $158,766 related
- Deferred
- $0 + $25,504 related
- Nontaxable benefits
- $0 + $24,478 related
- Filer's total
- $0 + $918,563 related
-
Thomas Worsley
Pres Spearfish Hosp/Hills Markets
- Total calculated
- $659,435
- From this org
- $568,278
- From related orgs
- $0
- Other
- $91,157
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $427,446
- Bonus
- $100,100
- Other
- $40,732
- Deferred
- $58,062
- Nontaxable benefits
- $33,096
- Filer's total
- $659,436
-
Patrick Woodard
Chief Healthcare Infor. Officer
- Total calculated
- $631,900
- From this org
- $0
- From related orgs
- $565,975
- Other
- $65,925
- Hours/week
- 8.3 + 46.7 related
Schedule J breakdown matched by us
- Base
- $0 + $426,049 related
- Bonus
- $0 + $65,528 related
- Other
- $0 + $74,398 related
- Deferred
- $0 + $57,376 related
- Nontaxable benefits
- $0 + $8,549 related
- Filer's total
- $0 + $631,900 related
-
Heather Brewer MD
Board member/Employed Physician
- Total calculated
- $619,896
- From this org
- $533,301
- From related orgs
- $0
- Other
- $86,595
- Hours/week
- 40.87
Schedule J breakdown matched by us
- Base
- $480,888
- Bonus
- $10,000
- Other
- $42,413
- Deferred
- $53,913
- Nontaxable benefits
- $32,682
- Filer's total
- $619,896
-
Mark Schulte
VP Rapid city market
- Total calculated
- $425,620
- From this org
- $0
- From related orgs
- $364,167
- Other
- $61,453
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $283,862 related
- Bonus
- $0 + $54,200 related
- Other
- $0 + $26,105 related
- Deferred
- $0 + $27,611 related
- Nontaxable benefits
- $0 + $33,842 related
- Filer's total
- $0 + $425,620 related
-
Jason Knudson
Board Member/Employed Physician
- Total calculated
- $423,949
- From this org
- $352,432
- From related orgs
- $0
- Other
- $71,517
- Hours/week
- 40.58
Schedule J breakdown matched by us
- Base
- $327,849
- Bonus
- $8,500
- Other
- $16,083
- Deferred
- $39,095
- Nontaxable benefits
- $32,422
- Filer's total
- $423,949
-
Mark Schmidt
Pres Sturgis, Lead-Deadwood Market
- Total calculated
- $404,160
- From this org
- $352,841
- From related orgs
- $0
- Other
- $51,319
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $274,831
- Bonus
- $51,200
- Other
- $26,810
- Deferred
- $26,851
- Nontaxable benefits
- $24,468
- Filer's total
- $404,160
-
Austin Willuweit
VP Finance/CFO from 01/2024
- Total calculated
- $400,279
- From this org
- $0
- From related orgs
- $340,040
- Other
- $60,239
- Hours/week
- 8.3 + 46.7 related
Schedule J breakdown matched by us
- Base
- $0 + $264,550 related
- Bonus
- $0 + $50,700 related
- Other
- $0 + $24,790 related
- Deferred
- $0 + $27,071 related
- Nontaxable benefits
- $0 + $33,168 related
- Filer's total
- $0 + $400,279 related
-
Barbara Hespen
Pres Custer Market/System CNO
- Total calculated
- $328,806
- From this org
- $276,143
- From related orgs
- $0
- Other
- $52,663
- Hours/week
- 46.59 + 8.41 related
Schedule J breakdown matched by us
- Base
- $222,768
- Bonus
- $37,700
- Other
- $15,675
- Deferred
- $23,781
- Nontaxable benefits
- $28,881
- Filer's total
- $328,805
-
Charles Lewis DO
Board Member/Employed Physician
- Total calculated
- $275,215
- From this org
- $255,264
- From related orgs
- $0
- Other
- $19,951
- Hours/week
- 40.29
Schedule J breakdown matched by us
- Base
- $255,264
- Bonus
- $0
- Other
- $0
- Deferred
- $8,596
- Nontaxable benefits
- $11,355
- Filer's total
- $275,215
-
Nicole Kerkenbush
Former-CNPO/Performance Officer
- Total calculated
- $221,492
- From this org
- $0
- From related orgs
- $203,850
- Other
- $17,642
- Hours/week
- 8.3 + 46.7 related
Schedule J breakdown matched by us
- Base
- $0 + $169,529 related
- Bonus
- $0
- Other
- $0 + $34,321 related
- Deferred
- $0 + $15,612 related
- Nontaxable benefits
- $0 + $2,030 related
- Filer's total
- $0 + $221,492 related
-
Kathryn Johnson
Board member-Chair
- Total calculated
- $0
- Hours/week
- 1.19
-
Steven Williams
Board Member Until 12/2023
- Total calculated
- $0
- Hours/week
- 0.29
-
Dan Liekvold
Board member
- Total calculated
- $0
- Hours/week
- 0.29
-
Kenneth Meirose
Board Member
- Total calculated
- $0
- Hours/week
- 0.83
-
Fred Lamphere
Board member
- Total calculated
- $0
- Hours/week
- 0.29
-
John Williams
Board member From 12/2023
- Total calculated
- $0
- Hours/week
- 0.38
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 $209,620 Brad Archer MD $84,592 Austin Willuweit $13,920 Nicole Kerkenbush $6,342 Mark Schulte $14,888 Thomas Worsley $43,532 Mark Schmidt $14,068 Heather Brewer $35,924 Jason Knudson $20,975 Ray Jensen $94,596 Andrew Vanosdol $61,065 Christopher Milnes $49,749 Wesley Badger $53,804 Garrett Cox $59,153 Barbara Hespen $15,471 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 $176,555 Ray Jensen MD $68,403 Brad Archer MD $71,687 Mark Thompson $150,096 Austin Willuweit $10,653 Heather Brewer MD $42,413 Andrew VanOsdol MD $26,793 Nicole Kerkenbush $27,979 Jason Knudson MD $16,083 Thomas Worsley $17,889 Mark Schmidt $12,519 Wesley Badger MD $12,609 Garrett Cox MD $38,980 Mark Schulte $10,981
- 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
-
Spearfish High School
$5,100
Sponsorship
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.
-
501(c)(3) · Healthcare · SD
-
Monument Health Rapid City Hospital Inc
501(c)(3) · Healthcare · SD
Directly controlled by Monument Health Inc
-
Monument Health Physicians Inc
501(c)(3) · Healthcare · SD
Directly controlled by Monument Health Inc
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
- 2023
- Filed
- 14 May 2025
- IRS schema version
- 2023v6.0
- Source object
- 202541359349302324
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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