Monument Health Inc
Nonprofit profile at a glance
- EIN
- 201487506
- IRS 990 coverage
- 2009–2024
- Forms available
- Form 990 2024
- Location
- Rapid City, SD, USA
- Phone
- 6057559130
- Rating
- 84
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Community Health Systems
Reported finances
- Revenue
- $2,554,690
- Expenses
- $2,710,306
- Assets
- $22,934
- Liabilities
- $802,422
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
16 people listed
Executive titles in this filing
- Paulette Davidson (President and CEO)
Highest reported compensation
- Paulette Davidson (President and CEO): $2,199,697 total reported compensation
- Patrick Woodard (Chief Information Officer): $688,089 total reported compensation
- Austin Willuweit (Chief Financial Officer): $612,763 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Our vision at Monument Health is to be one team, to listen, to be inclusive, and to show we care. Monument Health is dedicated to improving the health of individuals and our communities.
What it reported doing in 2024
Monument Health's Board of Directors provides planning and decision making for its supported organizations, Monument Health Rapid City Hospital, Inc., and Monument Health Network, Inc. to best assure services are coordinated among the supported organizations and that all supported organizations are contributing to the achievement of a shared mission. Monument Health's executive administration provides management and other support services to the entire health system.
Operating model
- Revenue model
- Earned-program. 100% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.
Rating breakdown
- Financial Efficiency: 89
- Transparency & Controls: 89
- Accountability: 86
- Sustainability: 9
- Growth: 80
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 100%; rating input score 100
- Program expense ratio: 100%; rating input score 100
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Limited
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 83.3%; rating input score 83; 16th percentile among comparable filings
- Governance controls: 8 of 9 controls in place; rating input score 89
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -6.1%; rating input score 18; 18th percentile among comparable filings
- Total-asset coverage ratio: 0.01; rating input score 1; 1st percentile among comparable filings
- Liabilities to assets ratio: 34.99; rating input score 0; 0th percentile among comparable filings
- Officer compensation ratio: 91.2%; rating input score 0; 0th percentile among comparable filings
Growth
- Program expense growth: 5.9% per year; rating input score 100; 45th percentile among comparable filings
- Revenue growth: 5.7% per year; rating input score 100; 46th percentile among comparable filings
- Asset growth: -0.3% per year; rating input score 0; 11th percentile among comparable filings
Details
- Where the money goes: 100% of revenue deployed · 100% of spending went to programs
- Governance: 10 of 12 board members independent · 8 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $2.7M in reported program spending
- Leadership: top reported pay $2.2M · 16 people listed · 4 of 6 pay-setting controls reported
- Consistency: 22 of 22 current checks pass
- Schedules: 5 filed schedules · includes executive pay and related organizations
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 3 filed money-flow records
- Related organizations: 5 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.
- High — Sustainability: Operating margin scored 18/100.
- High — Sustainability: Total-asset coverage ratio scored 1/100.
- High — Growth: Asset growth scored 0/100.
- Review — Accountability: Governance controls: Other executive compensation review process not reported.
- High — Sustainability: Liabilities to assets ratio scored 0/100.
- High — Sustainability: Officer compensation ratio scored 0/100.
- High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.