Monument Health Rapid City Hospital
Monument Health Rapid City Hospital reported $1.09 billion in revenue and $1.06 billion in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $81.54 went to program services, $18.31 to management and general costs and $0.15 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 97.3% of the total. The highest compensation it reported for one person was $2,199,697 (President & CEO). 757 people received more than $100,000 in reportable compensation. Revenue rose 37% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $1.06BFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $1.09BThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 81.5% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 18.3% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.1% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.44 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 0.3% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.0% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 97.3% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $2,199,697 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.21% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 757 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 10.8 | 6.6 |
| Independent voting board members Part VI 1a–1b | 9 of 15 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseMonument 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…
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| President & CEO Director/trustee, officer, 51.30 hrs/week | $0 | $1,932,107 | $267,590 | $2,199,697 |
| Physician - Cardiology Highest compensated employee, 40.00 hrs/week | $1,889,073 | $0 | $140,510 | $2,029,583 |
| Physician - Cardiology Highest compensated employee, 40.00 hrs/week | $1,559,974 | $0 | $113,818 | $1,673,792 |
| Physician - Cardiology Highest compensated employee, 40.00 hrs/week | $1,471,104 | $0 | $140,912 | $1,612,016 |
| Physician - Dermatology Highest compensated employee, 40.00 hrs/week | $1,442,327 | $0 | $150,006 | $1,592,333 |
| Physician - Cardiology Highest compensated employee, 40.00 hrs/week | $1,394,909 | $0 | $107,917 | $1,502,826 |
| Chief Medical Officer Director/trustee, 47.11 hrs/week | $972,031 | $0 | $134,035 | $1,106,066 |
| President Rapid City Hospital and Market Key employee, 55.00 hrs/week | $822,063 | $0 | $121,912 | $943,975 |
757 people received more than $100,000 in reportable compensation from Monument Health Rapid City Hospital (Part VII, line 2). Compensation of current officers, directors and key employees totaled $5.6M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b15 · 9 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2Yes
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bYes
- Employees Part I, line 55,235
- Volunteers Part I, line 6203
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| Travel Nurse Across America LLC Contract Labor | $54,603,945 |
| Crothall Healthcare Professional services | $14,063,229 |
| Morrison Management Specialists Inc Professional services | $13,303,042 |
| Weatherby Medical Staffing Contract labor | $10,691,613 |
| Mainsail Holdco LLC Professional services | $4,970,687 |
Individuals listed as contractors are left out. 407 contractors were paid more than $100,000 in all.
Private foundation grants it received
2 private foundations reported grants to Monument Health Rapid City Hospital totaling $20,596 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Monument Health Rapid City Hospital's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Monument Health Rapid City Hospital, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Monument Health Rapid City Hospital spent in FY2025, $81.54 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- Santa Barbara Cottage HospitalSanta Barbara, CA · revenue $1.08B · programs 84.5% · 2024
- Ochsner LSU Health System of North LouisianaShreveport, LA · revenue $1.09B · programs 64.3% · FY2025
- St Joseph's Health System Subordinate Group ReturnPaterson, NJ · revenue $1.08B · programs 91.2% · 2024
- Valley Children's HospitalMadera, CA · revenue $1.10B · programs 76.8% · FY2025
- Appalachian Regional HealthcareLexington, KY · revenue $1.08B · programs 80.8% · FY2025
All health care charities · Largest charities in South Dakota
Questions people ask
How much of Monument Health Rapid City Hospital's spending goes to programs?
In the fiscal year ending June 30, 2025, Monument Health Rapid City Hospital reported that 81.5% of its $1.06 billion in expenses went to program services, 18.3% to management and general and 0.1% to fundraising (Form 990, Part IX).
How much does Monument Health Rapid City Hospital pay its top executive?
The largest total compensation Monument Health Rapid City Hospital reported for one person in the fiscal year ending June 30, 2025 was $2,199,697, for the role of President & CEO (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Monument Health Rapid City Hospital get its money?
Of $1.09 billion in revenue in the fiscal year ending June 30, 2025, 0.3% came from contributions and grants (including 0.0% from government grants) and 97.3% from program service revenue (Form 990, Part VIII).
Is Monument Health Rapid City Hospital a registered charity?
The IRS lists EIN 46-0319070 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202611349349310246 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202501359349301235 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202411359349306571 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202301359349301395 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202221329349306907 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202111329349303226 · read the filing
All filings for EIN 46-0319070: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.