Monument Health Network
Monument Health Network reported $221.1 million in revenue and $211.9 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $80.41 went to program services, $19.59 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 99.9% of the total. The highest compensation it reported for one person was $2,967,552 (Physician - Orthopedic Surgery). 187 people received more than $100,000 in reportable compensation. Revenue rose 28% 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 $212MFor 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 $221M- Contributions & grants (non-government)$0.01 $17,996
- Government grants$0.07 $146K
- Program service revenue$99.91 $221M
- Other revenue$0.01 $25,424
Investment income was negative: −$10,901. The bar shows the positive sources only.
The 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 80.4% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 19.6% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | Not reported | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 0.1% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.1% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 99.9% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $2,967,552 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 1.40% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 187 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 5.9 | 6.6 |
| Independent voting board members Part VI 1a–1b | 5 of 9 | 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 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…
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 |
|---|---|---|---|---|
| Physician - Orthopedic Surgery Highest compensated employee, 40.00 hrs/week | $2,825,325 | $0 | $142,227 | $2,967,552 |
| President and CEO Director/trustee, officer, 8.59 hrs/week | $0 | $1,932,107 | $267,590 | $2,199,697 |
| Physician - Surgery Highest compensated employee, 40.00 hrs/week | $1,104,189 | $0 | $108,583 | $1,212,772 |
| Physician - Radiologist Highest compensated employee, 40.00 hrs/week | $1,042,592 | $0 | $105,838 | $1,148,430 |
| Physician - Radiologist Highest compensated employee, 40.00 hrs/week | $1,041,824 | $0 | $96,432 | $1,138,256 |
| Chief Medical Officer Key employee, 7.89 hrs/week | $0 | $972,031 | $134,035 | $1,106,066 |
| Physician -Surgery Highest compensated employee, 40.00 hrs/week | $1,024,627 | $0 | $51,318 | $1,075,945 |
| Pres Spearfish Hosp/Hills Market Key employee, 55.00 hrs/week | $622,449 | $0 | $84,195 | $706,644 |
187 people received more than $100,000 in reportable compensation from Monument Health Network (Part VII, line 2). Compensation of current officers, directors and key employees totaled $2.6M (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–1b9 · 5 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 14bNo
- Employees Part I, line 51,321
- Volunteers Part I, line 669
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| Scull Construction Service Inc Construction | $8,294,753 |
| Travel Nurse Across American LLC Contract labor | $5,349,892 |
| Morrison Management Specialists Inc Professional services | $2,591,328 |
| Crothall Healthcare Professional services | $1,139,923 |
| Ainsworth Benning Construction Construction | $944,664 |
Individuals listed as contractors are left out. 56 contractors were paid more than $100,000 in all.
Correct a figure or respond
Every number above is copied from Monument Health Network'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 Network, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Monument Health Network spent in FY2025, $80.41 went to programs. The full breakdown, from its IRS Form 990:
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All health care charities · Largest charities in South Dakota
Questions people ask
How much of Monument Health Network's spending goes to programs?
In the fiscal year ending June 30, 2025, Monument Health Network reported that 80.4% of its $211.9 million in expenses went to program services, 19.6% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Monument Health Network pay its top executive?
The largest total compensation Monument Health Network reported for one person in the fiscal year ending June 30, 2025 was $2,967,552, for the role of Physician - Orthopedic Surgery (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Monument Health Network get its money?
Of $221.1 million in revenue in the fiscal year ending June 30, 2025, 0.1% came from contributions and grants (including 0.1% from government grants) and 99.9% from program service revenue (Form 990, Part VIII).
Is Monument Health Network a registered charity?
The IRS lists EIN 46-0360899 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 202621349349304627 · read the filing
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202541359349302324 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202411359349303011 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202321359349301397 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202201339349301500 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202101329349303180 · read the filing
All filings for EIN 46-0360899: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.