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Monument Health Network Inc
PO Box 6000
Rapid City, SD 57709
EIN: 460360899
The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more
Individual Facility Details: Monument Health Lead-Deadwood Hospit61 Charles Street
Deadwood, SD 57732
Deadwood, SD 57732
4 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
(click a facility name to update Individual Facility Details panel)
| Bed count | 18 | Medicare provider number | 431320 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
Monument Health Network IncDisplay data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
4.62%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
(as % of total functional expenses)
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 194,977,719 Total amount spent on community benefits as % of operating expenses$ 9,017,286 4.62 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 1,446,044 0.74 %Medicaid as % of operating expenses$ 2,787,275 1.43 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 13,840 0.01 %Subsidized health services as % of operating expenses$ 2,648,265 1.36 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 2,112,942 1.08 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 8,920 0.00 %Community building*
as % of operating expenses$ 5,004 0.00 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? YES Number of activities or programs (optional) 3 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 1 Community health improvement advocacy 1 Workforce development 1 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 5,004 0.00 %Physical improvements and housing as % of community building expenses$ 0 0 %Economic development as % of community building expenses$ 0 0 %Community support as % of community building expenses$ 0 0 %Environmental improvements as % of community building expenses$ 0 0 %Leadership development and training for community members as % of community building expenses$ 0 0 %Coalition building as % of community building expenses$ 133 2.66 %Community health improvement advocacy as % of community building expenses$ 332 6.63 %Workforce development as % of community building expenses$ 4,539 90.71 %Other as % of community building expenses$ 0 0 %Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 10,182,763 5.22 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? NO The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? YES In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? NO
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 122877222 including grants of $ 0) (Revenue $ 170228403) 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, 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 to the greater Black Hills region.
4B (Expenses $ 9838189 including grants of $ 0) (Revenue $ 20614817) Monument Health Spearfish HospitalThe hospital's surgery department offers the following surgical specialties: Orthopedics, OB/GYN, General Surgery, ENT, Podiatry, Dermatology and Ophthalmology.
4C (Expenses $ 8529009 including grants of $ 0) (Revenue $ 6386294) Monument Health Spearfish ClinicThe clinic is a hospital outpatient department providing primary care. It has a total of 46.72 full time equivalents.
4D (Expenses $ 6225994 including grants of $ 0) (Revenue $ 5341907) SPH Orthopedic SurgerySpearfish Monument Hospital's Orthopedic Clinic is a surgery department offering general surgery and orthopedic surgery using state-of-the-art surgical methods using the most advanced equipment. The primary focus is on total joints: knee, hip and shoulder.
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Facility Information
Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
Part V, Section B Facility Reporting Group A
Facility Reporting Group A consists of: - Facility 1: Monument Health Spearfish Hospital, - Facility 2: Monument Health Custer Hospital, - Facility 3: Monument Health Sturgis Hospital, - Facility 4: Monument Health Lead-Deadwood Hospital
Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 5: As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall.Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. A total of 118 community stakeholders comprised of physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders completed the key informant survey for the Monument Health service area.
Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 6a: The Community Health Needs Assessment was undertaken by Monument Health, including: Monument Health Rapid City Hospital, Same Day Surgery Center, Monument Health Network (Monument Health Spearfish Hospital, Monument Health Sturgis Hospital, Monument Health Lead-Deadwood Hospital, and Monument Health Custer Hospital). Under a management contract with Monument Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment.
Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 7d: https://monument.health/about-us/community-health-needs-assessment/
Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 11: Monument Health identified the following five priority areas during its FY22 CHNA process: Cancer, Heart Disease and Stroke, Diabetes, Mental Health, and Access to Medical Service. The first four needs are continuations of needs identified in the prior CHNA. Due to timing of the new implementation strategy, the facility focused on the needs identified in the prior implementation strategy.During FY22, Monument Health focused on the following four priority areas identified through the FY18 Community Health Needs Assessment (CHNA): Cancer Heart Disease and Stroke Diabetes Mental HealthWork was also dedicated to COVID-19 initiatives across the health system. Teams comprised of representatives from Rapid City Hospital, Same Day Surgery Center, Monument Health Network, and the community worked on the priority areas selected for each facility's Community Health Improvement Plan (CHIP).Cancer Continued construction on the expansion of the Cancer Care Institute with estimated completion of July 2023. The new space will more than double the space of the existing facility to expand radiation and medical oncology, expand infusion services, and add comprehensive brachytherapy services and integrated services. Successful recruitment of two Gynecological Oncologists for additional access to care. Continued Breast Survivorship Visits to provide continued high risk screening platform and cancer genetics counseling. Implemented High-dose-rate brachytherapy (HDR) for prostate cancer patients to improve relapse-free and survival rates. Utilized Genetics Navigator Platform to recommend cancer screenings. Continued use of telehealth and tele-video visits to support cancer patients throughout the COVID-19 pandemic. Implemented complementary and alternative medicine through movement and exercise, and education-nutrition support groups. Improved Oncology Pharmacy support through alignment with ambulatory pharmacy services and addition of specialty and clinical pharmacists. Continued participation in South Dakota 2021-2025 Comprehensive Cancer Plan's goals, priorities and tactics throughout Monument Health. Actively contributed to the program with representation and project leaders. Utilized the Mayo Clinic Care Network to collaborate on individual patient cancer care to provide patients with care close to home. Provided cancer education at community events including Judd Hoos Charity Concert for Cancer, Rush Hocky Fights Cancer, Custer Mammo or Bust Run Walk, Deadwood Days of 76 Rodeo, and the Tough Enough to Wear Pink program throughout Black Hills Stock Show and Rodeo Rapid City.Heart Disease and Stroke Hosted and participated in events to increase awareness of Heart Disease and Stroke including the American Heart Association (AHA) Heart Ball, the AHA Heart Walk and February Freeze run/walk. Provided blood pressure screenings and education at community events, including one of the largest regional events, the Black Hills Stock Show and Rodeo Rapid City. Provided education to area providers through the annual Cardiac Symposium. This event highlights current heart and stroke topics, advancements in cardiac medicine, lifestyle management and new physicians and APPs to the community. Provided heart and vascular outreach clinics in Spearfish, Chadron, Alliance, Belle Fourche, Newcastle, Custer and Hot Springs. Updated processes for Stroke Alert to meet Joint Commission goals for stroke patients. Successfully recruited an Interventional Neurologist to maximize patient care. Utilized the Mayo Clinic Care Network to collaborate on care for cardiology and stroke patients, to provide patients with care close to home.Diabetes Offered virtual options for the Monument Health Diabetes Prevention Program and the Better Choices Better Health program for patients identified by case managers and/or diabetes educators. These programs were offered in partnership with the SDSU Extension Office and SD Foundation for Medical Care. Provided education to area providers through the annual Diabetes Symposium. This event was held virtually this year due to the continued pandemic. Pursued Medicare Diabetes Prevention Program supplier status with goal of implementing program late-2022. Continued use of LACES program to improve transition from inpatient to outpatient care. Program focuses on Low Blood Glucose, A1C, Consults, Education and Survival Skills for patients. Initiated development of Community Health Worker program which will provide opportunity to assess and mitigate SDOH disparities through community referrals. Case managers and clinic champions continued to identify patients on provider panels with HbA1C greater than 8 to provide intensive case management. Supported local events for Diabetes education including Diabetes Inc. and the Black Hills Dialysis Group. Provided telephonic and tele-video visits for patients during COVID-19 and explore options to continue post-pandemic. Held ongoing outreach clinics monthly in the communities of Spearfish, Sturgis, Belle Fourche, Lead/Deadwood, Hot Springs, Hill City, Custer, and Newcastle. Completed diabetes screenings at community events such as the Black Hills Stock Show.Mental Health Expanded the availability of counselors in three primary care facilities. Recruited two outpatient psychiatrists. Provided caregiver mental health support through a part-time risk assessment coordinator/counselor and a full-time support counselor. Collaborated with Pennington County Care Campus for establishment of 16 bed short stay Crisis Stabilization Unit. Continued collaboration with Pennington County Care Campus and provided representation on their Advisory Board. Opened Adolescent Crisis Care in October of 2021 and is supported by Pennington County, Behavior Management Systems, Wellfully and Monument Health. Continued efforts in training of Trauma Informed Care and provided toolkits for Emergency Department and Medical Staff. Caregivers are continuously trained through orientation, monthly meetings, and annual competency. Professional development of caregivers in areas of Trauma Informed Care, Grief Counseling, and sleep deprivation and brain function. Participated in implementation of 988 statewide hotline for suicide support, crisis management, and care. Increased partnership with Great Plains Tribal Chairman Health Board for new programs and training seminars.In acknowledging the wide range of priority health issues revealed through the FY22 CHNA process, Monument Health determined it could only focus on those which it deemed most pressing, most under-addressed, and within the ability to influence. The areas identified during the CHNA process that will not be directly addressed through the FY22 implementation plan are: Infant health and family planning; Injury & violence; Nutrition, Physical Activity & Weight; Potentially disabling conditions; Sexually transmitted diseases; Substance abuse; and Tobacco use. These needs are being addressed by other organizations in the community, are outside of our core area of expertise, or require resources that are not available at this time.
Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 13h: Must reside within 200 mile radius of the location where the service was received.Presumptive eligibility may be used.
Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 16j: A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, including on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request. The financial assistance policy application form was translated into the primary language spoken by limited English proficient populations. This is posted on the website listed for line 16a.
Group A-Facility 1 -- Monument Health Spearfish Hospital Part V, Section B, line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged financial assistance policy eligible patients gross charges for services that are not covered under the financial assistance policy.
Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 5: As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall.Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. A total of 118 community stakeholders comprised of physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders completed the key informant survey for the Monument Health service area.
Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 6a: The Community Health Needs Assessment was undertaken by Monument Health, including: Monument Health Rapid City Hospital, Same Day Surgery Center, Monument Health Network (Monument Health Spearfish Hospital, Monument Health Sturgis Hospital, Monument Health Lead-Deadwood Hospital, and Monument Health Custer Hospital). Under a management contract with Monument Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment.
Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 7d: https://monument.health/about-us/community-health-needs-assessment/
Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 11: Monument Health identified the following five priority areas during its FY22 CHNA process: Cancer, Heart Disease and Stroke, Diabetes, Mental Health, and Access to Medical Service. The first four needs are continuations of needs identified in the prior CHNA. Due to timing of the new implementation strategy, the facility focused on the needs identified in the prior implementation strategy.During FY22, Monument Health focused on the following four priority areas identified through the FY18 Community Health Needs Assessment (CHNA): Cancer Heart Disease and Stroke Diabetes Mental HealthWork was also dedicated to COVID-19 initiatives across the health system. Teams comprised of representatives from Rapid City Hospital, Same Day Surgery Center, Monument Health Network, and the community worked on the priority areas selected for each facility's Community Health Improvement Plan (CHIP).Cancer Continued construction on the expansion of the Cancer Care Institute with estimated completion of July 2023. The new space will more than double the space of the existing facility to expand radiation and medical oncology, expand infusion services, and add comprehensive brachytherapy services and integrated services. Successful recruitment of two Gynecological Oncologists for additional access to care. Continued Breast Survivorship Visits to provide continued high risk screening platform and cancer genetics counseling. Implemented High-dose-rate brachytherapy (HDR) for prostate cancer patients to improve relapse-free and survival rates. Utilized Genetics Navigator Platform to recommend cancer screenings. Continued use of telehealth and tele-video visits to support cancer patients throughout the COVID-19 pandemic. Implemented complementary and alternative medicine through movement and exercise, and education-nutrition support groups. Improved Oncology Pharmacy support through alignment with ambulatory pharmacy services and addition of specialty and clinical pharmacists. Continued participation in South Dakota 2021-2025 Comprehensive Cancer Plan's goals, priorities and tactics throughout Monument Health. Actively contributed to the program with representation and project leaders. Utilized the Mayo Clinic Care Network to collaborate on individual patient cancer care to provide patients with care close to home. Provided cancer education at community events including Judd Hoos Charity Concert for Cancer, Rush Hocky Fights Cancer, Custer Mammo or Bust Run Walk, Deadwood Days of 76 Rodeo, and the Tough Enough to Wear Pink program throughout Black Hills Stock Show and Rodeo Rapid City.Heart Disease and Stroke Hosted and participated in events to increase awareness of Heart Disease and Stroke including the American Heart Association (AHA) Heart Ball, the AHA Heart Walk and February Freeze run/walk. Provided blood pressure screenings and education at community events, including one of the largest regional events, the Black Hills Stock Show and Rodeo Rapid City. Provided education to area providers through the annual Cardiac Symposium. This event highlights current heart and stroke topics, advancements in cardiac medicine, lifestyle management and new physicians and APPs to the community. Provided heart and vascular outreach clinics in Spearfish, Chadron, Alliance, Belle Fourche, Newcastle, Custer and Hot Springs. Updated processes for Stroke Alert to meet Joint Commission goals for stroke patients. Successfully recruited an Interventional Neurologist to maximize patient care. Utilized the Mayo Clinic Care Network to collaborate on care for cardiology and stroke patients, to provide patients with care close to home.Diabetes Offered virtual options for the Monument Health Diabetes Prevention Program and the Better Choices Better Health program for patients identified by case managers and/or diabetes educators. These programs were offered in partnership with the SDSU Extension Office and SD Foundation for Medical Care. Provided education to area providers through the annual Diabetes Symposium. This event was held virtually this year due to the continued pandemic. Pursued Medicare Diabetes Prevention Program supplier status with goal of implementing program late-2022. Continued use of LACES program to improve transition from inpatient to outpatient care. Program focuses on Low Blood Glucose, A1C, Consults, Education and Survival Skills for patients. Initiated development of Community Health Worker program which will provide opportunity to assess and mitigate SDOH disparities through community referrals. Case managers and clinic champions continued to identify patients on provider panels with HbA1C greater than 8 to provide intensive case management. Supported local events for Diabetes education including Diabetes Inc. and the Black Hills Dialysis Group. Provided telephonic and tele-video visits for patients during COVID-19 and explore options to continue post-pandemic. Held ongoing outreach clinics monthly in the communities of Spearfish, Sturgis, Belle Fourche, Lead/Deadwood, Hot Springs, Hill City, Custer, and Newcastle. Completed diabetes screenings at community events such as the Black Hills Stock Show.Mental Health Expanded the availability of counselors in three primary care facilities. Recruited two outpatient psychiatrists. Provided caregiver mental health support through a part-time risk assessment coordinator/counselor and a full-time support counselor. Collaborated with Pennington County Care Campus for establishment of 16 bed short stay Crisis Stabilization Unit. Continued collaboration with Pennington County Care Campus and provided representation on their Advisory Board. Opened Adolescent Crisis Care in October of 2021 and is supported by Pennington County, Behavior Management Systems, Wellfully and Monument Health. Continued efforts in training of Trauma Informed Care and provided toolkits for Emergency Department and Medical Staff. Caregivers are continuously trained through orientation, monthly meetings, and annual competency. Professional development of caregivers in areas of Trauma Informed Care, Grief Counseling, and sleep deprivation and brain function. Participated in implementation of 988 statewide hotline for suicide support, crisis management, and care. Increased partnership with Great Plains Tribal Chairman Health Board for new programs and training seminars.In acknowledging the wide range of priority health issues revealed through the FY22 CHNA process, Monument Health determined it could only focus on those which it deemed most pressing, most under-addressed, and within the ability to influence. The areas identified during the CHNA process that will not be directly addressed through the FY22 implementation plan are: Infant health and family planning; Injury & violence; Nutrition, Physical Activity & Weight; Potentially disabling conditions; Sexually transmitted diseases; Substance abuse; and Tobacco use. These needs are being addressed by other organizations in the community, are outside of our core area of expertise, or require resources that are not available at this time.
Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 13h: Must reside within 200 mile radius of the location where the service was received.Presumptive eligibility may be used.
Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 16j: A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, including on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request. The financial assistance policy application form was translated into the primary language spoken by limited English proficient populations. This is posted on the website listed for line 16a.
Group A-Facility 2 -- Monument Health Custer Hospital Part V, Section B, line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged financial assistance policy eligible patients gross charges for services that are not covered under the financial assistance policy.
Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 5: As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall.Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. A total of 118 community stakeholders comprised of physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders completed the key informant survey for the Monument Health service area.
Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 6a: The Community Health Needs Assessment was undertaken by Monument Health, including: Monument Health Rapid City Hospital, Same Day Surgery Center, Monument Health Network (Monument Health Spearfish Hospital, Monument Health Sturgis Hospital, Monument Health Lead-Deadwood Hospital, and Monument Health Custer Hospital). Under a management contract with Monument Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment.
Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 7d: https://monument.health/about-us/community-health-needs-assessment/
Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 11: Monument Health identified the following five priority areas during its FY22 CHNA process: Cancer, Heart Disease and Stroke, Diabetes, Mental Health, and Access to Medical Service. The first four needs are continuations of needs identified in the prior CHNA. Due to timing of the new implementation strategy, the facility focused on the needs identified in the prior implementation strategy.During FY22, Monument Health focused on the following four priority areas identified through the FY18 Community Health Needs Assessment (CHNA): Cancer Heart Disease and Stroke Diabetes Mental HealthWork was also dedicated to COVID-19 initiatives across the health system. Teams comprised of representatives from Rapid City Hospital, Same Day Surgery Center, Monument Health Network, and the community worked on the priority areas selected for each facility's Community Health Improvement Plan (CHIP).Cancer Continued construction on the expansion of the Cancer Care Institute with estimated completion of July 2023. The new space will more than double the space of the existing facility to expand radiation and medical oncology, expand infusion services, and add comprehensive brachytherapy services and integrated services. Successful recruitment of two Gynecological Oncologists for additional access to care. Continued Breast Survivorship Visits to provide continued high risk screening platform and cancer genetics counseling. Implemented High-dose-rate brachytherapy (HDR) for prostate cancer patients to improve relapse-free and survival rates. Utilized Genetics Navigator Platform to recommend cancer screenings. Continued use of telehealth and tele-video visits to support cancer patients throughout the COVID-19 pandemic. Implemented complementary and alternative medicine through movement and exercise, and education-nutrition support groups. Improved Oncology Pharmacy support through alignment with ambulatory pharmacy services and addition of specialty and clinical pharmacists. Continued participation in South Dakota 2021-2025 Comprehensive Cancer Plan's goals, priorities and tactics throughout Monument Health. Actively contributed to the program with representation and project leaders. Utilized the Mayo Clinic Care Network to collaborate on individual patient cancer care to provide patients with care close to home. Provided cancer education at community events including Judd Hoos Charity Concert for Cancer, Rush Hocky Fights Cancer, Custer Mammo or Bust Run Walk, Deadwood Days of 76 Rodeo, and the Tough Enough to Wear Pink program throughout Black Hills Stock Show and Rodeo Rapid City.Heart Disease and Stroke Hosted and participated in events to increase awareness of Heart Disease and Stroke including the American Heart Association (AHA) Heart Ball, the AHA Heart Walk and February Freeze run/walk. Provided blood pressure screenings and education at community events, including one of the largest regional events, the Black Hills Stock Show and Rodeo Rapid City. Provided education to area providers through the annual Cardiac Symposium. This event highlights current heart and stroke topics, advancements in cardiac medicine, lifestyle management and new physicians and APPs to the community. Provided heart and vascular outreach clinics in Spearfish, Chadron, Alliance, Belle Fourche, Newcastle, Custer and Hot Springs. Updated processes for Stroke Alert to meet Joint Commission goals for stroke patients. Successfully recruited an Interventional Neurologist to maximize patient care. Utilized the Mayo Clinic Care Network to collaborate on care for cardiology and stroke patients, to provide patients with care close to home.Diabetes Offered virtual options for the Monument Health Diabetes Prevention Program and the Better Choices Better Health program for patients identified by case managers and/or diabetes educators. These programs were offered in partnership with the SDSU Extension Office and SD Foundation for Medical Care. Provided education to area providers through the annual Diabetes Symposium. This event was held virtually this year due to the continued pandemic. Pursued Medicare Diabetes Prevention Program supplier status with goal of implementing program late-2022. Continued use of LACES program to improve transition from inpatient to outpatient care. Program focuses on Low Blood Glucose, A1C, Consults, Education and Survival Skills for patients. Initiated development of Community Health Worker program which will provide opportunity to assess and mitigate SDOH disparities through community referrals. Case managers and clinic champions continued to identify patients on provider panels with HbA1C greater than 8 to provide intensive case management. Supported local events for Diabetes education including Diabetes Inc. and the Black Hills Dialysis Group. Provided telephonic and tele-video visits for patients during COVID-19 and explore options to continue post-pandemic. Held ongoing outreach clinics monthly in the communities of Spearfish, Sturgis, Belle Fourche, Lead/Deadwood, Hot Springs, Hill City, Custer, and Newcastle. Completed diabetes screenings at community events such as the Black Hills Stock Show.Mental Health Expanded the availability of counselors in three primary care facilities. Recruited two outpatient psychiatrists. Provided caregiver mental health support through a part-time risk assessment coordinator/counselor and a full-time support counselor. Collaborated with Pennington County Care Campus for establishment of 16 bed short stay Crisis Stabilization Unit. Continued collaboration with Pennington County Care Campus and provided representation on their Advisory Board. Opened Adolescent Crisis Care in October of 2021 and is supported by Pennington County, Behavior Management Systems, Wellfully and Monument Health. Continued efforts in training of Trauma Informed Care and provided toolkits for Emergency Department and Medical Staff. Caregivers are continuously trained through orientation, monthly meetings, and annual competency. Professional development of caregivers in areas of Trauma Informed Care, Grief Counseling, and sleep deprivation and brain function. Participated in implementation of 988 statewide hotline for suicide support, crisis management, and care. Increased partnership with Great Plains Tribal Chairman Health Board for new programs and training seminars.In acknowledging the wide range of priority health issues revealed through the FY22 CHNA process, Monument Health determined it could only focus on those which it deemed most pressing, most under-addressed, and within the ability to influence. The areas identified during the CHNA process that will not be directly addressed through the FY22 implementation plan are: Infant health and family planning; Injury & violence; Nutrition, Physical Activity & Weight; Potentially disabling conditions; Sexually transmitted diseases; Substance abuse; and Tobacco use. These needs are being addressed by other organizations in the community, are outside of our core area of expertise, or require resources that are not available at this time.
Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 13h: Must reside within 200 mile radius of the location where the service was received.Presumptive eligibility may be used.
Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 16j: A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, including on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request. The financial assistance policy application form was translated into the primary language spoken by limited English proficient populations. This is posted on the website listed for line 16a.
Group A-Facility 3 -- Monument Health Sturgis Hospital Part V, Section B, line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged financial assistance policy eligible patients gross charges for services that are not covered under the financial assistance policy.
Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 5: As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall.Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. A total of 118 community stakeholders comprised of physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders completed the key informant survey for the Monument Health service area.
Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 6a: The Community Health Needs Assessment was undertaken by Monument Health, including: Monument Health Rapid City Hospital, Same Day Surgery Center, Monument Health Network (Monument Health Spearfish Hospital, Monument Health Sturgis Hospital, Monument Health Lead-Deadwood Hospital, and Monument Health Custer Hospital). Under a management contract with Monument Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment.
Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 7d: https://monument.health/about-us/community-health-needs-assessment/
Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 11: Monument Health identified the following five priority areas during its FY22 CHNA process: Cancer, Heart Disease and Stroke, Diabetes, Mental Health, and Access to Medical Service. The first four needs are continuations of needs identified in the prior CHNA. Due to timing of the new implementation strategy, the facility focused on the needs identified in the prior implementation strategy.During FY22, Monument Health focused on the following four priority areas identified through the FY18 Community Health Needs Assessment (CHNA): Cancer Heart Disease and Stroke Diabetes Mental HealthWork was also dedicated to COVID-19 initiatives across the health system. Teams comprised of representatives from Rapid City Hospital, Same Day Surgery Center, Monument Health Network, and the community worked on the priority areas selected for each facility's Community Health Improvement Plan (CHIP).Cancer Continued construction on the expansion of the Cancer Care Institute with estimated completion of July 2023. The new space will more than double the space of the existing facility to expand radiation and medical oncology, expand infusion services, and add comprehensive brachytherapy services and integrated services. Successful recruitment of two Gynecological Oncologists for additional access to care. Continued Breast Survivorship Visits to provide continued high risk screening platform and cancer genetics counseling. Implemented High-dose-rate brachytherapy (HDR) for prostate cancer patients to improve relapse-free and survival rates. Utilized Genetics Navigator Platform to recommend cancer screenings. Continued use of telehealth and tele-video visits to support cancer patients throughout the COVID-19 pandemic. Implemented complementary and alternative medicine through movement and exercise, and education-nutrition support groups. Improved Oncology Pharmacy support through alignment with ambulatory pharmacy services and addition of specialty and clinical pharmacists. Continued participation in South Dakota 2021-2025 Comprehensive Cancer Plan's goals, priorities and tactics throughout Monument Health. Actively contributed to the program with representation and project leaders. Utilized the Mayo Clinic Care Network to collaborate on individual patient cancer care to provide patients with care close to home. Provided cancer education at community events including Judd Hoos Charity Concert for Cancer, Rush Hocky Fights Cancer, Custer Mammo or Bust Run Walk, Deadwood Days of 76 Rodeo, and the Tough Enough to Wear Pink program throughout Black Hills Stock Show and Rodeo Rapid City.Heart Disease and Stroke Hosted and participated in events to increase awareness of Heart Disease and Stroke including the American Heart Association (AHA) Heart Ball, the AHA Heart Walk and February Freeze run/walk. Provided blood pressure screenings and education at community events, including one of the largest regional events, the Black Hills Stock Show and Rodeo Rapid City. Provided education to area providers through the annual Cardiac Symposium. This event highlights current heart and stroke topics, advancements in cardiac medicine, lifestyle management and new physicians and APPs to the community. Provided heart and vascular outreach clinics in Spearfish, Chadron, Alliance, Belle Fourche, Newcastle, Custer and Hot Springs. Updated processes for Stroke Alert to meet Joint Commission goals for stroke patients. Successfully recruited an Interventional Neurologist to maximize patient care. Utilized the Mayo Clinic Care Network to collaborate on care for cardiology and stroke patients, to provide patients with care close to home.Diabetes Offered virtual options for the Monument Health Diabetes Prevention Program and the Better Choices Better Health program for patients identified by case managers and/or diabetes educators. These programs were offered in partnership with the SDSU Extension Office and SD Foundation for Medical Care. Provided education to area providers through the annual Diabetes Symposium. This event was held virtually this year due to the continued pandemic. Pursued Medicare Diabetes Prevention Program supplier status with goal of implementing program late-2022. Continued use of LACES program to improve transition from inpatient to outpatient care. Program focuses on Low Blood Glucose, A1C, Consults, Education and Survival Skills for patients. Initiated development of Community Health Worker program which will provide opportunity to assess and mitigate SDOH disparities through community referrals. Case managers and clinic champions continued to identify patients on provider panels with HbA1C greater than 8 to provide intensive case management. Supported local events for Diabetes education including Diabetes Inc. and the Black Hills Dialysis Group. Provided telephonic and tele-video visits for patients during COVID-19 and explore options to continue post-pandemic. Held ongoing outreach clinics monthly in the communities of Spearfish, Sturgis, Belle Fourche, Lead/Deadwood, Hot Springs, Hill City, Custer, and Newcastle. Completed diabetes screenings at community events such as the Black Hills Stock Show.Mental Health Expanded the availability of counselors in three primary care facilities. Recruited two outpatient psychiatrists. Provided caregiver mental health support through a part-time risk assessment coordinator/counselor and a full-time support counselor. Collaborated with Pennington County Care Campus for establishment of 16 bed short stay Crisis Stabilization Unit. Continued collaboration with Pennington County Care Campus and provided representation on their Advisory Board. Opened Adolescent Crisis Care in October of 2021 and is supported by Pennington County, Behavior Management Systems, Wellfully and Monument Health. Continued efforts in training of Trauma Informed Care and provided toolkits for Emergency Department and Medical Staff. Caregivers are continuously trained through orientation, monthly meetings, and annual competency. Professional development of caregivers in areas of Trauma Informed Care, Grief Counseling, and sleep deprivation and brain function. Participated in implementation of 988 statewide hotline for suicide support, crisis management, and care. Increased partnership with Great Plains Tribal Chairman Health Board for new programs and training seminars.In acknowledging the wide range of priority health issues revealed through the FY22 CHNA process, Monument Health determined it could only focus on those which it deemed most pressing, most under-addressed, and within the ability to influence. The areas identified during the CHNA process that will not be directly addressed through the FY22 implementation plan are: Infant health and family planning; Injury & violence; Nutrition, Physical Activity & Weight; Potentially disabling conditions; Sexually transmitted diseases; Substance abuse; and Tobacco use. These needs are being addressed by other organizations in the community, are outside of our core area of expertise, or require resources that are not available at this time.
Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 13h: Must reside within 200 mile radius of the location where the service was received.Presumptive eligibility may be used.
Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 16j: A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, including on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request. The financial assistance policy application form was translated into the primary language spoken by limited English proficient populations. This is posted on the website listed for line 16a.
Group A-Facility 4 -- Monument Health Lead-Deadwood Hospital Part V, Section B, line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged financial assistance policy eligible patients gross charges for services that are not covered under the financial assistance policy.
Part V, Lines 16a-c All Facilities The Financial Assistance Policy, Application form, and plain language summary are available at https://monument.health/patient-visitor-guide/financial-assistance/
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Supplemental Information
Schedule H (Form 990) Part VI
Part I, Line 3c: "References to ""Monument Health"" apply to all entities controlled by Monument Health, Inc. This includes the reporting entity.Financial assistance debt reduction write-offs for free or discounted care are based on an income matrix utilizing the current Federal Poverty Level (FPL) income guidelines after satisfying applicable co-pay requirements. The income matrix is updated annually as the FPL guidelines are released. Presumptive eligibility may be used."
Part I, Line 6a: Monument Health Network is included in the community benefit report prepared by Monument Health. This report is available at the facilities and can be found at:https://monument.health/about-us/mission-vision-values/
Part I, Line 7: Ratio of patient care cost to charges is used for the calculation of cost of services provided for lines 7a, 7b and 7g. Actual costs are used for the calculation of costs of services provided for lines 7e and 7f.
Part II, Community Building Activities: Monument Health provides numerous community benefit health events and screenings throughout the Black Hills Region. Monument Health also provides financial support to other nonprofit organizations to help support community health outreach. Additionally, Monument Health provides in-kind support and employee volunteers to help support community heath events and activities.
Part III, Line 2: The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concessions based on its historical collection experience with the respective class of patients and residents.
Part III, Line 4: The footnote to the Organization's financial statements that describes implicit price concession is located in the audited financial statement report on pages 15 and 16.
Part III, Line 8: The Medicare surplus or deficit is derived from the actual payments received from the Medicare program for services provided to patients with Medicare coverage. The payments are compared to the actual cost of providing the service as arrived at through the Medicare cost reports. Medical services are provided to patients with Medicare coverage regardless of whether or not a surplus or deficit is realized. Providing Medicare services promotes access to healthcare services which are vitally needed by our communities.
Part III, Line 9b: The collection policy requires invoking of the financial assistance policy at any time a patient expresses financial difficulty in meeting their debt obligation. Upon invoking the financial assistance policy, all collection activity is suspended. If the patient is approved for charity, then the account is closed out of the collection process and classified as charity. If a patient expresses financial concern but fails to complete the application process, additional notification is sent to the patient prior to re-instituting collection activity. We are following the 501(r) Final Regulations timelines for notifications and collections.
Part VI, Line 2: We gather additional data on needed services from patient surveys, advisory councils and patient and family advisory councils.
Part VI, Line 3: Financial Assistance Program brochures explaining the policy, a copy of the policy and Financial Assistance applications are available at each point of entry. Signs alerting patients to the availability of Financial Assistance are prominently displayed and a plain language summary describing the Financial Assistance program accompanies one billing statement for hospital services sent to the patient. The Financial Assistance policy, plain language summary and Financial Assistance application are provided free upon request and are also available on the hospital website at www.monument.health. Monument Health contracts with Midland Medical Group (an unrelated entity) to meet with uninsured patients to assist them with finding a funding source or applying for financial assistance; and our self-pay outsource partner also communicates any funding and financial assistance opportunities with our patients.
Part VI, Line 4: Monument Health and its affiliates provide health care services to the 360,000 people who live in the Black Hills of South Dakota and the surrounding region, as well as thousands of visitors each year. Monument Health serves a 38-county region comprised of western South Dakota, southeastern Montana, northeastern Wyoming, southwestern North Dakota and northwestern Nebraska.
Part VI, Line 5: Monument Health collaborates with agencies and community-wide coalitions to address prioritized health needs within the communities we serve. Monument Health addresses its community's health needs by: 1) Community members serve on governing boards, advisory councils and patient and family member councils; 2) developing new programs and initiatives to address identified health needs: and 3) promoting an understanding of these health needs among other community organizations and within the public itself. Monument Health also provides financial support to other nonprofit organizations to help support community health outreach. Additionally, Monument Health provides in-kind support and employee volunteers to help support community health events and activities.
Part VI, Line 6: Monument Health is committed to partnering with the communities it serves to meet the needs of each respective community. Monument Health, Inc. is the parent organization of Monument Health Rapid City Hospital, Inc., and Monument Health Network, Inc. These corporations work together to meet the health care needs of the region.
