South Dakota · Nonprofit
Monument Health Rapid City Hospital Inc
Monument Health Rapid City Hospital Inc (South Dakota) receives grants from 26 organizations whose IRS filings report $3,114,504 to it, the largest being DAKOTA CHARITABLE FOUNDATION INC ($1,000,000). 16 of them have funded it in more than one year.
- Revenue FY2025
- $1.1B
- Funders on record
- 26
- Grants received
- $3.1M
- Net assets
- $952M
What Monument Health Rapid City Hospital Inc does
Mission
Our vision at Monument Health Rapid City Hospital is to be one team, to listen, to be inclusive, and to show we care. Monument Health Rapid City Hospital is dedicated to improving the health of individuals and our communities.
As stated on its FY2025 Form 990.
Program
Monument 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 Vascular Institute, Hospice House, Medical Clinics and Urgent Care locations. The Hospital employs physicians through its residency, cardiology, cardiovascular surgery, medical oncology, psychiatry, neurology, hospitalist, orthopedics and other programs.Monument Health Home Plus, LLC provides home care, hospice, pharmacy, and durable medical equipment services to the communities Monument Health serves.
$864,199,254 spentof which $440,813 as grants$1,049,106,576 earned by the program100% of program spending
The program described on its FY2024 Form 990. Program spending in total: $864,199,254.
The organization over time
Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2020 to 2021, from $1.3B to $1.5B (+18%).
How it's funded, over time
Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.
Government-grant reliance: 2017 0% · 2018 0% · 2019 0% · 2020 2% · 2021 3% · 2022 2% · 2023 0% · 2024 1% · 2025 0%. Grants only. Government contracts and fees sit inside program revenue.
0% of Monument Health Rapid City Hospital Inc’s revenue is contributions — about as donation-reliant as the typical peer (1% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 1 of the last 9 reported years ran a deficit.
reserve
Leadership and staff
The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.
Chief executive
Paulette R Davidson
President & CEO
Board chair
Daryl Reinicke
Chair
As listed on its FY2025 Form 990.
Who funds it, year by year
2017 → 2023: the base broadened from 2 funders to 13 funders, grant income rose $101k → $648k.
8 of 26 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 47% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.
Left out of every figure on this page: $5k from one payer (the payer shares this organization's board, largest Black Hills Area Community Foundation). These are real filings, and they are not money Monument Health Rapid City Hospital Inc raised.
From the IRS filings of Monument Health Rapid City Hospital Inc’s funders (the co-funder graph). Top 24 of 26 funders by total. Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How concentrated its funding is
Monument Health Rapid City Hospital Inc leans on a few funders — its largest provides 32% of grant income and the top three 63%; half comes from just 2 funders.
the vertical line marks half of all grant income — 2 funders to its left
65% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund Monument Health Rapid City Hospital Inc.
Largest funder’s share by year: 2017 94% · 2018 73% · 2019 77% · 2020 65% · 2021 53% · 2022 64% · 2023 39% — diversifying over time.
“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How long its funders stay
71% of Monument Health Rapid City Hospital Inc's funders are still giving 3 years after their first grant; 62% give in more than one year at all.
Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.
Where its funders are
78% of Monument Health Rapid City Hospital Inc's grant income comes from South Dakota funders.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $1.5M arriving through sponsors registered in 7 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Against its field
Monument Health Rapid City Hospital Inc's funding base is broadening — from 2 funders to 13 as grant income climbed.
this organization peer median middle 50% of peers· 1,241 health nonprofits over $100M, FY2025
Government funding Monument Health Rapid City Hospital Inc receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $3.2M on record.
- Department of Veterans Affairs$2.8M
- Department of Health and Human Services$296k
- Department of Justice$97k
Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.
Organizations like Monument Health Rapid City Hospital Inc
Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.
In South Dakota
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
82% of spending goes to programs.
Governance
Footprint & structure
Part of a family of 6 related entities
- Monument Health Home Plus LLC · disregarded
- Monument Health Inc · exempt
- Monument Health Network Inc · exempt
- Monument Health Physicians Inc · exempt
- Same Day Surgery Center · partnership
Screen this organization
A dated, signed PDF of the compliance screen for Monument Health Rapid City Hospital Inc: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.
Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf
Questions and answers
- Who funds Monument Health Rapid City Hospital Inc?
- Monument Health Rapid City Hospital Inc (South Dakota) receives grants from 26 organizations whose IRS filings report $3,114,504 to it, the largest being DAKOTA CHARITABLE FOUNDATION INC ($1,000,000). 16 of them have funded it in more than one year.
- How many funders does Monument Health Rapid City Hospital Inc have?
- IRS filings report 26 organizations giving $3,114,504 in grants to Monument Health Rapid City Hospital Inc, 16 of which have funded it in more than one year.
- Who is the largest funder of Monument Health Rapid City Hospital Inc?
- DAKOTA CHARITABLE FOUNDATION INC is the largest funder on record, with $1,000,000 in grants. The full list of funders is on this page.
- How can an organization like Monument Health Rapid City Hospital Inc find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in South Dakota. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 26 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing