Monument Health Inc
Monument Health Inc. faces persistent financial deficits with liabilities significantly exceeding assets.
EIN: 201487506 · Rapid City, SD · NTEE: E21 · Updated: 2026-03-28
| Metric | Value |
|---|---|
| Total Revenue | $2.5M |
| Total Expenses | $2.2M |
| Program Spending | 70% |
| Net Assets | $-472,338 |
| Transparency Score | 45/100 |
Is Monument Health Inc Legit?
Significant Concerns
Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →
Monument Health Inc directs 70% of its spending to programs. This meets the industry benchmark of 65% for efficient nonprofits.
About Monument Health Inc
Monument Health Inc (EIN: 201487506) is a nonprofit organization based in Rapid City, SD, classified under NTEE code E21. The organization reported total revenue of $2.5M and total assets of $148 according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Monument Health Inc's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.
Organization Overview
Monument Health Inc is a mid-size nonprofit that has been operating for 20 years, with 13 years of IRS 990 filings on record (2011–2023). Revenue has grown at a compound annual rate of 5.1%.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
| Total Revenue | $2.1M |
| Total Expenses | $2.2M |
| Surplus / Deficit | $-154,515 |
| Total Assets | $181 |
| Total Liabilities | $473K |
| Net Assets | $-472,338 |
| Operating Margin | -7.4% |
| Debt-to-Asset Ratio | 261060.2% |
| Months of Reserves | 0.0 months |
Financial Health Grade: D
In 2023, Monument Health Inc reported a deficit of $155K with expenses exceeding revenue, holds 0.0 months of operating reserves (limited), has a debt-to-asset ratio of 261060.2% (high leverage).
Financial Trends
Over 13 years of filings (2011–2023), Monument Health Inc's revenue has grown at a compound annual growth rate (CAGR) of 5.1%.
| Year | Revenue Change | Expense Change | Asset Change |
|---|---|---|---|
| 2023 | +0.8% | +8.2% | — |
| 2022 | +4.4% | +4.4% | -1656.0% |
| 2021 | +18.6% | +9.2% | -100.0% |
| 2020 | -35.8% | -38.5% | +167.7% |
| 2019 | +31.5% | +52.5% | +115.9% |
IRS Tax-Exempt Classification
| IRS Classification Codes | 1000 |
| IRS Ruling Date | 2006 |
Classification data from ProPublica Nonprofit Explorer. Additional BMF data may be available after enrichment.
AI Transparency Report
Mission Effectiveness Score
NonprofitSpending's AI analysis rates Monument Health Inc with a Mission Score of 45 out of 100 (Fair). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.
Spending Breakdown
- admin: 20%
- programs: 70%
- fundraising: 10%
According to IRS 990 filings, Monument Health Inc allocates its expenses as follows: admin: 20%, programs: 70%, fundraising: 10%. Approximately 70% goes to programs, indicating moderate mission focus.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
- The organization reported a deficit of $155K, with expenses exceeding revenue.
- Debt-to-asset ratio: 261060.2%.
Executive Compensation Analysis
Executive compensation is consistently reported as 0% across all available filings, suggesting either a fully volunteer-led executive team or compensation being handled through an undisclosed related entity, which warrants further investigation given the organization's revenue levels.
Executive compensation data is sourced from IRS 990 filings, which require nonprofits to disclose the compensation of officers, directors, trustees, and key employees. NonprofitSpending analyzes this data relative to the organization's total revenue and sector benchmarks to assess whether executive pay is reasonable.
Red Flags
The following concerns were identified during AI analysis of Monument Health Inc's IRS 990 filings:
- Persistent negative net assets (liabilities significantly exceed assets, e.g., 2023: Assets $181, Liabilities $472,519).
- Consistent operational deficits (expenses frequently exceed revenue, e.g., 2023: Expenses $2,241,027, Revenue $2,086,512).
- Significant fluctuations in assets and liabilities, including negative assets in 2022 ($-1,167).
- Lack of detailed functional expense breakdown in the provided data, hindering assessment of program efficiency.
Strengths
The following positive indicators were identified for Monument Health Inc:
- Consistent reporting of 0% officer compensation, indicating no direct executive salary burden on the organization's finances.
- Long filing history (13 filings), suggesting consistent compliance with IRS reporting requirements.
Frequently Asked Questions about Monument Health Inc
Is Monument Health Inc a legitimate charity?
Based on AI analysis of IRS 990 filings, Monument Health Inc (EIN: 201487506) significant concerns. Mission Score: 45/100. 4 red flags identified, 2 strengths noted.
How does Monument Health Inc spend its money?
Monument Health Inc directs 70% of its spending to programs and services. The remaining budget covers administration and fundraising costs.
Are donations to Monument Health Inc tax-deductible?
Monument Health Inc is registered as a tax-exempt nonprofit (EIN: 201487506). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.
What percentage of Monument Health Inc's spending goes to programs?
Monument Health Inc directs 70% to programs, 10% to fundraising. This meets the 65% industry benchmark for efficient nonprofits.
How does Monument Health Inc compare to similar nonprofits?
With a transparency score of 45/100 (Fair), Monument Health Inc is near average for NTEE category E21 nonprofits. The score reflects financial transparency, program spending efficiency, and governance quality based on IRS 990 data.
Where is Monument Health Inc located?
Monument Health Inc is headquartered in Rapid City, South Dakota and files with the IRS under EIN 201487506. It is classified under NTEE code E21.
How many years of IRS 990 filings does Monument Health Inc have?
Monument Health Inc has 13 years of IRS 990 filings on record at NonprofitSpending. This extensive filing history provides a strong basis for evaluating long-term financial trends. The most recent filing shows $2.5M in total revenue.
How does Monument Health Inc. plan to address its significant and growing liabilities relative to its minimal assets?
The filings consistently show liabilities far exceeding assets (e.g., 2023: Assets $181, Liabilities $472,519), indicating a severe solvency issue that needs a clear strategic plan.
What is the detailed functional expense breakdown (program, administrative, fundraising) for Monument Health Inc.?
The provided data lacks a detailed breakdown of expenses, making it difficult to assess how funds are allocated between programs, administration, and fundraising, which is crucial for evaluating spending efficiency.
Given the consistent operational deficits (e.g., 2023 expenses $2,241,027 vs. revenue $2,086,512), how does Monument Health Inc. sustain its operations?
The organization frequently spends more than it earns, raising questions about its funding sources for covering these deficits and its long-term financial viability.
Is the 0% officer compensation truly reflective of no executive salaries, or are executives compensated through a related organization?
While 0% officer compensation is reported, for an organization with over $2 million in revenue, it's unusual and could indicate compensation through other means not directly reported on the 990.
Filing History
IRS 990 filing history for Monument Health Inc showing financial trends over 13 years of public records:
Over 13 years of IRS 990 filings (2011–2023), Monument Health Inc's revenue has grown by 81.8%, moving from $1.1M to $2.1M. Total functional expenses rose by 148.8%, from $901K to $2.2M. In its most recent filing year (2023), Monument Health Inc reported a deficit of $155K, with expenses exceeding revenue. The organization holds $473K in liabilities against $181 in assets (debt-to-asset ratio: 261060.2%), resulting in net assets of $-472,338.
| Year | Revenue | Expenses | Assets | Liabilities | Officer Comp. % | |
|---|---|---|---|---|---|---|
| 2023 | $2.1M | $2.2M | $181 | $473K | — | — |
| 2022 | $2.1M | $2.1M | $-1,167 | $317K | — | View 990 |
| 2021 | $2.0M | $2.0M | $75 | $318K | — | View 990 |
| 2020 | $1.7M | $1.8M | $973K | $1.3M | — | View 990 |
| 2019 | $2.6M | $3.0M | $364K | $539K | — | View 990 |
| 2018 | $2.0M | $1.9M | $168K | $-5,164 | — | View 990 |
| 2017 | $2.1M | $2.0M | $588K | $459K | — | View 990 |
| 2016 | $1.2M | $1.1M | $205K | $91K | — | View 990 |
| 2015 | $1.4M | $1.4M | $142K | $119K | — | View 990 |
| 2014 | $1.3M | $1.3M | $194K | $178K | — | View 990 |
| 2013 | $1.2M | $1.1M | $183K | $168K | — | View 990 |
| 2012 | $1.3M | $1.2M | $172K | $273K | — | View 990 |
| 2011 | $1.1M | $901K | $0 | $141K | — | View 990 |
Year-by-Year Financial Summary
- 2023: Revenue of $2.1M, expenses of $2.2M, and assets of $181 (revenue +0.8% year-over-year).
- 2022: Revenue of $2.1M, expenses of $2.1M, and assets of $-1,167 (revenue +4.4% year-over-year).
- 2021: Revenue of $2.0M, expenses of $2.0M, and assets of $75 (revenue +18.6% year-over-year).
- 2020: Revenue of $1.7M, expenses of $1.8M, and assets of $973K (revenue -35.8% year-over-year).
- 2019: Revenue of $2.6M, expenses of $3.0M, and assets of $364K (revenue +31.5% year-over-year).
- 2018: Revenue of $2.0M, expenses of $1.9M, and assets of $168K (revenue -4.0% year-over-year).
- 2017: Revenue of $2.1M, expenses of $2.0M, and assets of $588K (revenue +75.4% year-over-year).
- 2016: Revenue of $1.2M, expenses of $1.1M, and assets of $205K (revenue -16.0% year-over-year).
- 2015: Revenue of $1.4M, expenses of $1.4M, and assets of $142K (revenue +8.6% year-over-year).
- 2014: Revenue of $1.3M, expenses of $1.3M, and assets of $194K (revenue +6.0% year-over-year).
- 2013: Revenue of $1.2M, expenses of $1.1M, and assets of $183K (revenue -5.3% year-over-year).
- 2012: Revenue of $1.3M, expenses of $1.2M, and assets of $172K (revenue +11.8% year-over-year).
- 2011: Revenue of $1.1M, expenses of $901K, and assets of $0.
View Individual Filing Years
Explore detailed financial data from each IRS 990 filing year for Monument Health Inc:
Data Sources and Methodology
This transparency report for Monument Health Inc is generated by NonprofitSpending's AI analysis engine. The data is sourced from publicly available IRS 990 filings accessed through the ProPublica Nonprofit Explorer API and IRS electronic filing records. The Mission Score, spending breakdown, and other analytical insights are produced by artificial intelligence and should be used as one of multiple factors when evaluating a nonprofit organization.
IRS 990 forms are annual information returns that most tax-exempt organizations must file with the IRS. These forms provide detailed financial information including revenue, expenses, assets, liabilities, and compensation of officers. NonprofitSpending processes this data to provide accessible transparency reports for donors, researchers, and the general public.
Disclaimer
AI-generated analysis based on IRS public records. Not financial or legal advice. Verify information directly with the organization.