Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

South Dakota · Ranked 161 of 1033 by CEO pay.

Monument Health Rapid City Hospital

Paulette R Davidson, President & CEO. Fiscal year ending 2025-06.

$2.2M
CEO total compensation
Form 990 Part VII, columns D+E+F
0.60%
of expenses spent on charity care
Schedule H Part I line 7a
29.1%
CEO pay as a share of all charity care
Paulette R Davidson’s pay of $2,199,697 equals 29.1 percent of the $7,571,997 the system spent on charity care in the same year.

Most of the reported compensation ($1,932,107 of $2,199,697) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$1,312,905,580
Total expenses
$1,271,764,382
Net assets
$1,057,069,665
Employees
6,556
Hospitals covered
6 facilities across 2 filings
Charity care, net
$7,571,997
Bad debt
$79,425,647
Medicare surplus (shortfall), as filed
($1,577,898)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$1,932,107
Other compensation, including deferred pay and nontaxable benefits (col. F)
$267,590
CEO total compensation (D+E+F)
$2,199,697 to Paulette R Davidson

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Monument Health Rapid City Hospital, EIN 46-0319070, fiscal year ending 2025-06, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$134.5M Of which charity care to patients who could not pay (line 7a)$7.6M (6%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($79.4M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

§3Filings in this system

Filing entityEINFY endRevenueCharity care% of expensesFiling
Monument Health Rapid City Hospital Inc46-03190702025-06$1.1B$6.3M0.60%990
Monument Health Network Inc46-03608992025-06$221.1M$1.2M0.58%990

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Monument Health Rapid City Hospital: CEO pay $2.2M, charity care 0.60% of expenses