# Monument Health

Monument Health is a Pension Fund based in Rapid City, United States.

## Overview

- **Organization type:** Pension Fund
- **Headquarters:** Rapid City, United States
- **Region:** North America
- **Address:** Rapid City, SD, United States
- **Founded:** 1973
- **Assets under management:** Undisclosed
- **Website:** monument.health
- **LinkedIn:** https://www.linkedin.com/company/monument-health

## Regulatory record

- **Reports private funds:** No

## About

Monument Health is a healthcare provider based in Rapid City, South Dakota. Founded in 1973, the company offers medical services in specialties such as cancer treatment, orthopedics, and heart and vascular care. It serves communities in western South Dakota and eastern Wyoming.

## Sectors

- Healthcare Services
- Real Estate
- Private Credit
- Hedge Funds
- Private Equity

## Offices

- Spearfish, SD

## People

- Paulette Davidson — President and CEO
- Austin Willuweit — Chief Financial Officer

## Questions

### Who runs investment decisions at Monument Health?

Monument Health's investment activities are overseen at the executive level by President and CEO Paulette Davidson and CFO Austin Willuweit. The organization disclosed allocations to hedge funds, real estate funds, and private equity and debt as part of its institutional portfolio. Specific delegated-authority details or investment-committee structures are not publicly documented.

### How is Monument Health's investment portfolio structured?

The system maintains a diversified institutional portfolio with disclosed positions in hedge funds, real estate funds, and private equity and debt instruments. This sits alongside direct ownership of hospital and clinic real estate assets across western South Dakota. The organization has also engaged in joint ventures, such as its specialty-hospital partnership with Vibra Healthcare in Rapid City.

### Does Monument Health operate only in healthcare, or does it have a separate investment function?

Monument Health's core purpose is delivering community healthcare services, but it operates a concurrent investment function that places institutional capital into alternative asset classes. The organization lists its investment portfolio — spanning hedge funds, real estate funds, and private equity and debt — as a distinct line of activity alongside its clinical operations, resembling a hybrid operating-company and asset-owner model.

### What role does the Mayo Clinic Care Network play for Monument Health?

Monument Health is a member of the Mayo Clinic Care Network, a clinical affiliation that provides physicians access to Mayo Clinic protocols, second opinions, and consultative expertise. This is not a merger, acquisition, or full academic medical-center relationship — it is a capital-light model that allows Monument Health to retain independent governance and investment authority while improving specialty-care capabilities.

### Where does Monument Health's investment capital come from?

As a nonprofit community healthcare system, Monument Health generates capital through patient-service revenue, philanthropic contributions via the Monument Health Foundation, and returns on its investment portfolio. The organization does not disclose a single aggregated assets-under-management figure, and the precise mix of operating cash flows versus invested reserves is not publicly reported.

## Related profiles

- [Montrose Asset Management](https://altss.com/profile/montrose-asset-management)
- [Monument Health Rapid City Hospital](https://altss.com/profile/monument-health-rapid-city-hospital)

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Last updated: 2026-06-03T20:00:00.000Z

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