Company Overview
Monument Health, based in Rapid City, South Dakota, is a community-focused health care system serving 20 communities across western South Dakota and eastern Wyoming. With over 4,500 physicians and caregivers, the system includes 5 hospitals, 8 specialty and surgical centers, and more than 40 clinics and service centers across 33 medical specialties.
Dedicated to advancing medicine, Monument Health supports medical training, hosts a residency program, and leads over 130 active research studies. Committed to excellence, we are proud to be a trusted partner in the region’s health care.
Job Overview: Senior Accountant – Monument Health (Rapid City, SD)
Monument Health is seeking a Senior Accountant to join the CS Finance team. This full-time role (40 hours/week) is responsible for financial reporting, IRS compliance, audit coordination, and supporting operational leaders with budgeting and financial analysis.
Key Responsibilities:
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Oversee and ensure accurate IRS filings (Forms 990, 990T, 1120) for all Monument Health entities
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Maintain compliance with IRS, FASB, and bond-related private use regulations
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Coordinate and prepare for annual financial audits
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Manage financial records for leased properties and joint ventures
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Perform month-end closings, account reconciliations, and financial reporting
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Assist leaders with capital planning, budget preparation, and variance analysis
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Support operational performance through financial insight and reporting
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Stay current with regulatory and accounting changes
Qualifications:
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Bachelor’s degree in Accounting or Business required
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3+ years of accounting experience; 1+ year in business administration
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Strong understanding of GAAP and financial controls
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Detail-oriented with strong analytical, communication, and organizational skills