1440 N Main St, Spearfish, SD, 57783 · (605) 644-4000
Beds
20
FY 2025
Star rating
4 of 5
Patient survey: 3 of 5
Net patient revenue
$120.7M
FY 2025
Net income
$972K
Patient care margin -0.0%
Discharges
1,330
Occupancy 50.1%
Clinicians
419
From the hospital's yearly cost reports (fiscal years as the hospital reports them)
Locations are shown at the center of the ZIP code.
US dollars as reported. Patient care margin = net patient revenue minus operating expenses, before other income such as grants, donations and investments.
| Fiscal year | Net patient revenue | Operating expenses | Patient care margin | Net income | Discharges | Uncompensated care | Medicare days | Medicaid days |
|---|---|---|---|---|---|---|---|---|
| 2025 | $120.7M | $120.7M | -0.0% | $972K | 1,330 | $1.8M | 30.2% | 16.4% |
Official hospital quality measures with the national median across hospitals. For ratios, 1.00 means as many cases as expected.
| Death rate for heart failure patients | 10% | US median 11% |
| Hospital-wide death rate within 30 days | 3.7% | US median 3.9% |
| Death rate for pneumonia patients | 15% | US median 15.2% |
| Readmission rate for heart failure | 20.9% | US median 21.3% |
| Readmission rate for pneumonia | 17.1% | US median 17.2% |
Medicare clinicians who list this hospital, by specialty
Inpatient stays by diagnosis related group (DRG), 2024
Official US government data: hospital records, ownership records, yearly cost reports and quality measures, linked by the hospital's CCN and NPI. Financials are for fiscal years as reported by the hospital.
Medicare clinicians who work here
| 2024 | $124.7M | $119.9M | 3.9% | $7.9M | 1,399 | $1.9M | 32.9% | 14.1% |
| 2023 | $116.6M | $114.4M | 1.9% | $7.4M | 1,358 | $1.8M | 35.0% | 12.5% |
| 2022 | $114.4M | $110.3M | 3.6% | $11.4M | 1,476 | $1.8M | 33.5% | 13.0% |
| 2021 | $102.8M | $104.7M | -1.8% | $4.5M | 1,488 | $2.3M | 35.2% | 12.7% |
| 2020 | $90.2M | $96.2M | -6.7% | $4.4M | 1,466 | $3.3M | 27.5% | 20.1% |
| Serious complications (patient safety composite) | 0.95 | US median 0.96 |
| Doctors always communicated well | 78% | US median 79% |
| Nurses always communicated well | 74% | US median 80% |
| Patient survey summary star rating | 3 of 5 | US median 3 of 5 |
| Area around the room always quiet at night | 48% | US median 59% |
| Patients who rated the hospital 9 or 10 out of 10 | 75% | US median 72% |
| Room and bathroom always clean | 79% | US median 73% |
| Patients who would definitely recommend the hospital | 78% | US median 71% |
| Patients who left the emergency department before being seen | 1% | US median 1% |
| Median time in the emergency department before leaving (minutes) | 144 min | US median 148 min |
| Patients prescribed 2 or more opioids or opioids with benzodiazepines at discharge | 10% | US median 15% |
| Patients who got appropriate care for severe sepsis and septic shock | 58% | US median 65% |
| Healthcare workers given the flu vaccine | 93% | US median 79% |
| 13 |
| $29,405.00 |
| $12,046.92 |
| $9,867.73 |
| DRG 641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 13 | $19,887.00 | $6,813.69 | $5,829.71 |
| DRG 291 HEART FAILURE AND SHOCK WITH MCC | 12 | $40,454.25 | $11,281.08 | $10,022.34 |
| DRG 522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 11 | $71,795.73 | $20,268.64 | $15,768.13 |
Hospital outpatient services by payment group (APC), 2024
| Service group | Services | Patients | Medicare pays per service | All hospitals |
|---|---|---|---|---|
| APC 5115 Level 5 Musculoskeletal Procedures | 155 | 146 | $11,559.48 | $10,771.69 |
| APC 5361 Level 1 Laparoscopy and Related Services | 85 | 83 | $4,492.00 | $4,357.80 |
| APC 5072 Level 2 Excision/ Biopsy/ Incision and Drainage | 82 | 78 | $1,284.95 | $1,219.56 |
| APC 8011 Comprehensive Observation Services | 69 | 67 | $2,158.10 | $2,090.36 |
| APC 5114 Level 4 Musculoskeletal Procedures | 60 | 58 | $5,430.99 | $5,338.75 |
| APC 5491 Level 1 Intraocular Procedures | 60 | 44 | $1,862.29 | $1,751.67 |
| APC 5302 Level 2 Upper GI Procedures | 57 | 54 | $1,530.17 | $1,444.50 |
| APC 5116 Level 6 Musculoskeletal Procedures | 56 | 53 | $16,724.95 | $15,762.73 |
| APC 5112 Level 2 Musculoskeletal Procedures | 52 | 47 | $1,284.22 | $1,196.16 |
| APC 5113 Level 3 Musculoskeletal Procedures | 51 | 51 | $2,538.77 | $2,373.24 |
| APC 5165 Level 5 ENT Procedures | 34 | 34 | $4,685.08 | $4,436.36 |
| APC 5362 Level 2 Laparoscopy and Related Services | 30 | 30 | $8,694.67 | $8,164.45 |
Official US government data on Original Medicare hospital stays and outpatient services; groups with fewer than 11 cases are not published. Payments are those drug and device companies must report.
Monument Health Spearfish Hospital is a nonprofit short-term acute care hospital in Spearfish, SD with 20 beds, part of Monument Health and a 4-star overall rating.
Monument Health Spearfish Hospital in Spearfish, SD has 20 beds (fiscal year 2025 cost report); 44 beds are certified for Medicare. It discharged 1,330 inpatients that year, with 50.1% of its beds in use on average.
In fiscal year 2025 (ending 2025-06-30), Monument Health Spearfish Hospital reported net patient revenue of $120.7M and operating expenses of $120.7M, a margin on patient care of -0.0%. After other income and expenses its net income was $972K (0.8% of revenue), so it made a profit that year.
Monument Health Spearfish Hospital is part of Monument Health, a health system with 7 hospitals based in Rapid City, SD. It is a nonprofit hospital.
Monument Health Spearfish Hospital has an overall rating of 4 out of 5 stars in the official hospital quality ratings. Patients rate it 3 out of 5 stars in the patient survey.
Yes, Monument Health Spearfish Hospital provides emergency services.
419 Medicare clinicians list Monument Health Spearfish Hospital as a hospital they work at, most often in Nurse Practitioner, Physician Assistant, Family Practice.
In 2024, Monument Health Spearfish Hospital had 98 Medicare inpatient stays in 6 diagnosis groups. The most common was DRG 871 (septicemia or severe sepsis without mv >96 hours with mcc) with 35 stays; Medicare paid $17,471.49 per stay on average, compared with $15,524.21 across all hospitals.