Sole community hospital · SD
MONUMENT HEALTH SPEARFISH HOSPITAL
$120,698,311Net patient revenueWhat the hospital took in for treating patients, after discounts.
-0.0%Left after the cost of careWhat was left after their care was paid for; below zero means it cost more than it brought in.
0.4%Charity careCare given free or discounted, as a share of what patients brought in.
1.5%Uncompensated careCharity care plus bills that went unpaid, on the same basis.
From this hospital’s Medicare cost report for the year ended 30 June 2025. Every figure on this page names the cell it came from.
- 14Registered locations
- 3Associated locations
- 28Contract pharmacies
- 0With no end date
- 15 March 2022In 340B since
Finances, as filed
From this hospital’s Medicare cost report for the year ended 30 June 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $120,698,311 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $120,718,410 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$20,099 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $1,207,550 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $497,616 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $4,679,408 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Uncompensated care, at cost | $1,814,269 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 20 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.2805 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 430048 for 1 July 2024 to 30 June 2025, as submitted. The public file it was read from.
Among hospitals of the same type in South Dakota
No other sole community hospital in South Dakota has both figures on file, so there is nothing here to read this hospital against.
| Hospital | Where | Charity care, share of patient revenue | Left after the cost of care | Year ended |
|---|---|---|---|---|
| AVERA SACRED HEART HOSPITAL | YANKTON, SD | 0.7% | -0.9% | 2025-06-30 |
Earlier years
One cost report is on file for this hospital, for the year ended 30 June 2025. There is no earlier year to set beside it.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “MONUMENT HEALTH SPEARFISH HOSPITAL” (340B ID SCH430048), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/SCH430048
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 15 March 2022
- Termination date
- 1 January 2024
- Termination reason
- DSH percentage below statutory minimum
- Certification date
- 1 September 2023
- Record last edited
- 1 January 2024
Identifiers
- 340B ID
- SCH430048
- Entity type as filed
- SCH
- CMS certification number
- 430048
- Rural
- Yes
1440 NORTH MAIN, SPEARFISH SD 57783
Locations registered under this record
Browse all of them as a list →
| 340B ID | Name | Type | Where | Participating |
|---|---|---|---|---|
| SCH430048-01 | Monument Health Rehabilitation - Spearfish | SCH | Spearfish, SD | FALSE |
| SCH430048-02 | Monument Health Rehabilitation - Belle Fourche | SCH | Belle Fourche, SD | FALSE |
| SCH430048-03 | MONUMENT HEALTH DERMATOLOGY | SCH | SPEARFISH, SD | FALSE |
| SCH430048-04 | MONUMENT HEALTH ORTHOPEDICS AND SPORTS MEDICINE | SCH | SPEARFISH, SD | FALSE |
| SCH430048-05 | MONUMENT HEALTH SURGERY CENTER | SCH | SPEARFISH, SD | FALSE |
| SCH430048-06 | MONUMENT HEALTH SPEARFISH CLINIC - NORTH 10TH STREET - PODIATRY | SCH | SPEARFISH, SD | FALSE |
| SCH430048-07 | MONUMENT HEALTH SPEARFISH CLINIC - NORTH 10TH STREET - PRIMARY CARE | SCH | SPEARFISH, SD | FALSE |
| SCH430048-08 | MONUMENT HEALTH SPEARFISH CLINIC - NORTH AVENUE - ENT | SCH | SPEARFISH, SD | FALSE |
| SCH430048-09 | MONUMENT HEALTH SPEARFISH CLINIC - NORTH AVENUE - SURGERY | SCH | SPEARFISH, SD | FALSE |
| SCH430048-10 | MONUMENT HEALTH SPEARFISH CLINIC - NORTH AVENUE - OB/GYN | SCH | SPEARFISH, SD | FALSE |
| SCH430048-11 | MONUMENT HEALTH SPEARFISH CLINIC - NORTH AVENUE - PRIMARY CARE | SCH | SPEARFISH, SD | FALSE |
| SCH430048-12 | MONUMENT HEALTH BELLE FOURCHE CLINIC | SCH | Belle Fourche, SD | FALSE |
| SCH430048-13 | MONUMENT HEALTH SPEARFISH CLINIC - NORTH 10TH STREET - URGENT CARE | SCH | Spearfish, SD | FALSE |
| SCH430048-14 | MONUMENT HEALTH SPEARFISH CLINIC - NORTH 10TH STREET - CARDIOLOGY | SCH | Spearfish, SD | FALSE |
Associated locations
| Organization | Address | Where |
|---|---|---|
| MONUMENT HEALTH SPEARFISH HOSPITAL | 1440 NORTH MAIN | SPEARFISH SD 57783 |
| Monument Health Rapid City Hospital | 353 Fairmont Blvd. | Rapid City SD 57701 |
| Monument Health Spearfish Hospital | 1440 North Main | Spearfish SD 57783 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| CSRX, INC | RAPID CITY, SD | 15 March 2022 | 1 January 2024 |
| LYNN'S DAKOTAMART PHARMACY | BELLE FOURCHE, SD | 1 January 2023 | 1 January 2024 |
| MONUMENT HEALTH HOME PLUS HOME INFUSION | RAPID CITY, SD | 15 March 2022 | 1 January 2024 |
| MONUMENT HEALTH HOME PLUS PHARMACY | SPEARFISH, SD | 15 March 2022 | 1 January 2024 |
| MONUMENT HEALTH HOME PLUS SPECIALTY PHAR | RAPID CITY, SD | 15 March 2022 | 1 January 2024 |
| PHARMERICA | RAPID CITY, SD | 1 January 2023 | 1 January 2024 |
| PRAIRIE HILLS PHARMACY | BELLE FOURCHE, SD | 1 January 2023 | 1 January 2024 |
| SAFEWAY INC | SPEARFISH, SD | 15 March 2022 | 1 January 2024 |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | 15 March 2022 | 1 January 2024 |
| WAL-MART PHARMACY 10-1543 | SPEARFISH, SD | 15 March 2022 | 1 January 2024 |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | 15 March 2022 | 1 January 2024 |
| WALGREEN CO | SPEARFISH, SD | 15 March 2022 | 1 January 2024 |
| WALGREEN CO. | RAPID CITY, SD | 15 March 2022 | 1 January 2024 |
| Walgreens #21397 | Denver, CO | 1 October 2022 | 1 January 2024 |
| WALMART PHARMACY 10-5169 | ROGERS, AR | 1 July 2023 | 1 January 2024 |
| PRAIRIE HILLS PHARMACY | BELLE FOURCHE, SD | 1 April 2020 | 1 May 2020 |
| MONUMENT HEALTH HOME PLUS HOME INFUSION | RAPID CITY, SD | 1 January 2017 | 1 April 2019 |
| MONUMENT HEALTH HOME PLUS PHARMACY | RAPID CITY, SD | 18 January 2017 | 1 April 2019 |
| MONUMENT HEALTH HOME PLUS PHARMACY | SPEARFISH, SD | 1 July 2013 | 1 April 2019 |
| MONUMENT HEALTH HOME PLUS SPECIALTY PHAR | RAPID CITY, SD | 1 July 2016 | 1 April 2019 |
| REGIONAL HEALTH HOME PLUS LONG TERM CARE | RAPID CITY, SD | 1 April 2018 | 1 April 2019 |
| SAFEWAY INC | SPEARFISH, SD | 1 April 2018 | 1 April 2019 |
| SHOPKO PHARMACY #2757 | BELLE FOURCHE, SD | 1 July 2014 | 1 April 2019 |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | 1 April 2019 | 1 April 2019 |
| WAL-MART PHARMACY 10-1543 | SPEARFISH, SD | 1 July 2014 | 1 April 2019 |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | 1 April 2019 | 1 April 2019 |
| WALGREEN CO | SPEARFISH, SD | 1 October 2016 | 1 April 2019 |
| MONUMENT HEALTH RAPID CITY HOSPITAL | RAPID CITY, SD | 1 July 2013 | 17 January 2017 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.