Monument Health Spearfish Hospital

1440 North Main, Spearfish, SD 57783- · Lawrence County
General Acute ★ CMS 4/5 Emergency services

At a glance

Latest cost report FY2024
Net patient revenue
$124.7M
Operating margin
3.9%
Net income
$7.9M
Staffed beds
24
Annual discharges
1,399
Case mix index
1.51

Ownership & identity

Control, system & affiliation
Ownership / controlNonprofit (other) Health systemMonument Health (8) Hospital typeGeneral Acute Phone(605) 644-4000 CMS star rating4 / 5 Emergency servicesYes

Net patient revenue trend

FY2020–FY2024
FY20FY21FY22FY23FY24
Fiscal yearNet patient revenue
FY2020$90,204,208
FY2021$102,810,977
FY2022$114,432,339
FY2023$116,616,845
FY2024$124,736,307

Payer mix

Share of inpatient days
Medicare32.9%Medicaid14.1%Commercial & other53.0%

How Monument Health Spearfish Hospital compares

#11 of 59 South Dakota hospitals by net patient revenue

Other Monument Health hospitals

Same health system · view all

Full financial detail

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🔒 5-year income statement & balance sheet
Line-by-line revenue, expenses, assets, liabilities and net assets for FY2020–FY2024, plus top Medicare DRGs, cost structure, EBITDAR, and Medicare reimbursement (IME, DSH, charity & uncompensated care).
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