Monument Health Rapid City Hospital

Working at Monument Health Rapid City Hospital

Monument Health Rapid City Hospital is a 416-bed acute care hospital in Rapid City, South Dakota, with about 3,000 full-time-equivalent employees, or 7.2 staff per bed. The median across the 17 South Dakota hospitals of the same type that file cost reports is 10.6.

In the fiscal year ending June 2025, the hospital reported $38.7 million in contract labor for direct patient care, which is 11.5% of its payroll. The median for comparable South Dakota hospitals is 4%. Put simply, this hospital leans on contract staff more than most South Dakota hospitals of its type.

Average pay per employee across all roles was $112,652, in line with the $107,693 median for comparable South Dakota hospitals. That figure covers every job in the hospital, not nurses alone.

What this means if you apply here

• Higher contract spending is a good reason to ask whether permanent roles are open and what sign-on terms come with them.
• Fewer staff per bed than most comparable South Dakota hospitals, so ask how assignments are built.

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