Monument Health

What Monument Health does

Monument Health is a community-based, non-profit integrated healthcare system headquartered in Rapid City, South Dakota. It operates 5 hospitals and approximately 40 medical clinics and specialty centers across roughly 60 locations, serving 14 communities in western South Dakota and eastern Wyoming. The system delivers care across 31 medical specialties — including Cancer Care, Heart and Vascular, Orthopedics, Neurology and Rehabilitation, Dermatology, General Surgery, Home Health, and Stroke Care — and employs 5,000-5,600 physicians and caregivers. Monument Health is a member of the Mayo Clinic Care Network, giving its clinicians and patients access to Mayo's specialty expertise and second opinions for complex cases. It also operates an active clinical research program, with the Heart and Vascular Institute having participated in over 250 clinical trials over 20 years and 45 active cardiology trials enrolling 600+ participants.

The business model is a hybrid of traditional fee-for-service patient care, value-based care contracts (notably through its Wellvana partnership, where it was named Partner of the Year in 2026), grants and philanthropy (American Cancer Society, Black Hills Community Bank, Monument Health Foundation), and a small but growing premium-care tier via its MDVIP-affiliated concierge practice. Revenue is not publicly disclosed, consistent with its non-profit status. Core technology infrastructure centers on Epic's MyChart patient portal for scheduling, test results, prescription refills, and provider messaging. Strategic differentiation is reinforced by a dense stack of quality and safety accreditations — ANCC Magnet (2023), Leapfrog A (highest in South Dakota, Fall 2025), U.S. News High Performing across multiple conditions, AHA Gold, NAPBC Breast Care, Beacon Silver, and a Granite Award from Rapid City.

Monument Health is executing an offensive growth posture: it opened a new Emergency Department and Medical Campus at 1911 East Mall Drive in Rapid City in June 2026, completed the acquisition of Rapid City Medical Center in May 2026, launched the first MDVIP-affiliated practice in South Dakota in October 2025, and is investing in workforce development pipelines (the $2M West River Health Science Center program and a Department of Labor-registered Medical Assistant Apprenticeship) to address rural healthcare talent scarcity. The organization is independently owned, with no parent company or disclosed private-equity backing, and is governed by its own board and executive leadership.

Name

Monument Health

Legal name

Monument Health

Website

https://monument.health

Company type

Private

Founded year

1973

Operating status

Operating

Headcount range

5,001–10,000 employees

Short description

Monument Health is a community-based, non-profit integrated healthcare system headquartered in Rapid City, South Dakota. It operates 5 hospitals and 60 clinical locations across 14 communities in western South Dakota and eastern Wyoming, delivering care in 31 medical specialties with 5,000-5,600 caregivers and Mayo Clinic Care Network affiliation.

Ownership category

akta.pro rank

Product category

Integrated Healthcare Services

NAICS

Ambulatory Health Care Services (621)

SIC

Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Veterans/Military Hospitals & Federal Health Systems (HLAFAAAH)

Keywords

• Integrated healthcare services
• Hospital and clinic care
• Specialty medical care
• Patient portal access
• Clinical research programs

Headquarters

HQ city

Rapid City

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Supply Chain, Marketing or Sales

Revenue model

1. Patient Care Services: Traditional healthcare service revenue from hospital and clinic visits, procedures, and treatments covered by insurance and self-pay patients.
2. Value-Based Care Contracts: Revenue from value-based care arrangements through partnerships like Wellvana, earning shared savings based on quality outcomes, cost management, and care delivery innovation metrics.
3. Grants and Philanthropy: Grant funding from organizations like American Cancer Society ($40,000 for transportation/lodging) and Black Hills Community Bank ($70,000 grant), plus donations to Monument Health Foundation.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

Monument Health is an integrated community-based healthcare system that delivers patient care across 31 medical specialties through 5 hospitals, 40+ medical clinics, and specialty centers in western South Dakota and eastern Wyoming. Core services include cancer care, heart and vascular care, orthopedics, neurology and rehabilitation, dermatology, general surgery, home health, stroke care, and clinical research, complemented by the Epic MyChart patient portal and value-based care arrangements.

Product overview

Monument Health is an integrated health care system offering care in 31 medical specialties across 60 locations in western South Dakota and eastern Wyoming. The system comprises 5 hospitals and 40 medical clinics and specialty centers, with over 5,600 physicians and caregivers. It operates as a unified platform-plus-services model, combining clinical care delivery with workforce development programs (West River Health Science Center, Medical Assistant Apprenticeship), patient engagement tools (Epic MyChart), and strategic partnerships (Mayo Clinic Care Network membership, Wellvana value-based care). Core clinical services span Cancer Care, Heart & Vascular, Orthopedics, Neurology & Rehabilitation, Dermatology, General Surgery, Home Health, Stroke Care, and Clinical Research trials.

Differentiator

Problem solved

Functional benefit

Products and services

• Cancer Care Comprehensive cancer care services including diagnosis, treatment, and survivorship programs at the Cancer Care Institute, for patients with cancer in western South Dakota and eastern Wyoming.
• Heart & Vascular Care Cardiovascular and vascular health services delivered through the Heart and Vascular Institute, including treatment, prevention, diagnostic, cardiac device, and symptom management trials, for patients with cardiovascular conditions.
• Orthopedics Bone, joint, and musculoskeletal care services including surgical and non-surgical treatment options for patients with orthopedic conditions.
• Neurology and Rehabilitation Treatment of central nervous system and neuromuscular disorders including brain, spinal cord, nerves, and muscles, with subspecialties in Alzheimer's disease, headaches, multiple sclerosis, pain management, physical medicine and rehabilitation, seizure disorders, sleep medicine, and strokes.
• Dermatology Skin care services including medical and cosmetic dermatology treatments for patients with dermatological conditions.
• General Surgery Surgical services for a wide range of medical conditions requiring operative intervention.
• Home+ Health Services In-home health care services providing medical care and support for patients in their homes, achieving a CMS Home Health five-star rating.
• Stroke Care Emergency stroke treatment with a multidisciplinary response team achieving a 55-minute average response time, following Joint Commission and American Heart Association guidelines.
• Clinical Research Clinical trials and specialty research across multiple areas including treatment, prevention, diagnostic and screening, pharmaceutical trials, cardiac device trials, and symptom management trials.
• MDVIP-Affiliated Practice Personalized primary care practice offering extended services, comprehensive annual health assessments, and smaller patient panels for enhanced physician-patient relationships, operated in partnership with MDVIP.

Quantifiable outcome

• 55-minute average stroke response time (below recommended 60-minute target)
• +3 more outcomes

Named customers1 record

Segments2 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature3 records

Partnerships

Ten partnerships are on record, tiered core and supporting.

• Mayo Clinic Care NetworkcoreStrategic or Co-development PartnerMonument Health is a member of the Mayo Clinic Care Network, providing access to Mayo Clinic expertise, clinical resources, and specialized second opinions for complex cases. This partnership enhances the depth and breadth of care available to patients locally.
• WellvanacoreStrategic or Co-development PartnerValue-based care enablement partnership where Monument Health participates in Wellvana's network of over 850,000 patients across 40 states. Monument Health was awarded Partner of the Year for exceptional performance in quality outcomes, cost management, and care delivery innovation.
• MDVIPcoreStrategic or Co-development PartnerPartnership to operate the first MDVIP-affiliated practice in South Dakota, offering personalized care, extended services, and comprehensive annual health assessments with smaller patient panels.
• American Cancer SocietysupportingGTM or Marketing PartnerAmerican Cancer Society awarded $40,000 in grants to Monument Health Cancer Care Institute to help patients with transportation and lodging expenses, part of over $8 million allocated to more than 400 health systems.
• South Dakota State UniversitysupportingStrategic or Co-development PartnerEducational partnership for nursing programs, with Monument Health's $2 million investment in West River Health Science Center enabling nursing graduates who commit to joining the healthcare system.
• Dakota Wesleyan UniversitysupportingStrategic or Co-development PartnerEducational partnership for nursing programs contributing to the workforce pipeline of new nurses entering the healthcare system.
• Western Dakota TechsupportingStrategic or Co-development PartnerEducational partnership for nursing programs contributing to the workforce pipeline of new nurses entering the healthcare system.
• West River Health Science CentersupportingStrategic or Co-development PartnerMonument Health's $2 million investment enabled 122 registered nurses to graduate in the program's first full year of operation, with 62 graduates committing to join the healthcare system.
• South Dakota State University (Center for AI Innovation)supportingTechnology or IntegrationMonument Health's CIO participates in SDSU's Center for AI Innovation and Emergent Technologies, discussing AI applications in healthcare for addressing workforce challenges.
• Walking ForwardsupportingStrategic or Co-development PartnerMonument Health partners with the Walking Forward community research program, which focuses on cancer research and health disparities in the region.

Scale indicators8 records

Recent moves8 records

Expansion highlights6 records

Direct peers

• Sanford Health: Largest non-profit rural health system in the US, headquartered in Sioux Falls, South Dakota with 45+ hospitals across the Dakotas and upper Midwest. Directly comparable as a non-profit regional integrated delivery system serving similar rural populations with similar service breadth.
• Avera Health: Major non-profit Catholic regional health system based in Sioux Falls, South Dakota with hospitals across South Dakota, Minnesota, Iowa, Nebraska, and North Dakota. Most direct geographic competitor to Monument Health in South Dakota, with similar rural integrated delivery model.
• Aspirus Health: Non-profit rural and regional health system based in Wisconsin with 17 hospitals across Wisconsin, Michigan, and Minnesota. Comparable as a non-profit community-based integrated system serving similar rural populations with similar scale and Mayo Clinic Care Network affiliation.
• Geisinger Health: Non-profit integrated health system serving central and northeastern Pennsylvania with 10 hospitals and a large clinic network. Comparable as a non-profit integrated delivery system known for innovation, value-based care programs, and clinical research initiatives at similar regional scale.
• OSF HealthCare: Non-profit Catholic integrated health system based in Illinois with 15 hospitals across Illinois and Michigan. Comparable as a non-profit regional system with similar scale, similar focus on rural and small-city markets, and similar emphasis on clinical research and workforce development.
• INTEGRIS Health: Non-profit health system based in Oklahoma with 16+ hospitals across Oklahoma and surrounding states. Comparable as a non-profit regional integrated delivery system serving similar rural and mid-sized market demographics with comparable service breadth and academic affiliations.
• Centura Health: Non-profit Catholic health system serving Colorado and western Kansas with 15+ hospitals. Comparable as a non-profit regional integrated system serving western/rural markets with similar service portfolio and similar workforce development focus.

Broad incumbents

• Banner Health: Large non-profit health system operating 30+ hospitals across the western US. Comparable as a non-profit integrated system with broad geographic reach and similar mix of acute care, ambulatory, and home health services across rural and mid-sized markets.
• CommonSpirit Health: One of the largest non-profit Catholic health systems in the US with 140+ hospitals across 20+ states. Comparable as a non-profit integrated delivery network offering the same spectrum of clinical services, workforce development programs, and value-based care initiatives at much larger scale.
• Trinity Health: Large non-profit Catholic health system with 90+ hospitals across 25 states. Comparable as a non-profit integrated delivery system with similar service portfolio including home health, hospice, and clinical research programs serving mixed urban and rural markets.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/_monumenthealth
• Facebookfacebook.com/monumenthealthsystem
• LinkedInlinkedin.com/company/monument-health-system
• Instagraminstagram.com/monumenthealthsystem

Compliance14 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Monument Health