General medical and surgical hospitals · South Dakota
Monument Health Spearfish Hospital
Spearfish, SD · ~300 workers · 4 years of OSHA Injury Tracking Application data.
- B
- Good Safety Record
- 4.3
- Avg TCR
- 7.5
- Industry avg
- 0
- Fatalities
The verdict
Monument Health Spearfish Hospital runs at 57% of its industry's injury rate - safer than the typical General medical and surgical hospitals workplace, earning a grade B.
Monument Health Spearfish Hospital: 4.3 TCR = 57% of General medical and surgical hospitals BLS 7.5 · 4y Form 300A (see methodology below)
Monument Health Spearfish Hospital safety composite
Monument Health Spearfish Hospital scores strongest on dart rate (safer than 79% of same-industry peers) and weakest on fatalities (safer than 52%), blended into one 0-100 breakdown against same-industry peers. A missing measure drops out and redistributes its weight rather than deflating the score. This is a per-dimension breakdown, distinct from the single letter grade above it (which weights TCR alone against the BLS industry benchmark).
66/100
Percentile-weighted across 3 of 3 measures
- Total Case Rate (TCR)
- C 4.3 per 100 workers
Safer than 63% of industry peers
- DART rate
- B 0.44 per 100 workers
Safer than 79% of industry peers
- Fatalities
- D 0
Safer than 52% of industry peers
Benchmarked live against every credibly-rated employer in the same NAICS industry code in the current OSHA extract (a segment must have at least 8 rated peers to benchmark). Not a legal or compliance determination; PlainSafetyScore's own weighting (TCR 40%, DART 35%, fatalities 25%).
Rising injury rate
Monument Health Spearfish Hospital: 3.3 → 6.6 TCR
Peak year 2024 @ 6.6 TCR · DART/TCR 0.1× in 2024
Monument Health Spearfish Hospital's TCR rose 3.3 from 3.3 in 2020 to 6.6 in 2024. In 2024, DART was 0.1× this establishment's average TCR (severity share of cases).
OSHA ITA Form 300A scorecard
Establishment book 622110 · Spearfish, SD AT/BELOW-IND · MID
Grade B · TCR 4.3 · 57% of ind
- DART 0.4 DART
- RANK #31/73
- PHOTO CHRISTUS Santa Rosa …
- BOOK 4y book
- INJ 38 inj
- SIZE ~300 FTE
Nearest TCR peer: CHRISTUS Santa Rosa Westover Hills (0.0 TCR gap)
Read with this employer → · Industry book → · South Dakota employers → · Look up another →
Monument Health Spearfish Hospital in the TCR neighbourhood
Average Total Case Rate among this establishment and nearest same-industry peers
- This site
Monument Health Spearfish Hospital
4.3 TCR
- CHRISTUS Santa
CHRISTUS Santa Rosa Westover Hills
4.3 TCR
- United Regiona
United Regional Health Care System
4.3 TCR
- HCA FLORIDA ME
HCA FLORIDA MERCY HOSPITAL
4.3 TCR
- Parkview LaGra
Parkview LaGrange Hospital
4.3 TCR
What this shows Monument Health Spearfish Hospital averages 4.3 TCR (57% of the General medical and surgical hospitals BLS benchmark).
Monument Health Spearfish Hospital TCR series: 2020=3.3 · 2021=5.2 · 2023=2.2 · 2024=6.6 · BLS 7.5
Where Monument Health Spearfish Hospital falls in its industry
6,862 General medical and surgical h establishmentsSafer than 63% of graded establishments in this industry, whose median TCR is 5.2.
Narrower to South Dakota alone (the establishments it most directly competes with for workers and contracts): ranked #31 safest of 73 General medical and surgical h employers in South Dakota.
Monument Health Spearfish Hospital has fewer employees than the General medical and surgical hospitals median and a lower injury rate than the industry's median TCR of 5.2. Workforce size and injury rate do not always move together within the same industry -- some of its smaller peers run higher rates than its larger ones, and vice versa.
Year-by-Year Safety Data
| Year | TCR | DART | Injuries | Illnesses | Fatalities |
|---|---|---|---|---|---|
| 2024 | 6.6 | 0.4 | 15 | 0 | 0 |
| 2023 | 2.2 | 0.0 | 5 | 0 | 0 |
| 2021 | 5.2 | 1.4 | 11 | 0 | 0 |
| 2020 | 3.3 | 0.0 | 7 | 0 | 0 |
OSHA ITA peer cross-reference
Establishment peer ledger
622110 · SD · Spearfish
6,862 General medical and surgical hospitals employers nationwide with a credible TCR · 1,778 rated employers in South Dakota with headcount on file · 26 employers in Spearfish, SD · 4 cross-state NAT-TCR peers · 4 cross-state NAT-SIZE peers. Closest matches by relationship code are listed below.
| Rel | Establishment | Metric |
|---|---|---|
| NAICS-TCR | CHRISTUS Santa Rosa Westover Hills | 4.3 TCR |
| NAICS-TCR | United Regional Health Care System | 4.3 TCR |
| NAICS-TCR | HCA FLORIDA MERCY HOSPITAL | 4.3 TCR |
| NAICS-TCR | Parkview LaGrange Hospital | 4.3 TCR |
| STATE-SIZE | Majestic Bluffs | 300 FTE |
| STATE-SIZE | Worthington Industries Watertown | 301 FTE |
| STATE-SIZE | Dakota Fluid Power, Inc. | 298 FTE |
| STATE-SIZE | Filtration : Yankton | 298 FTE |
| CITY-NEAR | WM 1543 | 399 FTE |
| CITY-NEAR | 1543 | 356 FTE |
| CITY-NEAR | Regional Health Spearfish Hospital | 285 FTE |
| CITY-NEAR | Spearfish Forest Products, Inc. | 164 FTE |
| NAT-TCR | Cedarwood at Sandy | 4.3 TCR |
| NAT-TCR | BWAY Fontana | 4.3 TCR |
| NAT-TCR | 1244 Val56 | 4.3 TCR |
| NAT-TCR | Lunenburg Correctional Center | 4.3 TCR |
| NAT-SIZE | 877 Dwt1000 | 300 FTE |
| NAT-SIZE | EMCOR Hyre Electric | 300 FTE |
| NAT-SIZE | Flint Tool and Die (31031) | 300 FTE |
| NAT-SIZE | ClearCorrect Operating LLC | 300 FTE |
Rel codes: NAICS-TCR · STATE-SIZE · CITY-NEAR · NAT-TCR/NAT-SIZE cross-state. Read with this employer →
Read our methodology - how this data is sourced, computed, and verified.