General medical and surgical hospitals · South Dakota

Regional Health Spearfish Hospital

Spearfish, SD · ~285 workers · 3 years of OSHA Injury Tracking Application data.

B
Good Safety Record
5.8
Avg TCR
7.5
Industry avg
0
Fatalities
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The verdict

Regional Health Spearfish Hospital runs at 78% of its industry's injury rate - safer than the typical General medical and surgical hospitals workplace, earning a grade B.

Regional Health Spearfish Hospital: 5.8 TCR = 78% of General medical and surgical hospitals BLS 7.5 · 3y Form 300A (see methodology below)

Regional Health Spearfish Hospital safety composite

Regional Health Spearfish Hospital scores strongest on dart rate (safer than 58% of same-industry peers) and weakest on total case rate (tcr) (safer than 40%), 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).

D

49/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
D 5.83 per 100 workers

Safer than 40% of industry peers

DART rate
C 1.37 per 100 workers

Safer than 58% 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%).

Regional Health Spearfish Hospital held a steady TCR band

Regional Health Spearfish Hospital's TCR held near 0.1 from 6.5 in 2017 to 6.4 in 2019. Peak filing year was 2017 at 6.5 TCR. In 2019, DART was 0.23× this establishment's average TCR (severity share of cases).

2017=6.5 · 2018=4.7 · 2019=6.4

OSHA ITA Form 300A scorecard

Establishment book 622110 · Spearfish, SD AT/BELOW-IND · MID

Grade B · TCR 5.8 · 78% of ind

  • DART 1.4 DART
  • RANK #50/73
  • PHOTO St. Mary's Hospital …
  • BOOK 3y book
  • INJ 41 inj
  • SIZE ~285 FTE

Nearest TCR peer: St. Mary's Hospital - Jefferson City (0.0 TCR gap)

Read with this employer → · Industry book → · South Dakota employers → · Look up another →

Regional Health Spearfish Hospital in the TCR neighbourhood

Average Total Case Rate among this establishment and nearest same-industry peers

TCR

What this shows Regional Health Spearfish Hospital averages 5.8 TCR (78% of the General medical and surgical hospitals BLS benchmark).

Source U.S. Department of Labor, OSHA Injury Tracking Application (Form 300A) As of 2026-08-25

Regional Health Spearfish Hospital TCR series: 2017=6.5 · 2018=4.7 · 2019=6.4 · BLS 7.5

Where Regional Health Spearfish Hospital falls in its industry

6,862 General medical and surgical h establishments

Safer than 40% of graded establishments in this industry, whose median TCR is 5.2.

More dangerous than peersSafer than peers

Narrower to South Dakota alone (the establishments it most directly competes with for workers and contracts): ranked #50 safest of 73 General medical and surgical h employers in South Dakota.

Regional Health Spearfish Hospital (285 employees, TCR 5.8) among 29 same-industry peers, split at the industry median of 492 employees and a TCR of 5.2 2×2 strategic matrix plotting 30 entities by Average employees (X) and Total Case Rate (Y), with a crosshair dividing the plot into four quadrants. Larger & higher-riskSmaller & higher-riskLarger & saferSmaller & safer than peers 02,0004,0006,000 05101520 Average employees Total Case Rate Regional Health Spearfish Hospital
Regional Health Spearfish Hospital (285 employees, TCR 5.8) among 29 same-industry peers, split at the industry median of 492 employees and a TCR of 5.2

Regional Health Spearfish Hospital has fewer employees than the General medical and surgical hospitals median and a higher 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
2019 6.4 1.4 14 0 0
2018 4.7 1.3 10 1 0
2017 6.5 1.9 17 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 St. Mary's Hospital - Jefferson City 5.8 TCR
NAICS-TCR WLCH-Wesley Long Community Hospital 5.8 TCR
NAICS-TCR HCA Florida St. Lucie Hospital 5.8 TCR
NAICS-TCR SAINT MARY'S REGIONAL MEDICAL CENTER (SMMC) 5.8 TCR
STATE-SIZE 467860-SIOUX FALLS SD P&DC 285 FTE
STATE-SIZE Wilson Trailer Company Plant 7 286 FTE
STATE-SIZE Avera Sacred Heart Majestic Bluffs 283 FTE
STATE-SIZE 1500 288 FTE
CITY-NEAR WM 1543 399 FTE
CITY-NEAR 1543 356 FTE
CITY-NEAR Monument Health Spearfish Hospital 300 FTE
CITY-NEAR Spearfish Forest Products, Inc. 164 FTE
NAT-TCR A-Best Roofing 5.8 TCR
NAT-TCR N.B. West Contracting 5.8 TCR
NAT-TCR Wellston Office and Service Center 5.8 TCR
NAT-TCR 0904 Layton 5.8 TCR
NAT-SIZE Crown Products / EBSCO 285 FTE
NAT-SIZE PHC-Morgan City LP 285 FTE
NAT-SIZE Bass Pro Outdoor World-Rancho Cucamonga 285 FTE
NAT-SIZE A.P. Plasman 285 FTE

Rel codes: NAICS-TCR · STATE-SIZE · CITY-NEAR · NAT-TCR/NAT-SIZE cross-state. Read with this employer →

Data Source: OSHA Injury Tracking Application (ITA), mandatory establishment-level injury/illness reports. Grades compare employer Total Case Rate (TCR) to BLS IIF industry benchmarks. Data covers years reported by this establishment: 2019, 2018, 2017. This is publicly available government data - not a legal determination of workplace conditions.
Data sourced from official public datasets. See our methodology for details.