Monument Health Spearfish Hospital offers extensive patient services centralized at one location which includes both the hospital and Spearfish Monument Medical Clinic. Services include emergency care: 24 hours a day / 7 days a week, diabetes care, heart & vascular care, home care, hospice, labor & delivery, laboratory services, medical imaging, physical therapy & rehabilitation, surgery, swing-bed program, telemedicine, and serves as a medication disposal site.