Monument Health Rapid City Hospital



Through master planning and design, the Monument Health Rapid City Hospital was transformed and rebranded for efficiencies and advanced delivery of care. The expansion included the addition of patient beds for a transition to all private rooms, connected parking, improved wayfinding and the addition of integrated physician spaces. This is part of the largest construction project in the health care system’s history.

A culture-based aesthetic is incorporated into the design to acknowledge the 30% of the patient population who are Native American. The area off the main lobby that would traditionally be deemed a chapel is a round spiritual room, reflecting sacred beliefs of the Lakota Nation and other local Native American cultures.

Flipping the main entrance from the north to the south, the campus is now reconfigured to better accommodate future growth. Providing registration and waiting areas at the main entrance, the atrium lobby offers improved wayfinding and connectivity to the new bed tower and the hospital office building.


ESa (Earl Swensson Associates) provides global design services for acute care hospitals, outpatient facilities, specialty facilities, health and wellness centers and medical office facilities.

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Monument Health Rapid City Hospital

Region: Region 6

Location: Rapid City, SD

Square Footage: 260,000(hospital), 80,000(office building)

Completed: Summer 2020

Firm: ESa


Digital Display