Jobs & Economy in Hot Springs

Hot Springs's economy runs on a real, genuine combination of tourism, ranching, and a substantial healthcare-sector employment base.

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A real, distinctive tourism economy

The Mammoth Site draws approximately 100,000 annual visitors; Evans Plunge and more than 100 preserved red-sandstone buildings anchor the town's historic tourism appeal.

A substantial healthcare-sector presence

Fall River Health Services and the VA Black Hills Health Care System together support a real, substantial healthcare-employment base for a town this size.

Ranching as a traditional economic base

Ranching remains a real, traditional part of the local economy alongside tourism and healthcare.

Key takeaways

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Last reviewed: 2026-08-28. Independent research; not financial, tax, or legal advice -- confirm current figures with a local professional before making a decision.