Discover / Battle Mountain Sanitarium
Save a National Treasure
REGION: Midwest
Hot Springs, SD
TYPE: Building
The Battle Mountain Sanitarium was established by Congress in 1902. | Photo: National Trust
The Battle Mountain Sanitarium was established by Congress in 1902. | Photo: National Trust
Save a thriving, historic VA medical facility from closure and abandonment.


One of the original branches of the National Home for Disabled Volunteer Soldiers, the Battle Mountain Sanitarium was established by Congress in 1902 and opened to patients in 1907. Although the National Historic Landmark provides essential medical services for veterans in the area, the Department of Veterans Affairs wants to shutter it and construct a new facility 60 miles away. Not only would this place the future of this remarkable campus at risk, it would severely impact the town of Hot Springs, where the medical center is the single largest employer.

National Significance

The National Home for Disabled Volunteer Soldiers, established in 1865, was the precursor to the Department of Veterans Affairs. Battle Mountain Sanitarium, its only branch designed solely as a medical facility, is one of more than 1,700 historic properties managed by the VA and one of only a few that retain enough integrity for National Historic Landmark designation. The VA is proving to be a poor steward of the prized sandstone buildings at the Battle Mountain Sanitarium and has already proven to be a poor steward at other VA historic sites across the country, deferring maintenance and disregarding the regulations that require compliance with the National Historic Preservation Act.

Campaign Goals

  • Prevent the closure of the Hot Springs VA Medical Center at Battle Mountain Sanitarium.
  • Secure federal dollars for the rehabilitation of Battle Mountain Sanitarium, and make certain the sanitarium continues to serve as a VA facility.

Ways To Help

Donate to our campaign to save the Battle Mountain Sanitarium.

Tell us why the Battle Mountain Sanitarium matters to you.

Posted on March 21, 2014

Jenny BuddenborgWritten by Jenny Buddenborg, Project Manager

Following the Department of Veterans Affairs’ (VA) announcement in December 2011 to close the entire Battle Mountain Sanitarium campus and move veterans medical services north to TAL Town ForumRapid City, The American Legion made its first visit to Hot Springs as part of its System Worth Saving program. The program aims to support VA Medical Centers across the agency’s nationwide health-care system. Each year task force members visit a select number of sites to understand facility needs in the continued provision of veterans’ healthcare. Reports are issued that focus on timely topics like rural healthcare and women’s healthcare.

Battle Mountain Sanitarium clearly falls within the category of rural healthcare, so The American Legion’s 2012 report on that topic has provided relevant information to help us make our case for the preservation and continued use of this National Historic Landmark. And our message to save Battle Mountain Sanitarium resonated enough with The American Legion during a recent visit with them in our Nation’s capital that they invested in a second visit to Hot Springs this past February out of concern for the impacts to veterans care in the VA Black Hills Health Care Network and, more broadly, to rural veterans healthcare across the country.

During this visit, representatives from The American Legion’s D.C. office and System Worth Saving Task Force held a town forum where dozens of veterans shared compelling and moving stories of how Battle Mountain Sanitarium has cared for and treated them over the years. The representatives then spent several days touring the VA Black Hills Health Care Network and meeting with the National Trust’s partner Save the VA to gain a better understanding of the place and people and the impacts they would sustain if the Hot Springs campus were shuttered.

The National Trust is building a working relationship with The American Legion to help ensure that veterans continue to receive the best medical care possible. Stay tuned for ways that this partnership will help move the needle in our work to save Battle Mountain Sanitarium.

Please check back often for additional updates on the Battle Mountain Sanitarium. Also, donate today to support the National Trust's ongoing work at this National Treasure.

Posted on February 09, 2014

Jessica PumphreyWritten by Jessica Pumphrey, Team Member

After two years of appeals from veterans, members of Congress, and other stakeholders like the National Trust for Historic Preservation, the U.S. Department of Veterans Affairs (VA) has announced its plan to move forward with assessing the proposed closure of Battle Mountain Sanitarium in Hot Springs, South Dakota, pursuant to the National Environmental Policy Act (NEPA).  

In response to this announcement, David Brown, executive vice president and chief preservation officer for the National Trust, penned a thoughtful opinion piece in the Rapid City Journal expressing our deep concern about the VA’s decision. He stated that now is a critical time for veterans, community members and others to elevate their voices for the preservation and continued use of Battle Mountain Sanitarium. He also touched on the ‘watchful eye’ of South Dakota’s congressional leaders who requested that the VA adhere to all Federal review and compliance requirements, urging them to reach an objective decision based on public input regarding the fate of the historic structures. 

It’s clear that our work is far from over here but we are committed to holding the VA accountable for preservation decisions made about the future use of these priceless historic buildings and the effects of those decisions to veterans’ healthcare.

Please check back often for additional updates on the Battle Mountain Sanitarium. Also, donate today to support the National Trust's ongoing work at this National Treasure.

Posted on December 12, 2013

Written by Adam Jones, Team MemberVeterans at public meeting

Battle Mountain Sanitarium will start the New Year on a positive note as Congress blocks immediate efforts to relocate its veterans’ medical services. On Tuesday, the U.S. House of Representatives passed the Department of Veterans Affairs (VA) Major Medical Facility Lease Authorization Act (H.R. 3521). The bill authorizes 27 of the 28 major medical facility lease projects requested by the VA for Fiscal Year 2014. The only requested project not included in the bill is a new VA facility in Rapid City, SD, a project that would transfer VA medical facilities out of the iconic Battle Mountain Sanitarium medical campus located in Hot Springs, SD. Identical legislation now awaits consideration in the U.S. Senate.

This is a significant step in the National Trust for Historic Preservation's campaign to save this national treasure.

Two years ago today the VA announced its proposal to shutter the Battle Mountain Sanitarium campus and move medical services to a new facility 60 miles north, in Rapid City. Since then, the National Trust has worked closely with South Dakota’s Congressional delegation—Senators Tim Johnson and John Thune, and Representative Kristi Noem—as well as congressional members from the neighboring states of Wyoming and Nebraska, the South Dakota state legislature, and local stakeholder and veterans groups to preserve the Hot Springs medical facility.

During a Senate Appropriations subcommittee hearing earlier this year, VA Secretary Eric Shinseki assured Senator Johnson that a final decision on the fate of Battle Mountain Sanitarium had not been made, and he agreed with Senator Johnson that it was a mistake to include the Rapid City proposal in the list of authorization requests. Representative Noem, Nebraska Representative Adrian Smith and Wyoming Representative Cynthia Lummis then used Secretary Shinseki’s testimony to secure removal of the request from H.R. 3521.

The National Trust continues to be deeply concerned that the VA's planned abandonment of the Battle Mountain Sanitarium campus endangers this National Historic Landmark, would severely impact the economic vitality of the small town of Hot Springs, and could potentially lessen the quality of health care received by veterans in the region. Our work with partners to save Battle Mountain Sanitarium and the economic fate of Hot Springs, long known as “The Veterans Town,” is ongoing.

Please check back often for additional updates on the Battle Mountain Sanitarium. Also, donate today to support the National Trust's ongoing work at this National Treasure.  

Posted on November 11, 2013

Jenny BuddenborgWritten by Jenny Buddenborg, Project Manager

Pat Russell

 Last week I joined our partner Save the VA in Hot Springs, South Dakota for the release of our new report entitled Honoring Our Nation's Veterans: Saving Their Places of Health Care and Healing. Dozens of community members and Veterans attended our press event that symbolically took place at the base of the Battle Mountain Sanitarium Grand Staircase, the majestic connector between the town of Hot Springs and the medical campus. Inspiring remarks were shared, all in the name of saving the Battle Mountain Sanitarium from closure, as proposed by the Department of Veterans Affairs (VA). The two Veteran speakers, Army veterans Don Ackerman and Pat Russell, were particularly powerful and rousing with their statements.
The purpose of the National Trust report is to open a constructive dialogue with the VA in an attempt to help the agency improve the care and management of the hundreds of historic properties in its care. An integral part of that message is saving and preserving the very places that were built to honor our Veterans. I am always impressed with the architectural and landscaped beauty of the Battle Mountain Sanitarium, but I am even more moved by what that place means to Veterans who have been treated there. Don and Pat clearly illustrated that during last week's press conference, and the Veterans in the crowd responded in kind. I found myself inspired.
So, today, on Veterans Day, let us honor the millions of men and women who have served in our armed forces by choosing to protect, preserve and continue to use the stunning historic medical facilities that were built as a small token of gratitude for all that our military heroes have sacrificed. At these sites it is the power of the Veteran that provides the power of the place.
Please check back often for additional updates on the Battle Mountain Sanitarium. Also, donate today to support the National Trust's ongoing work at this National Treasure. 


Files must be less than 8 MB.
Allowed file types: png gif jpg jpeg.
By submitting this form, you accept the Mollom privacy policy.
Posts are moderated, and therefore do not appear immediately.
Ted Spencer on May 13, 2013
I had my Military Retirement Physical in 2010 at Hot Springs VA Battle Mountain. I then had two subsequent follow-up appointments. The staff was always very helpful, friendly, and courteous. I remember how beautiful and peaceful this facility was--and still is! I've served two tours of duty in Iraq, and two in Afghanistan, and the setting in Hot Springs is very conducive for healing, sprituality , and recovery. It would be a disgrace and disservice to abandon such a great facility, as it can easily continue to be a place of peace, solitude, and healing for generations of our nation's veterans.
john E Renstrom on November 09, 2012
when I joined the service in 1967 on of the recruitment persuasions was the comment that this facility would be here for you after you get out. it has been and inspite of upper management the people committed to caring for returning veterans have done so. every veteran since the civil war has found hope and healing here. now to close it down and rent a CBOC down town some were farming out diagnostic services some were else is a slap in the face from this administration to ever veteran that has served and a put down to the people that have served us.
Karen Meston on August 15, 2012
The first time I entered the main complex my reaction was, WOW! The pictures don't do it justice. It is very impressive and beautiful. I, too, think of the many people who have been cared for in these buildings and the many who have cared for them. It is a spiritual place, the sort of setting that is conducive to healing. If we all work together, it will continue to be a place of healing for our veterans for many years into the future.
Pat Lyke, Hot Springs, SD on June 09, 2012
When I first entered the buildings designed in 1902, I was amazed at the overall design and craftsmanship. Constructed of local sandstone and Douglas fir, they were built to last hundreds of years. I feel very fortunate to be able to care for this complex. Every time I enter the buildings, I think of the thousands of veterans who have been helped, and hope that the history of veterans being healed here continues long into the future.

Campaign Overview

Threat: Closure
Funds Secured:
$ 74,000
Fundraising Goal: $ 120,000
Support the Trust's Work Contribute Now

Learn about other ways to help

Presenting Partner


Share This Campaign

Become a Member

Help These Places Today

  • Save the Dome
  • Administration Building
  • Patayan-style rock art at Sears Point Area of Critical Environmental Concern. Photo by Robert Mark
  • Photo courtesy Franz Neumeier/
  • Photo by James Higgins
  • The Mississippi Delta has been referred to as the "cradle of American culture." | Photo: National Trust
  • Sunset at Willamette Falls, the largest waterfall in the Pacific Northwest. | Photo: Brian Rockwell
  • The electrical substation at Hanford, WA, a Manhattan Project site. | Photo: National Trust
  • The Washington National Cathedral was completed over the course of 83 years. | Photo: National Trust
  • Union Station serves as a historic gateway to the Nation's Capital. | Photo: Carol Highsmith
  • The Milwaukee Soldiers Home was built in 1867. | Photo: Milwaukee Preservation Alliance
  • Pond Farm was the home/studio of prominent ceramicist Marguerite Wildenhain. | Photo: National Trust
  • Hinchliffe Stadium was built by public funds during the Great Depression. | Photo: Melissa Murphy
  • Nantucket Lightship is the largest U.S. lightship ever built. | Photo: Matt Teuten
  • Floating by Miami Marine Stadium, an entertainment venue off the Biscayne Bay. | Photo: Rick Bravo
  • Woodlawn is located in Alexandria, VA. | Photo: Brian Thomson/The Ethan James Foundation
  • The Rosenwald Program improved education for African Americans in the South. | Photo: National Trust
  • Mount Taylor sits atop one of the richest reserves of uranium ore in the U.S. | Photo: National Trust
  • Lyndhurst is a site of the National Trust. | Photo: Brian Thomson/The Ethan James Foundation
  • The stone walls and moat of Fort Monroe. | Photo: Patrick McKay
  • The number of cruise ships in Charleston has increased exponentially. | Photo: National Trust
  • The Battle Mountain Sanitarium was established by Congress in 1902. | Photo: National Trust
  • Auburn Avenue is a historically significant African American commercial area. | Photo: Stan Kaady
  • It was here that Joe Frazier trained for his victorious bout against Muhammad Ali. | Photo: Pete Marovich
  • Village of Zoar | Photo by Andy Donaldson
  • Princeton Battlefield is one of the Revolutionary War’s most significant battlefields. | Photo: Jon Roemer
  • Theodore Roosevelt first came to North Dakota in 1883 to hunt buffalo. | Photo: Dickinson State University
  • The Karnes County Courthouse in Karnes City. | Photo: Mick Watson
  • Malcolm X—Ella Little-Collins House | Photo by Steve Dunwell
  • La Jolla, CA Post Office
  • Ellis Island was known as an “Island of Hope” for immigrants. | Photo: Clara Daly/
  • Stoneman Bridge | Photo by Lee Rentz
  • Success! Chimney Rock designated a National Monument. | Photo: Mark Roper, U.S. Forest Service
  • The Haas-Lilienthal House is an exuberant 1886 Queen Anne-style Victorian. | Photo: Jeff Scott
  • Terminal Island played a vital role during WWI and WWII. | Photo: Los Angeles Harbor Department
  • White Grass is one of America's last, great pioneer dude ranches. | Photo: National Trust
  • Prentice Women’s Hospital opened to international acclaim in 1975. | Photo: Landmarks Illinois