The Monument is the main event center for the Black Hills Region, serving Western South Dakota, South West North Dakota, North West Nebraska, and Eastern Wyoming.

It is home to many large annual events, including the Black Hills Stock Show and Rodeo & Rodeo Rapid City,[2] Lakota Nation Invitational, the Black Hills Homebuilders Expo, South Dakota High School Activities Association Tournaments, the Rapid City Rush ice hockey team of the ECHL, and the Rapid City Marshals of Champions Indoor Football, who in 2024, folded.

[3] The Rapid City Thrillers semi-professional basketball team also formerly played games at the complex.

The venue also contains a fieldhouse, a fine arts theatre, two large convention/exhibit halls, and numerous other meeting rooms.

After the venue was remodeled in 2021, the Rushmore Plaza Civic Center was renamed The Monument after a naming rights agreement with Monument Health Rapid City Hospital.