Surgical supplies (except medical instruments) manufacturing · Montana

Aligned Medical

Name: Aligned Medical Workplace Safety Data
Creator: PlainSafetyScore
License: https://creativecommons.org/publicdomain/zero/1.0/

Billings, MT · ~133 workers · 4 years of OSHA Injury Tracking Application data.

Compiled by PlainSafetyScore · August 25, 2026

A
Excellent Safety Record: 1.2
Avg TCR: 3.3
Industry avg: 0
Fatalities

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The verdict

Aligned Medical runs at 35% of its industry's injury rate - far safer than the typical Surgical supplies (except medical instruments) manufacturing workplace, earning a grade A.

Aligned Medical: 1.2 TCR = 35% of Surgical supplies (except medical instruments) manufacturing BLS 3.3 · 4y Form 300A (see methodology below)

Aligned Medical safety composite

Aligned Medical scores strongest on total case rate (tcr) (safer than 72% of same-industry peers) and weakest on dart rate (safer than 45%), blended into one 0-100 breakdown against same-industry peers. A missing measure drops out and redistributes its weight rather than deflating the score. This is a per-dimension breakdown, distinct from the single letter grade above it (which weights TCR alone against the BLS industry benchmark).

57/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR): C 1.17 per 100 workers

Safer than 72% of industry peers
DART rate: D 1.03 per 100 workers

Safer than 45% of industry peers
Fatalities: D 0

Safer than 50% of industry peers

Benchmarked live against every credibly-rated employer in the same NAICS industry code in the current OSHA extract (a segment must have at least 8 rated peers to benchmark). Not a legal or compliance determination; PlainSafetyScore's own weighting (TCR 40%, DART 35%, fatalities 25%).

Rising injury rate

Aligned Medical: 0.0 → 1.0 TCR

Peak year 2019 @ 1.8 TCR · DART/TCR 0.88× in 2024

Aligned Medical's TCR rose 1.0 from 0.0 in 2016 to 1.0 in 2024. Peak filing year was 2019 at 1.8 TCR. In 2024, DART was 0.88× this establishment's average TCR (severity share of cases).

OSHA ITA Form 300A scorecard

Establishment book 339113 · Billings, MT AT/BELOW-IND · MID

Grade A · TCR 1.2 · 35% of ind

DART 1.0 DART
RANK P72
PHOTO Cirtec Medical
BOOK 4y book
INJ 7 inj
SIZE ~133 FTE

Nearest TCR peer: Cirtec Medical (0.0 TCR gap)

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This site

1.2
Cirtec Medical

1.2
Musculoskeleta

1.2
Micro Precisio

1.2
Pierceton - In

1.2

What this shows Aligned Medical averages 1.2 TCR (35% of the Surgical supplies (except medical instruments) manufacturing BLS benchmark).

Aligned Medical TCR series: 2016=0 · 2019=1.8 · 2023=1.8 · 2024=1 · BLS 3.3

Where Aligned Medical falls in its industry

555 Surgical supplies (except medi establishments

Safer than 72% of graded establishments in this industry, whose median TCR is 2.1.

Grade A

More dangerous than peersSafer than peers

Aligned Medical (133 employees, TCR 1.2) among 29 same-industry peers, split at the industry median of 123 employees and a TCR of 2.1

Aligned Medical has more employees than the Surgical supplies (except medical instru median and a lower injury rate than the industry's median TCR of 2.1. Workforce size and injury rate do not always move together within the same industry -- some of its smaller peers run higher rates than its larger ones, and vice versa.

Year-by-Year Safety Data

Year	TCR	DART	Injuries
2024	1.0	1.0	2
2023	1.8	1.8	3
2019	1.8	1.8	2
2016	0.0	0.0	0

OSHA ITA peer cross-reference

Establishment peer ledger

339113 · MT · Billings

555 Surgical supplies (except medical instruments) manufacturing employers nationwide with a credible TCR · 1,536 rated employers in Montana with headcount on file · 327 employers in Billings, MT · 4 cross-state NAT-TCR peers · 4 cross-state NAT-SIZE peers. Closest matches by relationship code are listed below.

Rel	Establishment	Place	Metric
NAICS-TCR	Cirtec Medical	ENFIELD, CT	1.2 TCR
NAICS-TCR	Musculoskeletal Transplant Foundation -Olyphant	OLYPHANT, PA	1.2 TCR
NAICS-TCR	Micro Precision Swiss LLC	SANTA ANA, CA	1.2 TCR
NAICS-TCR	Pierceton - Instruments & Implants	PIERCETON, IN	1.2 TCR
STATE-SIZE	Riverside Contracting Inc.	BILLINGS	133 FTE
STATE-SIZE	American Chemet Corporation	EAST HELENA	133 FTE
STATE-SIZE	Sheridan Memorial Hospital Association	PLENTYWOOD	133 FTE
STATE-SIZE	Knife River Missoula DBA JTL	MISSOULA	134 FTE
CITY-NEAR	Billings Clinic Hospital	Billings	2,366 FTE
CITY-NEAR	St. Vincent Healthcare	Billings	1,860 FTE
CITY-NEAR	Billings Clinic Downtown Campus	Billings	1,223 FTE
CITY-NEAR	St. John's Lutheran Ministries	Billings	651 FTE
NAT-TCR	Ibp Illinois	Bolingbrook, IL	1.2 TCR
NAT-TCR	Alta Enterprises LLC- Burton	Burton, MI	1.2 TCR
NAT-TCR	MH Omaha	La Vista, NE	1.2 TCR
NAT-TCR	Randolph	San Antonio, TX	1.2 TCR
NAT-SIZE	Woodworks Construction Co., Inc.	New York, NY	133 FTE
NAT-SIZE	Carlson Tool & Manufacturing Corp	Cedarburg, WI	133 FTE
NAT-SIZE	Heritage Manor West	Shreveport, LA	133 FTE
NAT-SIZE	Pitt Ohio - East Windsor	Hamilton, NJ	133 FTE

Rel codes: NAICS-TCR · STATE-SIZE · CITY-NEAR · NAT-TCR/NAT-SIZE cross-state. Read with this employer →

Data Source: OSHA Injury Tracking Application (ITA), mandatory establishment-level injury/illness reports. Grades compare employer Total Case Rate (TCR) to BLS IIF industry benchmarks. Data covers years reported by this establishment: 2024, 2023, 2019, 2016. This is publicly available government data - not a legal determination of workplace conditions.

Read our methodology - how this data is sourced, computed, and verified.

Data sourced from official public datasets. See our methodology for details.