Hospitals, general medical and surgical · Montana

Big Horn Hospital

Hardin, MT · ~135 workers · 6 years of OSHA Injury Tracking Application data.

B
Good Safety Record
4.8
Avg TCR
7.5
Industry avg
0
Fatalities
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The verdict

Big Horn Hospital runs at 64% of its industry's injury rate - safer than the typical Hospitals, general medical and surgical workplace, earning a grade B.

Big Horn Hospital: 4.8 TCR = 64% of Hospitals, general medical and surgical BLS 7.5 · 6y Form 300A (see methodology below)

Big Horn Hospital safety composite

Big Horn Hospital scores strongest on dart rate (safer than 64% of same-industry peers) and weakest on fatalities (safer than 52%), 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).

C

57/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
C 4.83 per 100 workers

Safer than 55% of industry peers

DART rate
C 1.16 per 100 workers

Safer than 64% of industry peers

Fatalities
D 0

Safer than 52% 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

Big Horn Hospital: 3.8 → 5.8 TCR

Peak year 2022 @ 6.3 TCR · DART/TCR 0.24× in 2024

Big Horn Hospital's TCR rose 2.0 from 3.8 in 2019 to 5.8 in 2024. Peak filing year was 2022 at 6.3 TCR. In 2024, DART was 0.24× this establishment's average TCR (severity share of cases).

OSHA ITA Form 300A scorecard

Establishment book 622110 · Hardin, MT AT/BELOW-IND · MID

Grade B · TCR 4.8 · 64% of ind

  • DART 1.2 DART
  • RANK #28/55
  • PHOTO Carilion Clinic Gile…
  • BOOK 6y book
  • INJ 29 inj
  • SIZE ~135 FTE

Nearest TCR peer: Carilion Clinic Giles Community Hospital Co. 04 (0.0 TCR gap)

Read with this employer → · Industry book → · Montana employers → · Look up another →

Big Horn Hospital in the TCR neighbourhood

Average Total Case Rate among this establishment and nearest same-industry peers

TCR

What this shows Big Horn Hospital averages 4.8 TCR (64% of the Hospitals, general medical and surgical BLS benchmark).

Source U.S. Department of Labor, OSHA Injury Tracking Application (Form 300A) As of 2026-08-25

Big Horn Hospital TCR series: 2019=3.8 · 2020=4.1 · 2021=4.5 · 2022=6.3 · 2023=4.6 · 2024=5.8 · BLS 7.5

Where Big Horn Hospital falls in its industry

6,862 Hospitals, general medical and establishments

Safer than 55% of graded establishments in this industry, whose median TCR is 5.2.

More dangerous than peersSafer than peers

Narrower to Montana alone (the establishments it most directly competes with for workers and contracts): ranked #28 safest of 55 Hospitals, general medical and employers in Montana.

Big Horn Hospital (135 employees, TCR 4.8) among 29 same-industry peers, split at the industry median of 492 employees and a TCR of 5.2 2×2 strategic matrix plotting 30 entities by Average employees (X) and Total Case Rate (Y), with a crosshair dividing the plot into four quadrants. Larger & higher-riskSmaller & higher-riskLarger & saferSmaller & safer than peers 02,0004,0006,000 05101520 Average employees Total Case Rate Big Horn Hospital
Big Horn Hospital (135 employees, TCR 4.8) among 29 same-industry peers, split at the industry median of 492 employees and a TCR of 5.2

Big Horn Hospital has fewer employees than the Hospitals, general medical and surgical median and a lower injury rate than the industry's median TCR of 5.2. 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 Illnesses Fatalities
2024 5.8 1.2 5 0 0
2023 4.6 1.1 4 0 0
2022 6.3 1.0 6 0 0
2021 4.5 1.1 4 0 0
2020 4.1 1.0 4 0 0
2019 3.8 1.9 6 0 0

OSHA ITA peer cross-reference

Establishment peer ledger

622110 · MT · Hardin

6,862 Hospitals, general medical and surgical employers nationwide with a credible TCR · 1,536 rated employers in Montana with headcount on file · 7 employers in Hardin, MT · 4 cross-state NAT-TCR peers · 4 cross-state NAT-SIZE peers. Closest matches by relationship code are listed below.

Rel Establishment Metric
NAICS-TCR Carilion Clinic Giles Community Hospital Co. 04 4.8 TCR
NAICS-TCR WellStar West Georgia Medical Center 4.8 TCR
NAICS-TCR WIAPP014 ASCENSION NE WI - ST ELIZABETH CAMPUS 4.8 TCR
NAICS-TCR 46060001-460601 ST. CLARE HOSPITAL 4.8 TCR
STATE-SIZE Daily's Premium Meats, LLC 135 FTE
STATE-SIZE BLACKHAWK 135 FTE
STATE-SIZE The Ivy at Great Falls, LLC 135 FTE
STATE-SIZE Knife River Missoula DBA JTL 134 FTE
CITY-NEAR Bighorn Valley Health Center 247 FTE
CITY-NEAR Big Horn Senior Living 66 FTE
CITY-NEAR Heorot Power 42 FTE
CITY-NEAR Hardin Generating Station 35 FTE
NAT-TCR Nittany Paper Mills 4.8 TCR
NAT-TCR Dwelley Family Farms LLC 4.8 TCR
NAT-TCR Total Storage Solutions 4.8 TCR
NAT-TCR McFadden & Miller 4.8 TCR
NAT-SIZE SpawGlass Contractors Inc. - San Antonio 135 FTE
NAT-SIZE Utah 135 FTE
NAT-SIZE Sodexo at Truman State University 135 FTE
NAT-SIZE 014 - Lynhurst 7th 8th Grade Center 135 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, 2022, 2021, 2020, 2019. 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.