Hospitals, general medical and surgical · Montana

Billings Clinic Hospital

Billings, MT · ~2,366 workers · 8 years of OSHA Injury Tracking Application data.

B
Good Safety Record
5.5
Avg TCR
7.5
Industry avg
0
Fatalities
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The verdict

Billings Clinic Hospital runs at 73% of its industry's injury rate - safer than the typical Hospitals, general medical and surgical workplace, earning a grade B.

Billings Clinic Hospital: 5.5 TCR = 73% of Hospitals, general medical and surgical BLS 7.5 · 8y Form 300A (see methodology below)

Billings Clinic Hospital safety composite

Billings Clinic Hospital scores strongest on dart rate (safer than 60% of same-industry peers) and weakest on total case rate (tcr) (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).

D

52/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
D 5.5 per 100 workers

Safer than 45% of industry peers

DART rate
C 1.31 per 100 workers

Safer than 60% 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%).

TCR Δ

−1.7

2016→2024

Billings Clinic Hospital injury rate improved

Billings Clinic Hospital's TCR fell 1.7 from 5.3 in 2016 to 3.6 in 2024. Peak filing year was 2017 at 8.8 TCR. In 2024, DART was 0.24× this establishment's average TCR (severity share of cases).

2016=5.3 · 2017=8.8 · 2019=6.6 · 2020=5.6 · 2021=4.9 · 2022=4.6 · 2023=4.7 · 2024=3.6

OSHA ITA Form 300A scorecard

Establishment book 622110 · Billings, MT AT/BELOW-IND · LARGE

Grade B · TCR 5.5 · 73% of ind

  • DART 1.3 DART
  • RANK #34/55
  • PHOTO AdventHealth Fish Me…
  • BOOK 8y book
  • INJ 822 inj
  • SIZE ~2,366 FTE

Nearest TCR peer: AdventHealth Fish Memorial (0.0 TCR gap)

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

Billings Clinic Hospital in the TCR neighbourhood

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

TCR

What this shows Billings Clinic Hospital averages 5.5 TCR (73% 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

Billings Clinic Hospital TCR series: 2016=5.3 · 2017=8.8 · 2019=6.6 · 2020=5.6 · 2021=4.9 · 2022=4.6 · 2023=4.7 · 2024=3.6 · BLS 7.5

Where Billings Clinic Hospital falls in its industry

6,862 Hospitals, general medical and establishments

Safer than 45% 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 #34 safest of 55 Hospitals, general medical and employers in Montana.

Billings Clinic Hospital (2,366 employees, TCR 5.5) 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 Billings Clinic Hospital
Billings Clinic Hospital (2,366 employees, TCR 5.5) among 29 same-industry peers, split at the industry median of 492 employees and a TCR of 5.2

Billings Clinic Hospital has more employees than the Hospitals, general medical and surgical median and a higher 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 3.6 1.3 74 0 0
2023 4.7 1.6 82 0 0
2022 4.6 2.1 87 1 0
2021 4.9 2.4 99 3 0
2020 5.6 2.7 116 3 0
2019 6.6 3.2 121 10 0
2017 8.8 4.5 140 4 0
2016 5.3 2.7 103 10 0

OSHA ITA peer cross-reference

Establishment peer ledger

622110 · MT · Billings

6,862 Hospitals, general medical and surgical 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 Metric
NAICS-TCR AdventHealth Fish Memorial 5.5 TCR
NAICS-TCR Mary Greeley Medical Center- Main Hospital 5.5 TCR
NAICS-TCR Ballad Health- Bristol Regional Medical Center 5.5 TCR
NAICS-TCR Bigfork Hospital 5.5 TCR
STATE-SIZE 2252-00000460 2,189 FTE
STATE-SIZE Logan Health Medical Center (formerly Kalispell Regional Medical Center) 2,601 FTE
STATE-SIZE Kalispell Regional Medical Center 2,715 FTE
STATE-SIZE MT190 ST PATRICK HOSPITAL-BROADWAY BLDG-MISSOU 1,966 FTE
CITY-NEAR St. Vincent Healthcare 1,860 FTE
CITY-NEAR Billings Clinic Downtown Campus 1,223 FTE
CITY-NEAR St. John's Lutheran Ministries 651 FTE
CITY-NEAR ECI 484 FTE
NAT-TCR Pitt Ohio - West Middlesex 5.5 TCR
NAT-TCR AC Electrical Systems, Inc. 5.5 TCR
NAT-TCR LP Jamestown, LLC (Fentress Co) 5.5 TCR
NAT-TCR Gold Dust Main Office 5.5 TCR
NAT-SIZE California Department of Transportation Facility 55 2,365 FTE
NAT-SIZE Parkview Health System 2,367 FTE
NAT-SIZE Aria Health - Torresdale 2,368 FTE
NAT-SIZE College of Dupage #502 2,368 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, 2017, 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.