Ambulatory surgical centers and clinics, freestanding · Montana

Billings Surgery Center

Billings, MT · ~89 workers · 2 years of OSHA Injury Tracking Application data.

D
Poor Safety Record
5.2
Avg TCR
3.8
Industry avg
0
Fatalities
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The verdict

Billings Surgery Center runs at 136% of its industry's injury rate - more dangerous than the typical Ambulatory surgical centers and clinics, freestanding workplace, earning a grade D.

Billings Surgery Center: 5.2 TCR = 136% of Ambulatory surgical centers and clinics, freestanding BLS 3.8 · 2y Form 300A (see methodology below)

Billings Surgery Center safety composite

Billings Surgery Center scores strongest on dart rate (safer than 70% of same-industry peers) and weakest on fatalities (safer than 50%), 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

61/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
C 5.18 per 100 workers

Safer than 59% of industry peers

DART rate
C 0 per 100 workers

Safer than 70% 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%).

TCR Δ

−4.3

2022→2024

Billings Surgery Center injury rate improved

Billings Surgery Center's TCR fell 4.3 from 7.3 in 2022 to 3.0 in 2024. Peak filing year was 2022 at 7.3 TCR. In 2024, DART was 0× this establishment's average TCR (severity share of cases).

2022=7.3 · 2024=3.0

OSHA ITA Form 300A scorecard

Establishment book 621493 · Billings, MT ABOVE-IND · SMALL

Grade D · TCR 5.2 · 136% of ind

  • DART 0.0 DART
  • RANK #2/5
  • PHOTO ADVANCED CENTER FOR …
  • BOOK 2y book
  • INJ 7 inj
  • SIZE ~89 FTE

Nearest TCR peer: ADVANCED CENTER FOR SURGERY (0.0 TCR gap)

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

Billings Surgery Center in the TCR neighbourhood

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

TCR

What this shows Billings Surgery Center averages 5.2 TCR (136% of the Ambulatory surgical centers and clinics, freestanding BLS benchmark).

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

Billings Surgery Center TCR series: 2022=7.3 · 2024=3 · BLS 3.8

Where Billings Surgery Center falls in its industry

498 Ambulatory surgical centers an establishments

Safer than 59% of graded establishments in this industry, whose median TCR is 6.2.

More dangerous than peersSafer than peers

Narrower to Montana alone (the establishments it most directly competes with for workers and contracts): ranked #2 safest of 5 Ambulatory surgical centers an employers in Montana.

Billings Surgery Center (89 employees, TCR 5.2) among 29 same-industry peers, split at the industry median of 47 employees and a TCR of 6.2 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 0200400600800 0510152025 Average employees Total Case Rate Billings Surgery Center
Billings Surgery Center (89 employees, TCR 5.2) among 29 same-industry peers, split at the industry median of 47 employees and a TCR of 6.2

Billings Surgery Center has more employees than the Ambulatory surgical centers and clinics, median and a lower injury rate than the industry's median TCR of 6.2. 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 3.0 0.0 2 0 0
2022 7.3 2.9 5 0 0

OSHA ITA peer cross-reference

Establishment peer ledger

621493 · MT · Billings

498 Ambulatory surgical centers and clinics, freestanding 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 ADVANCED CENTER FOR SURGERY 5.2 TCR
NAICS-TCR Bloomington Eye Institute 5.2 TCR
NAICS-TCR CHKD Health & Surgery Ctr Oyster Pt 5.1 TCR
NAICS-TCR Surgery Center of Central New Jersey 5.3 TCR
STATE-SIZE On Site Management, Inc. 89 FTE
STATE-SIZE H-E Parts International - MSUSA 89 FTE
STATE-SIZE Lucky's Market, Missoula 89 FTE
STATE-SIZE 6400-SWY 0031 2999 89 FTE
CITY-NEAR Billings Clinic Hospital 2,366 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
NAT-TCR Airlite Plastics Co. Cold Chain 5.2 TCR
NAT-TCR JAC 5.2 TCR
NAT-TCR Avera McKennan Hospital 5.2 TCR
NAT-TCR Memorial Hermann Southwest Hospital 5.2 TCR
NAT-SIZE Tri City Glass & Door - 1811 E 89 FTE
NAT-SIZE Chesapeake Power 89 FTE
NAT-SIZE C. R. Crawford Construction, LLC 89 FTE
NAT-SIZE FoodTown #014 89 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, 2022. 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.