Big Horn Hospital, located in Hardin, MT, has been dedicated to providing exceptional healthcare to the community since 1959. As a critical access hospital, we ensure reliable, locally-based medical care for Big Horn County and the surrounding areas. Our services range from emergency care to rehabilitation, featuring specialized units and a commitment to quality care. We are a community-driven hospital, guided by our mission to deliver affordable and compassionate healthcare.
| Hospital Name | Big Horn Hospital |
|---|---|
| Facility ID | 271338 |
| Address | 17 N MILES |
|---|---|
| City/Town | Hardin |
| State | MT |
| ZIP Code | 59034 |
| County/Parish | BIG HORN |
| Health System | Billings Clinic |
|---|---|
| Health System Website Domain | billingsclinic.com |
| Recently Joined Health System (Past 4 Years) | Yes |
| Health System Total Hospitals | 14 |
|---|---|
| Health System Total Beds | 592 |
| Health System Hospital Locations | Montana and Wyoming |
| Hospital Type | Critical Access Hospitals |
|---|---|
| Hospital Ownership | Voluntary non-profit - Private |
| Ownership Details | Billings Clinic |
| Emergency Services | Yes |
CEO of Big Horn Hospital Association, involved in the affiliation with Billings Clinic.
Took over as Chairman from Terry Bullis in 2021.
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Has been with Billings Clinic since 2021. Nichole Serves as the Executive Director of the Foundation and marketing. She is a positive, collaborative and strategic leader of the teams she oversees. As a former Hardin resident, Nichole is invested in the success of the Big Horn Hospital Association. She has successfully led and assisted many capital and marketing campaigns to advance health care in our region and grow market share. Nichole is dedicated to serving her community as she sits on the Big Sky Economic Development Board of Directors, several community advisory boards, and served as a former Board Chair for the Billings Chamber of Commerce. In her free time, Nichole enjoys spending time with her kids, golfing, skiing and being outdoors.
Key leader for nearly four decades, passed the Chairman's role to Thor Torske in 2021, served as Chairman since 1982, remains a valued member of the Board, legacy of service and commitment to the community continues alongside his family's work at Bullis Mortuary.
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| Allopathic Residency Program | No |
|---|---|
| Dental Residency Program | No |
| Osteopathic Residency Program | No |
| Other Residency Programs | No |
| Pediatric Residency Program | No |
| Licensed Beds | 25 |
|---|
| FTE Employees on Payroll | 115.45 |
|---|---|
| FTE Interns & Residents | NA |
| Inpatient Days (Title V) | NA |
|---|---|
| Inpatient Days (Title XVIII) | 322 |
| Inpatient Days (Title XIX) | 2820 |
| Total Inpatient Days | 3733 |
| Bed Count | 18 |
| Available Bed Days | 6570 |
| Discharges (Title V) | NA |
| Discharges (Title XVIII) | 29 |
| Discharges (Title XIX) | 38 |
| Total Discharges | 82 |
| Inpatient Days (Title V; Adults & Peds) | NA |
|---|---|
| Inpatient Days (Title XVIII; Adults & Peds) | 126 |
| Inpatient Days (Title XIX; Adults & Peds) | 90 |
| Total Inpatient Days (Adults & Peds) | 238 |
| Bed Count (Adults & Peds) | 18 |
| Available Bed Days (Adults & Peds) | 6570 |
| Discharges (Title V; Adults & Peds) | NA |
| Discharges (Title XVIII; Adults & Peds) | 29 |
| Discharges (Title XIX; Adults & Peds) | 38 |
| Total Discharges (Adults & Peds) | 82 |
| Care Quality Stengths | The hospital is average in every measured mortality rate Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours. |
|---|---|
| Care Quality Concerns | NA |
| Nurse Communication – Star Rating | |
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| Doctor Communication – Star Rating | |
| Staff Responsiveness – Star Rating | |
| Communication About Medicines – Star Rating | |
| Discharge Information – Star Rating | |
| Care Transition – Star Rating | |
| Cleanliness – Star Rating | |
| Quietness – Star Rating | |
| Overall Hospital Rating – Star Rating | |
| Recommend Hospital – Star Rating |
| Percent of Patients Who Definitely Recommend the Hospital |
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| Mortality Group – Rate of Complications for Hip/Knee Replacement Patients | |
|---|---|
| Mortality Group – Death Rate for Heart Attack Patients | |
| Mortality Group – Death Rate for CABG Surgery Patients | |
| Mortality Group – Death Rate for COPD Patients | |
| Mortality Group – Death Rate for Heart Failure Patients | |
| Mortality Group – Death Rate for Pneumonia Patients | |
| Mortality Group – Death Rate for Stroke Patients | |
| Mortality Group – Pressure Ulcer Rate | |
| Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications | |
| Mortality Group – Iatrogenic Pneumothorax Rate | |
| Mortality Group – In-Hospital Fall with Hip Fracture Rate | |
| Mortality Group – Postoperative Hemorrhage or Hematoma Rate | |
| Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate | |
| Mortality Group – Postoperative Respiratory Failure Rate | |
| Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate | |
| Mortality Group – Postoperative Sepsis Rate | |
| Mortality Group – Postoperative Wound Dehiscence Rate | |
| Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate | |
| Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite |
| Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) | 160 |
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| Readmission Score Hospital Return Days for Heart Attack Patients | Not Available |
|---|---|
| Readmission Score Hospital Return Days for Heart Failure Patients | Not Available |
| Readmission Score Hospital Return Days for Pneumonia Patients | Not Available |
| Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) | Not Available |
| Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy | Not Available |
| Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy | Not Available |
| Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery | Not Available |
| Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | Not Available |
| Readmission Score Rate of Readmission for CABG | Not Available |
| Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients | Not Available |
| Readmission Score Heart Failure (HF) 30-Day Readmission Rate | Not Available |
| Readmission Score Rate of Readmission After Hip/Knee Replacement | Not Available |
| Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) | Not Available |
| Readmission Score Pneumonia (PN) 30-Day Readmission Rate | Not Available |
| Readmission Group Hospital Return Days for Heart Attack Patients | Not Available |
| Readmission Group Hospital Return Days for Heart Failure Patients | Number of Cases Too Small |
| Readmission Group Hospital Return Days for Pneumonia Patients | Number of Cases Too Small |
| Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) | Not Available |
| Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy | Not Available |
| Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy | Not Available |
| Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery | Not Available |
| Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | Not Available |
| Readmission Group Rate of Readmission for CABG | Not Available |
| Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients | Number of Cases Too Small |
| Readmission Group Heart Failure (HF) 30-Day Readmission Rate | Number of Cases Too Small |
| Readmission Group Rate of Readmission After Hip/Knee Replacement | Not Available |
| Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) | Number of Cases Too Small |
| Readmission Group Pneumonia (PN) 30-Day Readmission Rate | Number of Cases Too Small |
| CLABSI SIR (Standardized Infection Ratio) | NA |
|---|---|
| CAUTI SIR (Standardized Infection Ratio) | NA |
| SSI SIR (Standardized Infection Ratio) | NA |
| CDI SIR (Standardized Infection Ratio) | NA |
| MRSA SIR (Standardized Infection Ratio) | NA |
| Fiscal Year Begin | Jul 01, 2022 |
|---|---|
| Fiscal Year End | Jun 30, 2023 |
| Charity Care Cost | $95 |
|---|---|
| Bad Debt Expense | |
| Uncompensated Care Cost | $95 |
| Total Uncompensated Care | $3,369 |
| Total Salaries | $8,445 |
|---|---|
| Overhead Expenses (Non-Salary) | $10,483 |
| Depreciation Expense | $1,405 |
| Total Operating Costs | $16,787 |
| Inpatient Charges | $3,397 |
|---|---|
| Outpatient Charges | $10,577 |
| Total Patient Charges | $13,974 |
| Core Wage Costs | |
|---|---|
| Wage Costs (RHC/FQHC) | |
| Adjusted Salaries | |
| Contract Labor (Patient Care) | |
| Wage Costs (Part A Teaching) | |
| Wage Costs (Interns & Residents) |
| Cash & Bank Balances | $2,900 |
|---|---|
| Short-Term Investments | |
| Notes Receivable | |
| Accounts Receivable | $2,959 |
| Allowance for Doubtful Accounts | |
| Inventory | $459 |
| Prepaid Expenses | $126 |
| Other Current Assets | $20 |
| Total Current Assets | $10,402 |
| Land Value | $253 |
|---|---|
| Land Improvements Value | |
| Building Value | $18,549 |
| Leasehold Improvements | |
| Fixed Equipment Value | $7,699 |
| Major Movable Equipment | |
| Minor Depreciable Equipment | |
| Health IT Assets | |
| Total Fixed Assets | $11,323 |
| Long-Term Investments | $2,610 |
|---|---|
| Other Assets | |
| Total Other Assets | $2,610 |
| Total Assets | $24,335 |
| Accounts Payable | $2,369 |
|---|---|
| Salaries & Wages Payable | $800 |
| Payroll Taxes Payable | |
| Short-Term Debt | $268 |
| Deferred Revenue | |
| Other Current Liabilities | $158 |
| Total Current Liabilities | $3,595 |
| Mortgage Debt | $8,000 |
|---|---|
| Long-Term Notes Payable | |
| Unsecured Loans | |
| Other Long-Term Liabilities | $105 |
| Total Long-Term Liabilities | $8,105 |
| Total Liabilities | $11,701 |
| General Fund Balance | $12,634 |
|---|---|
| Total Fund Balances | $12,634 |
| Total Liabilities & Equity | $24,335 |
| DRG (Non-Outlier) | |
|---|---|
| DRG (Pre-Oct 1) | |
| DRG (Post-Oct 1) | |
| Outlier Payments | |
| DSH Adjustment | |
| Eligible DSH % | |
| Simulated MC Payments | |
| Total IME Payments |
| Inpatient Revenue | $3,805 |
|---|---|
| Outpatient Revenue | $10,577 |
| Total Patient Revenue | $14,382 |
| Contractual Allowances & Discounts | $1,622 |
| Net Patient Revenue | $12,760 |
| Total Operating Expenses | $19,081 |
| Net Service Income | $-6,322 |
| Other Income | $4,879 |
| Total Income | $-1,443 |
| Other Expenses | $1,101 |
| Net Income | $-2,544 |
| Cost-to-Charge Ratio | $0 |
|---|---|
| Net Medicaid Revenue | $3,981 |
| Medicaid Charges | $7,477 |
| Net CHIP Revenue | |
| CHIP Charges |
| EHR | Oracle Health Millennium |
|---|---|
| EHR Version | Oracle Health Millennium (Not CommunityWorks) |
| EHR is Changing | No |
| ERP | Oracle |
|---|---|
| ERP Version | Unknown |
| EHR is Changing | No |