Bighorn Valley Health Center
Bighorn Valley Health Center is a federally qualified community health center based in Hardin, MT, with 21 clinic locations in 16 cities. It served 24,796 patients in 2025. Fees are on a sliding scale by income and insurance, and every patient is seen regardless of ability to pay.
- 24,796patients in 2025
- 18%uninsured patients
- 37%at or below the poverty line
- 403full-time-equivalent staff
Care offered: primary care, dental care, mental health care, substance use treatment, children’s checkups, women’s health, and telehealth.
Who Bighorn Valley Health Center serves
37% of patients live at or below the poverty line and 74% are at or below twice that level. 18% have no insurance, 24% have Medicaid or CHIP, 19% have Medicare and 38% have private insurance. 859 patients were experiencing homelessness. 785 were veterans.
| Measure | This center | MT median | U.S. median | vs MT |
|---|---|---|---|---|
| Patients at or below the poverty line | 37% | 38% | 65% | −1 pts |
| Patients at or below 200% of the poverty line | 74% | 68% | 92% | +5 pts |
| Measure | This center | MT median | U.S. median | vs MT |
|---|---|---|---|---|
| Uninsured patients | 18% | 15% | 14% | +4 pts |
| Medicaid or CHIP patients | 24% | 29% | 42% | −4 pts |
| Medicare patients | 19% | 19% | 11% | In line |
| Privately insured patients | 38% | 34% | 24% | +4 pts |
Care and screenings
| Service | Patients | What it counts |
|---|---|---|
| Dental care | 2,199 | patients had dental exams |
| Mental health care | 9,138 | patients treated for depression or anxiety |
| Substance use treatment | 326 | patients in treatment |
| Well-child visits | 967 | children had checkups |
| Flu shots | 1,850 | patients vaccinated |
| Cervical cancer screening | 664 | patients tested |
| Breast cancer screening | 1,707 | patients screened |
| Family planning | 952 | patients served |
| Diabetes care | 2,265 | patients with diabetes |
| Blood pressure care | 5,212 | patients with hypertension |
| Asthma care | 1,205 | patients with asthma |
| HIV testing | 164 | patients tested |
| Hepatitis C testing | 290 | patients tested |
Quality of care
Bighorn Valley Health Center is at or above the Montana median on 1 of 7 preventive-care measures. Higher is better on every line.
| Measure | This center | MT median | U.S. median | vs MT |
|---|---|---|---|---|
| Adults with high blood pressure under control | 60% | 65% | 68% | −6 pts |
| Women 52–74 screened for breast cancer | 50% | 52% | 54% | −2 pts |
| Women 24–64 screened for cervical cancer | 43% | 43% | 54% | In line |
| Adults 46–75 screened for colorectal cancer | 42% | 47% | 44% | −5 pts |
| Patients 12+ screened for depression | 72% | 76% | 77% | −4 pts |
| Adults assessed for tobacco use | 74% | 80% | 86% | −7 pts |
| High-risk adults on statin therapy | 62% | 75% | 79% | −14 pts |
Staffing
403 full-time-equivalent staff work at Bighorn Valley Health Center, including 41 physicians, nurse practitioners, physician assistants and midwives. That is 600 patients per clinical provider, against the Montana median of 902 and the U.S. median of 930.
Where Bighorn Valley Health Center patients live
| ZIP code | Patients | Uninsured |
|---|---|---|
| 59718 | 2,092 | 31% |
| 59034 | 2,087 | 9% |
| 82435 | 2,035 | 23% |
| 59047 | 1,958 | 14% |
| 59457 | 1,803 | 9% |
| 59715 | 1,526 | 20% |
| 59714 | 1,498 | 22% |
| 59301 | 1,259 | 15% |
Bighorn Valley Health Center locations
One Health - Community Health Partners
One Health - Miles City Public Health
One Health - West Yellowstone
Other health centers in Montana
- Yellowstone City & County Health Department D/B/A Riverstone Health
- Butte-Silver Bow Primary Healthcare Center, Inc. D/B/A Southwest Montana Community Health Center
- Community Health Care Center, Incorporated
- Flathead Community Health Center, Inc.
- Pureview Health Center
- Lincoln County Community Health Center DBA Northwest Community Health Center
How fees work: the sliding-fee guide.