Bighorn Valley Health Center
Bighorn Valley Health Center is a federally qualified health center (FQHC) in Montana and a Health Center Program awardee, funded in part by Section 330 of the Public Health Service Act. Its service delivery sites include Hardin, Bozeman, Belgrade, Miles City, and Ashland. In 2025 it served 24,796 patients, down 1.0% from 25,040 in 2024. 18.2% of its patients were uninsured, compared with 19.4% across Montana health centers and 17.2% nationally.
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24,796Patients served, 2025
18.2%of patients uninsured
24.2%of patients on Medicaid/CHIP
$2,396Total accrued cost per patient
$670Cost per visit
Bighorn Valley Health Center compared with Montana and the nation, 2025
| Measure | Bighorn Valley Health Center | Montana health centers | National |
|---|---|---|---|
| Patients | |||
| Children under 18 | 18.7% | 16.2% | 28.6% |
| Adults 65 and older | 20.2% | 21.4% | 12.8% |
| At or below 200% of the federal poverty guideline | 73.6% | 68.9% | 90.0% |
| Insurance status | |||
| Uninsured | 18.2% | 19.4% | 17.2% |
| Medicaid / CHIP | 24.2% | 27.8% | 47.9% |
| Medicare | 19.3% | 19.6% | 11.6% |
| Private insurance | 38.4% | 33.2% | 23.0% |
| Cost | |||
| Total accrued cost per patient | $2,396 | $2,160 | $1,672 |
| Cost per visit | $670 | $532 | $438 |
| Clinical quality | |||
| Cervical cancer screening | 42.7% | 45.8% | 57.0% |
| Colorectal cancer screening | 42.3% | 45.8% | 44.9% |
| Breast cancer screening | 50.0% | 53.3% | 56.0% |
| Controlling high blood pressure | 59.7% | 63.4% | 69.1% |
| Diabetes: HbA1c poor control (lower is better) | 24.1% | 24.9% | 26.3% |
| Depression screening and follow-up | 72.2% | 74.2% | 75.3% |
| Early entry into prenatal care | 72.2% | 82.3% | 73.4% |
| Tobacco screening and cessation | 73.8% | 79.7% | 84.8% |
| Statin therapy for cardiovascular disease | 61.8% | 72.5% | 79.0% |
Patients by service
| Service | 2025 |
|---|---|
| Medical | 20,959 |
| Dental | 2,199 |
| Mental health | 3,684 |
| Total clinic visits | 88,622 |
Trends, 2016–2025
| Year | Patients | Cost per patient | Uninsured | Medicaid/CHIP |
|---|---|---|---|---|
| 2025 | 24,796 | $2,396 | 18.2% | 24.2% |
| 2024 | 25,040 | $2,294 | 22.6% | 24.4% |
| 2023 | 14,521 | $2,568 | 20.0% | 27.7% |
| 2022 | 13,233 | $2,425 | 12.9% | 31.3% |
| 2021 | 10,074 | $2,354 | 10.6% | 34.6% |
| 2020 | 9,233 | – | 12.4% | 33.0% |
| 2019 | 10,048 | – | 12.0% | 38.5% |
| 2018 | 9,802 | – | 11.9% | 35.0% |
| 2017 | 4,010 | – | 14.8% | 39.8% |
| 2016 | 3,320 | – | 20.5% | 36.8% |
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