Philanthropy plays an increasingly critical role in helping to achieve the margins of excellence in delivering the best clinical quality, patient safety, service and value to our patients.
Billings Clinic Foundation’s largest recent grants all support Billings Clinic’s medical service and programs, including an $11,879,443 award in 2025, an $8,813,543 award in 2023, and a $5,259,418 award in 2024. That repeated pattern points to a funder centered on strengthening the clinical work of its namesake health system rather than spreading support broadly across unrelated causes. The foundation also shows a smaller layer of community-facing grants that sit beside that core support, including funding for healthcare education, equipment, emergency response training, and music therapy. The foundation’s public record shows direct service and project-restricted giving tied to patient care and program delivery. Recent awards include support for educational programs at the Institute for Healthcare Improvement, EKG machines for Townsend Health Systems Inc, and music therapy programs for Billings Symphony Orchestra. Together, those grants suggest a funder that uses both large institutional support and smaller targeted awards to advance healthcare quality, staff capacity, and patient-facing services.
Clinical medical services dominate the foundation’s grantmaking. Billings Clinic received multiple multimillion-dollar awards for medical service and programs, showing sustained support for core operations and patient care. Beyond that anchor, the foundation funds healthcare training and equipment. It gave $35,000 to the Institute for Healthcare Improvement to support educational programs and $25,660 to Townsend Health Systems Inc for the purchase of 2 EKG machines. Those grants show an interest in workforce development and clinical infrastructure. The foundation also supports community programs connected to care. In 2024, it gave $5,500 to Billings Fire department for fire extinguisher training, and it supported music therapy programs at Billings Symphony Orchestra with grants in both 2024 and 2025.
The typical grant size is uneven, with a p25 of $5,250, a median of $35,000, and a p75 of $3,451,144, reflecting a mix of very large institutional awards and smaller project grants. The grant list shows repeated support to the same health system across multiple years, especially Billings Clinic, which appears in 2023, 2024, and 2025. The foundation is a local funder, and it does not fund individuals or program-related investments. Its public grants are project-restricted and often tied to operating support, equipment, or training.
$11.9M
$161.2M
$26.3M
$14.1M
Most grants fall between $5K and $3.5M, with a median of $35K.
25th Percentile
$5K
Median
$35K
75th Percentile
$3.5M
About 86% of grants go to recipients in MT.
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Grantmaking is concentrated in Montana, with 86% of grants going to recipients in the HQ state and Montana also the top state by grant count. Billings appears repeatedly as a recipient city, including Billings Clinic, Billings Fire department, and Billings Symphony Orchestra. Other Montana recipients include Townsend and Absarokee. Outside Montana, the recipient list includes Boston, Massachusetts, through a grant to the Institute for Healthcare Improvement.
The foundation funds healthcare-related organizations and programs, especially clinical medical services, educational programs, medical equipment procurement, fire safety training, and music therapy programs. Recent recipients include Billings Clinic, the Institute for Healthcare Improvement, Townsend Health Systems Inc, Billings Fire department, and Billings Symphony Orchestra.
Typical awards range widely. The p25 is $5,250, the median is $35,000, and the p75 is $3,451,144. That spread reflects a mix of small project grants and very large institutional support.
Yes. Montana is the top state by grant count, and 86% of grants go to recipients in the HQ state. The grants also show multiple Montana cities, including Billings, Townsend, and Absarokee.
The record shows recurring support to the same institution across multiple years. Billings Clinic received large awards in 2023, 2024, and 2025, and Billings Symphony Orchestra received support in both 2024 and 2025.
Recent project purposes include medical service and programs, educational programs, purchase of 2 EKG machines, fire extinguisher training, and music therapy programs. The foundation’s giving is tied to direct service, project-restricted funding, capital or equipment grants, and training and workforce development.
2025
Source: IRS Form 990-PF, fiscal year 2025.
Most recent grants reported to the IRS.
| Recipient | Location | Amount | Year | Purpose |
|---|---|---|---|---|
| BILLINGS CLINIC | BILLINGS, MT | $11,879,443 | 2025 | TO SUPPORT MEDICAL SERVICE & PROGRAMS |
| TOWNSEND HEALTH SYSTEMS INC | TOWNSEND, MT | $25,660 | 2025 | PURCHASE OF 2 EKG MACHINES |
| BILLINGS SYMPHONY ORCHESTRA | BILLINGS, MT | $5,000 | 2025 | TO SUPPORT MUSIC THERAPY PROGRAMS |
| BILLINGS CLINIC | BILLINGS, MT | $5,259,418 | 2024 | TO SUPPORT MEDICAL SERVICE & PROGRAMS |
| BILLINGS CLINIC | BILLINGS, MT | $1,642,869 | 2024 | TO SUPPORT MEDICAL SERVICE & PROGRAMS |
| Institute for Healthcare Improvement | Boston, MA | $35,000 | 2024 | TO SUPPORT EDUCATIONAL PROGRAMS |
| Billings Fire department | Billings, MT | $5,500 | 2024 | TO SUPPORT fire extinguisher training PROGRAM |
| Absarokee Ambulance Service | Absarokee, MT | $5,000 | 2024 | TO SUPPORT PROGRAM SERVICES |
| Billings Symphony Orchestra | Billings, MT | $5,000 | 2024 | To support music therapy programs |
| BILLINGS CLINIC | BILLINGS, MT | $8,813,543 | 2023 | TO SUPPORT MEDICAL SERVICE & PROGRAMS |
BILLINGS CLINIC
$11,879,443TO SUPPORT MEDICAL SERVICE & PROGRAMS
TOWNSEND HEALTH SYSTEMS INC
$25,660PURCHASE OF 2 EKG MACHINES
BILLINGS SYMPHONY ORCHESTRA
$5,000TO SUPPORT MUSIC THERAPY PROGRAMS
BILLINGS CLINIC
$5,259,418TO SUPPORT MEDICAL SERVICE & PROGRAMS
BILLINGS CLINIC
$1,642,869TO SUPPORT MEDICAL SERVICE & PROGRAMS
Institute for Healthcare Improvement
$35,000TO SUPPORT EDUCATIONAL PROGRAMS
Billings Fire department
$5,500TO SUPPORT fire extinguisher training PROGRAM
Absarokee Ambulance Service
$5,000TO SUPPORT PROGRAM SERVICES
Billings Symphony Orchestra
$5,000To support music therapy programs
BILLINGS CLINIC
$8,813,543TO SUPPORT MEDICAL SERVICE & PROGRAMS