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    3. Billings Clinic Foundation
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    Billings Clinic Foundation

    ActivoHealth Care
    BILLINGS, MTSitio web4066574670

    About Billings Clinic Foundation

    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.

    Who They Fund

    patients receiving medical caretherapy clients (music therapy)healthcare staff / program personnel (training recipients)

    Funding Style

    direct service / program supportproject-restricted fundingcapital/equipment grantstraining and workforce development

    Topics

    clinical medical servicesmedical equipment procurement (EKG)fire safety / extinguisher trainingmusic therapy programs

    About Billings Clinic Foundation

    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.

    What Billings Clinic Foundation Funds

    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.

    How Billings Clinic Foundation Gives

    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.

    Financial Snapshot

    Annual Giving

    $11.9M

    Total Assets

    $161.2M

    Total Revenue

    $26.3M

    Total Expenses

    $14.1M

    Typical Grant Size

    Most grants fall between $5K and $3.5M, with a median of $35K.

    25th Percentile

    $5K

    Median

    $35K

    75th Percentile

    $3.5M

    Geographic Reach

    Local2 states funded

    About 86% of grants go to recipients in MT.

    Intensidad de financiamiento
    Baja
    Alta
    Sede

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    educational program support

    Where Billings Clinic Foundation Makes Grants

    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.

    Frequently Asked Questions About Billings Clinic Foundation

    What kinds of organizations does Billings Clinic Foundation support?

    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.

    What is the typical grant size?

    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.

    Does the foundation give mostly in Montana?

    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.

    Are grants recurring or one-time?

    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.

    What types of projects are funded?

    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.

    Latest 990 Filing

    2025

    Source: IRS Form 990-PF, fiscal year 2025.

    Recent Grants

    Most recent grants reported to the IRS.

    RecipientLocationAmountYearPurpose
    BILLINGS CLINICBILLINGS, MT$11,879,4432025TO SUPPORT MEDICAL SERVICE & PROGRAMS
    TOWNSEND HEALTH SYSTEMS INCTOWNSEND, MT$25,6602025PURCHASE OF 2 EKG MACHINES
    BILLINGS SYMPHONY ORCHESTRABILLINGS, MT$5,0002025TO SUPPORT MUSIC THERAPY PROGRAMS
    BILLINGS CLINICBILLINGS, MT$5,259,4182024TO SUPPORT MEDICAL SERVICE & PROGRAMS
    BILLINGS CLINICBILLINGS, MT$1,642,8692024TO SUPPORT MEDICAL SERVICE & PROGRAMS
    Institute for Healthcare ImprovementBoston, MA$35,0002024TO SUPPORT EDUCATIONAL PROGRAMS
    Billings Fire departmentBillings, MT$5,5002024TO SUPPORT fire extinguisher training PROGRAM
    Absarokee Ambulance ServiceAbsarokee, MT$5,0002024TO SUPPORT PROGRAM SERVICES
    Billings Symphony OrchestraBillings, MT$5,0002024To support music therapy programs
    BILLINGS CLINICBILLINGS, MT$8,813,5432023TO SUPPORT MEDICAL SERVICE & PROGRAMS

    BILLINGS CLINIC

    $11,879,443
    BILLINGS, MT2025

    TO SUPPORT MEDICAL SERVICE & PROGRAMS

    TOWNSEND HEALTH SYSTEMS INC

    $25,660
    TOWNSEND, MT2025

    PURCHASE OF 2 EKG MACHINES

    BILLINGS SYMPHONY ORCHESTRA

    $5,000
    BILLINGS, MT2025

    TO SUPPORT MUSIC THERAPY PROGRAMS

    BILLINGS CLINIC

    $5,259,418
    BILLINGS, MT2024

    TO SUPPORT MEDICAL SERVICE & PROGRAMS

    BILLINGS CLINIC

    $1,642,869
    BILLINGS, MT2024

    TO SUPPORT MEDICAL SERVICE & PROGRAMS

    Institute for Healthcare Improvement

    $35,000
    Boston, MA2024

    TO SUPPORT EDUCATIONAL PROGRAMS

    Billings Fire department

    $5,500
    Billings, MT2024

    TO SUPPORT fire extinguisher training PROGRAM

    Absarokee Ambulance Service

    $5,000
    Absarokee, MT2024

    TO SUPPORT PROGRAM SERVICES

    Billings Symphony Orchestra

    $5,000
    Billings, MT2024

    To support music therapy programs

    BILLINGS CLINIC

    $8,813,543
    BILLINGS, MT2023

    TO SUPPORT MEDICAL SERVICE & PROGRAMS