SCL Health - Montana focuses overwhelmingly on supporting regional health care delivery and workforce development while also funding local community health, emergency response and civic institutions across Billings and greater Montana. The foundation’s largest dollars go to its hospital system partners to underwrite clinic operations and hospital services, with targeted investments in clinical training (nurse-midwifery), community health promotion, and disaster relief or public-safety oriented local projects. Smaller grants support schools, youth sports/fitness, arts and local nonprofits that advance population health and community resilience.
Scl Health - Montana’s largest recent commitments are three multi-million-dollar grants to Sisters of Charity of Leavenworth Health System Inc for support Montana clinics, including $19,190,113 in 2023, $17,659,243 in 2024, and $16,013,372 in 2025. That recurring pattern points to a foundation built around health care delivery in Montana rather than broad philanthropic dispersion. The same portfolio also includes major support for clinical training, with $3,042,500 to Montana State University Foundation for the Certified Nurse Midwifery Program and Scholarships. Beyond those headline commitments, the foundation also funds the operating side of local health infrastructure. St Vincent Healthcare Foundation received $1,560,617 in 2023, $1,868,123 in 2024, and $1,774,234 in 2025 for support operations. Smaller awards extend the same health-oriented approach into community health programming, crisis response, and place-based institutions in Billings and other Montana communities. Across the recent grant list, the pattern is consistent: the foundation backs organizations that deliver care, train health workers, or support the local systems around those services.
Clinical workforce development is one visible theme. Scl Health - Montana gave $3,042,500 to Montana State University Foundation for the Certified Nurse Midwifery Program and Scholarships, linking its grantmaking to training and education for future health professionals. It also supports community health programs through local organizations. Riverstone Health received $77,656 in 2023 for program support, while Montana Amateur Sports Inc received $22,500 in 2025 and $17,500 in 2024 for support community health. A third thread is community resilience and local response. In 2023, Red Lodge Area Community Foundation and Absarokee Community Foundation each received $15,000 for flood relief, and Community Crisis Center received $82,000 in both 2023 and 2025 for program support. The foundation also funds civic institutions, including Billings Public Library Foundation Inc for the Library Express Locker Project.
The recent grant list is highly concentrated at the top, with very large hospital-system awards far above the foundation’s typical gift size. Overall, the grant-size distribution sits at $8,015 at the 25th percentile, a median of $12,500, and $21,250 at the 75th percentile. That makes the multi-million-dollar health-system commitments outliers relative to the broader portfolio. The pattern also shows repeat support to the same recipients across multiple years, especially in health care and community institutions. Examples in the file recur in 2023, 2024, and 2025, indicating ongoing support rather than one-off giving. The foundation is not described as an operating foundation, private grantmaker, or DAF here; the provided data only shows institutional grantmaking and no funding to individuals.
$18.1M
$1B
$618.9M
$620.5M
Most grants fall between $8K and $21K, with a median of $13K.
25th Percentile
$8K
Median
$13K
75th Percentile
$21K
JENNIFER ALDERFER
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Highly concentrated: a small number of very large institutional grants to hospital-system partners and their foundations, plus a broader set of modest, often repeated local grants across community health, education, civic and relief organizations; mix of multi-grant relationships and one-off sponsorships.
Notable grantees: Sisters of Charity of Leavenworth Health System Inc, St Vincent Healthcare Foundation, Montana State University Foundation, RiverStone Health / Riverstone Health Foundation, Community Crisis Center
Giving is overwhelmingly Montana-based: 87% of grants go to recipients in MT, and the top state by grant count is MT. Billings appears most often in the recipient list, including awards to St Vincent Healthcare Foundation, Community Crisis Center, Riverstone Health, Billings Public Library Foundation Inc, Education Foundation for Billings Public Schools, Billings Chamber of Commerce, Billings Catholic Schools Foundation, and Rocky Mountain College. Outside Billings, grants also land in Bozeman, Helena, Red Lodge, and Absarokee. The recipient country distribution is entirely U.S.-based, with 57 grants in the United States.
The recent grants are centered on health care delivery and related community systems. Large awards support Montana clinics and hospital operations, while smaller grants go to community health providers, midwifery training, crisis services, libraries, schools, sports, and civic groups in Montana.
Yes. A major example is the $3,042,500 grant to Montana State University Foundation for the Certified Nurse Midwifery Program and Scholarships. Other education-related grants include Rocky Mountain College for tuition and scholarships and Billings Catholic Schools Foundation for program support.
The typical gift is relatively modest compared with the largest health-system awards. The grant-size distribution shows a 25th percentile of $8,015, a median of $12,500, and a 75th percentile of $21,250.
Very local. Montana is the top state by grant count, and 87% of grants go to recipients in MT. The recent grant list is also entirely U.S.-based.
Yes. Several organizations appear in multiple years, including Sisters of Charity of Leavenworth Health System Inc, St Vincent Healthcare Foundation, Community Crisis Center, Riverstone Health, Montana State University Foundation, Billings Catholic Schools Foundation, Billings Chamber of Commerce, Montana Amateur Sports Inc, and Rocky Mountain College.
2025
Source: IRS Form 990-PF, fiscal year 2025.
Most recent grants reported to the IRS.
| Recipient | Location | Amount | Year | Purpose |
|---|---|---|---|---|
| SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | BROOMFIELD, CO | $16,013,372 | 2025 | SUPPORT MONTANA CLINICS |
| ST VINCENT HEALTHCARE FOUNDATION | BILLINGS, MT | $1,774,234 | 2025 | SUPPORT OPERATIONS |
| COMMUNITY CRISIS CENTER | BILLINGS, MT | $82,000 | 2025 | PROGRAM SUPPORT |
| HELP CENTER INC | BOZEMAN, MT | $25,000 | 2025 | PROGRAM SUPPORT |
| MONTANA STATE UNIVERSITY FOUNDATION INC | BOZEMAN, MT | $24,500 | 2025 | PROGRAM SUPPORT |
| EDUCATION FOUNDATION FOR BILLINGS PUBLIC SCHOOLS | BILLINGS, MT | $22,500 | 2025 | SPONSORSHIPS |
| MONTANA AMATEUR SPORTS INC DBA BIG SKY STATE GAMES | BILLINGS, MT | $22,500 | 2025 | SUPPORT COMMUNITY HEALTH |
| MONTANA CHAMBER OF COMMERCE | HELENA, MT | $21,000 | 2025 | PROGRAM SUPPORT |
| BILLINGS CATHOLIC SCHOOLS FOUNDATION | BILLINGS, MT | $20,500 | 2025 | PROGRAM SUPPORT |
| BILLINGS CHAMBER OF COMMERCE | BILLINGS, MT | $17,950 | 2025 | PROGRAM SUPPORT |
| LOCKWOOD SCHOOL DISTRICT 26 | LOCKWOOD, MT | $10,000 | 2025 | PROGRAM SUPPORT |
| LEADERSHIP MONTANA INC | BOZEMAN, MT | $10,000 | 2025 | PROGRAM SUPPORT |
| NATIONAL MULTIPLE SCLEROSIS SOCIETY | NEW YORK, NY | $10,000 | 2025 | PROGRAM SUPPORT |
| ST JOHN'S FOUNDATION | BILLINGS, MT | $10,000 | 2025 | PROGRAM SUPPORT |
| THE SCRIPPS HOWARD FOUNDATION | CINCINNATI, OH | $10,000 | 2025 | PROGRAM SUPPORT |
| GALLATIN VALLEY YOUNG MENS CHRISTIAN ASSOCIATION INC | BOZEMAN, MT | $7,500 | 2025 | PROGRAM SUPPORT |
| BILLINGS SYMPHONY SOCIETY | BILLINGS, MT | $7,000 | 2025 | PROGRAM SUPPORT |
| MONTANA COMMUNITY FOUNDATION INC | HELENA, MT | $6,000 | 2025 | PROGRAM SUPPORT |
| MONTANA MEDICAL ASSOCIATION | HELENA, MT | $5,500 | 2025 | SPONSORSHIPS |
| SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | BROOMFIELD, CO | $17,659,243 | 2024 | SUPPORT MONTANA CLINICS |
| ST VINCENT HEALTHCARE FOUNDATION | BILLINGS, MT | $1,868,123 | 2024 | SUPPORT OPERATIONS |
| RIVERSTONE HEALTH FOUNDATION | BILLINGS, MT | $29,857 | 2024 | PROGRAM SUPPORT |
| BILLINGS PUBLIC LIBRARY FOUNDATION INC | BILLINGS, MT | $25,000 | 2024 | LIBRARY EXPRESS LOCKER PROJECT |
| MONTANA STATE UNIVERSITY FOUNDATION | BOZEMAN, MT | $21,500 | 2024 | PROGRAM SUPPORT |
| BILLINGS CATHOLIC SCHOOLS FOUNDATION | BILLINGS, MT | $20,500 | 2024 | PROGRAM SUPPORT |
| MONTANA AMATEUR SPORTS INC | BILLINGS, MT | $17,500 | 2024 | SUPPORT COMMUNITY HEALTH |
| ROCKY MOUNTAIN COLLEGE | BILLINGS, MT | $13,250 | 2024 | SPONSORSHIP |
| AMERICAN CANCER SOCIETY | BILLINGS, MT | $12,500 | 2024 | PROGRAM SUPPORT |
| BILLINGS CHAMBER OF COMMERCE | BILLINGS, MT | $11,000 | 2024 | SPONSORSHIP |
| BIG SKY ECONOMIC DEVELOPMENT CORPORATION | BILLINGS, MT | $10,000 | 2024 | PROGRAM SUPPORT |
| EDUCATION FOUNDATION FOR BILLINGS PUBLIC SCHOOLS | BILLINGS, MT | $10,000 | 2024 | SPONSORSHIP |
| BILLINGS COMMUNITY FOUNDATION | BILLINGS, MT | $10,000 | 2024 | PROGRAM SUPPORT |
| NATIONAL MULTIPLE SCLEROSIS SOCIETY | DENVER, CO | $8,000 | 2024 | SPONSORSHIP |
| ST JOHNS FOUNDATION | BILLINGS, MT | $7,500 | 2024 | PROGRAM SUPPORT |
| BILLINGS FAMILY YMCA INC | BILLINGS, MT | $7,500 | 2024 | PROGRAM SUPPORT |
| GALLATIN VALLEY YOUNG MENS CHRISTIAN ASSOCIATION INC | BOZEMAN, MT | $7,000 | 2024 | PROGRAM SUPPORT |
| AMERICAN FOUNDATION FOR SUICIDE PREVENTION | NEW YORK, NY | $6,750 | 2024 | PROGRAM SUPPORT |
| ST JAMES HEALTHCARE FOUNDATION INC | BUTTE, MT | $6,500 | 2024 | PROGRAM SUPPORT |
| BILLINGS SYMPHONY SOCIETY | BILLINGS, MT | $6,500 | 2024 | PROGRAM SUPPORT |
| SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | BROOMFIELD, CO | $19,190,113 | 2023 | SUPPORT MONTANA CLINICS |
| MONTANA STATE UNIVERSITY FOUNDATION | BOZEMAN, MT | $3,042,500 | 2023 | CERTIFIED NURSE MIDWIFERY PROGRAM AND SCHOLARSHIPS |
| ST VINCENT HEALTHCARE FOUNDATION | BILLINGS, MT | $1,560,617 | 2023 | SUPPORT OPERATIONS |
| COMMUNITY CRISIS CENTER | BILLINGS, MT | $82,000 | 2023 | PROGRAM SUPPORT |
| RIVERSTONE HEALTH | BILLINGS, MT | $77,656 | 2023 | PROGRAM SUPPORT |
| MONTANA AMATEUR SPORTS INC | BILLINGS, MT | $17,500 | 2023 | SUPPORT COMMUNITY HEALTH |
| ROCKY MOUNTAIN COLLEGE | BILLINGS, MT | $16,250 | 2023 | TUITION AND SCHOLARSHIPS |
| BILLINGS CHAMBER OF COMMERCE | BILLINGS, MT | $15,500 | 2023 | PUBLIC SAFTEY INITIATIVE SUPPORT |
| RED LODGE AREA COMMUNITY FOUNDATION | RED LODGE, MT | $15,000 | 2023 | FLOOD RELIEF |
| ABSAROKEE COMMUNITY FOUNDATION | ABSAROKEE, MT | $15,000 | 2023 | FLOOD RELIEF |
| AMERICAN CANCER SOCIETY | BILLINGS, MT | $12,500 | 2023 | PROGRAM SUPPORT |
SUPPORT MONTANA CLINICS
COMMUNITY CRISIS CENTER
$82,000PROGRAM SUPPORT
EDUCATION FOUNDATION FOR BILLINGS PUBLIC SCHOOLS
$22,500SPONSORSHIPS
MONTANA AMATEUR SPORTS INC DBA BIG SKY STATE GAMES
$22,500SUPPORT COMMUNITY HEALTH
MONTANA CHAMBER OF COMMERCE
$21,000PROGRAM SUPPORT
BILLINGS CATHOLIC SCHOOLS FOUNDATION
$20,500PROGRAM SUPPORT
BILLINGS CHAMBER OF COMMERCE
$17,950PROGRAM SUPPORT
LOCKWOOD SCHOOL DISTRICT 26
$10,000PROGRAM SUPPORT
ST JOHN'S FOUNDATION
$10,000PROGRAM SUPPORT
THE SCRIPPS HOWARD FOUNDATION
$10,000PROGRAM SUPPORT
GALLATIN VALLEY YOUNG MENS CHRISTIAN ASSOCIATION INC
$7,500PROGRAM SUPPORT
BILLINGS SYMPHONY SOCIETY
$7,000PROGRAM SUPPORT
MONTANA MEDICAL ASSOCIATION
$5,500SPONSORSHIPS
SUPPORT MONTANA CLINICS
BILLINGS PUBLIC LIBRARY FOUNDATION INC
$25,000LIBRARY EXPRESS LOCKER PROJECT
BILLINGS CATHOLIC SCHOOLS FOUNDATION
$20,500PROGRAM SUPPORT
MONTANA AMATEUR SPORTS INC
$17,500SUPPORT COMMUNITY HEALTH
ROCKY MOUNTAIN COLLEGE
$13,250SPONSORSHIP
BILLINGS CHAMBER OF COMMERCE
$11,000SPONSORSHIP
BIG SKY ECONOMIC DEVELOPMENT CORPORATION
$10,000PROGRAM SUPPORT
EDUCATION FOUNDATION FOR BILLINGS PUBLIC SCHOOLS
$10,000SPONSORSHIP
ST JOHNS FOUNDATION
$7,500PROGRAM SUPPORT
BILLINGS FAMILY YMCA INC
$7,500PROGRAM SUPPORT
GALLATIN VALLEY YOUNG MENS CHRISTIAN ASSOCIATION INC
$7,000PROGRAM SUPPORT
ST JAMES HEALTHCARE FOUNDATION INC
$6,500PROGRAM SUPPORT
BILLINGS SYMPHONY SOCIETY
$6,500PROGRAM SUPPORT
SUPPORT MONTANA CLINICS
MONTANA STATE UNIVERSITY FOUNDATION
$3,042,500CERTIFIED NURSE MIDWIFERY PROGRAM AND SCHOLARSHIPS
COMMUNITY CRISIS CENTER
$82,000PROGRAM SUPPORT
MONTANA AMATEUR SPORTS INC
$17,500SUPPORT COMMUNITY HEALTH
ROCKY MOUNTAIN COLLEGE
$16,250TUITION AND SCHOLARSHIPS
BILLINGS CHAMBER OF COMMERCE
$15,500PUBLIC SAFTEY INITIATIVE SUPPORT
ABSAROKEE COMMUNITY FOUNDATION
$15,000FLOOD RELIEF