Montana · Nonprofit
BILLINGS CLINIC
BILLINGS CLINIC (Montana) receives grants from 10 organizations whose IRS filings report $1,296,212 to it, the largest being MONTANA HEALTHCARE FOUNDATION ($581,362). 5 of them have funded it in more than one year.
- Revenue FY2024
- $1.2B
- Funders on record
- 10
- Grants received
- $1.3M
- Net assets
- $905M
What Billings Clinic does
Mission
Billings Clinic's mission is quality, compassionate cre for all, with a vision of reimagining health care through connection, service and innovation.
As stated on its FY2024 Form 990.
Programs
Billings Clinic is a 336 bed hospital providing surgical, labor and delivery, psychiatric, cancer care, neonatal services, acute care and a level 1 trauma center. Billings Clinic had over 16,000 admissions in 2024.
$497,111,027 spentof which $1,125,223 as grants$630,630,806 earned by the program51% of program spendingBillings Clinic has nearly 600 physicians and advanced practitioners offering more than 80 specialties. Primary care is available at multiple locations including billings (downtown, heights and west), bozeman, miles city, and west yellowstone, montana; and cody, wyoming. In addition, Billings Clinic conducts 145 monthly specialty clinic services for more than 20 regional locations in montana, wyoming and north dakota.
$375,873,603 spent$375,427,215 earned by the program39% of program spendingBillings Clinic specialty pharmacy focuses on the pharmacy care of chronic, rare or complex conditions that require specialty medications. Specialty medications typically require special handling, administration or monitoring beyond that which a traditional retail pharmacy can provide. We work to ensure appropriate medication use and promote adherence. Billings Clinic specialty pharmacy is part of the largest health care system in the region. Our staff works withyou, your provider and your insurance company to make sure your needs are met. Our goal is to make Billings Clinic a one-stop solution.
$94,644,396 spent$130,850,840 earned by the program10% of program spending
The 3 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $967,629,026.
The organization over time
Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2020 to 2021, from $1.1B to $1.3B (+19%).
How it's funded, over time
Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.
Government-grant reliance: 2020 2% · 2021 1% · 2022 2% · 2024 0%. Grants only. Government contracts and fees sit inside program revenue.
0% of BILLINGS CLINIC’s revenue is contributions — about as donation-reliant as the typical peer (1% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 2 of the last 8 reported years ran a deficit.
reserve
Leadership and staff
The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.
Board chair
Craig Bartholomew
Chair
As listed on its FY2024 Form 990.
Who funds it, year by year
2017 → 2023: the base broadened from 2 funders to 3 funders, grant income fell $138k → $119k.
Left out of every figure on this page: $40M from 3 payers (the payer shares this organization's board, largest Billings Clinic Foundation). These are real filings, and they are not money BILLINGS CLINIC raised.
From the IRS filings of BILLINGS CLINIC’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How concentrated its funding is
BILLINGS CLINIC leans on a few funders — its largest provides 45% of grant income and the top three 70%; half comes from just 2 funders.
the vertical line marks half of all grant income — 2 funders to its left
43% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund BILLINGS CLINIC.
Largest funder’s share by year: 2017 55% · 2018 74% · 2019 49% · 2020 86% · 2021 34% · 2022 74% · 2023 84% — growing more concentrated.
“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How long its funders stay
44% of BILLINGS CLINIC's funders are still giving 3 years after their first grant; 50% give in more than one year at all.
Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.
Where its funders are
57% of BILLINGS CLINIC's grant income comes from Montana funders.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Against its field
BILLINGS CLINIC holds deeper cash reserves than three-quarters of the 2,075 health nonprofits its size.
this organization peer median middle 50% of peers· 2,075 health nonprofits over $100M, FY2024
Government funding BILLINGS CLINIC receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $631k on record — $629k federal, $2k state.
- Department of Health and Human Services$357k
- Department of Veterans Affairs$216k
- Department of Defense$50k
- Department of Energy$6k
- MA$1k
- OR$238
Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.
Organizations like BILLINGS CLINIC
Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.
In Montana
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
78% of spending goes to programs.
Governance
Footprint & structure
Part of a family of 25 related entities
- Montana Healthcare Indemnity LLC · disregarded
- Specialty Supplies and Services LLC · disregarded
- Billings Clinic Oncall LLC · disregarded
- Assist-Flathead Valley · exempt
- Billincs Clinic Employee Benefit Trust · exempt
Screen this organization
A dated, signed PDF of the compliance screen for BILLINGS CLINIC: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.
Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf
Questions and answers
- Who funds BILLINGS CLINIC?
- BILLINGS CLINIC (Montana) receives grants from 10 organizations whose IRS filings report $1,296,212 to it, the largest being MONTANA HEALTHCARE FOUNDATION ($581,362). 5 of them have funded it in more than one year.
- How many funders does BILLINGS CLINIC have?
- IRS filings report 10 organizations giving $1,296,212 in grants to BILLINGS CLINIC, 5 of which have funded it in more than one year.
- Who is the largest funder of BILLINGS CLINIC?
- MONTANA HEALTHCARE FOUNDATION is the largest funder on record, with $581,362 in grants. The full list of funders is on this page.
- How can an organization like BILLINGS CLINIC find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in Montana. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2024 (financials across 2017–2024), and the filings of 10 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing