Healthy By Design

Click here for the 2023 Yellowstone County Community Health Needs Assessment executive summary and report


Healthy By Design is an initiative formed by the Alliance (Billings Clinic, RiverStone Health, St. Vincent Healthcare) to collaborate with organizations across various sectors of the community to promote and improve health.  Our vision is to create a community that is healthy by design and to make the healthy choice, the easy choice. Healthy By Design focuses its efforts on initiatives targeted at priorities identified by the current Community Health Needs Assessment and Community Health Improvement Plan available at

Healthy By Design currently focuses its efforts on:

  • Spreading community health messages including 5-2-1-0 and trauma-informed practices
  • Increasing the availability and affordability of nutritious food
  • Fostering social connections to reduce mental health issues
  • Promoting safety through a functional, interconnected transportation system for all users
  • Addressing differences in health outcomes based on gender, age, place, and more

Healthy By Design Gardeners’ Market

To increase the availability and affordability of nutritious food, we organized and support the Healthy By Design Gardeners’ Market, which runs Thursdays, 4-6 pm from early June through the beginning of October in South Park. The market does not charge farmers and backyard gardeners a fee to sell their produce, making their fruits and vegetables more affordable for all shoppers.

To reserve space to sell at the market, vendors must attend a short training. To learn more, contact the market manager at 406.651.6444 or at least two days in advance of each market.

For more information on Healthy By Design please email: or visit