Yellowstone City & County Health Department DBA Riverstone Health

Montana · Health Center Program awardee · UDS 2025

Yellowstone City & County Health Department DBA Riverstone Health is a federally qualified health center (FQHC) in Montana and a Health Center Program awardee, funded in part by Section 330 of the Public Health Service Act. Its service delivery sites include Billings, Bridger, Joliet, and Worden. In 2025 it served 14,059 patients, down 2.4% from 14,404 in 2024. 26.7% of its patients were uninsured, compared with 19.4% across Montana health centers and 17.2% nationally.

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Medium by patient volume (small: under 10,000 patients; medium: 10,000–29,999; large: 30,000 or more) · rural setting · Section 330 funding: Community Health Center and Health Care for the Homeless

14,059Patients served, 2025

26.7%of patients uninsured

34.3%of patients on Medicaid/CHIP

$1,655Total accrued cost per patient

$355Cost per visit

Yellowstone City & County Health Department DBA Riverstone Health compared with Montana and the nation, 2025

State and national columns are HRSA's published figures for Section 330-funded health centers. A dash means HRSA publishes no figure.
Measure	Yellowstone City & County Health Department DBA Riverstone Health	Montana health centers	National
Patients
Children under 18	16.7%	16.2%	28.6%
Adults 65 and older	18.3%	21.4%	12.8%
At or below 200% of the federal poverty guideline	85.1%	68.9%	90.0%
Insurance status
Uninsured	26.7%	19.4%	17.2%
Medicaid / CHIP	34.3%	27.8%	47.9%
Medicare	16.1%	19.6%	11.6%
Private insurance	22.9%	33.2%	23.0%
Cost
Total accrued cost per patient	$1,655	$2,160	$1,672
Cost per visit	$355	$532	$438
Clinical quality
Cervical cancer screening	40.9%	45.8%	57.0%
Colorectal cancer screening	37.6%	45.8%	44.9%
Breast cancer screening	40.0%	53.3%	56.0%
Controlling high blood pressure	60.2%	63.4%	69.1%
Diabetes: HbA1c poor control (lower is better)	25.2%	24.9%	26.3%
Depression screening and follow-up	76.0%	74.2%	75.3%
Tobacco screening and cessation	80.3%	79.7%	84.8%
Statin therapy for cardiovascular disease	78.3%	72.5%	79.0%

Patients by service

Service	2025
Medical	11,152
Dental	4,092
Mental health	990
Total clinic visits	65,551

Trends, 2016–2025

Year	Patients	Cost per patient	Uninsured	Medicaid/CHIP
2025	14,059	$1,655	26.7%	34.3%
2024	14,404	$1,639	13.5%	41.7%
2023	13,711	$1,815	26.7%	36.3%
2022	13,749	$1,657	17.5%	43.8%
2021	13,371	$1,524	18.0%	43.4%
2020	13,731	–	20.9%	41.5%
2019	15,234	–	22.9%	41.8%
2018	15,089	–	21.8%	43.9%
2017	16,130	–	21.4%	45.8%
2016	15,330	–	29.1%	36.1%

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Other health centers in Montana

All 13 health centers in Montana