RiverStone Health
RiverStone Health is a nonprofit Federally Qualified Health Center and the Yellowstone City-County Health Department in Billings, Montana, providing primary care, dental, pharmacy, behavioral health, hospice, and public health services to underserved populations across Yellowstone County regardless of ability to pay.
- Company typePrivate
- Founded1974
- HeadquartersBillings, United States
- Headcount251–500
- GTM typeB2C
- OfferingServices
What RiverStone Health does
RiverStone Health is a nonprofit Federally Qualified Health Center (FQHC) and the Yellowstone City-County Health Department headquartered in Billings, Montana, serving Yellowstone County and parts of southeastern Montana. Founded in 1974 as the Yellowstone City-County Health Department and rebranded under the RiverStone Health umbrella in 2008, the organization operates a 251-500 employee workforce across a main campus, three school-based clinics, three rural community clinics (Bridger, Joliet, Worden), a dedicated Healthcare for the Homeless clinic, and a mobile Wellness On Wheels unit. Its service portfolio spans primary medical care, dental, pharmacy, behavioral health, home health, hospice, immunizations, and public health inspections and permitting, supplemented by community programs such as WIC, Welcome Baby, Kid Connect, and substance misuse and suicide prevention initiatives.
The underlying technology platform is a standard third-party EHR (eClinicalWorks) accessed through the healow patient portal, supporting patient-centered medical home workflows, online scheduling, and care coordination. The organization is also one of the first Teaching Health Centers in the nation, operating the Montana Family Medicine Residency (MFMR) and a dental residency program, and runs a Health Education Center (AHEC) providing medical student rotations, X-ray training, behavioral health training, and community health worker training. Public health functions include environmental health inspections, food safety enforcement, communicable disease reporting, and emergency preparedness.
The business model is primarily reimbursement-driven from Medicaid and Medicare as an FQHC, supplemented by patient services revenue from insured patients, a sliding fee scale for uninsured patients, and philanthropy through the RiverStone Health Foundation. The organization is governed by a Board of Health and Board of Directors, with no parent company, no venture capital ownership, and no public listing. Recent financial pressure is evidenced by a reported loss of more than $3 million in Medicaid revenue in the fiscal year ending June 30, leading to staff and budget cuts, signaling reimbursement-side headwinds even as the organization continues to expand its clinical footprint.
RiverStone Health firmographics
Firmographics- Name
- RiverStone Health
- Legal name
- RiverStone Health
- Website
- https://riverstonehealth.org
- Company type
- Private
- Founded year
- 1974
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Short description
- RiverStone Health is a nonprofit Federally Qualified Health Center and the Yellowstone City-County Health Department in Billings, Montana, providing primary care, dental, pharmacy, behavioral health, hospice, and public health services to underserved populations across Yellowstone County regardless of ability to pay.
- Ownership category
- akta.pro rank
RiverStone Health industry classification
Industry- Product category
- Community Health Services
- NAICS
- Ambulatory Health Care Services (621), Other Ambulatory Health Care Services (6219), Health Care and Social Assistance (62)
- SIC
- Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000), Services-Home Health Care Services (8082)
- akta.pro primary industry
- Community & Public Health Dentistry Clinics (FQHC/School-Based/Nonprofit) (HLABAAAF)
- akta.pro secondary industry
- Hospitals, Clinics & Charitable Healthcare Providers (BPAGACAB)
Keywords
Where RiverStone Health is headquartered
LocationHeadquarters
- HQ city
- Billings
- HQ country
- United States
- HQ region
- North America
Offices8 records
Markets served
RiverStone Health business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure
Revenue model
- Government Healthcare Reimbursement (Medicaid/Medicare): As a Federally Qualified Health Center, RiverStone Health derives the majority of its revenue from Medicaid and Medicare reimbursements for covered patient services. A reported loss of over $3 million in Medicaid revenue impacted staffing and budget in fiscal year ending June 30.
- Patient Services Revenue: Revenue from clinical services including medical, dental, pharmacy, behavioral health, home health and hospice, and public health services provided to insured patients (private insurance). Services are billed through standard healthcare billing channels.
- Sliding Fee Scale / Financial Assistance Program: Discount program based on patient income and family size for uninsured or underinsured patients. Revenue is minimal or subsidized for this population, funded in part through the RiverStone Health Foundation.
- Foundation Philanthropy and Grants: RiverStone Health Foundation raises funds through annual and planned giving, capital and endowment campaigns, special events (Hospice Golf Tournament, Tree of Lights), grant awards, bequests, and cause-related partnerships to support RiverStone Health services, capital improvements, and community programs.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Hybrid | Pay-as-you-go | Standard clinical services billed to insurance or self-pay with sliding scale discounts available |
Go-to-market motion2 records
Distribution channels6 records
Marketing channels7 records
RiverStone Health product offering
Product offeringCore offering
RiverStone Health is a Federally Qualified Health Center and public health department that delivers primary medical care, dental, pharmacy, behavioral health, home health, hospice, and public health services to Yellowstone County, Montana. It operates multiple clinic sites, school-based health centers, a mobile Wellness On Wheels unit, and a Healthcare for the Homeless program, accepting Medicaid, Medicare, private insurance, and a sliding fee scale. It also runs the Montana Family Medicine Residency and Health Education Center programs as a Teaching Health Center.
Product overview
RiverStone Health is a Federally Qualified Health Center and teaching health center providing a comprehensive portfolio of healthcare services. The organization operates as a unified platform offering primary medical care, dental, pharmacy, behavioral health, and public health services across multiple clinic locations, school-based health centers, and mobile units (Wellness On Wheels). Related products include community health programs (substance misuse, suicide prevention, overdose prevention), Healthy Families initiatives (WIC, Welcome Baby, Kid Connect, Nurse-Family Partnership, Parents as Teachers), Home Health & Hospice care, and Environmental Health Services for regulatory inspections. RiverStone Health Foundation serves as the philanthropic arm supporting organizational initiatives. The Montana Family Medicine Residency provides medical education, while the Health Education Center (AHEC) offers various healthcare training programs.
Differentiator
Problem solved
Functional benefit
Brands
- Wellness On Wheels (WOW): Mobile healthcare unit bringing high-quality, compassionate primary healthcare to convenient locations throughout the community.
- Kid Connect
- Welcome Baby
Products and services
- RiverStone Health Clinic Services Comprehensive primary and preventive healthcare services including medical care, dental, pharmacy, and urgent/same-day care delivered across multiple locations in Yellowstone County. Intended for residents of Yellowstone County, including uninsured, Medicaid, and Medicare patients.
- Wellness On Wheels (WOW) Mobile Healthcare
Quantifiable outcome
- Hospice Caregiver Satisfaction Award — SHPBest Superior Performer designation (2022)
- +2 more outcomes
Companies that use RiverStone Health
Customer profileNamed customers4 records
Segments5 records
Ideal customer profiles5 records
RiverStone Health technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature1 record
RiverStone Health partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered core and minor.
- Montana Department of Public Health and Human Services (DPHHS)coreDPHHS partners with RiverStone Health on multiple programs including Welcome Baby pilot program (providing free support to Yellowstone County families with newborns), WIC program administration, Medicaid oversight, and public health initiatives such as communicable disease reporting and food safety enforcement under contract.
- University of WashingtonminorDr. Megan Littlefield serves as a clinical instructor of Family Medicine at the University of Washington, connecting RiverStone Health's teaching mission with academic medicine.
- Rocky Mountain CollegeminorDr. John Dorr served as adjunct professor for the Rocky Mountain College Physician Assistant Program, supporting health professional education in Montana.
- Montana State University BillingsminorDr. John Dorr serves as director of Education Outreach for Montana State University Billings. Bob Janicek holds a bachelor's degree in business administration/information systems from MSU Billings. The organizations collaborate on health education and workforce development.
- Choptank Community Health SystemminorJon Forte joined RiverStone Health from Choptank Community Health System on the Eastern Shore of Maryland, where he served as senior vice president and chief operating officer. Choptank is a model FQHC that informed RiverStone Health's community health center approach.
- Cambridge Health AllianceminorDr. Megan Littlefield previously practiced primary care and served as Medical Director at Revere Family Health Center at Cambridge Health Alliance in Massachusetts before joining RiverStone Health, bringing academic medicine and FQHC experience.
Scale indicators4 records
Recent moves11 records
Expansion highlights7 records
RiverStone Health competitors and assessment
Company assessmentBroad incumbents
- Billings Clinic: Largest healthcare system in Billings, Montana, providing hospital, primary, and specialty care across the same Yellowstone County market as RiverStone Health. Overlaps with RiverStone's primary care and clinic footprint as part of a broader portfolio.
- St. Vincent Healthcare (Intermountain Health): Regional hospital system serving Billings and Montana through inpatient and outpatient services. Competes with RiverStone Health in the same local market while operating a much broader service portfolio.
Direct peers
- Alluvion Health: Federally Qualified Health Center in Great Falls, Montana, providing primary care, dental, behavioral health, and pharmacy services on a sliding fee scale. Directly comparable FQHC model serving an underserved Montana population.
- PureView Health Center: Federally Qualified Health Center in Helena, Montana, offering integrated primary medical, dental, behavioral health, and pharmacy services. Closest direct FQHC peer operating the same integrated mission in Montana.
- Marias Healthcare Services: Federally Qualified Health Center in Shelby, Montana, providing primary care, dental, behavioral health, and public health services to rural north-central Montana communities. Comparable FQHC structure and rural community focus.
- Glacier Community Health Center: Federally Qualified Health Center in Cut Bank, Montana, providing primary medical, dental, behavioral health, and pharmacy services. Similar mission and FQHC operational model to RiverStone Health in a rural Montana setting.
- HealthPoint: Federally Qualified Health Center serving King County, Washington, with multiple clinic locations and a comparable integrated primary care, dental, and pharmacy model. Referenced in COO Eric Owen's background as the prior employer.
- Choptank Community Health System: Federally Qualified Health Center serving Maryland's Eastern Shore with primary care, dental, behavioral health, and school-based services. Referenced as the prior employer of CEO Jon Forte and an operational model informing RiverStone Health.
- Cambridge Health Alliance: Academic public safety-net health system in Massachusetts operating as both a healthcare provider and public health authority. Referenced as the prior employer of CMO Dr. Megan Littlefield and comparable in its dual clinical/public health mission.
- Southwest Montana Community Health Center: Federally Qualified Health Center serving Butte and southwestern Montana with primary care, behavioral health, and pharmacy on a sliding fee scale. Closely comparable FQHC peer in Montana addressing rural underserved populations.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat5 records
Key risks6 records
Key highlights6 records
Customer concentration
RiverStone Health social profiles
Digital presenceRiverStone Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
RiverStone Health leadership team
Management profileNumber of profiles
Profiles8 records
RiverStone Health subsidiaries and ownership
Company hierarchySubsidiaries1 record
RiverStone Health funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
RiverStone Health M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about RiverStone Health
What does RiverStone Health do?
RiverStone Health is a Federally Qualified Health Center and public health department that delivers primary medical care, dental, pharmacy, behavioral health, home health, hospice, and public health services to Yellowstone County, Montana. It operates multiple clinic sites, school-based health centers, a mobile Wellness On Wheels unit, and a Healthcare for the Homeless program, accepting Medicaid, Medicare, private insurance, and a sliding fee scale. It also runs the Montana Family Medicine Residency and Health Education Center programs as a Teaching Health Center.
Is RiverStone Health a public or private company?
RiverStone Health is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was RiverStone Health founded?
RiverStone Health was founded in 1974. It employs 251 to 500 people.
Where is RiverStone Health based?
RiverStone Health is headquartered in Billings, United States, in the North America region.
How does RiverStone Health make money?
Four revenue lines are on record. Government Healthcare Reimbursement (Medicaid/Medicare) is the primary driver. The others are patient Services Revenue, sliding Fee Scale / Financial Assistance Program and foundation Philanthropy and Grants.
Who are RiverStone Health's main competitors?
Broad incumbents on record are Billings Clinic and St. Vincent Healthcare (Intermountain Health). Direct peers are Alluvion Health, PureView Health Center, Marias Healthcare Services, Glacier Community Health Center, HealthPoint, Choptank Community Health System, Cambridge Health Alliance and Southwest Montana Community Health Center.
Does RiverStone Health have an API?
No public API is recorded for RiverStone Health.
What industry is RiverStone Health in?
RiverStone Health's product category is Community Health Services. Its primary akta.pro industry code is HLABAAAF, Community & Public Health Dentistry Clinics (FQHC/School-Based/Nonprofit), with a secondary code of BPAGACAB, Hospitals, Clinics & Charitable Healthcare Providers. Its NAICS code is 621 and its SIC code is 8011.