Four Rivers Community Health Center

What Four Rivers Community Health Center does

Four Rivers Community Health Center is a Federally Qualified Health Center (FQHC) and nonprofit organization founded in 2014 that operates an integrated primary care, dental, behavioral health, and pharmacy platform across rural Mid-Missouri. The organization serves patients of all ages across Phelps, Dent, Maries, Crawford, and Pulaski counties from clinical sites in Rolla (three locations plus a walk-in clinic), St. Robert, Salem (with an on-site pharmacy), and a forthcoming Cuba location opening Summer 2025, supplemented by a Smile Bus mobile dental unit for school-based care. The service portfolio spans primary care, pediatrics, full-scope dentistry (including emergency dental and oral surgery), behavioral health, medication-assisted addiction treatment, telehealth, women's health, and a Community Health Worker program that supports Medicaid enrollment and social-determinant navigation. NCQA Patient-Centered Medical Home (PCMH) recognition structures the care model around care coordination and population health.

The technology stack is conventional for a community health center: eClinicalWorks hosts the patient portal and EHR, a pharmacy mobile app supports prescription refills, and Stripe is used for processing diaper-bank donations. There is no proprietary technology platform, and no AI/ML capabilities are disclosed. The underlying care-delivery technology is the integrated co-location of medical, dental, and behavioral health services — a structural rather than digital moat.

Revenue is generated through patient services reimbursed by Medicaid, Medicare, and self-pay on a sliding fee scale (no patient is turned away for inability to pay), supplemented by federal FQHC Section 330 grant funding from HHS (which also confers Federal Public Health Service deemed status), pharmacy transaction revenue at the two on-site Four Rivers Pharmacy locations, and 340B drug pricing economics typical of FQHC pharmacies. The go-to-market motion is direct-to-consumer/community with strong reliance on community health workers as enrollment navigators and word-of-mouth referrals; the marketing footprint is community-focused (website, Facebook, Google reviews, community events, diaper-bank outreach) rather than performance-marketing driven. Leadership comprises a full C-suite (CEO Stuart Gipson, COO Kassandra Troutt, CFO Robert Davis, CIO Rob Mooney, CMO Dr. Matthew Porter) and several clinical/program directors.

Name

Four Rivers Community Health Center

Legal name

Four Rivers Community Health Center

Website

https://fourrivers.org

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

11–50 employees

Short description

Federally Qualified Health Center providing integrated medical, dental, behavioral health, and pharmacy services to patients of all ages across five rural Mid-Missouri counties (Phelps, Dent, Maries, Crawford, and Pulaski).

Ownership category

akta.pro rank

Product category

Community Health Center Services

NAICS

Ambulatory Health Care Services (621), Outpatient Mental Health and Substance Abuse Centers (621420), Health Care and Social Assistance (62)

SIC

Services-Health Services (8000), Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Community Health Centers (FQHCs & Look-Alikes) (HLAFAGAB)

akta.pro secondary industries

Community & Public Health Dentistry Clinics (FQHC/School-Based/Nonprofit) (HLABAAAF), Community Mental Health Centers (CMHCs) & Public Behavioral Health Providers (HLAFACAI), School-Based Health Centers (HLAFAGAG)

Keywords

• Community health services
• Primary medical care
• Dental care services
• Behavioral health treatment
• Federally qualified health

Headquarters

HQ city

Rolla

HQ country

United States

HQ region

North America

Offices8 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Patient Services Revenue: Revenue from providing healthcare services to patients. Accepts Medicaid, Medicare, and self-pay patients. Operates as a Federally Qualified Health Center receiving HHS funding.
2. Pharmacy Services: On-site pharmacy providing prescription medications with locations in Rolla and Salem, Missouri. Offers curbside and drive-thru pickup options.
3. Federal FQHC Funding: Receives HHS funding as a Federally Qualified Health Center with Federal Public Health Service deemed status.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

Four Rivers Community Health Center is a Federally Qualified Health Center (FQHC) delivering integrated medical, dental, and behavioral health services to patients of all ages across Mid-Missouri. The center operates multiple clinic locations in Rolla, St. Robert, Salem, Cuba, and Waynesville, providing primary care, pediatrics, dental, behavioral health, pharmacy, addiction recovery, telehealth, and care management services. It accepts Medicaid, Medicare, and self-pay patients on a sliding fee scale.

Product overview

Four Rivers Community Health Center is a Federally Qualified Health Center (FQHC) providing integrated healthcare services across Mid-Missouri since 2014. The organization operates a unified, integrated care model combining medical, dental, and behavioral health services under one roof. The core product portfolio includes Primary Care Services, Dental Care Services, and Behavioral Health Services as the main pillars, supported by specialized offerings such as Addiction Recovery/Medication Assisted Treatment, Pediatric Care, Pharmacy Services, Walk-In Clinic, Emergency Dental Care, Telehealth Services, and a Patient Centered Medical Home (PCMH) model recognized by NCQA. Additional community support programs include Community Health Workers, the Four Rivers Diaper Bank, Medicaid Assistance, and a mobile dental unit (Smile Bus). The integrated approach enables patients to access comprehensive care spanning primary care, dental, behavioral health, pharmacy, and specialty services like oral surgery at multiple clinic locations in Rolla, St. Robert, Salem, Cuba, and surrounding counties.

Differentiator

Problem solved

Functional benefit

Brands

• Four Rivers Pharmacy: On-site pharmacy services at Rolla and Salem locations with prescription refills and curbside/drive-thru pickup options.

Products and services

• Primary Care Services Comprehensive primary care including annual exams, chronic disease management, vaccinations, lab services, same-day and walk-in appointments, and referrals to specialists, delivered to patients of all ages across Mid-Missouri.
• Dental Care Services Full-spectrum dental care including cleanings, fillings, extractions, root canal therapy, oral surgery, pediatric dentistry, and emergency dental services for adults and children, with emphasis on Medicaid-covered dental services.
• Behavioral Health Services Mental health and addiction treatment services including assessments, private consultations, therapy (cognitive-behavioral, mindfulness), medication management, peer support, and substance use disorder treatment for patients of all ages.
• Pediatric Care Pediatric services for children from infancy through adolescence including well-child checkups, vaccinations, sick visits, chronic disease management, developmental screenings, and behavioral health support.
• Addiction Recovery / Medication Assisted Treatment Medication-assisted treatment (MAT) for drug and alcohol addiction, providing recovery support in a safe, comfortable environment with multiple location access across Mid-Missouri.
• Patient-Centered Medical Home (PCMH) NCQA-recognized model of care providing comprehensive care management through care coordination, health promotion, comprehensive transitional care, patient and family support, and referrals to community services.
• Pharmacy Services On-site pharmacy services at Rolla (1081 E. 18th St.) and Salem (703 S Grand Ave) locations with prescription fulfillment, medication management, and curbside/drive-thru pickup options.
• Walk-In Clinic Acute care walk-in medical services at 1060 South Bishop Ave, Rolla, MO with extended hours (Mon-Fri 7:30AM-7:30PM) as an affordable alternative to emergency rooms.
• Emergency Dental Care Walk-in emergency dental services Monday through Friday 9 a.m. to 11 a.m. and 12:30 p.m. to 3 p.m. for dental pain, toothaches, and infections.
• Smile Bus (Mobile Dental Unit) Mobile dental unit providing school-based dental care for local area students, bringing preventive dental services directly to schools.
• Pediatric and Adult Oral Surgery Oral surgery procedures for patients of all ages requiring IV sedation or general anesthesia, including wisdom teeth removal.
• Telehealth Services Virtual appointments available for certain healthcare needs, providing remote access to medical consultations.
• Community Health Workers Program Community health workers assist with Medicaid applications, manage the Diaper Bank, and help patients find food, clothing, transportation to appointments, and other community resources.
• Four Rivers Diaper Bank Community assistance program providing emergency diapers to families in the community to address diaper poverty and support family self-sufficiency.
• Free Pregnancy Testing Free and confidential pregnancy testing available as a walk-in service at the Rolla clinic.
• Medicaid Assistance Help with Medicaid applications, enrollment assistance, and transportation/reimbursement support for eligible individuals and families.
• Health Home and Care Management Care management services for patients with chronic health conditions including diabetes, hypertension, COPD, obesity, and anxiety to reduce hospitalizations and improve outcomes.

Quantifiable outcome

• NCQA Patient-Centered Medical Home recognition demonstrating evidence-based patient care standards

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature2 records

Scale indicators2 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Compass Health Network: Missouri-based FQHC and behavioral health provider operating across multiple counties with integrated primary care, dental, and behavioral health services — directly comparable to Four Rivers' integrated FQHC model in the same state.
• Jordan Valley Community Health Center: Large Missouri-based FQHC delivering medical, dental, behavioral health, and pharmacy services across multiple locations — comparable integrated FQHC service mix and Medicaid-accepting model.
• Katy Trail Community Health: Missouri FQHC offering integrated primary care, dental, and behavioral health across multiple rural counties — comparable mission-driven, integrated-care community health center model.
• Access Family Care: Federally Qualified Health Center in southwest Missouri providing medical, dental, and behavioral health services on a sliding fee scale — closely comparable FQHC operating model and rural Missouri footprint.

Broad incumbents

• Burrell Behavioral Health: Established Missouri behavioral health provider with integrated primary care partnerships — comparable behavioral health and addiction services, though operating at significantly larger scale across the region.
• CoxHealth: Major southwest Missouri health system providing primary care, behavioral health, and pharmacy across rural counties — larger incumbent operating in adjacent rural markets with overlapping services.
• Mercy Health (Mercy Springfield): Large regional health system with significant Missouri presence offering primary care, dental, behavioral health, and pharmacy — broader portfolio incumbent serving overlapping rural markets.

Others

• eClinicalWorks: EHR and patient portal vendor used by Four Rivers — adjacent technology enabler rather than direct competitor, but materially relevant as the underlying technology stack supporting clinical operations.

Regional players

• Great Mines Health Center: FQHC serving the Potosi, Missouri area with primary care, dental, and behavioral health — similar rural Missouri FQHC service profile, operating in an adjacent region rather than overlapping footprint.
• Missouri Ozarks Community Health: FQHC serving south-central Missouri with primary medical, dental, and behavioral health services — directly comparable rural FQHC service offering in the broader Ozarks region.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/fourriverschc
• Xx.com/YourCommunityH1
• LinkedInlinkedin.com/company/four-rivers-community-health-center

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Four Rivers Community Health Center