Alluvion Health

What Alluvion Health does

Alluvion Health is a private non-profit Federally Qualified Health Center (FQHC) headquartered at 601 1st Ave N in Great Falls, Montana, serving Northcentral Montana. Founded in 1994 as a sub-department of the Cascade City-County Health Department, the organization separated and rebranded as Alluvion Health in 2019. It operates an integrated delivery platform spanning primary medical care, pediatrics, dental, behavioral health, substance use disorder treatment, speech therapy, prevention services, and a 340B-eligible on-site pharmacy with drive-through. Distribution is via seven physical locations across Great Falls and Choteau, plus 16 school-based health centers embedded in K-12 campuses, with telemedicine delivered through the Elvi platform.

Revenue is generated through reimbursable clinical services billed to Medicare, Medicaid, the Montana HELP Plan, and private insurance, complemented by an income-based sliding fee discount for uninsured/underinsured patients, federal Health Center Program pass-through grants (42 U.S.C. 254b), and PATH program funding for homelessness intervention. The 2021 economic footprint is reported at $31.1 million in Northcentral Montana and 218 high-wage jobs. Technology infrastructure is conventional health-IT: eClinicalWorks Cloud for EHR/patient portal/billing, healow for online scheduling, and eTapestry for foundation donations. Certification profile includes HRSA Health Center Program grantee status, NCQA Patient-Centered Medical Home recognition, HRSA Advancing HIT for Quality, and High-Value Care and Social Risk Factors recognitions.

The organization is in an active expansion phase, most notably the $29 million 601 Central renovation (financed via New Market and Historic Tax Credits), the July 2022 Choteau clinic launch, the acquisition of the former Roosevelt school building in 2022, and a Department of Labor-funded NEXT NURSE apprenticeship pipeline. It is governed by a patient-majority board, and leadership is led by CEO Trista Besich, with a C-suite including CMO Dr. Guy Venuti, CFO Brenda Ries, CHRO Sally Callery, Chief Employee Development Officer Tanya Houston, and VP Medical Operations Darren George. Alluvion's structural moat rests on FQHC regulatory status, dense rural distribution, and a sliding-fee/whole-person model that creates stickiness for populations with limited affordable alternatives.

Name

Alluvion Health

Legal name

Alluvion Health

Website

https://alluvionhealth.org

Company type

Private

Founded year

1994

Operating status

Operating

Headcount range

51–100 employees

Short description

Alluvion Health is a non-profit Federally Qualified Health Center in Great Falls, Montana, delivering integrated medical, dental, behavioral health, substance use, pharmacy, and school-based services to uninsured, underinsured, and Medicaid populations across Northcentral Montana.

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), Other Outpatient Care Centers (62149)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

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

akta.pro secondary industries

School-Based Health Centers (HLAFAGAG), Community & Public Health Dentistry Clinics (FQHC/School-Based/Nonprofit) (HLABAAAF)

Keywords

• Community health center
• Primary care services
• Behavioral health treatment
• Dental care services
• Substance use treatment

Headquarters

HQ city

Great Falls

HQ country

United States

HQ region

North America

Offices7 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Healthcare Services Revenue: Reimbursable healthcare services including medical, dental, behavioral health, and substance use disorder treatment covered by Medicare, Medicaid, Montana HELP Plan, and private insurance. Sliding fee scale for uninsured/underinsured patients.
2. Federal Grant Funding: Health Center Program grantee under 42 U.S.C. 254b, receiving HHS funding through U.S. Department of Health and Human Services Bureau of Primary Health Care. PATH program funding for homelessness intervention services.
3. Pharmacy Services: On-site pharmacy with discounted medication prices for Alluvion patients, providing convenient prescription fulfillment immediately after medical appointments.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

Alluvion Health is a Federally Qualified Health Center (FQHC) that provides integrated primary medical, dental, behavioral health, substance use disorder, pharmacy, speech therapy, and prevention services to residents of Northcentral Montana regardless of insurance status or ability to pay. Services are delivered through multiple clinic locations in Great Falls and Choteau, including 16 school-based health centers, with support from a sliding fee discount program based on family size and income.

Product overview

Alluvion Health is a non-profit Federally Qualified Health Center offering a comprehensive, integrated healthcare delivery system. The organization operates as a unified platform providing primary medical, dental, behavioral health, and substance use disorder services, supplemented by pharmacy, speech therapy, and prevention services. Core services are delivered through multiple clinic locations including the main clinic at 601 1st Ave N, dental clinic, pharmacy, school-based health centers in 16+ schools, and a Choteau clinic. Community programs including OnTrack Montana (First Episode Psychosis), PATH (homelessness assistance), and NEXT NURSE (workforce development) extend the organization's reach. The organization also provides free HIV/Hep C testing, sensory-friendly events, and mobile health clinics, all supported by a sliding fee discount program based on family size and income.

Differentiator

Problem solved

Functional benefit

Brands

• OnTrack Montana: First Episode Psychosis (FEP) program providing integrated, person-centered treatment for young people experiencing early signs of psychosis.
• PATH (Projects for Assistance in Transition from Homelessness)
• NEXT NURSE

Quantifiable outcome

• 218 high-wage jobs and $31.1 million economic impact in Northcentral Montana in 2021
• +2 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

Partnerships

Seven partnerships are on record, tiered minor, major and core.

• Blue Cross Blue Shield of MontanaminorGTM or Marketing Partner · 4 December 2022Donor for Sensory Santa event providing free sensory-friendly Santa visits for children on the autism spectrum. Families received free photos with Santa and presents.
• Sletten ConstructionmajorImplementation/ SI/ Consulting Partner · 9 November 2022General contractor for Alluvion Health at 601 Central renovation project (formerly Rocky Mountain Building). Providing project management and construction services.
• Nelson ArchitectsmajorImplementation/ SI/ Consulting Partner · 9 November 2022Architectural firm designing Alluvion Health at 601 Central project. Presented design updates including dental clinic and pharmacy on first floor, clinical services on floors 2-3, administrative offices on floors 4-5.
• Little Shell Tribe of Chippewa Indians of MontanacoreStrategic or Co-development PartnerLong-standing collaboration providing drive-through clinics at tribal administration office and community center, vaccination clinics at schools, and COVID testing events. Partnership includes collaboration with Army National Guard for testing events.
• Public Schools (16 area schools)coreStrategic or Co-development PartnerSchool-based health center partnerships providing medical and behavioral health services directly in schools. Services include acute care, well-child exams, sports physicals, mental health counseling, and substance use treatment at Longfellow Elementary and 15 additional schools.
• Healthy Lives Vibrant Futures (HLVF) CoalitioncoreStrategic or Co-development PartnerCoalition of healthcare, government, and non-profit partners in Cascade County performing Community Health Needs Assessment (CHNA) every three years. Alluvion's strategic priorities are based on CHNA outcomes.
• 988 Crisis Line PartnershipcoreStrategic or Co-development PartnerMental health crisis response partnership redirecting crisis calls from 911 to 988, connecting callers with specialists trained to treat crises and avoid unnecessary ER visits and detention.

Scale indicators7 records

Recent moves9 records

Expansion highlights6 records

Direct peers

• Partnership Health Center: Missoula, MT FQHC offering medical, dental, behavioral health, and pharmacy on an integrated sliding-fee basis. Comparable mission, payer mix, and operational structure to Alluvion in another Montana region.
• Great Falls Clinic: Multi-specialty physician group in Great Falls, MT with a recent expansion partnership announced alongside Alluvion. Operates primary and specialty care clinics directly competitive with Alluvion's medical service line in the same geography.
• RiverStone Health: Billings, MT-based FQHC and local public health department providing primary care, dental, behavioral health, and pharmacy services to a similar uninsured/underinsured population. Closest structural analogue to Alluvion's FQHC-plus-city-county model.
• Marias Healthcare Services: Shelby, MT FQHC providing medical, dental, behavioral health, and pharmacy services across north-central Montana counties. Comparable rural FQHC service model geographically proximate to Alluvion's footprint.
• PureView Health Center: Helena, MT FQHC providing primary medical, dental, behavioral health, and pharmacy services with a sliding fee scale. Comparable FQHC operating model serving a similar Montana community-health footprint.
• Bighorn Valley Health Center: Montana FQHC serving southeastern Montana with integrated primary care, behavioral health, and substance use disorder services. Closely comparable FQHC service mix to Alluvion, including SUD treatment.
• Community Health Partners: Livingston, MT FQHC delivering primary, behavioral health, dental, and pharmacy services on a sliding-fee basis. Comparable size and rural Montana FQHC operating model.

Broad incumbents

• Benefis Health System: Large regional health system headquartered in Great Falls, MT operating a hospital, primary care, and specialty network directly overlapping Alluvion's Northcentral Montana service area. Comparable as a same-market competitor with broader inpatient capability but less safety-net focus.

Others

• National Association of Community Health Centers: Trade and advocacy association representing FQHCs nationally. Relevant as the ecosystem/peer reference for Alluvion's federal program participation, policy advocacy, and operational benchmarking.
• Blue Cross Blue Shield of Montana: Major Montana commercial payer with which Alluvion has a donor/referral relationship (Sensory Santa event). Relevant as a counterparty for insurance billing and as a regional healthcare ecosystem participant.

Market position

Competitive moat5 records

Customer concentration

• Facebookfacebook.com/alluvionhealth
• Instagraminstagram.com/alluvionhealth
• LinkedInlinkedin.com/company/alluvionhealth

Compliance7 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 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 Alluvion Health