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Yellowstone City & County Health Department D/B/A Riverstone Health

Yellowstone City & County Health Department D/B/A Riverstone Health is a federally qualified community health center based in Billings, MT, with 5 clinic locations in 4 cities. It served 14,059 patients in 2025. Fees are on a sliding scale by income and insurance, and every patient is seen regardless of ability to pay.

14,059patients in 2025
27%uninsured patients
51%at or below the poverty line
141full-time-equivalent staff

Care offered: primary care, dental care, mental health care, substance use treatment, children’s checkups, women’s health, and telehealth.

Who Yellowstone City & County Health Department D/B/A Riverstone Health serves

51% of patients live at or below the poverty line and 85% are at or below twice that level. 27% have no insurance, 34% have Medicaid or CHIP, 16% have Medicare and 23% have private insurance. 1,962 patients were experiencing homelessness. 604 were veterans.

Measure	This center	MT median	U.S. median	vs MT
Patients at or below the poverty line	51%	38%	65%	+14 pts
Patients at or below 200% of the poverty line	85%	68%	92%	+17 pts

Measure	This center	MT median	U.S. median	vs MT
Uninsured patients	27%	15%	14%	+12 pts
Medicaid or CHIP patients	34%	29%	42%	+6 pts
Medicare patients	16%	19%	11%	−3 pts
Privately insured patients	23%	34%	24%	−11 pts

Care and screenings

Service	Patients	What it counts
Dental care	4,092	patients had dental exams
Mental health care	5,382	patients treated for depression or anxiety
Substance use treatment	800	patients in treatment
Well-child visits	724	children had checkups
Flu shots	1,109	patients vaccinated
Cervical cancer screening	522	patients tested
Family planning	863	patients served
Diabetes care	1,386	patients with diabetes
Blood pressure care	2,927	patients with hypertension
Asthma care	753	patients with asthma
HIV testing	1,097	patients tested
Hepatitis C testing	1,000	patients tested
Childhood lead tests	98	children tested

Quality of care

Yellowstone City & County Health Department D/B/A Riverstone Health is at or above the Montana median on 3 of 7 preventive-care measures. Higher is better on every line.

Measure	This center	MT median	U.S. median	vs MT
Adults with high blood pressure under control	60%	65%	68%	−5 pts
Women 52–74 screened for breast cancer	40%	52%	54%	−12 pts
Women 24–64 screened for cervical cancer	41%	43%	54%	−2 pts
Adults 46–75 screened for colorectal cancer	38%	47%	44%	−10 pts
Patients 12+ screened for depression	76%	76%	77%	In line
Adults assessed for tobacco use	80%	80%	86%	In line
High-risk adults on statin therapy	78%	75%	79%	+3 pts

Staffing

141 full-time-equivalent staff work at Yellowstone City & County Health Department D/B/A Riverstone Health, including 23 physicians, nurse practitioners, physician assistants and midwives. That is 605 patients per clinical provider, against the Montana median of 902 and the U.S. median of 930.

Where Yellowstone City & County Health Department D/B/A Riverstone Health patients live

ZIP code	Patients	Uninsured
59101	5,404	25%
59102	2,389	29%
59105	2,003	29%
59106	542	32%
59014	525	14%
59044	397	30%
59041	381	16%
59088	248	12%