YELLOWSTONE CITY & COUNTY HEALTH DEPARTMENT D/B/A RIVERSTONE HEALTH
CCN 271801Latest FY 2023
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A health center in MT. It ran an operating loss of 42.4% in FY23 on $25.7M of operating revenue. Only a single comparable reporting year is available, so trend context is limited. Including nonoperating items, the all-in result was positive at 2.5%.
Total patients (UDS)
14,404
Verified fact2024
Source: HRSA UDS
Uninsured patient share
13.5%
Proxy2024
Source: HRSA UDS
Operating margin · FY23
-42.4%
vs health centers—
Total visits
69,593
Verified fact2024
Source: HRSA UDS
Where YELLOWSTONE CITY & sits among health centers
Operating margin · FY23 pool · n = 1,112 of 4,110 filed
Each point is one health center in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The health center median is -36.6%. Descriptive context only, not a ranking.
One health centerYELLOWSTONE CITYhealth center median
This site belongs to Yellowstone City & County Health Department D/B/A Riverstone Health (grant H80CS00418), which operates 2 FQHC sites. UDS reports at the organization level: the figures below describe the whole organization and are repeated on each of its site pages, never summed per site.
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Read this first: this is a partial, Medicare-centric view. Health centers are grant-funded: HRSA Section 330 grants, Medicaid, and sliding-fee revenue dominate their finance and are not on this cost report, which carries only an income statement. A thin or negative cost-report margin here is not whole-organization distress; the organization-level picture is the UDS section above.
Ratios tell you how this health center is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.
Operating margin
-42.4% (FY23)
Operating income ÷ total operating revenue · Medicare cost-report scope, not the organization's full financials
HCRIS WS G-3
Total margin
+2.5% (FY23)
Net income ÷ total revenue incl. nonoperating · Medicare cost-report scope, not the organization's full financials
HCRIS WS G-3
Days cash on hand
Not reported in this filing
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
Not reported in this filing
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not reported in this filing
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not reported in this filing
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY21
FY22
FY23
Patient revenue
15,314
12,450
25,683
Total operating revenue
15,314
12,450
25,683
Total operating expenses
19,445
22,885
36,579
Operating income
(4,131)
(10,435)
(10,896)
Operating margin %
-27.0%
-83.8%
-42.4%
Other non-operating, net
6,297
11,751
11,855
Net income
2,166
1,316
959
Net income %
+10.0%
+5.4%
+2.6%
HCRIS CMS-224 cost report · $ thousands · FY20–FY23 · Medicare cost-report scope, not the organization’s full financials · FY20–21 may include COVID-era relief funding
A condensed balance sheet is not shown for this health center: the public cost report does not carry substantive balance-sheet detail (assets, liabilities, and net assets that reconcile) for this provider. The income statement and ratio exhibit above are the reliable financial view here. We lead with those rather than render a hollow table.
How it operates
quality & operational context · CMS public reporting
The metrics this health center type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Total patients (UDS)
14,404
Verified fact2024
HRSA UDS
Uninsured patient share
13.5%
Proxy2024
HRSA UDS
Medicaid patient share
41.7%
Proxy2024
HRSA UDS
Medical visits
47,312
Verified fact2024
HRSA UDS
Behavioral health visits
7,820
Verified fact2024
HRSA UDS
Dental visits
10,077
Verified fact2024
HRSA UDS
Total staff FTE
148.67
Verified fact2024
HRSA UDS
Service sites
10
Verified fact2024
HRSA UDS
Revenue per patient
$491
Proxy2024
HRSA UDS
Total visits
69,593
Verified fact2024
HRSA UDS
Cost per visit ($, Medicare scope)
712.38
Verified fact2023
HCRIS CMS-224
Total visits (Medicare scope)
34,413
Verified fact2023
HCRIS CMS-224
Trajectory
Cost-report basis · 4 reporting years
Operating margin
Days cash on hand
The county this health center serves
Location, MT · metro, under 250K
Median household income
$74.4K
vs $82.1K US · $59.7K rural median
Poverty rate
10.2%
vs 12.5% US · 14.3% rural median
Uninsured
6.9%
vs 8.6% US · 8.4% rural median
Age 65+
17.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.8% of county personal income is Medicare/Medicaid medical benefits; 16.7% arrives as government transfers (BEA, 2022).
The Board Briefing$1,000
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