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

Health Center, MT
Page: https://astrelis.co/providers/health_center/271801  
This twin: https://astrelis.co/providers/health_center/271801.md  
CMS Certification Number (CCN): 271801  
Release: 2321a4fc37a7 (2026-10-22)

## Headline figures (fiscal years on file: 2019 to 2025)

- **Total patients (UDS) (FY2024):** 14,404. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total visits (all service types) (FY2024):** 69,593. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Service sites (FY2024):** 10. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Uninsured patient share (FY2024):** 13.5%. Illustrative estimate. Definition: https://astrelis.co/methodology#health-center
- **Operating margin (FY2025):** -17.6%. Astrelis calculation. Definition: https://astrelis.co/methodology#health-center
- **Total operating revenue (FY2025):** $19.8M. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total margin (including nonoperating) (FY2025):** +11.1%. Astrelis calculation. Definition: https://astrelis.co/methodology#health-center

## Audited financial statements (Federal Audit Clearinghouse)

Read from the FAC-11 template of the audited statements: every line, every ratio and every status column print as the template carries them, and no figure is withheld. A report's tie status says whether its statements foot; a ratio's plausibility status says whether it sits inside its possible range; a median of fewer than five values says so. The figures were not audited by Astrelis. Contract: https://astrelis.co/methodology/fqhc-audit-contract

### Yellowstone City-County Health Department dba Riverstone Health, MT

Match to this profile: matched by name (method: normalized name and ZIP (FACLAND tier 2)).

- FY ending 2025-06-30 (audit year 2025): income statement foots only; audit as filed https://app.fac.gov/dissemination/summary/2025-06-GSAFAC-0000389790
- FY ending 2024-06-30 (audit year 2024): income statement foots only; audit as filed https://app.fac.gov/dissemination/summary/2024-06-GSAFAC-0000348385
- FY ending 2023-06-30 (audit year 2023): income statement foots only; audit as filed https://app.fac.gov/dissemination/summary/2023-06-GSAFAC-0000015797

| Line | FY ending 2025-06-30 | FY ending 2024-06-30 | FY ending 2023-06-30 |
|---|---:|---:|---:|
| TOTAL ASSETS (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL DEFERRED OUTFLOWS (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL LIABILITIES (Statement of financial position) | 38,801,001 [extracted, p.26] | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL DEFERRED INFLOWS (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL NET POSITION (Statement of financial position) | 14,279,418 [extracted, p.26] | 7,572,926 [extracted, p.24] | 9,355,502 [extracted, p.24] |
| net investment in capital assets (Statement of financial position) | 13,470,266 [extracted, p.26] | 13,023,689 [extracted, p.24] | 14,793,388 [extracted, p.24] |
| restricted net position (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| unrestricted net position (Statement of financial position) | -4,823,991 [extracted, p.26] | -10,688,411 [extracted, p.24] | -10,281,084 [extracted, p.24] |
| TOTAL CURRENT ASSETS (Statement of financial position) | 24,978,112 [extracted, p.25] | 18,160,977 [extracted, p.23] | 17,807,442 [extracted, p.23] |
| TOTAL CURRENT LIABILITIES (Statement of financial position) | 8,744,219 [extracted, p.26] | 7,577,722 [extracted, p.24] | 8,051,071 [extracted, p.24] |
| TOTAL OPERATING REVENUES (Statement of activities) | 64,378,358 [extracted, p.27] | 63,911,206 [extracted, p.25] | 62,761,210 [extracted, p.25] |
| TOTAL OPERATING EXPENSES (Statement of activities) | 58,459,547 [extracted, p.27] | 65,977,010 [extracted, p.25] | 64,493,201 [extracted, p.25] |
| OPERATING INCOME OR LOSS (Statement of activities) | 5,918,811 [extracted, p.27] | -2,065,804 [extracted, p.25] | -1,731,991 [extracted, p.25] |
| TOTAL NON-OPERATING REVENUES AND EXPENSES (Statement of activities) | 787,681 [extracted, p.28] | 283,228 [extracted, p.26] | 373,656 [extracted, p.26] |
| CHANGE IN NET POSITION (Statement of activities) | 6,706,492 [extracted, p.28] | -1,782,576 [extracted, p.26] | -1,358,335 [extracted, p.26] |
| net position, beginning (Statement of activities) | 7,572,926 [extracted, p.28] | 9,355,502 [extracted, p.26] | 10,713,837 [extracted, p.26] |
| net position, end (Statement of activities) | 14,279,418 [extracted, p.28] | 7,572,926 [extracted, p.26] | 9,355,502 [extracted, p.26] |

| Ratio | FY ending 2025-06-30 | FY ending 2024-06-30 | FY ending 2023-06-30 |
|---|---:|---:|---:|
| Current ratio | 2.86x [plausible] | 2.40x [plausible] | 2.21x [plausible] |
| Operating margin | 9.2% [plausible] | -3.2% [plausible] | -2.8% [plausible] |
| Total margin | 10.4% [plausible] | -2.8% [plausible] | -2.2% [plausible] |

## Sources

HRSA Uniform Data System (awardee level; organization match Verified). CMS HCRIS cost reports, form CMS-224-14, as filed (the Medicare cost-report appendix). Federal Audit Clearinghouse single audits as filed (Yellowstone City-County Health Department dba Riverstone Health; FAC-11 template snapshot, SRC-FAC-001); the organization match is matched by name.

Methodology: https://astrelis.co/methodology · Data sources: https://astrelis.co/data-sources · Data philosophy: https://astrelis.co/data-philosophy

## Cite this page

Astrelis Atlas, "Yellowstone City & County Health Department D/B/A Riverstone Health", https://astrelis.co/providers/health_center/271801, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.

Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.