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RFP: Audit Services – RiverStone Health & RiverStone Foundation FYs 26-28

Audit Services for both Yellowstone City-County Health Department (dba RiverStone Health) and RiverStone Health Foundation. Proposals due 3/13/26.

Date Posted

February 23, 2026

Yellowstone City-County Health Department, dba RiverStone Health, is requesting proposals from qualified firms to provide audit services for the fiscal years ending June 30, 2026, 2027, and 2028. In addition, RiverStone Health Foundation is requesting proposals for financial statement review services over the same three-year period. Consideration may also be given to proposals for a five-year contract term.

We invite your firm to submit a proposal for consideration no later than March 13, 2026. Background of our organization, the services requested, and other pertinent information follows.

Background of RiverStone Health RiverStone Health is a multi-jurisdictional service district whose predecessor organizations were created in 1974 under an interlocal agreement between the City of Billings, Montana; the City of Laurel, Montana; and Yellowstone County, Montana. RiverStone Health currently operates under a 2004 interlocal agreement among these same entities.

The financial statements include the accounts of Yellowstone City-County Health Department, dba RiverStone Health, and Yellowstone Health Partnership, a 501(c)(3) organization and component unit of Yellowstone City-County Health Department, presented on a blended basis (collectively referred to as RiverStone Health).

RiverStone Health provides a broad range of public health, health services, social services, and education programs, primarily serving communities in Yellowstone County. Through approximately 380 employees, services include, but are not limited to:

  • Federally Qualified Health Center (FQHC) providing comprehensive primary care and preventive medical, behavioral health, mobile, school-based health, and dental services
  • Healthcare for the Homeless (HCH) program
  • Retail pharmacy
  • Hospice and home health program
  • Family medicine residency program preparing physicians to practice in rural or underserved communities (residents and faculty also provide medical staffing for the community health center)
  • Administration of the Women, Infants, and Children (WIC) supplemental nutrition program and Maternal and Child Health (MCH) programs
  • Well-child and Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) services for children in foster care in Yellowstone County
  • Numerous environmental health and community/population health services (RiverStone Health provides Yellowstone County’s local health department functions.)

Background of RiverStone Health Foundation RiverStone Health Foundation (the Foundation) was organized and incorporated in 2008 as a nonprofit organization and began operations on July 1, 2009. The Foundation’s primary purpose is to seek and receive bequests, contributions, gifts, and grants to aid and assist RiverStone Health in providing services. The Foundation is not considered to be a component unit of RiverStone Health for financial reporting purposes; however, RiverStone Health has entered into a management services agreement with the Foundation for the purposes of establishing relationships between the entities and facilitating the accomplishment of their mutual goals.

The Foundation is a nonprofit organization exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code. The Internal Revenue Service has ruled that the Foundation is not a private foundation as defined in §509(a) of the Code. Accordingly, no provision for income tax is included in the financial statements. Business income unrelated to the Foundation’s exempt purpose, if any, is reported on Form 990-T, and income taxes are paid on any unrelated business income.

Services to be Performed Proposals are expected to cover the following services for RiverStone Health:

  • Annual financial statement audit conducted in accordance with Generally Accepted Auditing Standards (GAAS) and Government Auditing Standards (GAGAS)
  • Audit conducted in accordance with Title 2 of the U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance)

Proposals are expected to cover the following services for RiverStone Health Foundation:

  • Preparation of financial statements in accordance with Generally Accepted Accounting Principles (GAAP) based on information provided by management; and
  • A financial statement review engagement to obtain limited assurance as a basis for reporting whether any material modifications should be made to the financial statements for them to be in accordance with GAAP.

RFP Process and Response Requirements

  1. Submission Deadline:
    1. Any questions you may have to clarify this RFP are due to RiverStone Health no later than 5:00pm Mountain Time Friday, February 20, 2026. Proposals must be received before the Submission Deadline of March 13, 2026, at 5:00pm Mountain Time. Responses received on or after the Submission Deadline will not be accepted, and responses that are incomplete or do not conform to the requirements of this RFP will not be considered.
    2. Questions and proposals should be emailed to RFP@riverstonehealth.org. Do not contact any RiverStone Board Member or staff member regarding this proposal. Any contact with these individuals will automatically disqualify the agency. All inquiries must be sent to the email address listed above.