Astrelis
health center · TN

CHEROKEE HEALTH SYSTEMS

CCN 441879Latest FY 2023
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A health center in TN. It ran an operating loss of 51.0% in FY23 on $44.9M of operating revenue. Operating margin improved from -68.0% in FY21 to -51.0% in FY23. Including nonoperating items, the all-in result was positive at 15.8%.

Days cash on hand
Not available
vs health centers
Total operating revenue · FY23
$44.9M
10.9 $M vs FY22
vs health centers
Operating margin · FY23
-51.0%
34.4 pts vs FY22
vs health centers
Total margin · incl. nonoperating · FY23
+15.8%
6.1 pts vs FY22
vs health centers

Where CHEROKEE HEALTH SYSTEMS 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.

-20%-10%0%+10%+20%health center median -36.625%CHEROKEE HEALTH -50.96%-20%0%+20%health center median -36.625%CHEROKEE HEALTH -50.96%
One health centerCHEROKEE HEALTHhealth center median

The organization behind this center

HRSA UDS 2024 · awardee level · whole organization

This site belongs to Cherokee Health Systems (grant H80CS00309), which operates 4 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.

Patients
66,766
unduplicated, organization-wide · UDS Table 4
Medical visits
Not reported
organization-wide clinic visits
Medical staffing
Masked
staffing is masked under H80 confidentiality rules: reported for roughly 40% of centers
Cost per patient
Consent-gated
Table 9D financials are consent-gated (FOIA Exemption 4): released only for centers that consent, about half in 2024. Suppressed, never zeroed.
Payer mix (share of patients)
Medicaid 38.4% · Medicare 12.9% · Uninsured 24.9% · Private 22.3% · Other public 1.4%
Clinical quality vs the national UDS median
Blood-pressure control
65.1%
national UDS median 66.6%
HRSA UDS 2024
Diabetes HbA1c > 9% (lower is better)
29.1%
national UDS median 26.1%
HRSA UDS 2024
Cervical cancer screening
47.4%
national UDS median 53.0%
HRSA UDS 2024
Breast cancer screening
52.2%
national UDS median 53.4%
HRSA UDS 2024
Colorectal cancer screening
33.1%
national UDS median 42.0%
HRSA UDS 2024
Depression screening & follow-up
61.5%
national UDS median 75.8%
HRSA UDS 2024
Tobacco cessation intervention
90.0%
national UDS median 86.8%
HRSA UDS 2024
Adult BMI screening & follow-up
87.7%
national UDS median 71.0%
HRSA UDS 2024
Childhood immunization status
40.1%
national UDS median 26.8%
HRSA UDS 2024

Appendix: the Medicare cost-report view

$ 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
-51.0% (FY23)
Operating income ÷ total operating revenue · Medicare cost-report scope, not the organization's full financials
HCRIS WS G-3
Total margin
+15.8% (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 itemFY21FY22FY23
Patient revenue35,82333,99944,913
Total operating revenue35,82333,99944,913
Total operating expenses60,17063,02267,802
Operating income(24,346)(29,023)(22,889)
Operating margin %-68.0%-85.4%-51.0%
Other non-operating, net25,05546,73135,644
Net income70917,70812,755
Net income %+1.2%+21.9%+15.8%
HCRIS CMS-224 cost report · $ thousands · FY21–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.

Cost per visit ($, Medicare scope)
171.94
Verified fact2023
HCRIS CMS-224
Total visits (Medicare scope)
84,274
Verified fact2023
HCRIS CMS-224

Trajectory

Cost-report basis · 3 reporting years
Operating margin
-68.0%-85.4%-51.0%FY21FY22FY23
Days cash on hand
Not available

The county this health center serves

Location, TN · metro, under 250K
Median household income
$52.8K
vs $82.1K US · $59.7K rural median
Poverty rate
17.2%
vs 12.5% US · 14.3% rural median
Uninsured
13.6%
vs 8.6% US · 8.4% rural median
Age 65+
17.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
25.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.8% of county personal income is Medicare/Medicaid medical benefits; 27.9% arrives as government transfers (BEA, 2022).
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