# Cherokee Health Systems

Health Center, TN
Page: https://astrelis.co/providers/health_center/441879  
This twin: https://astrelis.co/providers/health_center/441879.md  
CMS Certification Number (CCN): 441879  
Release: 2321a4fc37a7 (2026-10-22)

## Headline figures (fiscal years on file: 2019 to 2023)

- **Operating margin (FY2023):** -51.0%. Astrelis calculation. Definition: https://astrelis.co/methodology#health-center
- **Total operating revenue (FY2023):** $44.9M. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total margin (including nonoperating) (FY2023):** +15.8%. 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

### River Valley Health, TN

Match to this profile: matched by name (method: name and state).

- FY ending 2025-06-30 (audit year 2025): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2025-06-GSAFAC-0000409000
- FY ending 2024-06-30 (audit year 2024): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2024-06-GSAFAC-0000365809
- FY ending 2023-06-30 (audit year 2023): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2023-06-GSAFAC-0000024102

| Line | FY ending 2025-06-30 | FY ending 2024-06-30 | FY ending 2023-06-30 |
|---|---:|---:|---:|
| cash and investments (current) (Statement of financial position) | 77,963,834 [derived, p.9] | 67,030,040 [derived, p.9] | 53,279,689 [derived, p.7] |
| patient receivables, net (Statement of financial position) | 5,276,782 [derived, p.9] | 4,790,739 [derived, p.9] | 3,949,298 [derived, p.7] |
| grants and other receivables (Statement of financial position) | 3,861,956 [derived, p.9] | 3,987,177 [derived, p.9] | 4,330,969 [derived, p.7] |
| other current assets (Statement of financial position) | 1,343,720 [derived, p.9] | 824,355 [derived, p.9] | 933,067 [derived, p.7] |
| TOTAL CURRENT ASSETS (Statement of financial position) | 88,446,292 [extracted, p.9] | 76,632,311 [extracted, p.9] | 62,493,023 [extracted, p.7] |
| property and equipment, net (Statement of financial position) | 54,284,279 [derived, p.9] | 46,800,827 [derived, p.9] | 41,757,833 [derived, p.7] |
| other long-term assets (Statement of financial position) | 12,329,048 [derived, p.9] | 13,262,648 [derived, p.9] | 4,497,913 [derived, p.7] |
| TOTAL ASSETS (Statement of financial position) | 155,059,619 [extracted, p.9] | 136,695,786 [extracted, p.9] | 108,748,769 [extracted, p.7] |
| payables and accrued expenses (Statement of financial position) | 7,237,113 [derived, p.10] | 7,955,935 [derived, p.10] | 6,929,332 [derived, p.8] |
| deferred revenue (Statement of financial position) | 514,123 [derived, p.10] | 110,190 [derived, p.10] | 90,251 [derived, p.8] |
| current debt and leases (Statement of financial position) | 1,707,699 [derived, p.10] | 1,648,929 [derived, p.10] | 1,546,553 [derived, p.8] |
| other current liabilities (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL CURRENT LIABILITIES (Statement of financial position) | 9,458,935 [extracted, p.10] | 9,715,054 [extracted, p.10] | 8,566,136 [extracted, p.8] |
| long-term debt and leases (Statement of financial position) | 20,382,628 [derived, p.10] | 17,877,592 [derived, p.10] | 15,762,233 [derived, p.8] |
| other long-term liabilities (Statement of financial position) | absent (not printed, or not read) | 39,000 [derived, p.10] | 30,000 [derived, p.8] |
| TOTAL LIABILITIES (Statement of financial position) | 29,841,563 [extracted, p.10] | 27,631,646 [extracted, p.10] | 24,358,369 [extracted, p.8] |
| net assets without donor restrictions (Statement of financial position) | 125,218,056 [derived, p.10] | 109,064,140 [derived, p.10] | 84,390,400 [derived, p.8] |
| net assets with donor restrictions (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL NET ASSETS (Statement of financial position) | 125,218,056 [extracted, p.10] | 109,064,140 [extracted, p.10] | 84,390,400 [extracted, p.8] |
| patient service revenue, net (Statement of activities) | 38,944,252 [derived, p.11] | 40,886,715 [derived, p.11] | 42,117,493 [derived, p.9] |
| pharmacy and 340B revenue (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| federal grants (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| other grants and contracts (Statement of activities) | 25,176,839 [derived, p.11] | 33,228,763 [derived, p.11] | 22,738,251 [derived, p.9] |
| contributions (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| other revenue (Statement of activities) | 28,977,244 [derived, p.11] | 19,556,995 [derived, p.11] | 12,203,868 [derived, p.9] |
| TOTAL REVENUE AND SUPPORT (Statement of activities) | 93,098,335 [extracted, p.11] | 93,672,473 [extracted, p.11] | 77,059,612 [extracted, p.9] |
| salaries and benefits (Statement of activities) | 43,728,822 [derived, p.11] | 42,889,424 [derived, p.11] | 42,214,475 [derived, p.9] |
| supplies and pharmaceuticals (Statement of activities) | 15,738,256 [derived, p.11] | 11,469,078 [derived, p.11] | 6,859,556 [derived, p.9] |
| purchased and professional services (Statement of activities) | 13,741,686 [derived, p.11] | 12,223,794 [derived, p.11] | 10,658,533 [derived, p.9] |
| occupancy (Statement of activities) | 2,537,270 [derived, p.11] | 2,555,836 [derived, p.11] | 2,880,152 [derived, p.9] |
| depreciation and amortization (Statement of activities) | 2,622,861 [derived, p.11] | 2,706,297 [derived, p.11] | 2,645,599 [derived, p.9] |
| interest (Statement of activities) | 578,471 [derived, p.11] | 427,973 [derived, p.11] | 445,297 [derived, p.9] |
| other expenses (Statement of activities) | 2,278,279 [derived, p.11] | 2,182,401 [derived, p.11] | 2,147,079 [derived, p.9] |
| TOTAL EXPENSES (Statement of activities) | 81,225,645 [extracted, p.11] | 74,454,803 [extracted, p.11] | 67,850,691 [extracted, p.9] |
| OPERATING RESULT (Statement of activities) | 11,872,690 [extracted, p.11] | 19,217,670 [extracted, p.11] | 9,208,921 [extracted, p.9] |
| non-operating and other changes (Statement of activities) | 4,281,226 [derived, p.11] | 5,432,699 [derived, p.11] | 2,742,998 [derived, p.9] |
| CHANGE IN NET ASSETS (Statement of activities) | 16,153,916 [extracted, p.11] | 24,650,369 [extracted, p.11] | 11,951,919 [extracted, p.9] |
| net assets, beginning (Statement of activities) | 109,064,140 [extracted, p.11] | 84,413,771 [extracted, p.11] | 72,438,481 [extracted, p.9] |
| net assets, end (Statement of activities) | 125,218,056 [extracted, p.11] | 109,064,140 [extracted, p.11] | 84,390,400 [extracted, p.9] |

| Ratio | FY ending 2025-06-30 | FY ending 2024-06-30 | FY ending 2023-06-30 |
|---|---:|---:|---:|
| Days cash on hand | 362 days [plausible] | 342 days [plausible] | 298 days [plausible] |
| Current ratio | 9.35x [plausible] | 7.89x [plausible] | 7.30x [plausible] |
| Operating margin | 12.8% [plausible] | 20.5% [plausible] | 12.0% [plausible] |
| Total margin | 17.4% [plausible] | 26.3% [plausible] | 15.5% [plausible] |
| Patient revenue share | 41.8% [plausible] | 43.6% [plausible] | 54.7% [plausible] |
| Grant dependency | absent [not computed] | absent [not computed] | absent [not computed] |
| Salaries share | 53.8% [plausible] | 57.6% [plausible] | 62.2% [plausible] |
| Days in patient receivables | 49 days [plausible] | 43 days [plausible] | 34 days [plausible] |
| Debt to net assets | 0.18x [plausible] | 0.18x [plausible] | 0.21x [plausible] |
| Health center award share | absent [not computed] | absent [not computed] | absent [not computed] |

## 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 (River Valley 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, "Cherokee Health Systems", https://astrelis.co/providers/health_center/441879, 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.