Tennessee · Nonprofit
CHEROKEE HEALTH SYSTEMS
CHEROKEE HEALTH SYSTEMS (Tennessee) receives grants from 19 organizations whose IRS filings report $13,803,983 to it, the largest being FIDELITY INVESTMENTS CHARITABLE GIFT FUND ($9,000,000). 8 of them have funded it in more than one year, and 74% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.
- Revenue FY2025
- $94M
- Funders on record
- 19
- Grants received
- $14M
- Net assets
- $125M
What Cherokee Health Systems does
Mission
The mission of Cherokee Health Systems d/b/a river valley health (rvh) is to enhance the health and well-being of our community by providing high-quality, integrated, comprehensive, and person-centered healthcare for all.
As stated on its FY2025 Form 990.
Program
Cherokee Health Systems d/b/a river valley health (rvh) is committed to ensuring every individual has access to effective, high-quality care. We offer a wide array of comprehensive health services to children, adults, and seniors and offer a sliding-fee scale to those who meet certain household size and income guidelines. Rvh provided the following services during the year ended june 30, 2025:behavioral - provided 171,976 services to 26,948 patients during the fiscal year. Of these patients,8,080 received services that were not covered by a third party payer (uninsured). Medical - provided 212,482 services to 54,925 patients during the fiscal year. Of these patients, 16,833 received services that were not covered by a third party payer (uninsured). Pharmaceutical - filled 115,586 prescriptions under the federal 340(b) drug program during the fiscal year. Of that number, 32,097 prescriptions were not covered by a third party payer (uninsured).
$63,776,888 spent$66,172,171 earned by the program100% of program spending
The program described on its FY2024 Form 990. Program spending in total: $63,776,888.
The organization over time
Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2023 to 2024, from $109M to $137M (+26%).
How it's funded, over time
Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.
Government-grant reliance: 2017 25% · 2018 28% · 2019 28% · 2020 29% · 2021 33% · 2022 38% · 2023 27% · 2024 23% · 2025 24%. Grants only. Government contracts and fees sit inside program revenue.
26% of CHEROKEE HEALTH SYSTEMS’s revenue is contributions — more donation-reliant than the typical peer (7% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 0 of the last 9 reported years ran a deficit.
reserve
Leadership and staff
The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.
Chief executive
Parinda Khatri
CEO
As listed on its FY2025 Form 990.
Who funds it, year by year
2017 → 2023: the base broadened from 4 funders to 5 funders, grant income rose $87k → $280k.
5 of 19 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 74% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.
From the IRS filings of CHEROKEE HEALTH SYSTEMS’s funders (the co-funder graph). Top 18 of 19 funders by total. Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How concentrated its funding is
CHEROKEE HEALTH SYSTEMS leans on a few funders — its largest provides 65% of grant income and the top three 84%; half comes from just 1 funder.
the vertical line marks half of all grant income — 1 funder to its left
96% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund CHEROKEE HEALTH SYSTEMS.
Largest funder’s share by year: 2017 63% · 2018 89% · 2019 61% · 2020 36% · 2021 64% · 2022 48% · 2023 84% — growing more concentrated.
“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How long its funders stay
44% of CHEROKEE HEALTH SYSTEMS's funders are still giving 3 years after their first grant; 42% give in more than one year at all.
Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.
Where its funders are
74% of CHEROKEE HEALTH SYSTEMS's grant income arrives through donor-advised or pass-through sponsors, whose addresses record where the money is held rather than where the donor is. Of the $3.6M that is directly attributable, 69% of it comes from Tennessee funders.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $10M arriving through sponsors registered in 5 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Against its field
CHEROKEE HEALTH SYSTEMS runs a healthier operating margin than three-quarters of the 2,843 health nonprofits its size.
this organization peer median middle 50% of peers· 2,843 health nonprofits $10M–$100M, FY2025
Government funding CHEROKEE HEALTH SYSTEMS receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $117.0M on record.
- Department of Health and Human Services$117.0M
Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.
Organizations like CHEROKEE HEALTH SYSTEMS
Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.
In Tennessee
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
79% of spending goes to programs.
Governance
Footprint & structure
Files a return copy in 1 state
Screen this organization
A dated, signed PDF of the compliance screen for CHEROKEE HEALTH SYSTEMS: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.
Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf
Questions and answers
- Who funds CHEROKEE HEALTH SYSTEMS?
- CHEROKEE HEALTH SYSTEMS (Tennessee) receives grants from 19 organizations whose IRS filings report $13,803,983 to it, the largest being FIDELITY INVESTMENTS CHARITABLE GIFT FUND ($9,000,000). 8 of them have funded it in more than one year, and 74% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.
- How many funders does CHEROKEE HEALTH SYSTEMS have?
- IRS filings report 19 organizations giving $13,803,983 in grants to CHEROKEE HEALTH SYSTEMS, 8 of which have funded it in more than one year.
- Who is the largest funder of CHEROKEE HEALTH SYSTEMS?
- FIDELITY INVESTMENTS CHARITABLE GIFT FUND is the largest funder on record, with $9,000,000 in grants. The full list of funders is on this page.
- How can an organization like CHEROKEE HEALTH SYSTEMS find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in Tennessee. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
Play a game about who funds Cherokee Health Systems →
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 19 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing