Cherokee Health Systems
Also known as River Valley Health
Cherokee Health Systems reported $94.1 million in revenue and $81.2 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $78.52 went to program services, $21.48 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 70.3% of the total. Government grants made up 23.8%. The highest compensation it reported for one person was $403,079 (CEO). 84 people received more than $100,000 in reportable compensation. Revenue rose 54% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $81MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $94MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 78.5% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 21.5% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 26.0% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 23.8% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 70.3% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $403,079 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.50% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 84 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 18.5 | 6.6 |
| Independent voting board members Part VI 1a–1b | 13 of 13 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseCherokee 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…
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| CEO Officer, 64.00 hrs/week | $380,804 | $0 | $22,275 | $403,079 |
| VP OF MEDICAL SERVICES Key employee, 44.00 hrs/week | $242,137 | $0 | $34,362 | $276,499 |
| VP OF PSYCHIATRIC SERVICES Key employee, 47.00 hrs/week | $244,638 | $0 | $28,995 | $273,633 |
| CFO Officer, 47.00 hrs/week | $245,107 | $0 | $21,748 | $266,855 |
| VP OF MEDICAL SERVICES Key employee, 57.00 hrs/week | $217,898 | $0 | $20,049 | $237,947 |
| PSYCHIATRIST Highest compensated employee, 41.00 hrs/week | $209,027 | $0 | $28,348 | $237,375 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $214,766 | $0 | $19,293 | $234,059 |
| DIRECTOR OF OB-GYN SERVICES Highest compensated employee, 42.00 hrs/week | $198,240 | $0 | $29,495 | $227,735 |
84 people received more than $100,000 in reportable compensation from Cherokee Health Systems (Part VII, line 2). Compensation of current officers, directors and key employees totaled $1.7M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b13 · 13 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4No
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 5759
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| SYNERGY BILLING LLC Revenue cycle | $1,988,951 |
| CHRONIC CARE STAFFING LLC Contract services | $958,523 |
| CLOUDMED 340b management | $599,649 |
| SOUTHERN GRACE CLEANING II Cleaning services | $314,849 |
| CYBERMAXX LLC It managed services | $195,407 |
Individuals listed as contractors are left out. 12 contractors were paid more than $100,000 in all.
Private foundation grants it received
1 private foundation reported grants to Cherokee Health Systems totaling $62 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Cherokee Health Systems's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Cherokee Health Systems, you can publish a response that is linked from this page.
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Of every $100 Cherokee Health Systems spent in FY2025, $78.52 went to programs. The full breakdown, from its IRS Form 990:
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Questions people ask
How much of Cherokee Health Systems's spending goes to programs?
In the fiscal year ending June 30, 2025, Cherokee Health Systems reported that 78.5% of its $81.2 million in expenses went to program services, 21.5% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Cherokee Health Systems pay its top executive?
The largest total compensation Cherokee Health Systems reported for one person in the fiscal year ending June 30, 2025 was $403,079, for the role of CEO (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Cherokee Health Systems get its money?
Of $94.1 million in revenue in the fiscal year ending June 30, 2025, 26.0% came from contributions and grants (including 23.8% from government grants) and 70.3% from program service revenue (Form 990, Part VIII).
Is Cherokee Health Systems a registered charity?
The IRS lists EIN 62-0637925 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202631039349300528 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202541019349300319 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202401349349301925 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202321359349304872 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202231369349306293 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202131369349301233 · read the filing
All filings for EIN 62-0637925: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.