Operating margin: -80.6% in FY2024, the 1st percentile of 408 psychiatric hospitals in the FY2024 pool. Days cash on hand: 353 days in FY2025, the 96th percentile of 413 psychiatric hospitals in the FY2025 pool. Total operating revenue: $23.4M in FY2025, the 46th percentile of 503 psychiatric hospitals in the FY2025 pool. Total margin (including nonoperating): +9.8% in FY2024, the 55th percentile of 408 psychiatric hospitals in the FY2024 pool. Figures as filed; not audited by Astrelis.
Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY25, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY25, the most recent year that passed the display gate. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Melbourne, FL. It ran an operating loss of 80.6% in FY24 on $23.4M of operating revenue. It held 353 days of cash on hand in FY25, its most recent reported liquidity (96th percentile of 413 Psychiatric hospitals on liquidity, FY25 pool). Operating margin declined from -50.2% in FY21 to -80.6% in FY24. Including nonoperating items, the all-in result was positive at 9.8%.
Operating margin · FY24
-80.6%
Astrelis calculation · as-filed inputs
▼ 18.6 pts vs FY23
vs Psychiatric hospitals1st pctl of 408 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
353d
all sources
Astrelis calculation · as-filed inputs
▲ 52 days vs FY24
vs Psychiatric hospitals96th pctl of 413 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$23.4M
Astrelis calculation · as-filed inputs
▼ $3.8M vs FY24
vs Psychiatric hospitals46th pctl of 503 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY24
+9.8%
Astrelis calculation · as-filed inputs
▲ 2.5 pts vs FY23
vs Psychiatric hospitals55th pctl of 408 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at CIRCLES OF CARE, INC is about $234K per year (1% of FY25 total operating revenue).
Where CIRCLES OF CARE, sits among Psychiatric hospitals
Operating margin · FY24 pool · n = 408 of 608 filed
Each point is one Psychiatric hospital in the national FY24 distribution for Psychiatric hospitals, this hospital's comparison cohort, 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 Psychiatric hospital FY24 median is +5.8%. Descriptive context only, not a ranking.
One psychiatric hospitalCIRCLES OFPsychiatric hospital median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this hospital 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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Net patient receivables × days in the report's own period ÷ net patient revenue, same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
26,246
25,442
23,059
Other operating revenue
3,881
1,749
323
Total operating revenue
30,127
27,191
23,381
Total operating expenses
48,800
49,102
48,981
Operating income
(18,673)
(21,911)
(25,600)
Operating margin %
-62.0%
-80.6%
—
Grants & contributions
19,433
17,976
18,833
Investment income
2,411
4,112
3,705
Other non-operating, net
664
5,163
7,256
Net income
3,834
5,341
4,195
Net income %
+7.3%
+9.8%
—
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states.FY25 · Net patient A/R: 1,533K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY25 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -25,923K · Net patient revenue 23,059KFY24 · Net patient A/R: 6,650K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY23 · Net patient A/R: 4,241K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY22 · Net patient A/R: 3,457K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY21 · Net patient A/R: 1,570K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))
How it operates
quality & operational context · CMS public reporting
A 52-bed psychiatric hospital running at 36% occupancy, where the average stay runs 4.8 days, and operating cost runs $7,217 per patient day.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
35.8%
Reported value2025
HCRIS WS S-3
Average daily census
18.59
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
52
Reported value2025
HCRIS WS S-3
Annual discharges
1,416
Reported value2025
HCRIS WS S-3
Average length of stay
5 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$7,217
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$34,591
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
29.3%
Reported value2025
HCRIS WS G-2 L28
How the care measures up
No public quality measures are reported for this facility in the current Care Compare refresh.
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
BREVARD County, FL
Median household income
$75.8K
vs $82.1K US
Poverty rate
9.9%
vs 12.5% US
Uninsured
9.9%
vs 8.6% US
Age 65+
24.2%
vs 16.8% US
Fair or poor health
18.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.3% of county personal income is Medicare/Medicaid medical benefits; 24.4% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Brevard County
Illustrative estimate · FY25 cost report
Direct annual spending
$49.0M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$112.7M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY24Astrelis calculation
Operating margin vs its peer pool: FY24 pool · n = 408.
Performance Benchmark Report: FY24 peer pool · n = 408 · conservative low band; acuity limits stated in the report.
Report coverage: Limited Facility Benchmark. 12 of 17 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
The Board Briefing
Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
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Astrelis Atlas, "Circles Of Care, Inc", https://astrelis.co/hospitals/104024, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/hospitals/104024.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. 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.
