Financial anchor year: FY23. Margin and revenue are as filed for FY23. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY24, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY24, 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 home health agency in Palm Desert, CA. It ran an operating loss of 7.1% in FY23 on $1.3M of operating revenue. It held 318 days of cash on hand in FY24, its most recent reported liquidity (87th percentile of 5,525 home health agencies on liquidity, FY24 pool). Operating margin declined from 45.8% in FY20 to -7.1% in FY23. On care, it carries a 2.5-star CMS quality rating and 2-star patient experience. Its within-stay preventable hospitalization runs 10.7%. On the filed record it is running at an operating loss with lower measured quality. Source-reported context, not a recommendation.
Quality of patient care star (1–5)
2.5★
Reported value2026
Source: CMS Care Compare
HHCAHPS patient-survey star (1–5)
2★
Reported value2026
Source: CMS HHCAHPS
Operating margin · FY23
-7.1%
Astrelis calculation · as-filed inputs
▼ 60.6 pts vs FY22
vs home health agencies28th pctl of 6,828 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Within-stay preventable hospitalization
10.7%
Reported value2026
Source: CMS Care Compare
Where GUARDIAN ANGEL HOME sits among home health agencies
Operating margin · FY23 pool · n = 6,828 of 7,624 filed
Each point is one home health agency in the national FY23 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 home health agency FY23 median is +3.1%. Descriptive context only, not a ranking.
One home health agencyGUARDIAN ANGELhome health agency median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this home health agency 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.
Operating margin
-7.1% (FY23)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-7.1% (FY23)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
318d (FY24)
Cash & investments ÷ daily operating expense
Astrelis calculation · HCRIS WS G / G-3
Current ratio
Not reported in source
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
29% (FY24)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
Not reported in source
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY20
FY22
FY23
Patient revenue
1,281
1,103
1,316
Total operating revenue
1,281
1,103
1,316
Total operating expenses
694
512
1,410
Operating income
587
590
(93)
Operating margin %
+45.8%
+53.5%
-7.1%
Net income
587
590
(93)
Net income %
+45.8%
+53.5%
-7.1%
— = Not reported in source for that year.
HCRIS CMS-1728 cost report · $ thousands · FY20–FY24 · operating revenue reflects net patient service revenue · FY20–21 may include COVID-era relief funding
How it operates
quality & operational context · CMS public reporting
The metrics this home health agency 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.
Quality of patient care star (1–5)
2.5★
Reported value2026
CMS Care Compare
HHCAHPS patient-survey star (1–5)
2★
Reported value2026
CMS HHCAHPS
Timely initiation of care
90.2%
Reported value2026
CMS Care Compare
Improvement in ambulation
90.0%
Reported value2026
CMS Care Compare
Improvement in dyspnea
86.7%
Reported value2026
CMS Care Compare
Within-stay preventable hospitalization
10.7%
Reported value2026
CMS Care Compare
Discharge to community
68.3%
Reported value2024
CMS HHVBP
Rated care 9–10 (% of patients)
81.0%
Reported value2026
CMS HHCAHPS
ZIP codes served
22
Reported value2026
CMS HH PUF
Total visits
10,297
Reported value2024
HCRIS CMS-1728
Total episodes
748
Reported value2024
HCRIS CMS-1728
Visits per episode
13.80
Astrelis calculation2024
Astrelis calculation — total visits ÷ total episodes, both reported above (HCRIS CMS-1728)
Unduplicated patients
407
Reported value2024
HCRIS CMS-1728
Cost per visit ($)
165.12
Reported value2024
HCRIS CMS-1728
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this home health agency serves
Riverside County, CA · metro, 1M+ population
Median household income
$89.7K
vs $82.1K US · $59.7K rural median
Poverty rate
11.1%
vs 12.5% US · 14.3% rural median
Uninsured
8.0%
vs 8.6% US · 8.4% rural median
Age 65+
15.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
24.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.1% of county personal income is Medicare/Medicaid medical benefits; 20.6% arrives as government transfers (BEA, 2022).
Operating margin vs its peer poolFY23Astrelis calculation
A facility-specific dollar comparison cannot be calculated because a benchmark input was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.
Operating margin vs its peer pool: FY23 pool · n = 6,828.
Report coverage: Standard Facility Benchmark. 14 of 14 facility measures available from public sources. Every declared facility measure is available for this record, benchmarked against its same-year peer pools. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
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