Astrelis
Home health agency · Fresno, CA

GUARDIAN ANGEL HOME CARE OF FRESNO LLC

CCN 059773Fresno CountyNON-PROFITLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis

Quality of patient care star (1–5): 3 stars in FY2026. Days cash on hand: 603 days in FY2024, the 89th percentile of 5,506 home health agencies in the FY2024 pool. Operating margin: +4.2% in FY2024, the 52nd percentile of 6,615 home health agencies in the FY2024 pool. Total operating revenue: $0.5M in FY2024, the 9th percentile of 6,626 home health agencies in the FY2024 pool. Total margin (including nonoperating): +4.2% in FY2024, the 48th percentile of 6,603 home health agencies in the FY2024 pool. Figures as filed; not audited by Astrelis.

The read

A home health agency in Fresno, CA. It ran an operating surplus of 4.2% in FY24 on $0.5M of operating revenue. It held 603 days of cash on hand (89th percentile of 5,506 home health agencies on liquidity, FY24 pool). 4 reporting years are on file, but revenue scale shifts too much between them for a comparable trend, so trend context is limited. On care, it carries a 3-star CMS quality rating. On the filed record it is comfortably profitable with mid-range measured quality. Source-reported context, not a recommendation.

Quality of patient care star (1–5)
3★
Reported value2026
Source: CMS Care Compare
Days cash on hand · FY24
603d
all sources
Astrelis calculation · as-filed inputs
▲ 19 days vs FY23
vs home health agencies89th pctl of 5,506 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Operating margin · FY24
+4.2%
Astrelis calculation · as-filed inputs
▼ 42.0 pts vs FY22
vs home health agencies52nd pctl of 6,615 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY24
$0.5M
Astrelis calculation · as-filed inputs
▼ $0.5M vs FY22
vs home health agencies9th pctl of 6,626 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values

Where GUARDIAN ANGEL HOME sits among home health agencies

Operating margin · FY24 pool · n = 6,615 of 7,624 filed

Each point is one home health agency in the national FY24 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 FY24 median is +3.5%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%home health agency median +3.5%GUARDIAN ANGEL +4.2%
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
+4.2% (FY24)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+4.2% (FY24)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
603d (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
83% (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 itemFY21FY22FY24
Patient revenue1,338993450
Total operating revenue1,338993450
Total operating expenses766534431
Operating income57245819
Operating margin %+42.8%+46.2%+4.2%
Net income57245819
Net income %+42.8%+46.2%+4.2%
— = Not reported in source for that year.
HCRIS CMS-1728 cost report · $ thousands · FY20–FY25 · operating revenue reflects net patient service revenue · FY20–21 may include COVID-era relief funding
Display states. FY25 · Filed figures — Not reported in source (a cost report exists for this year but none of its mapped statement values were reported)

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)
3★
Reported value2026
CMS Care Compare
Timely initiation of care
89.2%
Reported value2026
CMS Care Compare
Improvement in ambulation
87.2%
Reported value2026
CMS Care Compare
Improvement in dyspnea
97.4%
Reported value2026
CMS Care Compare
Discharge to community
58.2%
Reported value2024
CMS HHVBP
Rated care 9–10 (% of patients)
54.0%
Reported value2026
CMS HHCAHPS
ZIP codes served
32
Reported value2026
CMS HH PUF
Visits / episodes
1,978
Reported value2023
CMS HH PUF

Trajectory

Cost-report basis · 6 reporting years
Operating margin
+35.5%+42.8%+46.2%+4.2%FY20FY21FY22FY23FY24FY25
Days cash on hand
288 days705 days1,302 days584 days603 daysFY20FY21FY22FY23FY24FY25

The county this home health agency serves

Fresno County, CA · metro, 1M+ population
Median household income
$71.4K
vs $82.1K US · $59.7K rural median
Poverty rate
18.7%
vs 12.5% US · 14.3% rural median
Uninsured
7.0%
vs 8.6% US · 8.4% rural median
Age 65+
12.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
27.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.2% of county personal income is Medicare/Medicaid medical benefits; 26.3% arrives as government transfers (BEA, 2022).
Operating margin vs its peer poolFY24Astrelis calculation

4.2% operating margin — 52nd percentile of 6,615 peers (FY24 pool).

The Board Briefing

Operating margin declined 42.0 points vs FY22 — the briefing traces why, line by line.

Reserve The Board Briefing →
Performance Benchmark Report

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.

Reserve Performance Benchmark Report →
How we calculated this

Operating margin vs its peer pool: FY24 pool · n = 6,615.

Report coverage: Limited Facility Benchmark. 12 of 14 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.

Home Health Performance Benchmark

Utilization-pattern and cost benchmarks against matched peers. Directional screens; public data cannot fully control for acuity.

$2,500Founding Edition · built to order, first edition · invoice after coverage confirmation · within 30 days
Reservation: invoice after coverage confirmation. No payment is collected on this site. Full refund if the published scope cannot be delivered.

Portfolio Performance Review

A roster-priced triage of the per-facility benchmarks: every facility on your roster, benchmarked and sorted. Requires only a CCN roster.

From $7,500Founding Edition · built to order, first edition · priced by roster size · invoice after coverage confirmation · within 30 days
Request: scoped and quoted before any invoice. No payment is collected on this site.

Cite this page

release 2321a4fc37a7 · 2026-10-22

Astrelis Atlas, "Guardian Angel Home Care Of Fresno Llc", https://astrelis.co/providers/home_health/059773, 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/providers/home_health/059773.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.

build 2321a4fc37a7 · 2026-10-22 · dev