A home health agency in Delray Beach, FL. It ran an operating loss of 24.9% in FY24 on $1.9M of operating revenue. It held 1 day of cash on hand (7th percentile among home health agencies on liquidity). Only a single comparable reporting year is available, so trend context is limited. On care, it carries a 4-star CMS quality rating and 4-star patient experience. Its within-stay preventable hospitalization runs 7.6%. On the filed record it is running at an operating loss with strong measured quality. Source-reported context, not a recommendation.
Quality of patient care star
4★
Verified fact2026
Source: CMS Care Compare
HHCAHPS patient-survey star
4★
Verified fact2026
Source: CMS HHCAHPS
Operating margin · FY24
-24.9%
▼ 1.4 pts vs FY23
vs home health agencies9th pctl of 6,394 (FY24)
Within-stay preventable hospitalization
7.6%
Verified fact2026
Source: CMS Care Compare
Where REAL SOLUTIONS HOME sits among home health agencies
Operating margin · FY24 pool · n = 6,394 of 8,555 filed
Each point is one home health agency in the national 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 median is +4.1%. Descriptive context only, not a ranking.
One home health agencyREAL SOLUTIONShome 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 renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.
Operating margin
-24.9% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-19.9% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
1d (FY24)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
Not reported in this filing
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
15% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not reported in this filing
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
2,717
2,356
1,907
Total operating revenue
2,717
2,356
1,907
Total operating expenses
3,065
2,910
2,382
Operating income
(348)
(554)
(475)
Operating margin %
-12.8%
-23.5%
-24.9%
Other non-operating, net
351
79
80
Net income
3
(475)
(395)
Net income %
+0.1%
-19.5%
-19.9%
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 evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Quality of patient care star
4★
Verified fact2026
CMS Care Compare
HHCAHPS patient-survey star
4★
Verified fact2026
CMS HHCAHPS
Timely initiation of care
99.8%
Verified fact2026
CMS Care Compare
Improvement in ambulation
89.2%
Verified fact2026
CMS Care Compare
Improvement in dyspnea
94.2%
Verified fact2026
CMS Care Compare
Within-stay preventable hospitalization
7.6%
Verified fact2026
CMS Care Compare
Discharge to community
73.7%
Proxy2024
CMS HHVBP
Rated care 9–10
97.0%
Proxy2026
CMS HHCAHPS
ZIP codes served
42
Proxy2026
CMS HH PUF
Total visits
13,388
Verified fact2024
HCRIS CMS-1728
Total episodes
670
Verified fact2024
HCRIS CMS-1728
Unduplicated patients
387
Verified fact2024
HCRIS CMS-1728
Cost per visit ($)
177.94
Verified fact2024
HCRIS CMS-1728
Medicare revenue share
77.8%
Verified fact2024
HCRIS CMS-1728
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this home health agency serves
Palm Beach County, FL · metro, 1M+ population
Median household income
$81.1K
vs $82.1K US · $59.7K rural median
Poverty rate
11.1%
vs 12.5% US · 14.3% rural median
Uninsured
13.2%
vs 8.6% US · 8.4% rural median
Age 65+
24.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 4.7% of county personal income is Medicare/Medicaid medical benefits; 11.3% arrives as government transfers (BEA, 2022).
Opportunity screen · FY23
≈ $213K
of annual opportunity identified against peer medians across 2 measures
Directional, conservative band. Arithmetic against matched-peer medians from public filings, not a projection; public data cannot fully control for patient acuity.
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