Astrelis
Home health agency · Miami, FL

TOTAL NURSING SERVICES, INC.

CCN 107769Miami-Dade CountyPROPRIETARYLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A home health agency in Miami, FL. It ran an operating loss of 8.4% in FY22 on $1.4M of operating revenue. It held 79 days of cash on hand (80th percentile among home health agencies on liquidity). Operating margin declined from 2.7% in FY20 to -8.4% in FY22. Its within-stay preventable hospitalization runs 8.8%.

Days cash on hand · FY22
79d
all sources
6.6 days vs FY21
vs home health agencies80th pctl of 4,699 (FY24)
Total operating revenue · FY22
$1.4M
0.0 $M vs FY21
vs home health agencies34th pctl of 6,669 (FY24)
Operating margin · FY22
-8.4%
8.7 pts vs FY21
vs home health agencies22nd pctl of 6,394 (FY24)
Within-stay preventable hospitalization
8.8%
Verified fact2026
Source: CMS Care Compare

Where TOTAL NURSING SERVICES, 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.

-20%-10%0%+10%+20%home health agency median +4.095%TOTAL NURSING -8.45%-20%0%+20%home health agency median +4.095%TOTAL NURSING -8.45%
One home health agencyTOTAL NURSINGhome 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
-8.4% (FY22)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-8.3% (FY22)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
79d (FY22)
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
-37% (FY22)
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 itemFY20FY21FY22
Patient revenue1,3501,3331,358
Total operating revenue1,3501,3331,358
Total operating expenses1,3141,3301,473
Operating income373(115)
Operating margin %+2.7%+0.2%-8.5%
Other non-operating, net13012
Net income1674(113)
Net income %+11.3%+0.3%-8.3%
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.

Timely initiation of care
87.1%
Verified fact2026
CMS Care Compare
Within-stay preventable hospitalization
8.8%
Verified fact2026
CMS Care Compare
Discharge to community
78.9%
Proxy2024
CMS HHVBP
Rated care 9–10
67.0%
Proxy2026
CMS HHCAHPS
ZIP codes served
25
Proxy2026
CMS HH PUF
Visits / episodes
1,672
Verified fact2022
CMS HH PUF

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+2.7%+0.2%-8.4%FY20FY21FY22FY23FY24
Days cash on hand
103 days86 days79 daysFY20FY21FY22FY23FY24

The county this home health agency serves

Miami-Dade County, FL · metro, 1M+ population
Median household income
$68.7K
vs $82.1K US · $59.7K rural median
Poverty rate
14.9%
vs 12.5% US · 14.3% rural median
Uninsured
14.3%
vs 8.6% US · 8.4% rural median
Age 65+
16.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.6% of county personal income is Medicare/Medicaid medical benefits; 18.5% arrives as government transfers (BEA, 2022).

Home Health Performance Benchmark$2,500Founding Edition

Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

build aa21187 · 2026-07-25