Days cash on hand: 74 days in FY2025, the 73rd percentile of 5,303 home health agencies in the FY2025 pool. Total operating revenue: $1.6M in FY2025, the 38th percentile of 6,434 home health agencies in the FY2025 pool. Operating margin: +7.4% in FY2025, the 61st percentile of 6,425 home health agencies in the FY2025 pool. Within-stay preventable hospitalization: 8.8% in FY2026. Total margin (including nonoperating): +7.8% in FY2025, the 58th percentile of 6,416 home health agencies in the FY2025 pool. Figures as filed; not audited by Astrelis.
The read
A home health agency in Miami, FL. It ran an operating surplus of 7.4% in FY25 on $1.6M of operating revenue. It held 74 days of cash on hand (73rd percentile of 5,303 home health agencies on liquidity, FY25 pool). Operating margin improved from 2.7% in FY20 to 7.4% in FY25. Its within-stay preventable hospitalization rate is 8.8%.
Days cash on hand · FY25
74d
all sources
Astrelis calculation · as-filed inputs
▼ 5 days vs FY22
vs home health agencies73rd pctl of 5,303 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$1.6M
Astrelis calculation · as-filed inputs
▲ $0.2M vs FY22
vs home health agencies38th pctl of 6,434 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Operating margin · FY25
+7.4%
Astrelis calculation · as-filed inputs
▲ 15.8 pts vs FY22
vs home health agencies61st pctl of 6,425 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Within-stay preventable hospitalization
8.8%
Reported value2026
Source: CMS Care Compare
Where TOTAL NURSING SERVICES, sits among home health agencies
Operating margin · FY25 pool · n = 6,425 of 7,624 filed
Each point is one home health agency in the national FY25 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 FY25 median is +3.3%. Descriptive context only, not a ranking.
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 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
+7.4% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+7.8% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
74d (FY25)
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
18% (FY25)
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
FY21
FY22
FY25
Patient revenue
1,333
1,358
1,584
Total operating revenue
1,333
1,358
1,584
Total operating expenses
1,330
1,473
1,467
Operating income
3
(115)
117
Operating margin %
+0.2%
-8.4%
+7.4%
Other non-operating, net
0
2
8
Net income
4
(113)
125
Net income %
+0.3%
-8.3%
+7.8%
— = 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.FY23 · Filed figures — Not reported in source (a cost report exists for this year but none of its mapped statement values were reported)FY24 · 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.
Timely initiation of care
87.1%
Reported value2026
CMS Care Compare
Within-stay preventable hospitalization
8.8%
Reported value2026
CMS Care Compare
Discharge to community
78.9%
Reported value2024
CMS HHVBP
Rated care 9–10 (% of patients)
67.0%
Reported value2026
CMS HHCAHPS
ZIP codes served
25
Reported value2026
CMS HH PUF
Total visits
48,957
Reported value2025
HCRIS CMS-1728
Total episodes
93
Reported value2025
HCRIS CMS-1728
Visits per episode
526.40
Astrelis calculation2025
Astrelis calculation — total visits ÷ total episodes, both reported above (HCRIS CMS-1728)
Unduplicated patients
59
Reported value2025
HCRIS CMS-1728
Cost per visit ($)
29.97
Reported value2025
HCRIS CMS-1728
Medicare revenue share
15.8%
Reported value2025
HCRIS CMS-1728
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
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).
Operating margin vs its peer poolFY25Astrelis 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: FY25 pool · n = 6,425.
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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Astrelis Atlas, "Total Nursing Services, Inc.", https://astrelis.co/providers/home_health/107769, 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/107769.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.
