A home health agency in Osage, IA. It ran an operating loss of 21.8% in FY25 on $1.0M of operating revenue. Operating margin improved from -50.1% in FY21 to -21.8% in FY25. On care, it carries a 4-star CMS quality rating and 4-star patient experience. Its within-stay preventable hospitalization runs 10.8%. 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 (1–5)
4★
Reported value2026
Source: CMS Care Compare
HHCAHPS patient-survey star (1–5)
4★
Reported value2026
Source: CMS HHCAHPS
Operating margin · FY25
-21.8%
Astrelis calculation · as-filed inputs
▲ 2.1 pts vs FY24
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY25)
Within-stay preventable hospitalization
10.8%
Reported value2026
Source: CMS Care Compare
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
-21.8% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
Not reported in source
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
Not reported in source
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
Not reported in source
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
Balance sheet: Not reported in source — the public cost report does not carry substantive balance-sheet detail (assets, liabilities, and net assets that reconcile) for this home health agency. The income statement and ratio exhibit above are the reliable financial view here. We lead with those rather than render a hollow table.
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)
4★
Reported value2026
CMS Care Compare
HHCAHPS patient-survey star (1–5)
4★
Reported value2026
CMS HHCAHPS
Timely initiation of care
97.5%
Reported value2026
CMS Care Compare
Improvement in ambulation
99.2%
Reported value2026
CMS Care Compare
Improvement in dyspnea
91.9%
Reported value2026
CMS Care Compare
Within-stay preventable hospitalization
10.8%
Reported value2026
CMS Care Compare
Discharge to community
69.6%
Reported value2024
CMS HHVBP
Rated care 9–10 (% of patients)
82.0%
Reported value2026
CMS HHCAHPS
ZIP codes served
10
Reported value2026
CMS HH PUF
Total visits
10,703
Reported value2025
HCRIS CMS-1728
Total episodes
142
Reported value2025
HCRIS CMS-1728
Visits per episode
75.40
Astrelis calculation2025
Astrelis calculation — total visits ÷ total episodes, both reported above (HCRIS CMS-1728)
Unduplicated patients
195
Reported value2025
HCRIS CMS-1728
Cost per visit ($)
118.04
Reported value2025
HCRIS CMS-1728
Medicare revenue share
34.7%
Reported value2025
HCRIS CMS-1728
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this home health agency serves
Mitchell County, IA · nonmetro, rural, remote
Median household income
$68.7K
vs $82.1K US · $59.7K rural median
Poverty rate
6.9%
vs 12.5% US · 14.3% rural median
Uninsured
7.3%
vs 8.6% US · 8.4% rural median
Age 65+
21.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.3% of county personal income is Medicare/Medicaid medical benefits; 11.6% arrives as government transfers (BEA, 2022).
A facility-specific dollar comparison cannot be calculated because a valid same-year peer pool was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.
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.
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Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
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