Astrelis
Home health agency · Charles City, IA

FLOYD COUNTY PUBLIC HEALTH/ HOME HEALTH CARE

CCN 167051Floyd CountyGOVERNMENT OPERATEDLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY25. Margin and revenue are as filed for FY25. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read

A home health agency in Charles City, IA. It ran an operating loss of 88.0% in FY25 on $0.5M of operating revenue. Operating margin declined from -50.5% in FY21 to -88.0% in FY25. Including nonoperating items, the all-in result was positive at 0.0%. On care, it carries a 2.5-star CMS quality rating. Its within-stay preventable hospitalization runs 9.6%. On the filed record it is running at an operating loss with lower measured quality. Source-reported context, not a recommendation.

Quality of patient care star
2.5
Verified fact2026
Source: CMS Care Compare
Days cash on hand
Not available
vs home health agencies
Operating margin · FY25
-88.0%
17.8 pts vs FY24
vs home health agencies0th pctl of 6,394 (FY24)
Within-stay preventable hospitalization
9.6%
Verified fact2026
Source: CMS Care Compare
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=6,394).

Where FLOYD COUNTY PUBLIC 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.

This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=6,394).
-20%-10%0%+10%+20%home health agency median +4.095%FLOYD COUNTY -87.98%-20%0%+20%home health agency median +4.095%FLOYD COUNTY -87.98%
One home health agencyFLOYD COUNTYhome 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
-88.0% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
0.0% (FY23)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
Not reported in this filing
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
Not reported in this filing
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 itemFY23
Patient revenue632
Total operating revenue632
Total operating expenses1,104
Operating income(472)
Operating margin %-74.7%
Other non-operating, net472
Net income0
Net income %0.0%
1 of 3 years available for this statement.
HCRIS CMS-1728 cost report · $ thousands · FY21–FY25 · operating revenue reflects net patient service revenue · FY20–21 may include COVID-era relief funding
A condensed balance sheet is not shown for this home health agency: the public cost report does not carry substantive balance-sheet detail (assets, liabilities, and net assets that reconcile) for this provider. 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 evidence class and public source; descriptive context only, never a ranking or adequacy claim.

Quality of patient care star
2.5
Verified fact2026
CMS Care Compare
Timely initiation of care
97.2%
Verified fact2026
CMS Care Compare
Improvement in ambulation
70.5%
Verified fact2026
CMS Care Compare
Improvement in dyspnea
77.1%
Verified fact2026
CMS Care Compare
Within-stay preventable hospitalization
9.6%
Verified fact2026
CMS Care Compare
Discharge to community
77.8%
Proxy2024
CMS HHVBP
Rated care 9–10
89.0%
Proxy2026
CMS HHCAHPS
ZIP codes served
8
Proxy2026
CMS HH PUF
Total visits
7,892
Verified fact2025
HCRIS CMS-1728
Total episodes
114
Verified fact2025
HCRIS CMS-1728
Unduplicated patients
184
Verified fact2025
HCRIS CMS-1728
Cost per visit ($)
121.06
Verified fact2025
HCRIS CMS-1728
Medicare revenue share
37.9%
Verified fact2025
HCRIS CMS-1728

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-50.5%-75.5%-74.6%-70.2%-88.0%FY21FY22FY23FY24FY25
Days cash on hand
Not available

The county this home health agency serves

Floyd County, IA · nonmetro, urban 5–20K
Median household income
$64.5K
vs $82.1K US · $59.7K rural median
Poverty rate
11.4%
vs 12.5% US · 14.3% rural median
Uninsured
4.1%
vs 8.6% US · 8.4% rural median
Age 65+
22.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.3% of county personal income is Medicare/Medicaid medical benefits; 22.4% 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 · 2026-07-26