CCN 167081Buena Vista CountyGOVERNMENT OPERATEDLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Quality of patient care star (1–5): 2 stars in FY2026. Operating margin: -179.1% in FY2025, the 3rd percentile of 6,425 home health agencies in the FY2025 pool. Within-stay preventable hospitalization: 8.8% in FY2026. Total operating revenue: $0.5M in FY2025, the 9th percentile of 6,434 home health agencies in the FY2025 pool. Total margin (including nonoperating): -97.0% in FY2025, the 1st 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 Storm Lake, IA. It ran an operating loss of 179.1% in FY25 on $0.5M of operating revenue. Operating margin improved from -212.9% in FY21 to -179.1% in FY25. On care, it carries a 2-star CMS quality rating. Its within-stay preventable hospitalization rate is 8.8%. 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 (1–5)
2★
Reported value2026
Source: CMS Care Compare
Days cash on hand
Astrelis calculation unavailable
Operating margin · FY25
-179.1%
Astrelis calculation · as-filed inputs
▲ 46.8 pts vs FY24
vs home health agencies3rd 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 BUENA VISTA COUNTY 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 agencyBUENA VISTAhome 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
-179.1% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-97.0% (FY25)
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
$ in thousands
Line item
FY25
Patient revenue
478
Total operating revenue
478
Total operating expenses
1,334
Operating income
(856)
Operating margin %
-179.1%
Other non-operating, net
199
Net income
(657)
Net income %
-97.0%
1 of 3 years available for this statement.
— = Not reported in source for that year.
HCRIS CMS-1728 cost report · $ thousands · FY21–FY25 · operating revenue reflects net patient service revenue · FY20–21 may include COVID-era relief funding
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.
Display states.FY25 · Operating margin: -179.1% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY24 · Operating margin: -226.0% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY23 · Operating margin: -210.2% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY22 · Operating margin: -217.0% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY21 · Operating margin: -212.9% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)
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)
2★
Reported value2026
CMS Care Compare
Timely initiation of care
92.9%
Reported value2026
CMS Care Compare
Improvement in ambulation
67.6%
Reported value2026
CMS Care Compare
Improvement in dyspnea
74.6%
Reported value2026
CMS Care Compare
Within-stay preventable hospitalization
8.8%
Reported value2026
CMS Care Compare
Discharge to community
59.1%
Reported value2024
CMS HHVBP
Rated care 9–10 (% of patients)
92.0%
Reported value2026
CMS HHCAHPS
ZIP codes served
9
Reported value2026
CMS HH PUF
Total visits
4,122
Reported value2025
HCRIS CMS-1728
Total episodes
53
Reported value2025
HCRIS CMS-1728
Visits per episode
77.80
Astrelis calculation2025
Astrelis calculation — total visits ÷ total episodes, both reported above (HCRIS CMS-1728)
Unduplicated patients
168
Reported value2025
HCRIS CMS-1728
Cost per visit ($)
323.71
Reported value2025
HCRIS CMS-1728
Medicare revenue share
23.0%
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
Buena Vista County, IA · nonmetro, urban 5–20K
Median household income
$66.6K
vs $82.1K US · $59.7K rural median
Poverty rate
8.2%
vs 12.5% US · 14.3% rural median
Uninsured
6.5%
vs 8.6% US · 8.4% rural median
Age 65+
16.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.8% of county personal income is Medicare/Medicaid medical benefits; 19.2% 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: Limited Facility Benchmark. 13 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.
The Board Briefing
Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
$1,000delivered within 2 business days of invoice
Reservation: invoice after coverage confirmation. No payment is collected on this site.
Astrelis Atlas, "Buena Vista County Public Health And Home Care", https://astrelis.co/providers/home_health/167081, 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/167081.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.
