Historical record. CMS lists this CCN as terminated (voluntary - merger/closure). No successor CCN is recorded. The financials below are the historical results reported under this number and are excluded from current peer comparisons and state counts.
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY24, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY21, the most recent year that passed the display gate. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A home health agency in Spirit Lake, IA. It ran an operating loss of 170.5% in FY25 on $0.2M of operating revenue. It held 1 day of cash on hand in FY21, its most recent reported liquidity (17th percentile of 5,598 home health agencies on liquidity, FY21 pool). 6 reporting years are on file, but revenue scale shifts too much between them for a like-for-like trend, so trend context is limited. On care, it carries a 4-star CMS quality rating. Its within-stay preventable hospitalization runs 6.3%. These figures come from filings spanning FY21–FY25: read each by its own year rather than as one current picture.
Quality of patient care star (1–5)
4★
Reported value2026
Source: CMS Care Compare
Days cash on hand · FY21
1d
all sources
Astrelis calculation · as-filed inputs
vs home health agencies17th pctl of 5,598 (FY21 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Operating margin · FY25
-170.5%
Astrelis calculation · as-filed inputs
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
6.3%
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
-170.5% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-168.8% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
1d (FY21)
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
93% (FY24)
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
FY23
FY24
FY25
Patient revenue
699
496
157
Total operating revenue
699
496
157
Total operating expenses
840
706
425
Operating income
(141)
(210)
(268)
Operating margin %
-20.2%
-42.4%
-170.5%
Other non-operating, net
0
2
1
Net income
(141)
(208)
(267)
Net income %
-20.2%
-41.7%
-168.8%
— = 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.FY25 · Operating margin: -170.5% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY25 · Total margin: -168.8% — 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)
4★
Reported value2026
CMS Care Compare
Timely initiation of care
98.0%
Reported value2026
CMS Care Compare
Improvement in ambulation
88.7%
Reported value2026
CMS Care Compare
Improvement in dyspnea
96.5%
Reported value2026
CMS Care Compare
Within-stay preventable hospitalization
6.3%
Reported value2026
CMS Care Compare
Discharge to community
77.4%
Reported value2024
CMS HHVBP
Rated care 9–10 (% of patients)
87.0%
Reported value2026
CMS HHCAHPS
ZIP codes served
14
Reported value2026
CMS HH PUF
Total visits
1,331
Reported value2025
HCRIS CMS-1728
Total episodes
28
Reported value2025
HCRIS CMS-1728
Visits per episode
47.50
Astrelis calculation2025
Astrelis calculation — total visits ÷ total episodes, both reported above (HCRIS CMS-1728)
Unduplicated patients
45
Reported value2025
HCRIS CMS-1728
Cost per visit ($)
319.23
Reported value2025
HCRIS CMS-1728
Medicare revenue share
47.5%
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
Dickinson County, IA · nonmetro, urban 5–20K
Median household income
$74.6K
vs $82.1K US · $59.7K rural median
Poverty rate
6.3%
vs 12.5% US · 14.3% rural median
Uninsured
3.7%
vs 8.6% US · 8.4% rural median
Age 65+
27.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 6.8% of county personal income is Medicare/Medicaid medical benefits; 17.7% arrives as government transfers (BEA, 2022).
Report coverage: Historical Facility Benchmark. 14 of 14 facility measures available from public sources. This CCN is terminated. The report benchmarks the record's final filed years against their own contemporaneous peer pools and says so on every exhibit; no current-year comparison is implied. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
The Board Briefing
The record's final filed years, benchmarked against the peer pools of their own era and labeled so on every exhibit.
$1,000delivered within 2 business days of invoice
Reservation: invoice after coverage confirmation. No payment is collected on this site.
