A home health agency in Des Moines, IA. It ran an operating loss of 31.2% in FY23 on $1.4M of operating revenue. It held 1 day of cash on hand (9th percentile among home health agencies on liquidity). Operating margin declined from -28.2% in FY20 to -31.2% in FY23. On care, it carries a 2-star CMS quality rating and 2-star patient experience. 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★
Verified fact2026
Source: CMS Care Compare
HHCAHPS patient-survey star
2★
Verified fact2026
Source: CMS HHCAHPS
Operating margin · FY23
-31.2%
▼ 3.1 pts vs FY22
vs home health agencies7th pctl of 6,394 (FY24)
Days cash on hand · FY23
1d
all sources
▼ 12.6 days vs FY22
vs home health agencies9th pctl of 4,699 (FY24)
Where OPTIMAE HOME HEALTH 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.
One home health agencyOPTIMAE HOMEhome 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
-31.2% (FY23)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-30.7% (FY23)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
1d (FY23)
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
-805% (FY23)
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 item
FY21
FY22
FY23
Patient revenue
1,458
1,265
1,364
Total operating revenue
1,458
1,265
1,364
Total operating expenses
1,785
1,620
1,789
Operating income
(328)
(355)
(425)
Operating margin %
-22.5%
-28.1%
-31.2%
Other non-operating, net
0
5
5
Net income
(328)
(350)
(420)
Net income %
-22.5%
-27.6%
-30.7%
HCRIS CMS-1728 cost report · $ thousands · FY20–FY24 · operating revenue reflects net patient service revenue · FY20–21 may include COVID-era relief funding
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★
Verified fact2026
CMS Care Compare
HHCAHPS patient-survey star
2★
Verified fact2026
CMS HHCAHPS
Timely initiation of care
99.1%
Verified fact2026
CMS Care Compare
Improvement in ambulation
77.3%
Verified fact2026
CMS Care Compare
Improvement in dyspnea
65.5%
Verified fact2026
CMS Care Compare
Discharge to community
52.9%
Proxy2024
CMS HHVBP
Rated care 9–10
74.0%
Proxy2026
CMS HHCAHPS
ZIP codes served
54
Proxy2026
CMS HH PUF
Visits / episodes
13,596
Verified fact2023
CMS HH PUF
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this home health agency serves
Polk County, IA · metro, 250K–1M
Median household income
$81.6K
vs $82.1K US · $59.7K rural median
Poverty rate
10.1%
vs 12.5% US · 14.3% rural median
Uninsured
4.9%
vs 8.6% US · 8.4% rural median
Age 65+
13.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.7% of county personal income is Medicare/Medicaid medical benefits; 15.6% arrives as government transfers (BEA, 2022).
The Board Briefing$1,000
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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.
