A home health agency in Salina, KS. It ran an operating loss of 79.1% in FY23 on $0.3M of operating revenue. It held -112 days of cash on hand — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool (1st percentile of 5,749 home health agencies on liquidity, FY23 pool). Operating margin declined from -5.9% in FY22 to -79.1% in FY23.
Days cash on hand · FY23
-112d
all sources
Astrelis calculation · as-filed inputs
vs home health agencies1st pctl of 5,749 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY23
$0.3M
Astrelis calculation · as-filed inputs
vs home health agencies5th pctl of 6,841 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Operating margin · FY23
-79.1%
Astrelis calculation · as-filed inputs
vs home health agencies5th pctl of 6,828 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY23
-79.1%
Astrelis calculation · as-filed inputs
vs home health agencies2nd pctl of 6,819 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Where HEART TO HEART sits among home health agencies
Operating margin · FY23 pool · n = 6,828 of 7,624 filed
Each point is one home health agency in the national FY23 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 FY23 median is +3.1%. Descriptive context only, not a ranking.
One home health agencyHEART TOhome 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
-79.1% (FY23)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-79.1% (FY23)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
-112d (FY23)
Cash & investments ÷ daily operating expense
Astrelis calculation · HCRIS WS G / G-3
Current ratio
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY22
FY23
Patient revenue
192
257
Total operating revenue
192
257
Total operating expenses
203
461
Operating income
(11)
(204)
Operating margin %
-5.9%
-79.1%
Net income
(11)
(204)
Net income %
-5.9%
-79.1%
2 of 3 years available for this statement.
— = Not reported in source for that year.
HCRIS CMS-1728 cost report · $ thousands · FY22–FY23 · operating revenue reflects net patient service revenue
Display states.FY22 · Days cash on hand: -24 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY23 · Days cash on hand: -112 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)
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.
ZIP codes served
1
Reported value2026
CMS HH PUF
Total visits
1,899
Reported value2023
HCRIS CMS-1728
Total episodes
133
Reported value2023
HCRIS CMS-1728
Visits per episode
14.30
Astrelis calculation2023
Astrelis calculation — total visits ÷ total episodes, both reported above (HCRIS CMS-1728)
Unduplicated patients
65
Reported value2023
HCRIS CMS-1728
Cost per visit ($)
242.79
Reported value2023
HCRIS CMS-1728
Medicare revenue share
100.0%
Reported value2023
HCRIS CMS-1728
Trajectory
Cost-report basis · 2 reporting years
Operating margin
Days cash on hand
The county this home health agency serves
Saline County, KS · nonmetro, urban 20K+
Median household income
$63.3K
vs $82.1K US · $59.7K rural median
Poverty rate
12.3%
vs 12.5% US · 14.3% rural median
Uninsured
10.0%
vs 8.6% US · 8.4% rural median
Age 65+
18.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.5% of county personal income is Medicare/Medicaid medical benefits; 20.9% arrives as government transfers (BEA, 2022).
Operating margin vs its peer poolFY23Astrelis 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: FY23 pool · n = 6,828.
Report coverage: Limited Facility Benchmark. 11 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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