Quality of patient care star (1–5): 3 stars in FY2026. HHCAHPS patient-survey star (1–5): 5 stars in FY2026. Operating margin: -12.8% in FY2025, the 20th percentile of 6,425 home health agencies in the FY2025 pool. Within-stay preventable hospitalization: 13.8% in FY2026. Days cash on hand: -1 days in FY2025, the 5th percentile of 5,303 home health agencies in the FY2025 pool. Total operating revenue: $1.4M in FY2025, the 33rd percentile of 6,434 home health agencies in the FY2025 pool. Total margin (including nonoperating): -12.6% in FY2025, the 14th 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 Natchitoches, LA. It ran an operating loss of 12.8% in FY25 on $1.4M of operating revenue. It held -1 day of cash on hand — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool (5th percentile of 5,303 home health agencies on liquidity, FY25 pool). 6 reporting years are on file, but revenue scale shifts too much between them for a comparable trend, so trend context is limited. On care, it carries a 3-star CMS quality rating and 5-star patient experience. Its within-stay preventable hospitalization rate is 13.8%. On the filed record it is running at an operating loss with mid-range measured quality. Source-reported context, not a recommendation.
Quality of patient care star (1–5)
3★
Reported value2026
Source: CMS Care Compare
HHCAHPS patient-survey star (1–5)
5★
Reported value2026
Source: CMS HHCAHPS
Operating margin · FY25
-12.8%
Astrelis calculation · as-filed inputs
vs home health agencies20th 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
13.8%
Reported value2026
Source: CMS Care Compare
Where LAGNIAPPE HOMECARE NORTHWEST 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 agencyLAGNIAPPE HOMECAREhome 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
-12.8% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-12.6% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
-1d (FY25)
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
FY23
FY24
FY25
Patient revenue
1,239
1,328
1,405
Total operating revenue
1,239
1,328
1,405
Total operating expenses
1,494
1,572
1,584
Operating income
(254)
(244)
(179)
Operating margin %
-20.5%
-18.4%
-12.8%
Other non-operating, net
78
0
2
Net income
(177)
(244)
(177)
Net income %
-13.4%
-18.3%
-12.6%
— = 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.FY20 · Days cash on hand: -1 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)FY21 · Days cash on hand: -1 days — Astrelis calculation · outside expected range; shown at the chart boundary and not in peer statistics (this year is not comparison-eligible) (outside the 0–1,500-day expected range — a valid filing can produce this; this year enters no peer pool)FY22 · Days cash on hand: 0 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: -1 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)FY24 · Days cash on hand: -1 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)FY25 · Days cash on hand: -1 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.
Quality of patient care star (1–5)
3★
Reported value2026
CMS Care Compare
HHCAHPS patient-survey star (1–5)
5★
Reported value2026
CMS HHCAHPS
Timely initiation of care
98.9%
Reported value2026
CMS Care Compare
Improvement in ambulation
87.7%
Reported value2026
CMS Care Compare
Improvement in dyspnea
79.3%
Reported value2026
CMS Care Compare
Within-stay preventable hospitalization
13.8%
Reported value2026
CMS Care Compare
Discharge to community
64.5%
Reported value2024
CMS HHVBP
Rated care 9–10 (% of patients)
98.0%
Reported value2026
CMS HHCAHPS
ZIP codes served
29
Reported value2026
CMS HH PUF
Total visits
8,002
Reported value2025
HCRIS CMS-1728
Total episodes
884
Reported value2025
HCRIS CMS-1728
Visits per episode
9.10
Astrelis calculation2025
Astrelis calculation — total visits ÷ total episodes, both reported above (HCRIS CMS-1728)
Unduplicated patients
249
Reported value2025
HCRIS CMS-1728
Cost per visit ($)
197.96
Reported value2025
HCRIS CMS-1728
Medicare revenue share
100.0%
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
Natchitoches Parish, LA · nonmetro, urban 5–20K, metro-adjacent
Median household income
$46.8K
vs $82.1K US · $59.7K rural median
Poverty rate
24.1%
vs 12.5% US · 14.3% rural median
Uninsured
7.3%
vs 8.6% US · 8.4% rural median
Age 65+
16.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
26.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 14.7% of county personal income is Medicare/Medicaid medical benefits; 30.1% arrives as government transfers (BEA, 2022).
Operating margin vs its peer poolFY25Astrelis calculation
Operating margin vs its peer pool: FY25 pool · n = 6,425.
Performance Benchmark Report: FY25 peer pool · n = 6,425 · conservative low band; acuity limits stated in the report.
Report coverage: Standard Facility Benchmark. 14 of 14 facility measures available from public sources. Every declared facility measure is available for this record, benchmarked against its same-year peer pools. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
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Astrelis Atlas, "Lagniappe Homecare Northwest Louisiana", https://astrelis.co/providers/home_health/197478, 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/197478.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.
