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
Days cash on hand: 9 days in FY2023. Total operating revenue: $1.1M in FY2023. Operating margin: -1513.7% in FY2023. Total margin (including nonoperating): -14.2% in FY2023. Figures as filed; not audited by Astrelis.
The read
A home health agency in Hagerstown, MD. It ran an operating loss of 1513.7% in FY23 on $1.1M of operating revenue. It held 9 days of cash on hand. Operating margin declined from -72.9% in FY22 to -1513.7% in FY23.
Days cash on hand · FY23
9d
all sources
Astrelis calculation · as-filed inputs
▼ 1188 days vs FY22
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY23)
Total operating revenue · FY23
$1.1M
Astrelis calculation · as-filed inputs
▼ $0.3M vs FY22
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY23)
Operating margin · FY23
-1513.7%
Astrelis calculation · as-filed inputs
▼ 1440.8 pts vs FY22
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY23)
Total margin · incl. nonoperating · FY23
-14.2%
Astrelis calculation · as-filed inputs
▼ 32.4 pts vs FY22
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY23)
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
-1513.7% (FY23)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-14.2% (FY23)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
9d (FY23)
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
-47% (FY23)
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
FY22
FY23 · 319 days
Patient revenue
1,416
1,099
Total operating revenue
1,416
1,099
Total operating expenses
2,448
17,740
Operating income
(1,032)
(16,641)
Operating margin %
-72.9%
-1513.7%
Other non-operating, net
1,573
14,429
Net income
542
(2,212)
Net income %
+18.1%
-14.2%
2 of 3 years available for this statement.
— = Not reported in source for that year.
HCRIS CMS-1728 cost report · $ thousands · FY20–FY23 · operating revenue reflects net patient service revenue · FY20–21 may include COVID-era relief funding
Display states.FY23 · Operating margin: -1513.7% — Astrelis calculation · outside expected range; shown at the chart boundary and not in peer statistics (this year is not comparison-eligible) (beyond ±100%)FY20 · Filed figures — Not reported in source (a cost report exists for this year but none of its mapped statement values were reported)FY21 · Filed figures — Not reported in source (a cost report exists for this year but none of its mapped statement values were reported)
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.
Total visits
7,744
Reported value2023
HCRIS CMS-1728
Total episodes
173
Reported value2023
HCRIS CMS-1728
Visits per episode
44.80
Astrelis calculation2023
Astrelis calculation — total visits ÷ total episodes, both reported above (HCRIS CMS-1728)
Unduplicated patients
417
Reported value2023
HCRIS CMS-1728
Cost per visit ($)
2,291
Reported value2023
HCRIS CMS-1728
Medicare revenue share
43.0%
Reported value2023
HCRIS CMS-1728
Trajectory
Cost-report basis · 4 reporting years
Operating margin
Days cash on hand
The county this home health agency serves
Washington County, MD
Median household income
$74.2K
vs $82.1K US · $59.7K rural median
Poverty rate
12.5%
vs 12.5% US · 14.3% rural median
Uninsured
6.1%
vs 8.6% US · 8.4% rural median
Age 65+
17.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.4% of county personal income is Medicare/Medicaid medical benefits; 24.3% arrives as government transfers (BEA, 2022).
Report coverage: Historical Facility Benchmark. 10 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.
Utilization-pattern and cost benchmarks against matched peers. Directional screens; public data cannot fully control for acuity.
$2,500Founding Edition · built to order, first edition · invoice after coverage confirmation · within 30 days
Reservation: invoice after coverage confirmation. No payment is collected on this site. Full refund if the published scope cannot be delivered.
Portfolio Performance Review
A roster-priced triage of the per-facility benchmarks: every facility on your roster, benchmarked and sorted. Requires only a CCN roster.
From $7,500Founding Edition · built to order, first edition · priced by roster size · invoice after coverage confirmation · within 30 days
Request: scoped and quoted before any invoice. No payment is collected on this site.
Cite this page
release 2321a4fc37a7 · 2026-10-22
Astrelis Atlas, "Optimal Health Care, Inc.", https://astrelis.co/providers/home_health/217167, 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/217167.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.
