Astrelis
Home health agency · Hagerstown, MD

OPTIMAL HEALTH CARE, INC.

CCN 217167Washington CountyLatest FY 2023
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
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 11 days of cash on hand (34th percentile of 5,749 home health agencies on liquidity, FY23 pool). Operating margin declined from -72.9% in FY22 to -1513.7% in FY23.

Days cash on hand · FY23
11d
all sources
Astrelis calculation · as-filed inputs
1186 days vs FY22
vs home health agencies34th 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
$1.1M
Astrelis calculation · as-filed inputs
$0.3M vs FY22
vs home health agencies30th 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
-1513.7%
Astrelis calculation · as-filed inputs
1440.8 pts vs FY22
vs home health agencies0th 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
-14.2%
Astrelis calculation · as-filed inputs
32.4 pts vs FY22
vs home health agencies15th pctl of 6,819 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values

Where OPTIMAL HEALTH CARE, 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.

-20%-10%0%+10%+20%home health agency median +3.1%OPTIMAL HEALTH -1513.7%-20%0%+20%home health agency median +3.1%OPTIMAL HEALTH -1513.7%
One home health agencyOPTIMAL HEALTHhome 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
-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
11d (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 itemFY22FY23
Patient revenue1,4161,099
Total operating revenue1,4161,099
Total operating expenses2,44817,740
Operating income(1,032)(16,641)
Operating margin %-72.9%-1513.7%
Other non-operating, net1,57414,429
Net income542(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 included in peer statistics (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
-72.9%-1513.7%FY20FY21FY22FY23
Days cash on hand
1,197 days11 daysFY20FY21FY22FY23

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).
Operating margin vs its peer poolFY23Astrelis calculation

-1513.7% operating margin — 0th percentile of 6,828 peers (FY23 pool).

The Board Briefing

Operating margin declined 1440.8 points vs FY22 — the briefing traces why, line by line.

Reserve The Board Briefing →
How we calculated this

Operating margin vs its peer pool: FY23 pool · n = 6,828.

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.

Home Health Performance Benchmark

Utilization-pattern and cost benchmarks against matched peers. Directional screens; public data cannot fully control for acuity.

$2,500Founding Edition · within 30 days of coverage confirmation
Reservation: invoice after coverage confirmation. No payment is collected on this site. Full refund if the published scope cannot be delivered.
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