A home health agency in Taylor, MI. It ran an operating surplus of 1.9% in FY24 on $0.4M of operating revenue. It held 14 days of cash on hand (39th percentile among home health agencies on liquidity). On care, it carries a 4-star CMS quality rating. Its within-stay preventable hospitalization runs 10.6%. On the filed record it is roughly breaking even with strong measured quality. Source-reported context, not a recommendation.
Quality of patient care star
4★
Verified fact2026
Source: CMS Care Compare
Days cash on hand · FY24
14d
all sources
▲ 7.2 days vs FY23
vs home health agencies39th pctl of 4,699 (FY24)
Operating margin · FY24
+1.9%
▲ 3.0 pts vs FY23
vs home health agencies43rd pctl of 6,394 (FY24)
Within-stay preventable hospitalization
10.6%
Verified fact2026
Source: CMS Care Compare
Where ROYALE 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 agencyROYALE 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
+1.9% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+2.0% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
14d (FY24)
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
100% (FY24)
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
FY22
FY23
FY24
Patient revenue
245
327
360
Total operating revenue
245
327
360
Total operating expenses
242
330
353
Operating income
4
(3)
7
Operating margin %
+1.6%
-0.9%
+1.9%
Other non-operating, net
1
0
0
Net income
5
(3)
7
Net income %
+2.0%
-0.9%
+1.9%
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
4★
Verified fact2026
CMS Care Compare
Timely initiation of care
85.5%
Verified fact2026
CMS Care Compare
Improvement in ambulation
84.3%
Verified fact2026
CMS Care Compare
Improvement in dyspnea
100.0%
Verified fact2026
CMS Care Compare
Within-stay preventable hospitalization
10.6%
Verified fact2026
CMS Care Compare
Discharge to community
82.8%
Proxy2024
CMS HHVBP
ZIP codes served
42
Proxy2026
CMS HH PUF
Total visits
1,750
Verified fact2024
HCRIS CMS-1728
Total episodes
138
Verified fact2024
HCRIS CMS-1728
Unduplicated patients
90
Verified fact2024
HCRIS CMS-1728
Cost per visit ($)
201.83
Verified fact2024
HCRIS CMS-1728
Medicare revenue share
58.4%
Verified fact2024
HCRIS CMS-1728
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this home health agency serves
Wayne County, MI · metro, 1M+ population
Median household income
$59.5K
vs $82.1K US · $59.7K rural median
Poverty rate
20.1%
vs 12.5% US · 14.3% rural median
Uninsured
5.7%
vs 8.6% US · 8.4% rural median
Age 65+
16.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
24.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.5% of county personal income is Medicare/Medicaid medical benefits; 27.6% 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.
