A home health agency in Howard City, MI. It ran an operating loss of 82.9% in FY22 on $0.9M of operating revenue. It held 27 days of cash on hand (50th percentile of 5,716 home health agencies on liquidity, FY22 pool). 3 reporting years are on file, but revenue scale shifts too much between them for a like-for-like trend, so trend context is limited. On care, it carries a 3-star CMS quality rating and 4-star patient experience. Its within-stay preventable hospitalization runs 9.7%. 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)
4★
Reported value2026
Source: CMS HHCAHPS
Operating margin · FY22
-82.9%
Astrelis calculation · as-filed inputs
▼ 88.7 pts vs FY21
vs home health agencies5th pctl of 6,608 (FY22 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Within-stay preventable hospitalization
9.7%
Reported value2026
Source: CMS Care Compare
Where ACE HOME HEALTH sits among home health agencies
Operating margin · FY22 pool · n = 6,608 of 7,624 filed
Each point is one home health agency in the national FY22 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 FY22 median is +2.8%. Descriptive context only, not a ranking.
One home health agencyACE 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 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
-82.9% (FY22)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-1.6% (FY22)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
27d (FY22)
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
61% (FY22)
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
FY20
FY21
FY22
Patient revenue
1,762
2,062
938
Total operating revenue
1,762
2,062
938
Total operating expenses
1,741
1,942
1,715
Operating income
21
120
(777)
Operating margin %
+1.2%
+5.8%
-82.9%
Other non-operating, net
62
23
751
Net income
83
143
(26)
Net income %
+4.5%
+6.8%
-1.6%
— = Not reported in source for that year.
HCRIS CMS-1728 cost report · $ thousands · FY20–FY24 · operating revenue reflects net patient service revenue · FY20–21 may include COVID-era relief funding
Display states.FY23 · Filed figures — Not reported in source (a cost report exists for this year but none of its mapped statement values were reported)FY24 · 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.
Quality of patient care star (1–5)
3★
Reported value2026
CMS Care Compare
HHCAHPS patient-survey star (1–5)
4★
Reported value2026
CMS HHCAHPS
Timely initiation of care
100.0%
Reported value2026
CMS Care Compare
Improvement in ambulation
76.5%
Reported value2026
CMS Care Compare
Improvement in dyspnea
84.3%
Reported value2026
CMS Care Compare
Within-stay preventable hospitalization
9.7%
Reported value2026
CMS Care Compare
Discharge to community
78.6%
Reported value2024
CMS HHVBP
Rated care 9–10 (% of patients)
82.0%
Reported value2026
CMS HHCAHPS
ZIP codes served
68
Reported value2026
CMS HH PUF
Visits / episodes
6,749
Reported value2022
CMS HH PUF
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this home health agency serves
Montcalm County, MI · metro, 1M+ population
Median household income
$64.9K
vs $82.1K US · $59.7K rural median
Poverty rate
12.0%
vs 12.5% US · 14.3% rural median
Uninsured
8.6%
vs 8.6% US · 8.4% rural median
Age 65+
17.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.5% of county personal income is Medicare/Medicaid medical benefits; 28.7% arrives as government transfers (BEA, 2022).
Operating margin vs its peer poolFY22Astrelis 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: FY22 pool · n = 6,608.
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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