Astrelis
Home health agency · Troy, MI

Family First Home Care

CCN 239049Oakland CountyLatest FY 2024
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 Troy, MI. It ran an operating surplus of 18.1% in FY22 on $1.0M of operating revenue. It held 20 days of cash on hand. Operating margin improved from -24.8% in FY20 to 18.1% in FY22.

Days cash on hand · FY22
20d
all sources
vs home health agencies
Total operating revenue · FY22
$1.0M
vs home health agencies
Operating margin · FY22
+18.1%
vs home health agencies
Total margin · incl. nonoperating · FY22
+18.1%
vs home health agencies

Where Family First Home 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.

-20%-10%0%+10%+20%home health agency median +4.095%Family First +18.06%-20%0%+20%home health agency median +4.095%Family First +18.06%
One home health agencyFamily Firsthome 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
+18.1% (FY22)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+18.1% (FY22)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
20d (FY22)
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
66% (FY22)
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 itemFY20FY21FY22
Patient revenue1,2231,259983
Total operating revenue1,2231,259983
Total operating expenses1,5271,305806
Operating income(304)(46)178
Operating margin %-24.9%-3.7%+18.1%
Other non-operating, net172950
Net income(287)249178
Net income %-23.1%+16.0%+18.1%
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.

Visits / episodes
5,781
Verified fact2022
CMS HH PUF

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-24.8%-3.6%+18.1%FY20FY21FY22FY23FY24
Days cash on hand
23 days9 days20 daysFY20FY21FY22FY23FY24

The county this home health agency serves

Oakland County, MI
Median household income
$95.3K
vs $82.1K US · $59.7K rural median
Poverty rate
7.7%
vs 12.5% US · 14.3% rural median
Uninsured
3.9%
vs 8.6% US · 8.4% rural median
Age 65+
17.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
13.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 4.9% of county personal income is Medicare/Medicaid medical benefits; 12.3% arrives as government transfers (BEA, 2022).

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.

build aa21187 · 2026-07-26