Quality of patient care star (1–5): 4 stars in FY2026. Days cash on hand: 3 days in FY2023, the 19th percentile of 5,687 home health agencies in the FY2023 pool. Operating margin: -9.8% in FY2023, the 24th percentile of 6,756 home health agencies in the FY2023 pool. Total operating revenue: $0.2M in FY2023, the 3rd percentile of 6,772 home health agencies in the FY2023 pool. Total margin (including nonoperating): -9.8% in FY2023, the 18th percentile of 6,747 home health agencies in the FY2023 pool. Figures as filed; not audited by Astrelis.
The read
A home health agency in Farmington Hills, MI. It ran an operating loss of 9.8% in FY23 on $0.2M of operating revenue. It held 3 days of cash on hand (19th percentile of 5,687 home health agencies on liquidity, FY23 pool). Operating margin improved from -65.7% in FY20 to -9.8% in FY23. On care, it carries a 4-star CMS quality rating. On the filed record it is running at an operating loss with strong measured quality. Source-reported context, not a recommendation.
Quality of patient care star (1–5)
4★
Reported value2026
Source: CMS Care Compare
Days cash on hand · FY23
3d
all sources
Astrelis calculation · as-filed inputs
vs home health agencies19th pctl of 5,687 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Operating margin · FY23
-9.8%
Astrelis calculation · as-filed inputs
vs home health agencies24th pctl of 6,756 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY23
$0.2M
Astrelis calculation · as-filed inputs
vs home health agencies3rd pctl of 6,772 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Where GREAT LAKES HOME sits among home health agencies
Operating margin · FY23 pool · n = 6,756 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 +3.2%. Descriptive context only, not a ranking.
One home health agencyGREAT LAKEShome 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
-9.8% (FY23)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-9.8% (FY23)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
3d (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
-221% (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
FY21
FY22
FY23
Patient revenue
236
301
234
Total operating revenue
236
301
234
Total operating expenses
242
342
257
Operating income
(5)
(41)
(23)
Operating margin %
-2.3%
-13.8%
-9.8%
Other non-operating, net
0
0
0
Net income
(5)
(41)
(23)
Net income %
-2.3%
-13.8%
-9.8%
— = Not reported in source for that year.
HCRIS CMS-1728 cost report · $ thousands · FY20–FY25 · operating revenue reflects net patient service revenue · FY20–21 may include COVID-era relief funding
Display states.FY24 · Filed figures — Not reported in source (a cost report exists for this year but none of its mapped statement values were reported)FY25 · 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)
4★
Reported value2026
CMS Care Compare
Timely initiation of care
71.7%
Reported value2026
CMS Care Compare
Improvement in ambulation
91.0%
Reported value2026
CMS Care Compare
Improvement in dyspnea
100.0%
Reported value2026
CMS Care Compare
Discharge to community
81.8%
Reported value2024
CMS HHVBP
Rated care 9–10 (% of patients)
100.0%
Reported value2026
CMS HHCAHPS
ZIP codes served
20
Reported value2026
CMS HH PUF
Visits / episodes
1,161
Reported value2023
CMS HH PUF
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this home health agency serves
Oakland County, MI · metro, 1M+ population
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; 12.2% arrives as government transfers (BEA, 2022).
Operating margin vs its peer poolFY23Astrelis 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: FY23 pool · n = 6,756.
Report coverage: Limited Facility Benchmark. 12 of 14 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
The Board Briefing
Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
$1,000delivered within 2 business days of invoice
Reservation: invoice after coverage confirmation. No payment is collected on this site.
Astrelis Atlas, "Great Lakes Home Healthcare Services, Inc", https://astrelis.co/providers/home_health/239286, 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/239286.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.
