A home health agency in Elkhorn, NE. It ran an operating loss of 20.8% in FY25 on $3.5M of operating revenue. It held -209 days of cash on hand — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool. 4 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 2.5-star CMS quality rating and 4-star patient experience. Its within-stay preventable hospitalization runs 8.5%. On the filed record it is running at an operating loss with lower measured quality. Source-reported context, not a recommendation.
Quality of patient care star (1–5)
2.5★
Reported value2026
Source: CMS Care Compare
HHCAHPS patient-survey star (1–5)
4★
Reported value2026
Source: CMS HHCAHPS
Operating margin · FY25
-20.8%
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY25)
Within-stay preventable hospitalization
8.5%
Reported value2026
Source: CMS Care Compare
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
-20.8% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-20.8% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
-209d (FY25)
Cash & investments ÷ daily operating expense
Astrelis calculation · HCRIS WS G / G-3
Current ratio
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
904
1,697
3,517
Total operating revenue
904
1,697
3,517
Total operating expenses
1,370
4,257
4,248
Operating income
(467)
(2,561)
(731)
Operating margin %
-51.7%
-150.9%
-20.8%
Net income
(467)
(2,561)
(731)
Net income %
-51.7%
-150.9%
-20.8%
— = Not reported in source for that year.
HCRIS CMS-1728 cost report · $ thousands · FY21–FY25 · operating revenue reflects net patient service revenue · FY20–21 may include COVID-era relief funding
Display states.FY24 · Operating margin: -150.9% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY24 · Total margin: -150.9% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY21 · Days cash on hand: -447 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY22 · Days cash on hand: -438 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY23 · Days cash on hand: -363 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY24 · Days cash on hand: -237 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY25 · Days cash on hand: -209 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)
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)
2.5★
Reported value2026
CMS Care Compare
HHCAHPS patient-survey star (1–5)
4★
Reported value2026
CMS HHCAHPS
Timely initiation of care
92.3%
Reported value2026
CMS Care Compare
Improvement in ambulation
82.4%
Reported value2026
CMS Care Compare
Improvement in dyspnea
83.3%
Reported value2026
CMS Care Compare
Within-stay preventable hospitalization
8.5%
Reported value2026
CMS Care Compare
Discharge to community
82.5%
Reported value2024
CMS HHVBP
Rated care 9–10 (% of patients)
88.0%
Reported value2026
CMS HHCAHPS
ZIP codes served
91
Reported value2026
CMS HH PUF
Total visits
15,759
Reported value2025
HCRIS CMS-1728
Total episodes
718
Reported value2025
HCRIS CMS-1728
Visits per episode
21.90
Astrelis calculation2025
Astrelis calculation — total visits ÷ total episodes, both reported above (HCRIS CMS-1728)
Unduplicated patients
863
Reported value2025
HCRIS CMS-1728
Cost per visit ($)
269.55
Reported value2025
HCRIS CMS-1728
Medicare revenue share
100.0%
Reported value2025
HCRIS CMS-1728
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this home health agency serves
Douglas County, NE · metro, 250K–1M
Median household income
$79.1K
vs $82.1K US · $59.7K rural median
Poverty rate
11.2%
vs 12.5% US · 14.3% rural median
Uninsured
8.7%
vs 8.6% US · 8.4% rural median
Age 65+
13.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
15.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.0% of county personal income is Medicare/Medicaid medical benefits; 12.3% arrives as government transfers (BEA, 2022).
A facility-specific dollar comparison cannot be calculated because a valid same-year peer pool was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.
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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