Astrelis
Home health agency · North Conway, NH

VISITING NURSE HOME CARE&HOSPICE OF CARROLL COUNTY

CCN 307020Carroll CountyPROPRIETARYLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis

Quality of patient care star (1–5): 2.5 stars in FY2026. HHCAHPS patient-survey star (1–5): 5 stars in FY2026. Operating margin: -10.4% in FY2025, the 22nd percentile of 6,425 home health agencies in the FY2025 pool. Within-stay preventable hospitalization: 10.4% in FY2026. Days cash on hand: 37 days in FY2025, the 60th percentile of 5,303 home health agencies in the FY2025 pool. Total operating revenue: $3.9M in FY2025, the 67th percentile of 6,434 home health agencies in the FY2025 pool. Total margin (including nonoperating): +10.0% in FY2025, the 64th percentile of 6,416 home health agencies in the FY2025 pool. Figures as filed; not audited by Astrelis.

The read

A home health agency in North Conway, NH. It ran an operating loss of 10.4% in FY25 on $3.9M of operating revenue. It held 37 days of cash on hand (60th percentile of 5,303 home health agencies on liquidity, FY25 pool). Operating margin declined from -6.8% in FY21 to -10.4% in FY25. Including nonoperating items, the all-in result was positive at 10.0%. On care, it carries a 2.5-star CMS quality rating and 5-star patient experience. Its within-stay preventable hospitalization rate is 10.4%. 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)
5★
Reported value2026
Source: CMS HHCAHPS
Operating margin · FY25
-10.4%
Astrelis calculation · as-filed inputs
▼ 4.0 pts vs FY24
vs home health agencies22nd pctl of 6,425 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Within-stay preventable hospitalization
10.4%
Reported value2026
Source: CMS Care Compare

Where VISITING NURSE HOME sits among home health agencies

Operating margin · FY25 pool · n = 6,425 of 7,624 filed

Each point is one home health agency in the national FY25 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 FY25 median is +3.3%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%home health agency median +3.3%VISITING NURSE -10.4%
One home health agencyVISITING NURSEhome 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
-10.4% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+10.0% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
37d (FY25)
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
95% (FY25)
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 itemFY23FY24FY25
Patient revenue3,4623,6803,905
Total operating revenue3,4623,6803,905
Total operating expenses3,5033,9144,309
Operating income(41)(233)(404)
Operating margin %-1.2%-6.3%-10.4%
Other non-operating, net650924884
Net income608690480
Net income %+14.8%+15.0%+10.0%
— = 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

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)
5★
Reported value2026
CMS HHCAHPS
Timely initiation of care
98.0%
Reported value2026
CMS Care Compare
Improvement in ambulation
83.6%
Reported value2026
CMS Care Compare
Improvement in dyspnea
77.6%
Reported value2026
CMS Care Compare
Within-stay preventable hospitalization
10.4%
Reported value2026
CMS Care Compare
Discharge to community
77.9%
Reported value2024
CMS HHVBP
Rated care 9–10 (% of patients)
90.0%
Reported value2026
CMS HHCAHPS
ZIP codes served
37
Reported value2026
CMS HH PUF
Total visits
11,004
Reported value2025
HCRIS CMS-1728
Total episodes
590
Reported value2025
HCRIS CMS-1728
Visits per episode
18.70
Astrelis calculation2025
Astrelis calculation — total visits ÷ total episodes, both reported above (HCRIS CMS-1728)
Unduplicated patients
718
Reported value2025
HCRIS CMS-1728
Cost per visit ($)
391.62
Reported value2025
HCRIS CMS-1728
Medicare revenue share
70.8%
Reported value2025
HCRIS CMS-1728

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-6.8%-17.8%-1.2%-6.3%-10.4%FY21FY22FY23FY24FY25
Days cash on hand
173 days187 days172 days46 days37 daysFY21FY22FY23FY24FY25

The county this home health agency serves

Carroll County, NH · nonmetro, urban 5–20K, metro-adjacent
Median household income
$83.0K
vs $82.1K US · $59.7K rural median
Poverty rate
7.5%
vs 12.5% US · 14.3% rural median
Uninsured
6.7%
vs 8.6% US · 8.4% rural median
Age 65+
30.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
12.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.6% of county personal income is Medicare/Medicaid medical benefits; 20.7% arrives as government transfers (BEA, 2022).
Operating margin vs its peer poolFY25Astrelis calculation

-10.4% operating margin — 22nd percentile of 6,425 peers (FY25 pool).

The Board Briefing

Operating margin declined 4.0 points vs FY24 — the briefing traces why, line by line.

Reserve The Board Briefing →
Performance Benchmark Report

(≈ $117.49 per visit above the peer benchmark × 11,004 visits a year) ≈ $1.3M more spending than the benchmark rate · method
Reserve Performance Benchmark Report →
How we calculated this

Operating margin vs its peer pool: FY25 pool · n = 6,425.

Performance Benchmark Report: FY25 peer pool · n = 6,425 · conservative low band; acuity limits stated in the report.

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.

Home Health Performance Benchmark

Utilization-pattern and cost benchmarks against matched peers. Directional screens; public data cannot fully control for acuity.

$2,500Founding Edition · built to order, first edition · invoice after coverage confirmation · within 30 days
Reservation: invoice after coverage confirmation. No payment is collected on this site. Full refund if the published scope cannot be delivered.

Portfolio Performance Review

A roster-priced triage of the per-facility benchmarks: every facility on your roster, benchmarked and sorted. Requires only a CCN roster.

From $7,500Founding Edition · built to order, first edition · priced by roster size · invoice after coverage confirmation · within 30 days
Request: scoped and quoted before any invoice. No payment is collected on this site.

Cite this page

release 2321a4fc37a7 · 2026-10-22

Astrelis Atlas, "Visiting Nurse Home Care&Hospice Of Carroll County", https://astrelis.co/providers/home_health/307020, 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/307020.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.

build 2321a4fc37a7 · 2026-10-22 · dev