A home health agency in Oak Harbor, OH. It ran an operating loss of 35.5% in FY24 on $0.4M of operating revenue. It held 42 days of cash on hand (63rd percentile of 5,525 home health agencies on liquidity, FY24 pool). Operating margin declined from -9.3% in FY20 to -35.5% in FY24, though it rose 17.7 points in the most recent year. Including nonoperating items, the all-in result was positive at 5.6%. On care, it carries a 2.5-star CMS quality rating. Its within-stay preventable hospitalization runs 10.3%. 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
Days cash on hand · FY24
42d
all sources
Astrelis calculation · as-filed inputs
▼ 28 days vs FY23
vs home health agencies63rd pctl of 5,525 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Operating margin · FY24
-35.5%
Astrelis calculation · as-filed inputs
▲ 17.7 pts vs FY23
vs home health agencies9th pctl of 6,659 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Within-stay preventable hospitalization
10.3%
Reported value2026
Source: CMS Care Compare
Where GUIDING HANDS HOME sits among home health agencies
Operating margin · FY24 pool · n = 6,659 of 7,624 filed
Each point is one home health agency in the national FY24 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 FY24 median is +3.5%. Descriptive context only, not a ranking.
One home health agencyGUIDING HANDShome 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
-35.5% (FY24)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+5.6% (FY24)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
42d (FY24)
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
5% (FY24)
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
FY22
FY23
FY24
Patient revenue
605
362
367
Total operating revenue
605
362
367
Total operating expenses
526
554
497
Operating income
80
(192)
(130)
Operating margin %
+13.1%
-53.2%
-35.5%
Other non-operating, net
0
256
160
Net income
80
64
30
Net income %
+13.1%
+10.3%
+5.6%
— = 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
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
Timely initiation of care
96.1%
Reported value2026
CMS Care Compare
Improvement in ambulation
75.2%
Reported value2026
CMS Care Compare
Improvement in dyspnea
74.8%
Reported value2026
CMS Care Compare
Within-stay preventable hospitalization
10.3%
Reported value2026
CMS Care Compare
Discharge to community
65.7%
Reported value2024
CMS HHVBP
Rated care 9–10 (% of patients)
96.0%
Reported value2026
CMS HHCAHPS
ZIP codes served
9
Reported value2026
CMS HH PUF
Total visits
4,558
Reported value2024
HCRIS CMS-1728
Total episodes
173
Reported value2024
HCRIS CMS-1728
Visits per episode
26.30
Astrelis calculation2024
Astrelis calculation — total visits ÷ total episodes, both reported above (HCRIS CMS-1728)
Unduplicated patients
192
Reported value2024
HCRIS CMS-1728
Cost per visit ($)
108.98
Reported value2024
HCRIS CMS-1728
Medicare revenue share
77.7%
Reported value2024
HCRIS CMS-1728
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this home health agency serves
Ottawa County, OH · metro, under 250K
Median household income
$75.7K
vs $82.1K US · $59.7K rural median
Poverty rate
8.4%
vs 12.5% US · 14.3% rural median
Uninsured
4.3%
vs 8.6% US · 8.4% rural median
Age 65+
27.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.0% of county personal income is Medicare/Medicaid medical benefits; 24.5% arrives as government transfers (BEA, 2022).
Operating margin vs its peer poolFY24Astrelis 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: FY24 pool · n = 6,659.
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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