Quality of patient care star (1–5): 4.5 stars in FY2026. Days cash on hand: 5 days in FY2025, the 23rd percentile of 5,303 home health agencies in the FY2025 pool. Operating margin: -33.2% in FY2025, the 11th percentile of 6,425 home health agencies in the FY2025 pool. Within-stay preventable hospitalization: 9.8% in FY2026. Total operating revenue: $0.8M in FY2025, the 18th percentile of 6,434 home health agencies in the FY2025 pool. Total margin (including nonoperating): -33.2% in FY2025, the 6th 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 Coto Laurel, PR. It ran an operating loss of 33.2% in FY25 on $0.8M of operating revenue. It held 5 days of cash on hand (23rd percentile of 5,303 home health agencies on liquidity, FY25 pool). Operating margin declined from -7.1% in FY20 to -33.2% in FY25. On care, it carries a 4.5-star CMS quality rating. Its within-stay preventable hospitalization rate is 9.8%. 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)
4.5★
Reported value2026
Source: CMS Care Compare
Days cash on hand · FY25
5d
all sources
Astrelis calculation · as-filed inputs
vs home health agencies23rd pctl of 5,303 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Operating margin · FY25
-33.2%
Astrelis calculation · as-filed inputs
vs home health agencies11th 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
9.8%
Reported value2026
Source: CMS Care Compare
Where CMS HOME CARE 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.
One home health agencyCMS HOMEhome 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
-33.2% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-33.2% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
5d (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
-304% (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 item
FY23
FY24
FY25
Patient revenue
790
864
818
Total operating revenue
790
864
818
Total operating expenses
993
970
1,090
Operating income
(203)
(106)
(272)
Operating margin %
-25.7%
-12.3%
-33.2%
Other non-operating, net
0
0
0
Net income
(203)
(106)
(272)
Net income %
-25.7%
-12.3%
-33.2%
— = 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
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)
4.5★
Reported value2026
CMS Care Compare
Timely initiation of care
99.5%
Reported value2026
CMS Care Compare
Improvement in ambulation
96.1%
Reported value2026
CMS Care Compare
Improvement in dyspnea
94.8%
Reported value2026
CMS Care Compare
Within-stay preventable hospitalization
9.8%
Reported value2026
CMS Care Compare
Discharge to community
76.8%
Reported value2024
CMS HHVBP
Rated care 9–10 (% of patients)
88.0%
Reported value2026
CMS HHCAHPS
ZIP codes served
24
Reported value2026
CMS HH PUF
Total visits
7,501
Reported value2025
HCRIS CMS-1728
Total episodes
195
Reported value2025
HCRIS CMS-1728
Visits per episode
38.50
Astrelis calculation2025
Astrelis calculation — total visits ÷ total episodes, both reported above (HCRIS CMS-1728)
Unduplicated patients
304
Reported value2025
HCRIS CMS-1728
Cost per visit ($)
145.28
Reported value2025
HCRIS CMS-1728
Medicare revenue share
33.0%
Reported value2025
HCRIS CMS-1728
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
State context
Coto Laurel, PR
Located in Coto Laurel, PR. County-level statistics: linkage not established — this record's county mapping is not verified in the resolved spine, and we never place a facility in a county by guesswork. State-level context appears here once a state aggregate layer lands.
Operating margin vs its peer poolFY25Astrelis calculation
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.
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Astrelis Atlas, "Cms Home Care Sur Llc", https://astrelis.co/providers/home_health/407036, 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/407036.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.
