A home health agency in Spearfish, SD. It ran an operating surplus of 7.0% in FY22 on $7.6M of operating revenue. Operating margin improved from -12.2% in FY21 to 7.0% in FY22. On care, it carries a 5-star CMS quality rating and 4-star patient experience. Its within-stay preventable hospitalization runs 5.2%. On the filed record it is comfortably profitable with strong measured quality. Source-reported context, not a recommendation.
Quality of patient care star (1–5)
5★
Reported value2026
Source: CMS Care Compare
HHCAHPS patient-survey star (1–5)
4★
Reported value2026
Source: CMS HHCAHPS
Operating margin · FY22
+7.0%
Astrelis calculation · as-filed inputs
▲ 19.2 pts vs FY21
vs home health agencies61st pctl of 6,608 (FY22 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Within-stay preventable hospitalization
5.2%
Reported value2026
Source: CMS Care Compare
Where MONUMENT HEALTH HOME sits among home health agencies
Operating margin · FY22 pool · n = 6,608 of 7,624 filed
Each point is one home health agency in the national FY22 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 FY22 median is +2.8%. Descriptive context only, not a ranking.
One home health agencyMONUMENT HEALTHhome 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
+7.0% (FY22)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+7.0% (FY22)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
Not reported in source
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
Not reported in source
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
Patient revenue
7,996
7,569
Total operating revenue
7,996
7,569
Total operating expenses
8,975
7,042
Operating income
(979)
527
Operating margin %
-12.2%
+7.0%
Other non-operating, net
19
0
Net income
(960)
527
Net income %
-12.0%
+7.0%
2 of 3 years available for this statement.
— = 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
Balance sheet: Not reported in source — the public cost report does not carry substantive balance-sheet detail (assets, liabilities, and net assets that reconcile) for this home health agency. The income statement and ratio exhibit above are the reliable financial view here. We lead with those rather than render a hollow table.
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)
5★
Reported value2026
CMS Care Compare
HHCAHPS patient-survey star (1–5)
4★
Reported value2026
CMS HHCAHPS
Timely initiation of care
99.8%
Reported value2026
CMS Care Compare
Improvement in ambulation
95.4%
Reported value2026
CMS Care Compare
Improvement in dyspnea
93.3%
Reported value2026
CMS Care Compare
Within-stay preventable hospitalization
5.2%
Reported value2026
CMS Care Compare
Discharge to community
84.7%
Reported value2024
CMS HHVBP
Rated care 9–10 (% of patients)
86.0%
Reported value2026
CMS HHCAHPS
ZIP codes served
15
Reported value2026
CMS HH PUF
Total visits
8,436
Reported value2025
HCRIS CMS-1728
Total episodes
486
Reported value2025
HCRIS CMS-1728
Visits per episode
17.40
Astrelis calculation2025
Astrelis calculation — total visits ÷ total episodes, both reported above (HCRIS CMS-1728)
Unduplicated patients
1,350
Reported value2025
HCRIS CMS-1728
Cost per visit ($)
729.65
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
Lawrence County, SD · nonmetro, urban 5–20K, metro-adjacent
Median household income
$66.8K
vs $82.1K US · $59.7K rural median
Poverty rate
11.8%
vs 12.5% US · 14.3% rural median
Uninsured
10.9%
vs 8.6% US · 8.4% rural median
Age 65+
24.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 6.0% of county personal income is Medicare/Medicaid medical benefits; 18.1% arrives as government transfers (BEA, 2022).
Operating margin vs its peer poolFY22Astrelis 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: FY22 pool · n = 6,608.
Report coverage: Limited Facility Benchmark. 13 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.
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