A home health agency in Columbia, TN. It ran an operating surplus of 0.9% in FY24 on $8.3M of operating revenue. It held 179 days of cash on hand (90th percentile among home health agencies on liquidity). Operating margin improved from -1.4% in FY20 to 0.9% in FY24, though it fell 1.3 points in the most recent year. On care, it carries a 4-star CMS quality rating and 5-star patient experience. Its within-stay preventable hospitalization runs 14.0%. On the filed record it is roughly breaking even with strong measured quality. Source-reported context, not a recommendation.
Quality of patient care star
4★
Verified fact2026
Source: CMS Care Compare
HHCAHPS patient-survey star
5★
Verified fact2026
Source: CMS HHCAHPS
Operating margin · FY24
+0.9%
vs home health agencies40th pctl of 6,394 (FY24)
Within-stay preventable hospitalization
14.0%
Verified fact2026
Source: CMS Care Compare
Where QUALITY FIRST HOME sits among home health agencies
Operating margin · FY24 pool · n = 6,394 of 8,555 filed
Each point is one home health agency in the national 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 median is +4.1%. Descriptive context only, not a ranking.
One home health agencyQUALITY FIRSThome 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 renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.
Operating margin
+0.9% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+24.1% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
179d (FY24)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
Not reported in this filing
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
90% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not reported in this filing
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
7,596
7,967
8,312
Total operating revenue
7,596
7,967
8,312
Total operating expenses
7,207
7,792
8,238
Operating income
390
175
74
Operating margin %
+5.1%
+2.2%
+0.9%
Other non-operating, net
0
121
2,547
Net income
390
296
2,621
Net income %
+5.1%
+3.7%
+24.1%
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 evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Quality of patient care star
4★
Verified fact2026
CMS Care Compare
HHCAHPS patient-survey star
5★
Verified fact2026
CMS HHCAHPS
Timely initiation of care
99.6%
Verified fact2026
CMS Care Compare
Improvement in ambulation
95.0%
Verified fact2026
CMS Care Compare
Improvement in dyspnea
90.6%
Verified fact2026
CMS Care Compare
Within-stay preventable hospitalization
14.0%
Verified fact2026
CMS Care Compare
Discharge to community
72.5%
Proxy2024
CMS HHVBP
Rated care 9–10
92.0%
Proxy2026
CMS HHCAHPS
ZIP codes served
38
Proxy2026
CMS HH PUF
Total visits
38,815
Verified fact2024
HCRIS CMS-1728
Total episodes
895
Verified fact2024
HCRIS CMS-1728
Unduplicated patients
821
Verified fact2024
HCRIS CMS-1728
Cost per visit ($)
212.23
Verified fact2024
HCRIS CMS-1728
Medicare revenue share
19.1%
Verified fact2024
HCRIS CMS-1728
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this home health agency serves
Maury County, TN · metro, 1M+ population
Median household income
$74.2K
vs $82.1K US · $59.7K rural median
Poverty rate
9.9%
vs 12.5% US · 14.3% rural median
Uninsured
8.7%
vs 8.6% US · 8.4% rural median
Age 65+
16.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.5% of county personal income is Medicare/Medicaid medical benefits; 21.3% arrives as government transfers (BEA, 2022).
Opportunity screen · FY23
≈ $2.3M
of annual opportunity identified against peer medians across 2 measures
Directional, conservative band. Arithmetic against matched-peer medians from public filings, not a projection; public data cannot fully control for patient acuity.
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