Astrelis
Home health agency · Kerrville, TX

TRI COUNTY HOME HEALTH

CCN 458280Kerr CountyPROPRIETARYLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis

Quality of patient care star (1–5): 4.5 stars in FY2026. HHCAHPS patient-survey star (1–5): 5 stars in FY2026. Operating margin: +1.8% in FY2025, the 45th percentile of 6,425 home health agencies in the FY2025 pool. Within-stay preventable hospitalization: 14.4% in FY2026. Days cash on hand: 16 days in FY2025, the 43rd percentile of 5,303 home health agencies in the FY2025 pool. Total operating revenue: $2.9M in FY2025, the 59th percentile of 6,434 home health agencies in the FY2025 pool. Total margin (including nonoperating): +1.8% in FY2025, the 39th 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 Kerrville, TX. It ran an operating surplus of 1.8% in FY25 on $2.9M of operating revenue. It held 16 days of cash on hand (43rd percentile of 5,303 home health agencies on liquidity, FY25 pool). Operating margin improved from -1.5% in FY20 to 1.8% in FY25, though it fell 4.5 points in the most recent year. On care, it carries a 4.5-star CMS quality rating and 5-star patient experience. Its within-stay preventable hospitalization rate is 14.4%. On the filed record it is roughly breaking even 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
HHCAHPS patient-survey star (1–5)
5★
Reported value2026
Source: CMS HHCAHPS
Operating margin · FY25
+1.8%
Astrelis calculation · as-filed inputs
vs home health agencies45th 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
14.4%
Reported value2026
Source: CMS Care Compare

Where TRI COUNTY 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%TRI COUNTY +1.8%
One home health agencyTRI COUNTYhome 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
+1.8% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+1.8% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
16d (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
-10% (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 revenue3,3043,5662,922
Total operating revenue3,3043,5662,922
Total operating expenses3,0023,3412,870
Operating income30222552
Operating margin %+9.1%+6.3%+1.8%
Other non-operating, net000
Net income30222552
Net income %+9.1%+6.3%+1.8%
— = 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
HHCAHPS patient-survey star (1–5)
5★
Reported value2026
CMS HHCAHPS
Timely initiation of care
99.6%
Reported value2026
CMS Care Compare
Improvement in ambulation
98.8%
Reported value2026
CMS Care Compare
Improvement in dyspnea
90.9%
Reported value2026
CMS Care Compare
Within-stay preventable hospitalization
14.4%
Reported value2026
CMS Care Compare
Discharge to community
77.9%
Reported value2024
CMS HHVBP
Rated care 9–10 (% of patients)
94.0%
Reported value2026
CMS HHCAHPS
ZIP codes served
35
Reported value2026
CMS HH PUF
Total visits
16,809
Reported value2025
HCRIS CMS-1728
Total episodes
639
Reported value2025
HCRIS CMS-1728
Visits per episode
26.30
Astrelis calculation2025
Astrelis calculation — total visits ÷ total episodes, both reported above (HCRIS CMS-1728)
Unduplicated patients
772
Reported value2025
HCRIS CMS-1728
Cost per visit ($)
170.76
Reported value2025
HCRIS CMS-1728
Medicare revenue share
42.8%
Reported value2025
HCRIS CMS-1728

Trajectory

Cost-report basis · 6 reporting years
Operating margin
-1.5%+13.0%+11.3%+9.1%+6.3%+1.8%FY20FY21FY22FY23FY24FY25
Days cash on hand
67 days106 days52 days41 days349 days16 daysFY20FY21FY22FY23FY24FY25

The county this home health agency serves

Kerr County, TX · nonmetro, urban 20K+, metro-adjacent
Median household income
$67.9K
vs $82.1K US · $59.7K rural median
Poverty rate
11.7%
vs 12.5% US · 14.3% rural median
Uninsured
17.8%
vs 8.6% US · 8.4% rural median
Age 65+
28.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.4% of county personal income is Medicare/Medicaid medical benefits; 23.4% arrives as government transfers (BEA, 2022).
Operating margin vs its peer poolFY25Astrelis calculation

1.8% operating margin — 45th percentile of 6,425 peers (FY25 pool).

The Board Briefing

What changed, what matters, and what your board should ask — every figure sourced to the public record.

Reserve The Board Briefing →
Performance Benchmark Report

(≈ $8.78 per visit above the peer benchmark × 16,809 visits a year) ≈ $148K 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, "Tri County Home Health", https://astrelis.co/providers/home_health/458280, 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/458280.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