Astrelis
Home health agency · Chesapeake, VA

NIGHTINGALE HOME HEALTH SERVICE

CCN 497654Chesapeake cityPROPRIETARYLatest FY 2023
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A home health agency in Chesapeake, VA. It ran an operating loss of 67.7% in FY22 on $0.4M of operating revenue. It held 286 days of cash on hand (95th percentile among home health agencies on liquidity). Only a single comparable reporting year is available, so trend context is limited.

Days cash on hand · FY22
286d
all sources
121.8 days vs FY21
vs home health agencies95th pctl of 4,925 (FY23)
Total operating revenue · FY22
$0.4M
0.3 $M vs FY21
vs home health agencies8th pctl of 6,841 (FY23)
Operating margin · FY22
-67.7%
67.7 pts vs FY21
vs home health agencies2nd pctl of 6,547 (FY23)
Total margin · incl. nonoperating · FY22
-67.7%
67.7 pts vs FY21
vs home health agencies1st pctl of 6,696 (FY23)
Benchmarked within its own FY23 pool (n=6,547); the home health agency cohort's current year is FY24.

Where NIGHTINGALE HOME HEALTH sits among home health agencies

Operating margin · FY23 pool · n = 6,547 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 +3.9%. Descriptive context only, not a ranking.

Benchmarked within its own FY23 pool (n=6,547); the home health agency cohort's current year is FY24.
-20%-10%0%+10%+20%home health agency median +3.88%NIGHTINGALE HOME -67.71%-20%0%+20%home health agency median +3.88%NIGHTINGALE HOME -67.71%
One home health agencyNIGHTINGALE 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 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
-67.7% (FY22)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-67.7% (FY22)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
286d (FY22)
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
38% (FY22)
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 itemFY20FY21FY22
Patient revenue777696363
Total operating revenue777696363
Total operating expenses644696609
Operating income1330(246)
Operating margin %+17.1%0.0%-67.8%
Net income1330(246)
Net income %+17.1%0.0%-67.8%
HCRIS CMS-1728 cost report · $ thousands · FY20–FY23 · 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.

ZIP codes served
4
Proxy2026
CMS HH PUF
Visits / episodes
1,999
Verified fact2022
CMS HH PUF

Trajectory

Cost-report basis · 4 reporting years
Operating margin
+17.1%0.0%-67.7%FY20FY21FY22FY23
Days cash on hand
179 days164 days286 daysFY20FY21FY22FY23

The county this home health agency serves

Chesapeake city, VA · metro, 1M+ population
Median household income
$94.2K
vs $82.1K US · $59.7K rural median
Poverty rate
8.7%
vs 12.5% US · 14.3% rural median
Uninsured
6.6%
vs 8.6% US · 8.4% rural median
Age 65+
14.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.3% of county personal income is Medicare/Medicaid medical benefits; 19.0% arrives as government transfers (BEA, 2022).

Home Health Performance Benchmark$2,500Founding Edition

Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

build aa21187 · 2026-07-23