Astrelis
Home health agency · Sheridan, WY

Home and Care Sheridan

CCN 537835Johnson CountyLatest FY 2024
Historical record. CMS lists this CCN as terminated (voluntary - merger/closure). No successor CCN is recorded. The financials below are the historical results reported under this number and are excluded from current peer comparisons and state counts.
Cost-report basis
HCRIS · as filed
Not audited by Astrelis

Days cash on hand: -1 days in FY2024. Total operating revenue: $0.2M in FY2024. Operating margin: -76.7% in FY2024. Total margin (including nonoperating): -44.8% in FY2024. Figures as filed; not audited by Astrelis.

Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY22, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read

A home health agency in Sheridan, WY. It ran an operating loss of 76.7% in FY24 on $0.2M of operating revenue. It held -1 day of cash on hand — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool. 3 reporting years are on file, but revenue scale shifts too much between them for a comparable trend, so trend context is limited.

Days cash on hand · FY24
-1d
all sources
Astrelis calculation · as-filed inputs
▲ 0 days vs FY23
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY24)
Total operating revenue · FY24
$0.2M
Astrelis calculation · as-filed inputs
▼ $0.2M vs FY23
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY24)
Operating margin · FY24
-76.7%
Astrelis calculation · as-filed inputs
▼ 15.1 pts vs FY23
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY24)
Total margin · incl. nonoperating · FY24
-44.8%
Astrelis calculation · as-filed inputs
▲ 14.7 pts vs FY23
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY24)

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
-76.7% (FY24)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-44.8% (FY24)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
-1d (FY24)
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
51% (FY22)
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 itemFY22 · 388 daysFY23FY24 · 305 days
Patient revenue381354168
Total operating revenue381354168
Total operating expenses541573298
Operating income(160)(218)(129)
Operating margin %-42.0%-61.6%-76.7%
Other non-operating, net17537
Net income(143)(214)(92)
Net income %-35.9%-59.5%-44.8%
— = Not reported in source for that year.
HCRIS CMS-1728 cost report · $ thousands · FY22–FY24 · operating revenue reflects net patient service revenue
Display states. FY23 · Days cash on hand: -2 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY24 · Days cash on hand: -1 days — Astrelis calculation · outside expected range; shown at the chart boundary and not in peer statistics (this year is not comparison-eligible) (outside the 0–1,500-day expected range — a valid filing can produce this; this year enters no peer pool)

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.

Total visits
1,666
Reported value2024
HCRIS CMS-1728
Total episodes
32
Reported value2024
HCRIS CMS-1728
Visits per episode
52.10
Astrelis calculation2024
Astrelis calculation — total visits ÷ total episodes, both reported above (HCRIS CMS-1728)
Unduplicated patients
68
Reported value2024
HCRIS CMS-1728
Cost per visit ($)
178.59
Reported value2024
HCRIS CMS-1728
Medicare revenue share
48.3%
Reported value2024
HCRIS CMS-1728

Trajectory

Cost-report basis · 3 reporting years
Operating margin
-42.0%-61.6%-76.7%FY22FY23FY24
Days cash on hand
14 days-2 days-1 dayFY22FY23FY24

The county this home health agency serves

Johnson County, WY
Median household income
$63.9K
vs $82.1K US · $59.7K rural median
Poverty rate
10.6%
vs 12.5% US · 14.3% rural median
Uninsured
10.1%
vs 8.6% US · 8.4% rural median
Age 65+
26.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.5% of county personal income is Medicare/Medicaid medical benefits; 18.7% arrives as government transfers (BEA, 2022).
Operating margin (as filed)FY24Astrelis calculation

-76.7% operating margin in FY24.

The Board Briefing

Operating margin declined 15.1 points vs FY23 — the briefing traces why, line by line.

Reserve The Board Briefing →
Report coverage: Historical Facility Benchmark. 10 of 14 facility measures available from public sources. This CCN is terminated. The report benchmarks the record's final filed years against their own contemporaneous peer pools and says so on every exhibit; no current-year comparison is implied. 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, "Home And Care Sheridan", https://astrelis.co/providers/home_health/537835, 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/537835.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