Quality of patient care star (1–5): 1.5 stars in FY2026. Days cash on hand: 33 days in FY2025, the 58th percentile of 5,303 home health agencies in the FY2025 pool. Operating margin: +20.3% in FY2025, the 86th percentile of 6,425 home health agencies in the FY2025 pool. Within-stay preventable hospitalization: 11.0% in FY2026. Total operating revenue: $1.0M in FY2025, the 23rd percentile of 6,434 home health agencies in the FY2025 pool. Total margin (including nonoperating): +20.3% in FY2025, the 84th 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 Frisco, TX. It ran an operating surplus of 20.3% in FY25 on $1.0M of operating revenue. It held 33 days of cash on hand (58th percentile of 5,303 home health agencies on liquidity, FY25 pool). Operating margin improved from 10.2% in FY20 to 20.3% in FY25. On care, it carries a 1.5-star CMS quality rating. Its within-stay preventable hospitalization rate is 11.0%. On the filed record it is comfortably profitable with lower measured quality. Source-reported context, not a recommendation.
Quality of patient care star (1–5)
1.5★
Reported value2026
Source: CMS Care Compare
Days cash on hand · FY25
33d
all sources
Astrelis calculation · as-filed inputs
vs home health agencies58th pctl of 5,303 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Operating margin · FY25
+20.3%
Astrelis calculation · as-filed inputs
vs home health agencies86th 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
11.0%
Reported value2026
Source: CMS Care Compare
Where ALMIGHTY HOME HEALTH 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.
One home health agencyALMIGHTY 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 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
+20.3% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+20.3% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
33d (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
-293% (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 item
FY23
FY24
FY25
Patient revenue
1,360
1,200
980
Total operating revenue
1,360
1,200
980
Total operating expenses
1,274
1,138
781
Operating income
86
62
199
Operating margin %
+6.3%
+5.2%
+20.3%
Net income
86
62
199
Net income %
+6.3%
+5.2%
+20.3%
— = 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)
1.5★
Reported value2026
CMS Care Compare
Timely initiation of care
91.6%
Reported value2026
CMS Care Compare
Improvement in ambulation
40.5%
Reported value2026
CMS Care Compare
Improvement in dyspnea
35.8%
Reported value2026
CMS Care Compare
Within-stay preventable hospitalization
11.0%
Reported value2026
CMS Care Compare
Discharge to community
79.6%
Reported value2024
CMS HHVBP
Rated care 9–10 (% of patients)
98.0%
Reported value2026
CMS HHCAHPS
ZIP codes served
78
Reported value2026
CMS HH PUF
Total visits
5,847
Reported value2025
HCRIS CMS-1728
Total episodes
836
Reported value2025
HCRIS CMS-1728
Visits per episode
7
Astrelis calculation2025
Astrelis calculation — total visits ÷ total episodes, both reported above (HCRIS CMS-1728)
Unduplicated patients
19
Reported value2025
HCRIS CMS-1728
Cost per visit ($)
133.56
Reported value2025
HCRIS CMS-1728
Medicare revenue share
97.6%
Reported value2025
HCRIS CMS-1728
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this home health agency serves
Collin County, TX · metro, 1M+ population
Median household income
$117.6K
vs $82.1K US · $59.7K rural median
Poverty rate
6.3%
vs 12.5% US · 14.3% rural median
Uninsured
9.9%
vs 8.6% US · 8.4% rural median
Age 65+
11.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
14.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 2.5% of county personal income is Medicare/Medicaid medical benefits; 7.6% arrives as government transfers (BEA, 2022).
Operating margin vs its peer poolFY25Astrelis calculation
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.
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Astrelis Atlas, "Almighty Home Health", https://astrelis.co/providers/home_health/677928, 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/677928.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.
