Financial anchor year: FY21. Margin and revenue are as filed for FY21. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY20, 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 San Antonio, TX. It ran an operating surplus of 7.7% in FY21 on $18.8M of operating revenue. It held -3 days of cash on hand — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool (4th percentile of 5,598 home health agencies on liquidity, FY21 pool). Operating margin declined from 14.4% in FY20 to 7.7% in FY21.
Days cash on hand · FY21
-3d
all sources
Astrelis calculation · as-filed inputs
vs home health agencies4th pctl of 5,598 (FY21 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY21
$18.8M
Astrelis calculation · as-filed inputs
vs home health agencies96th pctl of 6,447 (FY21 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Operating margin · FY21
+7.7%
Astrelis calculation · as-filed inputs
vs home health agencies61st pctl of 6,432 (FY21 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY21
+9.6%
Astrelis calculation · as-filed inputs
vs home health agencies56th pctl of 6,416 (FY21 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Where ACARA sits among home health agencies
Operating margin · FY21 pool · n = 6,432 of 7,624 filed
Each point is one home health agency in the national FY21 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 FY21 median is +3.0%. Descriptive context only, not a ranking.
One home health agencyACARAhome 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
+7.7% (FY21)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+9.6% (FY21)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
-3d (FY21)
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
98% (FY20)
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
FY20
FY21
Patient revenue
20,867
18,846
Total operating revenue
20,867
18,846
Total operating expenses
17,868
17,400
Operating income
2,999
1,446
Operating margin %
+14.4%
+7.7%
Other non-operating, net
404
404
Net income
3,403
1,850
Net income %
+16.0%
+9.6%
2 of 3 years available for this statement.
— = Not reported in source for that year.
HCRIS CMS-1728 cost report · $ thousands · FY20–FY24 · operating revenue reflects net patient service revenue · FY20–21 may include COVID-era relief funding
Display states.FY22 · Filed figures — Not reported in source (a cost report exists for this year but none of its mapped statement values were reported)FY23 · Filed figures — Not reported in source (a cost report exists for this year but none of its mapped statement values were reported)FY24 · Filed figures — Not reported in source (a cost report exists for this year but none of its mapped statement values were reported)FY21 · Days cash on hand: -3 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)
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.
Rated care 9–10 (% of patients)
86.0%
Reported value2026
CMS HHCAHPS
ZIP codes served
15
Reported value2026
CMS HH PUF
Visits / episodes
5,314
Reported value2021
CMS HH PUF
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this home health agency serves
Bexar County, TX · metro, 1M+ population
Median household income
$70.6K
vs $82.1K US · $59.7K rural median
Poverty rate
14.7%
vs 12.5% US · 14.3% rural median
Uninsured
15.9%
vs 8.6% US · 8.4% rural median
Age 65+
12.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.8% of county personal income is Medicare/Medicaid medical benefits; 19.2% arrives as government transfers (BEA, 2022).
Operating margin vs its peer poolFY21Astrelis calculation
A facility-specific dollar comparison cannot be calculated because a benchmark input was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.
Operating margin vs its peer pool: FY21 pool · n = 6,432.
Report coverage: Limited Facility Benchmark. 7 of 14 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
The Board Briefing
Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
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