Astrelis
Home health agency · Brownsville, TX

DREAM CARE LLC

CCN 679503Cameron CountyPROPRIETARYLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A home health agency in Brownsville, TX. It ran an operating surplus of 23.2% in FY25 on $0.3M of operating revenue. It held 13 days of cash on hand (37th percentile among home health agencies on liquidity). Only a single comparable reporting year is available, so trend context is limited. On care, it carries a 1.5-star CMS quality rating. 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
Verified fact2026
Source: CMS Care Compare
Days cash on hand · FY25
13d
all sources
vs home health agencies37th pctl of 4,699 (FY24)
Operating margin · FY25
+23.2%
vs home health agencies89th pctl of 6,394 (FY24)
Total operating revenue · FY25
$0.3M
vs home health agencies4th pctl of 6,669 (FY24)
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=6,394).

Where DREAM CARE LLC sits among home health agencies

Operating margin · FY24 pool · n = 6,394 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 +4.1%. Descriptive context only, not a ranking.

This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=6,394).
-20%-10%0%+10%+20%home health agency median +4.095%DREAM CARE +23.22%-20%0%+20%home health agency median +4.095%DREAM CARE +23.22%
One home health agencyDREAM CAREhome 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
+23.2% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+23.2% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
13d (FY25)
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
-103% (FY25)
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 itemFY23FY24FY25
Patient revenue996473315
Total operating revenue996473315
Total operating expenses706575242
Operating income290(102)73
Operating margin %+29.1%-21.6%+23.2%
Net income290(102)73
Net income %+29.1%-21.6%+23.2%
HCRIS CMS-1728 cost report · $ thousands · FY21–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 evidence class and public source; descriptive context only, never a ranking or adequacy claim.

Quality of patient care star
1.5
Verified fact2026
CMS Care Compare
Timely initiation of care
97.1%
Verified fact2026
CMS Care Compare
Improvement in ambulation
48.6%
Verified fact2026
CMS Care Compare
Improvement in dyspnea
53.4%
Verified fact2026
CMS Care Compare
Discharge to community
61.4%
Proxy2024
CMS HHVBP
Rated care 9–10
85.0%
Proxy2026
CMS HHCAHPS
ZIP codes served
11
Proxy2026
CMS HH PUF
Total visits
2,902
Verified fact2025
HCRIS CMS-1728
Total episodes
249
Verified fact2025
HCRIS CMS-1728
Unduplicated patients
89
Verified fact2025
HCRIS CMS-1728
Cost per visit ($)
83.42
Verified fact2025
HCRIS CMS-1728
Medicare revenue share
72.7%
Verified fact2025
HCRIS CMS-1728

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+12.2%-22.7%+29.1%-21.7%+23.2%FY21FY22FY23FY24FY25
Days cash on hand
4 days92 days4 days13 daysFY21FY22FY23FY24FY25

The county this home health agency serves

Cameron County, TX · metro, 250K–1M
Median household income
$51.3K
vs $82.1K US · $59.7K rural median
Poverty rate
24.4%
vs 12.5% US · 14.3% rural median
Uninsured
26.7%
vs 8.6% US · 8.4% rural median
Age 65+
14.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
30.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 17.1% of county personal income is Medicare/Medicaid medical benefits; 34.8% 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 · 2026-07-25