Financial anchor year: FY21. Margin and revenue are as filed for FY21. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY24, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY24, the most recent year that passed the display gate. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A home health agency in Round Rock, TX. It ran an operating loss of 66.5% in FY21 on $0.5M of operating revenue. It held 4 days of cash on hand in FY24, its most recent reported liquidity (16th percentile among home health agencies on liquidity). Operating margin improved from -72.6% in FY20 to -66.5% in FY21. Including nonoperating items, the all-in result was positive at 6.9%. On care, it carries a 5-star CMS quality rating. Its within-stay preventable hospitalization runs 14.1%. These figures come from filings spanning FY21–FY24: read each by its own year rather than as one current picture.
Quality of patient care star
5★
Verified fact2026
Source: CMS Care Compare
Days cash on hand · FY24
4d
all sources
▲ 4.3 days vs FY23
vs home health agencies16th pctl of 4,699 (FY24)
Operating margin · FY21
-66.5%
▲ 6.0 pts vs FY20
vs home health agencies2nd pctl of 6,394 (FY24)
Within-stay preventable hospitalization
14.1%
Verified fact2026
Source: CMS Care Compare
Where ROYALTY CARE HOME 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.
One home health agencyROYALTY 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
-66.5% (FY21)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+6.9% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
4d (FY24)
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
95% (FY24)
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 item
FY22
FY23
FY24
Patient revenue
409
366
491
Total operating revenue
409
366
491
Total operating expenses
921
1,155
1,187
Operating income
(513)
(789)
(696)
Operating margin %
-125.4%
-215.6%
-141.8%
Other non-operating, net
531
796
784
Net income
18
7
88
Net income %
+1.9%
+0.6%
+6.9%
HCRIS CMS-1728 cost report · $ thousands · FY20–FY24 · 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
5★
Verified fact2026
CMS Care Compare
Timely initiation of care
100.0%
Verified fact2026
CMS Care Compare
Improvement in ambulation
100.0%
Verified fact2026
CMS Care Compare
Improvement in dyspnea
100.0%
Verified fact2026
CMS Care Compare
Within-stay preventable hospitalization
14.1%
Verified fact2026
CMS Care Compare
Discharge to community
59.5%
Proxy2024
CMS HHVBP
Rated care 9–10
86.0%
Proxy2026
CMS HHCAHPS
ZIP codes served
35
Proxy2026
CMS HH PUF
Total visits
1,047
Verified fact2024
HCRIS CMS-1728
Total episodes
181
Verified fact2024
HCRIS CMS-1728
Unduplicated patients
35
Verified fact2024
HCRIS CMS-1728
Cost per visit ($)
1,134
Verified fact2024
HCRIS CMS-1728
Medicare revenue share
100.0%
Verified fact2024
HCRIS CMS-1728
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this home health agency serves
Williamson County, TX · metro, 1M+ population
Median household income
$108.3K
vs $82.1K US · $59.7K rural median
Poverty rate
6.3%
vs 12.5% US · 14.3% rural median
Uninsured
9.5%
vs 8.6% US · 8.4% rural median
Age 65+
12.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
15.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 3.6% of county personal income is Medicare/Medicaid medical benefits; 10.6% arrives as government transfers (BEA, 2022).
Opportunity screen · FY23
≈ $346K
of annual opportunity identified against peer medians across 1 measure
Directional, conservative band. Arithmetic against matched-peer medians from public filings, not a projection; public data cannot fully control for patient acuity.
The free profile shows the record. The Board Briefing tells you what changed, what matters, and what your board should ask. 35+ pages, built entirely from public sources, no client data required. Delivered within 2 business days. If we cannot deliver the published scope for your facility, you pay nothing.
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.
