Quality of patient care star (1–5): 4.5 stars in FY2026. Days cash on hand: 317 days in FY2023, the 88th percentile of 5,687 home health agencies in the FY2023 pool. Operating margin: +11.5% in FY2025. Within-stay preventable hospitalization: 8.1% in FY2026. Total operating revenue: $1.6M in FY2025. Total margin (including nonoperating): +11.5% in FY2025. Figures as filed; not audited by Astrelis.
Financial anchor year: FY25. Margin and revenue are as filed for FY25. Days cash on hand is FY23, 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 Fresno, CA. It ran an operating surplus of 11.5% in FY25 on $1.6M of operating revenue. It held 317 days of cash on hand in FY23, its most recent reported liquidity (88th percentile of 5,687 home health agencies on liquidity, FY23 pool). 3 reporting years are on file, but revenue scale shifts too much between them for a comparable trend, so trend context is limited. On care, it carries a 4.5-star CMS quality rating. Its within-stay preventable hospitalization rate is 8.1%. On the filed record it is comfortably profitable with strong measured quality. Source-reported context, not a recommendation.
Quality of patient care star (1–5)
4.5★
Reported value2026
Source: CMS Care Compare
Days cash on hand · FY23
317d
all sources
Astrelis calculation · as-filed inputs
vs home health agencies88th pctl of 5,687 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Operating margin · FY25
+11.5%
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY25)
Within-stay preventable hospitalization
8.1%
Reported value2026
Source: CMS Care Compare
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
+11.5% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+11.5% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
317d (FY23)
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
-105% (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 · 267 days
Patient revenue
523
266
1,611
Total operating revenue
523
266
1,611
Total operating expenses
653
398
1,425
Operating income
(130)
(132)
186
Operating margin %
-24.9%
-49.6%
+11.5%
Other non-operating, net
0
1
0
Net income
(130)
(131)
186
Net income %
-24.9%
-49.1%
+11.5%
— = Not reported in source for that year.
HCRIS CMS-1728 cost report · $ thousands · FY22–FY25 · operating revenue reflects net patient service revenue
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)
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)
4.5★
Reported value2026
CMS Care Compare
Timely initiation of care
93.6%
Reported value2026
CMS Care Compare
Improvement in ambulation
96.8%
Reported value2026
CMS Care Compare
Improvement in dyspnea
100.0%
Reported value2026
CMS Care Compare
Within-stay preventable hospitalization
8.1%
Reported value2026
CMS Care Compare
Discharge to community
80.3%
Reported value2024
CMS HHVBP
ZIP codes served
54
Reported value2026
CMS HH PUF
Total visits
4,980
Reported value2025
HCRIS CMS-1728
Total episodes
446
Reported value2025
HCRIS CMS-1728
Visits per episode
11.20
Astrelis calculation2025
Astrelis calculation — total visits ÷ total episodes, both reported above (HCRIS CMS-1728)
Unduplicated patients
255
Reported value2025
HCRIS CMS-1728
Cost per visit ($)
286.21
Reported value2025
HCRIS CMS-1728
Medicare revenue share
90.4%
Reported value2025
HCRIS CMS-1728
Trajectory
Cost-report basis · 4 reporting years
Operating margin
Days cash on hand
The county this home health agency serves
Fresno County, CA · metro, 1M+ population
Median household income
$71.4K
vs $82.1K US · $59.7K rural median
Poverty rate
18.7%
vs 12.5% US · 14.3% rural median
Uninsured
7.0%
vs 8.6% US · 8.4% rural median
Age 65+
12.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
27.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.2% of county personal income is Medicare/Medicaid medical benefits; 26.3% arrives as government transfers (BEA, 2022).
A facility-specific dollar comparison cannot be calculated because a valid same-year peer pool was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.
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, "1st Choice Home Healthcare Fresno Inc", https://astrelis.co/providers/home_health/757053, 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/757053.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.
