# Home Health Agencies in Puerto Rico · Financial Profiles

State rollup · PR · Home Health Agencies  
Page: https://astrelis.co/providers/home_health/state/pr  
This twin: https://astrelis.co/providers/home_health/state/pr.md  
Release: 2321a4fc37a7 (2026-10-22)

Puerto Rico's 30 current home health agencies (plus 1 historical record, listed and labeled below) trail the national cohort: median operating margin -4.5% against +3.3% nationally. 57% of the state's cohort filed an operating loss; the rest held at or above break-even. Median liquidity stands at 75 days cash on hand.

## Counts

- Current home health agencies: 30
- Historical records (CMS lists the CCN as terminated; listed and labeled below, excluded from counts and medians): 1
- Records listed: 31

## Medians

- **Median operating margin:** -4.5%. Basis: n = 30 values, each facility at its own latest settled fiscal year (FY2022 to FY2025). Astrelis calculation.
- **Median days cash on hand:** 75 days. Basis: n = 30 values, each facility at its own latest settled fiscal year (FY2022 to FY2025). Astrelis calculation.
- **National median operating margin (the module's benchmark pool, as the page's narrative compares it):** +3.3%. Basis: n = 6,425 facilities in the national pool, each at its own latest settled fiscal year. Astrelis calculation.

Each median is over eligibility-gated latest-year values from the clean-room panel; facility rows below are shown as filed; historical records are excluded from the medians.

## Facilities (31 records: 30 current, 1 historical)

Every row is as filed; a cell states its public state ("Not reported in source", "Astrelis calculation unavailable") rather than a dash. Each facility links to its profile and to the profile's twin.

| Facility | City | Latest FY | Visits | Episodes | Visits / episode | Cost / visit | Medicare rev share | Operating margin |
|---|---|---:|---:|---:|---:|---:|---:|---:|
| [ADVANCED HOME CARE SERVICE WEST INC](https://astrelis.co/providers/home_health/407037) ([twin](https://astrelis.co/providers/home_health/407037.md)) | Bo Palmas | 2025 | 82,129 | 729 | 112.7 | $84 | Not reported in source | +23.6% |
| [AMERICARE HOMEHEALTH SERVICES](https://astrelis.co/providers/home_health/407019) ([twin](https://astrelis.co/providers/home_health/407019.md)) | San Juan | 2025 | Not reported in source | Not reported in source | Not reported in source | Not reported in source | Not reported in source | -29.6% |
| [ANGELES SAN CRISTOBAL](https://astrelis.co/providers/home_health/407033) ([twin](https://astrelis.co/providers/home_health/407033.md)) | Juana Diaz | 2025 | Not reported in source | Not reported in source | Not reported in source | Not reported in source | Not reported in source | +14.1% |
| [ARECIBO MEDICAL HOME CARE](https://astrelis.co/providers/home_health/407027) ([twin](https://astrelis.co/providers/home_health/407027.md)) | Arecibo | 2025 | 19,715 | 271 | 72.7 | $120 | 14% | -11.7% |
| [BEST OPTION HEALTHCARE PUERTO RICO](https://astrelis.co/providers/home_health/407051) ([twin](https://astrelis.co/providers/home_health/407051.md)) | San Juan | 2025 | 108,739 | 827 | 131.5 | $350 | 10% | -277.8% |
| [CMS HOME CARE METRO LLC](https://astrelis.co/providers/home_health/407048) ([twin](https://astrelis.co/providers/home_health/407048.md)) | San Juan | 2025 | 28,761 | 268 | 107.3 | $124 | 10% | -7.6% |
| [CMS HOME CARE NORTE, LLC](https://astrelis.co/providers/home_health/407052) ([twin](https://astrelis.co/providers/home_health/407052.md)) | Hatillo | 2025 | Not reported in source | Not reported in source | Not reported in source | Not reported in source | Not reported in source | +5.4% |
| [CMS HOME CARE OESTE LLC](https://astrelis.co/providers/home_health/407049) ([twin](https://astrelis.co/providers/home_health/407049.md)) | Mayaguez | 2025 | Not reported in source | Not reported in source | Not reported in source | Not reported in source | Not reported in source | +7.8% |
| [CMS HOME CARE SUR LLC](https://astrelis.co/providers/home_health/407036) ([twin](https://astrelis.co/providers/home_health/407036.md)) | Coto Laurel | 2025 | 7,501 | 195 | 38.5 | $145 | 33% | -33.2% |
| [CONDADO HOME CARE PROGRAM INC](https://astrelis.co/providers/home_health/407011) ([twin](https://astrelis.co/providers/home_health/407011.md)) | Hato Rey | 2025 | 15,797 | 356 | 44.4 | $137 | 19% | +5.0% |
| [CORPORACION LAS VEGAS, LLC](https://astrelis.co/providers/home_health/407014) ([twin](https://astrelis.co/providers/home_health/407014.md)) | Manati | 2025 | 99,323 | 971 | 102.3 | $97 | 8% | +25.4% |
| [FIRST HOME CARE CENTER INC.](https://astrelis.co/providers/home_health/407020) ([twin](https://astrelis.co/providers/home_health/407020.md)) | Mayaguez | 2025 | 28,764 | 249 | 115.5 | $102 | 0% | -5.9% |
| [GEMINIS HOME CARE](https://astrelis.co/providers/home_health/407028) ([twin](https://astrelis.co/providers/home_health/407028.md)) | Corozal | 2025 | 8,313 | 65 | 127.9 | $220 | 48% | -3.1% |
| [GUAYNABO HOME CARE](https://astrelis.co/providers/home_health/407013) ([twin](https://astrelis.co/providers/home_health/407013.md)) | San Juan | 2025 | Not reported in source | Not reported in source | Not reported in source | Not reported in source | Not reported in source | -37.0% |
| [HOME CARE GREGORIA AUFFANT](https://astrelis.co/providers/home_health/407001) ([twin](https://astrelis.co/providers/home_health/407001.md)) | San Juan | 2025 | 33,231 | 211 | 157.5 | $90 | 8% | +24.8% |
| [LUZ DE ESPERANZA HOME CARE INC](https://astrelis.co/providers/home_health/407030) ([twin](https://astrelis.co/providers/home_health/407030.md)) | Alt De Luchetti | 2025 | 7,579 | 150 | 50.5 | $119 | 23% | -30.9% |
| [METRO PAVIA @ HOME](https://astrelis.co/providers/home_health/407024) ([twin](https://astrelis.co/providers/home_health/407024.md)) | Arecibo | 2025 | 60,275 | 110 | 548.0 | $102 | 5% | -34.6% |
| [METRO PAVIA @ HOME HUMACAO](https://astrelis.co/providers/home_health/407017) ([twin](https://astrelis.co/providers/home_health/407017.md)) | Las Piedras | 2025 | 18,767 | 60 | 312.8 | $144 | 7% | -70.2% |
| [METRO PAVIA @ HOME- MAYAGUEZ](https://astrelis.co/providers/home_health/407314) ([twin](https://astrelis.co/providers/home_health/407314.md)) | Hormigueros | 2025 | 24,242 | 67 | 361.8 | $135 | 7% | -68.3% |
| [METRO PAVIA AT HOME SAN JUAN](https://astrelis.co/providers/home_health/407009) ([twin](https://astrelis.co/providers/home_health/407009.md)) | San Juan | 2025 | 49,481 | 242 | 204.5 | $121 | 8% | -49.1% |
| [NAZARENO HOME CARE](https://astrelis.co/providers/home_health/407012) ([twin](https://astrelis.co/providers/home_health/407012.md)) | Luquillo | 2025 | 7,898 | 57 | 138.6 | $108 | 6% | -2.0% |
| [NUEVA VIDA DE LA SALUD HOME CARE CORP](https://astrelis.co/providers/home_health/407035) ([twin](https://astrelis.co/providers/home_health/407035.md)) | Bayamon | 2025 | Not reported in source | Not reported in source | Not reported in source | Not reported in source | Not reported in source | -30.7% |
| [PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS INC](https://astrelis.co/providers/home_health/407002) ([twin](https://astrelis.co/providers/home_health/407002.md)) | Ponce | 2025 | 83,665 | 608 | 137.6 | $52 | 8% | +44.0% |
| [PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS INC](https://astrelis.co/providers/home_health/407308) ([twin](https://astrelis.co/providers/home_health/407308.md)) | Bayamon | 2025 | 28,195 | 143 | 197.2 | $70 | 5% | +26.8% |
| [PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS INC](https://astrelis.co/providers/home_health/407309) ([twin](https://astrelis.co/providers/home_health/407309.md)) | Arecibo | 2025 | 32,297 | 237 | 136.3 | $75 | 8% | +13.3% |
| [PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS INC](https://astrelis.co/providers/home_health/407310) ([twin](https://astrelis.co/providers/home_health/407310.md)) | Trujillo Alto | 2025 | 27,960 | 382 | 73.2 | $83 | 12% | +19.9% |
| [PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS INC](https://astrelis.co/providers/home_health/407311) ([twin](https://astrelis.co/providers/home_health/407311.md)) | Caguas | 2025 | 43,561 | 261 | 166.9 | $63 | 7% | +28.7% |
| [PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS INC](https://astrelis.co/providers/home_health/407320) ([twin](https://astrelis.co/providers/home_health/407320.md)) | Aguadilla | 2025 | 60,136 | 339 | 177.4 | $58 | 7% | +37.0% |
| [PUERTO RICO HOME HEALTH](https://astrelis.co/providers/home_health/407031) ([twin](https://astrelis.co/providers/home_health/407031.md)) | Quebradillas | 2023 | 7,282 | 159 | 45.8 | $127 | 100% | -10.3% |
| [SALUD INTEGRAL EN LA MONTANA INC](https://astrelis.co/providers/home_health/407008) ([twin](https://astrelis.co/providers/home_health/407008.md)) | Naranjito | 2025 | 10,125 | 223 | 45.4 | $124 | 19% | -12.1% |
| [ST LUKES HCP](https://astrelis.co/providers/home_health/407306) ([twin](https://astrelis.co/providers/home_health/407306.md)) · historical | Lares | 2024 | Not reported in source | Not reported in source | Not reported in source | Not reported in source | Not reported in source | +69.1% |

## Sources

Financial figures are compiled from public HCRIS Medicare cost reports and standardized by Astrelis. State medians use eligibility-gated latest-year values from the clean-room panel; facility rows are shown as filed. Values are source-reported context, not audited by Astrelis, and not a ranking.

Methodology: https://astrelis.co/methodology · Data sources: https://astrelis.co/data-sources · Data philosophy: https://astrelis.co/data-philosophy

## Cite this page

Astrelis Atlas, "Home Health Agencies in Puerto Rico · Financial Profiles", https://astrelis.co/providers/home_health/state/pr, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.

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.