Financial anchor year: FY24. Margin and revenue are as filed for FY24. Days cash on hand is FY20, 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 hospice in Sonora, CA. It ran an operating loss of 10.5% in FY24 on $3.3M of operating revenue. It held -1,972 days of cash on hand in FY20, its most recent reported liquidity — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool (0th percentile of 2,377 hospices on liquidity, FY20 pool). Operating margin declined from 10.1% in FY20 to -10.5% in FY24. It carries an average daily census of 40. These figures come from filings spanning FY20–FY24: read each by its own year rather than as one current picture.
Average daily census
40
Reported value2024
Source: CMS Hospice
Hospice Care Index
10
Reported value2024
Source: CMS Hospice Quality
Operating margin · FY24
-10.5%
Astrelis calculation · as-filed inputs
vs hospices39th pctl of 3,782 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total days of care
16,742 days
Reported value2024
Source: HCRIS CMS-1984
Where ADVENTIST HEALTH HOME sits among hospices
Operating margin · FY24 pool · n = 3,782 of 3,933 filed
Each point is one hospice in the national FY24 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 hospice FY24 median is -2.0%. Descriptive context only, not a ranking.
One hospiceADVENTIST HEALTHhospice median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this hospice 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
-10.5% (FY24)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-7.8% (FY24)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
-1972d (FY20)
Cash & investments ÷ daily operating expense
Astrelis calculation · HCRIS WS G / G-3
Current ratio
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
2,377
3,346
3,291
Total operating revenue
2,377
3,346
3,291
Total operating expenses
2,460
3,002
3,636
Operating income
(83)
344
(346)
Operating margin %
-3.5%
+10.3%
-10.5%
Other non-operating, net
49
84
84
Net income
(34)
428
(262)
Net income %
-1.4%
+12.5%
-7.8%
— = Not reported in source for that year.
HCRIS CMS-1984 cost report · $ thousands · FY20–FY24 · patient-service operating basis; non-patient revenue (contributions, investment) is non-operating · FY20–21 may include COVID-era relief funding
Display states.FY20 · Days cash on hand: -1,972 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 hospice 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.
Hospice Care Index
10
Reported value2024
CMS Hospice Quality
Average daily census
40
Reported value2024
CMS Hospice
Routine home care mix
99.0%
Reported value2024
HCRIS CMS-1984
General inpatient mix
0.9%
Reported value2024
HCRIS CMS-1984
Respite mix
0.1%
Reported value2024
HCRIS CMS-1984
Total days of care
16,742 days
Reported value2024
HCRIS CMS-1984
CAHPS family caregiver rating (1–5 stars)
5
Reported value2024
CMS Hospice CAHPS
Continuous home care mix
0.0%
Reported value2024
HCRIS CMS-1984
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
State context
Sonora, CA
Located in Sonora, CA. County-level statistics: linkage not established— this record's county mapping is not verified in the resolved spine, and we never place a facility in a county by guesswork. State-level context appears here once a state aggregate layer lands.
Operating margin vs its peer poolFY24Astrelis 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: FY24 pool · n = 3,782.
Report coverage: Standard Facility Benchmark. 12 of 12 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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