Average daily census: 35 in FY2023. Hospice Care Index: 10 in FY2023. Operating margin: -180.7% in FY2023. Total days of care: 5,986 days in FY2023. Total operating revenue: $1.4M in FY2023. Total margin (including nonoperating): -168.6% in FY2023. Figures as filed; not audited by Astrelis.
Financial anchor year: FY23. Margin and revenue are as filed for FY23. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY20, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospice in Des Moines, IA. It ran an operating loss of 180.7% in FY23 on $1.4M of operating revenue. 4 reporting years are on file, but revenue scale shifts too much between them for a comparable trend, so trend context is limited. It carries an average daily census of 35. These figures come from filings spanning FY20–FY23: read each by its own year rather than as one current picture.
Average daily census
35
Reported value2023
Source: CMS Hospice
Hospice Care Index
10
Reported value2023
Source: CMS Hospice Quality
Operating margin · FY23
-180.7%
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 FY23)
Total days of care
5,986 days
Reported value2023
Source: HCRIS CMS-1984
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
-180.7% (FY23)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-168.6% (FY23)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
Not reported in source
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
Not reported in source
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
FY21
FY22
FY23 · 303 days
Patient revenue
4,510
4,112
1,354
Total operating revenue
4,510
4,112
1,354
Total operating expenses
4,729
4,804
3,800
Operating income
(219)
(693)
(2,446)
Operating margin %
-4.9%
-16.8%
-180.7%
Other non-operating, net
7
0
61
Net income
(212)
(693)
(2,385)
Net income %
-4.7%
-16.8%
-168.6%
— = Not reported in source for that year.
HCRIS CMS-1984 cost report · $ thousands · FY20–FY23 · patient-service operating basis; non-patient revenue (contributions, investment) is non-operating · FY20–21 may include COVID-era relief funding
Display states.FY23 · Operating margin: -180.7% — Astrelis calculation · outside expected range; shown at the chart boundary and not in peer statistics (this year is not comparison-eligible) (beyond ±100%)FY23 · Total margin: -168.6% — Astrelis calculation · outside expected range; shown at the chart boundary and not in peer statistics (this year is not comparison-eligible) (beyond ±100%)
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 value2023
CMS Hospice Quality
Average daily census
35
Reported value2023
CMS Hospice
Routine home care mix
93.4%
Reported value2023
HCRIS CMS-1984
General inpatient mix
5.9%
Reported value2023
HCRIS CMS-1984
Respite mix
0.7%
Reported value2023
HCRIS CMS-1984
Total days of care
5,986 days
Reported value2023
HCRIS CMS-1984
CAHPS family caregiver rating (1–5 stars)
3
Reported value2023
CMS Hospice CAHPS
Continuous home care mix
0.0%
Reported value2023
HCRIS CMS-1984
Trajectory
Cost-report basis · 4 reporting years
Operating margin
Days cash on hand
The county this hospice serves
Iowa County, IA · metro, 250K–1M
Median household income
$81.6K
vs $82.1K US · $59.7K rural median
Poverty rate
10.1%
vs 12.5% US · 14.3% rural median
Uninsured
4.9%
vs 8.6% US · 8.4% rural median
Age 65+
13.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.7% of county personal income is Medicare/Medicaid medical benefits; 15.6% 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: Limited Facility Benchmark. 11 of 12 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
The Board Briefing
Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
$1,000delivered within 2 business days of invoice
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Astrelis Atlas, "Mercyone Des Moines Hospice", https://astrelis.co/providers/hospice/161506, 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/hospice/161506.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.
