Astrelis
Hospice · Washington, IA

HOSPICE OF WASHINGTON COUNTY

CCN 161544Washington CountyLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospice in Washington, IA. It ran an operating loss of 38.9% in FY25 on $1.4M of operating revenue. It held 158 days of cash on hand (87th percentile among hospices on liquidity). Operating margin declined from -20.0% in FY21 to -38.9% in FY25. It carries an average daily census of 20.

Average daily census
20
Verified fact2025
Source: CMS Hospice
Hospice Care Index
10
Verified fact2025
Source: CMS Hospice Quality
Operating margin · FY25
-38.9%
9.3 pts vs FY24
vs hospices11th pctl of 3,488 (FY24)
Total days of care
8030.0d
Verified fact2025
Source: HCRIS CMS-1984
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=3,488).

Where HOSPICE OF WASHINGTON sits among hospices

Operating margin · FY24 pool · n = 3,488 of 5,626 filed

Each point is one hospice 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 hospice median is +0.1%. Descriptive context only, not a ranking.

This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=3,488).
-20%-10%0%+10%+20%hospice median +0.08499999999999999%HOSPICE OF -38.9%-20%0%+20%hospice median +0.08499999999999999%HOSPICE OF -38.9%
One hospiceHOSPICE OFhospice 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 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
-38.9% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-9.3% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
158d (FY25)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
7.96× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
5% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
64d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue1,2901,3801,412
Total operating revenue1,2901,3801,412
Total operating expenses1,5641,7881,961
Operating income(274)(408)(549)
Operating margin %-21.2%-29.6%-38.9%
Other non-operating, net700454383
Net income42646(166)
Net income %+21.4%+2.5%-9.2%
HCRIS CMS-1984 cost report · $ thousands · FY21–FY25 · patient-service operating basis; non-patient revenue (contributions, investment) is non-operating · FY20–21 may include COVID-era relief funding

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 evidence class and public source; descriptive context only, never a ranking or adequacy claim.

Hospice Care Index
10
Verified fact2025
CMS Hospice Quality
Average daily census
20
Verified fact2025
CMS Hospice
Routine home care mix
99.7%
Verified fact2025
HCRIS CMS-1984
General inpatient mix
0.0%
Verified fact2025
HCRIS CMS-1984
Respite mix
0.3%
Verified fact2025
HCRIS CMS-1984
Total days of care
8030.0d
Verified fact2025
HCRIS CMS-1984
CAHPS family caregiver rating
5
Verified fact2025
CMS Hospice CAHPS
Continuous home care mix
0.0%
Verified fact2025
HCRIS CMS-1984

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-20.0%-19.1%-21.3%-29.6%-38.9%FY21FY22FY23FY24FY25
Days cash on hand
368 days183 days189 days187 days158 daysFY21FY22FY23FY24FY25

The county this hospice serves

Washington County, IA · metro, under 250K
Median household income
$71.3K
vs $82.1K US · $59.7K rural median
Poverty rate
8.5%
vs 12.5% US · 14.3% rural median
Uninsured
7.2%
vs 8.6% US · 8.4% rural median
Age 65+
19.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.6% of county personal income is Medicare/Medicaid medical benefits; 14.7% arrives as government transfers (BEA, 2022).
Opportunity screen · FY25
$44K

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.
FY25 has not yet reached pool validity: benchmarked against the FY24 pool (n=4,349).
See what's behind this number in the Performance Benchmark →

Hospice 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.

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