Average daily census: 30 in FY2023. Hospice Care Index: 9 in FY2023. Operating margin: -6.4% in FY2023. Total days of care: 11,126 days in FY2023. Days cash on hand: 0 days in FY2023. Total operating revenue: $1.7M in FY2023. Total margin (including nonoperating): +3.0% in FY2023. Figures as filed; not audited by Astrelis.
The read
A hospice in Monticello, IA. It ran an operating loss of 6.4% in FY23 on $1.7M of operating revenue. It held 0 days of cash on hand. Operating margin declined from 70.0% in FY20 to -6.4% in FY23. Including nonoperating items, the all-in result was positive at 3.0%. It carries an average daily census of 30.
Average daily census
30
Reported value2023
Source: CMS Hospice
Hospice Care Index
9
Reported value2023
Source: CMS Hospice Quality
Operating margin · FY23
-6.4%
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
11,126 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
-6.4% (FY23)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+3.0% (FY23)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
0d (FY23)
Cash & investments ÷ daily operating expense
Astrelis calculation · HCRIS WS G / G-3
Current ratio
2.93× (FY23)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
17% (FY23)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
291d (FY23) — outside expected range; computed from the filed statement and not ranked against peers
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY21
FY22 · 218 days
FY23 · 328 days
Patient revenue
2,070
1,485
1,721
Total operating revenue
2,070
1,485
1,721
Total operating expenses
674
394
1,832
Operating income
1,396
1,091
(111)
Operating margin %
+67.4%
+73.5%
-6.4%
Other non-operating, net
208
(463)
168
Net income
1,604
627
57
Net income %
+70.4%
+61.4%
+3.0%
— = 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
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
9
Reported value2023
CMS Hospice Quality
Average daily census
30
Reported value2023
CMS Hospice
Routine home care mix
99.3%
Reported value2023
HCRIS CMS-1984
General inpatient mix
0.0%
Reported value2023
HCRIS CMS-1984
Respite mix
0.7%
Reported value2023
HCRIS CMS-1984
Total days of care
11,126 days
Reported value2023
HCRIS CMS-1984
CAHPS family caregiver rating (1–5 stars)
4
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
Jones County, IA · metro, 250K–1M
Median household income
$73.1K
vs $82.1K US · $59.7K rural median
Poverty rate
10.4%
vs 12.5% US · 14.3% rural median
Uninsured
2.7%
vs 8.6% US · 8.4% rural median
Age 65+
21.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.7% of county personal income is Medicare/Medicaid medical benefits; 20.7% 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. 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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Astrelis Atlas, "Above & Beyond Hospice Care", https://astrelis.co/providers/hospice/161581, 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/161581.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.
