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 (3rd percentile among hospices on liquidity). 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
Verified fact2023
Source: CMS Hospice
Hospice Care Index
9
Verified fact2023
Source: CMS Hospice Quality
Operating margin · FY23
-6.4%
vs hospices41st pctl of 3,338 (FY23)
Total days of care
11126.0d
Verified fact2023
Source: HCRIS CMS-1984
Benchmarked within its own FY23 pool (n=3,338); the hospice cohort's current year is FY24.
Where ABOVE & BEYOND sits among hospices
Operating margin · FY23 pool · n = 3,338 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 -0.8%. Descriptive context only, not a ranking.
Benchmarked within its own FY23 pool (n=3,338); the hospice cohort's current year is FY24.
One hospiceABOVE &hospice 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
-6.4% (FY23)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+3.0% (FY23)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
0d (FY23)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
2.93× (FY23)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
17% (FY23)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, outside plausibility bounds
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY21
FY22
FY23
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
628
57
Net income %
+70.4%
+61.4%
+3.0%
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 evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Hospice Care Index
9
Verified fact2023
CMS Hospice Quality
Average daily census
30
Verified fact2023
CMS Hospice
Routine home care mix
99.3%
Verified fact2023
HCRIS CMS-1984
General inpatient mix
0.0%
Verified fact2023
HCRIS CMS-1984
Respite mix
0.7%
Verified fact2023
HCRIS CMS-1984
Total days of care
11126.0d
Verified fact2023
HCRIS CMS-1984
CAHPS family caregiver rating
4
Verified fact2023
CMS Hospice CAHPS
Continuous home care mix
0.0%
Verified fact2023
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).
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