Astrelis
Hospice · Sioux City, IA

CARE INITIATIVES HOSPICE - SIOUX CITY

CCN 161592Woodbury CountyLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis

Average daily census: 60 in FY2025. Hospice Care Index: 9 in FY2025. Operating margin: +21.0% in FY2025, the 84th percentile of 3,640 hospices in the FY2025 pool. Total days of care: 27,191 days in FY2025. Days cash on hand: 0 days in FY2023, the 8th percentile of 2,833 hospices in the FY2023 pool. Total operating revenue: $4.7M in FY2025, the 59th percentile of 3,645 hospices in the FY2025 pool. Total margin (including nonoperating): +18.6% in FY2025, the 74th percentile of 3,641 hospices in the FY2025 pool. Figures as filed; not audited by Astrelis.

Financial anchor year: FY25. Margin and revenue are as filed for FY25. Days cash on hand is FY23, 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 Sioux City, IA. It ran an operating surplus of 21.0% in FY25 on $4.7M of operating revenue. It held 0 days of cash on hand in FY23, its most recent reported liquidity (8th percentile of 2,833 hospices on liquidity, FY23 pool). 6 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 60.

Average daily census
60
Reported value2025
Source: CMS Hospice
Hospice Care Index
9
Reported value2025
Source: CMS Hospice Quality
Operating margin · FY25
+21.0%
Astrelis calculation · as-filed inputs
vs hospices84th pctl of 3,640 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total days of care
27,191 days
Reported value2025
Source: HCRIS CMS-1984

Where CARE INITIATIVES HOSPICE sits among hospices

Operating margin · FY25 pool · n = 3,640 of 3,944 filed

Each point is one hospice in the national FY25 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 FY25 median is -0.8%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%hospice median -0.8%CARE INITIATIVES +21.0%
One hospiceCARE INITIATIVEShospice 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
+21.0% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+18.6% (FY25)
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
5.22× (FY25)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
19% (FY25)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
59d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue3,0883,8214,655
Total operating revenue3,0883,8214,655
Total operating expenses3,0633,4353,676
Operating income25386979
Operating margin %+0.8%+10.1%+21.0%
Other non-operating, net4(114)(139)
Net income29272840
Net income %+0.9%+7.3%+18.6%
— = Not reported in source for that year.
HCRIS CMS-1984 cost report · $ thousands · FY20–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 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 value2025
CMS Hospice Quality
Average daily census
60
Reported value2025
CMS Hospice
Routine home care mix
100.0%
Reported value2025
HCRIS CMS-1984
General inpatient mix
0.0%
Reported value2025
HCRIS CMS-1984
Respite mix
0.0%
Reported value2025
HCRIS CMS-1984
Total days of care
27,191 days
Reported value2025
HCRIS CMS-1984
CAHPS family caregiver rating (1–5 stars)
3
Reported value2025
CMS Hospice CAHPS
Continuous home care mix
0.0%
Reported value2025
HCRIS CMS-1984

Trajectory

Cost-report basis · 6 reporting years
Operating margin
+10.0%+15.9%+15.2%+0.8%+10.1%+21.0%FY20FY21FY22FY23FY24FY25
Days cash on hand
0 days0 days0 days0 daysFY20FY21FY22FY23FY24FY25

The county this hospice serves

Woodbury County, IA
Median household income
$70.1K
vs $82.1K US · $59.7K rural median
Poverty rate
13.3%
vs 12.5% US · 14.3% rural median
Uninsured
6.5%
vs 8.6% US · 8.4% rural median
Age 65+
15.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.9% of county personal income is Medicare/Medicaid medical benefits; 21.8% arrives as government transfers (BEA, 2022).
Operating margin vs its peer poolFY25Astrelis calculation

21.0% operating margin — 84th percentile of 3,640 peers (FY25 pool).

The Board Briefing

What changed, what matters, and what your board should ask — every figure sourced to the public record.

Reserve The Board Briefing →
Performance Benchmark Report

($171 facility vs $197 peer median per patient day) = $26 below the median × 27,191 patient days ≈ $707K less revenue than the median rate · method
Reserve Performance Benchmark Report →
How we calculated this

Operating margin vs its peer pool: FY25 pool · n = 3,640.

Performance Benchmark Report: FY25 peer pool · n = 3,640 · conservative low band; acuity limits stated in the report.

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.

Hospice Performance Benchmark

Per-patient-day economics and care-level mix against matched peers. Directional; acuity limits stated.

$2,500Founding Edition · built to order, first edition · invoice after coverage confirmation · within 30 days
Reservation: invoice after coverage confirmation. No payment is collected on this site. Full refund if the published scope cannot be delivered.

Portfolio Performance Review

A roster-priced triage of the per-facility benchmarks: every facility on your roster, benchmarked and sorted. Requires only a CCN roster.

From $7,500Founding Edition · built to order, first edition · priced by roster size · invoice after coverage confirmation · within 30 days
Request: scoped and quoted before any invoice. No payment is collected on this site.

Cite this page

release 2321a4fc37a7 · 2026-10-22

Astrelis Atlas, "Care Initiatives Hospice - Sioux City", https://astrelis.co/providers/hospice/161592, 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/161592.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.

build 2321a4fc37a7 · 2026-10-22 · dev