A hospice in Escanaba, MI. It ran an operating loss of 976.4% in FY25 on $1.8M of operating revenue. It held -2,126 days of cash on hand — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool. Operating margin declined from -53.5% in FY20 to -976.4% in FY25, though it rose 205.6 points in the most recent year. It carries an average daily census of 23.
Average daily census
23
Reported value2025
Source: CMS Hospice
Hospice Care Index
10
Reported value2025
Source: CMS Hospice Quality
Operating margin · FY25
-976.4%
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 FY25)
Total days of care
9,388 days
Reported value2025
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
-976.4% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-968.1% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
-2126d (FY25)
Cash & investments ÷ daily operating expense
Astrelis calculation · HCRIS WS G / G-3
Current ratio
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
1,263
1,311
1,764
Total operating revenue
1,263
1,311
1,764
Total operating expenses
11,843
16,813
18,987
Operating income
(10,580)
(15,501)
(17,223)
Operating margin %
-837.8%
-1182.0%
-976.4%
Other non-operating, net
15
11
13
Net income
(10,565)
(15,490)
(17,210)
Net income %
-826.7%
-1171.0%
-968.1%
— = 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
Display states.FY25 · Operating margin: -976.4% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY25 · Total margin: -968.1% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY24 · Operating margin: -1182.0% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY24 · Total margin: -1171.0% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY23 · Operating margin: -837.7% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY23 · Total margin: -826.7% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY22 · Operating margin: -1660.1% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY22 · Total margin: -1618.7% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY21 · Operating margin: -437.7% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY21 · Total margin: -429.1% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY22 · Days cash on hand: -1,450 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY23 · Days cash on hand: -2,324 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY24 · Days cash on hand: -2,029 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY25 · Days cash on hand: -2,126 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)
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 value2025
CMS Hospice Quality
Average daily census
23
Reported value2025
CMS Hospice
Routine home care mix
99.8%
Reported value2025
HCRIS CMS-1984
General inpatient mix
0.1%
Reported value2025
HCRIS CMS-1984
Respite mix
0.1%
Reported value2025
HCRIS CMS-1984
Total days of care
9,388 days
Reported value2025
HCRIS CMS-1984
Continuous home care mix
0.0%
Reported value2025
HCRIS CMS-1984
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospice serves
Delta County, MI · nonmetro, urban 20K+
Median household income
$54.8K
vs $82.1K US · $59.7K rural median
Poverty rate
14.0%
vs 12.5% US · 14.3% rural median
Uninsured
5.7%
vs 8.6% US · 8.4% rural median
Age 65+
25.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 12.8% of county personal income is Medicare/Medicaid medical benefits; 34.2% 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.
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Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
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