A hospice in Alexandria, MN. It ran an operating loss of 27.9% in FY24 on $2.2M of operating revenue. Operating margin improved from -49.0% in FY20 to -27.9% in FY24, though it fell 1.3 points in the most recent year. Including nonoperating items, the all-in result was positive at 8.4%. It carries an average daily census of 32.
Average daily census
32
Verified fact2024
Source: CMS Hospice
Hospice Care Index
10
Verified fact2024
Source: CMS Hospice Quality
Operating margin · FY24
-27.9%
vs hospices18th pctl of 3,488 (FY24)
Total days of care
11668.0d
Verified fact2024
Source: HCRIS CMS-1984
Where HORIZON PUBLIC HEALTH 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.
One hospiceHORIZON PUBLIChospice 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
-27.9% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+8.4% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
Not reported in this filing
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
Not reported in this filing
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not reported in this filing
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not reported in this filing
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
1,680
1,964
2,165
Total operating revenue
1,680
1,964
2,165
Total operating expenses
2,244
2,486
2,769
Operating income
(564)
(522)
(605)
Operating margin %
-33.6%
-26.6%
-27.9%
Other non-operating, net
615
741
859
Net income
51
219
254
Net income %
+2.2%
+8.1%
+8.4%
HCRIS CMS-1984 cost report · $ thousands · FY20–FY24 · patient-service operating basis; non-patient revenue (contributions, investment) is non-operating · FY20–21 may include COVID-era relief funding
A condensed balance sheet is not shown for this hospice: the public cost report does not carry substantive balance-sheet detail (assets, liabilities, and net assets that reconcile) for this provider. The income statement and ratio exhibit above are the reliable financial view here. We lead with those rather than render a hollow table.
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 fact2024
CMS Hospice Quality
Average daily census
32
Verified fact2024
CMS Hospice
Routine home care mix
99.8%
Verified fact2024
HCRIS CMS-1984
General inpatient mix
0.0%
Verified fact2024
HCRIS CMS-1984
Respite mix
0.2%
Verified fact2024
HCRIS CMS-1984
Total days of care
11668.0d
Verified fact2024
HCRIS CMS-1984
CAHPS family caregiver rating
5
Verified fact2024
CMS Hospice CAHPS
Continuous home care mix
0.0%
Verified fact2024
HCRIS CMS-1984
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospice serves
Douglas County, MN · nonmetro, urban 5–20K, metro-adjacent
Median household income
$77.3K
vs $82.1K US · $59.7K rural median
Poverty rate
8.3%
vs 12.5% US · 14.3% rural median
Uninsured
4.0%
vs 8.6% US · 8.4% rural median
Age 65+
23.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
14.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 10.0% of county personal income is Medicare/Medicaid medical benefits; 22.6% arrives as government transfers (BEA, 2022).
Opportunity screen · FY24
≈ $503K
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.
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