A hospice in Kirksville, MO. It ran an operating loss of 85.4% in FY25 on $1.1M of operating revenue. It held 6,360 days of cash on hand — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool. 6 reporting years are on file, but revenue scale shifts too much between them for a like-for-like trend, so trend context is limited. It carries an average daily census of 17.
Average daily census
17
Reported value2025
Source: CMS Hospice
Hospice Care Index
9
Reported value2025
Source: CMS Hospice Quality
Operating margin · FY25
-85.4%
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
10,567 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
-85.4% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-82.5% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
6360d (FY25)
Cash & investments ÷ daily operating expense
Astrelis calculation · HCRIS WS G / G-3
Current ratio
1.51× (FY25)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
46% (FY25)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
12271d (FY25) — outside expected range; shown at the chart boundary and included in peer statistics
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
1,223
1,544
1,077
Total operating revenue
1,223
1,544
1,077
Total operating expenses
1,955
1,917
1,997
Operating income
(732)
(373)
(920)
Operating margin %
-59.9%
-24.2%
-85.4%
Other non-operating, net
371
43
17
Net income
(361)
(330)
(903)
Net income %
-22.7%
-20.8%
-82.5%
— = 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.FY22 · Days cash on hand: 3,697 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: 3,201 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: 2,329 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: 6,360 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
9
Reported value2025
CMS Hospice Quality
Average daily census
17
Reported value2025
CMS Hospice
Routine home care mix
99.2%
Reported value2025
HCRIS CMS-1984
General inpatient mix
0.3%
Reported value2025
HCRIS CMS-1984
Respite mix
0.5%
Reported value2025
HCRIS CMS-1984
Total days of care
10,567 days
Reported value2025
HCRIS CMS-1984
CAHPS family caregiver rating (1–5 stars)
4
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
Days cash on hand
The county this hospice serves
Adair County, MO · nonmetro, urban 5–20K
Median household income
$56.6K
vs $82.1K US · $59.7K rural median
Poverty rate
21.2%
vs 12.5% US · 14.3% rural median
Uninsured
8.2%
vs 8.6% US · 8.4% rural median
Age 65+
15.2%
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: 13.4% of county personal income is Medicare/Medicaid medical benefits; 29.3% 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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