Astrelis
Hospice · West End, NC

FIRSTHEALTH HOSPICE

CCN 341534Moore CountyLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospice in West End, NC. It ran an operating loss of 20.0% in FY25 on $11.8M of operating revenue. It held 0 days of cash on hand. Operating margin declined from 5.4% in FY20 to -20.0% in FY25. It carries an average daily census of 159.

Average daily census
159
Reported value2025
Source: CMS Hospice
Hospice Care Index
10
Reported value2025
Source: CMS Hospice Quality
Operating margin · FY25
-20.0%
Astrelis calculation · as-filed inputs
4.3 pts vs FY24
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
63,405 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
-20.0% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-7.4% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
0d (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 itemFY23FY24FY25
Patient revenue12,66411,47711,849
Total operating revenue12,66411,47711,849
Total operating expenses13,54413,28214,217
Operating income(879)(1,805)(2,368)
Operating margin %-6.9%-15.7%-20.0%
Other non-operating, net1,0761,2161,393
Net income197(589)(975)
Net income %+1.4%-4.6%-7.4%
— = 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. FY21 · Days cash on hand: -0 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
159
Reported value2025
CMS Hospice
Routine home care mix
96.3%
Reported value2025
HCRIS CMS-1984
Continuous home care mix
0.0%
Reported value2025
HCRIS CMS-1984
General inpatient mix
2.9%
Reported value2025
HCRIS CMS-1984
Respite mix
0.8%
Reported value2025
HCRIS CMS-1984
Total days of care
63,405 days
Reported value2025
HCRIS CMS-1984
CAHPS family caregiver rating (1–5 stars)
5
Reported value2025
CMS Hospice CAHPS

Trajectory

Cost-report basis · 6 reporting years
Operating margin
+5.4%+13.4%+6.6%-6.9%-15.7%-20.0%FY20FY21FY22FY23FY24FY25
Days cash on hand
0 days-0 days0 days0 days0 days0 daysFY20FY21FY22FY23FY24FY25

The county this hospice serves

Moore County, NC · metro, under 250K
Median household income
$82.8K
vs $82.1K US · $59.7K rural median
Poverty rate
10.0%
vs 12.5% US · 14.3% rural median
Uninsured
7.8%
vs 8.6% US · 8.4% rural median
Age 65+
24.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 7.8% of county personal income is Medicare/Medicaid medical benefits; 22.2% arrives as government transfers (BEA, 2022).
Operating margin (as filed)FY25Astrelis calculation

-20.0% operating margin in FY25.

The Board Briefing

Operating margin declined 4.3 points vs FY24 — the briefing traces why, line by line.

Reserve The Board Briefing →
Performance Benchmark Report

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.

Reserve Performance Benchmark 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 · within 30 days of coverage confirmation
Reservation: invoice after coverage confirmation. No payment is collected on this site. Full refund if the published scope cannot be delivered.
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