Average daily census: 598 in FY2025. Hospice Care Index: 10 in FY2025. Operating margin: -1368.3% in FY2025, the 3rd percentile of 3,640 hospices in the FY2025 pool. Total days of care: 222,234 days in FY2025. Days cash on hand: 7 days in FY2025, the 25th percentile of 2,937 hospices in the FY2025 pool. Total operating revenue: $36.8M in FY2025, the 98th percentile of 3,645 hospices in the FY2025 pool. Total margin (including nonoperating): -27.8% in FY2025, the 8th percentile of 3,641 hospices in the FY2025 pool. Figures as filed; not audited by Astrelis.
The read
A hospice in Chattanooga, TN. It ran an operating loss of 1368.3% in FY25 on $36.8M of operating revenue. It held 7 days of cash on hand (25th percentile of 2,937 hospices on liquidity, FY25 pool). Operating margin declined from 39.9% in FY20 to -1368.3% in FY25. It carries an average daily census of 598.
Average daily census
598
Reported value2025
Source: CMS Hospice
Hospice Care Index
10
Reported value2025
Source: CMS Hospice Quality
Operating margin · FY25
-1368.3%
Astrelis calculation · as-filed inputs
vs hospices3rd 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
222,234 days
Reported value2025
Source: HCRIS CMS-1984
Where HEARTH 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.
One hospiceHEARTH HOSPICEhospice 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
-1368.3% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-27.8% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
7d (FY25)
Cash & investments ÷ daily operating expense
Astrelis calculation · HCRIS WS G / G-3
Current ratio
1.21× (FY25)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
82% (FY25)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
544d (FY25) — outside expected range; computed from the filed statement and not ranked against peers
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
31,617
36,878
36,820
Total operating revenue
31,617
36,878
36,820
Total operating expenses
418,979
527,262
540,624
Operating income
(387,362)
(490,384)
(503,804)
Operating margin %
-1225.2%
-1329.7%
-1368.3%
Other non-operating, net
342,198
357,970
386,098
Net income
(45,164)
(132,414)
(117,706)
Net income %
-12.1%
-33.5%
-27.8%
— = 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: -1368.3% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY24 · Operating margin: -1329.7% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY23 · Operating margin: -1225.2% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY22 · Operating margin: -1342.3% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY21 · Operating margin: -1284.4% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)
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
598
Reported value2025
CMS Hospice
Routine home care mix
99.5%
Reported value2025
HCRIS CMS-1984
Continuous home care mix
0.0%
Reported value2025
HCRIS CMS-1984
General inpatient mix
0.3%
Reported value2025
HCRIS CMS-1984
Respite mix
0.2%
Reported value2025
HCRIS CMS-1984
Total days of care
222,234 days
Reported value2025
HCRIS CMS-1984
CAHPS family caregiver rating (1–5 stars)
4
Reported value2025
CMS Hospice CAHPS
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospice serves
Hamilton County, TN · metro, 250K–1M
Median household income
$72.6K
vs $82.1K US · $59.7K rural median
Poverty rate
12.5%
vs 12.5% US · 14.3% rural median
Uninsured
9.6%
vs 8.6% US · 8.4% rural median
Age 65+
18.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.7% of county personal income is Medicare/Medicaid medical benefits; 19.2% arrives as government transfers (BEA, 2022).
Operating margin vs its peer poolFY25Astrelis calculation
A facility-specific dollar comparison cannot be calculated because a benchmark input was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.
Operating margin vs its peer pool: FY25 pool · n = 3,640.
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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Astrelis Atlas, "Hearth Hospice", https://astrelis.co/providers/hospice/441600, 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/441600.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.
