Astrelis
Hospice · St Thomas, VI

TROPICAL HEALTH LLC A HEALTH AND HOSPICE SERVICE

CCN 481504Latest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY23, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read

A hospice in St Thomas, VI. It ran an operating loss of 31.5% in FY25 on $0.7M of operating revenue. It held 149 days of cash on hand (86th percentile among hospices on liquidity). Only a single comparable reporting year is available, so trend context is limited. Including nonoperating items, the all-in result was positive at 20.4%. It carries an average daily census of 13.

Average daily census
13
Verified fact2025
Source: CMS Hospice
Hospice Care Index
7
Verified fact2025
Source: CMS Hospice Quality
Operating margin · FY25
-31.5%
vs hospices15th pctl of 3,488 (FY24)
Total days of care
4858.0d
Verified fact2025
Source: HCRIS CMS-1984
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=3,488).

Where TROPICAL HEALTH LLC 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.

This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=3,488).
-20%-10%0%+10%+20%hospice median +0.08499999999999999%TROPICAL HEALTH -31.46%-20%0%+20%hospice median +0.08499999999999999%TROPICAL HEALTH -31.46%
One hospiceTROPICAL HEALTHhospice 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
-31.5% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+20.4% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
149d (FY25)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
8.63× (FY23)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
19% (FY23)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
38d (FY23)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue1,058826682
Total operating revenue1,058826682
Total operating expenses9111,265897
Operating income147(439)(215)
Operating margin %+13.9%-53.1%-31.5%
Other non-operating, net10444
Net income148(439)229
Net income %+14.0%-53.1%+20.3%
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

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
7
Verified fact2025
CMS Hospice Quality
Average daily census
13
Verified fact2025
CMS Hospice
Routine home care mix
100.0%
Verified fact2025
HCRIS CMS-1984
Total days of care
4858.0d
Verified fact2025
HCRIS CMS-1984
Continuous home care mix
0.0%
Verified fact2025
HCRIS CMS-1984
General inpatient mix
0.0%
Verified fact2025
HCRIS CMS-1984
Respite mix
0.0%
Verified fact2025
HCRIS CMS-1984

Trajectory

Cost-report basis · 6 reporting years
Operating margin
+35.9%+23.2%+15.9%+13.9%-53.2%-31.5%FY20FY21FY22FY23FY24FY25
Days cash on hand
343 days203 days249 days271 days25 days149 daysFY20FY21FY22FY23FY24FY25

The county this hospice serves

Location, VI
Located in St Thomas, VI. County demographic and economic context (Census, CDC, HRSA sources) extends to this hospice cohort in an upcoming release.
Opportunity screen · FY25
$184K

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.
FY25 has not yet reached pool validity: benchmarked against the FY24 pool (n=4,349).
See what's behind this number in the Performance Benchmark →

Hospice Performance Benchmark$2,500Founding Edition

Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

build aa21187 · 2026-07-23