Astrelis
Hospice · Charlottesville, VA

HOSPICE OF THE PIEDMONT INC

CCN 491504Albemarle CountyLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospice in Charlottesville, VA. It ran an operating loss of 30.4% in FY25 on $21.8M of operating revenue. It held 55 days of cash on hand. Operating margin declined from -6.9% in FY21 to -30.4% in FY25, though it rose 8.4 points in the most recent year. Including nonoperating items, the all-in result was positive at 0.5%. It carries an average daily census of 278.

Average daily census
278
Reported value2025
Source: CMS Hospice
Hospice Care Index
10
Reported value2025
Source: CMS Hospice Quality
Operating margin · FY25
-30.4%
Astrelis calculation · as-filed inputs
8.4 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
117,624 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
-30.4% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+0.5% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
55d (FY25)
Cash & investments ÷ daily operating expense
Astrelis calculation · HCRIS WS G / G-3
Current ratio
3.64× (FY25)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
8% (FY25)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
49d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue18,99419,79421,790
Total operating revenue18,99419,79421,790
Total operating expenses23,72327,46928,411
Operating income(4,729)(7,675)(6,621)
Operating margin %-24.9%-38.8%-30.4%
Other non-operating, net8,0336,4466,775
Net income3,304(1,229)154
Net income %+12.2%-4.7%+0.5%
— = Not reported in source for that year.
HCRIS CMS-1984 cost report · $ thousands · FY21–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 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
278
Reported value2025
CMS Hospice
Routine home care mix
98.2%
Reported value2025
HCRIS CMS-1984
Continuous home care mix
0.0%
Reported value2025
HCRIS CMS-1984
General inpatient mix
1.4%
Reported value2025
HCRIS CMS-1984
Respite mix
0.3%
Reported value2025
HCRIS CMS-1984
Total days of care
117,624 days
Reported value2025
HCRIS CMS-1984
CAHPS family caregiver rating (1–5 stars)
3
Reported value2025
CMS Hospice CAHPS

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-6.9%-42.4%-24.9%-38.8%-30.4%FY21FY22FY23FY24FY25
Days cash on hand
144 days112 days95 days63 days55 daysFY21FY22FY23FY24FY25

The county this hospice serves

Albemarle County, VA · metro, under 250K
Median household income
$102.6K
vs $82.1K US · $59.7K rural median
Poverty rate
6.8%
vs 12.5% US · 14.3% rural median
Uninsured
5.4%
vs 8.6% US · 8.4% rural median
Age 65+
19.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
14.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Operating margin (as filed)FY25Astrelis calculation

-30.4% operating margin in FY25.

The Board Briefing

Operating margin improved 8.4 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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