Astrelis
Hospice · Lexington, VA

CONNECTIONSPLUS HEALTHCARE + HOSPICE

CCN 491516Lexington cityLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospice in Lexington, VA. It ran an operating loss of 76.1% in FY25 on $3.7M of operating revenue. It held 206 days of cash on hand (89th percentile among hospices on liquidity). Only a single comparable reporting year is available, so trend context is limited. It carries an average daily census of 71.

Average daily census
71
Verified fact2025
Source: CMS Hospice
Hospice Care Index
10
Verified fact2025
Source: CMS Hospice Quality
Operating margin · FY25
-76.1%
59.8 pts vs FY24
vs hospices2nd pctl of 3,488 (FY24)
Total days of care
21139.0d
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 CONNECTIONSPLUS HEALTHCARE + 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%CONNECTIONSPLUS HEALTHCARE -76.14%-20%0%+20%hospice median +0.08499999999999999%CONNECTIONSPLUS HEALTHCARE -76.14%
One hospiceCONNECTIONSPLUS HEALTHCAREhospice 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
-76.1% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-21.3% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
206d (FY25)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
7.17× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
11% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
47d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue2,9544,6463,681
Total operating revenue2,9544,6463,681
Total operating expenses3,7015,4056,483
Operating income(747)(759)(2,802)
Operating margin %-25.3%-16.3%-76.1%
Other non-operating, net9251,6291,665
Net income178870(1,137)
Net income %+4.6%+13.9%-21.3%
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
10
Verified fact2025
CMS Hospice Quality
Average daily census
71
Verified fact2025
CMS Hospice
Routine home care mix
99.1%
Verified fact2025
HCRIS CMS-1984
Continuous home care mix
0.0%
Verified fact2025
HCRIS CMS-1984
General inpatient mix
0.2%
Verified fact2025
HCRIS CMS-1984
Respite mix
0.7%
Verified fact2025
HCRIS CMS-1984
Total days of care
21139.0d
Verified fact2025
HCRIS CMS-1984
CAHPS family caregiver rating
5
Verified fact2025
CMS Hospice CAHPS

Trajectory

Cost-report basis · 6 reporting years
Operating margin
-38.2%-22.7%-63.3%-25.3%-16.3%-76.1%FY20FY21FY22FY23FY24FY25
Days cash on hand
150 days271 days55 days36 days315 days206 daysFY20FY21FY22FY23FY24FY25

The county this hospice serves

Lexington city, VA · nonmetro, urban 5–20K, metro-adjacent
Median household income
$89.6K
vs $82.1K US · $59.7K rural median
Poverty rate
15.9%
vs 12.5% US · 14.3% rural median
Uninsured
2.1%
vs 8.6% US · 8.4% rural median
Age 65+
16.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
14.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Opportunity screen · FY25
$250K

of annual opportunity identified against peer medians across 2 measures

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 · 2026-07-25