A hospice in Galax, VA. It ran an operating surplus of 24.6% in FY25 on $9.4M of operating revenue. It held 232 days of cash on hand (90th percentile among hospices on liquidity). Operating margin declined from 37.7% in FY20 to 24.6% in FY25. It carries an average daily census of 167.
Average daily census
167
Verified fact2025
Source: CMS Hospice
Hospice Care Index
9
Verified fact2025
Source: CMS Hospice Quality
Operating margin · FY25
+24.6%
▼ 10.9 pts vs FY24
vs hospices88th pctl of 3,488 (FY24)
Total days of care
56110.0d
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 MOUNTAIN VALLEY HOSPICE 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).
One hospiceMOUNTAIN VALLEYhospice 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
+24.6% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+29.4% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
232d (FY25)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
2.52× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
29% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
191d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
10,480
10,665
9,367
Total operating revenue
10,480
10,665
9,367
Total operating expenses
6,466
6,877
7,061
Operating income
4,014
3,788
2,307
Operating margin %
+38.3%
+35.5%
+24.6%
Other non-operating, net
379
291
635
Net income
4,393
4,079
2,942
Net income %
+40.5%
+37.2%
+29.4%
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
9
Verified fact2025
CMS Hospice Quality
Average daily census
167
Verified fact2025
CMS Hospice
Routine home care mix
99.4%
Verified fact2025
HCRIS CMS-1984
Continuous home care mix
0.0%
Verified fact2025
HCRIS CMS-1984
General inpatient mix
0.5%
Verified fact2025
HCRIS CMS-1984
Respite mix
0.1%
Verified fact2025
HCRIS CMS-1984
Total days of care
56110.0d
Verified fact2025
HCRIS CMS-1984
CAHPS family caregiver rating
4
Verified fact2025
CMS Hospice CAHPS
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospice serves
Location, VA · nonmetro, urban 5–20K, metro-adjacent
Median household income
$52.6K
vs $82.1K US · $59.7K rural median
Poverty rate
16.2%
vs 12.5% US · 14.3% rural median
Uninsured
8.8%
vs 8.6% US · 8.4% rural median
Age 65+
25.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
24.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Opportunity screen · FY25
≈ $739K
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).
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