Astrelis
hospice · VA

Kirva Hospice

CCN 491657Latest FY 2025
Historical record. CMS lists this CCN as terminated (voluntary - merger/closure). No successor CCN is recorded. The financials below are the historical results reported under this number and are excluded from current peer comparisons and state counts.
Cost-report basis
HCRIS · as filed
Not audited by Astrelis

Days cash on hand: 19 days in FY2025. Total operating revenue: $0.5M in FY2025. Operating margin: -302.5% in FY2025. Total days of care: 4,164 days in FY2025. Total margin (including nonoperating): -195.4% in FY2025. Figures as filed; not audited by Astrelis.

The read

A hospice in VA. It ran an operating loss of 302.5% in FY25 on $0.5M of operating revenue. It held 19 days of cash on hand. 2 reporting years are on file, but revenue scale shifts too much between them for a comparable trend, so trend context is limited.

Days cash on hand · FY25
19d
all sources
Astrelis calculation · as-filed inputs
▲ 8 days 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 operating revenue · FY25
$0.5M
Astrelis calculation · as-filed inputs
▼ $0.6M vs FY24
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY25)
Operating margin · FY25
-302.5%
Astrelis calculation · as-filed inputs
▼ 245.5 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
4,164 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
-302.5% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-195.4% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
19d (FY25)
Cash & investments ÷ daily operating expense
Astrelis calculation · HCRIS WS G / G-3
Current ratio
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line itemFY24FY25 · 303 days
Patient revenue1,065491
Total operating revenue1,065491
Total operating expenses1,6721,978
Operating income(607)(1,486)
Operating margin %-57.0%-302.5%
Other non-operating, net138178
Net income(469)(1,308)
Net income %-39.0%-195.4%
2 of 3 years available for this statement.
— = Not reported in source for that year.
HCRIS CMS-1984 cost report · $ thousands · FY24–FY25 · patient-service operating basis; non-patient revenue (contributions, investment) is non-operating
Display states. FY25 · Operating margin: -302.5% — Astrelis calculation · outside expected range; shown at the chart boundary and not in peer statistics (this year is not comparison-eligible) (beyond ±100%)FY25 · Total margin: -195.4% — Astrelis calculation · outside expected range; shown at the chart boundary and not in peer statistics (this year is not comparison-eligible) (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.

Routine home care mix
99.9%
Reported value2025
HCRIS CMS-1984
Respite mix
0.1%
Reported value2025
HCRIS CMS-1984
Total days of care
4,164 days
Reported value2025
HCRIS CMS-1984
Continuous home care mix
0.0%
Reported value2025
HCRIS CMS-1984
General inpatient mix
0.0%
Reported value2025
HCRIS CMS-1984

Trajectory

Cost-report basis · 2 reporting years
Operating margin
-57.0%-302.5%FY24FY25
Days cash on hand
11 days19 daysFY24FY25

State context

Virginia
County-level statistics: linkage not established — this record's county mapping is not verified in the resolved spine, and we never place a facility in a county by guesswork. State-level context appears here once a state aggregate layer lands.
Operating margin (as filed)FY25Astrelis calculation

-302.5% operating margin in FY25.

The Board Briefing

Operating margin declined 245.5 points vs FY24 — the briefing traces why, line by line.

Reserve The Board Briefing →
Report coverage: Historical Facility Benchmark. 9 of 12 facility measures available from public sources. This CCN is terminated. The report benchmarks the record's final filed years against their own contemporaneous peer pools and says so on every exhibit; no current-year comparison is implied. 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 · built to order, first edition · invoice after coverage confirmation · within 30 days
Reservation: invoice after coverage confirmation. No payment is collected on this site. Full refund if the published scope cannot be delivered.

Portfolio Performance Review

A roster-priced triage of the per-facility benchmarks: every facility on your roster, benchmarked and sorted. Requires only a CCN roster.

From $7,500Founding Edition · built to order, first edition · priced by roster size · invoice after coverage confirmation · within 30 days
Request: scoped and quoted before any invoice. No payment is collected on this site.

Cite this page

release 2321a4fc37a7 · 2026-10-22

Astrelis Atlas, "Kirva Hospice", https://astrelis.co/providers/hospice/491657, 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/491657.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.

build 2321a4fc37a7 · 2026-10-22 · dev