Astrelis
Hospice · Spokane, WA

HOSPICE OF SPOKANE

CCN 501503Spokane CountyLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis

Average daily census: 228 in FY2025. Hospice Care Index: 10 in FY2025. Operating margin: -11.8% in FY2025, the 35th percentile of 3,640 hospices in the FY2025 pool. Total days of care: 74,918 days in FY2025. Days cash on hand: 62 days in FY2025, the 65th percentile of 2,937 hospices in the FY2025 pool. Total operating revenue: $16.5M in FY2025, the 91st percentile of 3,645 hospices in the FY2025 pool. Total margin (including nonoperating): +29.9% in FY2025, the 90th percentile of 3,641 hospices in the FY2025 pool. Figures as filed; not audited by Astrelis.

The read

A hospice in Spokane, WA. It ran an operating loss of 11.8% in FY25 on $16.5M of operating revenue. It held 62 days of cash on hand (65th percentile of 2,937 hospices on liquidity, FY25 pool). Operating margin declined from -5.4% in FY20 to -11.8% in FY25. Including nonoperating items, the all-in result was positive at 29.9%. It carries an average daily census of 228.

Average daily census
228
Reported value2025
Source: CMS Hospice
Hospice Care Index
10
Reported value2025
Source: CMS Hospice Quality
Operating margin · FY25
-11.8%
Astrelis calculation · as-filed inputs
▼ 8.4 pts vs FY24
vs hospices35th pctl of 3,640 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total days of care
74,918 days
Reported value2025
Source: HCRIS CMS-1984

Where HOSPICE OF SPOKANE sits among hospices

Operating margin · FY25 pool · n = 3,640 of 3,944 filed

Each point is one hospice in the national FY25 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 FY25 median is -0.8%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%hospice median -0.8%HOSPICE OF -11.8%
One hospiceHOSPICE OFhospice 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 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
-11.8% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+29.9% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
62d (FY25)
Cash & investments ÷ daily operating expense
Astrelis calculation · HCRIS WS G / G-3
Current ratio
5.20× (FY25)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
1% (FY25)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
34d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue21,20820,38516,519
Total operating revenue21,20820,38516,519
Total operating expenses20,70921,06218,463
Operating income499(677)(1,944)
Operating margin %+2.4%-3.3%-11.8%
Other non-operating, net7,5249,6179,807
Net income8,0248,9407,863
Net income %+27.9%+29.8%+29.9%
— = Not reported in source for that year.
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 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
228
Reported value2025
CMS Hospice
Routine home care mix
99.3%
Reported value2025
HCRIS CMS-1984
General inpatient mix
0.3%
Reported value2025
HCRIS CMS-1984
Respite mix
0.4%
Reported value2025
HCRIS CMS-1984
Total days of care
74,918 days
Reported value2025
HCRIS CMS-1984
CAHPS family caregiver rating (1–5 stars)
4
Reported value2025
CMS Hospice CAHPS
Continuous home care mix
0.0%
Reported value2025
HCRIS CMS-1984

Trajectory

Cost-report basis · 6 reporting years
Operating margin
-5.4%+8.5%-4.7%+2.4%-3.3%-11.8%FY20FY21FY22FY23FY24FY25
Days cash on hand
128 days117 days92 days107 days107 days62 daysFY20FY21FY22FY23FY24FY25

The county this hospice serves

Spokane County, WA · metro, 250K–1M
Median household income
$73.5K
vs $82.1K US · $59.7K rural median
Poverty rate
12.2%
vs 12.5% US · 14.3% rural median
Uninsured
5.0%
vs 8.6% US · 8.4% rural median
Age 65+
17.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.6% of county personal income is Medicare/Medicaid medical benefits; 22.7% arrives as government transfers (BEA, 2022).
Operating margin vs its peer poolFY25Astrelis calculation

-11.8% operating margin — 35th percentile of 3,640 peers (FY25 pool).

The Board Briefing

Operating margin declined 8.4 points vs FY24 — the briefing traces why, line by line.

Reserve The Board Briefing →
Performance Benchmark Report

($220 facility vs $203 peer median per patient day) = $17 above the median × 74,918 patient days ≈ $1.3M more revenue than the median rate · method
Reserve Performance Benchmark Report →
How we calculated this

Operating margin vs its peer pool: FY25 pool · n = 3,640.

Performance Benchmark Report: FY25 peer pool · n = 3,640 · conservative low band; acuity limits stated in the 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 · 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, "Hospice Of Spokane", https://astrelis.co/providers/hospice/501503, 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/501503.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