A hospice in Bluefield, WV. It ran an operating loss of 47.9% in FY25 on $2.5M of operating revenue. It held 33,180 days of cash on hand — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool. Operating margin declined from -14.6% in FY21 to -47.9% in FY25, though it rose 7.0 points in the most recent year. It carries an average daily census of 38.
Average daily census
38
Reported value2025
Source: CMS Hospice
Hospice Care Index
10
Reported value2025
Source: CMS Hospice Quality
Operating margin · FY25
-47.9%
Astrelis calculation · as-filed inputs
▲ 7.0 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
14,938 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
-47.9% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-4.4% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
33180d (FY25)
Cash & investments ÷ daily operating expense
Astrelis calculation · HCRIS WS G / G-3
Current ratio
1.36× (FY25)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
42% (FY25)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
42991d (FY25) — outside expected range; shown at the chart boundary and included in peer statistics
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
2,570
2,511
2,509
Total operating revenue
2,570
2,511
2,509
Total operating expenses
3,676
3,889
3,711
Operating income
(1,106)
(1,378)
(1,201)
Operating margin %
-43.0%
-54.9%
-47.9%
Other non-operating, net
1,178
1,026
1,046
Net income
72
(352)
(155)
Net income %
+1.9%
-10.0%
-4.4%
— = 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
Display states.FY21 · Days cash on hand: 7,335 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY22 · Days cash on hand: 4,609 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY23 · Days cash on hand: 11,038 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY24 · Days cash on hand: 14,768 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY25 · Days cash on hand: 33,180 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)
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
38
Reported value2025
CMS Hospice
Routine home care mix
100.0%
Reported value2025
HCRIS CMS-1984
General inpatient mix
0.0%
Reported value2025
HCRIS CMS-1984
Total days of care
14,938 days
Reported value2025
HCRIS CMS-1984
Continuous home care mix
0.0%
Reported value2025
HCRIS CMS-1984
Respite mix
0.0%
Reported value2025
HCRIS CMS-1984
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospice serves
Mercer County, WV · nonmetro, urban 20K+, metro-adjacent
Median household income
$47.8K
vs $82.1K US · $59.7K rural median
Poverty rate
18.0%
vs 12.5% US · 14.3% rural median
Uninsured
5.7%
vs 8.6% US · 8.4% rural median
Age 65+
22.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
27.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 18.9% of county personal income is Medicare/Medicaid medical benefits; 41.3% arrives as government transfers (BEA, 2022).
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.
Report coverage: Limited Facility Benchmark. 11 of 12 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
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