Astrelis
Hospice · San Antonio, TX

BLUE SKIES HOSPICE

CCN 671624Bexar CountyLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospice in San Antonio, TX. It ran an operating loss of 34.3% in FY25 on $1.2M of operating revenue. It held 0 days of cash on hand (0th percentile among hospices on liquidity). Operating margin declined from 28.0% in FY21 to -34.3% in FY25. It carries an average daily census of 30.

Average daily census
30
Verified fact2025
Source: CMS Hospice
Hospice Care Index
10
Verified fact2025
Source: CMS Hospice Quality
Operating margin · FY25
-34.3%
vs hospices13th pctl of 3,488 (FY24)
Total days of care
6967.0d
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 BLUE SKIES 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).
-20%-10%0%+10%+20%hospice median +0.08499999999999999%BLUE SKIES -34.28%-20%0%+20%hospice median +0.08499999999999999%BLUE SKIES -34.28%
One hospiceBLUE SKIEShospice 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
-34.3% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-23.4% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
0d (FY25)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
Not shown, outside plausibility bounds
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
3% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
12d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue1,6901,6551,183
Total operating revenue1,6901,6551,183
Total operating expenses1,5031,7821,588
Operating income187(127)(405)
Operating margin %+11.1%-7.7%-34.2%
Other non-operating, net128209104
Net income31582(301)
Net income %+17.3%+4.4%-23.4%
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

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
30
Verified fact2025
CMS Hospice
Routine home care mix
99.7%
Verified fact2025
HCRIS CMS-1984
Continuous home care mix
0.0%
Verified fact2025
HCRIS CMS-1984
General inpatient mix
0.0%
Verified fact2025
HCRIS CMS-1984
Respite mix
0.3%
Verified fact2025
HCRIS CMS-1984
Total days of care
6967.0d
Verified fact2025
HCRIS CMS-1984

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+28.0%+25.1%+11.1%-7.7%-34.3%FY21FY22FY23FY24FY25
Days cash on hand
0 days0 daysFY21FY22FY23FY24FY25

The county this hospice serves

Bexar County, TX · metro, 1M+ population
Median household income
$70.6K
vs $82.1K US · $59.7K rural median
Poverty rate
14.7%
vs 12.5% US · 14.3% rural median
Uninsured
15.9%
vs 8.6% US · 8.4% rural median
Age 65+
12.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.8% of county personal income is Medicare/Medicaid medical benefits; 19.2% arrives as government transfers (BEA, 2022).
Opportunity screen · FY24
$116K

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.
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