Astrelis
Hospice · San Ramon, CA

GRACE HOSPICE AND PALLIATIVE CARE, INC

CCN 751543Contra Costa CountyLatest FY 2022
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospice in San Ramon, CA. It ran an operating loss of 38.0% in FY22 on $3.1M of operating revenue. It held 38 days of cash on hand (55th percentile among hospices on liquidity). Operating margin declined from -25.4% in FY20 to -38.0% in FY22, though it rose 25.0 points in the most recent year.

Days cash on hand · FY22
38d
all sources
2.5 days vs FY21
vs hospices55th pctl of 2,345 (FY22)
Hospice Care Index
9
Verified fact2022
Source: CMS Hospice Quality
Operating margin · FY22
-38.0%
25.0 pts vs FY21
vs hospices13th pctl of 3,198 (FY22)
Total days of care
17351.0d
Verified fact2022
Source: HCRIS CMS-1984
Benchmarked within its own FY22 pool (n=3,198); the hospice cohort's current year is FY24.

Where GRACE HOSPICE AND sits among hospices

Operating margin · FY22 pool · n = 3,198 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 -1.3%. Descriptive context only, not a ranking.

Benchmarked within its own FY22 pool (n=3,198); the hospice cohort's current year is FY24.
-20%-10%0%+10%+20%hospice median -1.33%GRACE HOSPICE -38.03%-20%0%+20%hospice median -1.33%GRACE HOSPICE -38.03%
One hospiceGRACE HOSPICEhospice 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
-38.0% (FY22)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-14.3% (FY22)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
38d (FY22)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY20FY21FY22
Patient revenue2,1152,0613,148
Total operating revenue2,1152,0613,148
Total operating expenses2,6523,3604,345
Operating income(537)(1,299)(1,197)
Operating margin %-25.4%-63.0%-38.0%
Other non-operating, net497461654
Net income(40)(838)(543)
Net income %-1.5%-33.2%-14.3%
HCRIS CMS-1984 cost report · $ thousands · FY20–FY22 · 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 fact2022
CMS Hospice Quality
Routine home care mix
99.8%
Verified fact2022
HCRIS CMS-1984
Continuous home care mix
0.1%
Verified fact2022
HCRIS CMS-1984
General inpatient mix
0.1%
Verified fact2022
HCRIS CMS-1984
Respite mix
0.0%
Verified fact2022
HCRIS CMS-1984
Total days of care
17351.0d
Verified fact2022
HCRIS CMS-1984

Trajectory

Cost-report basis · 3 reporting years
Operating margin
-25.4%-63.0%-38.0%FY20FY21FY22
Days cash on hand
93 days41 days38 daysFY20FY21FY22

The county this hospice serves

Contra Costa County, CA · metro, 1M+ population
Median household income
$125.7K
vs $82.1K US · $59.7K rural median
Poverty rate
8.3%
vs 12.5% US · 14.3% rural median
Uninsured
4.8%
vs 8.6% US · 8.4% rural median
Age 65+
16.7%
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: 5.4% of county personal income is Medicare/Medicaid medical benefits; 12.0% arrives as government transfers (BEA, 2022).

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.

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