Astrelis
hospice · CA

MAIN HOSPICE AND PALLIATIVE CARE, INC

CCN 921589Latest FY 2021
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
The read

A hospice in CA. It ran an operating loss of 24.3% in FY21 on $0.4M of operating revenue. It held 1 day of cash on hand. Operating margin improved from -29.8% in FY20 to -24.3% in FY21.

Days cash on hand · FY21
1d
all sources
vs hospices
Total operating revenue · FY21
$0.4M
vs hospices
Operating margin · FY21
-24.3%
vs hospices
Total days of care
2155.0d
Verified fact2021
Source: HCRIS CMS-1984

Where MAIN HOSPICE AND 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.

-20%-10%0%+10%+20%hospice median +0.08499999999999999%MAIN HOSPICE -24.32%-20%0%+20%hospice median +0.08499999999999999%MAIN HOSPICE -24.32%
One hospiceMAIN 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
-24.3% (FY21)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-4.1% (FY21)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
1d (FY21)
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 itemFY20FY21
Patient revenue726413
Total operating revenue726413
Total operating expenses943513
Operating income(216)(100)
Operating margin %-29.8%-24.2%
Other non-operating, net10080
Net income(116)(20)
Net income %-14.0%-4.1%
2 of 3 years available for this statement.
HCRIS CMS-1984 cost report · $ thousands · FY20–FY21 · 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.

Routine home care mix
100.0%
Verified fact2021
HCRIS CMS-1984
Total days of care
2155.0d
Verified fact2021
HCRIS CMS-1984
Continuous home care mix
0.0%
Verified fact2021
HCRIS CMS-1984
General inpatient mix
0.0%
Verified fact2021
HCRIS CMS-1984
Respite mix
0.0%
Verified fact2021
HCRIS CMS-1984

Trajectory

Cost-report basis · 2 reporting years
Operating margin
-29.8%-24.3%FY20FY21
Days cash on hand
211 days1 dayFY20FY21

The county this hospice serves

Location, CA
Median household income
$82.2K
vs $82.1K US · $59.7K rural median
Poverty rate
13.6%
vs 12.5% US · 14.3% rural median
Uninsured
8.5%
vs 8.6% US · 8.4% rural median
Age 65+
12.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
25.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.3% of county personal income is Medicare/Medicaid medical benefits; 22.7% 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.

build aa21187 · 2026-07-23