Astrelis
hospice · San Antonio, TX

GRACEFUL HOSPICE AND PALLIATIVE CARE LLC

CCN 971686Latest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospice in San Antonio, TX. It ran an operating surplus of 7.7% in FY24 on $1.7M of operating revenue. It held 36 days of cash on hand (57th percentile among hospices on liquidity). Operating margin declined from 30.0% in FY23 to 7.7% in FY24. It carries an average daily census of 27.

Average daily census
27
Verified fact2024
Source: CMS Hospice
Hospice Care Index
9
Verified fact2024
Source: CMS Hospice Quality
Operating margin · FY24
+7.7%
vs hospices65th pctl of 3,488 (FY24)
Total days of care
9768.0d
Verified fact2024
Source: HCRIS CMS-1984

Where GRACEFUL 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%GRACEFUL HOSPICE +7.71%-20%0%+20%hospice median +0.08499999999999999%GRACEFUL HOSPICE +7.71%
One hospiceGRACEFUL 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
+7.7% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+9.1% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
36d (FY24)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
2.48× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
40% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not reported in this filing
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24
Patient revenue9791,658
Total operating revenue9791,658
Total operating expenses6851,530
Operating income294128
Operating margin %+30.0%+7.7%
Other non-operating, net026
Net income294154
Net income %+30.0%+9.1%
2 of 3 years available for this statement.
HCRIS CMS-1984 cost report · $ thousands · FY23–FY24 · patient-service operating basis; non-patient revenue (contributions, investment) is non-operating

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 fact2024
CMS Hospice Quality
Average daily census
27
Verified fact2024
CMS Hospice
Routine home care mix
99.0%
Verified fact2024
HCRIS CMS-1984
Continuous home care mix
0.0%
Verified fact2024
HCRIS CMS-1984
Respite mix
0.9%
Verified fact2024
HCRIS CMS-1984
Total days of care
9768.0d
Verified fact2024
HCRIS CMS-1984
General inpatient mix
0.0%
Verified fact2024
HCRIS CMS-1984

Trajectory

Cost-report basis · 2 reporting years
Operating margin
+30.0%+7.7%FY23FY24
Days cash on hand
70 days36 daysFY23FY24

The county this hospice serves

Location, 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
$98K

of annual opportunity identified against peer medians across 1 measure

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.

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