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HOSPICE · CCN 261683
APPL ORCHARD HOSPICE OF MISSOURI, INC
KANSAS CITY, MO 64102
HospiceFor-Profit
$683K
TOTAL REVENUE
-53.5%
OPERATING MARGIN
N/A
CAREGIVER SURVEY
67
QUALITY MEASURES
20
OWNERS
01 — FINANCIAL
Cost report financials (FY2024)
- Net patient revenue
- $683K
- Total costs
- $1.0M
- Operating income (rev − costs)
- −$365K
- Operating margin
- -53.5%
- Total charges
- $754K
- Total days of care
- 3,927
- Unduplicated patients
- —
Source: CMS hospice cost reports. Operating margin = (net patient revenue − total costs) / net patient revenue.
02 — QUALITY MEASURES
67 quality measures
| Measure | Score | Denominator | Period |
|---|---|---|---|
Average Daily Census Average_Daily_Census | 11 | — | — |
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year Bene_Dual_Pct | Yes | — | — |
Hospice served at least 1 patient enrolled in Medicare Advantage during one year Bene_MA_Pct | Yes | — | — |
Care Provided in Assisted Living Facility Care_Provided_Assisted_Living | 17 | — | — |
Care Provided in Home Care_Provided_Home | 76 | — | — |
Care Provided in Inpatient Hospice Facility Care_Provided_Inpatient_Hospice | 0 | — | — |
Care Provided in Inpatient Hospital Facility Care_Provided_Inpatient_Hospital | 0 | — | — |
Care Provided in Nursing Facility Care_Provided_Nursing_Facility | 7 | — | — |
Care Provided in All other locations Care_Provided_other_locations | 0 | — | — |
Care Provided in Skilled Nursing Facility Care_Provided_Skilled_Nursing | — | — | — |
H_001_01_DENOMINATOR H_001_01_DENOMINATOR | 34 | — | — |
Hospice and Palliative Care Treatment Preferences H_001_01_OBSERVED | 100 | — | — |
H_002_01_DENOMINATOR H_002_01_DENOMINATOR | 34 | — | — |
Beliefs & Values Addressed (if desired by the patient) H_002_01_OBSERVED | 97.1 | — | — |
H_003_01_DENOMINATOR H_003_01_DENOMINATOR | 34 | — | — |
Hospice and Palliative Care Pain Screening H_003_01_OBSERVED | 100 | — | — |
H_004_01_DENOMINATOR H_004_01_DENOMINATOR | 15 | — | — |
Hospice and Palliative Care Pain Assessment H_004_01_OBSERVED | — | — | — |
H_005_01_DENOMINATOR H_005_01_DENOMINATOR | 34 | — | — |
Hospice and Palliative Care Dyspnea Screening H_005_01_OBSERVED | 97.1 | — | — |
H_006_01_DENOMINATOR H_006_01_DENOMINATOR | 16 | — | — |
Hospice and Palliative Care Dyspnea Treatment H_006_01_OBSERVED | — | — | — |
H_007_01_DENOMINATOR H_007_01_DENOMINATOR | 4 | — | — |
Patient Treated with an Opioid Who Are Given a Bowel Regimen H_007_01_OBSERVED | — | — | — |
H_008_01_DENOMINATOR H_008_01_DENOMINATOR | 34 | — | — |
Hospice and Palliative Care Composite Process Measure H_008_01_OBSERVED | 94.1 | — | — |
Hospice Visits in the Last Days of Life H_011_01_DENOMINATOR | 52 | — | — |
Hospice Visits in the Last Days of Life H_011_01_OBSERVED | 53.8 | — | — |
Hospice Care Index Overall Score H_012_00_OBSERVED | 8 | — | — |
CHC/GIP provided (% days) H_012_01_DENOMINATOR | 6926 | — | — |
CHC/GIP provided (% days) H_012_01_OBSERVED | 0 | — | — |
CHC/GIP provided (% days) H_012_01_PERCENTILE | 52 | — | — |
Gaps in nursing visits (% elections) H_012_02_DENOMINATOR | 45 | — | — |
Gaps in nursing visits (% elections) H_012_02_OBSERVED | 22.2 | — | — |
Gaps in nursing visits (% elections) H_012_02_PERCENTILE | 13 | — | — |
Early live discharges (% live discharges) H_012_03_DENOMINATOR | 13 | — | — |
Early live discharges (% live discharges) H_012_03_OBSERVED | 23.1 | — | — |
Early live discharges (% live discharges) H_012_03_PERCENTILE | 98 | — | — |
Late live discharges (% live discharges) H_012_04_DENOMINATOR | 13 | — | — |
Late live discharges (% live discharges) H_012_04_OBSERVED | 23.1 | — | — |
Late live discharges (% live discharges) H_012_04_PERCENTILE | 17 | — | — |
Burdensome transitions, Type 1(% live discharges) H_012_05_DENOMINATOR | 13 | — | — |
Burdensome transitions, Type 1 (% live discharges) H_012_05_OBSERVED | 7.7 | — | — |
Burdensome transitions, Type 1 (% live discharges) H_012_05_PERCENTILE | 53 | — | — |
Burdensome transitions, Type 2(% live discharges) H_012_06_DENOMINATOR | 13 | — | — |
Burdensome transitions, Type 2 (% live discharges) H_012_06_OBSERVED | 0 | — | — |
Burdensome transitions, Type 2 (% live discharges) H_012_06_PERCENTILE | 45 | — | — |
Per-beneficiary spending (U.S. dollars $) H_012_07_DENOMINATOR | 79 | — | — |
Per-beneficiary spending (U.S. dollars $) H_012_07_OBSERVED | 15539 | — | — |
Per-beneficiary spending (U.S. dollars $) H_012_07_PERCENTILE | 37 | — | — |
Nurse care minutes per routine home care days (minutes) H_012_08_DENOMINATOR | 6904 | — | — |
Nurse care minutes per routine home care days (minutes) H_012_08_OBSERVED | 13 | — | — |
Nurse care minutes per routine home care days (minutes) H_012_08_PERCENTILE | 59 | — | — |
Skilled nursing minutes on weekends (% minutes) H_012_09_DENOMINATOR | 89700 | — | — |
Skilled nursing minutes on weekends (% minutes) H_012_09_OBSERVED | 7.1 | — | — |
Skilled nursing minutes on weekends (% minutes) H_012_09_PERCENTILE | 40 | — | — |
Visits near death (% decedents) H_012_10_DENOMINATOR | 58 | — | — |
Visits near death (% decedents) H_012_10_OBSERVED | 96.6 | — | — |
Visits near death (% decedents) H_012_10_PERCENTILE | 76 | — | — |
Percent of Patients with Cancer Pct_Pts_w_Cancer | — | — | — |
Percent of Patients with Circulatory/heart disease Pct_Pts_w_Circ_Heart_Disease | 39 | — | — |
Percent of Patients with Dementia Pct_Pts_w_Dementia | 24 | — | — |
Percent of Patients with Other Conditions Pct_Pts_w_other_conditions | — | — | — |
Percent of Patients with Respiratory disease Pct_Pts_w_Resp_Disease | — | — | — |
Percent of Patients with Stroke Pct_Pts_w_Stroke | — | — | — |
Provided Routine Home Care and other levels of care Provided_Home_Care_and_other | Yes | — | — |
Provided Routine Home Care only Provided_Home_Care_only | No | — | — |
03 — OWNERSHIP
Ownership chain
| Owner | Type | Ownership % | Since |
|---|---|---|---|
| APPL, BRADLEY | I | 20% | 2018-05-01 |
| APPL, CLAY | I | 20% | 2018-05-01 |
| APPL, CORY | I | 20% | 2018-05-01 |
| APPL, GUNNAR | I | 20% | 2018-05-01 |
| STEWART, ALLISON | I | 20% | 2018-05-01 |
| APPL, BRADLEY | I | — | 2018-05-01 |
| APPL, BRADLEY | I | — | 2018-05-01 |
| APPL, BRADLEY | I | — | 2018-05-01 |
| APPL, CLAY | I | — | 2018-05-01 |
| APPL, CLAY | I | — | 2018-05-01 |
| APPL, CORY | I | — | 2018-05-01 |
| APPL, CORY | I | — | 2018-05-01 |
| APPL, CORY | I | — | 2018-05-01 |
| APPL, GUNNAR | I | — | 2018-05-01 |
| APPL, GUNNAR | I | — | 2018-05-01 |
| APPL, GUNNAR | I | — | 2001-05-01 |
| GOFF, KIMBERLY | I | 0% | 2020-07-20 |
| OREL, EILEEN | I | — | 2019-09-01 |
| STEWART, ALLISON | I | — | 2018-05-01 |
| STEWART, ALLISON | I | — | 2018-05-01 |