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HOSPICE · CCN 451756
HEART TO HEART HOSPICE OF TYLER LTD
TYLER, TX 75703
HospiceFor-Profit
$14.6M
TOTAL REVENUE
-22.6%
OPERATING MARGIN
4 / 5
CAREGIVER SURVEY
67
QUALITY MEASURES
9
OWNERS
01 — FINANCIAL
Cost report financials (FY2024)
- Net patient revenue
- $14.6M
- Total costs
- $17.9M
- Operating income (rev − costs)
- −$3.3M
- Operating margin
- -22.6%
- Total charges
- $14.6M
- Total days of care
- 86,510
- 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 | 229 | — | — |
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 | 21 | — | — |
Care Provided in Home Care_Provided_Home | 30 | — | — |
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 | 48 | — | — |
Care Provided in All other locations Care_Provided_other_locations | 0 | — | — |
Care Provided in Skilled Nursing Facility Care_Provided_Skilled_Nursing | 1 | — | — |
H_001_01_DENOMINATOR H_001_01_DENOMINATOR | 626 | — | — |
Hospice and Palliative Care Treatment Preferences H_001_01_OBSERVED | 100 | — | — |
H_002_01_DENOMINATOR H_002_01_DENOMINATOR | 626 | — | — |
Beliefs & Values Addressed (if desired by the patient) H_002_01_OBSERVED | 99.7 | — | — |
H_003_01_DENOMINATOR H_003_01_DENOMINATOR | 626 | — | — |
Hospice and Palliative Care Pain Screening H_003_01_OBSERVED | 100 | — | — |
H_004_01_DENOMINATOR H_004_01_DENOMINATOR | 484 | — | — |
Hospice and Palliative Care Pain Assessment H_004_01_OBSERVED | 100 | — | — |
H_005_01_DENOMINATOR H_005_01_DENOMINATOR | 626 | — | — |
Hospice and Palliative Care Dyspnea Screening H_005_01_OBSERVED | 99.8 | — | — |
H_006_01_DENOMINATOR H_006_01_DENOMINATOR | 461 | — | — |
Hospice and Palliative Care Dyspnea Treatment H_006_01_OBSERVED | 100 | — | — |
H_007_01_DENOMINATOR H_007_01_DENOMINATOR | 120 | — | — |
Patient Treated with an Opioid Who Are Given a Bowel Regimen H_007_01_OBSERVED | 100 | — | — |
H_008_01_DENOMINATOR H_008_01_DENOMINATOR | 626 | — | — |
Hospice and Palliative Care Composite Process Measure H_008_01_OBSERVED | 99.5 | — | — |
Hospice Visits in the Last Days of Life H_011_01_DENOMINATOR | 821 | — | — |
Hospice Visits in the Last Days of Life H_011_01_OBSERVED | 72.4 | — | — |
Hospice Care Index Overall Score H_012_00_OBSERVED | 10 | — | — |
CHC/GIP provided (% days) H_012_01_DENOMINATOR | 170488 | — | — |
CHC/GIP provided (% days) H_012_01_OBSERVED | 0.2 | — | — |
CHC/GIP provided (% days) H_012_01_PERCENTILE | 74 | — | — |
Gaps in nursing visits (% elections) H_012_02_DENOMINATOR | 784 | — | — |
Gaps in nursing visits (% elections) H_012_02_OBSERVED | 73.7 | — | — |
Gaps in nursing visits (% elections) H_012_02_PERCENTILE | 79 | — | — |
Early live discharges (% live discharges) H_012_03_DENOMINATOR | 167 | — | — |
Early live discharges (% live discharges) H_012_03_OBSERVED | 10.8 | — | — |
Early live discharges (% live discharges) H_012_03_PERCENTILE | 78 | — | — |
Late live discharges (% live discharges) H_012_04_DENOMINATOR | 167 | — | — |
Late live discharges (% live discharges) H_012_04_OBSERVED | 34.7 | — | — |
Late live discharges (% live discharges) H_012_04_PERCENTILE | 44 | — | — |
Burdensome transitions, Type 1(% live discharges) H_012_05_DENOMINATOR | 167 | — | — |
Burdensome transitions, Type 1 (% live discharges) H_012_05_OBSERVED | 16.2 | — | — |
Burdensome transitions, Type 1 (% live discharges) H_012_05_PERCENTILE | 86 | — | — |
Burdensome transitions, Type 2(% live discharges) H_012_06_DENOMINATOR | 167 | — | — |
Burdensome transitions, Type 2 (% live discharges) H_012_06_OBSERVED | 1.2 | — | — |
Burdensome transitions, Type 2 (% live discharges) H_012_06_PERCENTILE | 52 | — | — |
Per-beneficiary spending (U.S. dollars $) H_012_07_DENOMINATOR | 1355 | — | — |
Per-beneficiary spending (U.S. dollars $) H_012_07_OBSERVED | 20337 | — | — |
Per-beneficiary spending (U.S. dollars $) H_012_07_PERCENTILE | 62 | — | — |
Nurse care minutes per routine home care days (minutes) H_012_08_DENOMINATOR | 169498 | — | — |
Nurse care minutes per routine home care days (minutes) H_012_08_OBSERVED | 8.3 | — | — |
Nurse care minutes per routine home care days (minutes) H_012_08_PERCENTILE | 11 | — | — |
Skilled nursing minutes on weekends (% minutes) H_012_09_DENOMINATOR | 1399125 | — | — |
Skilled nursing minutes on weekends (% minutes) H_012_09_OBSERVED | 8.5 | — | — |
Skilled nursing minutes on weekends (% minutes) H_012_09_PERCENTILE | 57 | — | — |
Visits near death (% decedents) H_012_10_DENOMINATOR | 1021 | — | — |
Visits near death (% decedents) H_012_10_OBSERVED | 92.6 | — | — |
Visits near death (% decedents) H_012_10_PERCENTILE | 44 | — | — |
Percent of Patients with Cancer Pct_Pts_w_Cancer | 14 | — | — |
Percent of Patients with Circulatory/heart disease Pct_Pts_w_Circ_Heart_Disease | 15 | — | — |
Percent of Patients with Dementia Pct_Pts_w_Dementia | 45 | — | — |
Percent of Patients with Other Conditions Pct_Pts_w_other_conditions | 11 | — | — |
Percent of Patients with Respiratory disease Pct_Pts_w_Resp_Disease | 9 | — | — |
Percent of Patients with Stroke Pct_Pts_w_Stroke | 8 | — | — |
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 |
|---|---|---|---|
| EAST TEXAS MEDICAL COURIERS AND EXPRESS DELIVERY SERVICES, LLC | O | 100% | 2015-06-25 |
| HEART TO HEART HOSPICE HOLDINGS LLC | O | 100% | 2012-12-28 |
| MITCHELL, KELLY | I | 66% | 2016-06-01 |
| H TO H FOUNDERS, LLC | O | 60% | 2015-06-25 |
| HTOHH PREFERRED LLC | O | 40% | 2015-06-25 |
| CLARK, JOHN | I | 0% | 2024-04-15 |
| DAUGHTRY, GINA | I | 0% | 2006-04-18 |
| MITCHELL, KELLY | I | — | 2016-06-27 |
| SMITH, LATOYA | I | 0% | 2017-07-06 |