{
 "meta": {
  "title": "Hospice Cost Report Benchmarks",
  "description": "Aggregate benchmarks (cost per day, level-of-care mix, payer mix, operating margin, size) for freestanding Medicare-certified hospices, built from CMS HCRIS cost reports.",
  "credit": "Soriaga & Associates, LLC",
  "credit_url": "https://www.soriagacpa.com/hospice-cost-report-benchmarks",
  "license": "CC BY 4.0",
  "license_url": "https://creativecommons.org/licenses/by/4.0/",
  "sources": [
   {
    "name": "CMS HCRIS Hospice Form CMS-1984-14 raw files (HOSPC14-ALL-YEARS.zip)",
    "url": "https://downloads.cms.gov/Files/hcris/HOSPC14-ALL-YEARS.zip",
    "kind": "data",
    "cms_last_updated": "2026-10-05",
    "retrieved": "2026-10-22"
   },
   {
    "name": "CMS HCRIS Hospice documentation (hospc14-documentation.zip)",
    "url": "https://www.cms.gov/files/zip/hospc14-documentation.zip",
    "kind": "documentation",
    "cms_last_updated": null,
    "retrieved": "2026-10-22"
   },
   {
    "name": "CMS page: Hospice 1984-2014 form cost report files",
    "url": "https://www.cms.gov/data-research/statistics-trends-and-reports/cost-reports/hospice-1984-2014-form",
    "kind": "documentation",
    "cms_last_updated": null,
    "retrieved": null
   },
   {
    "name": "CMS Provider Reimbursement Manual 15-2, chapter 43 (instructions)",
    "url": "https://www.cms.gov/files/document/r8p243i.pdf",
    "kind": "documentation",
    "cms_last_updated": null,
    "retrieved": null
   }
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  "form": "CMS-1984-14 (Hospice Cost Report)",
  "year_definition": "Federal fiscal year (October 1 to September 30) of the cost reporting period's begin date. FY 2023 means periods beginning 10/1/2022 through 9/30/2023.",
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   2016,
   2017,
   2018,
   2019,
   2020,
   2021,
   2022,
   2023,
   2024,
   2025
  ],
  "latest_complete_year": 2024,
  "generated_at": "2026-10-22T16:03:41Z",
  "tool_version": "0.1.0",
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    },
    "complete": true
   },
   "2025": {
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    "excluded_partial_year": 25,
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     "f2_line42_columns_2": 25,
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     },
     "cost_per_day_chc": {
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     },
     "cost_per_day_rhc": {
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     },
     "cost_per_day_irc": {
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     },
     "cost_per_day_gip": {
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     },
     "share_days_chc": {
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      "outlier_excluded": 0,
      "screen_not_applied": true
     },
     "share_days_rhc": {
      "values": 0,
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      "outlier_excluded": 0,
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     },
     "share_days_irc": {
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     },
     "share_days_gip": {
      "values": 0,
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      "screen_not_applied": true
     },
     "agencies_providing_chc": {
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     },
     "agencies_providing_irc": {
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     },
     "agencies_providing_gip": {
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     },
     "medicare_share_days": {
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      "outlier_excluded": 0,
      "screen_not_applied": true
     },
     "operating_margin": {
      "values": 0,
      "range_excluded": 0,
      "outlier_excluded": 0,
      "screen_skipped_fewer_than": 100
     },
     "total_patient_days": {
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      "range_excluded": 0,
      "outlier_excluded": 0,
      "screen_skipped_fewer_than": 100
     }
    },
    "complete": false
   }
  },
  "notes": [
   "Cost reports are provider-filed and may be unaudited.",
   "The data mixes reports at different CMS statuses (as submitted, settled, reopened) because CMS keeps the highest status per report.",
   "All-payer operating margins include costs that Medicare does not allow.",
   "Partial-year reports (period under 300 or over 430 days) are excluded.",
   "The newest years are incomplete and fill in over time; see counts and latest_complete_year.",
   "Figures are not risk-adjusted or wage-adjusted.",
   "Cells with fewer than 11 agencies are suppressed. No provider-level data is published.",
   "Freestanding hospices only. Hospital-, SNF- and HHA-based hospices file other cost report forms.",
   "Worksheet F-2 Part II (expenses and net income) is stored in column 2; see the README for the evidence."
  ],
  "disclaimer": "General information from public CMS filings, not an audit, valuation, or advice for any agency."
 },
 "metrics": [
  {
   "id": "cost_per_day_total",
   "label": "Cost per day, all levels of care",
   "unit": "usd_per_day",
   "definition": "Average cost per day, all levels of care, as filed (Worksheet C line 23 col 3). If the filed value is missing, total cost divided by total unduplicated days (lines 21 and 22).",
   "source_fields": [
    "Wkst C line 23 col 3 (fallback: line 21 col 3 / line 22 col 3)"
   ],
   "has_pooled": false,
   "pooled_only": false
  },
  {
   "id": "cost_per_day_chc",
   "label": "Cost per day, continuous home care",
   "unit": "usd_per_day",
   "definition": "Average cost per day for continuous home care as filed (Worksheet C line 3 col 3), only for agencies that report days at this level. If the filed value is missing, cost divided by days (lines 1 and 2).",
   "source_fields": [
    "Wkst C line 3 col 3 (fallback: line 1 col 3 / line 2 col 3)"
   ],
   "has_pooled": false,
   "pooled_only": false
  },
  {
   "id": "cost_per_day_rhc",
   "label": "Cost per day, routine home care",
   "unit": "usd_per_day",
   "definition": "Average cost per day for routine home care as filed (Worksheet C line 8 col 3), only for agencies that report days at this level. If the filed value is missing, cost divided by days (lines 6 and 7).",
   "source_fields": [
    "Wkst C line 8 col 3 (fallback: line 6 col 3 / line 7 col 3)"
   ],
   "has_pooled": false,
   "pooled_only": false
  },
  {
   "id": "cost_per_day_irc",
   "label": "Cost per day, inpatient respite care",
   "unit": "usd_per_day",
   "definition": "Average cost per day for inpatient respite care as filed (Worksheet C line 13 col 3), only for agencies that report days at this level. If the filed value is missing, cost divided by days (lines 11 and 12).",
   "source_fields": [
    "Wkst C line 13 col 3 (fallback: line 11 col 3 / line 12 col 3)"
   ],
   "has_pooled": false,
   "pooled_only": false
  },
  {
   "id": "cost_per_day_gip",
   "label": "Cost per day, general inpatient care",
   "unit": "usd_per_day",
   "definition": "Average cost per day for general inpatient care as filed (Worksheet C line 18 col 3), only for agencies that report days at this level. If the filed value is missing, cost divided by days (lines 16 and 17).",
   "source_fields": [
    "Wkst C line 18 col 3 (fallback: line 16 col 3 / line 17 col 3)"
   ],
   "has_pooled": false,
   "pooled_only": false
  },
  {
   "id": "share_days_chc",
   "label": "Share of days, continuous home care",
   "unit": "ratio",
   "definition": "Each agency's days of continuous home care divided by its total days (blank days count as zero). Quartiles and mean are across agencies. The pooled value is total days at this level divided by total days across all agencies in the group.",
   "source_fields": [
    "Wkst S-1 Part II line 30 col 4 / line 34 col 4"
   ],
   "has_pooled": true,
   "pooled_only": false
  },
  {
   "id": "share_days_rhc",
   "label": "Share of days, routine home care",
   "unit": "ratio",
   "definition": "Each agency's days of routine home care divided by its total days (blank days count as zero). Quartiles and mean are across agencies. The pooled value is total days at this level divided by total days across all agencies in the group.",
   "source_fields": [
    "Wkst S-1 Part II line 31 col 4 / line 34 col 4"
   ],
   "has_pooled": true,
   "pooled_only": false
  },
  {
   "id": "share_days_irc",
   "label": "Share of days, inpatient respite care",
   "unit": "ratio",
   "definition": "Each agency's days of inpatient respite care divided by its total days (blank days count as zero). Quartiles and mean are across agencies. The pooled value is total days at this level divided by total days across all agencies in the group.",
   "source_fields": [
    "Wkst S-1 Part II line 32 col 4 / line 34 col 4"
   ],
   "has_pooled": true,
   "pooled_only": false
  },
  {
   "id": "share_days_gip",
   "label": "Share of days, general inpatient care",
   "unit": "ratio",
   "definition": "Each agency's days of general inpatient care divided by its total days (blank days count as zero). Quartiles and mean are across agencies. The pooled value is total days at this level divided by total days across all agencies in the group.",
   "source_fields": [
    "Wkst S-1 Part II line 33 col 4 / line 34 col 4"
   ],
   "has_pooled": true,
   "pooled_only": false
  },
  {
   "id": "agencies_providing_chc",
   "label": "Agencies providing continuous home care",
   "unit": "ratio",
   "definition": "Share of agencies reporting more than zero days of continuous home care. Published only in the pooled field; n is the number of agencies.",
   "source_fields": [
    "Wkst S-1 Part II line 30 col 4 (greater than 0)"
   ],
   "has_pooled": true,
   "pooled_only": true
  },
  {
   "id": "agencies_providing_irc",
   "label": "Agencies providing inpatient respite care",
   "unit": "ratio",
   "definition": "Share of agencies reporting more than zero days of inpatient respite care. Published only in the pooled field; n is the number of agencies.",
   "source_fields": [
    "Wkst S-1 Part II line 32 col 4 (greater than 0)"
   ],
   "has_pooled": true,
   "pooled_only": true
  },
  {
   "id": "agencies_providing_gip",
   "label": "Agencies providing general inpatient care",
   "unit": "ratio",
   "definition": "Share of agencies reporting more than zero days of general inpatient care. Published only in the pooled field; n is the number of agencies.",
   "source_fields": [
    "Wkst S-1 Part II line 33 col 4 (greater than 0)"
   ],
   "has_pooled": true,
   "pooled_only": true
  },
  {
   "id": "medicare_share_days",
   "label": "Medicare share of days",
   "unit": "ratio",
   "definition": "Each agency's Title XVIII (Medicare) days divided by its total days, all levels of care. Quartiles and mean are across agencies. The pooled value is total Medicare days divided by total days across all agencies in the group.",
   "source_fields": [
    "Wkst S-1 Part II line 34 col 1 / line 34 col 4"
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   "has_pooled": true,
   "pooled_only": false
  },
  {
   "id": "operating_margin",
   "label": "All-payer operating margin",
   "unit": "ratio",
   "definition": "(Net patient revenue minus total operating expenses) divided by net patient revenue. Only where net patient revenue is above zero; margins outside -100% to +100% are excluded as data errors.",
   "source_fields": [
    "Wkst F-2 line 8 col 4; Wkst F-2 line 41 col 2"
   ],
   "has_pooled": false,
   "pooled_only": false
  },
  {
   "id": "total_patient_days",
   "label": "Total patient days per agency",
   "unit": "count",
   "definition": "Total days of hospice care, all payers and levels of care.",
   "source_fields": [
    "Wkst S-1 Part II line 34 col 4"
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   "has_pooled": false,
   "pooled_only": false
  }
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