CCN 321305LEA CountyGovernment - Hospital District or AuthorityRural (USDA RUCC)25 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Operating margin: +9.5% in FY2024, the 81st percentile of 1,307 critical access hospitals in the FY2024 pool. Days cash on hand: 348 days in FY2024, the 88th percentile of 1,289 critical access hospitals in the FY2024 pool. Total operating revenue: $159.6M in FY2024, the 99th percentile of 1,320 critical access hospitals in the FY2024 pool. Total margin (including nonoperating): +13.6% in FY2024, the 79th percentile of 1,307 critical access hospitals in the FY2024 pool. Figures as filed; not audited by Astrelis.
The read
A hospital in Lovington, NM. It ran an operating surplus of 9.5% in FY24 on $159.6M of operating revenue. It held 348 days of cash on hand (88th percentile of 1,289 Critical Access Hospitals on liquidity, FY24 pool). Operating margin improved from 0.6% in FY22 to 9.5% in FY24.
Operating margin · FY24
+9.5%
Astrelis calculation · as-filed inputs
▲ 8.6 pts vs FY23
vs Critical Access Hospitals81st pctl of 1,307 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY24
348d
all sources
Astrelis calculation · as-filed inputs
▬ 0 days vs FY23
vs Critical Access Hospitals88th pctl of 1,289 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY24
$159.6M
Astrelis calculation · as-filed inputs
▲ $28.1M vs FY23
vs Critical Access Hospitals99th pctl of 1,320 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY24
+13.6%
Astrelis calculation · as-filed inputs
▼ 2.5 pts vs FY23
vs Critical Access Hospitals79th pctl of 1,307 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at NOR-LEA HOSPITAL DISTRICT is about $1.6M per year (1% of FY24 total operating revenue).
Where NOR-LEA HOSPITAL DISTRICT sits among Critical Access Hospitals
Operating margin · FY24 pool · n = 1,307 of 1,404 filed
Each point is one Critical Access Hospital in the national FY24 distribution for Critical Access Hospitals, this hospital's comparison cohort, 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 Critical Access Hospital FY24 median is -1.8%. Descriptive context only, not a ranking.
One critical access hospitalNOR-LEA HOSPITALCritical Access Hospital median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this hospital 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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Net patient receivables × days in the report's own period ÷ net patient revenue, same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
113,529
131,470
143,435
Other operating revenue
4,304
—
16,127
Total operating revenue
117,833
131,470
159,562
Total operating expenses
117,179
130,318
144,451
Operating income
654
1,151
15,111
Operating margin %
+0.6%
+0.9%
+9.5%
Grants & contributions
1,854
11,115
2,322
Investment income
(250)
1,679
5,235
Other non-operating, net
14,210
11,004
(10)
Net income
16,468
24,950
22,658
Net income %
+12.3%
+16.1%
+13.6%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income
Display states.FY25 · Operating margin — Astrelis calculation unavailable (net patient revenue was not reported (or is zero) on this filing)Filed inputs: Operating income -143,438KFY25 · Days cash on hand — Astrelis calculation unavailable (the balance sheet (Worksheet G) is not filed on this cost report)FY21 · Operating margin — Astrelis calculation unavailable (net patient revenue was not reported (or is zero) on this filing)Filed inputs: Operating income -98,667KFY21 · Days cash on hand — Astrelis calculation unavailable (the balance sheet (Worksheet G) is not filed on this cost report)
How it operates
quality & operational context · CMS public reporting
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
11.1%
Reported value2025
HCRIS WS S-3
Average daily census
2.77
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
25
Reported value2025
HCRIS WS S-3
Annual discharges
415
Reported value2025
HCRIS WS S-3
Average length of stay
2 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$141,877
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$345,633
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Swing-bed average daily census
0.62
Reported value2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
18.3%
Reported value2025
HCRIS WS S-3 (acute + swing days)
How the care measures up
C. difficile infection (SIR)
Not reported in source (note 1)
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.3%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Note 1: Results cannot be calculated for this reporting period.
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
LEA County, NM
Median household income
$68.8K
vs $82.1K US · $59.7K rural median
Poverty rate
18.7%
vs 12.5% US · 14.3% rural median
Uninsured
14.3%
vs 8.6% US · 8.4% rural median
Age 65+
11.2%
vs 16.8% US · 20.6% rural median
Fair or poor health
26.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.5% of county personal income is Medicare/Medicaid medical benefits; 21.7% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Lea County
Illustrative estimate · FY25 cost report
Direct annual spending
$143.4M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$329.9M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is a critical access hospital, the NCRHW study population. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY24Astrelis calculation
Operating margin vs its peer pool: FY24 pool · n = 1,307.
CAH Performance Benchmark: FY24 peer pool · n = 1,307 · conservative low band; acuity limits stated in the report.
Report coverage: Limited Facility Benchmark. 13 of 17 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
The Board Briefing
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Astrelis Atlas, "Nor-Lea Hospital District", https://astrelis.co/hospitals/321305, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/hospitals/321305.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.
