Astrelis
Critical Access Hospital · Ruidoso, NM

LINCOLN COUNTY MEDICAL CENTER

CCN 321306LINCOLN CountyVoluntary non-profit - PrivateRural (USDA RUCC)21 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY20, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read

A hospital in Ruidoso, NM. It ran an operating surplus of 25.6% in FY24 on $94.8M of operating revenue. It held 3 days of cash on hand (15th percentile among Critical Access Hospitals on liquidity). Operating margin improved from 5.2% in FY20 to 25.6% in FY24. These figures come from filings spanning FY20–FY24: read each by its own year rather than as one current picture.

Operating margin · FY24
+25.6%
12.8 pts vs FY23
vs Critical Access Hospitals98th pctl of 1,340 (FY24)
Days cash on hand · FY24
3d
all sources
1.0 days vs FY23
vs Critical Access Hospitals15th pctl of 1,325 (FY24)
Total operating revenue · FY24
$94.8M
16.4 $M vs FY23
vs Critical Access Hospitals92nd pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
+29.0%
12.2 pts vs FY23
vs Critical Access Hospitals97th pctl of 1,340 (FY24)
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One point of operating margin at LINCOLN COUNTY MEDICAL CENTER is about $948K per year (1% of FY24 total operating revenue).

Where LINCOLN COUNTY MEDICAL sits among Critical Access Hospitals

Operating margin · FY24 pool · n = 1,340 of 1,404 filed

Each point is one Critical Access Hospital 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 Critical Access Hospital median is -1.8%. Descriptive context only, not a ranking.

Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
-20%-10%0%+10%+20%Critical Access Hospital median -1.8424776517003405%LINCOLN COUNTY +25.623341895263163%-20%0%+20%Critical Access Hospital median -1.8424776517003405%LINCOLN COUNTY +25.623341895263163%
One critical access hospitalLINCOLN COUNTYCritical 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 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
+25.6% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+29.0% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
3d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
2.22× (FY20)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
91% (FY20)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
36d (FY20)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
Medicare inpatient contribution margin
+47.9% (FY24)
87th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+74.0% (FY24)
98th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line itemFY22FY23FY24
Patient revenue66,66174,97291,771
Other operating revenue3733,3963,029
Total operating revenue67,03478,36894,800
Total operating expenses63,92068,30070,509
Operating income3,11310,06824,291
Operating margin %+4.6%+12.8%+25.6%
Grants & contributions38180
Investment income3,689
Other non-operating, net4,3903,669607
Net income7,54113,73728,767
Net income %+10.6%+16.7%+29.0%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 21-bed hospital at 37% occupancy 67% of patient revenue is outpatient.

The metrics this hospital 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.

Scale and flow
Occupancy
37.0%
Verified fact2024
HCRIS WS S-3
Average daily census
7.79
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
21
Verified fact2024
HCRIS WS S-3
Annual discharges
1,236
Verified fact2024
HCRIS WS S-3
Average length of stay
2.3d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
67.0%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$6.0M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+5.2%+9.2%+4.6%+12.8%+25.6%FY20FY21FY22FY23FY24
Days cash on hand
3 days2 days2 days4 days3 daysFY20FY21FY22FY23FY24

The county this hospital serves

LINCOLN County, NM · nonmetro, urban 5–20K
Median household income
$51.6K
vs $82.1K US · $59.7K rural median
Poverty rate
16.0%
vs 12.5% US · 14.3% rural median
Uninsured
11.4%
vs 8.6% US · 8.4% rural median
Age 65+
30.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
23.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 15.8% of county personal income is Medicare/Medicaid medical benefits; 34.7% arrives as government transfers (BEA, 2022).

What this hospital means to Lincoln County

economic contribution · FY24 cost report
Direct annual spending
$70.5M
total operating expense · reported
Total economic output
$162.2M
× 2.30 output multiplier · estimate, upper bound for rural
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.

CAH 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.

Commercial Pricing Study$10,000CAH only, subject to data validation

Your negotiated commercial rates against Medicare and against peers, from hospitals' own published price files. We validate your hospital's rate file before taking payment.

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