As of the July, 2022, release via CMS

BROADLAWNS MEDICAL CENTER

CMS id: 160101
1801 HICKMAN ROAD, DES MOINES IA 50314. County: POLK
System: --
CBSA: Des Moines-West Des Moines, IA

The 128-bed, acute-care hospital had $-64,380,340 in net service to patients*, with a total profit margin of 7.06433% in fiscal year 2021, the latest year available.
It spent 4.29% of its operating expenses on uncompensated care and reported $0 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	365	365	366	365
Ownership	gov	gov	gov	gov	gov
Acute beds Median	95 118	111 118	111 119.5	111 118	122 119
Total beds Median	101 162	117 162	117 162	117 162	128 163.5
FTEs Median	0.00 788.06	3,334.70 793.42	4,630.50 806.03	1,209.00 787.61	1,223.52 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	109,995,921 150,932,746	116,112,474 158,950,878	121,363,718 168,696,998	124,763,011 163,454,693	141,512,714 186,589,412
Operating expenses Median	155,185,663 149,311,209	170,318,799 156,110,414	180,425,121 164,890,568	190,415,149 166,516,854	205,893,054 180,120,888
Net income from service 2 patients (NS2P) ? Median	-45,189,742 -964,173	-54,206,325 -643,601.5	-59,061,403 -116,254	-65,652,138 -5,025,862	-64,380,340 -1,284,564
NS2P margin ? Median	-41.08% -0.62	-46.68% -0.29	-48.66% 0.18	-52.62% -5.07	-45.49% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BROADLAWNS MEDICAL CENTER compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	68,103,883 5,089,215	64,869,107 4,572,541	70,484,899 5,268,134	78,833,106 13,092,619	80,030,918 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	3,847,150 224,999	2,774,954 199,009	2,945,584 206,870.5	3,334,647 194,343	4,281,766 249,496
⊳ Line 7: Investments ? ⊳ Median	170,817 299,524	1,721,509 188,688.5	3,078,592 370,813	2,692,683 309,361.5	855,342 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	63,859	2,464	635	1,007	880
⊳ Line 11: Rebates and refunds of expenses	165,593	355,031	222,554	187,828	181,380
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	0
⊳ Line 15: Revenue from rental of living quarters	139,500	167,400	114,000	157,800	167,638
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	3,611	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	146,444
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	1,123	200	2,011	984	193
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	-5,712	-13,229
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	77,250	83,936	62,538	63,651	117,142
⊳ Line 23: Gov appropriations ? ⊳ Median	59,370,661 1,017,693	58,593,939 983,261.5	64,216,920 1,173,286	66,492,883 1,987,202	70,424,440 1,597,664
⊳ Sum Line 24	4,267,930	1,166,063	-157,935	5,907,335	3,868,922
Total income ? Median	22,914,141 6,586,430	10,662,782 6,767,106	11,423,496 8,419,950	13,180,968 8,094,175	15,650,578 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	22,914,141 6,043,842	10,662,782 5,845,112	11,423,496 7,606,259	13,180,968 7,283,041	15,650,578 14,957,241
Net margin Median	12.86590% 4.62%	5.89164% 4.42%	5.95443% 5.16%	6.47408% 5.2%	7.06433% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for BROADLAWNS MEDICAL CENTER compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	7,211,780 23,241,334	8,251,114 23,709,545	7,569,623 24,248,380	7,469,319 22,858,541	6,825,640 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	7,211,780 21,577,146	8,251,114 22,041,594	7,569,623 22,722,063	7,469,319 21,570,441	6,825,640 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	12,422,411 11,160,864	12,362,276 11,987,345	12,167,579 12,926,866	11,945,163 11,884,480	11,382,252 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	12,422,411 10,918,923	12,362,276 11,706,976	12,167,579 12,615,917	11,945,163 11,458,116	11,382,252 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	1,286,810 3,284,314	1,230,267 3,250,551	1,256,927 3,386,837	1,356,260 3,360,806	1,183,704 3,508,953
Disproportionate-share hospital (DSH) Median	110,263 594,888	470,458 595,761	362,230 577,894	337,064 542,168	383,702 549,667
Outlier Median	693,038 582,572	729,171 538,116	854,592 212,434	460,574 126,559	372,813 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	4,696,796 2,654,636	2,526,167 2,940,659	5,397,634 3,380,215	5,886,242 3,488,738	5,359,245 3,233,405
Uncompensated care (UCC) Median	8,874,851 5,147,790	5,921,603 5,337,617	10,212,560 5,711,082	10,364,090 5,923,418	8,823,567 5,508,107
UCC as a % of operating expenses Median	5.72% 3.24	3.48% 3.12	5.66% 3.21	5.44% 3.3	4.29% 2.86
Total shortfall/UCC Median	8,874,851 9,489,989	5,921,603 9,424,297	10,212,560 10,120,158	10,364,090 11,171,337	8,823,567 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	74,000,202 52,142,039	81,565,147 54,485,252	85,369,319 57,395,589	91,899,512 58,830,919	94,775,667 61,722,907
Salaries as a % of operating expenses Median	47.68 36.68	47.89 36.56	47.32 36.37	48.26 35.93	46.03 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	456,790 1,251,927	428,064 1,186,494	440,195 1,204,885	390,001 1,279,653	339,628 1,469,317
Contract adjusted salaries, direct-care Median	2,437,054 1,449,244	3,274,942 1,475,986	1,930,464 1,563,078	2,120,774 1,721,954	1,931,263 2,991,828
Contract hours, direct-care Median	61,266.00 22,725	62,692.00 23,018.5	43,360.55 24,503.48	43,642.00 25,026.5	26,170.00 33,786
Contract wages, direct-care Median	39.78 64.67	52.24 64.53	44.52 65.06	48.59 68.97	73.80 88.94

* in an approved program

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Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.