As of the July, 2022, release via CMS

RHODE ISLAND HOSPITAL

CMS id: 410007
593 EDDY STREET, PROVIDENCE RI 2901. County: PROVIDENCE
System: NAME: LIFESPAN CORPORATION
CBSA: Providence-Warwick, RI-MA

The 704-bed, acute-care hospital had $-374,680,442 in net service to patients*, with a total profit margin of 3.25858% in fiscal year 2021, the latest year available.
It spent 1.71% of its operating expenses on uncompensated care and reported $28,144,263 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	461 118	459 118	472 119.5	472 118	485 119
Total beds Median	693 162	691 162	704 162	704 162	704 163.5
FTEs Median	6,523.27 788.06	6,675.95 793.42	6,833.90 806.03	6,888.67 787.61	6,523.74 804.34

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	1,160,192,401 150,932,746	1,228,268,163 158,950,878	1,245,613,490 168,696,998	1,233,521,847 163,454,693	1,305,832,856 186,589,412
Operating expenses Median	1,305,316,895 149,311,209	1,402,697,914 156,110,414	1,477,373,072 164,890,568	1,525,365,528 166,516,854	1,680,513,298 180,120,888
Net income from service 2 patients (NS2P) ? Median	-145,124,494 -964,173	-174,429,751 -643,601.5	-231,759,582 -116,254	-291,843,681 -5,025,862	-374,680,442 -1,284,564
NS2P margin ? Median	-12.51% -0.62	-14.20% -0.29	-18.61% 0.18	-23.66% -5.07	-28.69% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for RHODE ISLAND HOSPITAL 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	160,225,904 5,089,215	178,417,502 4,572,541	189,339,705 5,268,134	294,946,995 13,092,619	407,041,876 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	7,683,973 299,524	8,199,511 188,688.5	8,190,725 370,813	7,745,536 309,361.5	8,063,684 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	219,130	141,192	173,008	86,130	19,789
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	2,797,622	2,745,980	2,689,039	1,667,246	1,275,543
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	4,736,579	4,810,045	5,228,576	4,720,827	4,155,045
⊳ Line 15: Revenue from rental of living quarters	0	0	7,716,330	8,594,271	9,358,966
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	30,855,980	40,801,717	59,238,831	91,987,640	161,984,510
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	7,012,080	7,471,624	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	106,920,540	114,247,433	106,103,196	180,145,345	222,184,339
Total income ? Median	15,101,410 6,586,430	3,987,751 6,767,106	-42,419,877 8,419,950	3,103,314 8,094,175	32,361,434 15,162,888
Non-operating expenses Median	-1,089,249 146,289.5	2,510,437 164,857	2,510,437 89,880.5	3,815,441 106,761	-23,453,944 31,473.5
Net income Median	16,190,659 6,043,842	1,477,314 5,845,112	-44,930,314 7,606,259	-712,127 7,283,041	55,815,378 14,957,241
Net margin Median	1.22618% 4.62%	0.10502% 4.42%	-3.13113% 5.16%	-0.04659% 5.2%	3.25858% 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 RHODE ISLAND HOSPITAL 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	193,775,465 23,241,334	195,317,404 23,709,545	184,611,846 24,248,380	176,764,515 22,858,541	178,458,213 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	187,220,257 21,577,146	190,119,939 22,041,594	179,167,973 22,722,063	171,823,600 21,570,441	175,844,405 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	4,807,164 1,845,420	3,499,219 1,757,392	3,544,576 1,738,842	3,522,208 1,510,463	2,613,808 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,748,044 3,535,627	1,698,246 3,746,588	1,899,297 3,782,288	1,418,707 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	71,052,344 11,160,864	68,578,200 11,987,345	71,959,211 12,926,866	70,421,864 11,884,480	72,674,891 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	71,052,344 10,918,923	68,578,200 11,706,976	71,959,211 12,615,917	70,421,864 11,458,116	72,674,891 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	42,963,692 3,284,314	42,970,469 3,250,551	40,836,579 3,386,837	39,142,885 3,360,806	39,021,156 3,508,953
Disproportionate-share hospital (DSH) Median	5,404,703 594,888	5,780,795 595,761	5,120,052 577,894	4,576,629 542,168	4,484,203 549,667
Outlier Median	5,881,266 582,572	4,876,704 538,116	195,625 212,434	276,526 126,559	8,541 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	3,991,020 3,730,911	14,975,298 4,081,319	21,396,558 4,643,908	28,144,263 4,389,147
Charity care Median	18,046,528 2,654,636	16,453,326 2,940,659	17,514,776 3,380,215	18,687,754 3,488,738	17,514,670 3,233,405
Uncompensated care (UCC) Median	29,633,280 5,147,790	26,821,508 5,337,617	28,322,935 5,711,082	31,445,684 5,923,418	28,753,098 5,508,107
UCC as a % of operating expenses Median	2.27% 3.24	1.91% 3.12	1.92% 3.21	2.06% 3.3	1.71% 2.86
Total shortfall/UCC Median	29,633,280 9,489,989	30,812,528 9,424,297	43,298,233 10,120,158	52,842,242 11,171,337	56,897,361 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	452,643,400 52,142,039	469,160,103 54,485,252	490,009,360 57,395,589	520,509,491 58,830,919	544,692,846 61,722,907
Salaries as a % of operating expenses Median	35.28 36.68	34.16 36.56	33.87 36.37	34.87 35.93	33.38 35.24
Intern, resident salaries* Median	39,782,747 2,598,592	40,042,195 2,686,824	39,568,246 2,753,773	33,264,935 2,937,156	35,064,790 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	11,532,289 1,449,244	12,023,744 1,475,986	14,123,078 1,563,078	9,217,379 1,721,954	25,593,412 2,991,828
Contract hours, direct-care Median	181,382.85 22,725	206,865.89 23,018.5	229,332.00 24,503.48	127,004.00 25,026.5	251,085.00 33,786
Contract wages, direct-care Median	63.58 64.67	58.12 64.53	61.58 65.06	72.58 68.97	101.93 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.