As of the July, 2022, release via CMS

THE MIRIAM HOSPITAL

CMS id: 410012
164 SUMMIT AVENUE, PROVIDENCE RI 2906. County: PROVIDENCE
System: LIFESPAN CORPORATION
CBSA: Providence-Warwick, RI-MA

The 246-bed, acute-care hospital had $-79,059,139 in net service to patients*, with a total profit margin of 9.66939% in fiscal year 2021, the latest year available.
It spent 1.67% 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	211 118	202 118	202 119.5	201 118	201 119
Total beds Median	247 162	247 162	246 162	246 162	246 163.5
FTEs Median	2,454.38 788.06	2,575.13 793.42	2,556.81 806.03	2,471.47 787.61	2,483.74 804.34

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	421,858,974 150,932,746	421,755,890 158,950,878	451,318,340 168,696,998	413,675,646 163,454,693	459,829,334 186,589,412
Operating expenses Median	464,030,731 149,311,209	479,530,884 156,110,414	497,857,849 164,890,568	500,642,386 166,516,854	538,888,473 180,120,888
Net income from service 2 patients (NS2P) ? Median	-42,171,757 -964,173	-57,774,994 -643,601.5	-46,539,509 -116,254	-86,966,740 -5,025,862	-79,059,139 -1,284,564
NS2P margin ? Median	-10.00% -0.62	-13.70% -0.29	-10.31% 0.18	-21.02% -5.07	-17.19% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for THE MIRIAM 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	51,289,189 5,089,215	51,707,523 4,572,541	58,120,101 5,268,134	91,726,561 13,092,619	101,924,470 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	4,394,972 299,524	5,002,451 188,688.5	5,666,613 370,813	5,942,380 309,361.5	7,082,794 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	49,582	45,872	51,097	31,879	15,162
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ 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	1,497,506	1,640,242	1,771,420	1,418,817	463,322
⊳ Line 15: Revenue from rental of living quarters	0	1,919,833	2,827,782	2,084,364	2,036,228
⊳ 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	5,000	0	-11,945	36,561	55,648
⊳ 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	1,963,401	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	6,601,403 1,017,693	0 983,261.5	660,008 1,173,286	386,000 1,987,202	36,000 1,597,664
⊳ Sum Line 24	36,777,325	43,099,125	47,155,126	81,826,560	92,235,316
Total income ? Median	9,117,432 6,586,430	-6,067,471 6,767,106	11,580,592 8,419,950	4,759,821 8,094,175	22,865,331 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	11,185,839 89,880.5	80,100 106,761	-31,452,825 31,473.5
Net income Median	9,117,432 6,043,842	-6,067,471 5,845,112	394,753 7,606,259	4,679,721 7,283,041	54,318,156 14,957,241
Net margin Median	1.92697% 4.62%	-1.28151% 4.42%	0.07749% 5.16%	0.92594% 5.2%	9.66939% 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 THE MIRIAM 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	81,167,101 23,241,334	83,140,582 23,709,545	78,134,184 24,248,380	71,071,308 22,858,541	72,320,768 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	81,167,101 21,577,146	83,140,582 22,041,594	78,134,184 22,722,063	71,071,308 21,570,441	72,320,768 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	26,136,637 11,160,864	29,026,383 11,987,345	29,513,985 12,926,866	26,915,425 11,884,480	27,849,924 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	26,136,637 10,918,923	29,026,383 11,706,976	29,513,985 12,615,917	26,915,425 11,458,116	27,849,924 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	11,570,060 3,284,314	12,080,586 3,250,551	11,639,885 3,386,837	11,595,902 3,360,806	12,027,344 3,508,953
Disproportionate-share hospital (DSH) Median	881,874 594,888	987,684 595,761	1,196,880 577,894	1,034,608 542,168	1,190,101 549,667
Outlier Median	918,022 582,572	925,087 538,116	37,617 212,434	36,617 126,559	1,129 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	21,009,120 3,662,910	21,035,118 3,730,911	18,940,515 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	5,160,913 2,654,636	5,060,468 2,940,659	6,648,267 3,380,215	6,351,128 3,488,738	4,910,488 3,233,405
Uncompensated care (UCC) Median	9,469,413 5,147,790	8,649,411 5,337,617	10,603,655 5,711,082	11,423,024 5,923,418	8,979,636 5,508,107
UCC as a % of operating expenses Median	2.04% 3.24	1.80% 3.12	2.13% 3.21	2.28% 3.3	1.67% 2.86
Total shortfall/UCC Median	30,478,533 9,489,989	29,684,529 9,424,297	29,544,170 10,120,158	11,423,024 11,171,337	8,979,636 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	167,328,678 52,142,039	175,469,274 54,485,252	182,592,708 57,395,589	184,162,611 58,830,919	189,631,048 61,722,907
Salaries as a % of operating expenses Median	37.67 36.68	38.04 36.56	36.57 36.37	36.55 35.93	35.05 35.24
Intern, resident salaries* Median	267,263 2,598,592	272,932 2,686,824	357,934 2,753,773	1,794,756 2,937,156	1,671,773 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	3,832,232 1,449,244	2,995,457 1,475,986	3,343,923 1,563,078	2,254,384 1,721,954	7,114,439 2,991,828
Contract hours, direct-care Median	69,243.72 22,725	58,635.00 23,018.5	70,884.00 24,503.48	59,351.00 25,026.5	105,733.00 33,786
Contract wages, direct-care Median	55.34 64.67	51.09 64.53	47.17 65.06	37.98 68.97	67.29 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.