Astrelis
Urban PPS hospital · Providence, RI

THE MIRIAM HOSPITAL

CCN 410012Providence CountyVoluntary non-profit - PrivateUrban (USDA RUCC)202 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Providence, RI. It ran an operating loss of 11.6% in FY25 on $623.9M of operating revenue. It held 248 days of cash on hand (88th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -19.7% in FY20 to -11.6% in FY25. Including nonoperating items, the all-in result was positive at 10.4%.

Operating margin · FY25
-11.6%
7.1 pts vs FY24
vs Urban PPS hospitals19th pctl of 1,475 (FY25)
Days cash on hand · FY25
248d
all sources
17.7 days vs FY24
vs Urban PPS hospitals88th pctl of 1,386 (FY25)
Total operating revenue · FY25
$623.9M
38.9 $M vs FY24
vs Urban PPS hospitals76th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+10.4%
4.3 pts vs FY24
vs Urban PPS hospitals65th pctl of 1,475 (FY25)
One point of operating margin at THE MIRIAM HOSPITAL is about $6.2M per year (1% of FY25 total operating revenue).

Where THE MIRIAM HOSPITAL sits among Urban PPS hospitals

Operating margin · FY25 pool · n = 1,475 of 2,681 filed

Each point is one Urban PPS 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 Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%THE MIRIAM -11.62523361190451%-20%0%+20%Urban PPS hospital median +1.3311360264910879%THE MIRIAM -11.62523361190451%
One urban pps hospitalTHE MIRIAMUrban PPS 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
-11.6% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+10.4% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
248d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.29× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
57% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
35d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue526,439584,981623,898
Total operating revenue526,439584,981623,898
Total operating expenses602,657694,729696,428
Operating income(76,218)(109,748)(72,530)
Operating margin %-14.5%-18.8%-11.6%
Grants & contributions36361,277
Investment income8,3128,8788,225
Other non-operating, net95,299144,808141,644
Net income27,42943,97478,616
Net income %+4.4%+6.0%+10.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–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

How it operates

quality & operational context · CMS public reporting

A 202-bed hospital at 78% occupancy 66% 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
77.7%
Verified fact2025
HCRIS WS S-3
Average daily census
157.32
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
202
Verified fact2025
HCRIS WS S-3
Annual discharges
16,687
Verified fact2025
HCRIS WS S-3
Average length of stay
3.4d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
65.8%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
2,620
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.6%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$36.3M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.345
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.8%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.96
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.792481
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 6 reporting years
Operating margin
-19.7%-15.9%-19.6%-14.5%-18.8%-11.6%FY20FY21FY22FY23FY24FY25
Days cash on hand
241 days277 days190 days169 days230 days248 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

PROVIDENCE County, RI · metro, 1M+ population
Median household income
$78.2K
vs $82.1K US · $59.7K rural median
Poverty rate
13.0%
vs 12.5% US · 14.3% rural median
Uninsured
5.3%
vs 8.6% US · 8.4% rural median
Age 65+
16.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.4% of county personal income is Medicare/Medicaid medical benefits; 23.1% arrives as government transfers (BEA, 2022).

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