Rhode Island Hospital

Overview

Mission

As a founding hospital in the Brown University Health system, RIH is committed to its mission: Delivering health with care.

What it reported doing in 2023

Patient Care: RIH is the State's largest hospital, and its only Level I trauma center and verified burn center. It provides a comprehensive range of diagnostic and therapeutic health care services to inpatients and outpatients. RIH has particular expertise in cancer, cardiology, diabetes, emergency medicine, neurosciences, orthopedics, and more. Hasbro Children's Hospital (HCH), RIH's pediatric division, is the region's premier provider of pediatric clinical care. HCH offers a broad spectrum of both routine care and specialty programs not available elsewhere and has the only pediatric emergency department, Level I trauma center, pediatric critical care teams, and 24-hour ambulance in the region. (Continued on Schedule O)

Operating model

Revenue model: Other-operating. 97% of the money available for current operations came from other operating revenue.
Distribution model: Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

Includes noncash contributions: Reported contributions include donated property or goods.

Nonprofit profile at a glance

EIN: 050258954
IRS 990 coverage: 2009–2023
Forms available: Form 990 2023, Form 990-T 2023
Location: Providence, RI, USA
Phone: 4014444000
Rating: 79
Verdict: SUPPORTED
Rating confidence: Moderate
Sector: Hospital, General

Official website

Reported finances

Revenue: $2,296,989,191
Expenses: $2,112,316,740
Assets: $1,833,203,164
Liabilities: $799,148,540

Source: IRS Form 990. Selected filing: tax year 2023. Amounts in USD.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and some related-organization disclosures are missing.

Rating breakdown

Financial Efficiency: 78
Transparency & Controls: 74
Accountability: 87
Sustainability: 59
Growth: 100

Detailed rating inputs

Financial Efficiency

Mission deployment rate: 85.5%; rating input score 85
Program expense ratio: 91.2%; rating input score 91
Fundraising efficiency: Limited

Transparency & Controls

Consistency checks: 92.9%; rating input score 93; 17th percentile among comparable filings
Pay-setting controls: 5 of 6 controls in place; rating input score 83
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Pass
- Board or committee approval: Pass
Foreign activity oversight: Scored; rating input score 0
Grant itemization coverage: 99.5%; rating input score 99; 41st percentile among comparable filings
Major donor itemization: Yes; rating input score 100
Related-party transparency: Scored; rating input score 0

Accountability

Independent voting board: 77.8%; rating input score 78; 26th percentile among comparable filings
Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass

Sustainability

Operating margin: 8%; rating input score 70; 70th percentile among comparable filings
Total-asset coverage ratio: 0.87; rating input score 35; 35th percentile among comparable filings
Liabilities to assets ratio: 0.44; rating input score 43; 43rd percentile among comparable filings
Officer compensation ratio: 0.3%; rating input score 87; 87th percentile among comparable filings

Growth

Program expense growth: 6.5% per year; rating input score 100; 55th percentile among comparable filings
Revenue growth: 5.4% per year; rating input score 100; 49th percentile among comparable filings
Asset growth: 2.1% per year; rating input score 100; 16th percentile among comparable filings

Details

Where the money goes: 85.5% of revenue deployed · 91.2% of spending went to programs
Governance: 14 of 18 board members independent · 9 of 9 filing controls reported
Programs: 3 filed program accomplishments · $1.9B in reported program spending
Leadership: top reported pay $3.7M · 37 people listed · 5 of 6 pay-setting controls reported
Highest-paid contractors: 5 contractors listed · $85.5M reported
Consistency: 33 of 34 current checks pass · 1 finding to review
Schedules: 11 filed schedules · includes major donors, foreign activity, grants, executive pay, and related organizations
Filing history: 15 annual filings from 2009 to 2023
Contacts: How to reach this organization
Money network: 10 filed money-flow records
Related organizations: 42 filed related-organization links
Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

High — Transparency & Controls: Foreign activity oversight scored 0/100.
High — Transparency & Controls: Related-party transparency scored 0/100.
Moderate — Sustainability: Total-asset coverage ratio scored 35/100.
Moderate — Sustainability: Liabilities to assets ratio scored 43/100.
Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.

Leadership & pay

37 people listed

Highest reported compensation

Timothy J Babineau (Fmr. Trustee): $3,679,676 total reported compensation
John Fernandez (CEO): $2,456,122 total reported compensation
Ziya L Gokaslan MD (Trustee): $1,709,285 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2023.