Michael SouzaEvery week, GoLocalProv shines the spotlight on one individual who is making an impact on Rhode Island. This week, GoLocalProv sat down with Michael Souza, the President of Hospital Association of RI (HARI).
HARI released an annual economic impact report, proving what a major economic contributor the Rhode Island hospitals are to the state. Can you tell us about those economic impacts?
Our industry is vital to the state’s economy and health.Our economic contributions total $6.9 billion. Hospitals support one in ten jobs in Rhode Island.We’re an economic engine that is providing Rhode Islanders with well-paying jobs and supporting local business.
Governor Raimondo has made a commitment to transform the health care delivery system in the state, and you have applauded her for it. What transformations are you hoping to see in the future for the state?
It is clear that arbitrary budget cuts aren’t a long-term solution.Stakeholders must identify reforms that will improve quality and efficiency while limiting cost.There are many opportunities to reform our health care delivery system and give Rhode Islanders top-quality care in lower-cost settings.The Working Group to Reinvent Medicaid is uncovering many of these possibilities and we look forward to their final report.
What are the biggest challenges facing the hospitals in Rhode Island?
Over the past six years, hospitals have lost nearly $44 million from operations with a collective operating margin of -0.24%. This is not sustainable. Our neighboring states report positive operating margins of two to three percent and the national average exceeds 5%. Our hospitals must have the financial resources to reinvest in our economy and workforce. Negative margins leave no opportunity for improving infrastructure and technology or delivery system reforms.
What are the top priorities for the Hospital Association of Rhode Island for 2015?
We look forward to working with the governor and General Assembly to reform our health care system to deliver long-term cost savings without hindering the ability of hospitals to invest in innovation, technology, and high-quality professional careers.
Who are your heroes?
I really enjoy American history, and continue to be intrigued by the leadership skills of Presidents Abraham Lincoln and John F. Kennedy.
What is your favorite thing about Providence?
I enjoy spending time on the weekends in Providence with my wife and children. The kids always look forward to WaterFire. We usually make an evening out of it by grabbing dinner at a restaurant downtown. We also enjoy watching a show at the Providence Performing Arts Center or Dunkin’ Donuts Center.
Tell us something unique about you.
My career in health care has happened accidently.While earning my bachelor’s degree (in psychology and history), I was a firefighter and EMT.I always thought that would be my career path.I never expected to find a passion for health care policy and finance!
Do you have a hobby?
I recently began coaching my 12-year-old daughter’s soccer team. While I enjoy the extra time with her, coaching has taught me a new level of patience and a better understanding of the importance of a team.
RI Business Rankings in US
WalletHub
Rhode Island has 2015's eighth highest insurance premium penalties for high risk drivers, according to a WalletHub report.
Rhode Island ranks fifth overall in the category of speeding over 20 mph annual premium increase at $482. While ranking third overall in the category of 2 accidents annual premium increase at $2,721.
Rhode Island ranks ninth overall under the reckless driving annual premium increase at $749.
WalletHub
Rhode Island has been ranked as the 8th most eco-friendly state in the country, according to a recent study by WalletHub.
Rhode Island ranks third in environmental quality and 16th in Eco-Friendly Behaviors Ran landing them in 8th overall.
RI is behind Washington and New Hampshire who are in the six and seven spots respectively, and in front of Connecticut and Hawaii who come in at the nine and ten spot.
WalletHub
Rhode Island is 2015's 4th Worst State to be a taxpayer, according to a recent WalletHub report.
Rhode Island ranks 48th of 51 with an average state and local tax price of $7,159 which is good for a 27% difference from the national average.
The states that are directly behind Rhode Island are Wisconsin at $7,159, Nebraska at $7,298 and Illinois at $7,719 for a 37% difference from the national average.
WalletHub
Rhode Island has the highest vehicle property taxes in the country, paying an average of $1,133 according to a report from WalletHub.
Virginia and Kansas are the two states just ahead of Rhode Island in the 49 and 50 spots, paying $962 and $905 respectively.
RI also ranks 42nd in average real estate tax, paying an average of $2,779, according to the WalletHub report.
On a scale with 1 being the best, and 25 being average, Rhode Island ranks 37th in low income earners, 42 in middle income earners and 45th in high income earners.
The 2014 state rankings by Forbes has just been released and Rhode Island moved up two spots from #48 in 2013 to #46 in 2014.
What does Forbes say about RI's business environment"
After Michigan and Illinois, Rhode Island has experienced the third worst net migration out of its state in the country over the past five years. With a recent unemployment rate of 7.6%—lower than only Georgia and Mississippi—residents are leaving the state in search of jobs. Rhode Island has been stuck in the bottom five overall for six straight years. One plus: labor costs are 5% below the national average, which stands out in the expensive Northeast.
Tax Foundation
Findings from The State Business Tax Climate Index were released this morning by Tax Foundation which found Rhode Island to have the 45th best tax climate for businesses for 2015. The state's rank has not changed since last year after The Index analyzed 100 different tax variables in multiple categories.
After conducting an online suvery consisting of 1,050 individuals from both parties across the nation, WalletHub ranked Rhode Island as having America's 33rd fairest tax system.
Providence is the second worst city in America for small business, according to a new survey conducted by Thumbtack.com and the Kauffman Foundation.
More than 12,000 small businesses in 82 cities across the country participate in the survey. Providence received an overall "F" grade for small business friendliness.
ALEC ranks each state in economic performance and outlook.
Although Rhode Island ranked low in economic performance, a forward-looking forecast is based on the state’s standing in 15 important state policy variables. Some of these variables include top marginal personal income tax rate and sales tax burden.
Free Enterprise ranks each state in performance, exports, innovation + entrepreneurship, business climate, talent pipeline, infrastructure.
Rhode Island has continued to feel the direct impact and ripples from the recent recession—it ranks 47th overall in economic performance. However, positive rankings of 15th in talent pipeline and 16th in innovation and entrepreneurship suggest the existence of a foundation on which to build the future.
10th Worst in Gallup's Annual Ranking of State Job Markets 2014
Rhode Island has been ranked 10th worst for job creation in Gallup's annual ranking of state job markets in 2014 with a job creation index number of 21
Rhode Island is one of two (Connecticut) states to rank in the bottom ten each year since 2008.
The 2014 State level findings have were drawn from 201,254 interviews with employed adults across the nation.