Lifespan Refuses to Pay Providence, While Saving $30 Million In Charitable Care

Kate Nagle, GoLocal News Editor

Lifespan Refuses to Pay Providence, While Saving $30 Million In Charitable Care

Miriam Hospital in Providence, a Lifespan hospital.
Lifespan touted a more than $30 million reduction in charity care costs under Obamacare in 2015, due to the number of charity cases moving to Medicaid -- but says it cannot afford to pay the City of Providence, despite paying $800,000 a year when it had twice the charity costs. 

Lifespan, whose most recent three-year deal to pay the city $800,000 annually expired in 2014, made a one-time payment to the city in 2015 of $400,000, but has paid nothing since.

Currently the only nonprofit that does not have a payment-in-lieu-of taxes (PILOT) agreement in place with the city, Lifespan recently told GoLocalProv.com it would not be making a payment in Fiscal Year 2017, which the Elorza Administration had budgeted for a $800,000 payment from them. 

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On Wednesday, GoLocalProv.com reported, "Lifespan Refuses to Pay Providence - Elorza's Received Thousands in Lifespan Contributions."

PILOT Payments - See Who's Paying What in 2017 BELOW

"It is important to understand that our tax exempt status requires us to provide medical care to anyone who comes through our doors, regardless of their ability to pay for that care. Last year, the Lifespan hospitals based in Providence provided approximately $26 million in charity care at cost," said Jane Bruno, Vice President for Marketing and Communications at Lifespan, when GoLocal asked if Lifespan would be making a PILOT payment this year.

In 2015, WPRI reported however that charity care was "down by half" for Lifespan, due to Obamacare:

"Lifespan Corp., the nonprofit owner of Rhode Island Hospital and other facilities, recently revealed that its charity care costs plummeted by more than half for the quarter that ended Sept. 30, declining from $60.7 million in 2013 to $27.3 million in 2014. Its provision for bed debts declined from $30.7 million to $28.7 million," wrote WPRI.

"The decline was 'due largely to the January 1, 2014, expansion of Medicaid eligibility and the growth of health insurance exchanges, both of which reduced the number of uninsured patients,' Lifespan officials wrote in a disclosure to bondholders. Both policies were enacted as part of the president’s 2010 Affordable Care Act," WPRI reported. 

Lifespan Responds

Lifespan said Obamcare meant huge savings, but it cannot pay the City of Providence.
When asked for comment as to how it could pay the $800,000 when its charity care costs were over $30 million more, LIfespan responded with the following.

"When we made our three-year, $2.4 million commitment to the city, the hospital system was profitable," said Bruno. "Like hospitals and health care systems in Rhode Island and across the country, Lifespan has since faced significant financial challenges. Despite losses of $33 million from operations last year (primarily due to steep declines in government reimbursement rates), Lifespan did make a $400,000 payment to Providence as a show of good faith to the new mayor."

Bruno told GoLocal the one-time $400,000 payment came in the city's Fiscal Year 2015.

"However, our primary mission is to serve the health care needs of the state and that requires solid financial performance. Just as Providence is addressing its financial challenges, Lifespan is focused on the fiscal health of our operations. Should our financial performance improve in the future, we will re-visit the issue of a PILOT payment to the city," said Bruno. 

Who's Paying What

Under the proposed budget’s $6.4 million line item, “Payments from Colleges and Hospitals,” this was the breakdown:

* Brown University:       $3,292,629

* Johnson and Wales:      $981,872

* Lifespan:                        $800,000

* Providence College:      $600,530

* Care New England:       $250,000

City Auditor Matt Clarkin said the city budgeted a $400,000 payment from Lifespan after the final budget was approved (with the other entities paying the listed amounts); Bruno told GoLocal that Lifespan would not be paying anything this year. 


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