THE MIRIAM HOSPITAL

Financials

From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.

Officers, directors and key employees

As listed on the 990 for the year ended September 30, 2025, highest compensation first.

Address and contacts

Address (IRS master file)

164 SUMMIT AVE, PROVIDENCE, RI 02906-2853

Principal officer (990 for 2024)

John Fernandez, 15 LaSalle Square, Providence, RI 02903

Signed the 990

Kevin Bickerstaff, Director of Finance

Phone

(401) 793-2500

Website

www.miriamhospital.org

Mission

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

Program accomplishments

• Patient Care: TMH offers expertise in cardiology, oncology, orthopedics, men's health, and minimally invasive surgery, and is home to the State's first Joint Commission- certified Stroke Center and robotic surgery program. Services and programs provided by TMH also include anesthesiology; general medicine; general surgery; psychiatry; emergency medicine; cardiovascular care; orthopedics; dermatology; nuclear cardiology; radiology; laboratory; renal dialysis; urology; gastroenterology; endocrinology; gynecology; nephrology; neurology; and ophthalmology. TMH is licensed to operate 247 acute care beds by the Rhode Island Department of Health. Notable medical accomplishments of TMH include performance of Rhode Island's first lung operation, first kidney transplant, and first aortic balloon valvuloplasty (a procedure to clear blocked heart valves). In 2025, TMH discharged 16,687 inpatients, logged more than 73,000 visits in its Emergency Department, and performed 12,378 inpatient and outpatient surgical procedures. Services provided in 2025 represent 69,832 inpatient days and more than 130,000 clinic visits. TMH is staffed by 1,298 privileged physicians, approximately 92 full-time house staff (medical school graduates), and a nursing staff of 927. In total, TMH employs more than 3,500 people. TMH is a major teaching affiliate of The Warren Alpert Medical School of Brown University, providing clinical rotations for residents. TMH provides full charity care for individuals at or below twice the federal poverty level, with a sliding scale for individuals up to three times the poverty level, as set by the Department of Health and Human Services. In addition, a substantial discount consistent with Medicare program reimbursement is offered to all other uninsured patients. TMH determines the costs associated with providing charity care by aggregating the applicable direct and indirect costs, including compensation and benefits, supplies, and other operating expenses, based on data from its costing system. The total cost, excluding medical education and research, incurred by TMH to provide charity care amounted to $14,176,405 in fiscal 2025. Charges forgone, based on established rates, amounted to $37,514,988. TMH substantially subsidized various health services including the following programs: adult psychiatry, tuberculosis, and certain other specialty services at a net cost of $4,997,246 in fiscal year 2025. TMH also provides numerous other services to the community for which charges are not generated. These services include certain emergency services, community health screenings for cardiac health, prostate cancer and other diseases, smoking cessation, immunization and nutrition programs, diabetes education, community health training programs, patient advocacy, foreign language translation, physician referral services, and charitable contributions. The net cost of these services amounted to $277,492 in fiscal year 2025. TMH subsidizes the cost of treating patients who receive government assistance where reimbursement is below cost. Medicaid is a means-tested health insurance program, jointly funded by state and federal governments. States administer the program and set rules for eligibility, benefits, and provider payments within broad federal guidelines. The program provides health care coverage to low-income children and families, pregnant women, long-term unemployed adults, seniors, and persons with disabilities. Eligibility is determined by a variety of factors, which include income relative to the federal poverty line, age and immigration status, and assets. TMH offers expertise in total joint replacement, minimally invasive and robotic surgery, and bariatric surgery, among many other specialties. The Leonard and Adele R. Decof Family Comprehensive Cancer Center at TMH brings together world-renowned physicians and a team of specialists from TMH, Rhode Island Hospital (RIH), and Newport Hospital (NH), forming a multidisciplinary team whose level of knowledge and experience are unparalleled in the State of Rhode Island. TMH, as a part of the Brown University Health Cancer Institute, provides state-of-the-art care for patients with cancer. Award-Winning Care: Through the years, TMH has received numerous distinctions and awards. TMH is one of an elite group of hospitals nationwide and internationally to achieve Magnet designation for nursing excellence six times from the American Nurses Credentialing Center (ANCC), with a current designation through 2025. This is the highest nursing credential, earned after an extensive application process is conducted every four years, in a hospital where nurses participate at all levels of care, making clinical and systems decisions to improve patient outcomes and experience. The Magnet Model promotes the critical role of nurses in achieving improved empirical outcomes through transformational leadership, structural empowerment, exemplary professional practice and new knowledge, innovations and improvements. A Magnet designated hospitals must possess high level nurse-to-patient ratios above non-magnet hospitals and demonstrate improved patient outcomes with superb nursing care for retaining this credential. TMH earned the "Top Hospital in Rhode Island" designation from US News & World Report for the 14th year in a row in its 2025 to 2026 report on the best hospitals in the country. The Miriam also ranked as the Top Hospital in the Providence metro area, which includes Providence, Pawtucket, Rhode Island, Fall River, Massachusetts, and New Bedford, Massachusetts. Additionally, US News & World Report awarded TMH a "high performing," rating for treatment of 8 conditions and adult specialty areas including hip and knee replacements, hip fractures, back surgery spinal fusion, colon cancer surgery, heart attack, stroke, pneumonia and chronic obstructive pulmonary disease. In 2025, TMH made Becker's 2025 list of 100 "Great Hospitals in America". The hospital has been recognized for delivering excellent clinical care, prioritizing patient safety, and driving innovation through research, education and continuous improvement. The Spine Center at TMH has earned an Advanced Certification in Spine Surgery (ACSS) from The Joint Commission, making it the first program in the region to earn an advanced certification, after a rigorous two-day survey by The Joint Commission resulting in "zero findings", making it an accredited Spine Center of Excellence. In 2025, the Total Joint Center at TMH continued to meet the rigorous performance standards of The Joint Commission when it earned its fifth Gold Seal of Approval for Advanced Total Hip and Knee Replacement. The Gold Seal is a symbol of quality that reflects a healthcare organization's commitment to providing safe and quality patient care. This recertification recognizes the ongoing commitment to the highest standards of care and outcomes by all the members of the team at the Total Joint Center. TMH has earned American College of Emergency Physicians (ACEP) Geriatric Emergency Department Accreditation (GEDA). This milestone reflects the ongoing commitment to providing high-quality, compassionate care, particularly for a growing geriatric population. This accreditation reflects The Miriam's implementation of evidence-based best practices in geriatric emergency care including specialized screening tools, careful prescribing to avoid high-risk medications, integration of palliative care and geriatric psychiatry consults, reduction in urinary catheter use, and improved access to transportation and transitional care services including pathways to both short- and long-term rehabilitation. TMH was named one of Avant-Garde Health's Healthcare Research All-Stars for 2025, placing it among the top one percent for orthopedic surgery research hospitals in the nation. Alan Daniels, MD, chief, division of spine surgery, and director, adult spinal deformity service, Rhode Island and The Miriam Hospitals, Eren O. Kuris, MD, spine surgeon, Bassel Diebo, MD, spine and scoliosis surgeon, and Brett D. Owens, MD, division chief, sports medicine were among the 2025 Avant Garde Health's Research All-Stars. The Healthcare Research All-Stars 2025 list recognizes top surgeons and hospitals across 22 specialties, including spine surgery and sports medicine. Top hospitals and surgeons are identified by procedural volumes, peer-reviewed publications, and publication weight. TMH Received Castle Connolly's Top Hospital 2025 award for excellence in cancer care (mastectomy) and gastroenterology and bariatrics (colon surgery). In the spring of 2025, TMH earned a Leapfrog Hospital Safety Grade of "A." The Leapfrog Group is a national nonprofit upholding the standard of patient safety in hospitals and ambulatory surgery centers. TMH received this national distinction for its achievements in prioritizing patient safety by protecting patients from preventable harm and errors.
  Expenses $533,762,908 · grants $269,102 · revenue $695,132,096
• Research: TMH has 428 research projects with total expenses of $57.4 million in fiscal year 2025 (106 investigators and 179 employees). TMH conducts extensive medical research and is in the forefront of biomedical health care delivery research and among the leaders nationally in National Institutes of Health programs. TMH also sponsors a significant level of these research activities. Federal support accounts for approximately 41% of all externally funded research at TMH. Researchers focus on clinical trials which investigate prevention and treatment of HIV/AIDS, obesity, cancer, diabetes, cardiac disease, and mental health concerns. TMH provided $2,481,000 in support of research activities in fiscal year 2025. TMH conducts extensive medical research and is in the forefront of biomedical health care delivery research and among the leaders nationally in National Institutes of Health programs. Major areas of research include: Cancer - TMH conducts clinical and behavioral research focusing on the many facets of cancer including prevention, education, and therapeutics, which are supported by the National Cancer Institute, the Cancer and Leukemia Group B, and the National Surgical Adjuvant Breast and Bowel Project. TMH is a participating hospital in the Brown University-sponsored Cancer Oncology Group. HIV/AIDS - The Brown Health/Tufts/Brown Center for AIDS Research (CFAR) is a joint research effort among Brown University and Tufts University and their affiliated hospitals and centers. It is one of 20 centers located at academic medical centers throughout the United States that are part of the national CFAR program of the National Institutes of Health. The program emphasizes the importance of interdisciplinary collaboration, especially between basic and clinical investigators, and also encourages training and mentoring of young investigators as well as an inclusion of women and minorities. As part of the CFAR, division researchers engage in clinical, basic, and translational research designed to improve the prevention and treatment of HIV/AIDS, with a major focus on women, racial and ethnic minorities, and individuals with substance abuse problems. At TMH, research focuses on the treatment and prevention of HIV infections, especially in hard-to-reach populations, both in the U.S. and abroad. There are international sites located in Cambodia, India, Kenya, Indonesia, The Philippines, and South Africa. TMH's TB Clinic performs research in the area of co-infections of HIV and tuberculosis. The Centers for Behavioral and Preventive Medicine aims to improve health through behavioral change and the integration of behavioral and biomedical science using clinical, community, and laboratory-based research. The Centers' research bridges biomedical, sociobehavioral, and population/public health scientific disciplines. Faculty members are committed to both basic research on discovering the mechanisms underlying behavioral factors in health and illness (e.g., examining the stress response among children and adolescents, neuroimaging of AIDS, and other medical conditions), and to applied research on the translation of these discoveries for clinical and community health improvement. Programs range from those that focus on primary prevention (e.g., promoting smoking cessation, preventing weight gain, increasing physical activity, and HIV/AIDS prevention) to improving the effectiveness of treatment and enhancing quality of life in populations such as cancer survivors and patients enrolled in cardiac rehabilitation programs.
  Expenses $57,410,773 · revenue $57,408,292
• Medical Education: TMH provides the setting for and substantially supports medical education in various clinical training and nursing programs. TMH is designated as a major teaching affiliate of The Warren Alpert Medical School of Brown University. The total cost of direct medical education provided by TMH exceeded the reimbursement received from third-party payors by $21.9 million in fiscal year 2025. TMH provides the setting for and substantially supports medical education in various clinical training and nursing programs. The total cost of medical education provided by TMH exceeded the reimbursement received from third-party payors by $21,872,794 in 2025. In 1969, TMH and certain other Rhode Island hospitals entered into an affiliation agreement to participate jointly in various clinical training programs and research activities with Brown Medical School, renamed The Warren Alpert Medical School of Brown University (Brown). The goals of the partnership are to facilitate the expansion of joint educational and research programs to enable competition both clinically and academically. TMH participates in Brown programs in anesthesiology, internal medicine and medicine subspecialties, general surgery and surgical subspecialties, psychiatry, emergency medicine and emergency medicine subspecialties, orthopedics and orthopedic subspecialties, and dermatology. TMH provides stipends to residents and physician fellows while in training. In addition, TMH is a participating clinical training site for residents from other programs in anesthesiology, family medicine, internal medicine, emergency medicine, hematology/oncology, obstetrics/gynecology (OB/Gyn) and OB/Gyn subspecialties, dermatology, dermatopathology and pediatric pathology, otolaryngology, pediatric dentistry, podiatry, psychiatry and its subspecialties of forensic psychiatry, consult liaison psychiatry and geriatric psychiatry, orthopedics, rheumatology, and radiation oncology. Various departments and specialties at TMH serve as clinical sites for the physician assistant schools of Johnson & Wales University, Bryant University, and the Massachusetts College of Pharmacy. In addition, Behavioral Medicine at TMH, in collaboration with Brown, sponsors research and clinical psychology training programs for interns, postdoctoral fellows, and faculty trainees. With respect to nursing education, TMH has developed educational affiliations with the University of Rhode Island College of Nursing; Community College of Rhode Island (CCRI); Salve Regina University; Boston College; Yale University; Regis College; Simmons College; the University of Massachusetts campuses at Dartmouth, Boston, Amherst, and Worcester; Framingham State University; the University of Connecticut; The New England Institute of Technology; Northeastern University; Drexel University; Walden University; Georgetown University School of Nursing and Health Studies; Duke University School of Nursing; and the University of Pennsylvania, as well as other Schools of Nursing, pursuant to which their nursing students obtain clinical training and experience at TMH. TMH does not receive any compensation from the various schools for providing a clinical setting for the student nurse training. The Brown Health School of Medical Imaging collaborates with Rhode Island College in the following programs: diagnostic medical sonography; nuclear medicine technology; radiography; and magnetic resonance imaging. Students complete educational experiences at the Hospital, as well as other outpatient sites. TMH sponsors training programs for a variety of allied health care professionals, including required clinical and fieldwork experiences in physical, speech, and occupational therapy, which are provided to university students in each discipline through contracts with the various universities. TMH acts as a clinical training site for students from CCRI in its vascular and cardiology ultrasound programs and provides training experiences for both phlebotomy students and physical therapy assistant students. TMH serves as a clinical training site for students from The Nuclear Medicine Institute of the University of Findlay (Ohio) and has educational affiliations with the respiratory programs at both CCRI and The New England Institute of Technology. TMH's EEG Department provides clinical training to neurodiagnostic technology students from Laboure College (Massachusetts). TMH has clinical affiliations/student clinical training programs for pharmacy students provided through contracts with various colleges and universities. Most of the pharmacy students attend the University of Rhode Island, Massachusetts College of Pharmacy and Health Sciences, and Northeastern University. TMH has clinical social work student contracts with Rhode Island College, Boston University, Boston College, Smith College, Simmons College, and Bridgewater State University.
  Expenses $28,484,125 · revenue $6,611,331

What it must file and when

IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in September, so each return is due on the 15th day of the 5th month after that.

IRS record

EIN

05-0258905

Tax-exempt status

501(c)(3): Charitable, religious, educational or scientific organization

Foundation status

Hospital or medical research organization

Donations deductible (Pub 78)

Public charity, 50% deduction limit

Exempt since

1935

Accounting year ends

September

Files

Form 990 or 990-EZ

Category (NTEE)

Health care (E220)

Assets (IRS master file)

$1,066,262,318

Income (IRS master file)

$880,827,175

Filing history

990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 05-0258905).

Questions about THE MIRIAM HOSPITAL

What is the EIN of THE MIRIAM HOSPITAL?

The employer identification number (EIN) of THE MIRIAM HOSPITAL is 05-0258905.

Is THE MIRIAM HOSPITAL tax-exempt?

Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 1935.

Are donations to THE MIRIAM HOSPITAL tax-deductible?

Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).

Which annual return does THE MIRIAM HOSPITAL file?

Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.

When is the next return of THE MIRIAM HOSPITAL due?

The return for tax year 2025 (the year ending September 30, 2026) is due February 16, 2027. Form 8868 extends it by six months; the 990-N cannot be extended.

When did THE MIRIAM HOSPITAL last file with the IRS?

The latest return in the IRS public files is the 990 for the year ended September 2025.

Who is the principal officer of THE MIRIAM HOSPITAL?

The 990 for the year ended September 30, 2025 names John Fernandez.

Who are the officers and directors of THE MIRIAM HOSPITAL?

The 990 for the year ended September 30, 2025 lists 34 people; 7 received compensation from the organization.

How much revenue does THE MIRIAM HOSPITAL have?

On its 990 for the year ended September 30, 2025 it reported revenue of $816,989,164, expenses of $723,518,360 and total assets of $1,066,262,318 at year end.

Other nonprofits in PROVIDENCE

• RHODE ISLAND HOSPITAL
  EIN 05-0258954 · last filed 990 for 2025
• KENT COUNTY MEMORIAL HOSPITAL
  EIN 05-0258896 · last filed 990 for 2025
• WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
  EIN 05-0258937 · last filed 990 for 2025
• LIFESPAN CORPORATION
  EIN 22-2861978 · last filed 990 for 2025
• CARE NEW ENGLAND HEALTH SYSTEM
  EIN 05-0490997 · last filed 990 for 2025
• BROWN MEDICINE
  EIN 05-0450410 · last filed 990 for 2025
• BROWN EMERGENCY MEDICINE
  EIN 05-0486254 · last filed 990 for 2025
• COASTAL MEDICAL PHYSICIANS INC
  EIN 84-4944884 · last filed 990 for 2025

All nonprofits in PROVIDENCE · Rhode Island · Health care