Its own employees cost it $44.04 an hour that year, a premium of 124%. Wider than the typical Rhode Island hospital that year, which sat at 116%; against a national median of 85%.
The hospital reported both figures itself, on the same line of the same federal form.
| Fiscal year | Employed hour | Contract hour | Premium |
|---|---|---|---|
| FY2021 | $36.81 | $108.49 | |
| FY2022 | $38.77 | $151.31 | |
| FY2023 | $40.72 | $113.24 | |
| FY2024 | $42.11 | $95.13 | |
| FY2025 | $44.04 | $98.79 |
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Check your splitThe Westerly Hospital files Form CMS-2552-10 with Medicare every year. Worksheet S-3 Part II, line 1, reports salaries paid to its own employees with the hours behind them. Line 11 reports what it paid for direct patient care furnished under contract, which the instructions define as nursing, diagnostic, therapeutic and rehabilitative services. Both lines carry an hourly rate the facility calculates itself, and the premium here is one measured against the other.
The premium is the gap in hourly cost to the facility. It is not an agency profit margin, because the contract rate also carries the agency’s payroll taxes, insurance, credentialing and overhead, and the employed rate excludes the facility’s own benefits.