The report includes summaries of admissions, discharges, patient days, neonatal and newborn admissions and patient days, emergency department visits, and ambulatory surgeries. Inpatient admissions for acute and specialty care remained relatively stable with only slight declines for the year of 1.5% and 1.2% respectively. There was a statistically significant decrease in ED visits in 2019. The principal cause appears to be the closure of the Providence Hospital Emergency Department in April 2019. Other hospitals throughout the city experienced disproportionate changes. When compared with 2018, four hospitals had decreased ED visits and four had increased ED visits. In 2019 there were 470,719 visits – a decrease of 7.2% compared to 2018.