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R.I. attorney general approves sale of 2 safety-net hospitals with strict ‘non-negotiable’ conditions – The Boston Globe

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R.I. attorney general approves sale of 2 safety-net hospitals with strict ‘non-negotiable’ conditions – The Boston Globe


Centurion will also have to ensure the hospitals remain in good standing with financial obligations; governing bodies for the hospitals must include independent members that have experience in health care, law, business, labor, and community purpose; and the hospitals will have to hire a chief restructuring officer to manage business affairs, oversee financial management, and explore “strategic alternatives,” according to letters from the state to the transacting parties that were obtained by the Globe.

In a statement, Neronha called the 40 conditions “non-negotiable” and said his office was “guided by the baseline principle that Rhode Islanders deserve quality, accessible and affordable health care.”

“We also know that the future of these hospitals is critical to the collective landscape of health care in Rhode Island,” said Neronha. “This decision and the conditions we have placed on the transfer of ownership were only arrived at after careful consideration and strong scrutiny.”

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Rhode Island Attorney General Peter Neronha.
Ryan T. Conaty/Ryan T. Conaty for the Boston Gl

Neronha also demanded that Prospect and Centurion commit to guarantee $80 million in cash financing to add to the books of the new hospital system, “regardless of any failure to secure that amount through a bond transaction.”

In 2021, when Neronha mulled Prospect’s ownership changes, he demanded the corporation, which is owned by wealthy California-based financiers Sam Lee and David Topper and controlled by private equity, place $80 million in an escrow account to keep the two Rhode Island hospitals afloat.

The parties will have to contribute an additional $66.8 million to a dedicated fund, toward which Prospect may apply the outstanding escrow funds (about $47 million) from the 2021 decision to support the New CharterCARE System, which will own and operate the two hospitals. Those funds will not be available for Centurion’s management fee or for executive compensation, Neronha’s 177-page decision outlined.

“The self-evident truth is that private equity does not belong in health care. Such firms don’t care about patients or providers. They only care about profits,” said Neronha. Since his 2021 decision, Lee and Topper have made “rosy promises,” and have “continued to be exceedingly poor stewards for these hospitals.”

“This decision ensures that Prospect continues to be bound by the robust conditions of our previous decision until the transaction is finalized, and ensures that Prospect cannot walk away from these hospitals until they have met their baseline obligations,” added Neronha.

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It’s unclear if Prospect or Centurion will agree to all 40 conditions. Otis Brown, a spokesman for the hospitals, did not immediately respond to the Globe in its requests for comment.

“Rhode Island needs a stable network of hospitals that supports the health and wellness of every community in the state,” said Dr. Jerry Larkin, the new director for the state health department, in a statement on Thursday. “In light of the historical and ongoing financial and operational challenges at the hospitals, RIDOH issued a decision today with conditions carefully developed to restore local control, help stabilize these two facilities, and help ensure that the new operators would be positioned to provide consistent, safe, high-quality care.”

Prospect, which was long controlled by private firms, purchased the hospitals in 2014. Since then, the financial situation at the hospitals has increasingly gotten worse. As of late 2023, the two hospitals owed more than $24 million to vendors. At least 19 surgeries had to be canceled in October when equipment and supplies were unavailable, according to a state compliance order released in November.

The front entrance of Our Lady of Fatima Hospital in North Providence, R.I. Pat Greenhouse/Globe Staff

On June 12, state Superior Court Judge Brian Stern ordered Prospect to pay $17 million in unpaid bills within 10 days, which Prospect requested an extension for through the end of the month. Stern’s decision follows a lawsuit filed against the out-of-state hospital owners by Neronha last fall, a 106-page petition that outlined a series of violations that he said raised “significant concerns” about the financial viability of the hospitals.

As part of the attorney general’s decision, Prospect and Centurion must fund a turnaround consultant that will have to be approved by Neronha’s office. The New CharterCARE System must also notify the attorney general’s office of any reductions in workforce and maintain the current level of employee benefits during the initial period following the closing of the proposed transaction.

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“Beyond the numbers, figures, and provisions that make up a transaction are the communities, patients, and providers that these hospitals serve and employ,” said Neronha, who called his stipulations “non-negotiable.” “Our conditions aim to ensure that these hospitals continue to deliver quality, accessible, and affordable healthcare, gainfully employ thousands of Rhode Islanders, and successfully operate long into the future.”

Previously sealed court documents recently obtained by the Globe revealed hazardous conditions inside the two for-profit hospitals. The documents cite federal and state inspections and an accreditors report that found bedbug infestations, cockroaches, mice, leaking roofs, improper sterilization, problems with staff administering anesthesia, and other conditions that posed “immediate jeopardy” to the health and safety of patients.

“Not only are the hospitals scrambling to obtain supplies day to day,” wrote Stern in his decision. “But other areas of the hospital are falling into disrepair.”

A spokesman from the hospitals previously told the Globe that the deficiencies have been corrected. A state Department of Health spokesman said the facilities have “submitted a plan of correction.”

In previous interviews with the Globe over the deal, executives at CharterCARE said approving the deal would have given the two hospitals a boost to become stronger in a struggling industry.

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This story has been updated with more from Peter Neronha’s decision.


Alexa Gagosz can be reached at alexa.gagosz@globe.com. Follow her @alexagagosz and on Instagram @AlexaGagosz.

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The Real Housewives of Rhode Island Recap: Wrong Side of the Tracks

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The Real Housewives of Rhode Island Recap: Wrong Side of the Tracks


As if the aftermath of her explosion at the Studio 54 party wasn’t enough to deal with, Liz also now has to figure out what to do with the six bunches of bananas that Gary accidentally ordered when he meant to order six individual bananas. But until they’re ripe enough to make banana bread, she’ll focus on the other issue. “I came across as a bitter, drunken, witch,” she tells Dolores — three words that I have to imagine also appear on the show’s casting notice.

Meanwhile, Ashley takes some of the other women to her favorite beach, and Alicia, who is used to her country club, is terrified. “This is not my vibe, I’m freaking out,” she whispers as she’s forced to carry her chair, bag, and snacks. The snacks in question are something called “pizza chips,” which appears to just be bread with sauce on it? Alicia, being the brain behind Pizza Mamma, tries to break down the science to us, saying that cheese can’t sit out in the sun, but she need not explain. She had me at pizza chips.

She also had me when she revealed that Rulla apparently met Brian while he was married to Alicia’s high school Spanish teacher. “I don’t know if this is true, Brian cheated on his first wife, my Spanish teacher,” she says with her hands over her heart, “with Rulla. I hope that’s not true because I really did like my Spanish teacher.” Yet again, I’m obsessed with how deep the ties between these women go. A game of six degrees of separation hates to see them coming. I also love Alicia starting a declarative sentence with, “I don’t know if this is true,” but she should say it in Spanish next time.

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And speaking of those deep ties, we already know that there was some connection between Jo-Ellen’s sister and Jo-Ellen’s husband while they were in high school, before Jo-Ellen swooped in. But now we’re finally getting to meet Jen, who is basically subbing for Jo-Ellen at the house while she’s on a work trip. “She perpetuates this fun little game of flirting with my husband,” Jo-Ellen explains, but assures us that nothing is going on. That being said, Jen does joke that they’re like an old married couple and Jo-Ellen tells us that Jen wants his sperm to have a baby…but apart from that I guess everything is totally normal! I’m putting together a list of side characters who should be in the running to hold clams in future seasons, and so far Jen and Alicia’s Spanish teacher are leading the pack.

But when it comes to side characters, the real stars are of course Alicia’s aunts, who are thankfully back on our screens for a backyard barbecue with some of the ladies. And what better group to speak frankly to Rulla about her situation with Brian? The second Rulla alludes to bumps in the road, this beautiful coven of scorned divorcées pounce, encouraging Rulla to leave him. “Do you want to spend the rest of your life looking over your shoulder?” one of them asks her, and later in her confessional Rulla even admits that those words stayed with her. I feel like we’re seeing something real with Rulla and she’s finally letting the glossy veneer slip. But the best commentary comes from Alicia’s mother, who says, “I just hope and pray that you somehow hurt him…I’m gonna pray you get him back.” Forget the usual Bravo aftershows, I want a show that’s just all of Alicia’s aunts watching and commentating on each week’s episode. The ratings will be higher than the MASH finale.

As for Liz and Kelsey’s simmering conflict, the pair finally meet up to clear the air by the water where Liz’s boat is docked. I’ve seen similar meetings play out just like this on The Sopranos, so I had to keep reminding myself that Kelsey was safe because surely Bravo would never broadcast a woman being murdered. Then again, this would be the show to break that glass ceiling. As it turns out, I had no reason to fear because the sit-down goes incredibly smoothly. Liz explains that it felt like Kelsey was co-signing the rumors by bringing them up, and Kelsey says her instinct for Liz to keep her distance from Dino actually had more to do with her own history. She explains that ten years ago she and Dino hooked up but it didn’t go well, and now his presence is a reminder of a time in her life that she’s trying to forget. She even says she has PTSD over it and now avoids him like the plague, but respects that Liz has a meaningful friendship with him. I still have a lot of questions about this, but ultimately Liz and Kelsey clear the air and reconcile.

And thank god, because then they’re able to go rail biking in peace. All of the women split up into groups to cycle their way three miles down an old railroad track, with drinks in hand of course. “Rullala, how you doing back there?” Alicia asks as they ride, which made me scream out in delight upon once again getting to hear my new favorite word: “Rullala.” It’s my mantra. I say it no fewer than 50 times a day. It’s a greeting, it’s a prayer, it’s a way of life. Better yet, when the camera cuts to Rulla, she finally wins me over. Mid-cycle she’s shaking a cocktail shaker and pouring her tequila into a wine glass. Leave Brian and his bullshit at home, this is the woman that I want to see on my screen.

I’m even more enamored with her once they get to their location and she’s horrified to discover Alicia’s financial situation. She’s telling the ladies about not feeling valued given that her husband won’t put her name on the house or business, and Rulla, being a financial planner, springs into action. Seeing this smart, powerful side of her, especially as she’s trying to empower Alicia, is a great look and is far more compelling than watching her meekly defend her cheating husband. It gives a glimpse at what an independent Rulla might look like on this show in a couple of seasons.

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But she’s not the only one supporting Alicia — Kelsey steps up to play Billy in a role-play so Alicia can practice airing her grievances. Sidebar: everyone talks about these women looking alike, but the real problem is that all of their partners have such similar names. Alicia’s is Billy, Kelsey’s boyfriend’s is Bill, Rulla’s is Brian, Jo-Ellen’s is Gary, Liz’s is Gerry, Ashley’s is Jared, and thankfully Rosie’s is just Rich. But oh my god, how am I supposed to keep that all straight? Anyway, the little role-play Alicia does ends up being heartbreaking, as she gets emotional saying that he makes her feel worthless in their relationship. But the fact that we’re talking about this so much feels promising, and I hope we get to see Alicia ultimately bring all of these feelings to Billy. And if he doesn’t listen, I hope her aunts attack him.

The conversation then turns to how Liz has been gelling with newbie Ashley, and they joke about how Ashley is a little scared of her. When the Studio 54 party comes up, Liz says that that wasn’t her finest moment and wasn’t a good representation of what she’s really like. “Alicia, you said she’s always like that,” Rosie says, throwing Alicia right under the bus. “Don’t flip that shit, don’t do that to me, don’t put shit in my mouth,” Alicia fires back, as Dolores looks on like a proud mother. “She twisted my words, you’re a fucking troll,” Alicia yells, saying that Rosie fucked her. It’s a line-o-rama of iconic outbursts, one after another: “Welcome to Rhode Island, bitch, this is how we roll,” then, “Fucking thirsty bitch, so thirsty its scary,” and finally, “I need to get out of here cause I’m gonna end up killing her.” Our first death threat!

But the craziest part of this comes when Alicia and Rosie step away from the group for a moment. It’s allegedly to sidebar, but I was convinced it was so Alicia could murder her with fewer witnesses. Alicia tells her that if she apologizes everything will be good, Rosie apologies, and then things are good. “Did she just hug her?” someone asks from the circle, shocked. The series has had a lot of incredible moments thus far, but this one is what is most promising about its longevity as a Housewives show. The secret sauce of these shows is resilience — the ability to be as angry at someone as humanly possible, and move on like nothing happened so they can do it all over again. Long, drawn-out grudges make for bad television (as RHOBH proves), so this cast’s ability to reconcile and move on will be the thing that makes it great.



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Pulled funding creates a bike path to nowhere. Let’s hope RI fixes it.

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Pulled funding creates a bike path to nowhere. Let’s hope RI fixes it.


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I’ve long thought bike paths are among Rhode Island’s premier attractions, up there with the beaches, the mansions and the bay.

We like to knock government, but credit where it’s due, the state has done an amazing job building out an incredible pedaling network.

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It’s clearly a priority.

At least I thought it was.

But they’ve just dropped the ball on what should have been a beautiful new stretch.

The plan was to finish a mile-long connector from the East Providence end of the Henderson Bridge all the way to the East Bay Bike Path.

There was even $25 million set aside to get it done.

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Except WPRI recently reported that it’s now been canceled.

The main fault lies with the Trump administration, which is no friend of bike paths, and moved to kill that $25 million.

But it gets complicated, as government funding always does.

To try to rescue that money, the state DOT reportedly worked with the administration to refunnel it into a road project. Specifically, the $25 million will now be spent helping upgrade the mile-long highway between the Henderson Bridge and North Broadway in East Providence, turning it into a more pleasant boulevard.

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That totally sounds worthy.

But it’s insane to throw away the bike path plan.

Especially for a particular reason in this case.

They’d already put a ton of money into starting it.

When state planners designed the new Henderson Bridge between the East Side and East Providence, they included a bike path.

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It’s a beauty – well protected from traffic by a barrier, a great asset for safely riding over the Seekonk River.

The plan was to continue it another mile or so along East Providence’s Waterfront Drive, ultimately connecting with the East Bay Bike Path, which runs all the way to Bristol. Which, by the way, is one of the nicest bike paths you’ll find anywhere.

But alas, that connector plan has been canceled.

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So the expensive stretch over the Henderson Bridge to East Providence is now a bike path to nowhere. Once the bridge ends, the path on it continues a few hundred yards or so and then, just … ends.

Too bad.

We were so close.

Most of the stories on the issue have been about the complex negotiation to rescue the $25 million by rerouting it to that nearby highway-to-boulevard project. But I don’t want to get lost in the weeds of that bureaucratic process here because it loses sight of the heart of this story.

Which is that an amazing new addition to one of the nation’s best state bike path systems has just been scrapped.

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You can knock the Rhode Island government for blowing a lot of things.

The PawSox.

The Washington Bridge.

But they’ve done great with bike paths.

And especially, linking many of them together.

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Example: not too many years ago, Providence bikers had to risk dicey traffic on the East Side to get to the more pleasant paths in India Point Park and on the 195 bridge to the East Bay Path.

But the state fixed that by adding an amazing connector that starts behind the Salvation Army building and beautifully winds along the water of the Seekonk River for a mile or so.

That makes a huge difference – and no doubt has avoided some bike-car accidents.

We were close to a comparable stretch on the other side of the river – that’s what the $25 million would have done.

But it’s now apparently dead.

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Online commenters aren’t happy about it.

On a Reddit string, “Toadscoper” accused the state of being “complicit” with the feds in rerouting the money from bikes to cars.

And there was this fascinating post from FineLobster 5322, who apparently is a disappointed planner who worked on the project: “Mind you money has already been spent on phase one so rejecting it at this point is wasting money and also against the public interest … but what do I know? I only worked on the project as an engineer … I didn’t get into this to build more highways. I do it … to give back to communities and give them more access to their environment.”

Wow. One can imagine the state planning team is devastated. That’s not a small consideration. Good people go into government to make life better in Rhode Island, and it’s a bad play to take the spirit out of the job by first assigning a great human-scale project and then, after a ton of work, trashing it.

A poster named Homosapiens simply said, “We just accept this?”

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Hopefully not.

The first stretch of the path over the Henderson Bridge is done, money already sunk.

What a shame to leave that as a path to nowhere.

It doesn’t have to happen.

Between Governor McKee and our Washington delegation, there’s got to be a way to get this done.

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There’s got to be.

mpatinki@providencejournal.com



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2 dead, 1 seriously hurt after crash on I-95 South in Warwick

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2 dead, 1 seriously hurt after crash on I-95 South in Warwick


WARWICK, R.I. (WPRI) — Two people are dead and another person seriously hurt after a crash involving two vehicles on the highway in Warwick Saturday.

Rhode Island State Police said the crash happened around 1:34 p.m. on the ramp from Route 113 West to I-95 South.

According to police, a Hyundai SUV that was driving in the middle lane of the highway started to drift to the right, crossed the first lane, and then crossed onto the on-ramp lane. The car struck the guardrail twice before driving through the grass median.

The Hyundai then struck the driver’s side of a Mercedes SUV that was on the ramp, causing the Mercedes to roll over and come to a rest. The impact sent the Hyundai over the guardrail and down an embankment.

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The driver of the Hyundai, a 73-year-old man, and his passenger, a 69-year-old woman, were both pronounced dead at the hospital.

A woman who was in the Mercedes was rushed to Rhode Island Hospital in critical condition.

State police said all lanes of traffic were reopened by 4:30 p.m.

The investigation remains ongoing.

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