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Steward buys time, seeks buyers as state makes plans amid hospital crisis – The Boston Globe

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Steward buys time, seeks buyers as state makes plans amid hospital crisis – The Boston Globe


In a statement, Steward said it was continuing to work with state regulators. “We welcome their interest and collaboration as we continue to provide high quality care for our patients.”

The health care system, with 33 hospitals in nine states, has been struggling financially for some time. In January, Steward’s landlord disclosed the health system hadn’t paid its full rent for months and was contemplating selling some hospitals.

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What that would mean for Massachusetts remains deeply uncertain, with Steward at points requesting aid from the state, voicing a desire to transfer ownership of some hospitals, and warning that it may have to close some facilities, The Boston Globe has reported. Steward has already announced it will close its rehabilitation hospital New England Sinai in April.

Steward had told state officials it had until the end of January to make a plan to satisfy lenders. On Friday, the health system suggested it had found a temporary way forward.

In a memo to Massachusetts employees, Steward Executive Vice President Dr. Michael Callum said the company had entered into “a significant financial transaction” that would stabilize operations, including allowing operations at all of its Massachusetts hospitals to continue.

“To be clear, we have no current plans to close any of our hospitals in Massachusetts,” Callum wrote.

The company also said it received bids for an equity stake in its physician organization, which is a separate line of business from its hospitals.

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“The bridge financing will get the company to the closing of the [mergers and acquisitions] process, and will provide the necessary capital for a robust national physician group and the time needed for Steward to consider transferring one or more of our hospitals to other operators,” Callum wrote.

Steward declined to specify its partner in the financing, saying the parties had signed a nondisclosure agreement.

Health care analysts were skeptical the financing announced by Steward would necessarily result in a longer-term reprieve.

“I question how bridge financing at this point can help solve the underlying financial problems that run so deep in the system and have accumulated over many years,” said Rosemary Batt, a professor who teaches management at Cornell University and has spent a decade researching Steward Health.

Even in the midst of financing discussions, Steward’s efforts to sell off hospitals in the state had already begun.

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According to documents reviewed by the Globe, Steward hired investment bank Cain Brothers to advise the company on the sale of hospitals in the southern part of Massachusetts. South of Boston, Steward has locations in Brockton, Fall River, and Taunton. It also has a hospital in Norwood, though it has been closed since 2020 due to flooding. New England Sinai, in Stoughton, is slated to close.

Hospital executives of other health systems were asked to sign nondisclosure agreements to enter into discussions with Steward, which included a general commitment not to solicit, hire, employ, or engage employees of Steward for a period of two years.

A Steward spokesperson declined to comment on the sale efforts, saying the company does not talk about its consultants. A representative of Cain Brothers also declined to comment.

While Steward has previously said it was interested in transferring ownership of some hospitals in its overall system, the documents are the clearest indication to date that it has the sale of specific Massachusetts properties in mind.

As the financial maneuvering continued, Massachusetts officials acknowledged they are working with other health care providers in the state on a comprehensive understanding of regional needs, to determine capacity for patients and staff.

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Officials from the state Department of Health and Human Services also said they were keeping close tabs on Steward’s day-to-day operations. As of Jan. 31, surveyors from the Department of Public Health were conducting daily on-site monitoring visits at Good Samaritan Medical Center, St. Elizabeth’s Medical Center, and the Methuen and Haverhill campuses of Holy Family Hospital. Such monitoring included a review of hospital staffing, daily patient volume, and the supplies and services being provided.

Dr. Eric Dickson, chief executive of UMass Memorial Health, said his system has offered two solutions if the state were to immediately need more beds. Dickson said his organization could either open a field hospital or send hospital staff to nursing homes to provide acute care using any empty beds that are available.

UMass Memorial Medical Center in Worcester is approximately 30 miles from Steward’s Nashoba Valley Medical Center in Ayer.

But should that facility or others nearby close, UMass has limited capacity to take on more patients. Dickson said the medical center is declining almost all requests from other hospitals to transfer their patients to UMass. The medical center counts 750 medical and surgical beds, and was caring for 860 daily patients on average through the month of January.

Even during the peak of COVID, the medical center’s patient numbers only got as high as 790.

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“We are completely full, in every surge area,” Dickson said.

Even at hospitals that have received assurances from Steward that closure is not imminent, officials are making plans.

Brockton Mayor Robert Sullivan said he hosted a meeting with executives from Steward’s Good Samaritan Medical Center, Signature’s Brockton Hospital, South Shore Health, and Brockton Neighborhood Health Center this past Tuesday. In those and other discussions, Steward officials told him that its North Shore hospitals are largely the ones that are troubled, and that Good Samaritan Hospital in Brockton is not closing.

Steward said in response that it has no current plans to close more hospitals.

But challenges in the region persist, particularly as Brockton hits the one-year anniversary of the fire that has kept Signature Healthcare’s Brockton Hospital temporarily closed.

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Sullivan said he was told during that meeting that the reopening of Signature is expected in June, which would help alleviate pressure on the surrounding health systems.

But that was still five months away.

“I’m concerned about long-term stability,” Sullivan said. “But I’m relying on good faith on what I’m being told.”


Jessica Bartlett can be reached at jessica.bartlett@globe.com. Follow her @ByJessBartlett. Suchita Nayar can be reached at suchita.nayar@globe.com.

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New Bedford MS-13 Member, Illegal Alien Pleads Guilty to Role in Brutal Murders In Massachusetts, Virginia

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New Bedford MS-13 Member, Illegal Alien Pleads Guilty to Role in Brutal Murders In Massachusetts, Virginia


A 28-year-old Salvadoran national and admitted member of the MS-13 gang, who was living unlawfully in New Bedford, Massachusetts, pleaded guilty in federal court in Boston to his role in three brutal murders committed to advance the gang’s violent agenda across Massachusetts and Virginia.

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Police shoot and kill man armed with knife in Lexington, DA says

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Police shoot and kill man armed with knife in Lexington, DA says


Police shot and killed a man who officials say rushed officers with a knife during a call in Lexington, Massachusetts, on Saturday.

Middlesex County District Attorney Marian Ryan said the situation started around 1:40 p.m. when Lexington police received a 911 call from a resident of Mason Street reporting that his son had injured himself with a knife.

Officers from the Lexington Police Department and officers from the Northeastern Massachusetts Law Enforcement Council (NEMLEC), who were already in town for Patriots’ Day events, responded to the call.

Police were able to escort two other residents out of the home, initially leaving a 26-year-old man inside. According to Ryan, while officers were setting up outside, the man ran out of the home and approached officers with a large kitchen knife.  

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She added that police tried twice to use non-lethal force, but it was not effective in stopping him. The man was shot by a Wilmington police officer who is a member of NEMLEC. The man was pronounced dead on scene and the officer who fired that shot was taken to a local hospital as a precaution.

The man’s name has not been released.

Ryan said typically in a call like this where someone was described as harming themselves, officers would first try to separate anyone else to keep them out of danger, which was done, and then standard practice would be to try to wait outside.

“It would be their practice to just wait for the person to come out. In the terrible circumstances of today, he suddenly rushed the officers, still clutching the knife,” Ryan said.

The investigation is still in the preliminary stages and more information is expected in time. Ryan said her office will request a formal inquest from the court to review whether any criminal conduct has occurred, which is the standard process.

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This happened around the same time as the annual Patriots’ Day Parade, and just hours after a reenactment of the Battle of Lexington, which drew large crowds to town.

This is a developing story. Check back for updates.



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‘An impossible choice’: With little federal help to combat rising costs, Head Start looks to Massachusetts for more help – The Boston Globe

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‘An impossible choice’: With little federal help to combat rising costs, Head Start looks to Massachusetts for more help – The Boston Globe


In Massachusetts, roughly 1,300 slots for children across Head Start’s 28 agencies have been eliminated in the last three years because federal funding has plateaued over that time, while the cost of running the program continues to rise, according to the Massachusetts Head Start Association. Nationally, Head Start enrollment dropped from 1.1 million kids in 2013 to around 785,000 in 2022, according to research by the Annie E. Casey Foundation.

“If they didn’t get into a Head Start program, they would be sitting at home,” said Brittany Acosta, a Head Start parent in Dorchester.

It’s teachers are drastically underpaid, and there’s a serious need for a rainy day-type fund should the federal government shut down again, the association says. As they’ve done in years past, state lawmakers have offered to provide financial relief, but the Massachusetts Head Start Association’s request for 3 percent above the amount it received last year, an additional $4.6 million to help its staff keep up with the state’s rising cost of living, so far has not been allocated.

Violeta, Tyler, and Dimitrius (all 4 years old) play together at the ABCD Dorchester Head Start.Andrew Burke-Stevenson/for The Boston Globe
While looking in a mirror, Kadijah, 3, puts on a toy mail carrier hat.Andrew Burke-Stevenson/for The Boston Globe

Last year, President Trump’s leaked budget proposal revealed he considered eliminating Head Start entirely. Then, in the summer, he cut off Head Start enrollment for immigrants without legal status. And during the fall’s government shutdown, four Head Start centers in Massachusetts closed because they couldn’t access their funding.

Trump’s latest budget proposal shows a fourth year without increasing funding for the program, which was established in the mid-1960s.

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Michelle Haimowitz, executive director of the Massachusetts Head Start Association, said the program doesn’t want to eliminate more child slots than it already has, but paying teachers a competitive salary is equally important in order to keep them from leaving for higher paying jobs. Head Start teachers make under $50,000 annually compared to over $85,000 for the average Massachusetts kindergarten teacher.

“It’s an impossible choice,” Haimowitz said. “When we reduce the size of our programs, we’re not reducing the size of the need.”

Michelle Haimowitz, MHSA, moderator of panel with Massachusetts State Representative Chris Worrell, 5th Suffolk District.David L. Ryan/Globe Staff

Massachusetts is one of few states that supplements federal funding for Head Start, and last year it increased the program’s state grant from $5 million to $20 million, adding to the $189 million in federal aid it receives in this state.

“We can’t run a program without giving staff a raise for three years,” Haimowitz said. “Our next fight now is not just for survival, but it’s for thriving and growth.”

The Massachusetts House Ways and Means Committee on Wednesday released its budget, which doesn’t grant Head Start’s request of a 3 percent boost. But state Representative Christopher Worrell filed an amendment for additional funding. Worrell, whose district covers parts of Dorchester and Roxbury, said he loves Head Start’s embrace of culture, recalling one visit to a center where he could smell staff cooking stew chicken, a traditional Caribbean dish.

“I’ve been to dozens of schools throughout the district, and you don’t get that home-cooked meal,” Worrell said. “[The state is] stepping up and doing the best we can with what we have.”

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Nylah, 3, holds a hula hoop as pre-school teacher Leolina Rasundar Chinnappa (right) and Hasiet, 4, play catch.Andrew Burke-Stevenson/for The Boston Globe
Assistant teacher Paola Polanco (center) helps Annecataleeya (left) pour milk into a glass while Violeta (right) scoops cereal during breakfast.Andrew Burke-Stevenson/for The Boston Globe

At the Action for Boston Community Development’s Head Start and Early Head Start center in Dorchester, the children of Classroom 7 arrived one Monday morning and dove into bins of magnetic tiles before their teachers, Paola Polanco and Leolina Rasundar Chinnappa, served breakfast. Acosta dropped off her 4-year-old daughter, Violeta, before reporting to her teaching position at the center, where several other Head Start parents also work.

“It’s important for all Head Start parents to have the opportunity to give their child an experience in a learning environment before they actually start kindergarten,” Acosta said.

Beyond providing early education and care to children of low-income families, from birth to age 5, the program helps them access other resources, including mental health services, SNAP benefits, homelessness assistance, and employment opportunities.

It also serves as daycare for parents who might not be able to afford it, while they’re at work.

Research has shown the importance of preschool in a child’s development with one 2023 study, focused on Boston public preschools, finding that it improves student behavior and increases the likelihood of high school graduation and college enrollment.

Massachusetts State Representative Chris Worrell (center), 5th Suffolk District, notes during a meeting on the panel at ABCD Dorchester Head Start and Early Head Start.David L. Ryan/Globe Staff

For Rickencia Clerveaux and Christopher Mclean, the Dorchester Head Start center is the only place they feel comfortable sending their 3-year-old son, Shontz, who is on the autism spectrum. Shontz’s stimming — repetitive movements that stimulate the senses — has reduced, and his speech has improved since he joined the center in 2024, Clerveaux said.

Rickencia Clerveaux, ABCD Head Start parent, talks about her children during the meeting held at ABCD’s Dorchester Head Start and Early Head Start in Boston.David L. Ryan/Globe Staff

His parents say he’s also come out of his shell. Mclean now drops his son off and gets a simple “bye” as Shontz joins his classmates, he said.

He and Clerveaux said they appreciate the specialized attention Shontz can receive from teachers, such as when staff identified that Shontz might have hearing issues. His parents were able to follow up with their doctor and get Shontz to have surgery to improve his hearing.

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“It’s a safe net for parents,” Clerveaux said. “There’s so many ways that him being here helps him grow better.”

Without Head Start, Clerveaux said a lot of pressure would be put on parents to find care for their children, “knowing that they’re already struggling or not getting the ends to meet.”

“That’s a burden for everybody in the community,” she said. “If there’s no funding, there’s no daycare and parents cannot work.”

Students sit together after breakfast at the ABCD Dorchester Head Start.Andrew Burke-Stevenson/for The Boston Globe

Lauren Albano can be reached at lauren.albano@globe.com. Follow her on X @LaurenAlbano_.





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