Massachusetts
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.
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.
“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.
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.
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.
“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.
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.
Massachusetts
Markey wins Mass. Dems’ endorsement as Moulton clears ballot hurdle in Senate race
U.S. Rep. Seth Moulton, a moderate Massachusetts Democrat, secured enough delegate support Saturday to appear on the state’s primary ballot as he challenges incumbent U.S. Sen. Ed Markey in this year’s Senate race.
Yet even though Moulton cleared a key hurdle to continue his Senate bid, it was Markey who won the party’s endorsement after winning more than 50% of the delegation’s support.
“You have a choice, you have to decide what the future looks like and what you’re going to demand,” Markey said Saturday in front of more than 4,000 delegates.
Markey won nearly 73% of the delegates’ support, while Moulton won nearly 27% of the vote. Massachusetts Democratic Party rules require statewide candidates to get at least 15% of delegate support to appear on primary ballots.
In heavily Democratic Massachusetts, the Senate primary contest is one of the most closely watched in the country as Moulton, 47, has centered his campaign on changing the status quo and demanding a generational shift in leadership.
If reelected, Markey would be 80 before his third six-year term would begin. While Markey has touted his stamina and embrace of progressive policies, questions about age have continued to swirl around Democratic candidates as they fight to take back control of Congress.
Incumbent Sen. Ed Markey is leading Rep. Seth Moulton, but if Rep. Ayanna Pressley were to enter the Democratic primary, it would change the picture, according to a new poll from Suffolk University and The Boston Globe.
In his nomination speech, Moulton argued that the Democratic Party needed more than “incremental change” and needed to start anew.
“It’s time for the generation that grew up with the internet, and will have to live for decades with AI, to lead our way through it,” Moulton said.
Moulton only addressed his opponent briefly during his nomination speech, giving a passing nod on not waiting another six years for generational change and later calling on Markey to participate in multiple debates before the September primary. Currently, the two candidates have agreed to participate in one debate later this summer.
Markey, instead, took a more critical approach by attacking Moulton’s previous comments about transgender kids and accepting corporate PAC money.
“Massachusetts deserves better than a senator who scapegoats trans kids,” Markey said to loud cheers.
In 2024, Moulton caught flak from some members of his party for saying he didn’t want his daughters playing in sports against transgender girls. Critics said Moulton echoed Trump’s talking points against allowing transgender athletes in girls’ and women’s sports.
Moulton has since said his intent with that statement “was to point out that, as a party, we need to be willing to have difficult conversations.”
Moulton, who enlisted in the Marines after the Sept. 11, 2001, attacks and served four tours of duty in Iraq, was first elected to the U.S. House of Representatives in 2014. He briefly launched a 2020 presidential campaign, but he dropped that bid after a few months.
Markey served as a Massachusetts congressman for nearly 40 years before winning the Senate seat in 2013. He fended off a challenge in 2020 from Rep. Joe Kennedy III in the Senate primary by turning to his progressive allies to overcome a challenge from a younger rival from America’s most famous political family.
The Massachusetts primary is Sept. 1.
Massachusetts
Randolph woman wins $1M lottery prize, plans to use winnings for home improvements
RANDOLPH, Mass. (WWLP) – A Randolph resident has won a $1 million prize through the final drawing of the Massachusetts State Lottery “$4,000,000 Monopoly Doubler” instant ticket game.
Brenda Mellor of Randolph claimed the game’s tenth and final $1 million prize.
She selected the cash option and received a one-time payment of $650,000 before taxes. Mellor said she plans to use the winnings to pay for home improvements, including renovations to her roof and pool.
The winning ticket was purchased at The Variety Store at 2 Mazzeo Drive in Randolph. The retailer will receive a $10,000 bonus for selling the ticket.
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Massachusetts
Mass. is getting more granny flats. But it’s still hard to build them. – The Boston Globe
Massachusetts took a big step in 2024 when the Legislature legalized so-called “accessory dwelling units” statewide as part of an effort to rein in the state’s housing crisis. More than a year later, it’s clear that the law is working — but that it also needs tweaks before accessory units can meet their full potential.
These small units, nicknamed “granny flats,” can be constructed in someone’s backyard, or they can simply be renovated third floors, garages, or basements. They’re a popular option for seniors seeking to downsize and families looking for some rental income.
Prior to the state law, some communities allowed accessory units, but many did not. Even among those cities and towns that did tolerate accessory dwelling units, zoning often varied from one municipality to the next, making it difficult for builders who needed to decode each municipality’s rules. Some towns also included unreasonable restrictions, like requiring that only a homeowner’s family members could live in the accessory units.
Housing advocates viewed allowing accessory dwelling units statewide as a “low-hanging fruit” policy — a way to add housing that was relatively cheap and avoided some of the cost and political obstacles that housing measures often encounter. The state legislation also overrode some zoning restrictions, including those that limited accessory units to family, while leaving some other local rules intact.
One year after the law went into effect, this approach has proved fruitful: Towns across the state have approved 1,200 ADU permits and seen even more applications, in some cases up to a threefold increase from previous years.
A study published last week by Boston Indicators (the research branch of the Boston Foundation) and Abundant Housing Massachusetts found that forcing the hand of municipalities on accessory dwelling units accomplished more in one year than 50 years of zoning reform efforts at the local level.
The problem, though, is that municipalities retained too much power. As the study recommends, there should be clear, uniform state regulatory standards for ADUs, with minimal opportunities for municipal-level variation.
“A comprehensive agenda is needed to address regulatory barriers to housing production, spanning building, fire, energy, septic system, wetlands, and stormwater rules,” the study’s authors wrote. “The barriers include the fragmented complexity of the regulatory system itself.”
Making standards more uniform doesn’t have to mean lowering them — it just means moving away from patchwork rules that make it harder for companies to build accessory units at scale.
Chris Lee at Backyard ADUs, a company that designs and builds modular dwelling units in New England, says the report’s findings make sense. The inconsistent interpretations across 350 towns and cities cause builders and engineers to “struggle to design work for the town that will be accepted,” he said. (The state’s 351st municipality, Boston, isn’t covered by the law.)
The potential is significant. The report calculates that if just 2 percent of single-family homes in Massachusetts added an accessory unit, the state would see more than 30,000 new homes that advocates say are generally more affordable. Building an accessory dwelling unit inside a pre-existing house can cost between $75,000 and $100,000; and a detached unit usually runs between $250,000 to $350,000, making them much more affordable than purchasing a single-family home in most regions of the country.
“For developers of missing middle housing to benefit from an economy of scale, they have to undertake many projects, across jurisdictional lines,” according to the study. “The ADU case study has shown just how challenging this is.”
Lee estimated that he could reduce up to $30,000 of preconstruction costs such as surveying and architecture if his company could work with consistent regulations across towns, which he said could enable them to double their production.
Streamlining permitting for accessory dwelling units isn’t a panacea. Landlords still must be willing to actually build them and rent them to long-term residents. Retirees must believe it’s worth downsizing to one. But the fact that so many have been permitted over the last year point to the clear demand and makes the case for policy makers to keep refining the law.
There is precedent. California, for example, had an equally ambitious goal but has blown past it, going from only 1,300 permits approved its first year to more than 30,000 nine years later. “It is important to understand that California did not accomplish its ADU outcomes with one legislative reform,” the study’s authors wrote. “California’s success required sustained legislative attention.”
Massachusetts should be able to realize those kinds of results too. Conversely, if even the “low-hanging fruit” of zoning reform falters in the Commonwealth because of local red tape, then the state has bigger problems ahead to solve its housing crisis.
Editorials represent the views of the Boston Globe Editorial Board. Follow us @GlobeOpinion.
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