Rhode Island
Prospect files for bankruptcy, leaving its hospitals in R.I. and Conn. in limbo – The Boston Globe
“By engaging with stakeholders and implementing the Hospital Transactions, Prospect Holdings is prioritizing its core strength — focusing on operating community hospitals in California, providing vital care to underserved communities, and promoting patient and physician continuity — while ensuring these hospitals outside of California continue operations with proper financial support,” said Prospect in a press release around 11 p.m. on Saturday.
“Throughout the chapter 11 process, Prospect Holdings’ hospitals, medical centers, and physicians’ offices will remain open, and patient care and services will continue uninterrupted,” Prospect said in the press release.
According to the filing, Prospect named Paul Rundell, the managing director of Alvarez & Marsal’s North American Commercial Restructuring practice, as chief restructuring officer, managing the company’s bankruptcy process. It said Prospect had more than 100,000 creditors. It listed the company’s liabilities as between $1 billion and $10 billion, and its assets in the same range.
Prospect has owned Roger Williams Medical Center and Our Lady of Fatima for more than a decade. Both hospitals care for some of the state’s most vulnerable patients, including many covered by public insurance. Investigators last summer found decaying conditions, such as bedbug infestations, cockroaches, mice, and other problems that put patients at “immediate” risk. In Connecticut, Prospect operates Rockville General Hospital, Manchester Memorial Hospital, and Waterbury Hospital.
Prospect, which also owns hospitals in Pennsylvania, has struggled financially for years.
Since late 2022, they have been trying to sell their two Rhode Island hospitals, and in June 2024 Rhode Island state regulators approved the terms of a deal to sell them to The Centurion Foundation, a Georgia-based nonprofit. Their approval came with dozens of conditions set by the health department and Rhode Island Attorney General Peter F. Neronha’s office, which virtually guarantees that Prospect would not make a profit on the deal if the transaction goes through.
Ben Mingle, the president of The Centurion Foundation, said he remains “fully committed” to acquire Prospect’s two Rhode Island-based hospitals. “This latest development in no way diminishes our interest or enthusiasm,” Mingle told the Globe in a statement.
Neronha’s approval of the aquisition came after almost two years of deliberations between the parties, and working with regulators.
“We will work closely with all parties, including through the bankruptcy process, to advance the sale as quickly as possible,” said Mingle. “It is our hope that the court will recognize that after over eighteen months of formal review by the Rhode Island Department of Health and Rhode Island Attorney General, we have achieved full regulatory approval to secure these safety net hospitals, their 2,700 employees, and the critical role they play serving thousands of Rhode Islanders.
Regulators in several states, including in Rhode Island, have been putting pressure on Prospect over its troubled finances and deteriorating conditions at its facilities.
Neronha said he expects hearings for the Chapter 11 case to begin this week.
“If so, we’ll be there to protect Roger Williams and Fatima hospitals, workers, and patients,” he said. “Expect hospitals to continue as normal as Prospect attempts to effectuate sale to Centurion. We’ll continue to closely monitor.”
Prospect owes millions in back taxes, unpaid bills to vendors, and rent payments to landlord Medical Properties Trust, a national, publicly traded health care real estate investment trust. In its press release on Sunday, Prospect stated it would “pay vendors in full under normal terms for goods and services provided after the filing date.”
The fate of the thousands of patients and nearly 3,000 employees in Rhode Island will be determined by a process in which Prospect’s secured creditors will hold an interest in the system as collateral.
Prospect also has tried to sell its three hospitals in Connecticut to Yale New Haven Health. That transaction stalled after Yale New Haven Health filed litigation seeking to back out of its purchase agreement, citing decaying conditions at the hospitals. In a statement on Sunday, Connecticut Governor Ned Lamont said his administration will “continue to hold Prospect accountable.”
“Our number one priority remains maintaining safety and quality of care at Prospect’s three Connecticut hospitals. We currently have an independent monitor overseeing operations at Waterbury Hospital and will increase oversight at Manchester Hospital,” said Lamont. “We will continue to work to evaluate opportunities to transfer these institutions to a new operator.”
Prospect, which was previously owned by a private equity firm, has long been controlled by wealthy financiers Samuel Lee, who now serves as the company’s board chairman, and David Topper, Prospect’s co-chief executive officer. In a statement on Sunday, Prospect’s other co-chief executive officer, Van Crockett, said filing for bankruptcy was “an important step forward” to best serve the company’s patients and employees, and that the company would be “better positioned to prioritize and execute its core strengths.”
“Divesting our operations outside of California will ensure that they receive necessary financial support so that the communities that rely on those facilities will maintain continued access to highly coordinated, personalized, and critical healthcare services long into the future,” said Crockett in the statement. “Through this process, Prospect Holdings will regain its financial footing as we rededicate ourselves to our original mission of serving the community.”
PHP Holdings, LLC and its related subsidiaries, including Prospect Health Plan, Inc., Prospect Medical Systems, LLC and its affiliated medical groups in California, Arizona, and Texas, Gateway Medical Center, and Foothill Regional Medical Center, are not parties to the chapter 11 proceedings.
Prospect executives are still finalizing necessary funding for the duration of the chapter 11 process, according to a company press release.
Neronha said Sunday morning that his office will have attorneys in Texas to represent the interests of Rhode Islanders.
“This is personal to me, as I know it is to Rhode Island residents. I have a couple of physicians in my family who regularly relay to me the challenges of providing quality care in the current healthcare landscape,” said Neronha in a statement. “And I’m certainly well aware of the struggles of our failing system here in Rhode Island.
“This is tough stuff, but it can and should serve as a catalyst for Rhode Island leadership to meet the moment and attempt to provide real solutions, not just lip service,” added Neronha.
This article has been updated to include a statement from The Centurion Foundation.
Alexa Gagosz can be reached at alexa.gagosz@globe.com. Follow her @alexagagosz and on Instagram @AlexaGagosz.
Rhode Island
This RI Garden Transforms Into a Fairy Wonderland
It’s New England’s largest indoor public garden and this spring it’ll once again be teeming with fairies.
The Fairy Garden Days return to the Roger Williams Park Botanical Garden this April with hundreds of handmade fairy houses hidden throughout the Garden’s four greenhouses, plus special events and activities planned for kids every day.
Running from April 11-26, 2026, it’s a great day trip during school’s upcoming April vacation or a wonderful weekend adventure to enjoy an early taste of spring.
What Is Fairy Garden Days in Rhode Island?
This annual event has been one of my favorites since my daughters were babies—and we still go back every year.
READ MORE: Explore These Ten Botanical Gardens Across the SouthCoast
Artists young and old create elaborate fairy gardens depicting fanciful houses, entire schools or even relaxing health spas (cause fairies need a massage now and then too!). You never know what you’ll see or where you’ll find the gardens throughout the grounds.
Nancy Hall/Townsquare Media
What Kids Can Do at Fairy Garden Days
Though if your young ones lose interest in the fairy gardens before you do, there are plenty of activities around the greenhouses too. Kids can get hands on at the texture table, create their own wand, pen letters to the fairies or write out wishes, which get released every Thursdays.
Don’t Miss These Outdoor Garden Attractions
Outside the greenhouses are a Japanese-style trail to wander, a rose maze to make your way through and an outdoor play area where the kids can let their imaginations run wild.
Meet the Goats Behind the Garden’s Cleanup Crew
Definitely don’t forget to stop by the goat house between greenhouses 1 and 2 to say hi to the three Nigerian Dwarf goats calling the Botanical Garden home. These three are an invasive plant removal team, helping to naturally rid the Garden grounds of unwanted plants.
The goats will also celebrate their 9th birthdays during Fairy Garden Days, with a special celebration planned for them on Sunday, April 12 from 1:30 – 3 p.m. Just one of the many special events planned throughout the Fairy Garden Days from April 11-26.
Special Events Happening During Fairy Garden Days
Various fairy visits and story times are planned over the two-week event, with face painting each Tuesday and Saturday and bubble shows every Friday. There will also be an animal encounter with Roger Williams Park Zoo on April 11, Greenhouse Jazz on Sunday, April 19, and a performance from the Toe Jam Puppet Band on closing day, April 26.
READ MORE: Learn More About the SouthCoast’s Beloved Toe Jam Puppet Band
With the incredibly snowy winter Southern New England has been through, we’re probably all looking forward to finally seeing the start of spring. You can get a jump on flower season by stepping inside the Roger Williams Botanical Garden this April for the return of Fairy Garden Days.
10 Beautiful Botanical Gardens Across the SouthCoast
When the season is right, there are several spectacular gardens around the SouthCoast that are blooming with rows and rows of beautiful flowers. Here are some of the most popular places to tiptoe through the tulips and so much more.
Gallery Credit: Nancy Hall
See Inside Gorgeous Gardens Hidden Away in Little Compton
For nearly 50 years the grounds of Sakonnet Garden have been growing in what might be the most private garden along the coast.
On certain days, at certain times you can make a reservation to walk among the hundreds of flowers and plants growing in hidden “rooms” on the grounds, or take a sneak peek right now.
Gallery Credit: Nancy Hall
Explore Peaceful Gardens and Towering Cliffs at Immersive Monet
Claude Monet created thousands of works of art over his decades as an artist. He traveled through Europe capturing gardens ,waterways, cathedrals and more. Now you can walk through the world Monet did and experience his artwork in a whole new way at Immersive Monet coming to Boston.
Here’s a taste of the artwork you could be surrounding yourself in.
Gallery Credit: Nancy Hall
Rhode Island
401Gives Starts Tuesday!
Rhode Island
Medical school at URI won’t ensure primary care docs for RI | Opinion
Governor’s executive order targets Rhode Island health care costs
Rhode Island Gov. Dan McKee takes action to lower health care costs and improve affordability through new executive order.
The doctor is not in, and there’s not one on the way either. Many Rhode Islanders are well aware that the state is facing a harrowing shortage of primary care physicians. As native Rhode Islanders and physicians invested in quality accessible primary care for our community, we are dedicated to working towards policies to support our state.
A medical school at the University of Rhode Island is not the solution to solve the primary care crisis. A medical school at URI would not provide a timely solution, would likely not achieve the target outcome of increasing the number of primary care physicians in the state, and would likely not address the underlying issue of getting doctors to stay. Instead, resources should be allocated now to supporting primary care in ways that would make sustainable change.
Lack of access to primary care is hurting patients now. A medical school at URI would not be a short- or long-term solution. In addition to the time needed to engineer an accredited medical school, it takes seven years to produce an inexperienced primary care physician. Once trained, there still must be an incentive to stay in Rhode Island. Patients do not have access to necessary care for acute and chronic conditions. The burden on our health care system, impacting ER wait times and hospital capacity, impacts everyone. We cannot afford to wait another decade for a solution.
More physicians does not equal more physicians in primary care or in Rhode Island. If the aim is to produce more physicians from URI’s medical school, this will certainly occur, but we should not delude ourselves into believing it will fix primary care. It’s not due to lack of opportunities. In 2019, the National Resident Matching Program offered a record number of primary care positions, yet the percentage filled by students graduating from MD-granting medical schools in the United States was a new low. Of 8,116 internal medical positions that were offered, just 41.5% were filled by U.S. students; most residency spots went to foreign-trained and U.S.-trained osteopathic physicians.
As medical schools across the country look to debt reduction as a means of encouraging students to enter primary care specialties, their goals have fallen far short. In 2018, The New York University School of Medicine offered full-tuition scholarships to every medical student, regardless of merit or need. In 2024, only 14% of NYU’s graduating seniors entered primary care, lower than the national average of 30%.
There must be an incentive to stay in Rhode Island (or at least not a disadvantage). Our efforts must shift to recruiting and maintaining physicians in primary care. Inequitable reimbursement from commercial insurers between Rhode Island and neighboring states (leading to significantly lower salaries than if you lived here and traveled to Attleboro to care for patients), the lack of loan repayment(average medical student debt is $250,000, forcing the choice between meaning and money), and the ongoing administrative burdens are amongst the drivers away from primary care. Rhode Island needs to get on par with surrounding states to prevent physicians from going elsewhere.
The motivations behind opening a medical school are well intended in terms of wanting to increase the number of primary care providers by enabling local talent to train close to home. Training more people in Rhode Island will not keep them here; it will invest significant resources without addressing the root of the issue. Until there are comparable salaries between Rhode Island and our neighbors, until loan repayment is improved and the administrative burdens are reduced, primary care in the state will forever be fighting an uphill battle. Both providers and patients suffer the consequences.
Dr. Kelly McGarry is the director of the General Internal Medicine Residency at Rhode Island Hospital. Dr. Maria Iannotti is a first-year resident, a Rhode Islander intent on practicing primary care in Rhode Island.
-
Sports1 week agoIOC addresses execution of 19-year-old Iranian wrestler Saleh Mohammadi
-
Miami, FL4 days agoJannik Sinner’s Girlfriend Laila Hasanovic Stuns in Ab-Revealing Post Amid Miami Open
-
New Mexico1 week agoClovis shooting leaves one dead, four injured
-
Politics1 week agoSchumer gambit fails as DHS shutdown hits 36 days and airport lines grow
-
Tennessee7 days agoTennessee Police Investigating Alleged Assault Involving ‘Reacher’ Star Alan Ritchson
-
Minneapolis, MN4 days agoBoy who shielded classmate during school shooting receives Medal of Honor
-
Science1 week agoRecord Heat Meets a Major Snow Drought Across the West
-
South-Carolina1 day agoSouth Carolina vs TCU predictions for Elite Eight game in March Madness