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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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He grew up in the kitchen. Then he rewrote the menu, and the future of his parents’ restaurant – The Boston Globe

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He grew up in the kitchen. Then he rewrote the menu, and the future of his parents’ restaurant – The Boston Globe


He became obsessed with driving around, searching for any local farm or fisherman on a dock and bugging them to see if they, too, wanted to help him with his vision.

Local crudo at S.S. Dion in Bristol, R.I., includes Lotzzo’s Scup, yellowfin tuna, lemon, flaky salt, and extra virgin olive oil.Barry Chin/Globe Staff

His menu now, which reflects a reinvention, leans into a new way to present New England seafood for an old suburban fishing town, serving snacks like a smoked Rhode Island bluefish paté, raw New Bedford sea scallops with sesame and crispy shallots, chowder with quahogs and fermented hot sauce. He also makes his own pasta with milled local grains.

Today, Dion has largely taken over the business, although his mom can still be found in the kitchen.

Seared sea scallops with fennel vellutata and tomato-pancetta jam at S.S. Dion in Bristol, R.I.Barry Chin/Globe Staff
A view from the fireplace lounge at S.S. Dion in Bristol, R.I.Barry Chin/Globe Staff

“If you’ve had a piece of swordfish at S.S. Dion in the past 43 years, she’s grilled it. And she doesn’t want that to end,” said Dion. “She loves it, and wants to work forever.”

His father visits every day for an hour to keep track of “all of my numbers.”

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“I do it all on a computer, and he’s got every, every penny of it on paper,” said Dion.

The reimagined version has had a lot of success, growing 300 percent over the last five years.

What to eat: Try any of the snacks to start with, but be sure to get at least one of their house-made pastas for the table to share: a black spaghetti puttanesca with fried squid, anchovies, Calabrian chilies, and braised tomato. A bowl of gemelli with house-made fish sausage, rapini, pangrattato, and aglio e olio. A roasted mushroom campanelle with sautéed leeks, Brussel sprouts, tarragon, and tender pea tendrils. A perfect bolognese. There are also comforting staples from S.S. Dion’s past life: “The chicken parmesan will be on that menu for my whole life,” said Dion. “But there’s a fermented hot sauce martini on there as well.”

Gemelli pasta made with milled local grains and a house-made fish sausage at S.S. Dion in Bristol, R.I.Barry Chin/Globe Staff

“I want to have that spectrum of people who have always come into S.S. and ordered what they love and remember,” said Dion. “But also there might be something exciting for someone else in their party who is more adventurous.”

You can get three courses for just $40 per person if you order from their prix fixe menu. Your options include local crudos; a funky caesar with smoked Rhode Island bluefish and sourdough croutons, calamari from Point Judith, all sorts of scratch-made pastas, and plenty of desserts.

Dion said his fries take three days to prepare, and he makes every part of their burger from scratch (an “everything” milk bun, house bacon, crispy onions, a 21-day dry-aged burger bun from Blackbird Farm slathered in a special sauce) other than the cheddar cheese it is topped with.

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A squid insalata with yam chips, Calabrian chilies, olive salad, preserved lemon, and herbs at S.S. Dion in Bristol, R.I.Barry Chin/Globe Staff

“The world just seems to get more and more artificial, and there’s a really blurry line between what is human and what is manufactured,” he said. “It just feels good to be authentic to my place.”

What to drink: Start off with a bang and get the “Low Tide Hot N’ Dirty,” which uses a nori-infused Lime Rock gin, fermented green chili, yuzu, and topped with a spicy seaweed chip. Or their bacon fat-washed maple old fashioned. The beer list has a ton of local brews from around New England, while the wine list has some interesting choices for the area: a Primitivo from Puglia, an Austrian riesling, and a chenin blanc-viognier from Napa.

House sourdough focaccia at S.S. Dion served with tonnato and olive salad. Barry Chin/Globe Staff

Don’t forget dessert: The bananas foster bread pudding is baked in a cast iron pan drizzled with rum caramel and topped with pecans and vanilla ice cream. The chocolate pot de creme uses miso caramel, beetroot meringue, salted cashew crumble, and fennel. Or you can order a basque cheesecake topped with flaky sea salt and orange zest, or a traditional affogato that’s drowned in a double shot of espresso from Borealis Coffee Company, a small-batch local specialty roaster.

Final say: S.S. Dion is one of those legacy restaurants that found further success after reinventing itself when the second generation took over. Dion has dreams of opening his own restaurant with a different concept and to potentially do it in Providence. He’s looking for locations, but isn’t ready to sign a lease yet.

“I’m really happy with where S.S. is now,” said Dion. “But what chef doesn’t have dreams of opening a dozen more restaurants?

“I’d say that’s what’s next,” he added. “I’d like to start something else soon.”

S.S. Dion, 520 Thames St., Bristol, R.I., 401-253-2884, ssdion.com. Raw bar $3.5-$165; salads $13-$18; snacks $9-$25; scratch pasta $14-$38; entrées $25-market price; Sides and sauces $1-$7.

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S.S. Dion in Bristol, R.I., is a legacy, family-owned restaurant first opened in the 1980s that has now been taken over by the original owners’ son. Barry Chin/Globe Staff

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





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Clergy sex abuse bill passes RI Senate on unanimous vote. What’s next

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Clergy sex abuse bill passes RI Senate on unanimous vote. What’s next


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  • The Rhode Island Senate unanimously passed legislation to allow victims of clergy sex abuse to sue the institutions that failed to protect them.
  • The bill provides a two-year window for victims to revive claims that are currently barred by expired time limits.
  • This action follows the release of the attorney general’s report detailing a systematic cover-up by the Catholic Church over decades.

PROVIDENCE – Victims of clergy sex abuse scored a long-sought victory in the Rhode Island Senate on Wednesday, June 3.

Legislation to allow the victims to sue the Catholic Church – and any other institution that failed to protect them from molestation when they were children – won unanimous Senate approval and now goes to the House for final votes.

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The fast action from Senate Judiciary Committee approval – to a full Senate vote – within an hour and a half was not unexpected after the announcement on Monday of a compromise backed by the Senate’s top-tier Democrats, including Senate President Valarie Lawson, Majority Leader Frank Ciccone and Senate Judiciary Chairman Matthew LaMountain.

If passed, as now appears likely, the legislation will allow the victims of sexual abuse by clergy to sue the Roman Catholic Diocese of Providence and any other entity that knew, but failed to stop – or concealed – the abuse they suffered as children at the hands of trusted elders.

The legislation would also provide the long-ago victims – many of them now in their 60s and 70s – with a two-year window to revive claims currently barred by expired time limits.

The compromise – after years of pleas and inaction – follows the long-awaited release on March 4 of Attorney General Peter Neronha’s report detailing the systematic cover-up by the Catholic Church of the sexual abuse of more than 300 Rhode Island children.

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His report laid bare, for the first time, the scope of more than a half century of alleged child sexual abuse by Rhode Island Catholic clergy and the breadth and depth of the alleged cover-up, which often included destroying key files or shuffling priests from parish to parish, where they would reoffend.

Sen. Mark McKenney, the lead Senate sponsor, told colleagues that the proposed new law not only states “this conduct unacceptable, but from now on, the institutions that have enabled it will be held accountable as well.”

As to whether the law would survive a legal challenge, McKenney said the Rhode Island Constitution “contains a provision that is somewhat unique in the United States: a victims’ rights clause. That provision has been largely overlooked in the debate that’s gone on about the constitutionality of this and … previous versions of this bill,” but retired U.S. District Judge William Smith drew attention to it when he testified.

He said Article 1, Section 23 “of our constitution provides that crime victims, including child sexual abuse victims, not only may receive compensation from perpetrators, but also, and this is a quote from the constitution, ‘Shall receive such other compensation as the state may provide,’ with that power ‘entirely committed to our authority as the General Assembly.’”

Co-sponsor Dawn Euer applauded “the victims and survivors, both the ones that we know of and the ones that we don’t, as well as the ones that we have lost. The strength and courage that it takes to go through what [these] people have gone through … is incredible.

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“And then to be able to come up here and advocate …. for passage of this legislation over years [of] legislative turmoil and back again, it’s really incredible the strength and determination that you all have shown,” she said to the group of survivor-advocates in the Senate gallery.

“We get used to it,” she said of the process by which “the proverbial sausage is made. But for issues like this that have real impacts on people’s lives, it can be an additional trauma,” she said of the year after year of public hearings and testimony, followed by inaction.

On Wednesday, she said, the Senate sent the “strong signal that Rhode Island stands with survivors and victims.”

This story has been updated with new information.



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Shifting Sands in Rhode Island – Rhode Island Monthly

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Shifting Sands in Rhode Island – Rhode Island Monthly


A rising tide of beach garbage plagues local wildlife. Fortunately, there’s something you can do about it.

A wide array of beach trash found on Napatree Point, from balloons and ribbons to Styrofoam, cellophane, nylon rope, bottle caps and a hypodermic needle. Waves break plastic into tiny particles that mix into beach sand and are ingested by marine life. Photography courtesy of Robert L. Mitchell

It’s easy to overlook the detritus along Rhode Island’s shoreline, but as the amount of beach litter has increased over the last few years, its effect on seabirds, seals, fish and other wildlife has risen dramatically.

Between 2011 and 2023, the Mystic Aquarium animal rescue program admitted fifty-eight seals into rehabilitation due to entanglements.

“Between 2024 and 2025, we have already passed that number, with fifty-nine entangled animals reported in just a year and a half,” says MaryEllen Mateleska, the aquarium’s senior director of education and conservation.

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During an early summer walk at Watch Hill’s Napatree Point, much of the litter wasn’t noticeable at first because it had been ground down into little pieces along the high-tide mark. So it came as a surprise when my wife and I, after picking up everything we could find on a milelong stretch of sand, came away with a grocery bag full of trash. Most of it wasn’t whole bottles or cans, but micro trash — bits of things that had been pulverized by the surf.

Our haul included fifty-seven pieces of cellophane, twenty-five balloons (many with ribbons attached), twenty-four bottle caps, twenty-four pieces of nylon rope and netting fragments, twenty-four hard plastic fragments and ten cigarette butts (the plastic-based filters are not biodegradable). We also picked up fishing line, rubber lobster claw bands, tin foil, a shoe heel, one plastic bottle, one toothpaste tube and a syringe — all in the off-season.

“We are seeing more smaller plastic particles make their way to the beach,” says Mateleska.

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});

The litter accumulates from trash left on the shoreline, refuse that blows in from cars, bins and local roadways, and garbage that travels to the ocean by way of rivers. Waves then break down the plastics into smaller pieces of micro- and nanoplastics.

“Plastic pollution is incredibly dangerous to aquatic species,” she says. Fish and other animals ingest the microplastics and can become entangled in ribbons, nets and fishing lines. Other items that entangle wildlife include six-pack ring holders, hair ties, fishing line, netting or pieces of netting, fishing lures, hooks and plastic bags.

Sea birds are especially vulnerable because they use those bits of fishing line, rope, string and other materials to build their nests. Balloons, in particular, are deadly to seabirds, which often mistake them for jellyfish or other prey.

“Plastics are now in every ecosystem, almost every seabird, and almost every human body,” Mateleska says, with the long-term health impacts unknown.

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They also take an extremely long time to break down, which is harmful to the state’s delicate coastal ecosystem.

“[Plastic] material that is in the environment may present itself on a shoreline very far away many years or decades later,” says Dave McLaughlin, sustainability coordinator at the Rhode Island Department of Environmental Management.

___________________________

What You Can Do

Beach walkers can help by picking up garbage wherever they go to enjoy the outdoors. But you don’t have to go to the beach to help. Better management of beach trash starts at home, Mataleska says.

“Refuse single-use plastics and look for sustainable alternatives, pick up trash wherever and whenever you see it, and support legislation that stops plastic at the source,” she advises.

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Volunteer for coastal cleanups, use reusable materials, carry in and carry out your trash, recycle, and don’t litter. And consider joining a nonprofit group such as those sponsored by Coastodians (coastodians.org) or Save the Bay (savebay.org) that organize beach cleanups. When it comes to beach trash, even small groups can make a big difference.





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