Efforts Intensify to Secure Bond Sale for Rhode Island Hospital Acquisition

A nonprofit organization from Georgia, The Centurion Foundation, is intensifying its efforts to secure a bond sale that will finance the acquisition of two financially struggling hospitals in Rhode Island. Despite initial plans to close the $160 million bond sale in late May, ongoing instability in the broader bond market has prolonged the process. The foundation remains optimistic about the deal's prospects, emphasizing the essential role these hospitals play in the healthcare delivery system. Meanwhile, recent developments in state funding and local support could bolster the bond sale's success.
Persisting Through Uncertainty: The Bond Sale Saga
The Centurion Foundation continues to push forward with its ambitious plan to acquire CharterCARE Health Partners, which includes Roger Williams Medical Center and Our Lady of Fatima Hospital. Though the bond sale initially faced challenges due to market instability, updates to the prospectus aim to address investor concerns while highlighting positive financial trends. CEO Jeffrey H. Liebman expressed optimism, noting widespread local backing for the acquisition. This sentiment underscores the hospitals' critical contributions to emergency care, surgical services, cancer treatment, and behavioral health support.
In response to questions regarding the percentage of bonds sold, the foundation remains tight-lipped. However, recent actions by the Rhode Island House indicate potential relief through increased reimbursement rates for primary care and additional hospital funding. These measures might enhance investor confidence in the bond sale. Furthermore, state leaders have publicly voiced their trust in Centurion’s ability to revitalize the hospitals' financial health, despite lingering uncertainties about the effectiveness of transitioning them back to nonprofit management.
Navigating Challenges: A Path Forward for Struggling Hospitals
Despite the daunting task ahead, The Centurion Foundation envisions a turnaround strategy aimed at stabilizing the two safety-net hospitals. State leaders have issued supportive statements, with Governor Dan McKee proposing a budget amendment directing $10 million toward establishing a behavioral health unit at Our Lady of Fatima Hospital. Such initiatives reflect an acknowledgment of the hospitals’ indispensable role within the healthcare ecosystem. Without intervention, a bankruptcy scenario could severely impact other healthcare providers statewide.
Standard & Poor’s Global Ratings assigned an initial rating of BB- to the bonds, citing both the organization’s reserve cushion and significant operational uncertainties as key factors. While the hospitals possess essential assets, including high patient volumes and specialized programs, their long-term viability hinges on successful implementation of strategic improvements. Should the bond sale fall short, the possibility of returning to Texas bankruptcy court looms large. Nonetheless, there remains no set deadline for completing the transaction, leaving room for further negotiations and adjustments to secure this vital acquisition.