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Members of Congress allege that Leonard Green & Partners destabilized Prospect Medical Holdings by extracting $658 million in fees and dividends, often funded by debt. The letter claims this financial strategy, combined with failures to meet capital commitments and pension obligations in Connecticut, Pennsylvania, and Rhode Island, left the hospital system vulnerable during the COVID-19 pandemic. The authors demand the return of these funds to ensure continuity of patient care.

RMI proposes a green stimulus strategy for the United States focused on four pillars: a national building retrofit program, the electrification and diversification of mobility, debt forgiveness linked to emissions reductions, and the creation of a federal Economic Recovery Facility to finance clean projects.

The report details how Leonard Green & Partners acquired Prospect Medical Holdings in 2010 and subsequently extracted between $570 million and $658 million in fees and dividends. This occurred despite a dramatic decline in EBITDA from $142 million in 2015 to $17 million in 2018 and the accumulation of $260 million in unfunded pension liabilities. The document highlights systemic failures, including the complete closure of the Nix Health system in Texas, 'immediate jeopardy' patient conditions in Connecticut, and legal disputes over pensions in Rhode Island and community funding in Pennsylvania. It concludes by urging the Pennsylvania Attorney General to block a change in ownership until Leonard Green returns the extracted funds to support hospitals during the COVID-19 pandemic.

The Private Equity Stakeholder Project argues that Leonard Green & Partners extracted $658 million in fees and dividends from Prospect Medical Holdings despite the hospital chain's declining financial health, poor quality ratings, and unfunded pension liabilities. The letter highlights a $457 million dividend paid in 2018 that allegedly contradicted commitments made to Rhode Island regulators. It also notes that Prospect sold hospital real estate to Medical Properties Trust to pay down $1.1 billion in debt and shut down all facilities in Texas. The author requests that California's Attorney General withhold approval for the ownership transfer to ensure resources are available for the COVID-19 response.

The Private Equity Stakeholder Project alleges that Leonard Green & Partners extracted $570 million to $658 million in fees and dividends from Prospect Medical Holdings while the hospital chain suffered from declining financial performance, poor quality ratings, and underfunded pensions. The document details systemic failures across hospitals in Texas, Connecticut, New Jersey, Pennsylvania, and Rhode Island, including the total closure of the Nix Health System in Texas and lawsuits from pensioners in Rhode Island. It highlights a $457 million dividend paid in 2018 that contradicted assurances given to Rhode Island regulators. The author contends that Leonard Green is attempting to exit its majority stake for a fraction of its acquisition cost, leaving behind a legacy of financial and operational distress in safety net hospitals.

Since 2010, Leonard Green & Partners and other owners collected $658 million in dividends and fees from Prospect Medical Holdings, despite the company facing severe operating challenges, underfunded pensions, and low quality ratings from the Centers for Medicare and Medicaid Services. A significant $457 million debt-financed dividend paid in 2018 contradicted previous assurances given to Rhode Island regulators that no further distributions were planned. During the same period, Prospect's EBITDA fell from $142 million in 2015 to $17 million in 2018, and its pension fund funded ratio dropped from 68.3% in 2016 to 60.7% in 2018.

The policy brief contends that the proposed $1 billion Northeast Supply Enhancement Project (NESE) gas pipeline is incompatible with New York's Climate Leadership and Community Protection Act (CLCPA). It argues that a 'no infrastructure' approach—combining energy efficiency, electrification (specifically heat pumps), and demand response—is a more cost-effective and reliable path to meeting energy needs while reducing emissions. The author asserts that National Grid's cost analysis underestimates the benefits of customer-focused solutions by ignoring air conditioner cost savings, externality costs of pollution, and the long-term savings beyond a 15-year net present value calculation.

The report details how American Securities' ownership of Global Tel Link (GTL) has led to predatory pricing and fee harvesting in the US correctional telecommunications market. It highlights the financial burden on low-income families, the recording of privileged attorney-client calls, and a bribery scandal in Mississippi. The document also examines GTL's expansion into digital tablets and video calling, arguing that these services often replace in-person visits and create new revenue streams from a captive market. Finally, it notes a growing trend of municipalities moving toward free correctional calls and increased legislative scrutiny of private equity's role in prison services.

The document outlines the technical approaches used to estimate children's exposure to chlorpyrifos and PFAS, the process for tracking children's product recalls, and the use of EPA Regulatory Impact Analyses to quantify the health benefits lost when air pollution standards were weakened or repealed.

The report details how Leonard Green & Partners extracted $570.44 million in fees and dividends from Prospect Medical Holdings while the health system faced widespread operational failures, including facility closures in Texas, quality rating declines in Connecticut, and legal disputes over pensions and taxes in Rhode Island and Pennsylvania. By November 2019, Leonard Green sought to sell its 61% stake to minority owners for $12 million, a fraction of its original investment, leaving behind a legacy of financial distress and deteriorating care at several safety net hospitals.

A coalition of national environmental organizations is calling on the Governor of New York to sign Senate bill S5343, which would phase in a ban on the pesticide chlorpyrifos over two years. The organizations cite evidence that the chemical harms children's brain development and jeopardizes 1,200 endangered species, noting that the Trump administration blocked a federal ban despite EPA findings that children are exposed to the chemical on food at levels 140 times higher than safe limits.

The document advocates for the integration of nature-based solutions (NbS)—including green and natural infrastructure—into U.S. national infrastructure planning. It highlights that NbS are often more cost-effective and resilient than traditional 'gray' infrastructure, providing significant benefits in flood mitigation, heat reduction, and carbon sequestration. The text provides specific economic data on the cost-savings of living shorelines and green storm drainage systems compared to concrete alternatives, while emphasizing the co-benefits of improved water quality and public health.

The document advocates for the integration of nature-based solutions (NbS)—categorized into green and natural infrastructure—as a resilient alternative or supplement to traditional 'gray' manmade infrastructure in the U.S. It details how NbS can mitigate coastal storm damage, inland flooding, and extreme heat while providing co-benefits like carbon sequestration and improved water quality. The text provides specific cost comparisons and case studies from various U.S. cities and states to demonstrate the economic and environmental efficacy of these approaches.

A coalition of organizations urges the Governor of New York to sign Senate bill S5343, which would ban the neurotoxic pesticide chlorpyrifos. The document argues that the chemical poses severe risks to pregnant women and children, including cognitive development issues and reduced IQ, and notes that the federal EPA has failed to enact a ban despite its own scientific findings. It highlights that other states like Hawaii and California have taken action and that safer alternatives for crops are available.

The analysis finds that Latino, Asian American, and African American residents in the Northeast and Mid-Atlantic are exposed to significantly higher levels of vehicle-related PM2.5 pollution than white residents. The report highlights that white residents comprise 85% of those in the lowest pollution areas, while people of color are overrepresented in the most polluted census tracts, often located near major highways in urban centers. The document argues for targeted investments in clean transportation, such as electric vehicles and buses, to reduce these environmental inequities.

The report details how Securus Technologies, under the ownership of Platinum Equity, extracts high fees from incarcerated individuals and their families for phone calls, money transfers, and e-messaging. It highlights the disproportionate impact on women of color and low-income communities, noting that one in three families go into debt to cover these costs. The document also outlines regulatory risks, including FCC fines and legislative efforts to make prison calls free, as well as severe privacy breaches involving the recording of attorney-client privileged calls and the use of biometric voice prints.

The document details the costs and benefits of transitioning to clean transportation in Connecticut. By 2050, a total investment of $51.5 billion in electrification, fuel efficiency, and low-carbon fuels is projected to generate $72.5 billion in returns, resulting in a net benefit of over $21 billion. These investments would lead to 149.9 million metric tons of avoided CO2 and a reduction of 15.5 billion gallons of fossil-based liquid fuels.

The document argues that Northeast and Mid-Atlantic states can significantly reduce CO2 pollution and consumer fuel spending by transitioning to electric vehicles and low-carbon fuels. It highlights specific targets for emissions cuts and emphasizes the need for equitable investments that prioritize polluted communities and marginalized populations.

The document consists of a series of data tables (Appendix F) detailing the financial and environmental impacts of transportation decarbonization across several US states. It tracks costs such as incremental vehicle costs and charging infrastructure against benefits like gasoline and diesel fuel savings, as well as monetized greenhouse gas (GHG), NOx, and PM2.5 reductions. The data is split between 'MID' and 'HIGH' scenarios for each state, projecting outcomes through 2050.

The document outlines four primary categories of financial interventions for regional governments to accelerate the energy transition: increasing capital availability, implementing first-cost solutions, creating market incentives, and reducing procurement costs. It details specific mechanisms such as green investment banks, energy savings performance contracts, carbon pricing, and reverse auctions, providing examples of legislation and programs from various global jurisdictions to illustrate their application.