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The report details the ownership of Prospect Medical Holdings by Leonard Green & Partners from 2010 to 2021, alleging that the firm used dividend recapitalizations and sale-leaseback transactions to siphon $658 million in fees and dividends. This financial extraction occurred while Prospect hospitals suffered from low quality ratings, staffing shortages, and severe financial losses, eventually leading to service cuts and facility closures in states like Pennsylvania and Texas. The document argues that Leonard Green exited its majority stake in 2021, leaving the hospitals with substantial liabilities and diminished resources.

The report examines Wellpath, a major provider of healthcare services to U.S. prisons and jails owned by H.I.G. Capital. It details systemic failures in patient intake, medication management, and staffing levels, citing investigations by the U.S. Department of Justice and other watchdogs. The document also analyzes Wellpath's expansion into non-correctional psychiatric care for children and its use of political contributions to secure contracts with local sheriffs.

The Upper Rio Grande Basin is in moderate condition with an overall score of 54% (C), facing severe threats from climate change, drought, and population pressure. While municipal water supplies remain strong, annual low flows are critically low, and the river's natural hydrology is heavily altered, particularly in southern New Mexico and Texas. Scenario modeling indicates that rising temperatures and declining precipitation will further reduce water availability for agriculture and ecological flows by 2050. Proposed mitigation strategies include reducing irrigation losses, fallowing agricultural land, and reducing municipal water demand to restore environmental flows.

The analysis by Climate Central examines how rising sea levels shift tidal boundaries, potentially converting private taxable land into public land and reducing local government funding for schools and services. By mid-century, over 648,000 tax parcels (up to 4.4 million acres) are projected to be at least partially below tidal boundaries, with Florida, Louisiana, and Texas most affected. By 2100, at least $108 billion in assessed property value is at risk, though the actual total is likely higher due to incomplete data.

The document describes resilience hubs as community-serving facilities designed to provide essential resources and reliable power during extreme weather events. It outlines a framework for implementation, emphasizing the importance of community buy-in, strategic siting in trusted locations, and the integration of energy efficiency, solar power, and battery storage to ensure 'hours of safety' for vulnerable residents. The guide also highlights available federal funding sources, such as the Inflation Reduction Act and the Building Resilient Infrastructure and Communities program, to support these initiatives.

The document examines how healthy soils in agriculture and natural ecosystems (forests, wetlands, and grasslands) can act as carbon sinks. It highlights regenerative agriculture practices, the importance of protecting peatlands and native prairies, and the role of Indigenous knowledge. However, it warns that soil sequestration cannot replace the need for greenhouse gas emission cuts and faces challenges such as measurement standardization and the risk of displacing food production.

The Inflation Reduction Act (IRA) of 2022 provides significant tax credits and financing to lower the cost of clean electricity and facilitate the retirement of fossil fuel infrastructure. Independent modeling suggests the IRA could make 73% to 76% clean electricity the lowest-cost pathway for the U.S. by 2030, potentially reducing electricity sector GHG emissions by 67% to 78% from 2005 levels. However, the report argues that realizing these benefits requires proactive state-level policy, including updated procurement assumptions by Public Utility Commissions, increased clean electricity standards from legislators, and strategic coordination by governors to address transmission and supply-chain constraints.

Between 2000 and 2021, the U.S. experienced 1,542 major weather-related power outages, with 83% of all reported major outages attributed to weather. The average annual number of these events increased by approximately 78% in the 2011-2021 decade compared to 2000-2010. Severe weather, winter weather, and tropical cyclones were the primary drivers, with the Southeast, Midwest, and Northeast regions most affected. To address these vulnerabilities, the document suggests solutions such as microgrids, smart grid technologies, grid hardening, and bidirectional charging for electric vehicles.

Climate Central's analysis of U.S. power outage data from 2000-2021 reveals a significant increase in large-scale disruptions, with 83% of major outages attributed to weather-related events. The report highlights that the frequency of major outages rose by 64% between 2011-2021 compared to 2000-2010, driven by severe weather, winter storms, hurricanes, extreme heat, and wildfires. It emphasizes the vulnerability of aging infrastructure and the compounding effects of climate change, which simultaneously increases electricity demand for cooling while reducing the capacity of power plants due to water shortages. The report identifies the Southeast as the region with the highest number of outages and notes specific recent surges in Texas, California, and Michigan.

A coalition of environmental and community groups argues that SSM exemptions in Clean Air Act section 111 regulations are unlawful and disproportionately harm low-income communities and communities of color. The petitioners claim these loopholes allow industrial facilities to emit pollutants far exceeding normal levels without consequence, particularly during natural disasters. They assert that the D.C. Circuit's ruling in Sierra Club v. EPA established that emissions standards must apply continuously, making the current SSM exemptions and the 'general duty' provision legally invalid. The document calls for a unified rulemaking to remove all remaining NSPS and NESHAP loopholes to ensure public health protection and environmental justice.

A coalition of environmental organizations opposes Venture Global's CP2 Express Pipeline project, arguing that the application is incomplete, fails to assess cumulative environmental impacts, and violates the public trust duties of the Louisiana Department of Natural Resources.

The document examines how human-caused climate change and warming sea surface temperatures are increasing the proportion of intense tropical cyclones and the frequency of rapid intensification events. It highlights that tropical cyclones are the costliest weather disasters in the U.S., with 73% of billion-dollar storms since 1980 having undergone rapid intensification. The text notes that while landfalling hurricane frequency in the continental U.S. remained stable from 1900-2017, economic losses have risen due to increased population and wealth along the Gulf and East Coasts.

The report finds that strong methane standards in the U.S. oil and gas sector would create significant employment without negatively impacting drilling activity. The CATF 65% plan is projected to create nearly 220,000 total jobs (including 64,000 direct jobs), while the EPA proposal would create 92,000 total jobs (including 27,000 direct jobs). These jobs span manufacturing, installation, and ongoing operations and maintenance, with a significant portion being non-offshorable and potentially unionized.

The analysis finds that 236 counties in 21 US states face cancer risks exceeding the EPA's one-in-a-million threshold due to oil and gas pollution, affecting nearly 14 million people. The report identifies benzene, formaldehyde, and acetaldehyde as the primary drivers of this risk, accounting for 96% of the estimated cancer risk. It highlights that the population living in high-risk counties increased from 9 million in 2016 to 14 million in 2022, primarily due to industry growth. The report argues that implementing proven methane-reduction technologies, such as leak detection and repair and the replacement of gas-driven pneumatic equipment, would also significantly reduce toxic hazardous air pollution.

The document examines the increasing legal vulnerability of companies regarding plastic leakage into the environment. It highlights significant settlements for plastic pellet spills in the US and Europe, the potential for lawsuits against consumer brands and producers for macroplastic waste, and the role of economic losses—such as those in the fishing and tourism industries—in driving future strategic litigation.

The report examines the rapid growth of proof-of-work cryptocurrency mining in the U.S. following China's 2021 ban. It argues that the industry's high energy demands drive the revival of defunct fossil-fuel power plants, increase greenhouse gas emissions, and place financial burdens on electricity ratepayers. The document also details local harms, including noise and water pollution, and debunks industry claims regarding sustainability and grid stability.

The document argues that current US electricity market designs—including energy-only, capacity, and hybrid models—fail to support the rapid deployment of variable renewable energy (VRE) because they lack a functional 'energy markets cascade' that connects long-term investment to real-time pricing. To resolve this, the author proposes Organized Long-Term Markets (OLTMs), which would standardize long-term energy delivery contracts, increase liquidity and transparency, and allow for the optimization of diversified resource portfolios. The paper details the design of OLTMs, including the roles of producers, consumers, and facilitators, and applies the concept to the specific challenges faced by ERCOT, CAISO, and ISO New England.

The report examines the intersection of the U.S. nursing shortage and private equity's expansion into travel nursing. It argues that while the pandemic exacerbated staffing issues, structural problems and profit-seeking by hospitals created a vulnerability that travel nursing agencies and private equity firms have exploited. The document details how private equity firms use leveraged buyouts and dividend recapitalizations to extract value from staffing agencies, while agencies have seen profit margins grow from 15% in 2019 to 62% in 2022. It also covers legislative efforts to address price gouging and the push for mandated staffing ratios.

Since 1970, fall temperatures in the contiguous U.S. have increased by an average of 2.7 °F, with warming observed in 97% of 245 analyzed cities. The most significant warming occurred in Nevada, Texas, and Arizona, with Reno, Nevada, recording the highest increase at 7.7 °F. This trend has led to a higher frequency of above-normal fall days, affecting 74% of analyzed cities. These temperature shifts extend health risks from extreme heat, prolong pollen and wildfire seasons, allow disease-carrying insects to persist longer, and disrupt ecological events such as bird migrations and fruit ripening.

RMI's analysis of historical data reveals that the US federal government grossly underfunds the Low-Income Home Energy Assistance Program (LIHEAP), with funding needing to increase 10 to 20 times above 2021 levels to cover all eligible families. Significant gaps in service exist, particularly in California and Texas, driven by both funding shortages and barriers to access such as lack of awareness and complex application procedures. While recent legislation like the Inflation Reduction Act provides targeted funds for weatherization and efficiency, RMI argues for a comprehensive approach that centers community-based organizations to resolve underlying energy justice issues.