The Steward Corporation, which owns 31 hospitals, declared bankruptcy a few weeks ago. In addition to the hospitals it owns in Texas, it also has eight hospitals in Massachusetts.

I have a personal interest in these events because one of the Steward holdings is St. Joseph’s, where I was born. It is the oldest hospital in Houston. At the time of my birth, St. Joseph’s was a Catholic hospital, staffed in large part by nuns wearing habits.

In recent years, the hospital has been owned by a series of private equity firms, who envisioned ways of making a profit while delivering high-quality healthcare.

In Massachusetts, state leaders were outraged by Steward’s bankruptcy and lambasted the private equity firms:

Steward’s troubles in Massachusetts have drawn the ire of political figures including U.S. Sens. Elizabeth Warren and Edward Markey, who have said the company’s previous private equity owners “sold (Steward) for parts” and “walked away with hundreds of millions of dollars.” 

Massachusetts Gov. Maura Healey said Monday that the state had been preparing for a possible bankruptcy filing. Despite the filing, she said, Steward hospitals will remain open and patients should keep their appointments.

“This situation stems from and is rooted in greed, mismanagement and lack of transparency on the part of Steward leadership in Dallas, Texas,” Healey said Monday. “It’s a situation that should never have happened and we’ll be working together to take steps to make sure this never happens again.”

No such outrage in Texas, where state leaders worship at the shrine of the market.

Julian Gill of The Houston Chronicle wrote about the failure of Steward.

St. Joseph Medical Center is poised to be sold after its Dallas-based owner, Steward Health Care, this week filed for Chapter 11 bankruptcy, according to court documents. 

On Tuesday, the day after filing for Chapter 11 protections, Steward said in court documents that it plans to sell all of its hospital properties, which include St. Joseph and 30 other hospitals throughout the U.S. According to court documents, the company is “exploring a reorganization around a smaller footprint of hospitals.” 

Representatives for St. Joseph and Steward could not immediately be reached for comment.

Upon announcing the bankruptcy Monday, Steward said day-to-day operations are expected to continue without interruption during the bankruptcy proceedings…

St. Joseph is Houston’s only downtown hospital and the oldest general hospital in the city. The hospital has more than 700 beds, officials previously told the Chronicle, and many of its patients are covered by Medicaid and Medicare. In addition to St. Joseph, the bankruptcy affects hospitals in Odessa, Big Spring, Port Arthur, and Texarkana

St. Joseph has changed hands multiple times over the last two decades. In 2006, the hospital was sold to North Carolina-based Hospital Partners of America, Inc., after the previous owners, Christus Health, said it couldn’t afford to modernize the hospital’s aging buildings, according to earlier reports in the Chronicle. Hospital Partners initially invested heavily in the hospital but declared bankruptcy about two years later.

In 2011, a Tennessee-based company, Iasis Healthcare, acquired a majority interest in the hospital as part of the bankruptcy process. Iasis merged with Steward in 2017.