From nearly the moment of Steward's founding in 2010, Massachusetts officials failed to discipline the Boston-born hospital chain for regulatory violations, check its aggressive expansion plans and relentless cost-cutting, or respond forcefully to dire warnings as it spiraled toward financial collapse, the Spotlight Team has found. Critical reports were softened, alarming financials went unheeded, and broken promises by Steward were unpunished. These failures spanned multiple administrations and contributed to a crisis that has harmed communities and cost lives.