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2025-01-21
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kijiji barrie Jim Cramer Says ‘EPAM Systems, Inc. (EPAM)’s Strength Is A Green Light To Buy Salesforce and ServiceNow’Determined to ensure the stability of the price of rice at the retail level, Agriculture Secretary Francisco Tiu Laurel has been doing the rounds of Kadiwa ng Pangulo kiosks where the staple is selling at ₱40 per kilo. This comes on the heels of latest projections made by the US Department of Agriculture. The USDA eyes a looming increase in rice imports, spurred by production declines caused by La Niña and a series of natural disasters that have hit the country’s rice-producing areas, drastically reducing yields at a time when demand is on the rise. This confluence of factors presents not only economic but also social ramifications, particularly for the lowest income classes, who are most vulnerable to price hikes and food insecurity. According to the USDA, the Philippines is set to become the world’s largest rice importer for three consecutive marketing years. This marks a troubling shift, as the country moves from a self-sufficient producer to a net importer, relying increasingly on foreign rice to meet domestic demand. While rice imports have historically played a role in balancing supply shortages, the sheer scale of expected imports — projected at around 5.4 million metric tons in 2024-2025 — highlights the growing gap between production and consumption. This gap is widening due to a surge in rice consumption. Rice is a staple in the Filipino diet, and for many, it is the primary source of sustenance. From 14.8 million metric tons (MT) in 2020-2021, rice consumption in the Philippines is expected to rise to 17.4 million MT in the 2024-2025 marketing year. This increase is driven by several factors, including population growth, changing dietary habits, and the socio-economic realities faced by millions of Filipinos. As consumption continues to climb, the supply side struggles to keep pace, further exacerbating the need for imports. Rice is not just a food item. It’s a cornerstone of economic stability for many Filipino families. The lowest-income classes, particularly those living in rural areas where rice is grown, are most exposed to the fluctuating prices and availability of the commodity. Typhoons and extreme weather events have already driven up production costs, and now the anticipated increase in imports will likely push domestic rice prices higher due to a combination of market dynamics and logistical challenges. The impact on low-income families could be devastating. With rising rice prices, these households will spend an even larger proportion of their income on food. According to the Philippine Statistics Authority, food accounts for more than 40 percent of household expenditure among the lowest 30 percent of income earners. A rise in rice prices would, therefore, have an outsized effect on their purchasing power, further entrenching poverty and inequality. With cheaper imports flooding the market, many small-scale rice farmers are likely to be pushed into even deeper poverty. To mitigate the impact of these changes, the government must adopt more comprehensive measures. First, improving domestic rice production through investments in irrigation, farming technology, and disaster-resilient crops could help reduce the need for imports in the future. Second, addressing the rising cost of rice through targeted subsidies or price controls can help protect the most vulnerable populations from the worst effects of inflation. Lastly, creating more robust social safety nets for farmers, including income support and disaster relief, would provide a cushion against market volatility.

CJ Donaldson has two short TD runs, West Virginia beats UCF 31-21 to become bowl eligible12 Health Care Stocks Moving In Tuesday's Pre-Market SessionU.S. stock indexes drifted lower in the runup to the highlight of the week for the market, the latest update on inflation. The S&P 500 slipped 0.3% Tuesday and marked its first back-to-back losses in three weeks. The Dow Jones Industrial Average fell 0.3%, and the Nasdaq composite also fell 0.3%. Oracle dragged on the market after reporting weaker growth than analysts expected. Treasury yields rose in the bond market ahead of Wednesday’s inflation report, which will be among the final big pieces of data before the Federal Reserve’s meeting on interest rates next week. On Tuesday: The S&P 500 fell 17.94 points, or 0.3%, to 6,034.91. The Dow Jones Industrial Average fell 154.10 points, or 0.3%, to 44,247.83. The Nasdaq composite fell 49.45 points, or 0.3%, to 19,687.24. The Russell 2000 index of smaller companies fell 10.06 points, or 0.4%, to 2,382.77. For the week: The S&P 500 is down 55.36 points, or 0.9%. The Dow is down 394.69 points, or 0.9%. The Nasdaq is down 172.53 points, or 0.9%. The Russell 2000 is down 26.22 points, or 1.1%. For the year: The S&P 500 is up 1,265.08 points, or 26.5%. The Dow is up 6,558.29 points, or 17.4%. The Nasdaq is up 4,675.89 points, or 31.1%. The Russell 2000 is up 355.70 points, or 17.5%.

How major US stock indexes fared Tuesday, 12/10/2024Head to Best Buy to save $300 off this Apple MacBook Pro ahead of the holidays, today only!

Net loss of ($2.5 million) during the third quarter of fiscal 2024 compared to a net loss of ($11.9 million) during the third quarter of fiscal 2023 Company reiterated $15.5 million implemented SaaS ARR adjusted EBITDA breakeven run rate expectation Company accelerated expectation for achievement of SaaS ARR adjusted EBITDA breakeven run rate to the first half of fiscal 2025 ATLANTA, Dec. 16, 2024 (GLOBE NEWSWIRE) -- Streamline Health Solutions, Inc. ("Streamline" or the "Company") STRM , a leading provider of solutions that enable healthcare providers to proactively address revenue leakage and improve financial performance, today announced financial results for the third quarter of fiscal 2024, which was the three-month period ended October 31, 2024, and the nine-month period ended October 31, 2024. Fiscal Third Quarter and Nine-Months Ended October 31, 2024 GAAP Financial Results The following financial results have been prepared in accordance with Generally Accepted Accounting Principles ("GAAP"). Total revenue for the third quarter of fiscal 2024 was $4.4 million compared to $6.1 million during the third quarter of fiscal 2023. For the nine months ended October 31, 2024, revenue totaled $13.2 million compared to $17.2 million during the same period in fiscal 2023. The change in total revenue was attributable to previously announced client non-renewals offset by successful implementation of new SaaS contracts. SaaS revenue for the third quarter of fiscal 2024 totaled $2.9 million, 66% of total revenue, compared to SaaS revenue of $3.9 million, 64% of total revenue during the third quarter of fiscal 2023. For the nine months ended October 31, 2024, SaaS revenue totaled $8.7 million, 66% of total revenue, compared to $10.6 million, 62% of total revenue, during the same period of fiscal 2023. As previously reported, the Company had a SaaS contract which did not renew at the end of its 2023 fiscal year. Net loss for the third quarter of fiscal 2024 totaled ($2.5 million) compared to a net loss of ($11.9 million) during the third quarter of fiscal 2023. For the nine months ended October 31, 2024 net loss totaled ($8.0 million) compared to a net loss of ($17.3 million) during the 2023 period. The third quarter and first nine months of fiscal 2023 included $10.8 million of impairment expenses offset by a $1.2 million and $1.9 million gain, respectively, from valuation adjustments which did not recur during the same periods in fiscal 2024. Net loss during the third quarter and first nine months of fiscal 2024 reflected lower total revenues and higher interest expense offset by reductions in cost of sales, SG&A and R&D expense of $1.9 million and $5.3 million, respectively, primarily due to the Company's strategic restructuring at the end of fiscal 2023. Cash and cash equivalents as of October 31, 2024, were $0.8 million compared to $3.2 million as of January 31, 2024. The Company had no outstanding balance on its revolving credit facility as of October 31, 2024, compared to $1.5 million as of January 31, 2024. Subsequent to the end of the quarter, on November 13, 2024, the Company and its principal lender amended certain financial covenants related to the Company's senior term loan and revolving line of credit, which are described in more detail in the Company's Quarterly Report on Form 10-Q for the fiscal quarter ended October 31, 2024. On November 20, 2024, the Company received a $1.0 million draw from its revolving line of credit. Fiscal Third Quarter and Nine Months Ended October 31, 2024 Non-GAAP Financial Results Adjusted EBITDA for the third quarter of fiscal 2024 was a loss of ($0.3 million) compared to $0.4 million during the third quarter of fiscal 2023. Adjusted EBITDA for the nine months ended October 31, 2024, was a loss of ($1.3 million) compared to a loss of ($1.8 million) during the same period in fiscal 2023. The change in adjusted EBITDA reflects lower total revenue as a result of the previously announced client non-renewals, offset by significant cost savings achieved through the previously announced strategic restructuring. As of October 31, 2024, the Company's total Booked SaaS Annual Contract Value ("ACV") was $14.1 million compared to $15.0 million as of January 31, 2024. $12.0 million of the Booked SaaS ACV was implemented as of October 31, 2024, compared to $11.1 million as of January 31, 2024. Booked SaaS ACV represents the annualized value of all executed SaaS contracts, including contracts that have not been fully implemented as of the measurement date, assuming any contract that expires during the twelve months following the measurement date is renewed on its existing terms unless the Company has knowledge of the non-renewal. The Company reiterated that it believes its adjusted EBITDA breakeven run rate is $15.5 million of implemented SaaS ARR and expects to achieve this run rate during the first half of fiscal 2025. Due to the continued unpredictability of timing related to the closing of new contracts, the Company has not provided more specific guidance related to the timing of bookings. Management Commentary "During the quarter we expanded existing relationships through our new eValuator quality module, completed implementation for key accounts, including our first enterprise clients and added new logo wins. The resulting momentum has led us to accelerate our expected Adjusted EBITDA breakeven timeline," stated Ben Stilwill, President and Chief Executive Officer of the Company. "The Streamline team is focused on expanding our client footprint, maintaining a high caliber of client service, improving our solutions and progressing our financial goals and our mission to ensure our nation's health systems are paid for all of the care they provide." Conference Call The Company will conduct a conference call on Tuesday, December 17, 2024, at 9:00 AM ET to review results and provide a corporate update. Interested parties can access the call by joining the live webcast: click here to register . You can also join by phone by dialing 877-407-8291. A replay of the conference call will be available from Tuesday, December 17, 2024 at 12:00 PM ET to Tuesday, December 24, 2024 at 12:00 PM ET by dialing 877-660-6853 or 201-612-7415 with conference ID 13750374. An online replay of the presentation will also be available for six months following the presentation in the Investor Relations section of the Streamline website, www.streamlinehealth.net . About Streamline Streamline Health Solutions, Inc. STRM enables healthcare organizations to proactively address revenue leakage and improve financial performance. We deliver integrated solutions, technology-enabled services and analytics that drive compliant revenue leading to improved financial performance across the enterprise. For more information, visit www.streamlinehealth.net . Non-GAAP Financial Measures Streamline reports its financial results in accordance with U.S. generally accepted accounting principles ("GAAP"). Streamline's management also evaluates and makes operating decisions using various other measures. One such measure is adjusted EBITDA, which is a non-GAAP financial measure. Streamline's management believes that this measure provides useful supplemental information regarding the performance of Streamline's business operations. Streamline defines "adjusted EBITDA" as net earnings (loss) before net interest expense, income tax expense (benefit), depreciation, amortization, share-based compensation expense, valuation adjustments, restructuring charges, transaction related expenses and other expenses that do not relate to our core operations such as severance and impairment charges. A table reconciling this measure to "net loss," to the extent relevant items were recognized in the periods covered, is included in this press release. Booked SaaS ACV represents the annualized value of all executed SaaS contracts, including contracts that have not been fully implemented, as of the measurement date, assuming any contract that expires during the twelve months following the measurement date is renewed on its existing terms unless the Company has knowledge of the non-renewal. Booked SaaS ACV should be viewed independently of revenue and does not represent revenue calculated in accordance with GAAP on an annualized basis, as it is an operating metric that can be impacted by contract execution start and end dates and renewal rates. Booked SaaS ACV is not intended to be a replacement for, or forecast of, revenue. There is no GAAP measure comparable to Booked SaaS ACV. Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995 Statements made by Streamline Health Solutions, Inc. that are not historical facts are forward-looking statements that are subject to certain risks, uncertainties and important factors that could cause actual results to differ materially from those reflected in the forward-looking statements included herein. Forward-looking statements contained in this press release include, without limitation, statements regarding the Company's growth prospects, anticipated bookings, recognition of revenue from contracts included in Booked SaaS ACV, achievement of a breakeven SaaS ARR run rate, anticipated cost savings from previously announced strategic restructuring, expected improved implementation timelines and lower expenses for our clients, industry trends and market growth, adjusted EBITDA, success of future products and related expectations and assumptions. These risks and uncertainties include, but are not limited to, the timing of contract negotiations and execution of contracts and the related timing of the revenue recognition related thereto, the potential cancellation of existing contracts or clients not completing projects included in the backlog and Booked SaaS ACV, the impact of competitive solutions and pricing, solution demand and market acceptance, new solution development and enhancement of current solutions, key strategic alliances with vendors and channel partners that resell the Company's solutions, the ability of the Company to generate cash from operations, the availability of additional debt and equity financing to fund the Company's ongoing operations, the ability of the Company to control costs, the effects of cost-containment measures implemented by the Company, availability of solutions from third party vendors, the healthcare regulatory environment, potential changes in legislation, regulation and government funding affecting the healthcare industry, healthcare information systems budgets, availability of healthcare information systems trained personnel for implementation of new systems, as well as maintenance of legacy systems, fluctuations in operating results, effects of critical accounting policies and judgments, changes in accounting policies or procedures as may be required by the Financial Accounting Standards Board or other similar entities, changes in economic, business and market conditions impacting the healthcare industry generally and the markets in which the Company operates and nationally, the Company's ability to maintain compliance with the terms of its credit facilities, and other risks detailed from time to time in the Streamline Health Solutions, Inc. filings with the U. S. Securities and Exchange Commission. Readers are cautioned not to place undue reliance on these forward-looking statements, which reflect management's analysis only as of the date hereof. The Company undertakes no obligation to publicly release the results of any revision to these forward-looking statements, which may be made to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events, except as required by law. Company Contact Jacob Goldberger Vice President, Finance 303-887-9625 jacob.goldberger@streamlinehealth.net STREAMLINE HEALTH SOLUTIONS, INC. UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (rounded to the nearest thousand dollars, except share and per share information) Three Months Ended October 31, Nine Months Ended October 31, 2024 2023 2024 2023 Revenues: Software as a service $ 2,933,000 $ 3,924,000 $ 8,734,000 $ 10,630,000 Maintenance and support 878,000 1,070,000 2,651,000 3,327,000 Professional fees and licenses 608,000 1,139,000 1,841,000 3,278,000 Total revenues 4,419,000 6,133,000 13,226,000 17,235,000 Operating expenses: Cost of software as a service 1,512,000 1,677,000 4,356,000 5,159,000 Cost of maintenance and support 42,000 129,000 127,000 250,000 Cost of professional fees and licenses 831,000 1,072,000 2,558,000 3,202,000 Selling, general and administrative expense 2,880,000 4,122,000 9,060,000 12,079,000 Research and development 1,134,000 1,304,000 3,569,000 4,310,000 Impairment of goodwill — 9,813,000 — 9,813,000 Impairment of long-lived assets — 963,000 — 963,000 Total operating expenses 6,399,000 19,080,000 19,670,000 35,776,000 Operating loss (1,980,000 ) (12,947,000 ) (6,444,000 ) (18,541,000 ) Other (expense) income: Interest expense (496,000 ) (266,000 ) (1,457,000 ) (781,000 ) Valuation adjustments — 1,182,000 (115,000 ) 1,905,000 Other — — (2,000 ) 31,000 Loss before income taxes (2,476,000 ) (12,031,000 ) (8,018,000 ) (17,386,000 ) Tax benefit — 120,000 — 59,000 Net loss $ (2,476,000 ) $ (11,911,000 ) $ (8,018,000 ) $ (17,327,000 ) Basic and Diluted Earnings Per Share: Net loss per common share – basic and diluted* $ (0.61 ) $ (3.15 ) $ (2.01 ) $ (4.61 ) Weighted average number of common shares – basic and diluted* 4,055,268 3,780,689 3,981,406 3,756,420 *The Company effected a 15-for-1 reverse stock split effective as of 12:01am Eastern Daylight Time on October 4, 2024, and the Company's common stock began trading on a split adjusted-basis when the market opened on October 4,2024. Comparative periods have been adjusted to reflect the impact of the reverse stock split. STREAMLINE HEALTH SOLUTIONS, INC. CONDENSED CONSOLIDATED BALANCE SHEETS (rounded to the nearest thousand dollars, except share and per share information) October 31, 2024 January 31, 2024 (Unaudited) ASSETS Current assets: Cash and cash equivalents $ 754,000 $ 3,190,000 Accounts receivable, net of allowance for credit losses of $59,000 and $86,000, respectively 2,824,000 4,237,000 Contract receivables 1,248,000 780,000 Prepaid and other current assets 567,000 629,000 Total current assets 5,393,000 8,836,000 Non-current assets: Property and equipment, net of accumulated amortization of $328,000 and $291,000 respectively 52,000 88,000 Capitalized software development costs, net of accumulated amortization of $9,368,000 and $7,960,000, respectively 5,165,000 5,798,000 Intangible assets, net of accumulated amortization of $5,246,000 and $4,019,000, respectively 10,844,000 12,071,000 Goodwill 13,276,000 13,276,000 Other 1,236,000 1,666,000 Total non-current assets 30,573,000 32,899,000 Total assets $ 35,966,000 $ 41,735,000 LIABILITIES AND STOCKHOLDERS' EQUITY Current liabilities: Accounts payable $ 1,610,000 $ 1,253,000 Accrued expenses 1,518,000 2,023,000 Current portion of term loan 2,250,000 1,500,000 Deferred revenues 6,095,000 7,112,000 Acquisition earnout liability 377,000 1,794,000 Total current liabilities 11,850,000 13,682,000 Non-current liabilities: Term loan, net of current portion and deferred financing costs 5,883,000 7,566,000 Line of credit — 1,500,000 Notes payable, net of deferred financing costs 4,129,000 — Deferred revenues, less current portion 190,000 173,000 Total non-current liabilities 10,202,000 9,239,000 Total liabilities 22,052,000 22,921,000 Commitments and contingencies Stockholders' equity: Common stock, $0.01 par value per share, 85,000,000 shares authorized; 4,265,821 and 3,929,446 shares issued and outstanding, respectively 43,000 590,000 Additional paid in capital 137,588,000 133,923,000 Accumulated deficit (123,717,000 ) (115,699,000 ) Total stockholders' equity 13,914,000 18,814,000 Total liabilities and stockholders' equity $ 35,966,000 $ 41,735,000 STREAMLINE HEALTH SOLUTIONS, INC. UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (rounded to the nearest thousand dollars) Nine Months Ended October 31, 2024 2023 Net loss $ (8,018,000 ) $ (17,327,000 ) Adjustments to reconcile net loss to net cash used in operating activities: Depreciation and amortization 3,594,000 3,264,000 Accrued interest expense - notes payable 507,000 — Valuation adjustments 115,000 (1,905,000 ) Benefit for deferred income taxes — (104,000 ) Share-based compensation expense 1,483,000 1,626,000 Impairment of goodwill — 9,813,000 Impairment of long-lived assets — 963,000 Provision for credit losses (58,000 ) — Changes in assets and liabilities: Accounts and contract receivables 1,003,000 4,299,000 Other assets (116,000 ) (65,000 ) Accounts payable 357,000 109,000 Accrued expenses and other liabilities (505,000 ) (417,000 ) Deferred revenue (1,000,000 ) (2,417,000 ) Net cash used in operating activities (2,638,000 ) (2,161,000 ) Cash flows from investing activities: Purchases of property and equipment — (47,000 ) Capitalization of software development costs (667,000 ) (1,562,000 ) Net cash used in investing activities (667,000 ) (1,609,000 ) Cash flows from financing activities: Repayment of bank term loan (1,000,000 ) (500,000 ) Repayment of line of credit (1,500,000 ) — Proceeds from line of credit — 500,000 Proceeds from issuance of common stock 100,000 — Proceeds from notes payable 4,400,000 — Payments of acquisition earnout liabilities (886,000 ) — Payments related to repurchase of common shares to satisfy employee tax withholding (77,000 ) (271,000 ) Payments for deferred financing costs (168,000 ) — Other — — Net cash provided (used in) by financing activities 869,000 (271,000 ) Net decrease in cash and cash equivalents (2,436,000 ) (4,041,000 ) Cash and cash equivalents at beginning of period 3,190,000 6,598,000 Cash and cash equivalents at end of period $ 754,000 $ 2,557,000 STREAMLINE HEALTH SOLUTIONS, INC. RECONCILIATION OF NET LOSS TO NON-GAAP ADJUSTED EBITDA (Unaudited, rounded to the nearest thousand dollars) Three Months Ended Nine Months Ended In thousands, except per share data October 31, 2024 October 31, 2023 October 31, 2024 October 31, 2023 Adjusted EBITDA Reconciliation Net Loss $ (2,476 ) $ (11,911 ) $ (8,018 ) $ (17,327 ) Interest expense 496 266 1,457 781 Tax benefit — (120 ) — (59 ) Depreciation and amortization 1,187 1,105 3,260 3,186 EBITDA $ (793 ) $ (10,660 ) $ (3,301 ) $ (13,419 ) Share-based compensation expense 451 517 1,483 1,626 Impairment of goodwill — 9,813 — 9,813 Impairment of long-lived assets — 963 — 963 Non-cash valuation adjustments — (1,182 ) 115 (1,905 ) Acquisition-related costs, severance, and transaction-related bonuses 16 213 372 389 Restructuring charges — 749 — 749 Other non-recurring charges — — — (33 ) Adjusted EBITDA $ (326 ) $ 413 $ (1,331 ) $ (1,817 ) Source: Streamline Health Solutions, Inc. © 2024 Benzinga.com. Benzinga does not provide investment advice. All rights reserved.Critical Metals Corp. Appointment of CFO and Board TransitionEven as a storm brought freezing temperatures and a foot of snow to Santa Fe on Nov. 7, Margaret Acton knew she couldn't wait a single day more. After six long years, her mother was moving back into the family home. “She left to go to church and she never came back until last week," Acton said in a November interview. It was 87-year-old Eloisa Bustos' dying wish to be able to move out of an assisted living facility and back into her home. She is now in hospice care. "We’re just going to be happy every day and share the love" for as much time as she has left, Acton said. Bustos, diagnosed with Alzheimer's disease, could still rattle off the full address of her home on Don Cubero Avenue when she walked up the ramp to the front door Nov. 7, supported by her son-in-law Doug Acton and a walker. She was able to return after renovations that came with high costs and some bureaucratic headaches. "I'm so happy to be here," Bustos said in a video Acton took to document the occasion. "You don't know how happy I am. Thanks be to God." For a long time, "happy" is a word the family didn't hear from Bustos very often. The devout Catholic went to Mass at the Cathedral Basilica of St. Francis of Assisi one day six years ago and had a medical emergency, tearing her aorta and collapsing in a pew. She was taken by ambulance to a hospital where she underwent intensive surgery, Acton said, and the family was told she had only three years to live. Bustos beat that prediction but cycled through several senior living facilities because she had become too frail to live in her historic home unaided. Bustos spent two years at Brookdale Senior Living, which cost the family $5,500 a month. They transferred her to Pacifica Senior Living, which at $4,500 was one of the most affordable facilities in the city — but, the family discovered, also was beset with problems. The troubled facility announced in the spring it was transitioning to a 55-plus independent living community — now called Sierra Blanca Apartments — giving most of its residents just a short time to find other housing arrangements. Bustos' family moved her to MorningStar Assisted Living & Memory Care of Santa Fe. Acton spoke highly of the center but said it was a steep jump in cost: "We went from paying $4,500 a month for a suite at Pacifica to $6,700 for a room." In the meantime, work was underway to make the home Bustos and her late husband had purchased in the early 1970s livable for her again, which took a tremendous amount of work. “I could have bought everyone in my family a brand-new car” for what it cost to remodel the house, Acton said, estimating the total at more than $300,000. She credited Doug Acton's work as a paramedic in the film industry for keeping the family afloat financially. "If it wasn't for him, none of this would be possible," she said. Work included fixing the basement after the radiator broke, causing flooding; installing a new HVAC system; converting the shower into a bathtub; installing a ramp; and redoing the stucco, which had begun to crack so much a gap in the front room was almost large enough to see through. Along with the cost, Acton said the family ran into problems with the city of Santa Fe's Historic Preservation Division, which she said initially refused to give the family permission to install a ramp because it would alter the facade of the historic home. Built in the 1950s, the home is designated as a "contributing" property under city ordinances regulating buildings in historic districts. "I was like, 'Can I charge admittance?' ” Acton recalled thinking at the time. The ombudsman for the New Mexico Aging and Long-Term Service Department wouldn't allow Bustos to leave MorningStar unless a ramp was installed outside her home. Department spokesperson Joey Long said the ombudsman's office, previously housed in the Care Transitions Program, is now managed by Adult Protective Services. The program helps residents living in long-term care facilities safely transition back into community settings, Long said, or into another residential facility. Ombudsmen serve as "dedicated advocates for residents’ rights, ensuring that residents’ voices are heard and their needs are met," Long wrote in an email. Acton said the state ombudsman also wouldn't release Bustos from MorningStar unless the family could show they had around-the clock medical care, which would have cost more than keeping her at the center. However, because Doug Acton, a retired Santa Fe Fire Department deputy fire chief, is a licensed paramedic and the Actons are now living in the home with Bustos, the state agreed to release her after the ramp was finally installed. Acton said she was frustrated by the holdup the city created in moving Bustos back into her own home, which forced the family to spend thousands of dollars at MorningStar for each additional month of delay. "That isn't a call the city of Santa Fe should make," she said. The family eventually got permission to install the ramp, but Acton said the experience has soured her on the city's oversight of historic buildings. "Don't make it so hard that when you're elderly, that you can't get back home," she said. "Because that just defeats the purpose of working so hard to own your home.” A city official asked if the family planned to remove the ramp after Bustos died, she added, a question she found insensitive. Santa Fe Planning and Land Use Director Heather Lamboy said the request to install Bustos' ramp went through an administrative approval process in October. Staff determined the family did not need a construction permit to install it, but did require a safety inspection, which has yet to be scheduled. "We told them to go ahead and install it and schedule an inspection so we know everything is safe," she said. Enforcing historic regulations with consideration for accessibility requirements under the Americans with Disabilities Act is a balancing act, Lamboy said, and city staff work to find solutions that meet everyone's needs. "With historic buildings, the intent is not to change what we call primary facades or the facades that have been designated by the [Historic Districts Review] Board as having the most historic interest," she said. The youngest of eight, Bustos worked for the National Park Service for 30 years and then worked 17 years as an office manager at the cathedral, retiring at 79. When this year’s Fiesta Court visited MorningStar in September, Acton said they immediately flocked to Bustos. "They all wanted a blessing; they all wanted hugs," Acton said. "All the people [at MorningStar] were like, 'Who's your mom?' And I said, 'She's someone special.' ” Despite all the challenges of moving her mother back home, Acton said she wouldn't trade it. One day in April, when Bustos was still living in a suite at the former Pacifica Senior Living, she had sat quietly, not appearing to have much awareness of her surroundings, while others spoke about their frustrations with the troubled facility. It was a far cry from her affect on a day in mid-November as she visited with family in her own home, occasionally interjecting into the conversation and smiling as Acton's dogs Mister and Shug scampered around the room. Once a week, a nurse and a social worker from the hospice care agency Compassus come by to check on Bustos, and another woman comes to shower her twice a week. A spiritual adviser also comes by every week, who prays with her and gives her Communion. The experience has brought a tremendous amount of peace to the family, Acton said. "It should be like that for every elder, if you ask me," she said. "They earned it." Now that her mother has entered hospice care, Acton senses she doesn't have much more time, something she said she's trying to prepare herself for emotionally. "I've been a little nervous because I know it's coming, and I know it's coming soon," Acton said, starting to tear up. "But at least I got her home, and that's what matters. I got my mom home."

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