The judge overseeing the Steward Health Care bankruptcy has approved a final global settlement order in the case that severs the tie between the hospital system and its landlord, Medical Properties Trust, as well as allowing Trumbull Regional Medical Center and Hillside Rehabilitation Hospital to remain open.

Interim managers took over operations at the local facilities and 13 others elsewhere Sept. 11 under an interim order in the Chapter 11 case that provided the foundation for the final order, which also includes the secured lenders and committee of unsecured lenders.

“All of the interim managers have signed agreements with the debtors to, in the interim, help manage those properties, and we have a number of procedures for actually conveying the properties that are set forth in the order,” Clifford Carlson, an attorney for Steward Health, said during a hearing Tuesday in U.S. bankruptcy court in Houston.

The interim managers for Trumbull Regional and Hillside are Flint, Michigan-based Insight Health System, which has said it intends to pursue ownership of both hospitals; however, another suitor has emerged with an interest to acquire the hospitals — Yates Medical Group LLC of Florida, the CEO of which, Benjamin Yates, rotated at Trumbull Regional as a medical student.

Should a property be ready to convey, a notice identifying the sale and conveyance documents would be filed with the court and “there would be an opportunity for parties to object,” Carlson said, “so we’re not effectuating any conveyance of properties under this order and the debtors are continuing to operate under the license for now and they are the employer of record.”

U.S. Bankruptcy Court Judge Christopher M. Lopez said the settlement “is in the best interest” for Steward Health and its creditors and “allows a realistic opportunity for Steward to put forth a viable Chapter 11 plan.”

Steward Health, based in Dallas, filed for bankruptcy protection May 6, citing billions in debt. Shortly after, the company announced plans to sell off its hospitals.

In August, the company announced it planned to close Trumbull Regional, Hillside and affiliate satellite locations Sept. 20, but that was paused with the Aug. 31 announcement of settlement talks and broad outlines of an agreement.

Meanwhile, Pennsylvania will continue to fund operations at Sharon Regional Medical Center through Dec. 1, when it’s expected Meadville Medical Center will close on a purchase of the downtown Sharon, Pa., hospital.

The commonwealth agreed to pay $4.5 million — $1.5 million this month and in October and November — to keep the facility open in the meantime. A filing in the case Tuesday states the first $1.5 million payment has been made.