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Maimonides Health is in talks to merge into New York City’s public hospital network, NYC Health + Hospitals, a move that would place one of Brooklyn’s most prominent independent systems inside the citywide safety-net umbrella. Leaders involved in the discussions say they are aiming to complete an agreement within the next few months.
Maimonides says the proposed merger is driven by both community need and financial pressure on safety-net care. In a Dec. 23 statement, a Maimonides spokesperson called it “a historic opportunity” to “expand our capacity to deliver high-quality care,” “meet the growing needs of our communities,” and “strengthen our financial position,” warning that “federal cuts threaten to reduce support for safety-net hospitals.”
Under the proposed agreement, Maimonides would receive up to $2.2 billion over five years tied to a state grant announced in October. Beyond the grant, becoming part of NYC Health + Hospitals would also position Maimonides to access higher Medicaid reimbursement rates available to public hospitals — a shift expected to translate into millions of dollars in additional revenue each year.
When Governor Hochul first discussed the plan in October, it was publicly framed as a partnership within the state’s broader push to protect and modernize safety-net hospitals. But what’s now taking shape appears to go further: rather than a limited collaboration, Maimonides would become part of the NYC Health + Hospitals system.
Supporters say the practical impact is about preserving and strengthening essential services in Brooklyn — and improving how care is coordinated across facilities. One change highlighted in the public description of the arrangement is a new, more advanced electronic health record system at Maimonides aimed at improving care coordination and the patient experience.
If finalized, the merger would be a significant structural change in New York’s healthcare landscape: a large independent Brooklyn institution would be absorbed into the city’s public system at a time when safety-net providers face persistent financial strain. For patients, it could mean greater continuity of care across a broader network, stronger financial backing for high-need services, and an added layer of stability for a hospital that serves many Medicaid and underserved New Yorkers.
Maimonides and NYC Health + Hospitals say they are continuing to work with stakeholders toward a final agreement.