Maimonides Medical Center will officially merge with NYC Health+Hospitals next year, Mayor Eric Adams announced Monday.
The move, expected to be completed by April 2026, will bring private safety net hospital Maimonides into the city’s public healthcare system.
Officials say the merger, which must first be approved by the state’s Attorney General, will support the financially-struggling Maimonides and keep the hospital afloat.
“By bringing two storied health care systems together under one umbrella, we will ensure that Brooklynites, and all New Yorkers, can continue to receive the high-quality care that they deserve,” Adams said in a statement.
The mayor said that NYC Health+Hospitals is “the envy of cities everywhere,” and that the merger “preserves and strengthens care” in Brooklyn.
In joining Health+Hospitals, Maimonides will be entitled to higher Medicaid reimbursement rates only available to public hospitals. The higher reimbursements are expected to generate “millions of dollars” in additional revenue every year, a Maimonides spokesperson told Brooklyn Paper last week.
A safety-net hospital, more than 80% of Maimonides’ patients are insured by Medicare and Medicaid, according to its Community Services Plan, and the hospital cares for all patients, even if they can’t pay. Medicaid and Medicare don’t reimburse hospitals for the full cost of care, leaving many safety-net hospitals strapped for cash and facing even more dire circumstances with federal Medicaid cuts on the horizon.
With three hospitals and a number of outpatient and specialty facilities, Maimonides has been struggling financially for several years. According to Crain’s, the hospital lost $15 billion in the first three quarters of 2025 and earned just $1.5 million in revenue.
“Joining NYC Health + Hospitals will allow Maimonides to build on our history of providing outstanding specialty care to the communities we have proudly served for decades,” said Maimonides President and CEO Ken Gibbs, in a statement. “We are grateful to have a partner who shares our commitment to working with communities to meet their needs, and we are grateful to Mayor Adams, Governor Hochul, and Dr. Katz for giving us this unique opportunity to expand access to our care across Brooklyn.
The merger will be supported by a $2.2 billion, five-year grant from New York State.
Officials said that patient care will “continue uninterrupted during the transition.” Health+Hospitals CEO Dr. Mitchell Katz said the Borough Park-based Maimonides, which treats a large Orthodox Jewish population, will “retain its unique character and commitment to the communities it serves.”
The merger will also allow Maimonides to start using the electronic health platform Epic, which City Hall said would improve care coordination and allow patients to access their records and contact their providers online.
But the move, which has been in the works for several months, has proved controversial. In November, seven members of Maimonides’ Board of Trustees sued in an attempt to halt a vote on the merger after the Health+Hospitals board voted unanimously in favor of the plan.
In the suit, the Trustees claimed the merger was politically motivated and could reduce the quality of care at Maimonides. They said hospital leaders had ignored offers from other hospital systems, that existing Maimonides doctors might not be considered employees under Health+Hospitals, and that executives had not given the Board enough time to consider the terms of the H+H deal — which they said was worth $15 billion — before a vote was scheduled.
A judge issued a temporary retraining order to prevent the vote, but the injunction was quickly overturned by an appellate court, and Maimonides’ Board of Trustees has since voted to approve the deal.
In court documents filed this month, city attorneys said Health+Hospitals had been improperly left out of the initial lawsuit, and dismissed claims of political influence on the merger as “baseless” and “based entirely on speculative allegations.”
Health+Hospitals also denied the Trustees’ claims that the merger was worth $15 billion, and said the deal “includes commitments to create a Professional Corporation to employ Maimonides’ physicians.”
This is a breaking news story and will be updated.
