Prospect Medical Holdings is a private healthcare company based in Los Angeles, California which operates 16 hospitals in the United States, mainly in California and the Northeastern United States.[1][2][3]
| Company type | Private |
|---|---|
| Industry | Healthcare |
| Founded | 1996 in California, US |
| Headquarters | , US |
Number of locations | 16 hospitals (2024) |
Area served | |
Key people |
|
| Services | Hospital operation |
Number of employees | 18,000 (2024) |
| Subsidiaries |
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| Website | www |
History
editProspect was founded in 1996 by a group of physicians in California. In 2010, private equity firm Leonard Green & Partners (LGP) acquired a 61.3% stake in Prospect in a $363 million leveraged buyout.[3]
Amid the hospital system's fiscal troubles, Leonard Green attempted twice to sell the company in 2015 and 2018, but failed due to the company's poor financials. Prospect then initiated a $1.31 billion dividend recapitalization, which allowed it to refinance its debt and landed Leonard Green $658.4 million in dividends and management fees.[3]
In 2019, Prospect sold its California, Connecticut, and Pennsylvania hospital real estate to Medical Properties Trust (MPT), a healthcare real estate investment trust, for $1.386 billion in order to pay off debt. However, this sale-leaseback transaction stuck Prospect's hospitals with triple-net leases, requiring that the hospitals pay rent, property taxes, and maintenance on the properties.[3]
In 2021, Leonard Green once again attempted to sell the chain, this time aiming to sell to Prospect's other part-owners, David Topper and Sam Lee. Approval for LGP's attempted sale was held up by the Rhode Island attorney general, who, given the dire financial situation LGP was leaving the health system in, conditioned its approval on LGP placing $120-150 million in escrow to back up its two fiscally strained hospitals in the state. In response to the AG's conditions, LGP threatened to shut down the hospitals. The pressure of potential loss of healthcare services led the AG to lower the escrow obligation to $80 million while also requiring LGP to commit over $30 million to the system during the transition.[4]
Also in 2021, Prospect and Yale New Haven Health (YNHH) began talks aimed at a sale of Prospect's three Connecticut hospitals to YNHH.[5] The two companies in 2022 signed a $435 million agreement for the transfer of Waterbury Hospital, Manchester Memorial Hospital, and Rockville General Hospital.[6] However, following a high-profile six-week cyberattack in 2023 by hacker group Rhysida against Prospect, YNHH began to raise concerns about Prospect's financial difficulties. These troubles were only worsened by the cyberattack, and led to a $7 million bailout by the state to keep the hospitals running. Problems included stalled Medicaid payments resulting from the attack, as well as deteriorating maintenance conditions at the hospitals and overdue bills to outside vendors. As a result, YNHH proposed a "Recovery Plan," wherein Prospect would lower the purchase price in exchange for YNHH providing immediate managerial support in the wake of the attack. The deal would also require financial support from the state.[5] The state indicated its support for the new plan in March 2024,[7] however YNHH sued Prospect in May[8] to terminate the deal, stating that Prospect violated their 2022 purchase agreement by failing to make rent payments on the hospitals, not paying their taxes, and driving away physicians and vendors.[9] Prospect responded through a countersuit, alleging that YNHH deliberately stalled the closing of the deal in order to lower their monetary commitment.[8][9]
Hospitals
edit- California
- Bellflower Behavioral Health Hospital
- Foothill Regional Medical Center
- Los Angeles Community Hospital
- Norwalk Community Hospital
- Southern California Hospital at Culver City
- Southern California Hospital at Hollywood
- Van Nuys Behavioral Health Hospital
- Connecticut
- Eastern Connecticut Health Network
- Manchester Memorial Hospital
- Rockville General Hospital
- WaterburyHEALTH
- Eastern Connecticut Health Network
- Pennsylvania
- Crozer Health
- Crozer-Chester Medical Center
- Delaware County Memorial Hospital
- Springfield Hospital
- Taylor Hospital
- Crozer Health
- Rhose Island
- CharterCARE Health Partners
References
edit- ^ Golvala, Katy; Carlesso, Jenna (October 29, 2023). "In 2016, Rockville was a bustling local hospital. Then Prospect Medical took over". The Connecticut Mirror. Archived from the original on August 29, 2024. Retrieved September 2, 2024.
- ^ Altimari, Dave; Carlesso, Jenna (March 27, 2024). "CT approves Prospect Medical-YNHH deal, paving the way for sale". The Connecticut Mirror. Archived from the original on July 2, 2024. Retrieved September 2, 2024.
- ^ a b c d Batt, Rosemary; Appelbaum, Eileen; Katz, Tamar (July 9, 2024). "The Role of Public REITs in Financialization and Industry Restructuring" (PDF). Institute for New Economic Thinking. doi:10.36687/inetwp189. Archived from the original (PDF) on March 31, 2024. Retrieved September 2, 2024.
- ^ Batt, Rosemary; Appelbaum, Eileen; Katz, Tamar (July 9, 2024). "The Role of Public REITs in Financialization and Industry Restructuring" (PDF). Institute for New Economic Thinking. doi:10.36687/inetwp189. Archived from the original (PDF) on March 31, 2024. Retrieved September 2, 2024.
- ^ a b Martinez-Garcia, Alexanrda; Viswanathan, Giri (October 13, 2023). "Following cyberattack, YNHH seeks state funding, price cut to acquire hospitals". Yale Daily News. Archived from the original on July 14, 2024. Retrieved September 3, 2024.
- ^ Koda, Asuka (August 30, 2024). "Yale New Haven Health System and Prospect Medical Holdings in a legal battle over the $435 million hospital acquisition deal". Yale Daily News. Archived from the original on September 1, 2024. Retrieved September 3, 2024.
- ^ Koda, Asuka; Martinez-Garcia, Alexandra; Viswanathan, Giri; McPhail, Adam (March 28, 2024). "State permits Yale New Haven Health System to acquire Prospect hospitals". Yale Daily News. Archived from the original on May 9, 2024. Retrieved September 3, 2024.
- ^ a b Koda, Asuka (August 30, 2024). "Yale New Haven Health System and Prospect Medical Holdings in a legal battle over the $435 million hospital acquisition deal". Yale Daily News. Archived from the original on September 1, 2024. Retrieved September 3, 2024.
- ^ a b Diaz, Naomi (July 2, 2024). "Prospect Medical sues Yale New Haven over stalled acquisition". Becker's Hospital Review. Archived from the original on July 3, 2024. Retrieved September 3, 2024.