UConn Health is preparing to submit a bid for Waterbury Hospital as part of the Prospect Medical Holdings bankruptcy sale, and is also in discussions for a partnership with Day Kimball and Bristol hospitals, a push that could create a new public health care system for Connecticut.
The Waterbury expansion would more than double the inpatient capacity of UConn's John Dempsey Hospital in Farmington, to more than 600 licensed beds from Dempsey's current 257. But as UConn Health's board chairman explained it to me, the acquisition — if the state medical center wins the bid — is not just about adding size.
"Our objective is to create a Connecticut healthcare system powered by UConn, where we partner with a number of hospitals," UConn Health Chair John Driscoll told me. "We’d like to create a third alternative that is lower cost and as high quality."
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A third alternative, that is, to the two large statewide systems: Hartford HealthCare and Yale New Haven Health. It's a risk but if they can pull it off, that could help stabilize rising hospital prices in Connecticut.
Driscoll declined to offer details about any talks for mergers or partnerships with other hospitals. UConn Health said only that it is "in discussions" with both Day Kimball, which is based in Putnam, and Bristol — two of the small handful of remaining independent critical care hospitals left in Connecticut.
It's unclear whether UConn would acquire those hospitals, create clinical partnerships or ink some other arrangements.
Waterbury is one of three Connecticut hospitals on the block as part of the bankruptcy of Prospect Medical, a private, for-profit chain that owns it and two others, Rockville General and Manchester Memorial, which are significantly smaller.
UConn Health is not bidding on Rockville or Manchester, Driscoll told me. The chance to buy Waterbury Hospital sped up the academic medical center's plans for expansion.
"We see Waterbury as a foundational step as we set up a Connecticut hospital system," Driscoll said. "Waterbury fits in that plan. The others do not."
Why a state health care system?
Under the bid, the state would forgive all or part of the roughly $130 million in back taxes Waterbury owes the state, Driscoll said. The state would take on $300 million in debt for Waterbury, and would need an additional subsidy from the state budget of about $25 million a year for a few years.
That's on top of an ongoing annual state subsidy for UConn's John Dempsey Hospital, which has generally been declining. The shortfall in this fiscal year is expected to be less than $60 million on revenues of $1.15 billion, Driscoll said.
The new system would be called the "Connecticut Healthcare System, powered by UConn Health."
UConn Health, Hartford HealthCare and New York-based Northwell Health, which bought Nuvance earlier this year, have all explored bidding on one or more of the three Prospect Medical hospitals in Connecticut, my colleague Liese Klein reported last week, citing sources. A for-profit company, with close ties to the landlord of the Prospect hospitals, won a Prospect bankruptcy bid in California and could also bid in Connecticut, Klein reported.
All of those systems have declined to comment about their plans.
With plenty of interest, critics may ask, why should taxpayers support the creation of a public health care system built around UConn Health, which already requires a subsidy? The answer is that in the vision of Driscoll and UConn Health CEO Dr. Andrew Agwunobi, this will not be your grandparents' UConn hospital system.
"We’re not going to be as big as Hartford or have the storied brand of Yale but we think we can create a three- to four-hospital system that creates more choices at a lower cost," Driscoll said, "for patients in Connecticut."
UConn Health also includes the university's medical and dental schools with many research labs. The board is expected to authorize the Waterbury bid this week.
Hospitals in the UConn-centered system would remain separate, if not independent, and would share clinical services, Driscoll explained. Key to the strategy: Expanding primary care to fill a chronic shortage.
'A perfect example of what can go wrong'
All of this is part of a long-term plan that came out of a study produced in 2024 that showed UConn's Dempsey Hospital must have more capacity if it wants to break even. Driscoll, a business-side, non-physician executive with long experience turning around and merging health care companies, joined the UConn Health board as its chairman at the start of this year and immediately went to work enacting the plan.
The Waterbury Hospital purchase would not lead to staffing cuts as often happens in a merger, Driscoll said. “We think that Waterbury is underinvested and understaffed,” he said. For example, Dempsey has 18 operating rooms, which are so fully booked that the hospital turns away patients for some non-emergency procedures, while Waterbury's 18 operating rooms are underutilized.
The plan has the support of Gov. Ned Lamont and other key leaders, Driscoll said, with a caveat. The deal must get the hospital out from under a landlord arrangement that Prospect created, which led to the bankruptcy. As it stands now, a company separate from Prospect owns the land and buildings and charges Prospect rent.
"The governor is very clear that any state-sponsored bid is not going to pay the people who took the money in the first place. So our bid will be pretty clear on that," Driscoll told me.
It's not clear how that would be worked out with the landowner, Medical Properties Trust, but bankruptcy courts — part of the federal court system — have huge leeway in how they structure deals.
"The history of out-of-state investors taking over troubled hospitals has been one where the hospitals stay in trouble and the states lose even more money," Driscoll said. "It’s not been a pretty history."
He added, "The hollowed out Waterbury Hospital is a perfect example of what can go wrong and I don’t see any reason why the state should try that experiment again."
Digging out of the state subsidy
Helping the UConn bid against potential offers from Hartford HealthCare or Northwell: The state can "clean up the back taxes," Driscoll said, presumably by forgiving some or all of the bill.
The purchase out of bankruptcy might need bonding approval and would need added support in the annual state budget for a few years. But Driscoll said he's confident the Connecticut Healthcare System can eventually become profitable and not need a state subsidy. Evidence of that: John Dempsey Hospital needed a 25 percent subsidy when it had $500 million in patient revenues. Now, more than double that size, it needs less than an 8 percent state backstop.
Meanwhile, the hospital has racked up some major industry awards for the quality of its care.
Driscoll told me in an interview earlier this year that Dempsey is succeeding in squeezing higher payments out of insurance companies, which pay the state-owned hospital far less than they pay average hospital in Connecticut. A standoff against ConnectiCare ended well for UConn Health, he said.
If that payment gap goes away, he said, the subsidy won't be needed.
"Hopefully we win. I believe we will," he said of the bankruptcy bid. "And that will start us down the path of offering more choices and more options and also a better option for the citizens of Waterbury and for Connecticut."
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