In 2010, private equity firm Leonard Green & Partners (LGP) acquired a 61.3% stake in Prospect in a $363 million leveraged buyout.

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.

[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.