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Case Study | strategy-catalyst

Meeting the Need, Sustainably: How Stamford Health Optimizes Its Behavioral Health Investment

Title graphic for "Meeting the Need, Sustainably: How Stamford Health Optimizes Its Behavioral Health Investment," with navy and blue type on a white background accented by light blue circles and dotted grids. To the right, three columns separated by thin vertical rules each pair a blue line icon with a short heading and caption: a balance scale for "Restraint as strategy" ("Mission-driven does not mean building everything"); an upward arrow over a bar chart for "Cross service-line integration" ("Embedding within margin-positive service lines sustains the portfolio"); and stacked coins for "A diversified capital strategy" ("Philanthropy, debt, and state funds bridge the capital gap").

Across Strategy Catalyst's research, health system leaders highlighted the importance of behavioral health to community commitments, though approaches to the question of financial sustainability varied widely. Stamford Health's four-phase planning process produced a deliberate strategy to strengthen its behavioral health continuum through expanded inpatient services, new outpatient offerings, and integrated behavioral health care, while avoiding investments in services that could not be delivered sustainably and at a high standard of care. 

Case Study Snapshot

  • Footprint: Stamford Health is an independent non-profit health system located in lower Fairfield County, Connecticut. It is anchored by 305-bed Stamford Hospital and has over 40 Stamford Health Medical Group locations across its service area. 

  • Challenge: Stamford Health’s last three Community Health Needs Assessments (CHNAs) conducted in 2019, 2022, and 2025 named behavioral health as the #1 unmet community need.  

  • Approach: A four-phase, ~16-week service line planning process aligned behavioral health capacity with community need by defining a comprehensive behavioral health strategy that included inpatient expansion, a core set of outpatient services, and integrated behavioral health support across care settings. The process also prioritized long-term operational and financial sustainability, identifying investments that could be staffed and delivered effectively while leveraging philanthropic and governmental funding sources where appropriate. 

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