Successful Transactions for Nonprofit Clients.
Our ExperienceWhen outcomes matter, experience matters.
Juniper Advisory helps our clients evaluate and close partnership transactions. We measure success by the outcomes we realize for our nonprofit clients. The financial metrics we help achieve for our clients speak for themselves – 25%-50% above industry averages. Non-financial outcomes are harder to quantify, but we have unparalleled success in maximizing these as well.
125+
~$250mm Transactions
16
Years of Leadership
$31B+
Transaction Value
What Our Clients are Saying
"Our primary goal in this process has been to preserve MMC as a viable health care provider in this location for future generations. That is our key responsibility at a board. After a thorough evaluation, we believe that joining Spectrum Health is the best possible solution for the communities and people we serve, as well as for our doctors and staff."
- Al Deering, Board Chair, Memorial Medical Center
"The best practices that they are bringing forth are improving our entire organization. In the near future, our system is eager to bring additional services and products to serve the community, such as virtual care, a 24-hour nurse line and a continued commitment to improving our patient's health care experience."
- Kevin Vermeer, UnityPoint Health
"We felt we needed to continue to grow and develop our marketplace with a clinical partner who will help us with evidence-based protocols and prepare for population health, and a financial partner who will bring us the strength to do the investments we need to do. When you see our partner expanding services, building projects, hiring more people, generating tax revenues, and improving quality, it's easy to see why hospital mergers and acquisitions are becoming the new normal."
- Scott Becker, CEO, Conemaugh Health
Meet our committed team of experts.
We have dedicated our careers to bringing the high level of expertise and care demanded in for-profit transactions to our not-for-profit clients. We understand our clients, their motivations in considering partnerships and, most of all, how to help them meet their objectives. Whether it is maintaining services, expanding access, protecting employees or other considerations, our expertise is in maximizing objectives to achieve superior outcomes.
Our Experts15
Trusted Experts
400+
Years Combined Experience
1
Common Goal
A Healthcare Leaders Guide to Successful Mergers & Acquisitions
Hospital Partnerships, Mergers & Acquisitions — We Wrote the Book
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Recent Insights
Toxic Individualism and Its Impact on Our Healthcare System
November 4, 2021 | Publications
COVID-19 exposed competing forces within the missions of many standalone hospital systems. These forces include a rugged American individualism on one hand and the desire to efficiently meet the healthcare...
Read MorePost-Pandemic Provider Realignment 2.0: If the Past Year Taught Us Anything
May 21, 2021 | Publications
By Jordan Shields, Partner, Juniper Advisory, and Brian Fuller, Principal, PYA Calling 2020 a challenging year for the country as a whole and for providers in particular would be a...
Read MoreThe Intersection of Mission and Margin in Behavioral Healthcare
March 23, 2021 | Publications
As behavioral healthcare has transformed from a nascent local patchwork of services to one of our country’s leading industries, many providers hold steadfast to their missions that have roots going...
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Indian River Medical Center has joined the Cleveland Clinic
January 17, 2019
Transaction Involving: Academic, Local Government,
Assigment: JV, JOA, Lease
Indian River Medical Center has joined the Cleveland Clinic. Juniper advised Indian River Medical Center on this transaction.
Achieving superior results for community institutions
Our Experience
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Ingalls Health System has been acquired by UChicago Medicine
October 12, 2016
Transaction Involving: Academic, Non-profit 501(c)3,
Assigment: Aquisition
Ingalls Health System has been acquired by UChicago Medicine. Juniper advised UChicago Medicine on this transaction.
Achieving superior results for community institutions
Our Experience
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Aria Health has been acquired by Jefferson
July 8, 2016
Transaction Involving: Academic, Non-profit 501(c)3,
Assigment: Merger, Consolidation
Aria Health has been acquired by Jefferson. Juniper advised Aria Health on this transaction.
Achieving superior results for community institutions
Our Experience
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Conemaugh Health System has been acquired by Duke LifePoint Healthcare
September 2, 2014
Transaction Involving: Academic, Non-profit 501(c)3,
Assigment: JV, JOA, Lease
Conemaugh Health System has been acquired by Duke LifePoint Healthcare. Juniper advised Conemaugh Health System on this transaction.
Achieving superior results for community institutions
Our Experience
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KishHealth System has been acquired by Northwestern Memorial Healthcare
December 3, 2015
Transaction Involving: Academic, Non-profit 501(c)3,
Assigment: Merger, Consolidation
KishHealth System has been acquired by Northwestern Memorial HealthCare. Juniper advised KishHealth System on this transaction.
Achieving superior results for community institutions
Our Experience
Memorial Medical Center of West Michigan has been acquired by Spectrum Health
February 1, 2013
Transaction Involving: Non-profit 501(c)3
Assigment: Merger, Consolidation
Achieving superior results for community institutions
Our Experience
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St. Joseph Hospital & Health Center has been acquired by Ascension Health
February 1, 1993
Transaction Involving: Faith-Based
Assigment: Merger, Consolidation
St. Joseph Hospital & Health Center a subsidiary of Christus Health has been acquired by Ascension Health. Juniper advised Christus Health on this transaction.
Achieving superior results for community institutions
Our Experience
Halifax Regional Health System has merged with Sentara Healthcare
January 1, 2013
Transaction Involving: Non-profit 501(c)3
Assigment: Merger, Consolidation
Achieving superior results for community institutions
Our Experience
Read More
Behavioral Health Institute has been acquired by Via Christi Health
March 1, 1993
Transaction Involving: Faith-Based, Investor-owned,
Assigment: Aquisition
Behavioral Health Institute a subsidiary of Charter Medical has been acquired by Via Christi Health. Juniper advised Via Christi Health on this transaction.
Achieving superior results for community institutions
Our Experience
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Alpena Regional Medical Center has been acquired by MidMichigan Health
April 13, 2016
Transaction Involving: Academic, Local Government,
Assigment: JV, JOA, Lease
Alpena Regional Medical Center has been acquired by MidMichigan Health, a University of Michigan Health System affiliate. Juniper advised Alpena Regional Medical Center on this transaction.
Achieving superior results for community institutions
Our Experience
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Good Shepherd Health System has been acquired by CHRISTUS Health
February 7, 2017
Transaction Involving: Faith-Based, Non-profit 501(c)3,
Assigment: JV, JOA, Lease
Good Shepherd Health System has been acquired by CHRISTUS Health. Juniper advised Good Shepherd Health System on this transaction.
Achieving superior results for community institutions
Our Experience
Read More
J.C. Blair Health System has joined Penn Highlands Healthcare
June 14, 2019
Transaction Involving: Non-profit 501(c)3
Assigment: Merger, Consolidation
The Huntingdon, PA-based J.C. Blair Health System has officially joined Penn Highlands Healthcare. J.C. Blair Memorial Hospital, a 71-bed, non-profit community hospital, is now known as Penn Highlands Huntingdon, making it the fifth hospital in the Penn Highlands Healthcare system. Juniper advised J.C. Blair on the transaction.
Achieving superior results for community institutions
Our Experience
Marquette General Hospital has been acquired by Duke LifePoint Healthcare
January 1, 2012
Transaction Involving: Academic, Non-profit 501(c)3,
Assigment: JV, JOA, Lease
Achieving superior results for community institutions
Our Experience
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Our Lady of Fatima Villa has been acquired by CareTrust REIT and Kalesta Health Care
September 24, 2018
Transaction Involving: Faith-Based, Investor-owned,
Assigment: Sale
Our Lady of Fatima Villa has been acquired by CareTrust REIT which will lease the healthcare facility to affiliates of a local firm, Kalesta Healthcare.
Achieving superior results for community institutions
Our Experience
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Pennock Healthcare System has been acquired by Spectrum Health
May 1, 2015
Transaction Involving: Non-profit 501(c)3
Assigment: Merger, Consolidation
Pennock Healthcare System has been acquired by Spectrum Health. Juniper advised Pennock Healthcare System on this transaction.
Achieving superior results for community institutions
Our Experience
Read More
Platte Valley Medical Center has been acquired by SCL Health
October 6, 2015
Transaction Involving: Faith-Based, Non-profit 501(c)3,
Assigment: Merger, Consolidation
Platte Valley Medical Center has been acquired by SCL Health. Juniper advised Platte Valley Medical Center on this transaction.
Achieving superior results for community institutions
Our Experience
Read More
Port Huron Hospital has joined McLaren Health Care
May 2, 2014
Transaction Involving: Local Government, Non-profit 501(c)3,
Assigment: Merger, Consolidation
Port Huron Hospital has joined McLaren Health Care. Juniper advised Port Huron Hospital on this transaction.
Achieving superior results for community institutions
Our Experience
Has sold its 50% interest in
to
Juniper advised Temple University on this transaction
Has sold its 50% interest in
to
Juniper advised Temple University on this transaction
Temple University in Philadelphia, PA
November 4, 2021
Transaction Involving: Academic
Assigment: Sale
Temple University in Philadelphia has divested its 50% ownership stake in Health Partners Plans (HPP) to Jefferson Health. HPP is a non-profit hospital-owned Medicare and Medicaid Health Maintenance Organization (HMO) covering 290,000 lives in Eastern-Pennsylvania. The transaction was valued at $305 million.
Achieving superior results for community institutions
Our Experience
The Bell Tower Residence has entered into a management agreement with Franciscan Advisory Services
January 1, 2010
Transaction Involving: Faith-Based
Assigment: Affiliation
Achieving superior results for community institutions
Our ExperienceOur Approach & Services
Our job is to help clients identify partnership opportunities and evaluate whether a transaction will better position the organization to meet its mission. Our track record is unrivaled in helping clients realize their missions.
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Higher Education
The higher education industry is facing unprecedented stress with emerging signs of a restructuring. Juniper helps our clients assess their situations within this changing environment and position themselves for success...
Hospital M&A
Our team is recognized for having adapted corporate M&A practices and discipline for the not-for-profit hospital industry. We have worked with all types of nonprofit hospital owners including community 501(c)3,...
Joint Ventures
Juniper leads the industry in the use of joint ventures to create value, improve quality and increase access. We have achieved many “first-in-industry” joint ventures for our clients and are...
Non-Acute Services
We have significant experience with managed care plans, behavioral health, physician groups, senior living, intellectual and developmental disability services, ambulatory surgery centers, medical office buildings, dialysis, and numerous other areas....
Partnerships & Affiliations
Transactions where no ownership has changed include Joint Operating Agreements (“JOAs”), Management Agreements, clinical affiliations (both operational and contracting), purchasing groups, information technology consortiums, back-office partnerships and many other forms...
Strategic Advisory
A little over half of our clients decide not to pursue transactions. We are known for our experienced, honest advice, which includes telling clients when they are better positioned to...
In the Press
Modern Healthcare
ALEX KACIK
Health systems eye outpatient sector as hospital M&A continues to slump
01/04/22
Read More