Health System Transaction Experts
Our ExperienceWhen outcomes matter, experience matters.
Juniper Advisory helps clients evaluate and complete partnership transactions. We measure success by the outcomes we realize for our clients. We understand partnerships are more than just financial transactions. We are dedicated to prioritizing your customized objectives. These often include retaining strong local input, staff development, preserving and growing services, and growing community engagement. Clients trust Juniper to navigate the complexities of this transformative journey, ensuring a future where your hospital thrives.
250+
Assignments
35+
Years of Leadership
50%
Premium to Market Averages
What Our Clients are Saying
"As part of MercyOne, Genesis will be able to leverage the skill, talent and scale of national and regional resources while retaining our local leadership and focus. We will deepen our commitment to quality, safety and patient experience and strengthen our workforce retention and recruitment efforts. By joining MercyOne, Genesis will continue our ability to grow, thrive and deliver more integrated care in the region."
- Doug Cropper, CEO, Genesis Health System
"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
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 Experts20+
Trusted Experts
100%
Focused on Health System Partnerships
1
Common Goal
A Healthcare Leaders Guide to Successful Mergers & Acquisitions
Introducing Volume II
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Featured Insights
2026 American Health Law Association Health Care Transactions
April 13, 2026 | News & Events
We are pleased to share that Brent McDonald, Managing Director at Juniper Advisory, will be speaking at the American Health Law Association Health Care Transactions Conference. Brent will join an...
Read MoreRegional Medical Center Announces Agreement to Join Orlando Health
April 8, 2026 | News & Events
Transaction Announcement RMC Health System and the City of Anniston have entered into an agreement for Regional Medical Center to join Orlando Health, a private, not-for-profit healthcare system. The agreement...
Read MoreCrestwood Medical Center Joins Huntsville Hospital Health System
April 2, 2026 | News & Events
Transaction Announcement Huntsville Hospital Health System (HH Health) has completed its acquisition of Crestwood Medical Center and select related outpatient assets from an affiliate of Community Health Systems, Inc. This...
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an affiliate of
has joined
We advised Huntsville Hospital Health System on this transaction.
an affiliate of
has joined
We advised Huntsville Hospital Health System on this transaction.
Crestwood Medical Center an affiliate of Community Health Systems has joined Huntsville Hospital Health System
April 2, 2026
Transaction Involving: Local Government
Assignment: Buy-Side
Crestwood Medical Center an affiliate of Community Health Systems has joined Huntsville Hospital Health System. We advised Huntsville Hospital Health System on this transaction.
Achieving superior results for community institutions
Our Experience
has entered into a new management services agreement with
We advised Riverview Health on this Transaction.
has entered into a new management services agreement with
We advised Riverview Health on this Transaction.
Riverview Health Finalizes Management Agreement with Parkview Health
November 11, 2025
Transaction Involving: Local Government
Transaction Type: Management Agreement
Assignment: Sell-Side
Riverview Health and Parkview Health have executed a management services agreement. We advised Riverview Health on this transaction.
Download Case StudyAchieving superior results for community institutions
Our Experience
a member of
divests Siouxland Medical Center to
We advised MercyOne on this transaction.
a member of
divests Siouxland Medical Center to
We advised MercyOne on this transaction.
MercyOne a member of Trinity Health divests Siouxland Medical Center to UnityPoint Health
September 2, 2025
Transaction Type: Member Substitution
Assignment: Buy-Side Sell-Side
MercyOne a member of Trinity Health divests Siouxland Medical Center to UnityPoint Health. We advised MercyOne on this transaction.
Achieving superior results for community institutions
Our Experience
has joined
pursuant to a Chapter 11 membership substitution plan of reorganization
We advised The Bellevue Hospital on this transaction.
has joined
pursuant to a Chapter 11 membership substitution plan of reorganization
We advised The Bellevue Hospital on this transaction.
The Bellevue Hospital has joined Firelands Health
June 16, 2025
Transaction Involving: Non-profit 501(c)3
Transaction Type: Member Substitution
Assignment: Sell-Side
The Bellevue Hospital has joined Firelands Health. We advised The Bellevue Hospital on this transaction.
Achieving superior results for community institutions
Our Experience
has joined
We advised Marshfield Clinic Health System on this transaction.
has joined
We advised Marshfield Clinic Health System on this transaction.
Marshfield Clinic Health System joins Sanford Health
January 2, 2025
Transaction Involving: Non-profit 501(c)3 Physicians
Transaction Type: Member Substitution
Assignment: Sell-Side
Marshfield Clinic Health System has joined Sanford Health. We advised Marshfield Clinic Health System on this transaction.
Achieving superior results for community institutions
Our Experience
has joined
We advised Blount County and BMH on this transaction.
has joined
We advised Blount County and BMH on this transaction.
Blount Memorial Hospital in Blount County, TN joins Prisma Health
December 3, 2024
Transaction Involving: Local Government
Transaction Type: Lease Member Substitution
Assignment: Sell-Side
Blount Memorial Hospital in Blount County, TN joins Prisma Health
Achieving superior results for community institutions
Our Experience
has acquired
former facilities of Steward Health Care
We advised Lawrence General Hospital on this transaction.
has acquired
former facilities of Steward Health Care
We advised Lawrence General Hospital on this transaction.
Lawrence General Hospital Expands Community Care with Acquisition of Steward Health Care’s Holy Family Hospitals
October 1, 2024
Transaction Involving: Non-profit 501(c)3
Assignment: Buy-Side
Lawrence General Hospital has acquired both Holy Family Hospital campuses in Methuen and Haverhill, MA. These are former facilities of Steward Health Care. We advised Lawrence General Hospital on this transaction.
Achieving superior results for community institutions
Our Experience
has joined
We advised Liberty Hospital on this transaction.
has joined
We advised Liberty Hospital on this transaction.
Liberty Hospital joins The University of Kansas Health System
July 1, 2024
Transaction Involving: Academic Local Government
Transaction Type: Lease Member Substitution
Assignment: Sell-Side
Liberty Hospital has joined The University of Kansas Health System. We advised Liberty Hospital on this transaction.
Achieving superior results for community institutions
Our Experience
have combined to form
We advised on this consolidation transaction.
have combined to form
We advised on this consolidation transaction.
Affiliates of United Healthcare Partners have combined to form Aspire Health
January 17, 2024
Transaction Involving: Non-profit 501(c)3
Transaction Type: Consolidation
Assignment: Advisory
Hills & Dales Healthcare, Marlette Regional Hospital, and Deckerville Community Hospital, affiliates of United Healthcare Partners, have combined to form Aspire Health. We advised on this consolidation transaction.
Download Case Study
Achieving superior results for community institutions
Our Experience
has sold
to
We advised Quorum Health Corporation on this transaction.
has sold
to
We advised Quorum Health Corporation on this transaction.
Java Medical Group has acquired Fannin Regional Hospital from Quorum Health
July 3, 2023
Transaction Involving: Investor-owned
Transaction Type: Asset Purchase
Assignment: Sell-Side
Java Medical Group has acquired Fannin Regional Hospital from Quorum Health. We advised Quorum Health Corporation on this transaction.
Achieving superior results for community institutions
Our Experience
has joined
We advised Gerald Champion Regional Medical Center on this transaction.
has joined
We advised Gerald Champion Regional Medical Center on this transaction.
Gerald Champion Regional Medical Center has joined CHRISTUS Health
July 1, 2023
Transaction Involving: Faith-Based Non-profit 501(c)3
Transaction Type: Member Substitution
Assignment: Sell-Side
Gerald Champion Regional Medical Center has joined CHRISTUS Health. We advised Gerald Champion Regional Medical Center on this transaction.
Achieving superior results for community institutions
Our Experience
has joined
We advised Mid-Columbia Medical Center on this transaction.
has joined
We advised Mid-Columbia Medical Center on this transaction.
Mid-Columbia Medical Center has joined Adventist Health
June 1, 2023
Transaction Involving: Faith-Based Non-profit 501(c)3
Transaction Type: Member Substitution
Assignment: Sell-Side
Mid-Columbia Medical Center has joined Adventist Health. We advised Mid-Columbia Medical Center on this transaction.
Achieving superior results for community institutions
Our Experience
has joined
a member of
We advised Genesis Health System on this transaction.
has joined
a member of
We advised Genesis Health System on this transaction.
Genesis Health System has joined MercyOne
March 3, 2023
Transaction Involving: Faith-Based Non-profit 501(c)3
Transaction Type: Member Substitution
Assignment: Sell-Side
Genesis Health System has joined MercyOne. We advised Genesis Health System on this transaction.
Achieving superior results for community institutions
Our Experience
has joined
We advised Olathe Health on this transaction.
has joined
We advised Olathe Health on this transaction.
Olathe Health has joined The University of Kansas Health System
January 5, 2023
Transaction Involving: Academic Non-profit 501(c)3
Transaction Type: Member Substitution
Assignment: Sell-Side
Olathe Health has joined The University of Kansas Health System. We advised Olathe Health on this transaction.
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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Hospital M&A
Our team is recognized for having adapted corporate merger and acquisition practices and discipline for the not-for-profit hospital industry. We have worked with all types of nonprofit hospital owners including...
Independence Assessments
We focus on empowering hospitals and boards with the knowledge and insights necessary for making informed decisions based on real world input. A little over half of our clients decide...
Partnerships & Affiliations
Transactions where no ownership has changed include Joint Operating Agreements, Management Agreements, clinical affiliations (both operational and contracting), purchasing groups, information technology consortiums, back-office partnerships and many other forms of...
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....
Board Education
Health system boards are facing increasing complexity and evolving responsibilities, especially when navigating transformative decisions such as mergers and acquisitions. Juniper Advisory helps board members assess their roles in this...