Health System Transaction Experts

Our Experience

When 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

Outcomes

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 Experts

20+

Trusted Experts

100%

Focused on Health System Partnerships

1

Common Goal

A Healthcare Leaders Guide to Successful Mergers & Acquisitions

Hospital Partnerships, Mergers & Acquisitions — We Wrote the Book

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Featured Insights

Special Report: Healthcare M&A Predictions for 2024

December 31, 2023 | Publications

Read what trends our team believes will shape the healthcare M&A market and hospital industry next year. They share thoughts on performance, headwinds, trends in business combinations, and issues across...

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Juniper Advisory Adds Farley Reardon to its Health System M&A Advisory Group in Nashville

November 2, 2023 | News & Events

We are pleased to announce the addition of Farley Reardon as Managing Director in Juniper Advisory’s health system M&A Advisory group in Nashville. “I have worked with Juniper for over a decade and...

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A Glimmer of Hope for Rural Obstetrics

October 1, 2023 | Publications

Juniper Advisory suggests an innovative approach to address the growing crisis in access to obstetrics services. Jordan Shields, Partner, Casey Webb, Managing Director, and Duncan Cannon, Analyst, assess the challenges...

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has sold to We advised Quorum Health Corporation on this transaction.
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has sold to We advised Quorum Health Corporation on this transaction.

Quorum Health has sold Fannin Regional Hospital to Java Medical Group

July 3, 2023

Transaction Involving: Investor-owned

Assigment: Sale

Quorum Health Completes Transaction with Java Medical Group.

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Achieving superior results for community institutions

Our Experience
has joined We advised Gerald Champion Regional Medical Center on this transaction.
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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,

Assigment: Member Substitution

Gerald Champion Regional Medical Center Joins CHRISTUS Health.

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Achieving superior results for community institutions

Our Experience
has joined We advised Mid-Columbia Medical Center on this transaction.
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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,

Assigment: Member Substitution

Mid-Columbia Medical Center Joins Adventist Health.

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Achieving superior results for community institutions

Our Experience
has joined a member of We advised Genesis Health System on this transaction.
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has joined a member of We advised Genesis Health System on this transaction.

Genesis Health System has joined MercyOne

March 3, 2023

Transaction Involving: Non-profit 501(c)3

Assigment: Member Substitution

Genesis Health System and MercyOne Complete Partnership.

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Achieving superior results for community institutions

Our Experience
has joined We advised Olathe Health on this transaction.
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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,

Assigment: Member Substitution

Olathe Health has joined The University of Kansas Health System.

Achieving superior results for community institutions

Our Experience
in partnership with has acquired three hospitals from We advised LCMC Health on this transaction.
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in partnership with has acquired three hospitals from We advised LCMC Health on this transaction.

LCMC Health partners with Tulane University in New Orleans, LA

January 3, 2023

Transaction Involving: Academic, Non-profit 501(c)3,

Assigment: Asset Purchase

LCMC Health, in partnership with Tulane University, has acquired three hospitals from HCA Healthcare.

Achieving superior results for community institutions

Our Experience
has merged to join We advised University of the Sciences on this transaction.
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has merged to join We advised University of the Sciences on this transaction.

University of the Sciences has joined St. Joseph’s University

June 1, 2022

Transaction Involving: Academic, Non-profit 501(c)3,

Assigment: Member Substitution Merger, Consolidation

University of the Sciences in Philadelphia, PA joined St. Joseph’s University in Philadelphia, PA.

Achieving superior results for community institutions

Our Experience
has sold its 50% interest in to We advised Temple University on this transaction.
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has sold its 50% interest in to We advised Temple University on this transaction.

Temple University in Philadelphia, PA

November 4, 2021

Transaction Involving: Academic

Assigment: Purchased Interest

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
has joined We advised National Health Investors, Inc. on this transaction.
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has joined We advised National Health Investors, Inc. on this transaction.

Kentucky River in Jackson, KY

November 4, 2021

Transaction Involving: Investor-owned

Assigment: Asset Purchase

National Health Investors (NYSE: NHI), a publicly traded Real Estate Investment Trust (REIT) has divested Kentucky River Medical Center in Jackson, KY to Quorum Health. This was NHI’s sole acute care hospital, and the transaction reflects a portfolio management strategy to focus on core business operations.

Achieving superior results for community institutions

Our Experience
evaluates growth opportunities We advised both Natividad and the County on this project
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evaluates growth opportunities We advised both Natividad and the County on this project

Monterey County’s Natividad Medical Center explores strategic growth opportunities

July 10, 2021

Transaction Involving: Local Government, Non-profit 501(c)3,

Assigment: Lease Strategic Advisory

Monterey County’s Natividad Medical center explores strategic growth opportunities in an aim to bridge health inequity.

Achieving superior results for community institutions

Our Experience
has merged to join We advised Illinois Valley on this transaction.
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has merged to join We advised Illinois Valley on this transaction.

Illinois Valley Community Hospital has joined St. Margaret’s Health

January 8, 2021

Transaction Involving: Faith-Based, Non-profit 501(c)3,

Assigment: Member Substitution

Illinois Valley Community Hospital in Peru, IL joined St. Margaret’s Health in Spring Valley, IL, a member of SMP Health System.

Achieving superior results for community institutions

Our Experience
announced acquisition, did not close We advised Beaumont Health on this transaction.
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announced acquisition, did not close We advised Beaumont Health on this transaction.

Beaumont Health announced acquisition of Summa Health

September 1, 2020

Transaction Involving: Non-profit 501(c)3

Assigment: Acquisition

Beaumont Health announced the acquisition of Summa Health but did not close. We advised Beaumont Health on this transaction.

Achieving superior results for community institutions

Our Experience

Recent Transactions

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Our 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...

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...

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...

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....

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...

In the Press

The Middle Market - Mergers & Acquisitions

PAIGE HAGY

Diagnosis Shows Distressed Deals Ahead for Small Hospital Systems

01/30/24

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Modern Healthcare

ALEX KACIK

Government-owned hospitals seek health system partners

11/02/23

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Modern Healthcare

ALEX KACIK

Midwest hospital M&A market heats up, but faces policy hurdles

08/01/23

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