Get to Know Us

Rex Burgdorfer is a Partner at Juniper Advisory with over 20 years of investment banking and strategic financial advisory services experience.  He has advised all forms of nonprofit hospital systems on M&A transactions, including academic, community 501(c)3, faith-based, and local government entities.  Rex was previously with Morgan Stanley and holds an MBA from the Kellogg School of Management at Northwestern University.

Rex sits on the faculty of The Governance Institute, the investment committee of Purple Arch Ventures, and lectures at both Notre Dame and Kellogg on microeconomic auction theory and pricing strategies in change-of-control transactions.  He is a member of the Coalition to Strengthen America’s Healthcare.

Select Publications

• “The Scale Imperative in Managed Care: The Compounding Disadvantage Facing Sub-Scale Hospitals.” Health System M&A Commentary. April 2026.
• “The Changing Participants in Today’s Health System M&A Market.” The Governance Institute. June 2025.
• “Webinar Series – Medicaid Cuts Through Budget Reconciliation.” Epstein Becker Green. April 2025.
• “Partnering to Improve Community Health beyond the Hospital – Good Governance Case Study.” The Governance Institute. July 2024.
• “NASA and SpaceX: Observations for Public Hospitals.” The Governance Institute. May 2024.
• “The Corner Series Podcast – Hospital M&A and Private Equity with Rex Burgdorfer.” McGuireWoods. August 2023.
• “Cross-Market Health System Consolidation in a Challenged Industry.” The Governance Institute. June 2023.
• “Stakeholder Management during the Partnership Process.” The Governance Institute. March 2023.
• “Bridging Health Inequity through Health System Partnerships.” The Governance Institute. August 2022.
• “Toxic Individualism and Its Impact on Our Healthcare System.” The Governance Institute. October 2021.
• “What if Trader Joe’s Ran Hospitals?” The Governance Institute. November 2020.
• “Dealmaking in the Sunlight: Navigating Public Hospital M&A.”  McDermott Will & Emery. June 2020.
• “The Growing Role of Attorneys General in Hospital M&A.” Healthcare Law & Compliance Institute. March 2019.
• “Regulatory Implications for Change of Control in Hospital M&A.” The Governance Institute. December 2018.
• “Demonstrating Fairness in a Market Approach to Hospital M&A.” The Governance Institute. September 2018.
• “Valuing the Troubled Hospital.” The Governance Institute. June 2018.
• “Acquisition Currencies in Non-Profit Hospital M&A.” The Governance Institute. March 2018.
• “A Year of Change for Community Hospitals.” The Governance Institute. December 2017.
• “Is Healthcare a Charity, Social Service, or Business? Community Hospital Board Members Contemplate Their Role.” The Governance Institute. September 2017.
• “Membership Substitution Transactions: Why Are They So Misunderstood.” The Bond Buyer. February 2017.
• “Do Hospital Affiliations Risk Becoming the Next Brexit?”  Becker’s Hospital Review. July 2016.
• “Defending the Deal: The Attorney General Review Process in Nonprofit Hospital Conversions.” AHLA Connections. April 2016.
• “What Today’s Hospital Leaders Can Learn from ‘Downton Abbey.’” Becker’s Hospital Review. March 2016.
• “Responding to the HIT Imperative: A Guide for Independent Hospitals.” HFM Magazine. February 2016.
• “The Rise of Hospital Joint Ventures.” Waller Lansden. April 2015.
• “Continuing a Non-Profit Hospital’s Charitable Mission through Mergers and Acquisitions.” The Governance Institute. April 2015.
• “Critical Issues in Hospital Mergers and Acquisitions.” McDermott Will & Emery Special Report. September 2014.
• “The Expanding Range of Strategic Alternatives Available in Hospital System Mergers and Acquisitions.” The Governance Institute. August 2014.
• “Hospital Merger and Acquisition Transactions: A Focus on Retiring Liabilities.” The Governance Institute. October 2013.
• “Hospital and Health System Transactions: 10 Key Legal and Business Issues.” American Law Institute. May 2013.
• “Michigan is a hotbed of acquisition activity.” The Healthcare Investor. November 2012.
• “Current Trends in Hospital Mergers and Acquisitions.” Healthcare Financial Management. March 2012.
• “20 Best Practices for Healthcare M&A.” Becker’s Hospital Review. January 2013.
• “Community Considerations for Hospital Transactions.” The Governance Institute. September 2011.
• “Hospital Consolidation Trends in Today’s Healthcare Environment.” The Governance Institute. Standalone White Paper. Summer 2010.

Brent McDonald is a Partner at Juniper Advisory with over 25 years of experience leading development, strategy, investment banking and legal teams to accomplish the strategic goals of national, regional, and community-based healthcare organizations. He was previously Head of Healthcare Strategic Advisory at Bank of America Merrill Lynch, with responsibility for all not-for-profit healthcare M&A coverage at the firm. Prior to BofAML, Brent led the Acquisition & Development department at Tenet Healthcare Corporation, serving as a key member of Tenet’s executive team, advising on strategic direction and responsible for execution of the company’s strategic transactions. Earlier in his career, Brent practiced law at Norton Rose Fulbright with an active practice in healthcare, tax, non-profit, private equity and corporate M&A law.

Brent earned a B.B.A. in Accounting from Baylor University, a J.D. from Baylor School of Law and an LL.M. in Taxation from New York University School of Law. He also completed the Harvard Business School Executive Education Program in Managing Healthcare Delivery.

Select Publications

• “Webinar Series – Medicaid Cuts Through Budget Reconciliation.” Epstein Becker Green. April 2025.
• “Happily Ever After: Strategies to Create Lasting Relationships and Avoid Heartbreak in Your M&A Deals.” American Health Law Association. March 2025.
• “Is your Health System Team Ready for What’s Next? A Recession or More Malaise?” Juniper Advisory. August 2023.
• “Bridging Health Inequity through Health System Partnerships.” The Governance Institute. August 2022.
• “Hospital Mergers, Acquisitions and Partnerships: Perspectives and Execution Strategies.” Louisiana Hospital Association. August 2022.

Farley Reardon is a Partner at Juniper Advisory with over 25 years of corporate development and capital markets experience in the healthcare industry.  At Juniper, he advises healthcare organizations on strategic growth initiatives, including mergers, acquisitions, joint ventures, and divestitures.

Prior to joining Juniper, Farley was Vice President of Strategic Growth and Development at Lifepoint Health, where he led numerous transactions with academic medical centers and health systems and supported the company’s evolution into a diversified healthcare delivery network. Earlier in his career, he worked in institutional fixed income at Robert W. Baird & Co., Morgan Keegan & Co., and J.C. Bradford & Co. Farley holds an MBA from Vanderbilt University’s Owen Graduate School of Management.

Select Publications

• “What happens when a sale is not an option…Affiliate.” Health System M&A Commentary. March 2026.

Jordan Shields is a Partner at Juniper Advisory with over 25 years of experience advising not-for-profit hospitals and health systems on strategic and financial issues. His clients range from premier academic medical centers to some of the country’s largest health systems to critical access hospitals serving an essential need in their communities. Prior to Juniper, Jordan was a member of the health system advisory groups at Navigant and Ernst & Young.

Jordan holds an MBA from the Kellogg School of Management, where he was named Top Student in Health Industry Management by the faculty. He earned his AB from Bowdoin College where he was awarded Honors in Economics for his work measuring the impact of tax exemptions on not-for-profit organizations.

Select Publications

• “Band-Aid Station or Tertiary Center? The Impact of Consolidation on Community Hospital Services.” The Governance Institute. September 2024.
• “A Glimmer of Hope for Rural Obstetrics.” The Governance Institute. October 2023.
• “Post-COVID-19 Future of U.S. Health Care.” Trustee, American Hospital Association. November 2021.
• “Toxic Individualism and Its Impact on Our Healthcare System.” The Governance Institute. October 2021.
• “Post-Pandemic Provider Realignment 2.0: If the Past 12 Months Taught Us Anything.” The Governance Institute. May 2021.
• “What if Trader Joe’s Ran Hospitals?” The Governance Institute. November 2020.
• “Provider Realignment Post-Pandemic.” The Governance Institute. June 2020.
• “Assessing Hospital Preparedness for COVID-19 by Affiliation Status.” Juniper Advisory. May 2020.
• “Public Hospitals and Partnerships.” Trustee, American Hospital Association. February 2018.
• “Navigating Successful Health System Integration.” Trustee, American Hospital Association. September 2016.
• “Do Hospital Affiliations Risk Becoming the Next Brexit?” Becker’s Hospital Review. July 2016.
• “3 Compensation Structures for a More Successful Transaction.” Becker’s Hospital Review. November 2015.
• “The Expanding Range of Strategic Alternatives Available in Hospital System Mergers and Acquisitions.” The Governance Institute. August 2014.
• “Protecting Corporate Value in Affiliation Transactions.” Healthcare Financial Management. April 2014.
• “Developing a Hospital Transaction Strategy and Process.”  Juniper Advisory/McDermott Will & Emery White Paper.  October 2013.
• “Parallel Paths to Realignment: Consolidation in Commercial Banking Offers a Glimpse of Health Care’s Future.”  Trustee, American Hospital Association. October 2013.
• “Is Bigger Always Better? Exploring the Risks of Health System Mega-Mergers.”  Becker’s Hospital Review.  March 2013.
• “Current Trends in Hospital Mergers and Acquisitions.”  Healthcare Financial Management.  March 2012.
• “Protecting Corporate Value during an Ownership Transition.”  The Governance Institute.  January 2012.
• “Community Considerations for Hospital Transactions.”  The Governance Institute.  September 2011.
• “Consolidation Transactions: Will They Make a Comeback?”  The Governance Institute.  July 2011.

Casey Webb is a Partner at Juniper Advisory with more than 15 years of transaction advisory experience within the healthcare industry, focusing primarily on hospital and health system partnerships. Her experience spans the hospital industry, including secular not-for-profit, religious, public, academic, taxable and other specialty hospitals.

Casey was previously with Huron Consulting Group, where she was a founding member of Huron’s investment banking unit.  She graduated summa cum laude with a Bachelor of Science in Finance (honors) from DePaul University, with minors in accounting and economics.

Select Publications

• “A Glimmer of Hope for Rural Obstetrics.” The Governance Institute. October 2023.
• “Assessing Independence & Strategic Options for Higher Education Institutions.” Juniper Advisory. August 2022.
• “Toxic Individualism and Its Impact on Our Healthcare System.” The Governance Institute. October 2021.

Chris Benson is a Managing Director at Juniper Advisory, joining the firm after nearly 25 years at the Mayo Clinic, beginning as an Administrative Fellow and ending as Vice Chair of domestic and international provider relations. This included growing the Mayo Clinic Care Network from inception to over 35 nonprofit health systems in the United States and 11 global members across Mexico, India, China, Korea, Singapore, Philippines, Saudi Arabia, Egypt, the United Arab Emirates.

He has an unparalleled understanding of how organizations in the hospital industry can create value in a variety of non- change-of-control transactions.  His experience includes clinical operations, quality improvement, cultural development and strategic collaborations.

Chris earned a Master of Health Administration at The University of Iowa.

Select Publications

• “A Question of Scale: Insights from Agriculture to Inform Hospital Strategy.” The Governance Institute. March 2026.
• “Culture Change RX Podcast – Should You Really Partner? The Decision That Shapes Your Hospital’s Future.” Capstone Leadership Solutions. March 2026.
• “Partnering to Improve Community Health beyond the Hospital – Good Governance Case Study.” The Governance Institute. July 2024.
• “NASA and SpaceX: Observations for Public Hospitals.” The Governance Institute. May 2024.
• “Transforming Governance: From Surviving to Thriving.” Trustee, American Hospital Association. September 2023.

Adam Davis is an Executive Director at Juniper Advisory with over ten years of healthcare finance and advisory experience. At Juniper, he leads and supports a variety of M&A transactions for both not-for-profit and for-profit clients that have a range of strategic needs. He was previously at Fitch Ratings, focusing on health system, hospital and senior living credits. He was responsible for monitoring outstanding ratings and assigning new ones to bond issues for a portfolio of companies, while also contributing to various industry research pieces.

Prior to joining Fitch, Adam was at Cain Brothers in New York focused on the healthcare industry. While at Cain, Adam fulfilled and led a variety of analytical functions for tax-exempt and taxable bond financings that funded new capital projects, restructurings, and/or acquisitions. His background in capital markets and credit strengthens Juniper’s assessment of clients’ financial situations, spending capabilities and valuations. Prior to Cain Brothers, Adam was at Moody’s Investors Service.

Adam earned a BA in Government and Economics at Bowdoin College and an MBA from the Baruch College – Mt. Sinai School of Medicine program in New York.

Select Publications

• “Running in Place: The Cycle That Keeps Health Systems from Growing.” Health System M&A Commentary. June 2026.
• “A Question of Scale: Insights from Agriculture to Inform Hospital Strategy.” The Governance Institute. March 2026.
• “Why a health system’s growth strategy should include a build-versus-buy analysis.” Healthcare Financial Management. October 2024.
• “Health System Growth Strategies: Considerations for Buying vs. Building Assets.” The Governance Institute. September 2024.
• “Is your Health System Team Ready for What’s Next? A Recession or More Malaise?” Juniper Advisory. August 2023.
• “Cross-Market Health System Consolidation in a Challenged Industry.” The Governance Institute. June 2023.
• “Assessing Hospital Financial Viability in a Period of Economic Disruption.” The Governance Institute. November 2022.
• “Hospital Mergers, Acquisitions and Partnerships: Perspectives and Execution Strategies.” Louisiana Hospital Association. August 2022.
• “Health Systems’ Financials Look Very Different in 2022.” Juniper Advisory. August 2022.

Jamie Burgdorfer is a Principal at Juniper Advisory and has concentrated on domestic and international M&A assignments his entire career. He has further specialized in merger work for the healthcare industry since 1992. Prior to forming Juniper, he co-led the M&A group of John Nuveen & Co. and was a member of Citigroup’s mergers and acquisitions department and the corporate finance group at A.G. Becker.  Jamie is a past member of the Faculty of The Governance Institute.

Jamie holds an MBA from the University of Michigan.

Dave Gordon is a Principal at Juniper Advisory and has spent his entire investment banking advisory experience concentrated in the healthcare services industry. Prior to forming Juniper, he co-led the M&A groups of Ponder & Co. and John Nuveen & Co. Previously, he managed the healthcare services group at Piper Jaffray.

Dave holds an MBA from the University of Notre Dame.

Ansley Geary is an Associate at Juniper Advisory with expertise as a CPA in accounting, financial modeling, and transaction analysis. She brings several years of strategic and financial advisory experience, including her time at Ernst & Young, where she supervised audit engagements for multinational public and private companies.

At Juniper Advisory, Ansley supports all phases of the firm’s engagements, with a particular focus on financial diligence, valuation, and data-driven insights that inform strategic decision-making. She is based in Boston, Massachusetts. Ansley earned both her Bachelor of Business Administration in Accounting and her Master of Accountancy from the University of Georgia.

Select Publications

• “The Scale Imperative in Managed Care: The Compounding Disadvantage Facing Sub-Scale Hospitals.” LinkedIn Newsletter. April 2026.

Nina Leutz is an Associate at Juniper Advisory with over four years of healthcare strategy consulting experience working with leading healthcare payers and providers. As an Associate at Juniper Advisory, she supports the firm’s transactions from end to end, including data and financial analysis as well as developing presentation materials.

Prior to Juniper, she was a Senior Associate in the Strategy and Business Transformation group at Kaufman Hall, where she focused on assisting hospitals, health systems, and payers nationwide address complex problems to facilitate growth.

Nina earned her Bachelor of Science degree in Science-Business from the University of Notre Dame.

Charles Willett is an Analyst at Juniper Advisory, where he supports the firm’s transactions with a focus on financial analysis and execution.

Prior to joining Juniper, he held investment banking positions at Robert W. Baird & Co. and Brown Gibbons Lang & Company, where he supported a range of healthcare M&A transactions.

Charles graduated Cum Laude from the Honors College at Miami University’s Farmer School of Business, earning a Bachelor of Science in Finance with a minor in Business Analytics.

Angela Adams is Director of Operations at Juniper Advisory and oversees administration and manages the day-to-day office operational functions of the firm. In this role, she supports Juniper’s hospital clients during all phases of engagements.

She oversees logistics and office management for the full team nationwide. Prior to joining Juniper, Angela managed the office operations for a software development company, supporting its C-suite professionals.

Angela holds a BA from Northern Illinois University.

Edward Davis is Finance Director at Juniper Advisory overseeing its financial and tax affairs since the inception of the firm. Edward was a Certified Public Accountant in one of the “Final Four” U.S. public accounting firms where he was a partner specialized in accounting and tax solutions for mid-sized businesses. He also has extensive industry experience as a financial and tax executive and business owner.

Edward holds a BA degree in business administration from Texas Christian University.

Setina Hinojosa-Hanna is the Marketing Manager at Juniper Advisory overseeing communications strategies at the firm.  She has an extensive background in digital and creative fields specializing in enhancing brand visibility and engagement.  Prior to Juniper, Setina worked for Girl Scouts promoting growth, equity, and inclusion.

Setina holds a BA in Marketing and Management from Oklahoma State University.