
Publications

Evaluating Opportunities for Government-Sponsored Hospitals
The COVID-19 pandemic is straining hospital and governmental resources. It is also serving as a catalyst for a major evolution of our nation’s healthcare delivery system, the likes of which...
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Dealmaking in the Sunlight: Navigating Public Hospital M&A
Public hospitals have a uniquely open relationship to the communities they serve, which invites a level of transparency as they consider potential mergers and acquisitions. So what kind of M&A...
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Assessing Hospital Preparedness for COVID-19 by Affiliation Status
Overview System hospitals tend to have more ICU beds, higher case mix indices and are more likely to be a part of physician integration networks compared to like-sized standalone hospitals....
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Provider Realignment Post-Pandemic
The COVID-19 crisis exposed the high cost of fragmentation within the healthcare industry and will serve as the seminal event that ushers in an era of greater provider integration and...
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COVID-19 Impact on Healthcare M&A
The COVID-19 pandemic has upended our nation and our healthcare delivery system. The extreme pressure being put on hospitals during this crisis will permanently change the way healthcare is sought...
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Are Hospitals Prepared for a Recession?
News coverage of a possible economic recession flared late this summer with a yield curve inversion, a bond market phenomenon that is historically associated with a financial downturn. The curve...
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The Intersection of Mission and Margin
As healthcare has transformed from a nascent local patchwork of services to one of our country’s leading industries, hospitals hold steadfast to their missions that have roots going back a...
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Government-Affiliated Hospital Business Combinations: The Governance Dynamic
Many governmental hospitals might benefit from ownership change; in certain instances it is acutely needed. They face the same pressures to improve quality and lower costs that challenge most hospitals...
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Santa Clara County Succeeds in Securing the Future of Endangered Local Hospitals
The County of Santa Clara (Calif.) assumed responsibility for the operation of O’Connor Hospital in San José, St. Louise Regional Hospital in Gilroy, and De Paul Health Center in Morgan...
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Analysis: Hospitals Buoyed by Tenuous Investment Income
Investment income resulting from a strong stock market has propped up many standalone hospitals’ balance sheets over the past two years, according to a recent evaluation by Juniper Advisory. In...
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Regulatory Implications for Change-of-Control
Often, one of the chief terms to be negotiated during a hospital merger is who will govern the hospital post transaction. Will the existing hospital board retain control through an...
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Analysis: Hospitals Buoyed by Tenuous Investment Income
Investment income resulting from a strong stock market has propped up many standalone hospitals’ balance sheets over the past two years, according to a recent evaluation by Juniper Advisory. In...
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