
Publications

Demonstrating Fairness in a Market Approach to Hospital M&A
Last year, we noted that the majority of hospitals and health systems are exploring their options when it comes to potential partnerships. We are starting to see more multi-state transactions...
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Our Take: Considering Quality in a Business Combination
Of the umpteen elements hospital leaders evaluate when considering the viability of a potential partner, quality is generally at the top of the list. A larger partner can bring the scale,...
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Our Take: A Case Study of Rural Success
Rural providers have been somewhat insulated by the transformation in the health care market over the past decade. Caught between understanding and implementing population health strategies, they are still heavily...
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Valuing the Troubled Hospital
Financial difficulties are commonly the catalyst for hospitals to begin exploring partnership options. As Rex Burgdorfer, Juniper Advisory Vice President, outlines in his latest article “Valuing the Troubled Hospital”, court-led...
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Multi-State Health Systems: On Their Way at Last
As mid-size health systems seek growth and meaningful scale, the most effective way to achieve this will be system combinations, and these will include those across state lines. The recently...
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Acquisition Currencies in Non-Profit Hospital M&A
We note how health systems will likely “pay” for their newfound acquisition appetite, and review techniques that are being utilized. The potential for an increased pace of change is focusing...
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Public Hospitals and Partnerships
Hospitals and health systems face an array of compounding pressures. Chief among these is a shift to population health and value-based care models that require health systems to not only...
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A Year of Change for Community Hospitals
As 2017 comes to an end, we thought it would be helpful to The Governance Institute membership to provide some observations regarding the state of health system merger and acquisition...
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Is Healthcare a Charity, Social Service, or Business?
Board members of independent hospital companies are in the cross-hairs. They govern during a time of intense industry and societal change. Situated at the center of a national struggle, they...
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Membership Substitution Transactions: Why Are They So Misunderstood?
Membership substitution transactions are the most common form of business combination transaction in the nonprofit hospital industry. They are also widely misunderstood and the source of many mistakes. Many large...
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Hospital Industry Structure: Considering the Impact of the Affordable Care Act
In its 2010 Governance Institute white paper, Juniper Advisory described the ownership structure of the hospital industry in anticipation of the impact of healthcare reform and the Affordable Care Act...
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Change, the One Constant
It is difficult to not get swept up into the tidal wave of speculative news about the changes that health systems may confront as we move into 2017. Every day...
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