
Publications

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...
Read More
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...
Read More
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...
Read More
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...
Read More
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...
Read More
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...
Read More
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,...
Read More
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...
Read More
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...
Read More
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...
Read More
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...
Read More
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...
Read More