
Our Expertise
Achieving superior results for community institutions.
We measure our success by how we advance our clients’ objectives. On sell-side projects, where we represent smaller institutions joining larger organizations, our financial outcomes exceed industry averages by 25% – 50% on average. While difficult to quantify and compare, we also realize outsized non-financial gains for our clients, including important qualitative commitments to access for the underserved, service expansion, employment, quality and more. Our case studies speak to how Juniper’s experienced team drives value for our clients.
25-50%
Avg. by which our financial outcomes exceed industry averages
100%
Clients whose top objectives include non-financial terms
40%+
Clients that determine they can best meet their objectives without a transaction


Who We Work With
Juniper was founded to help the hospital industry improve quality and increase access, but over the years our client list has grown to include a full range of mission driven nonprofits including healthcare organizations, institutions of higher education, non-acute service providers and others.
Demand for our services is high and we are selective in the engagements we take on. We seek clients where our experience can have an outsized impact on achieving their objectives. Size is not the determining factor and we work with a full range of organizations from multi-billion dollar national entities to small local nonprofits, providing them all with the same focused expertise free from conflict or distraction.
35
Universities
230
Hospitals
40
Non-Acute Services
Featured Insights
Acquisition Currencies in Non-Profit Hospital M&A
April 24, 2018 | Publications
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 MoreAre Hospitals Prepared for a Recession?
August 30, 2019 | Publications
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...
Read MoreAssessing Hospital Preparedness for COVID-19 by Affiliation Status
May 28, 2020 | Publications
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....
Read MoreAffiliations: Matching Objectives and Risks
January 15, 2016 | Publications
Affiliations are contractual arrangements between two or more hospital partners in which they agree to work together on projects. No ownership or control is exchanged in affiliations; however, the term...
Read MoreCurrent Trends in Hospital Mergers and Acquisitions
March 1, 2012 | M&A
Healthcare reform will result in more consolidation and integration among hospitals, reversing a recent trend in which hospitals tended to stay away from such transactions. Regardless of the ultimate fate of...
Read MoreHospital Joint Ventures Between Non-Profit and Investor-Owned Companies
November 1, 2012 | Transaction Structures
A joint venture between Duke University Health System and LifePoint Hospitals, Inc., Duke LifePoint, recently completed the acquisition of Marquette General Health System in Marquette, Michigan. This combination represents the...
Read MoreNon-Profit Boards and the Merger Market: Preparation, Organization, and Approach
December 1, 2007 | Role of the Board
This article is Part 2 of our series on the hospital merger market. Part 1 (October, 2007) discussed hospital industry dynamics that have led to many of the change-of-control (“merger...
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