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
has joined
We advised Olathe Health on this transaction.
has joined
We advised Olathe Health on this transaction.
Olathe Health has joined The University of Kansas Health System
January 5, 2023
Transaction Involving: Academic, Non-profit 501(c)3,
Assigment: Merger, Consolidation
Olathe Health has joined The University of Kansas Health System.
Achieving superior results for community institutions
Our Experience
in partnership with
has acquired three hospitals from
We advised LCMC Health on this transaction.
in partnership with
has acquired three hospitals from
We advised LCMC Health on this transaction.
LCMC Health partners with Tulane University in New Orleans, LA
January 3, 2023
Transaction Involving: Academic, Non-profit 501(c)3,
Assigment: Aquisition JV, JOA, Lease
LCMC Health, in partnership with Tulane University, has acquired three hospitals from HCA Healthcare.
Achieving superior results for community institutions
Our Experience
has merged to join
We advised University of the Sciences on this transaction.
has merged to join
We advised University of the Sciences on this transaction.
University of the Sciences has joined St. Joseph’s University
June 1, 2022
Transaction Involving: Academic, Non-profit 501(c)3,
Assigment: Merger, Consolidation
University of the Sciences in Philadelphia, PA joined St. Joseph’s University in Philadelphia, PA.
Achieving superior results for community institutions
Our Experience
has sold its 50% interest in
to
We advised Temple University on this transaction.
has sold its 50% interest in
to
We advised Temple University on this transaction.
Temple University in Philadelphia, PA
November 4, 2021
Transaction Involving: Academic
Assigment: Sale
Temple University in Philadelphia has divested its 50% ownership stake in Health Partners Plans (HPP) to Jefferson Health. HPP is a non-profit hospital-owned Medicare and Medicaid Health Maintenance Organization (HMO) covering 290,000 lives in Eastern-Pennsylvania. The transaction was valued at $305 million.
Achieving superior results for community institutions
Our Experience
has joined
We advised National Health Investors, Inc. on this transaction.
has joined
We advised National Health Investors, Inc. on this transaction.
Kentucky River in Jackson, KY
November 4, 2021
Transaction Involving: Investor-owned
Assigment: Sale
National Health Investors (NYSE: NHI), a publicly traded Real Estate Investment Trust (REIT) has divested Kentucky River Medical Center in Jackson, KY to Quorum Health. This was NHI’s sole acute care hospital, and the transaction reflects a portfolio management strategy to focus on core business operations.
Achieving superior results for community institutions
Our Experience
evaluates growth opportunities
We advised both Natividad and the County on this project
evaluates growth opportunities
We advised both Natividad and the County on this project
Monterey County’s Natividad Medical Center explores strategic growth opportunities
July 10, 2021
Transaction Involving: Local Government, Non-profit 501(c)3,
Assigment: Affiliation Strategic Advisory
Monterey County’s Natividad Medical center explores strategic growth opportunities in an aim to bridge health inequity.
Achieving superior results for community institutions
Our Experience
has merged to join
We advised Illinois Valley on this transaction.
has merged to join
We advised Illinois Valley on this transaction.
Illinois Valley Community Hospital has joined St. Margaret’s Health
January 8, 2021
Transaction Involving: Faith-Based, Non-profit 501(c)3,
Assigment: Merger, Consolidation
Illinois Valley Community Hospital in Peru, IL joined St. Margaret’s Health in Spring Valley, IL, a member of SMP Health System.
Achieving superior results for community institutions
Our Experience
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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