Our Expertise
Achieving superior results for community institutions.
We measure our success by how we advance our clients’ objectives. On projects where we represent smaller institutions joining larger organizations, our outcomes exceed industry benchmarks by 50% on average. We 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.
100%
Clients whose top objectives include non-financial terms
50%
Clients that remain independent
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 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.
has acquired
former facilities of Steward Health Care
has acquired
former facilities of Steward Health Care
Lawrence General Hospital Expands Community Care with Acquisition of Steward Health Care’s Holy Family Hospitals
October 1, 2024
Transaction Involving: Non-profit 501(c)3
Assignment: Buy-Side
Lawrence General Hospital has acquired both Holy Family Hospital campuses in Methuen and Haverhill, MA. These are former facilities of Steward Health Care. We advised Lawrence General Hospital on this transaction.
Achieving superior results for community institutions
Our Experience
has joined
We advised Liberty Hospital on this transaction.
has joined
We advised Liberty Hospital on this transaction.
Liberty Hospital joins The University of Kansas Health System
July 1, 2024
Transaction Involving: Academic Local Government
Transaction Type: Member Substitution
Assignment: Sell-Side
Liberty Hospital has joined The University of Kansas Health System.
Achieving superior results for community institutions
Our Experience
have combined to form
We advised on this consolidation transaction.
have combined to form
We advised on this consolidation transaction.
Affiliates of United Healthcare Partners have combined to form Aspire Health
January 17, 2024
Transaction Involving: Non-profit 501(c)3
Transaction Type: Consolidation
Assignment: Advisory
Hills & Dales Healthcare, Marlette Regional Hospital, and Deckerville Community Hospital, affiliates of United Healthcare Partners, have combined to form Aspire Health. We advised on this consolidation transaction.
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Achieving superior results for community institutions
Our Experience
has sold
to
We advised Quorum Health Corporation on this transaction.
has sold
to
We advised Quorum Health Corporation on this transaction.
Quorum Health has sold Fannin Regional Hospital to Java Medical Group
July 3, 2023
Transaction Involving: Investor-owned
Transaction Type: Asset Purchase
Assignment: Sell-Side
Quorum Health Completes Transaction with Java Medical Group.
Achieving superior results for community institutions
Our Experience
has joined
We advised Gerald Champion Regional Medical Center on this transaction.
has joined
We advised Gerald Champion Regional Medical Center on this transaction.
Gerald Champion Regional Medical Center has joined CHRISTUS Health
July 1, 2023
Transaction Involving: Faith-Based Non-profit 501(c)3
Transaction Type: Member Substitution
Gerald Champion Regional Medical Center has joined CHRISTUS Health. We advised Gerald Champion Regional Medical Center on this transaction.
Achieving superior results for community institutions
Our Experience
has joined
We advised Mid-Columbia Medical Center on this transaction.
has joined
We advised Mid-Columbia Medical Center on this transaction.
Mid-Columbia Medical Center has joined Adventist Health
June 1, 2023
Transaction Involving: Faith-Based Non-profit 501(c)3
Transaction Type: Member Substitution
Mid-Columbia Medical Center Joins Adventist Health.
Achieving superior results for community institutions
Our Experience
has joined
a member of
We advised Genesis Health System on this transaction.
has joined
a member of
We advised Genesis Health System on this transaction.
Genesis Health System has joined MercyOne
March 3, 2023
Transaction Involving: Non-profit 501(c)3
Transaction Type: Member Substitution
Genesis Health System and MercyOne Complete Partnership.
Achieving superior results for community institutions
Our Experience
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
Transaction Type: Member Substitution
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
Transaction Type: Asset Purchase
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
Transaction Type: Consolidation Member Substitution
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
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
Transaction Type: Asset Purchase
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
announced acquisition, did not close
We advised Beaumont Health on this transaction.
announced acquisition, did not close
We advised Beaumont Health on this transaction.
Beaumont Health announced acquisition of Summa Health
September 1, 2020
Transaction Involving: Non-profit 501(c)3
Beaumont Health announced the acquisition of Summa Health but did not close. We advised Beaumont Health on this transaction.
Achieving superior results for community institutions
Our Experience
Featured Publications
Band-Aid Station or Tertiary Center? The Impact of Consolidation on Community Hospital Services
September 16, 2024 | Publications
Juniper Advisory delves into the impact of hospital consolidation on access to care, offering new insights into the debate over local control versus system affiliation. Jordan Shields, Partner, examines how...
Read MoreHolland & Knight Counsel That Cares Podcast – Hospital M&A Trends & Strategic Considerations for 2024
March 22, 2024 | Publications News & Events
In this episode of “Counsel That Cares,” healthcare attorney Colin Luke examines transactions for hospitals and health systems, as well as what’s driving that activity across the country with hospitals and health...
Read MoreA Glimmer of Hope for Rural Obstetrics
October 1, 2023 | Publications
Juniper Advisory suggests an innovative approach to address the growing crisis in access to obstetrics services. Jordan Shields, Partner, Casey Webb, Managing Director, and Duncan Cannon, Analyst, assess the challenges...
Read MoreAHA Trustee Insights – Transforming Governance: From Surviving to Thriving
September 14, 2023 | Publications
The board’s obligation is to consider all options to achieve its mission, including gleaning lessons from the movie “Grease!” BY CHRIS BENSON, DENISE LAMPHIER AND TODD LINDEN With the well-documented...
Read MoreIs your Health System Team Ready for What’s Next? A Recession or More Malaise?
August 8, 2023 | Publications
By Adam Davis, Vice President, and Brent McDonald, Managing Director, Juniper Advisory Bart Walker, Partner, and Kayla McCann Marty, Partner, McGuireWoods Today’s State of Affairs Coming out of the pandemic,...
Read MoreMcGuireWoods The Corner Series Podcast – Hospital M&A and Private Equity with Rex Burgdorfer
August 3, 2023 | Publications News & Events
The healthcare system is one of the most fragmented industries in the United States. But as strategic players begin consolidating through mergers and acquisitions, private equity investors are seeing growth...
Read MoreCross-Market Health System Consolidation in a Challenged Industry
June 21, 2023 | Publications
By Adam Davis, Vice President, and Rex Burgdorfer, Partner, Juniper Advisory As health systems continue to tackle the ongoing pressures placed on the healthcare delivery system driven by consumerism, value-based...
Read MoreWebinar – Stakeholder Management during the Partnership Process
March 30, 2023 | Publications News & Events
We want to thank The Governance Institute for including us in this program and allowing our team to be part of their mission to serve not-for-profit hospital and health system...
Read MoreAssessing Hospital Financial Viability in a Period of Economic Disruption
November 14, 2022 | Publications
By Adam Davis, Vice President, Juniper Advisory Operating environments for hospitals and health systems are vastly different when comparing 2021 to 2022. The enduring impacts of the COVID-19 pandemic have...
Read MoreToxic Individualism and Its Impact on Our Healthcare System
November 4, 2021 | Publications
COVID-19 exposed competing forces within the missions of many standalone hospital systems. These forces include a rugged American individualism on one hand and the desire to efficiently meet the healthcare...
Read MoreWhat if Trader Joe’s Ran Hospitals?
December 12, 2020 | Publications
In 2018, Freakonomics co-author Stephen Dubner posed the question: “Should America be run by Trader Joe’s?” He suggested “the quirky little grocery chain with California roots and German ownership has...
Read More