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

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Indian River Medical Center has joined the Cleveland Clinic

January 17, 2019

Transaction Involving: Academic, Local Government,

Assigment: JV, JOA, Lease

Indian River Medical Center has joined the Cleveland Clinic. Juniper advised Indian River Medical Center on this transaction.

Achieving superior results for community institutions

Our Experience
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Aria Health has been acquired by Jefferson

July 8, 2016

Transaction Involving: Academic, Non-profit 501(c)3,

Assigment: Merger, Consolidation

Aria Health has been acquired by Jefferson. Juniper advised Aria Health on this transaction.

Achieving superior results for community institutions

Our Experience
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Behavioral Health Institute has been acquired by Via Christi Health

March 1, 1993

Transaction Involving: Faith-Based, Investor-owned,

Assigment: Aquisition

Behavioral Health Institute a subsidiary of Charter Medical has been acquired by Via Christi Health.  Juniper advised Via Christi Health on this transaction.

Achieving superior results for community institutions

Our Experience
Has sold its 50% interest in to Juniper advised Temple University on this transaction
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Has sold its 50% interest in to Juniper 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
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KishHealth System has been acquired by Northwestern Memorial Healthcare

December 3, 2015

Transaction Involving: Academic, Non-profit 501(c)3,

Assigment: Merger, Consolidation

KishHealth System has been acquired by Northwestern Memorial HealthCare. Juniper advised KishHealth System on this transaction.

Achieving superior results for community institutions

Our Experience

Case Studies

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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...

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Are 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...

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Assessing 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....

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Affiliations: 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...

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Current 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...

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Hospital 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...

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Non-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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