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 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.
an affiliate of
has joined
We advised Huntsville Hospital Health System on this transaction.
an affiliate of
has joined
We advised Huntsville Hospital Health System on this transaction.
Crestwood Medical Center an affiliate of Community Health Systems has joined Huntsville Hospital Health System
April 2, 2026
Transaction Involving: Local Government
Assignment: Buy-Side
Crestwood Medical Center an affiliate of Community Health Systems has joined Huntsville Hospital Health System. We advised Huntsville Hospital Health System on this transaction.
Achieving superior results for community institutions
Our Experience
has entered into a new management services agreement with
We advised Riverview Health on this Transaction.
has entered into a new management services agreement with
We advised Riverview Health on this Transaction.
Riverview Health Finalizes Management Agreement with Parkview Health
November 11, 2025
Transaction Involving: Local Government
Transaction Type: Management Agreement
Assignment: Sell-Side
Riverview Health and Parkview Health have executed a management services agreement. We advised Riverview Health on this transaction.
Download Case StudyAchieving superior results for community institutions
Our Experience
a member of
divests Siouxland Medical Center to
We advised MercyOne on this transaction.
a member of
divests Siouxland Medical Center to
We advised MercyOne on this transaction.
MercyOne a member of Trinity Health divests Siouxland Medical Center to UnityPoint Health
September 2, 2025
Transaction Type: Member Substitution
Assignment: Buy-Side Sell-Side
MercyOne a member of Trinity Health divests Siouxland Medical Center to UnityPoint Health. We advised MercyOne on this transaction.
Achieving superior results for community institutions
Our Experience
has joined
pursuant to a Chapter 11 membership substitution plan of reorganization
We advised The Bellevue Hospital on this transaction.
has joined
pursuant to a Chapter 11 membership substitution plan of reorganization
We advised The Bellevue Hospital on this transaction.
The Bellevue Hospital has joined Firelands Health
June 16, 2025
Transaction Involving: Non-profit 501(c)3
Transaction Type: Member Substitution
Assignment: Sell-Side
The Bellevue Hospital has joined Firelands Health. We advised The Bellevue Hospital on this transaction.
Achieving superior results for community institutions
Our Experience
has joined
We advised Marshfield Clinic Health System on this transaction.
has joined
We advised Marshfield Clinic Health System on this transaction.
Marshfield Clinic Health System joins Sanford Health
January 2, 2025
Transaction Involving: Non-profit 501(c)3 Physicians
Transaction Type: Member Substitution
Assignment: Sell-Side
Marshfield Clinic Health System has joined Sanford Health. We advised Marshfield Clinic Health System on this transaction.
Achieving superior results for community institutions
Our Experience
has joined
We advised Blount County and BMH on this transaction.
has joined
We advised Blount County and BMH on this transaction.
Blount Memorial Hospital in Blount County, TN joins Prisma Health
December 3, 2024
Transaction Involving: Local Government
Transaction Type: Lease Member Substitution
Assignment: Sell-Side
Blount Memorial Hospital in Blount County, TN joins Prisma Health
Achieving superior results for community institutions
Our Experience
has acquired
former facilities of Steward Health Care
We advised Lawrence General Hospital on this transaction.
has acquired
former facilities of Steward Health Care
We advised Lawrence General Hospital on this transaction.
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: Lease Member Substitution
Assignment: Sell-Side
Liberty Hospital has joined The University of Kansas Health System. We advised Liberty Hospital on this transaction.
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.
Download Case Study
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.
Java Medical Group has acquired Fannin Regional Hospital from Quorum Health
July 3, 2023
Transaction Involving: Investor-owned
Transaction Type: Asset Purchase
Assignment: Sell-Side
Java Medical Group has acquired Fannin Regional Hospital from Quorum Health. We advised Quorum Health Corporation on this transaction.
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
Assignment: Sell-Side
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
Assignment: Sell-Side
Mid-Columbia Medical Center has joined Adventist Health. We advised Mid-Columbia Medical Center on this transaction.
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: Faith-Based Non-profit 501(c)3
Transaction Type: Member Substitution
Assignment: Sell-Side
Genesis Health System has joined MercyOne. We advised Genesis Health System on this transaction.
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
Assignment: Sell-Side
Olathe Health has joined The University of Kansas Health System. We advised Olathe Health on this transaction.
Achieving superior results for community institutions
Our Experience
Featured Publications
The Scale Imperative in Managed Care: The Compounding Disadvantage Facing Sub-Scale Hospitals
April 1, 2026 | Publications
Rex Burgdorfer, Partner, Ansley Geary, Associate, Juniper Advisory The Structural Problem The financial relationship between hospitals and insurers has reached an apex of complexity. The impact is disproportionately borne by...
Read MoreCulture Change RX Podcast – Should You Really Partner? The Decision That Shapes Your Hospital’s Future
March 25, 2026 | Publications
Partnership conversations in healthcare often begin with financial projections and market pressures, but the partnerships that succeed are rarely decided by economics alone. In the latest episode of Culture Change...
Read MoreWhat happens when a sale is not an option…Affiliate.
March 1, 2026 | Publications
Ken Marlow, Partner, McDermott Will & Schulte Farley Reardon, Managing Director, Juniper Advisory With growing financial uncertainty for health systems that face looming changes to supplemental programs and Medicaid eligibility,...
Read MoreThe Changing Participants in Today’s Health System M&A Market
June 1, 2025 | Publications
As financial and operational headwinds grow, a new set of participants has emerged in the health system M&A market. In the latest edition of Public Focus and Academic Health Focus...
Read MoreHappily Ever After: Strategies to Create Lasting Relationships and Avoid Heartbreak in Your M&A Deals
March 6, 2025 | Publications
New in Health Law Connections: The latest issue features Happily Ever After: Strategies to Create Lasting Relationships and Avoid Heartbreak in Your M&A Deals by Brent McDonald, Managing Director, Juniper...
Read MoreWhy a health system’s growth strategy should include a build-versus-buy analysis
October 1, 2024 | Publications
What’s driving health systems’ growth strategies in 2024? A build-versus-buy analysis is now essential as health systems navigate escalating construction costs and tighter capital markets. In the latest edition of...
Read MoreBand-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 MoreNASA and SpaceX: Observations for Public Hospitals
May 1, 2024 | Publications
Government-owned hospitals face unique organizational challenges. In the latest public focus article, Chris Benson, Executive Director, and Rex Burgdorfer, Partner, Juniper Advisory, draw observations from NASA and SpaceX for public...
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 More