Insights

Membership Substitution Transactions: Why Are They So Misunderstood?

Publications

February 14, 2017

Membership substitution transactions are the most common form of business combination transaction in the nonprofit hospital industry. They are also widely misunderstood and the source of many mistakes. Many large...

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Good Shepherd Health System in East Texas Joins CHRISTUS Health

News & Events

February 1, 2017

Good Shepherd Health System (GSHS), a two-hospital nonprofit health system based in Longview, TX, has joined CHRISTUS Health, a Catholic nonprofit health system headquartered in Dallas. GSHS will become an...

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Hospital Industry Structure: Considering the Impact of the Affordable Care Act

Publications

February 1, 2017

In its 2010 Governance Institute white paper, Juniper Advisory described the ownership structure of the hospital industry in anticipation of the impact of healthcare reform and the Affordable Care Act...

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Change, the One Constant

Publications

December 20, 2016

It is difficult to not get swept up into the tidal wave of speculative news about the changes that health systems may confront as we move into 2017. Every day...

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Rex Burgdorfer Co-Presents at IAHA’s 2016 Health Law Symposium

News & Events

November 10, 2016

Rex Burgdorfer co-presented “To Merge or Not to Merge: The Top Issues to Consider Before Jumping on the Merger Bandwagon” at the Illinois Association of Healthcare Attorneys’ (IAHA) 2016 Annual...

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Jordan Shields Co-Presents at The Governance Institute’s Leadership Conference

News & Events

November 1, 2016

Jordan Shields co-presented “How to Sell What Works: Collaboration from a Point of Strength & the Impact on Communications” at The Governance Institute’s October 2016 Leadership Conference in Nashville, TN....

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Barry Sagraves Moderates Panel for 2016 Hospital 100 Leadership & Strategy Conference

News & Events

October 18, 2016

Barry Sagraves moderated the panel “Expanding Your Options for Capital Structure” for the 2016 Hospital 100 Leadership & Strategy Conference in Cedar Creek, TX. Barry’s panel included William Fenske, CFO...

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UChicago Medicine Grows with Ingalls Health System

News & Events

October 4, 2016

The University of Chicago Medicine, one of the nation’s leading academic medical institutions, has acquired Ingalls Health System, an integrated community health system located in Harvey, a south suburb of...

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Partnership Road Map: Navigating Health System Integration

Publications

September 12, 2016

The decision to align with another health care organization is among the most important, if not the most important, undertakings for a hospital board. Selecting the right partner, strategy, timing...

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Aria Health Joins Jefferson

News & Events

July 6, 2016

Aria Health, a three-hospital integrated health system in northeast Philadelphia and Lower Bucks County, has joined Jefferson, Philadelphia and southern New Jersey’s rapidly-growing clinical and academic health system. As part...

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Do Hospital Affiliations Risk Becoming the Next Brexit?

Publications

July 5, 2016

The European Union is an affiliation. Unlike a federal government, the United States for example, where members combine into a single sovereign nation, each member state of the EU remains...

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Defending the Deal: AG Review Process in Hospital Conversions

Publications

April 15, 2016

As the delivery of health care continues to evolve and hospitals bear additional pressures to adapt to new payment models, more nonprofit hospitals are partnering with for-profit providers, through a...

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