Insights

New Models for Community Hospital Joint Ventures

Transaction Structures

November 8, 2012

Joint ventures between investor-owned and nonprofit health care organizations are not new; in fact, they have occurred for at least 25 years. Until recently, nonprofits were employing this type of...

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Hospital Joint Ventures Between Non-Profit and Investor-Owned Companies

Transaction Structures

November 1, 2012

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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Juniper Newsletter: November 2012

News & Events

November 1, 2012

RESEARCH PUBLICATIONS Joint Ventures between Non-Profit and Investor-Owned Hospitals: Uses and Future Applications James Burgdorfer wrote a paper for the Governance Institute exploring the practical features of “buyer joint venture”...

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Current Trends in Hospital Mergers and Acquisitions

Publications

March 1, 2012

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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Protecting Corporate Value During an Ownership Transition

M&A

January 15, 2012

Much has been written about the fiduciary responsibilities of hospital boards that are considering business combinations. Another important issue that has received less attention is leadership continuity throughout the transaction...

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Cover Story M&A: Finding the Right Match

News & Events

November 1, 2011

After years of flat activity, billions of dollars worth of hospital mergers and acquisitions are having a profound effect on the industry. Hospitals of all sizes are being wooed and...

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Community Considerations for Hospital Transactions

Role of the Board

September 1, 2011

When evaluating change-of-control transactions, hospital boards need to be cognizant not only of their fiduciary duties to the corporation, but also of how their decisions will impact the broader community....

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Consolidation Transactions: Will They Make a Comeback?

Publications

July 1, 2011

The recent combination of two suburban Chicago hospitals represents the reappearance of a transaction structure that has been rarely used since the 1990s. Central DuPage Hospital and Delnor Hospital have...

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Why Are So Many Merger Transactions Failing to Close?

M&A

January 1, 2011

During the past year, a startlingly-large number of announced merger agreements were terminated. These transaction failures represent a phenomenon that has great significance for many non-profit boards and managements, however,...

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The Board’s Role in the M&A Process: Meeting Fiduciary Obligations

Role of the Board

December 1, 2010

Chances are that most non-profit hospital boards will be called upon to evaluate a merger/acquisition proposal at some point in the very near future. Healthcare reform is prompting hospitals across the country...

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The Impact of Healthcare Reform 
on Hospital Consolidation

News & Events

September 16, 2010

Juniper Advisory and McGuireWoods presented a webinar titled “The Impact of Healthcare Reform
on Hospital Consolidation” on September 16, 2010. Speakers included James E. Burgdorfer, principal of Juniper Advisory; Rex J....

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The Strategic Alignment Committee

Role of the Board

September 1, 2010

Hospital boards are encouraged to form a  “strategic alignment” or similar committee to facilitate the governing board’s ability to evaluate the many business opportunities that will arise for  provider organizations...

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