Management Agreement

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has entered into a new management services agreement with We advised Riverview Health on this Transaction.
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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

Transaction Announcement
Riverview Health and Parkview Health have executed a management services agreement under which Parkview Health will provide operational and clinical support to Riverview Health. The agreement included a shared-risk structure and incorporates performance-based incentives tied to operational and clinical results while preserving county ownership. The partnership is designed to enhance services, drive growth, and improve patient care for the communities served by Riverview Health across Hamilton County, Indiana.

The agreement enables both organizations to collaborate on operational improvements and clinical innovation, while establishing clear performance expectations and growth opportunities across Riverview Health’s network.

Juniper’s Role
Juniper Advisory served as strategic advisor to Riverview Health and Hamilton County. Juniper assisted the Board, County, and leadership with the evaluation of the management services proposal and arrangement, including providing insight on management agreements and agreement structure.  Juniper’s focus was upon Riverview Health’s objectives of preserving local ownership, supporting growth, and incentivizing performance.

About Riverview Health
Riverview Health is an independent, community-based health system in Hamilton County, Indiana. The system includes a 156-bed hospital in Noblesville, a 16-bed hospital in Westfield, three combined ER/urgent care facilities, and ten primary care locations. Riverview Health provides more than 25 specialty services to the communities it serves.

About Parkview Health
Parkview Health is a nonprofit, community-focused health system serving Indiana and northwest Ohio, with 15 hospitals and an extensive network of primary and specialty care physicians. Committed to improving health and inspiring well-being, Parkview Health’s management services agreement with Riverview Health supports its mission while advancing operational excellence, expanding access to care, and fostering growth across the communities it serves.

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Achieving superior results for community institutions

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has entered into a management agreement with We advised Lenoir Memorial Hospital on this transaction.
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has entered into a management agreement with We advised Lenoir Memorial Hospital on this transaction.

Lenoir Memorial Hospital has entered into a management agreement with Novant Health

May 1, 2015

Transaction Involving: Local Government Non-profit 501(c)3

Transaction Type: Management Agreement

Lenoir Memorial Hospital has entered into a management agreement with Novant Health. We advised Lenoir Memorial Hospital on this transaction.

Achieving superior results for community institutions

Our Experience