Tri-City and Sharp HealthCare Announce Definitive Agreement
Transaction Announcement
Tri-City Medical Center and Sharp HealthCare have announced a definitive affiliation designed to strengthen long-term access to high-quality, community-based healthcare for North County San Diego.
Under the proposed transaction, Sharp HealthCare would lease and operate Tri-City Medical Center and related facilities under a 30-year agreement, positioning the Oceanside campus to become North County’s flagship medical campus. The affiliation is intended to expand access to primary and specialty care, restore critical services, modernize technology and infrastructure, and support long-term financial sustainability.
The transaction has received unanimous approval from both organizations’ boards and remains subject to voter approval, with a community ballot measure anticipated in June 2026. The proposed affiliation does not raise taxes or require bond financing.
Juniper’s Role
The Tri-City Healthcare District Board engaged Juniper Advisory as its transaction advisor to conduct a comprehensive, nationwide evaluation of strategic alternatives. Juniper supported the District through a structured, community-focused process designed to identify a partner aligned with Tri-City’s mission, long-term sustainability objectives, and commitment to local access and transparency. Juniper’s role included developing information materials, soliciting and evaluating potential partners, facilitating Board deliberations, and supporting negotiations through definitive agreements.
For more information, please contact:
Casey Webb | 312.506.3010 | cwebb@juniperadvisory.com
Chris Benson | 480.695.2311 | cbenson@juniperadvisory.com
About Tri-City Medical Center
Tri-City Medical Center is a community-owned public hospital district serving North County San Diego for more than 60 years. Tri-City Medical Center provides essential inpatient, outpatient, and emergency services and is governed by a locally elected Board of Directors.
About Sharp HealthCare
Sharp HealthCare is San Diego’s largest nonprofit health system, with multiple acute care and specialty hospitals, affiliated medical groups, and an integrated health plan. Sharp is nationally recognized for clinical excellence, patient experience, and its commitment to community-based care.
About Juniper Advisory
Juniper is a specialized investment banking firm focused exclusively on nonprofit hospital system mergers and acquisitions. The team is regarded as the most experienced in the country advising health systems on business combination transactions for four decades.