Juniper Block LogoWith the end of the year approaching, we wanted to take a moment to reflect on our clients’ many successes during 2015. Juniper has been fortunate to advise 20 hospitals and health systems on a variety of partnerships this year, representing hundreds of millions of dollars of new investment and the retention of important jobs in communities around the country. We are proud to work on behalf of hospitals of all sizes and ownership types, including community 501(c)3s, religious-sponsored, local government-owned and academic hospitals. The work we do contributes to the continuation and enhancement of high-quality, affordable healthcare for generations to come.

Juniper consistently creates value for our nonprofit hospital clients by achieving partnership outcomes that are significantly above industry averages. We also recognize that non-financial benefits are central to the work we do. We invite you to look back at some of this year’s achievements below, including thought leadership contributions we have made to the industry.

2015 Select Client Initiatives
– KishHealth System Joins Northwestern Medicine
– Mercy Memorial Hospital System Joins ProMedica
– Pennock Healthcare System Joins Spectrum Health
– Adventist Health Grows with Acquisition of Lodi Health
– Tyrone Regional Health Network to Join Penn State Health
– Good Shepherd Health System Begins Strategic Partnership Search
– Watertown Regional Medical Center Forms Joint Venture with LifePoint Health
– Platte Valley Medical Center Joins SCL Health
– Aria Health to Join Jefferson
– Alpena Regional Medical Center to Join MidMichigan
– Elliot Health System Considers Strategic Options

Recent Articles & Speaking Engagements
– Continuing a Non-Profit Hospital’s Charitable Mission through M&A
– Assessing Independence
– 3 Compensation Structures for a More Successful Transaction
– Building a Hospital Joint Venture: A Blueprint for Success
– Regional Strategies and Affiliation Considerations for Community Hospitals
– Evolving Healthcare: Current Trends in Health System Partnerships
– Finding the Formula to Turn ‘Pay for Performance’ into ‘Profit’

Looking Ahead
We expect the general trend of steady industry consolidation to continue as hospitals contend with the pressures caused by declining reimbursements and a shift away from fee-for-service care. More independent hospitals and hospital systems are considering their ability to remain as a standalone organization, placing unique demands on the fiduciary obligations of Boards. In addition, operating complexities such as IT, bundled payments, risk management and regulatory compliance continue to weigh on already-burdened management teams. Ultimately, hospital leadership will determine whether the financial and non-financial costs of independence are outweighed by the benefits of a potential partnership.

Despite all of these challenges, we see a world of opportunity ahead as the national healthcare industry continues to mature and ultimately move toward a place of higher-quality, more efficient and affordable care.