News & Events

Good Shepherd Health System in East Texas Joins CHRISTUS Health

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 important center for care delivery in CHRISTUS’s rapidly-growing East Texas region. A notable feature of the transaction is that CHRISTUS will assume GSHS’s lease with Gregg County.

Juniper’s Role

Juniper was engaged by the GSHS Board of Directors to conduct a strategic partnership exploration process aimed at helping GSHS to continue delivering on its mission as a community-based health system. The competitive process conducted by Juniper elicited a variety of structural alternatives from both nonprofit and investor-owned companies and allowed the Board and management to make a sound decision based upon their goals for the system and the communities that GSHS serves.

Good Shepherd Health System
GSHS is a two-hospital nonprofit community health system in East Texas. The system includes medical centers in Longview and Marshall; Good Shepherd Medical Associates, a multi-specialty physician network; freestanding emergency centers; a full range of outpatient services; and a medically integrated wellness facility, the Institute for Healthy Living. GSHS is the largest employer in

February 1st, 2017|News & Events, News-Home|

Change, the One Constant

Juniper Block LogoIt 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 brings more questions that only build upon the uncertainty of the previous news cycle. The delivery of high-quality, efficient, and affordable care in America is a complicated endeavor that may only grow more complex as the system is reconfigured. Regardless of legislative change ahead, the trend toward value-based care continues to grow more important.

At Juniper Advisory we wanted to take a step away from the cloud of conjecture to remind ourselves of an important fact: Change in healthcare is the constant. A healthcare industry that is not undergoing change is not evolving. The improvement of healthcare for a community involves embracing change, because it is within this acceptance that groundbreaking innovation is possible.

When one considers what lies ahead for healthcare, this concept of ongoing change hopefully provides a sense of relief and comfort. While we do not know where exactly the path ahead leads, we can look back and remember our capacity to weather change

December 20th, 2016|News & Events|

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

iaha-logoRex 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 Health Law Symposium in Chicago, IL.

Rex was joined by attorneys Linas Grikis of Polsinelli, Joseph Hylak-Reinholtz of Burke, Warren, MacKay & Serritella, and Brent Justus of McGuireWoods.

The panel discussed the following topics as they relate to the consideration of a partnership between health systems:

  • Antitrust issues
  • Taxation
  • Nonprofit/for-profit conversions
  • Employment matters
  • Leadership transitions

The IAHA serves as an educational resource for attorneys in the healthcare industry, from hospitals and physicians to medical device and pharmaceutical manufacturers.

Click here for more information on the Health Law Symposium, including the full conference agenda.

November 10th, 2016|News & Events|

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

governance-institute-leadership-conferenceJordan 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. Jordan was joined by Anne Hancock Toomey, Founding Partner of Jarrard Phillips Cate & Hancock. Jordan and Anne discussed the evolution of healthcare mergers and acquisitions, including the shifting motivations for change and the political factors inherent to this process.

The Governance Institute Leadership Conferences gather the board members, healthcare executives, and physicians of hospitals and health systems to offer best practices for improved governance and optimized board performance.

Click here for more details, including the full conference agenda.

November 1st, 2016|News & Events|

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

Hospital 100 Logo

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 of Rice Memorial Hospital in Willmar, MN, and Doug Smith, CFO of McKay-Dee Hospital in Ogden, UT (a member of the nonprofit Intermountain Healthcare system). The panel discussed alternative capital structure options for nonprofit health systems seeking strategic growth.

The Hospital 100 Leadership & Strategy Conference brings together healthcare industry experts and the management teams of nonprofit health systems for an annual summit on best practices and strategies for success in today’s rapidly changing healthcare environment.

Click here for more details, including the full conference agenda.


October 18th, 2016|News & Events|

UChicago Medicine Grows with Ingalls Health System

uc-medicine-ingalls-logoThe 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 Chicago. Ingalls will become part of UChicago Medicine’s growing health system.

Through the partnership, UChicago Medicine will invest in Ingalls’ network of inpatient and outpatient facilities and will accelerate the enhancement of critical IT systems. Ingalls will also gain access to UChicago Medicine’s world-class physicians, clinical programs and medical research resources.

Juniper’s Role
Juniper served as UChicago Medicine’s exclusive investment banking advisor for this transaction. Juniper worked with Management of UChicago Medicine to consider the growth opportunity and to develop and execute a proposal strategy which resulted in the selection of UChicago Medicine as Ingalls’ partner.

The University of Chicago Medicine
The University of Chicago Medicine is a leading academic medical institution comprised of the University of Chicago Medical Center, the Pritzker School of Medicine, the University of Chicago Biological Sciences Division, numerous outpatient facilities and the University of Chicago Physicians Group, which employs approximately 900 physicians. The medical campus offers a wide range of specialty care services

October 4th, 2016|News & Events, News-Home|

Aria Health Joins Jefferson

Aria Health Torresdale

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 of the partnership, Jefferson will invest in information technology, outpatient services, and physician alignment for Aria. Aria will also become a regional referral site and an epicenter for new clinical program development at Jefferson. Uniquely, Aria will gain equal representation on Jefferson’s parent board which includes members from the legacy boards of Jefferson, Abington Health, and Aria.

Juniper’s Role
Juniper was engaged by the Aria Health Board of Directors to advise the system in seeking a potential partner that could best meet the long-term strategic goals of the organization and the needs of the communities it serves. Juniper executed a rigorous competitive process which elicited a wide range of potential partners and structures. This process included drafting information materials, conducting intensive reverse due diligence between the parties, and negotiating the terms of the agreement. In addition to the Board, a steering committee task force and a physician committee were also formed to help evaluate the benefits proposed by each

New Legislation Paves Way for Regional Nonprofit Partnership in Michigan

ARMC Entrance

Alpena Regional Medical Center (ARMC), a county-owned health system in northeast Michigan, has joined MidMichigan Health, a regional nonprofit health system affiliated with the University of Michigan Health System. ARMC will become the second largest medical center in the five-hospital MidMichigan Health system. The transaction is notable, in particular, because state law required that legislation be passed to convert the county-owned facility into a Michigan nonprofit corporation before joining MidMichigan. The transaction was also approved by the Alpena County Board of Commissioners.

As part of the system, ARMC will receive improved access to financial and non-financial resources, support for physician recruitment and retention, continued clinical quality improvements, and local and system-wide governance provisions, including two seats on the MidMichigan Health Board.

Juniper’s Role
Juniper was engaged by the Board of ARMC to conduct an assessment of its future strategic options in the face of the pressures of healthcare reform and Michigan’s ongoing hospital consolidation. The Board determined that seeking a partner would best ensure the long-term provision of quality healthcare to the communities that ARMC serves. Juniper executed a rigorous competitive process which elicited a wide range

Central Iowa Healthcare Launches Strategic Options Process

Central Iowa ExteriorThe Board of Trustees of Central Iowa Healthcare (CIH), a 49-bed nonprofit community hospital in Marshalltown, IA, has initiated a process to explore its strategic partnership options. Juniper Advisory will work with the Board and management team of CIH to conduct a systematic process to consider a variety of potential partners and partnership structures. The Board’s goal in this process is to position CIH for strategic future growth in order to continue delivering superior quality medical care close to home. The leadership of CIH will also explore whether a partner could assist the organization in areas such as facility investment, physician recruitment, supply chain, support services, and revenue cycle management, among other areas.

For more information on CIH’s process and strategic goals, click here.

March 4th, 2016|News & Events|

Community Health Center of Branch County Enters Into Innovative Partnership with ProMedica

CHCBC EntranceCommunity Health Center of Branch County (CHC), a nonprofit county-owned hospital in Coldwater, MI, has entered into an innovative partnership with ProMedica, a 13-hospital integrated nonprofit health system based in Toledo, OH, to protect and expand healthcare services in south-central Michigan. As part of the partnership, ProMedica is now managing the hospital and has further committed to acquire CHC from the county under negotiated terms within the next three years. This pioneering structure retains and grows health services in Branch County, provides significant resources for physician recruitment and delivers other operational support. Notably, upon acquiring CHC, ProMedica will fully fund the hospital’s significantly underfunded pension liability. ProMedica was unanimously selected by both the CHC Board and the County Board of Commissioners.

Juniper’s Role
CHC engaged Juniper to conduct a rigorous strategic partnership process. Despite evolving market and internal dynamics that stressed CHC, Juniper was successful in bringing forward a variety of alternatives for the consideration of CHC and Branch County. In addition to working with ProMedica to construct the phased partnership, Juniper assisted CHC with the navigation of elements inherent to county ownership, vetted several alternative structures and assisted CHC

February 2nd, 2016|News & Events, News-Home|