News & Events

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|

2015: Celebrating Our Clients’ Success

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

December 15th, 2015|News & Events|

KishHealth System Joins Northwestern Memorial HealthCare

KishHealth Entrance

KishHealth System (KHS), a two-hospital integrated nonprofit health system based in DeKalb, IL, has joined Northwestern Memorial HealthCare (NMHC). The geographic footprint of NMHC dramatically expands with the addition of KHS and grows NMHC beyond Chicago’s western suburbs into rural communities. The consummation of the partnership follows a rigorous exploration by the KHS Board of its strategic options, including a process which evaluated a number of potential partners and partnership structures. KHS will further enhance NMHC’s development of a health system that brings together strong community-based provider care with the clinical innovation and research of a preeminent academic medical center.

Juniper’s Role
Juniper was engaged by the Board of KHS to assess the healthcare landscape, identify and validate the Board’s goals and objectives, evaluate KHS’s market position, and consider a range of alternative affiliation arrangements. Juniper sought market input to explore KHS’s potential opportunities, matched objectives with partner capabilities, and negotiated the terms of a strong and mutually beneficial arrangement.

KishHealth System
KHS is an integrated nonprofit health system serving communities in the greater DeKalb County area approximately 60 miles west of Chicago. The system is comprised of

December 1st, 2015|News & Events, News-Home|

Jordan Shields Presents at Becker’s Hospital Review’s 4th Annual CEO Roundtable

Becker's CEO Roundtable IconJordan Shields presented “Regional Strategies and Affiliation Considerations for Community Hospitals” at Becker’s Hospital Review’s 4th Annual CEO Roundtable in Chicago, IL. Jordan was joined on the panel by Bill Sexton, CEO of Crossing Rivers Health, and Michael Williams, President and CEO of Community Hospital Corporation. The discussion was moderated by Geoffrey Cockrell, Partner at McGuireWoods.

The panel covered the following topics:

> Changing transaction objectives: While many partnerships in the early 2000s were driven by financial considerations and basic survival, there has been a noted uptick in financially and operationally strong hospitals pursuing transactions as the best way to efficiently deliver high-quality care to their communities.

> Reimbursement implications: The panel agreed that population health and a shift away from fee-for-service reimbursement are resulting in declining inpatient admissions. The trend towards home hospitalization, ambulatory care, shortened length of stay and fewer re-admissions is expected to continue with significant implications for hospitals with high fixed costs tied to inpatient admissions.

> Industry direction: While the panel expects different markets to mature at different rates, panelists were uniform in their view

November 19th, 2015|News & Events|

Elliot Health System Considers Strategic Options

Elliot Hospital

Elliot Health System (EHS), an integrated nonprofit health system and the largest provider of comprehensive healthcare services in southern New Hampshire, has announced the beginning of a process to explore whether a partner could help the system to provide even better, cost-effective care to the communities that it serves. Juniper Advisory is assisting the Board of Directors and executive leadership team of EHS on a formal exploration of its strategic options, which includes the consideration of potential partners and partnership structures.

For more information about EHS and its services, click here.

November 18th, 2015|News & Events|

Juniper Advisory and Edelman Present “Evolving Healthcare: Current Trends in Health System Partnerships”

Evolving Healthcare CoverCurrent trends in health system partnerships and other provider-side ventures taking place in today’s rapidly evolving healthcare landscape were the key topics of a panel discussion hosted by Edelman and Juniper Advisory at the Edelman office in Washington, D.C. The salon was moderated by Juniper’s Jordan Shields, who was joined by a panel including: E.W. Tibbs, CEO of Centra Health, a nonprofit community health system based in Lynchburg, Virginia; Howard Kern, President and COO of Sentara Healthcare, a Norfolk-based nonprofit healthcare organization serving Virginia and northeastern North Carolina; Donald Dempsey, Government Affairs Counselor with a focus on health policy for K&L Gates, an international law and lobbying firm; and Lynn Hanessian, Chief Science Strategist at Edelman.

Throughout the hour-plus discussion, the panelists touched on a wide variety of issues, including the impact of the Affordable Care Act, the implications of innovations like telemedicine for healthcare delivery, how to bend the cost curve without sacrificing quality, the increased role of “healthcare consumers” and the fundamental importance of prevention in healthcare.

Click here to read the full executive summary.

November 4th, 2015|News & Events|

Barry Sagraves Moderates Panel for Hospital 100 Leadership & Strategy Conference

Hospital 100 LogoBarry Sagraves moderated the panel “Finding the Formula to Turn ‘Pay for Performance’ into ‘Profit'” for the Hospital 100 Leadership & Strategy Conference, held in Key Biscayne, FL. Barry’s panel included Linda Hoff, CFO of Legacy Health, Vince Pryor, EVP and CFO of Edward-Elmhurst Healthcare, and Doug Smith, CFO and Compliance Officer of Intermountain Healthcare. The panel discussed how health systems are transitioning from fee-for-service to a shared savings structure, including the assumption of increased amounts of risk while maintaining long-term financial success for the health system.

The Hospital 100 Leadership & Strategy Conference gathers the C-Suite management teams from health systems nationwide for an annual summit on best practices and the sharing of trends and strategies for success between hospital leaders and industry experts.

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


October 21st, 2015|News & Events|

Alpena Regional Medical Center to Join MidMichigan, a University of Michigan Health System Affiliate

ARMC MidMichigan LogoAlpena Regional Medical Center (ARMC), a county-owned health system in northeast Michigan, has signed a letter of intent to join MidMichigan Health, a four-hospital regional nonprofit health system affiliated with the University of Michigan Health System. As part of MidMichigan, and with the University of Michigan affiliation, 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. All were important goals for the ARMC Board of Directors when embarking on the partnership process.

Juniper’s Role
Juniper was engaged by the Board of ARMC to conduct an assessment of the governmental health system’s 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 guarantee the long-term provision of quality healthcare to the communities that ARMC 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

October 13th, 2015|News & Events, News-Home|

Aria Health to Join Jefferson

Aria Health TorresdaleAria Health, a three-hospital integrated health system in northeast Philadelphia and Lower Bucks County, has signed a letter of intent to join Jefferson Health, the rapidly-growing health system formed by the merger of Abington and Jefferson in May 2015. The Aria and Jefferson boards both voted unanimously to authorize the signing of the LOI. Jefferson will help Aria to further develop its information technology, outpatient services and physician alignment. As part of Jefferson, Aria will be better positioned to meet the demands of population health management, including improved patient experience and the lowering of the per person cost of healthcare, elements which are critical to the future success of healthcare systems nationwide.

Juniper’s Role
Juniper was engaged by the Aria Health Board of Directors to advise the system in seeking a potential partner which could best meet the long-term strategic goals of the organization. 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

October 6th, 2015|News & Events, News-Home|