News & Events

Good Shepherd Health System Begins Strategic Partnership Search

GSHS CampusGood Shepherd Health System (GSHS), a two-hospital nonprofit community health system based in Longview, TX, has announced its intention to explore a potential strategic partnership. Juniper Advisory will assist the Board of Directors and executive leadership team on a formalized exploration of potential partners and partnership structures so that GSHS may continue to provide high-quality health services in the communities that it serves.

Recent studies indicate that approximately 85% of nonprofit health systems nationwide are exploring their ability to remain independent in today’s evolving healthcare environment. Recognizing the changing business environment for hospitals, GSHS has elected to explore its strategic alternatives in order to continue delivering on its mission as a community-based health system.

For more information regarding the process, see the GSHS press release here.

August 26th, 2015|News & Events, News-Home|

New Partnership to Strengthen Health Care in Nebraska

The Dodge County (Neb.) Board of Supervisors,  Fremont Health Board of Trustees and Nebraska Methodist Health System Board of Directors approved a strategic partnership between Fremont Health and Methodist.
“[Fremont Health is] the only small independent health system that runs a community health system in the Greater Omaha area that is independent, every other one is part of a larger system. That makes it very difficult for us to be efficient and to compete, so by joining a larger system we get strength in numbers, we gain operational efficiencies, and gain access to their expertise,” Pat Booth, Fremont Health President and CEO, told the Fremont Tribune.
This transaction results from a great deal of foresight by the management and board of Fremont Health, along with the support of the Dodge County Supervisors.  Fremont Health decided to move forward with a partnership process at a time of financial strength, which resulted in strong interest from a number of high-quality health systems.  Because of the prudent timing, Fremont Health was able to utilize an innovative lease structure which will help preserve its existing pension plan for the benefit of current and

Rex Burgdorfer Delivers Keynote at Central Penn Business Journal’s Healthcare Symposium 2015

Healthcare Symposium LogoRex Burgdorfer was the keynote speaker for Central Penn Business Journal’s Healthcare Symposium 2015, which was held in Harrisburg, PA. Rex’s keynote covered current trends in hospital mergers and acquisitions, including the reasons why health systems are merging and how new partnership models are changing the hospital industry’s structure.

In addition to covering hospital M&A, the symposium also addressed issues related to population health and future trends in health plans. The conference gathered health system leadership from throughout central Pennsylvania.

For more information on the symposium, including highlights and photos, click here.

July 22nd, 2015|News & Events|

Adventist Health Grows with Acquisition of Lodi Health

Lodi Memorial Hospital

Adventist Health, a multi-state nonprofit health system based in Roseville, CA, has acquired Lodi Health, a fully-integrated community health system based in Lodi, CA. Adventist was chosen unanimously by the Lodi Board of Directors after a competitive process which included other major regional nonprofit systems. Adventist was selected due to its unique blend of culture and competitive attributes, as well as its demonstrated commitment to communities like Lodi along the Pacific coast. As part of the transaction, Adventist has agreed to at least $98 million in significant capital improvements, the deployment of a state-of-the-art IT system, the continuation of existing clinical services, and the creation of a local advisory board to ensure local input in key decisions for the health system. Adventist will also donate $2 million to the Lodi Memorial Hospital Foundation.

Juniper’s Role
Juniper served as Adventist Health’s exclusive investment banking advisor as it pursued this strategic acquisition of Lodi. Juniper assisted Adventist in its financial and strategic assessment of the opportunity, developed Adventist’s proposal strategy, including the proposals and presentations which ultimately resulted in Adventist’s selection by the Lodi Board, and worked with Adventist management and legal advisors to

June 1st, 2015|News & Events|

KishHealth System Signs Letter of Intent with Northwestern Memorial HealthCare

KishHealth Entrance

KishHealth System (KHS), a two-hospital integrated nonprofit health system based in DeKalb, IL, has signed a Letter of Intent to explore an affiliation with Northwestern Memorial HealthCare (NMHC). The Boards of KHS and NMHC elected to enter a diligence phase, which, if completed to the satisfaction of both parties, would culminate in KishHealth becoming the newest member of NMHC. This step was approved after a rigorous exploration of KHS’s strategic options, including a process which evaluated a number of potential partners and partnership structures. The affiliation with KHS expands the footprint of NMHC beyond greater Chicago into rural markets and builds upon the momentum of NMHC’s recent acquisition of Cadence Health, a two-hospital system based in Chicago’s western suburbs. KHS would 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 KishHealth to assess the healthcare landscape, identify and validate the Board’s goals and objectives, and consider a range of alternative affiliation arrangements. Juniper sought market input to explore KHS’s potential opportunities, matched objectives with partner capabilities,

Pennock Healthcare System Joins Spectrum Health

Pennock Entrance

Pennock Healthcare System (PHS), a nonprofit hospital system located in Hastings, MI, has joined Spectrum Health, a 12-hospital west Michigan nonprofit system based in Grand Rapids. The Board of Trustees of PHS unanimously agreed to join Spectrum after executing a controlled competitive process which involved consideration of potential partners from around the country. The selection of Spectrum was based upon regional synergies, cultural fit, a shared commitment to quality, and the potential to offer advanced healthcare services to the greater Hastings community.

Juniper’s Role
The Board of PHS engaged Juniper Advisory to provide education on various options and to proactively solicit market input. Juniper led the Board through a comprehensive situational review, designed and managed a competitive process, drafted information materials, assembled an electronic data room, conducted reverse due diligence, and negotiated the agreement between the parties. In addition, Juniper advised the Board through the completion of due diligence, the signing of the definitive agreement, and the satisfaction of all regulatory approvals.

Pennock Healthcare System
Pennock is an integrated healthcare system based in Hastings, MI, a rural community southeast of Grand Rapids. Pennock is the only hospital within a 28 mile radius and

May 1st, 2015|News & Events|

James Burgdorfer Presents at the University of Texas School of Law’s Health Law Conference

UT Law LogoJames Burgdorfer co-presented “Healthcare M&A — Trends and Considerations” for the University of Texas School of Law’s 27th Annual Health Law Conference in Houston, TX. Jamie was joined by Lisa Genecov, Partner at Norton Rose Fulbright, Jon Harris, Partner at King & Spalding, and Gary Ruff, Senior Vice President at Tenet Healthcare, where they need evaluate all options in regular healthcare and prevention in case of accidents or injuries during care and the legal repercussions of this, and how the use of resources from sites as could actually help health centers with such situations . The panel covered recent deal trends, the factors to consider in a potential strategic transaction, and possible transaction structures available to community hospitals and their partners.

The Health Law Conference brings together healthcare attorneys and advisors, physicians, government officials, and in-house counsel from major hospitals and health systems to discuss updates, key issues, strategies, and opportunities facing health systems across Texas and beyond.

Click here for more details or to download a live webcast.

May 1st, 2015|News & Events|

Rex Burgdorfer Discusses the Rise of Hospital Joint Ventures with Waller

JV Image 2Rex Burgdorfer was interviewed by Waller’s Ken Marlow in a feature titled “The Rise of Hospital Joint Ventures.” Ken and Rex discussed recent events and trends affecting hospital M&A activity, the challenges faced by health systems as a result of these trends, and the unique solutions that joint ventures can offer to hospitals as they grapple with unprecedented pressures.

Waller is a law firm specializing in healthcare transactions and regulations and, like Juniper, has been involved in some of the most innovative joint venture structures across the country.

Click here to read the full interview, or visit Waller’s Healthcare Blog for a variety of topics related to the healthcare space.

April 28th, 2015|News & Events|

Platte Valley Medical Center to Merge with SCL Health

PVMC EntrancePlatte Valley Medical Center (PVMC) in Brighton, CO has signed a letter of intent to merge with SCL Health in Denver.  The transaction is notable, in large part, due to PVMC’s highly proactive consideration of strategic alternatives.  The Company enjoys very strong financial characteristics and a modern hospital campus.  Despite these attributes, its Board felt that an objective assessment of PVMC’s ability to remain independent in the new healthcare environment was important to its future success.  The combination with SCL is intended to afford PVMC access to rapidly developing narrow networks in Colorado.  SCL is the exclusive provider for Kaiser Permanente exchange products in the Colorado Front Range.

Juniper’s Role
Juniper was engaged by the Board of Directors of PVMC to provide advice on their overall situation as well as to design and implement a process to assess PVMC’s independence.  Providing the Board with a competitive basis of comparison and a range of partnership options was instrumental in achieving this outcome.  Studies have indicated that roughly 85% of nonprofit hospital systems are assessing their ability to remain independent, as PVMC did.  As the largest and most experienced investment banking firm focused entirely on this

March 31st, 2015|News & Events|

Juniper Advisory’s Garden City Hospital Transaction Named Best Deal Under $100 Million Finalist By Crain’s Detroit Business

Garden CiCrain's Awards Logoty Hospital’s partnership with Prime Healthcare Services was named the Best Deal Under $100 Million Finalist by Crain’s Detroit Business as part of the 2015 Crain’s M&A Awards. Juniper’s work with Garden City Hospital represented an exceptional outcome for a community that was facing the potential loss of its hospital. Click here for more information on the partnership with Prime and the process that Juniper carried out on behalf of Garden City.

The Garden City transaction was one of four deals recognized by Crain’s Detroit across all industries in the greater Detroit metropolitan area. Transactions were selected based upon their benefit to the community and greater region, including the creation or retention of jobs, as well as the complexity and degree of difficulty associated with the transaction.

Click here for more details on the 2015 Crain’s M&A Awards, including all transaction awardees.

March 22nd, 2015|News & Events|