Publications

COVID-19 Impact on Healthcare M&A

Publications

May 15, 2020

The COVID-19 pandemic has upended our nation and our healthcare delivery system. The extreme pressure being put on hospitals during this crisis will permanently change the way healthcare is sought...

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Are Hospitals Prepared for a Recession?

Publications

August 30, 2019

News coverage of a possible economic recession flared late this summer with a yield curve inversion, a bond market phenomenon that is historically associated with a financial downturn. The curve...

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The Intersection of Mission and Margin

Publications

June 3, 2019

As healthcare has transformed from a nascent local patchwork of services to one of our country’s leading industries, hospitals hold steadfast to their missions that have roots going back a...

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Government-Affiliated Hospital Business Combinations: The Governance Dynamic

Publications

April 26, 2019

Many governmental hospitals might benefit from ownership change; in certain instances it is acutely needed. They face the same pressures to improve quality and lower costs that challenge most hospitals...

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Santa Clara County Succeeds in Securing the Future of Endangered Local Hospitals

Publications

March 12, 2019

The County of Santa Clara (Calif.) assumed responsibility for the operation of O’Connor Hospital in San José, St. Louise Regional Hospital in Gilroy, and De Paul Health Center in Morgan...

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Analysis: Hospitals Buoyed by Tenuous Investment Income

Publications

February 27, 2019

Investment income resulting from a strong stock market has propped up many standalone hospitals’ balance sheets over the past two years, according to a recent evaluation by Juniper Advisory. In...

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Regulatory Implications for Change-of-Control

Publications

February 20, 2019

Often, one of the chief terms to be negotiated during a hospital merger is who will govern the hospital post transaction. Will the existing hospital board retain control through an...

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Analysis: Hospitals Buoyed by Tenuous Investment Income

Publications

December 12, 2018

Investment income resulting from a strong stock market has propped up many standalone hospitals’ balance sheets over the past two years, according to a recent evaluation by Juniper Advisory. In...

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Demonstrating Fairness in a Market Approach to Hospital M&A

Publications

September 26, 2018

Last year, we noted that the majority of hospitals and health systems are exploring their options when it comes to potential partnerships. We are starting to see more multi-state transactions...

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Our Take: Considering Quality in a Business Combination 

Publications

August 29, 2018

Of the umpteen elements hospital leaders evaluate when considering the viability of a potential partner, quality is generally at the top of the list. A larger partner can bring the scale,...

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Our Take: A Case Study of Rural Success

Publications

July 25, 2018

Rural providers have been somewhat insulated by the transformation in the health care market over the past decade. Caught between understanding and implementing population health strategies, they are still heavily...

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Valuing the Troubled Hospital

Publications

June 22, 2018

Financial difficulties are commonly the catalyst for hospitals to begin exploring partnership options. As Rex Burgdorfer, Juniper Advisory Vice President, outlines in his latest article “Valuing the Troubled Hospital”, court-led...

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